PKG00261020-instructions.pdf

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health

CDC-RFA-OT18-18020301SUPP20

Application Due Date: 05/14/2020

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health

CDC-RFA-OT18-18020301SUPP20

TABLE OF CONTENTS

Part 1. Overview Information Part 2. Full Text of the Announcement

Section I. Funding Opportunity Description Section II. Award Information Section III. Eligibility Information Section IV. Application and Submission Information Section V. Application Review Information Section VI. Award Administration Information Section VII. Agency Contacts Section VIII. Other Information

Part 1. Overview Information Federal Agency Name:

Federal Centers for Disease Control and Prevention (CDC) Notice of Funding Opportunity (NOFO) Title:

Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health Announcement Type:

Revision - Type 3

Agency Notice of Funding Opportunity Number:

CDC-RFA-OT18-18020301SUPP20

Assistance Listings (CFDA) Number:

93.421 93.430 Key Dates:

Due Date for Application: 05/14/2020 Application must be successfully submitted to Grants.gov by 11:59pm Eastern Standard Time on the deadline date.

Additional Overview Content:

This supplemental funding is only available to the organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health. Recipients are eligible to submit applications for FY20 CIO Project Plans according to the Target Population Category and Target Population Description for which they received initial funding in FY18.

Executive Summary:

The purpose of this notice of funding opportunity (NOFO) is to announce the availability of supplemental funding for the organizations that were previously awarded funding under Funding Strategy 1 of CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health. The CDC- RFA-OT18-1802 recipients are eligible to submit applications for new FY20 CIO Project Plans according to the Target Population Category (A, B, or C) and Target Population Description for which they received initial funding in FY18.

The goal is to fund recipients that have the capability, expertise, resources, reach, and history of providing capacity building relevant to implementing this program's key strategies, activities, and outcomes. The program strategies include strengthening the capacities of public health systems infrastructure; leadership and workforce; data and information systems; communication and information technology; partnerships; laws and policies; and programs and services. The capacity-building efforts of this program are expected to strengthen and optimize the public health system and services to improve and protect the nation's health.

This supplemental funding opportunity enables recipients to strengthen the nation's public health infrastructure; ensure a competent, current, and connected public health system; and improve delivery of essential services through capacity-building assistance (CBA). CBA is defined as activities that strengthen and maintain the infrastructure and resources necessary to sustain or improve system, organizational, community, or individual processes and competencies. CBA is delivered through technical assistance, training, information sharing, technology transfer, materials development, or funding that enables organizations to serve customers better and operate in a comprehensive, responsive, and effective manner.

Measurable outcomes of the program will be in alignment with one (or more) of the following performance goal(s) for the OSTLTS:

Improve the capacity and performance of state, tribal, local and territorial public health agencies to more efficiently and effectively manage and deliver high quality programs and services to protect the public’s health.

Develop and implement training to provide for competent, sustainable, and empowered public health workforce able to meet emerging and future health challenges.

This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be considered. For this purpose, research is defined at https ://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf.

Guidance on how CDC interprets the definition of research in the context of public health can be found at https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html (See section 45 CFR 46.102(d)).

Part 2. Full Text Section I. Funding Opportunity Description

Statutory Authority The program is authorized under sections 317(k)(2) and 307 of the Public Health Service Act (42 U.S.C. Sections 242(l) and 247b(k)), as amended. In addition, this program is authorized under sections 4002 of the Patient Protection and Affordable Care Act, Public Law 111-148 and the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (P.L. 116- 123).

Background The Institute of Medicine (IOM) published a landmark report in 1988, The Future of Public Health, that recognized the daunting role of governmental public health in ensuring basic health and safety. It stated that governmental public health agencies--representing the mainstay of the public health enterprise--were fragmented, underfunded, and lacked cross-cutting capabilities.

Recommendations included building key abilities; providing adequate funding for basic services and achieving national goals; and clarifying basic authorities and responsibilities entrusted to public health agencies, boards of health, and health officials.

Persistent challenges such as underfunding, fragmented programs, workforce declines, health disparities and inequities, and emerging health threats continue to strain public health's capacity, resources, and impact. A 2012 IOM report, For the Public's Health: Investing in a Healthier Future, recommended that investments be made in six foundational capacities and capabilities https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol1/pdf/CFR-2007-title42-vol1-sec52-2.pdf https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html for public health departments: 1) information systems, surveillance, and epidemiology; 2) health planning; 3) partnership development and community mobilization; 4) policy development, analysis, and decision support; 5) communication; and 6) research, evaluation, and quality improvement. These investments were further defined under the Foundational Public Health Services and Public Health Accreditation Board (PHAB) Standards & Measures. Both have been cited as complementary and valuable frameworks for strengthening health departments and our nation's public health infrastructure. These needs have also been outlined in two key initiatives: Healthy People 2020 and Public Health 3.0: A Call to Action to Create a 21st Century Public Health Infrastructure.

The public health system represents a complex and broad range of agencies, organizations, and individuals in which each plays a significant role in affecting the health of the population.

Engaging multiple entities facilitates coordination to address public health needs in a systematic manner. Therefore, this CBA program is designed to fund organizations that represent both governmental and nongovernmental components of the public health system.

This program's purposes are to strengthen the nation's public health infrastructure; ensure a competent, current, and connected public health system; and improve delivery of essential public health services through capacity-building assistance (CBA).

The supplemental NOFO provides funding for CBA activities with target populations under three headings: Category A: Governmental Public Health Departments; Category B: Workforce Segments across Governmental Public Health Departments; and Category C: Other Governmental and Nongovernmental Public Health Components.

This supplement is only open to organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802. The recipients are eligible to submit applications for new FY20 CIO Project Plans according to the Target Population Category (A, B, or C) and Target Population Description for which they received initial funding in FY18. Awards will be made to organizations with demonstrated capability, expertise, resources, national reach, and track record to implement one or more of the CBA program strategies: 1) public health systems infrastructure; 2) leadership and workforce; 3) data and information systems; 4) communication and information technology; 5) partnerships; 6) laws and policies; and 7) programs and services in response to CIO Project Plans.

Purpose The purpose of this supplemental notice of funding opportunity (NOFO) is to announce the availability of funding for the organizations that were previously awarded Funding Strategy 1 funding under CDC-RFA-OT18-1802: Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health. The CDC-RFA- OT18-1802 recipients are eligible to submit applications for new FY20 CIO Project Plans according to the Target Population Category (A, B, or C) and Target Population Description for which they received initial funding in FY18.

The purposes of the program described within the supplemental NOFO are to strengthen the nation's public health infrastructure; ensure a competent, current, and connected public health system; and improve delivery of essential public health services through capacity-building assistance (CBA).

http://phnci.org/national-frameworks/fphs http://phnci.org/national-frameworks/fphs https://phaboard.org/

Program Implementation

Recipient Activities Examples of the activities applicants may propose to address the program outcomes are provided below. The list of activities is not exhaustive and should be augmented on the basis of the priority needs of the target population and the outcomes and strategies outlined in the individual CIO Project Plan. CIO Project Plans are attached.

Public Health Systems and Infrastructure--Activities to improve operational capacity, such as policies and plans, administrative and management, and quality improvement. CBA provided will strengthen the target population's ability to

Assess and address gaps in organizational performance, using tools such as national accreditation standards

Assess and reduce agency fragmentation and duplication Develop and implement organizational strategic plans Formulate population health goals and strategies Ensure generation, analysis, and use of information about emerging health trends Ensure organizational structure aligns with health goals and strategies Establish performance management systems to monitor organizational objectives Establish and maintain effective financial management systems Build models that align public health with other sectors Ensure system transparency and accountability Identify, strengthen, and coordinate stakeholders' roles Develop and implement quality improvement processes for practices, processes, and interventions Develop and maintain operational infrastructure to support performance of public health functions Maintain current operational definitions and statements of organizational roles, responsibilities, and authorities

Leadership and Workforce Development--Activities designed to improve leadership and workforce competencies, recruitment, and retention. CBA provided will strengthen the target populations ability to

Strengthen leadership engagement across public and private sectors Determine leaders' engagement in specific public health priorities Establish feedback loops across systems for organizational planning Address existing and emerging public health priorities Address the social determinants of health and health disparities and inequities Perform network analysis to identify opportunities for collaboration Assess workforce training needs Establish and maintain workforce development plan Assess the workforce's scientific skills and subject matter expertise Develop workforce strategy for hiring and retaining employees

Develop and implement strategies to sustain supportive work environments Establish relationships with organizations that promote the development of future public health workers Implement activities to scale-up delivery of public health training at lower costs Sustain the working relationship among public health and leaders across sectors

Data and Information Systems--Activities to improve the collection, management, interpretation, and dissemination of data to guide decision-making. CBA provided will strengthen the target population's ability to

Assess health and health-related data sources Assess available information systems used across organizations Develop systems or processes for cross-integration and ease of use Improve system infrastructure for data storage, protection, and management Determine readiness for information system implementation, use, and maintenance Create manuals and protocols to ensure best practices and standardization of data and information systems Establish data governance by creating policies and guiding principles to improve the collection, interpretation, and meaningful use of data Increase information access, data use, and sharing across organizations Develop and implement protocols critical for integrating surveillance and monitoring systems Develop workforce training on managing data and information systems Link public health data, clinical care data, and other relevant data sources to improve surveillance Determine effective ways to use public health data, health care data, and other relevant data sources to monitor the health of populations

Communication and Information Technology--Activities to improve the use of communication and information technology to affect health decisions and actions. CBA provided will strengthen the target population's ability to

Develop communication processes for effective cross-sector collaboration Develop communication procedures to provide information to the public Create communication campaigns that are relevant, culturally competent, and at a sufficient level of health literacy Provide accessible, accurate, actionable, and current information that is culturally sensitive and linguistically appropriate Develop communication systems to enable efficient and effective community-centered dialogue Develop and disseminate educational materials, health communication and marketing activities, and program evaluation and assessment tools Provide information about public health issues and functions to diverse audiences through multiple methods to inform public health decision making

Partnerships--Activities to improve the establishment and maintenance of results-driven partnerships. CBA provided will strengthen the target population's ability to

Assess agency’s current internal and external partnerships Expand organization or program partnerships through community engagement and mobilization Perform network analysis to identify opportunities for collaboration Leverage partnerships to address specific public health issues or population health needs strategically Identify successful practices and develop new mechanisms to inform and mobilize the public and private sectors in collaborative efforts Engage with the public health system and community in identifying and addressing health problems through collaborative processes Engage various sectors in the adoption of Health in All Policies

Laws and Policies--Activities to improve the ability to interpret and inform laws, including statutes and regulations, and policies that affect health. CBA provided will strengthen the target population's ability to

Conduct systematic surveillance of applicable laws and policies to public health aims and evaluate them

Engage multiple sectors to identify priorities for development of relevant laws and policies based on needs and data

Provide technical assistance and develop tools to support public health practitioners and policymakers in advancing evidence-based or evidence-informed law and policy

Engage multiple sectors in activities that contribute to providing evidence to inform laws and policies that affect public health

Inform governing entities, elected officials, and the public of potential public health effects from laws and policies

Educate individuals and organizations on purpose, benefit, and requirements of laws and policies that affect public health

Identify the common barriers and facilitators of legal and policy strategies that affect health

Note recipients must ensure compliance with Administrative Requirement-12 (Anti- Lobbying) when engaging in all activities, especially those related to laws, policies, and regulations.

Programs and Services--Activities to improve the identification of best practices and implementation of evidence-based/informed programs and services. CBA provided will strengthen the target population's ability to

Identify, prioritize, and fund programs that lower disease rates, prevent injuries, and improve health

Integrate prevention strategies and actions across multiple settings Adopt initiatives to develop, implement, and evaluate effective health promotion and disease prevention strategies

Translate and disseminate evidence-based public health science to improve health and lower health care costs

Identify effective mechanisms to ensure capable assessment and response to public health needs

Develop indicators and measures to determine effectiveness in meeting public health needs

Use evidence to implement programs and services that address emerging or real-time priority public health needs

Develop and adopt evidence-based interventions that reduce high-burden diseases Assess access to health care services Identify and implement strategies to improve access to health care services

CDC anticipates activities funded under this supplement will lead to the collection of data and the development of resources that include but are not limited to toolkits, materials, software, trainings, and webinars. Recipients are expected to share the resulting data and resources with CDC and will receive further guidance upon funding.

In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring.

CDC Activities CDC activities for this program are as follows:

1. Collaborate with recipients to ensure coordination and implementation of strategies to provide capacity-building assistance to governmental and nongovernmental components of the public health system.

2. Provide guidance and coordination to recipients to improve the quality and effectiveness of work plans, evaluation strategies, products and services, and collaborative activities with other organizations.

3. Support ongoing opportunities to foster networking, communication, coordination, and collaboration.

4. Serve as a conduit for information exchange.

5. Collaborate with recipients to compile and publish accomplishments, best practices, and lessons learned during the period of performance.

6. Collaborate, as appropriate, in assessing progress toward meeting strategic and operational goals and objectives and in establishing measurement and accountability systems for documenting outcomes.

7. Collaborate on strategies and activities to ensure the provision of CBA to STLT health departments and other components of the public health system as needed.

Section II. Award Information Type of Award: Cooperative Agreement CDC substantial involvement in this program appears in the Activities Section above.

Award Mechanism: U38 Uniform National Health Program Reporting System

Fiscal Year Funds: 2020 Approximate Total Supplemental Funding: $46,660,800 This amount is subject to availability of funds. Includes direct and indirect costs.

The funding levels (e.g., "approximate total supplemental funding," etc.) represent approximate funding across multiple CIO Project Plans. Individual awards will vary depending on the activities and approximate funding available for each CIO Project Plan. The approximate amount available for a particular project is provided in the table below.

The following tables list the CIO Project Plans for this FY20 supplemental NOFO, which is year 3 of CDC-RFA-OT18-1802. Please note that any activities involving information collection (i.e., surveys, questionnaires, etc.) from 10 or more non-Federal individuals/entities are subject to OMB/PRA requirements and may require the CDC to coordinate an OMB Information Collection Clearance.

Applicants are eligible to submit applications for FY20 CIO Project Plans according to the Target Population Category and Target Population Description for which they received initial funding in FY18.

Table 1. CIO Project Plans - Category A

Title Target Population Category Target Population Description

Proposed Project Funding

Big City Health Coalition (BCHC) Deputy to CDC Deputy Project

Category A Senior Deputies in local (BCHC) health departments/agencies

$ 150,000.00

Customized Systems and Performance Improvement Technical Assistance for Small Health Departments

Category A Small local health departments

$ 250,000.00

Determining smoking status in Medicaid and linking to Medicaid claims data

Category A State health departments

$ 350,000.00

DHS/CWMD

Engagement with Local Health Officials

Category A County and City Health Departments

$ 75,000.00

DHS/CWMD

Engagement with

Category A State Health Departments

$ 75,000.00

State Health Officials Emergency Preparedness and Response for Maternal and Infant Health Partnership meeting

Category A The target population is local health departments

$ 2,000,000.00

Equipping Local Health Departments to Address Vaccine Hesitancy

Category A Local health departments

$ 500,000.00

Examination of State Policy Interventions to Reduce Skin Cancer Risk

Category A State health departments

$ 500,000.00

Flexible Funding Academic Think Tank

Category A State public health department leadership

$ 200,000.00

Hiring Local Public Health Attorneys:

Return on Investment Analysis

Category A Local Health Directors and other leadership such as attorneys who provide services for local health departments

$ 300,000.00

Identifying and Addressing Impediments to Public Health Data Sharing

Category A State public health departments

$ 250,000.00

Improving Public Health Messaging Reach and Public Affairs Capacity through Empowering Communicators and Public Information Officers

Category A City and county local health departments (w/ a focus on their Public information officers (PIOs) and communicators)

$ 200,000.00

Improving SHD Capacity to Address Environmental Hazards and Excess Cancer Concerns

Category A State health departments.

$ 80,000.00

Improving Social Category A Leadership in state $ 3,500,000.00

Determinants of Health - Getting Further Faster and territorial health departments

Improving Social Determinants of Health Locally - Getting Further Faster

Category A Leadership in city, county, or local health departments

$ 3,500,000.00

Making Dialysis Safer for Patients:

Strengthening Infection Prevention in Dialysis Healthcare Settings

Category A State health departments

$ 140,000.00

Multi-State Network of Linked PRAMS System Data

Category A State health departments

$ 2,200,000.00

Operationalizing multi-sector partnership with local public health to improve population health

Category A Local health departments

$ 200,000.00

Operationalizing Responder Activation Authorities: Putting Force-Multiplier Powers into Action

Category A Local health departments

$ 300,000.00

Project ECHO Pilot - Drug Overdose Training for Medical Examiners and Coroners

Category A State and territorial health departments

$ 500,000.00

Provision of technical assistance and resources to support access to school-based Medicaid services.

Category A State Health Department Officials are primary target audience with emphasis on engaging other key official stakeholders

$ 350,000.00

Public Health 3.0:

Organizational Assessment Tool

Category A State health departments

$ 400,000.00

Public Health 3.0: Category A State health $ 600,000.00

Population Health Certificate Program departments

Senior Leader Reserve Corps

Category A State health departments

$ 300,000.00

State Health Departments as the Linchpin for Strengthening Vaccine Confidence

Category A State health departments

$ 150,000.00

State Partnerships for Population Health

Category A State Health Department leaders, State Medicaid agency leaders, other state agency leaders and academics, state pop ulation health stakeholders

$ 400,000.00

Supporting Partners on the Implementation of Best Practices to Address OUD among Pregnancy and Postpartum Women

Category A State health departments

$ 350,000.00

Supporting Statewide Training Priorities for Performance Improvement and Capacity Building

Category A Local health departments

$ 200,000.00

Technical Assistance for State Communication During Public Health Emergencies (Part 2)

Category A State Health Departments

$ 2,000,000.00

Use of Enforcement Mechanisms for Local Public Health Interventions

Category A Local public health practitioners, attorneys and/or policy-makers identifying new options or more efficient strategies and mechanisms for enforcing public health laws.

$ 200,000.00

Table 2. CIO Project Plans - Category B

Title Target Population Category Target Population Description

Proposed Project Funding

Accelerate Use of Shared Decision Support Services

Category B Epidemiologists in state, tribal, local and territorial health departments

$ 2,500,000.00

Applied Epidemiology Fellowship

Category B Epidemiologists in state, tribal, local and territorial health departments

$ 1,000,000.00

Cancer Screening Change Package

Category B Chronic disease workforce within state, tribal, local, and territorial health departments.

$ 500,000.00

CDC's National Neurological Conditions Surveillance System Partner Collaboration

Category B Epidemiologists in state, tribal, local and territorial health departments

$ 60,000.00

Communicating the Importance of Environmental Health

Category B Public health lawyers and their clients in STLT departments or health workforce strategists from

STLT

departments

$ 50,000.00

Comprehensive Injury Epidemiology Fellowship

Category B Epidemiologists working in state and territorial health departments.

$ 325,000.00

Comprehensive Injury Epidemiology Partnership

Category B Epidemiologists working in state and territorial health

$ 325,000.00

Convening State and National Organizations to Address Arthritis Public Health Priorities

Category B Chronic Disease Specialists in State health departments

$ 13,500.00

Creating a National Framework for Medical- Dental Integration

Category B Chronic disease directors in state, local, and territorial health departments

$ 200,000.00

Data Modernization for Shared Decision Support Services

Category B Epidemiologist and informaticians at STLT public health agencies.

$ 2,000,000.00

Data Modernization Initiative: Applied Informatics Team Training (AITT)

Category B Epidemiologists and health department staff who work closely with epidemiologists

$ 650,000.00

Data System Capacities for Modernized Case-based Surveillance

Category B Informaticians who serve state, territorial and large local health departments that maintain case-based surveillance systems, particularly those transmitting the surveillance data to CDC.

$ 350,000.00

Development of a Local Lead-Free City Collaborative

Category B Chronic disease specialists across health departments

$ 130,000.00

Engaging Maternal and Child Health Programs to Strengthen Vaccine Confidence

Category B MCH program directors and

CYSHCN

directors in state and territorial health departments

$ 300,000.00

Environmental health response, recovery, capacity building related to declared 2018/2019 disasters

Category B Environmental health scientists and specialists employed in state, tribal, local and territorial health departments.

$ 1,000,000.00

Evaluation and Program Improvement Capacity Building for STD Programs

Category B Infectious disease workforce: STD program staff at state, local, and territorial health departments

$ 175,000.00

Expanding Implementation of “Learn the Signs. Act Early.” in

WIC

Category B Public health nutritionists in state, tribal, local, and territorial health departments

$ 110,000.00

Guidance for Health Departments Developing Data Modernization Roadmaps

Category B Public health informaticians in STLT health departments

$ 700,000.00

Helping families discuss hereditary breast or ovarian cancer

Category B Health educators, chronic disease directors, or chronic disease specialists across state, local, tribal and territorial health departments

$ 450,000.00

HIV data privacy, confidentiality, and sharing laws and policies assessment

Category B Public health lawyers across health departments.

$ 50,000.00

Improving Capacity to Address Environmental Hazards and Excess Cancer Concerns

Category B State, tribal, local and territorial epidemiologists.

$ 80,000.00

Improving Immunization Information Systems

Category B IIS and immunization

$ 1,300,000.00

(IISs) Interoperability and Immunization Data Quality workforce across state, tribal, local, and territorial health departments, including health information systems

Leveraging Immunization Information Systems to identify communities at risk

Category B IIS and Immunization Workforce across state, tribal, local, and territorial health departments

$ 200,000.00

Million Hearts Home- Based and Hybrid Cardiac Rehabilitation Think Tank

Category B State, local, and territorial public health chronic disease directors

$ 100,000.00

Paid leave policies for cancer screening and caregiving

Category B Public health lawyers and their clients

$ 180,000.00

Partnership to promote public health data quality, integrity, and modernization

Category B Health strategist workforce (leaders and mid-career professionals) in state, tribal, local and territorial health departments

$ 200,000.00

Partnerships with Chronic Disease Directors and Prevention Research Centers to Increase Capacity in Evidence- Based Public Health

Category B State, territorial, and local public health chronic disease directors

$ 100,000.00

Practical Workforce Development Resources for STLT Health Departments

Category B Public health professionals in STLT health departments working to improve quality, performance, and outcomes of

$ 300,000.00 individuals, programs, and organizations

Privacy and Electronic Data Sharing

Category B STLT Leadership

$ 500,000.00

Public Health Data Modernization Workshop

Category B Public health informaticians in STLT health departments

$ 300,000.00

Public Health Law Certificate Program:

Feasibility and Pilot Project

Category B STLT Public health practitioners who need a better understanding of their laws and legal authorities and will be the prospective clients of public health attorneys.

$ 300,000.00

Reporting of Death Data for Jurisdictions Participating in the National Syndromic Surveillance Program

Category B Public health departments conducting syndromic surveillance using the tools provided through the National Syndromic Surveillance Program (NSSP) and the public health partner organization that provides the current infrastructure for death reporting to the National Center for Health Statistics.

$ 250,000.00

Self-Measured Blood Pressure Monitoring (SMBP) Health Information Technology

Category B Public health informaticians in STLT health

$ 150,000.00

Environmental Scan STLT Resources for Health Equity, SDOH and Law

Category B Public health lawyers and their clients

$ 400,000.00

Strengthen the Network of Data Users to Build Tribal Public Health Infrastructure

Category B Data users and epidemiologists within local and tribal organizations, specifically those awarded under OT18-

$ 200,000.00

Strengthening disaster response/recovery activities improving capacity to conduct disaster epidemiology

Category B Epidemiologists in state, tribal, local, and territorial health departments

$ 205,000.00

Strengthening Education and Training Capacity for National Program of Cancer Registries

Category B Chronic disease directors across STLTs

$ 150,000.00

Strengthening Infrastructure through Tribal Workforce Development

Category B Public health professionals in tribal and local health departments working to improve quality, performance, and outcomes of individuals, programs, and organizations

$ 200,000.00

Toxicology/Overdose Morbidity Fellow

Category B Health strategist workforce addressing non-fatal overdose reporting across health departments

$ 160,000.00

Using information science to build an immunzation coalition learning collaborative

Category B Public health informaticians;

state and local and territorial

$ 400,000.00 health departments; and their associated coalitions and partners

Table 3. CIO Project Plans - Category C

Title Target Population Category

Target Population Description

Proposed Project Funding

Advancing Arthritis Public Health Priorities through Communication Strategies

Category C The target population includes physicians;

hospitals; health systems; health centers

$ 285,500.00

Awareness of Congenital Heart Defects Among Healthcare Clinicians

Category C Pediatric healthcare clinicians

$ 400,000.00

CityHealth Expansion Support Category C Community-based organizations

$ 150,000.00

Connecting pediatricians with communities at risk and primary care providers to strengthen vaccine confidence

Category C Pediatric Health Care Clinicians

$ 300,000.00

Engaging Community Health Centers as Partners to Strengthen Vaccine Confidence

Category C Health centers and the patients and communities in which they serve.

$ 200,000.00

Engaging governors to strengthen vaccine confidence

Category C Governors and their staff

$ 250,000.00

Engaging women’s health care providers for effective vaccine conversations

Category C Obstetrician-gynecologists and other women's health care providers

$ 300,000.00

Evaluation of electronic health records for cancer-associated venous thromboembolism determination in US hospitals

Category C Entities associated with US hospitals and health systems

$ 200,000.00

Improving Linkages to Address OUD among Pregnant and Postpartum Women

Category C Community Based Organizations

$ 1,300,000.00

Improving return-to-school for students with TBI

Category C Pediatric healthcare clinicians

$ 400,000.00

Increasing health system tobacco intervention capacity through clinical quality

Category C Hospital systems (delivering cancer prevention services in improvement. integrated healthcare delivery systems)

Increasing HIV testing using EHR information and automated lab orders

Category C Health centers (& primary care providers) and the patients and communities in which they serve

$ 1,188,000.00

Jurisdictional Risk Assessments: A landscape analysis and evaluation of tools

Category C Local health departments

$ 450,000.00

National Hypertension Control Roundtable

Category C At least 50 partner organizations from the academic, for profit, non-profit and governmental sectors working to prevent and treat hypertension

$ 300,000.00

PH WINS Data Visualization Dashboard and Consortium Workforce Development Project

Category C Community-based organizations

$ 325,000.00

Promoting the Physical Activity Guidelines through Youth Sports at the Local or Community Level

Category C YMCAs nationwide $ 100,000.00

Protecting pregnant women and their infants from infectious threats

Category C Obstetricians and Gynecologists and other women’s healthcare providers

$ 400,000.00

Providing state legislators with accurate information on vaccines

Category C State legislators and legislative staff

$ 300,000.00

Quality Improvement of Adolescent Reproductive Health Services in Community Health Centers

Category C Providers, staff, and leadership at community health centers

$ 213,800.00

Strategies to Address SDOH that Impact Maternal and Infant Health

Category C Maternal and child health professionals

$ 1,000,000.00

Strengthening the Capacity of Schools to Manage Chronic Conditions in Schools

Category C Pediatric health care clinicians

Supporting Community Category C Community-based $ 300,000.00

Organizations to Strengthen Vaccine Confidence organizations

Supporting Lead Free Communities through Partner Coordination

Category C Community-based Organization

$ 65,000.00

Training Public Health Practitioners and Data Scientists on American Indian and Alaska Native Data Access

Category C CBOs serving racial/ethnic minority communities

$ 150,000.00

Translating Evidence to Practice: Implementation Tools for Preventing Opioid Overdose

Category C Community based organizations and community behavioral health organizations

$ 500,000.00

Using community-based organizations to increase swim-survival skills among vulnerable youth.

Category C Community-based organizations (i.e., YMCAs nationwide) offering programs and services for youth, including swim lessons, with a specific focus on youth development, healthy living, and social responsibility.

$ 200,000.00

Utilizing Care Coordination to Improve Healthcare Delivery and Population Health

Category C Build health system, health plan, and healthcare provider organization capacity through physicians, preventive medicine physicians, or US hospitals and health systems

$ 300,000.00

As a reminder, funding includes direct and indirect costs, and is subject to applicable cooperative agreement regulations and existing indirect cost rate agreements.

Approximate Number of Awards: 40

Approximate Average Award: $250,000 This amount is for the budget period only and includes direct costs and indirect costs as applicable.

Floor of Individual Award Range: $13,000 Ceiling of Individual Award Range: $15,000,000 This ceiling is for a 12-month budget period.

CSTLTS advises recipients to disregard the statement "This ceiling is for a 12-month budget period" above and the "Period of Performance Length" below. The statements are system-generated and do not take into account the supplement will be awarded after the start of the budget period. Projects awarded under this supplement will have an 11-month budget period (September 1, 2020-July 31, 2021). The period of performance will be determined by the individual CIO Project Plan but will not exceed 3 years to end July 31, 2023.

Anticipated Award Date: 09/01/2020 Budget Period Length: 11 month(s) Period of Performance Length: 1 year(s)

Section III. Eligibility Information

Eligible Applicants The following recipients may submit an application:

Eligibility Category: State governments County governments City or township governments Public and State controlled institutions of higher education Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Nonprofits without 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education Others (see text field entitled "Additional Information on Eligibility" for clarification)

This funding opportunity is only available to organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802: "Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health" in August 2018.

Recipients are eligible to submit applications for FY20 CIO Project Plans according to the Target Population Category and Target Population Description for which they received initial funding in FY18.

Required Registrations

System for Award Management and Universal Identifier Requirements An organization must be registered at the three following locations before it can submit an application for funding at www.grants.gov.

https://www.grants.gov

a. Data Universal Numbering System: All applicant organizations must obtain a Data Universal Numbering System (DUNS) number. A DUNS number is a unique nine-digit identification number provided by Dun & Bradstreet (D&B). It will be used as the Universal Identifier when applying for federal awards or cooperative agreements. The applicant organization may request a DUNS number by telephone at 1-866-705-5711 (toll free) or Internet at http://fedgov.dnb.com/webform/displayHomePage.do. The DUNS number will be provided at no charge. If funds are awarded to an applicant organization that includes sub-recipients, those sub-recipients must provide their DUNS numbers before accepting any funds.

b. System for Award Management (SAM): The SAM is the primary registrant database for the federal government and the repository into which an entity must submit information required to conduct business as a recipient. All applicant organizations must register with SAM, and will be assigned a SAM number. All information relevant to the SAM number must be current at all times during which the applicant has an application under consideration for funding by CDC. If an award is made, the SAM information must be maintained until a final financial report is submitted or the final payment is received, whichever is later. The SAM registration process usually requires not more than five business days, and registration must be renewed annually. Additional information about registration procedures may be found at https://www.sam.gov/SAM/.

c. Grants.gov: The first step in submitting an application online is registering your organization through www.grants.gov, the official HHS E-grant website. Registration information is located at the "Applicant Registration" option at www.grants.gov. All applicant organizations must register with www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants must start the registration process as early as possible.

Cost Sharing or Matching Cost Sharing / Matching Requirement: No

Other

Special Requirements CDC-RFA-OT18-1802 Recipients may only apply for CIO Project Plans according to the Target Population Category and Target Population Description for which the organization competed and was awarded funds under Funding Strategy 1 in FY18. Work Plans in Response to CIO Project Plans and accompanying budget narratives addressing any other target populations will be considered non-responsive and excluded from evaluation for funding consideration.

Note: Title 2 of the United States Code Section 1611 states that an organization described in Section 501(c)(4) of the Internal Revenue Code that engages in lobbying activities is not eligible to receive Federal funds constituting a grant, loan, or an award.

Maintenance of Effort Maintenance of Effort is not required for this program.

http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/SAM/ https://www.grants.gov http://www.grants.gov

Section IV. Application and Submission Information

Address to Request Application Package Applicants must download the application package associated with this funding opportunity from Grants.gov.

If the applicant encounters technical difficulties with Grants.gov, the applicant should contact Grants.gov Customer Service. The Grants.gov Contact Center is available 24 hours a day, 7 days a week, with the exception of all Federal Holidays. The Contact Center provides customer service to the applicant community. The extended hours will provide applicants support around the clock, ensuring the best possible customer service is received any time it is needed. You can reach the Grants.gov Support Center at 1-800-518-4726 or by email at support@grants.gov. Submissions sent by email, fax, CD’s or thumb drives of applications will not be accepted.

Content and Form of Application Submission Unless specifically indicated, this announcement requires submission of the following information:

Submission of Work Plans in response to CIO Project Plans:

The CIO Project Plans are organized in this FY20 supplemental NOFO by Target Population Category (A, B, or C). Each CDC-RFA-OT18-1802 recipient is eligible to submit work plans in response to FY20 CIO Project Plans according to the Target Population Category and Target Population Description for which the organization competed and was awarded funds under Funding Strategy 1 in FY18. The CIO Project Plans are included as attachments to this supplemental NOFO. Applicants are permitted to submit responses to multiple CIO Project Plans and must submit a Work Plan in Response to CIO Project Plan template for each CIO Project Plan for which they would like consideration. Each submission must include the proposed strategies and accompanying activities, process measures, outputs, outcomes, and outcome measures for the 11-month budget period. Additionally, each submission must include a description of the recipient’s organizational capacity and program experience as it relates to the work outlined in the corresponding CIO Project Plan. Applicants must create and save a master merge PDF file of all individual Work Plan in Response to CIO Project Plan PDFs. The master document must be uploaded and submitted as the "Project Narrative" on Grants.gov.

Applicants must also create a separate budget narrative to accompany each Work Plan in Response to CIO Project Plan. Applicants must create and save a master merge PDF file of all Budget Narratives being submitted. The master document must be uploaded and submitted as the "Budget Narrative" on Grants.gov.

Text from some CIO Project Plans may be omitted due to a technical glitch in the CSTLTS/NPB Recipient Dashboard. CIO Project Plans that contain the full text are accessible on the CSTLTS/NPB Recipient Dashboard. The Work Plans in Response to CIO Project Plans must be submitted via the CSTLTS/NPB Recipient Dashboard and Grants.gov. Detailed instructions to submit Work Plans in Response to CIO Project Plans will be posted on the CSTLTS/NPB Recipient Dashboard.

mailto:support@grants.gov

Recipients are expected to carry out program capacity-building strategies and activities to achieve the program outcomes and to identify and document additional outcomes accomplished.

The CBA efforts performed under each project should work toward the short-term and intermediate outcomes outlined in the CIO Project Plan.

Provide the following information for each Program Strategy:

Activities: List the proposed activities related to each strategy selected. Example activity: Planning and hosting a community roundtable offering strategies to convene partners. Propose activities that fit within the description of the selected strategies.

Process Measures: Propose at least one process measure for each strategy selected.

Process measures are used to track implementation progress of the proposed activities.

Effective measures indicate a unit of measurement (proportion, percentage, etc.) and direction of change (increase, decrease, maintain, etc.). Example process measure: To maintain participation level of the previous year, at least 20 of 35 organizations invited will attend the community roundtable event.

Outputs: List the expected outputs related to each strategy selected. Outputs are the direct, tangible results of activities (e.g., resources, tools, and products to be developed).

Example output: Development of a peer-to-peer learning portal for roundtable participants.

Program Outcomes: For each strategy selected, select the program outcome that relates to the expected budget period outcome(s) and proposed outcome measure(s). Outcomes are the changes that occur as a result of the work completed.

Budget Period Outcomes: List the expected budget period outcomes related to the selected program outcome. Budget period outcomes are the desired project results achieved by the end of the budget period (July 31, 2021). Program outcomes selected above may be included as budget period outcomes. Example budget period outcome:

Improved capacity to establish and maintain partnerships within and across sectors to create a shared vision of health.

Outcome Measures: Propose at least one outcome measure for each program outcome selected. Outcome measures are used to track progress toward achieving the expected outcomes. Effective measures indicate a unit of measurement (proportion, percentage, etc.) and direction of change (increase, decrease, maintain, etc.). Example outcome measure: At least 50% of attendees who complete the training evaluation indicate they will partner with at least one new community organization to address a public health need.

Budget Summary Spreadsheet: Recipients must provide a budget summary spreadsheet as part of their Budget Narrative. The summary must be in excel format and identify the budget line items per project. Use the spreadsheet template provided by CSTLTS/NPB and upload the completed document to Grants.gov under "Optional Attachments" in the "Mandatory Attachments" Section.

General instructions for submitting Work Plans in Response to CIO Project Plans on Grants.gov:

1. Submit individual Work Plans in Response to CIO Project Plans on the CSTLTS/NPB

Recipient Dashboard

2. Save master Project Narrative PDF and master Budget Narrative PDF

3. Go to Grants.gov

4. Select "Applicants"

5. Select "Apply for Grants"

6. Select "Get Application Package"

7. Insert the Notice of Funding Opportunity Number only, formatted as: CDC-RFA-

OT18-18020301SUPP20

8. Download application package

9. Complete the Budget Information for Non-constructions Programs (SF424A) form

10. Complete the Application for Federal Domestic Assistance-Short Organizational Form

(SF425)

11. Upload the master Project Narrative and master Budget Narrative documents

12. Upload the Indirect Cost Rate Agreement

13. Follow instructions to submit the application package to Grants.gov

A Project Abstract must be completed in the Grants.gov application forms. The Project Abstract must contain a summary of the proposed activity suitable for dissemination to the public. It should be a self-contained description of the project and should contain a statement of objectives and methods to be employed.