PKG00264788-instructions.pdf

Centers for Disease Control and Prevention

NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES

Partnering with Professional and Medical Associations to Increase Vaccination Coverage Across Different Racial and Ethnic Adult Populations Experiencing Disparities

CDC-RFA-IP21-2107

01/19/2021

Table of Contents A. Funding Opportunity Description

B. Award Information

C. Eligibility Information

D. Application and Submission Information

E. Review and Selection Process

F. Award Administration Information

G. Agency Contacts

H. Other Information

I. Glossary

Part I. Overview A. Federal Agency Name:

Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease Registry (ATSDR) B. Notice of Funding Opportunity (NOFO) Title:

Partnering with Professional and Medical Associations to Increase Vaccination Coverage Across Different Racial and Ethnic Adult Populations Experiencing Disparities C. Announcement Type: New - Type 1:

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)).

D. Agency Notice of Funding Opportunity Number:

CDC-RFA-IP21-2107

E. Assistance Listings (CFDA) Number:

93.185 F. Dates:

1. Due Date for Letter of Intent (LOI):

N/A

2. Due Date for Applications:

01/19/2021 11:59 p.m. U.S. Eastern Standard Time, at www.grants.gov.

3. Due Date for Informational Conference Call:

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 https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html https://www.grants.gov/

Potential applicants may participate in a conference call for information on this NOFO. The conference call will be conducted by the Immunization Services Division. The call will be held: January 8, 2021, 2:00-3:00. Please use this link to access the call:

Meeting

URL:

https://cdc.zoomgov.com/j/1604676742?pwd=SWpsYTlRV2ZqM0dnbGI0dnRNSkJhdz 09&from=addon

Meeting

ID:

160 467 6742

Passcod e:

98d8V!$w

Join by Telephone

Phone one-tap:

US: +16692545252,,1604676742#,,,,,,0#,,86465031# or +16468287666,,1604676742#,,,,,,0#,,86465031#

For higher quality, dial a number based on your current location.

Dial:

US: +1 669 254 5252 or +1 646 828 7666 or +1 551 285 1373 or +1 669 216 1590

Meeting

ID:

160 467 6742

Passcod e (dial-in):

86465031

G. Executive Summary:

1. Summary Paragraph CDC seeks to build the evidence base for improving vaccination coverage and to implement strategies to reduce racial and/or ethnic disparities in adult vaccination coverage. This award would fund organizations to implement activities focused on reducing disparities in vaccination for flu (and COVID-19, when appropriate) vaccines among racial and/or ethnic adult populations experiencing disparities throughout the performance period. Applicant is expected to identify individual(s) within the organization to implement activities in the following focus areas:

Develop strategies and resources for individual clinicians providing health care:

Develop, implement, and disseminate strategies and resources to address clinicians’ roles in reducing racial and/or ethnic disparities in adult vaccination coverage (e.g., messaging, trainings, and materials with a racial/ethnic equity or health equity perspective)

Develop strategies and resources for health care organizations: Develop, implement, and disseminate strategies and resources to address the health care organizations’ role in reducing racial and/or ethnic disparities in adult vaccination coverage (e.g., recommended processes or practical guidance to members for improving equity in https://cdc.zoomgov.com/j/1604676742?pwd=SWpsYTlRV2ZqM0dnbGI0dnRNSkJhdz09&from=addon https://cdc.zoomgov.com/j/1604676742?pwd=SWpsYTlRV2ZqM0dnbGI0dnRNSkJhdz09&from=addon tel:+16692545252,,1604676742#,,,,,,0#,,86465031# tel:+16468287666,,1604676742#,,,,,,0#,,86465031# vaccine administration; engagement of community health workers in trainings and creation of materials)

Enhance the resource and evidence base: Collaborate with the Learning Hub, Data- Informed Technical Assistance Hub, and Media Center to review, modify, and improve resources

a. Eligible Applicants:

Limited

b. Funding Instrument Type:

CA (Cooperative Agreement)

c. Approximate Number of Awards

d. Total Period of Performance Funding:

$ 5,000,000

e. Average One Year Award Amount:

$ 333,333

f. Total Period of Performance Length:

g. Estimated Award Date:

February 01, 2021

h. Cost Sharing and / or Matching Requirements:

No

Part II. Full Text A. Funding Opportunity Description

1. Background

a. Overview Vaccination is considered one of the most important public health achievements of the twentieth century and continues to offer great promise. Vaccines save lives and improve the quality of life by preventing serious infectious diseases and their consequences. However, the benefits of vaccination are not realized equally across the population of the United States. Adult vaccination coverage remains low nationally and significant racial and ethnic disparities exist. The groups experiencing disparities are also disproportionately affected by COVID-19, at risk for serious illness from COVID-19, and/or at high risk for complications from influenza infection. Given the expected co-circulation of SARS-CoV-2 and influenza, this 2020–2021 influenza season is a critical opportunity to ensure equal uptake of the flu and COVID-19 vaccines, when COVID-19 vaccines become available.

A strong recommendation from a healthcare provider is the single most important factor in vaccine acceptance as they are seen as trusted agents on vaccine-related issues for patients, especially if the provider is of the same racial or ethnic minority group as the patient. To improve vaccine confidence and coverage among certain racial and ethnic groups, CDC aims to increase the likelihood that providers, particularly providers of color, will recommend vaccination to patients from these racial and ethnic groups.

b. Statutory Authorities This program is authorized under section 317(k)(1) of the Public Health Service Act (42 U.S.C.

Sections 247b(k)(1) , as amended

c. Healthy People 2030 This NOFO relates to two Healthy People 2030 topic areas: social determinants of health (https://health.gov/healthypeople/objectives-and-data/social-determinants-health) and infectious disease (https://health.gov/healthypeople/objective-and-data/browse-objectives/infectious-desease).

A goal of Healthy People 2030 is to eliminate health disparities and achieve health equity.

( https://health.gov/healthypeople/about/healthy-people-2030-framework).

This NOFO addresses the following vaccination objectives:

Increase the proportion of persons who are vaccinated annually against seasonal influenza

Increase the proportion of adults age 19 years or older who get recommended vaccines —

IID-D03

d. Other National Public Health Priorities and Strategies This program advances CDC’s National Stakeholder Strategy for Achieving Health Equity:

Goal 3: Improving Health and Healthcare Outcomes Goal 4: Improving Cultural and Linguistic Competency and Diversity

This program also advances the CDC COVID-19 Response Health Equity Strategy:

Reduced COVID-19-related health disparities;

Implemented evidence-based policies, systems, and environmental strategies to mitigate social and health inequities related to COVID-19;

Reduced COVID-19-associated stigma and implicit bias; and Expanded cultural responsiveness and application of health equity principles among an increasingly diverse COVID-19 responder workforce.

e. Relevant Work This award builds on the work done through a supplement to CDC’s Racial and Ethnic Approaches to Community Health (REACH) program. Currently, CDC’s National Center for Immunization and Respiratory Diseases (NCIRD) is deploying funding to REACH recipients to implement focus areas aiming to increase flu vaccination coverage (and COVID-19, when appropriate) among racial and ethnic groups experiencing disparities. As a complement to the REACH work, CDC is also funding two supportive resources: The Learning Hub and Data Informed Technical Assistance. The Learning Hub offers technical assistance, coaching, learning opportunities, and synthesized, organized resources. Data-Informed Technical Assistance allows CDC and other partners to synthesize multiple data sources to inform decisions on identifying https://health.gov/healthypeople/objectives-and-data/social-determinants-health https://health.gov/healthypeople/objective-and-data/browse-objectives/infectious-desease focus areas, segmenting populations, and tracking interventions and community-level progress. This work may also incorporate lessons learned from other NCIRD partnerships with medical and professional associations focused on adult vaccination coverage.

2. CDC Project Description

a. Approach Bold indicates period of performance outcome.

CDC-RFA-IP21-2107 Logic Model: Partnering with Professional and Medical Associations to Increase Vaccination Coverage Across Different Racial and Ethnic Adult Populations Experiencing Disparities Bold indicates period of performance outcome

Strategy and Activities

Outputs Short Term Outcomes Long-Term Outcomes

1) Develop strategies and resources for individual clinicians providing health care.

Strategies and resources for individual clinicians providing health care.

Strategies and resources for health care organizations.

Messaging and communications strategies.

Identification of evidence-based practices or resources.

Increased number and range of health care providers recommending flu vaccines (and COVID- 19 vaccines, when appropriate) to patients.

Increased number and range of health care organizations implementing accountability processes and/or practical guidance to improve equity in vaccine administration.

Increased confidence in the flu vaccines (and

COVID-19

vaccines, when appropriate) populations disproportionately affected by flu and COVID-19 and/or at greater risk for lower vaccination coverage populations (i.e., persons who are African American, American Indian/Alaska Native, Asian American, Hispanic or Latinx American, Native Hawaiian/Other Pacific Islander).

Increased access to immunization services among population s and/or communities experiencing disparities.

2) Develop strategies and resources for health care organizations.

3) Enhance the resource and evidence base.

Increased flu and COVID-19 (when appropriate) vaccination coverage among population s and/or communities experiencing disparities.

i. Purpose CDC seeks to build the evidence base of effective interventions to improve vaccination coverage and to identify and implement strategies to reduce racial and/or ethnic disparities in adult vaccination coverage.

ii. Outcomes

Short-term outcomes include the following:

Increased number and range of health care providers recommending flu vaccine (and COVID-19 vaccine, when appropriate) to patients; and

Increased number and range of health care organizations implementing accountability processes and/or practical guidance to improve equity in vaccine administration.

iii. Strategies and Activities Focus Areas During the performance period, applicant(s) is expected to engage in activities to help reduce disparities in vaccine uptake and increase vaccination coverage for recommended vaccines among racial and/or ethnic adult populations experiencing disparities. Applicant is expected to identify individual(s) within the organization to implement the following focus areas:

Develop strategies and resources for individual clinics providing health care:

Develop, implement, and disseminate strategies and resources to address clinicians’ roles in reducing racial and/or ethnic disparities in adult vaccination coverage (messaging, trainings, and materials with a racial/ethnic equity or health equity perspective)

Develop strategies and resources for health care organizations: Develop, implement, and disseminate strategies and resources to address the health care organizations’ role in reducing racial and/or ethnic disparities in adult vaccination coverage (e.g., recommended processes or practical guidance to members for improving equity in vaccine administration engagement of community health workers in trainings and creation of materials )

Enhance the resource and evidence: Collaborate with the Learning Hub, Data Informed Technical Assistance and Media Center to review, modify, and improve resources.

Focus Area Activities Implementation: Implementation will focus on improving COVID-19 (when appropriate) and flu vaccination coverage among adults in racial and ethnic groups experiencing vaccination disparities. Recipients are expected to execute work in the focus areas described in this section, using and/or enhancing a subset of the accompanying activities listed below. They may also add relevant activities to focus areas, as appropriate.

Applicant organizations need to undertake activities in each of the three focus areas.

The following list includes examples of possible activities but is not an exhaustive list of all permissible activities.

Focus Area Potential Activities Develop strategies and resources for individual clinics providing health care: Develop, implement, and disseminate strategies and resources to address clinicians’ roles in reducing racial and/or ethnic disparities in adult vaccination coverage (e.g., messaging, trainings, and materials with a racial/ethnic equity or health equity perspective).

Develop strategies and resources for individual clinicians providing health care.

Identify challenges in reaching ethnic and racial communities of interest for flu and COVID-19 (when appropriate) vaccination and develop strategies to address these challenges.

Identify and highlight practices associated with flu (and COVID-19, when appropriate) vaccination implementation that have been or are likely to be successful in increasing vaccine coverage.

Facilitate regular information updates (situational awareness) with, or on behalf of, CDC.

Integrate flu and COVID-19 vaccine messaging into holistic (as opposed to disease-focused) efforts and approaches to communicating with patients.

Offer guidance and prompts for supplementary vaccination protocols (i.e., the addition or integration of vaccination protocols into existing health care workflows).

Develop pamphlets, webinars, trainings, or other resources to inform providers about disparities in vaccination rates and ways to address those disparities.

Facilitate information sharing among providers: emails, conference calls, webinars, small group discussions, etc., to share learnings and ways to address common challenges, as well as amplify and repeat successes, as applicable.

Provide guidance, resources, and messaging for providers at dialysis centers, prenatal care centers, well-baby care clinics, family planning clinics, dental practices, nursing homes, COVID-19 testing sites, and other health care settings to deliver flu and COVID-19 (when appropriate) vaccinations or information on flu and COVID-19 vaccination where patients are already seeking care for themselves or their family members.

Provide guidance, resources, and messages to help providers connect with places of worship, community organizations, recreation programs, food banks/pantries, schools and colleges/universities, grocery stores, salons/barber shops/beauticians, major employers, and other key community institutions to set up temporary and/or mobile flu and COVID-19 (when appropriate) vaccination sites.

Develop strategies and resources for health care organizations: Develop, disseminate, and implement strategies and resources to address health care organizations’ role in reducing racial and/or ethnic disparities in adult vaccination coverage (e.g., recommended processes or practical guidance to members for improving equity in vaccine administration;

engagement of community health

Identify priority actors within health care organizations (e.g. hospital administrators) and develop a targeted strategy to engage them in addressing vaccination disparities in the communities they serve.

Collaborate with providers, actors within health care organizations, and/or national/state organizations addressing racial or health equity (“equity organizations”) to identify barriers to and workers in trainings and creation of materials ) concerns around vaccine uptake among groups experiencing disparities.

Collaborate with providers, actors within health care organizations, and/or equity organizations to develop practices and targeted messaging to educate providers and health care professionals about disparities and address factors that contribute to those disparities.

Develop and recommend strategies to expand the types of health professionals (e.g., community health workers, patient navigators, patient advocates) and administrative staff (e.g., front desk workers) engaged in promoting vaccination and increasing referrals of individuals to flu and COVID-19 vaccination sites (when appropriate).

Develop and provide training or support to equity organizations to equip them to handle questions and concerns pertaining to flu and COVID-19 vaccinations, and other relevant health topics or issues.

Resource and evidence base:

Collaborate with the Learning Hub, Data- Informed Technical Assistance, and Media Center to review, modify, and improve resources

Collaborate with CDC to develop new materials and resources for working with providers and health care organizations, based on observed common challenges to and practices associated with reducing racial and ethnic disparities in vaccination and improving vaccination availability, accessibility, and acceptability.

Document lessons learned related to flu vaccine planning and implementation.

Evaluate the resources developed, incorporating input from providers, patients, and other key stakeholders.

Partner with equity organizations to identify messaging and communications strategies that are appropriate for adults in the racial and ethnic groups experiencing disparities.

In order to enhance the resource base and draw on the applicant’s expertise, experience, and evidence base in immunization, health care, and/or health equity, identify, document, and share the following: Practices that have been or are likely to be successful in messaging to, engagement with, and outreach to racial and ethnic groups experiencing vaccine disparities (e.g. leveraging successes from previous public education campaigns promoting health habits to communities of interest); practices that have been or are likely to be successful in identifying and working with providers and health care facilities; and learnings and insights from vaccination efforts to inform CDC’s long-term strategy in addressing disparities in vaccination rates.

Provide updates, as needed, to lessons learned, recommendations, or common challenges from providers.

1. Collaborations

a. With other CDC programs and CDC-funded organizations:

This award builds on the work done through a supplement to CDC’s Racial and Ethnic Approaches to Community Health (REACH) program. Currently, NCIRD is deploying funding to REACH recipients to implement focus areas aiming to increase flu vaccination coverage (and COVID-19, when appropriate) among racial and ethnic groups experiencing disparities.

Additionally, this NOFO will fund recipients to implement work complementing another CDC NOFO that funds minority-led national organizations and their local branches/chapters/affiliates (https://www.grants.gov/web/grants/search-grants.html?keywords=CDC-RFA-IP21-2106).

As a complement to the REACH work, CDC is also funding three supportive resources: the Learning Hub, Data-Informed Technical Assistance, and State and Community Media Center.

Although these supportive services are primarily geared towards recipients of the REACH supplement and other CDC NOFOs, recipients of the award described in this NOFO will be asked to collaborate with these services during the period of performance. Medical and professional associations will build on learnings from these CDC-funded activities and, based on their expertise, experience, and nationwide influence, will contribute to information and insights.

The Learning Hub offers technical assistance, coaching, learning opportunities, and synthesized, organized resources. Recipients of the award described in this NOFO may be asked to share materials, insights, or learning opportunities with the Learning Hub. Data-Informed Technical Assistance allows CDC and other partners to synthesize multiple data sources to inform decisions on identifying focus areas, segmenting populations, and tracking interventions and community-level progress. The State and Community Media Center is an online repository of advertisements and marketing materials produced by state and local health departments, nonprofit organizations, and federal agencies. Recipients may be expected to share materials they develop or refine, as relevant.

This work may also incorporate lessons learned from other NCIRD partnerships with medical and professional associations focused on adult vaccination coverage. Applicants must describe intentions to collaborate with CDC in improving technical and program guidance and evaluation.

Applicants must also describe capacity to participate in stakeholder meetings and other collaborative efforts with public health partners to provide expert consultation to CDC and CDC-funded programs (as requested).

b. With organizations not funded by CDC:

Partnerships have been critical in the REACH work in addressing disparities and will continue to be so for this project. Without them, ISD’s capacity to build trust and amplify messages in these communities would be severely hampered. Applicants are required to build and/or continue strategic partnerships and collaborations with immunization stakeholders that have a role in achieving the NOFO outcomes and proposed activities. These partners may include healthcare organizations and providers, state and local health departments, and other CDC-funded organizations through the REACH program supplement or other relevant NOFOs

2. Target Populations Applicants will select one or more of the five populations listed for work on this award:

African American/Black American Indian/Alaska Native Asian American Hispanic/Latino/Latina/Latinx American Native Hawaiian/Other Pacific Islander

Applicants must provide specific information on disparities experienced by the proposed priority population(s). Applicants must cite the data sources used to define and describe the priority population(s).

a. Health Disparities Adult vaccination coverage remains low nationally and significant racial and ethnic disparities exist. The groups experiencing disparities are also disproportionately affected by COVID-19, at risk for serious illness from COVID-19, and/or at high risk for complications from influenza infection. Given the expected co-circulation of SARS-CoV-2 and influenza, this 2020–2021 influenza season is a critical opportunity to ensure equal uptake of the flu and COVID-19 vaccines, when the COVID-19 vaccine becomes available.

Achieving health equity requires valuing everyone equally with focused and ongoing efforts to address avoidable inequities, historical and contemporary injustices, and the elimination of health and healthcare disparities. The population health impact of COVID-19 has exposed long-standing inequities that have systematically undermined the physical, social, economic, and emotional health of racial and ethnic minority populations and other population groups that are bearing a disproportionate burden of COVID-19.

Persistent health disparities combined with historic housing patterns, work circumstances, and other factors have put members of some racial and ethnic minority populations at higher risk for

COVID-19 infection, severe illness, and death. As we continue to learn more about the impact of COVID-19 on the health of different populations, immediate action is critical to reduce growing COVID-19 disparities among the populations known to be at disproportionate risk.

The goal of this NOFO is to support efforts to increase coverage for adults in racial and/or ethnic populations experiencing disparities in vaccination rates.

This project is in direct support of CDC strategy to address disparities in influenza and COVID- 19 vaccination on the basis of race and ethnicity. Work with these organizations will enable national organizations and their local branches, chapters and/or affiliates to promote vaccination among communities of color.

iv. Funding Strategy N/A

b. Evaluation and Performance Measurement

i. CDC Evaluation and Performance Measurement Strategy Evaluation measures will be used to track implementation of recipient strategies and activities and determine progress on achieving the period of performance outcomes. CDC will use monitoring and evaluation data to determine lessons learned and make improvements to the program. Since this NOFO does not involve the generation or collection of public health data, a Data Management Plan is not required for this NOFO.

CDC seeks to gather data on performance measures that can inform understanding of activity outputs and impacts. Potential measures include the following.

CDC seeks to gather data on performance measures that can inform understanding of activity outputs and impacts. Potential measures include the following.

Focus Area A (Develop strategies and resources for individual clinicians providing health care)

Number, types, reach, and channels used for sharing information among providers Number, types, and reach of guidance, resources, and/or messaging developed Major successes and challenges

Focus Area B (Develop strategies and resources for health care organizations)

Number, types, and reach of strategies developed to engage priority actors in health care organizations

Number, types, and reach of guidance, resources, and/or messaging developed Number, types, and reach of trainings Major successes and challenges

Focus Area C (Enhance the resource and evidence base)

Types of practices, learnings, and/or insights shared

ii. Applicant Evaluation and Performance Measurement Plan Applicants must provide an evaluation and performance measurement plan that demonstrates how the recipient will fulfill the requirements described in the CDC Evaluation and Performance Measurement and Project Description sections of this NOFO. At a minimum, the plan must describe:

How applicant will collect the performance measures, respond to the evaluation questions, and use evaluation findings for continuous program quality improvement.

How key program partners will participate in the evaluation and performance measurement planning processes.

Available data sources, feasibility of collecting appropriate evaluation and performance data, and other relevant data information (e.g., performance measures proposed by the applicant)

Plans for updating the Data Management Plan (DMP), if applicable, for accuracy throughout the lifecycle of the project. The DMP should provide a description of the data that will be produced using these NOFO funds; access to data; data standards ensuring released data have documentation describing methods of collection, what the data represent, and data limitations; and archival and long-term data preservation plans. For more information about CDC’s policy on the DMP, see https://www.cdc.gov/grants/additionalrequirements/ar-25.html.

Where the applicant chooses to, or is expected to, take on specific evaluation studies, they should be directed to:

Describe the type of evaluations (i.e., process, outcome, or both).

Describe key evaluation questions to be addressed by these evaluations.

Describe other information (e.g., measures, data sources).

Recipients will be required to submit a more detailed Evaluation and Performance Measurement plan, including a DMP, if applicable, within the first 6 months of award, as described in the Reporting Section of this NOFO.

c. Organizational Capacity of Recipients to Implement the Approach Applicants should demonstrate relevant experience and capacity (management, administrative, and technical) to implement the activities and achieve the project outcomes; experience and capacity to implement the evaluation plan; and a staffing plan and project management structure sufficient to achieve the project outcomes and which clearly defines staff roles.

https://www.cdc.gov/grants/additionalrequirements/ar-25.html

Applicants should have project management skills critical to implementing this approach, including program planning, performance monitoring, financial reporting, budget management and administration, personnel management.

Applicants should demonstrate that they have a financial management system that will allow proper funds management and segregation of funds by program, and meet the requirements as stated in the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards: https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75#se45.1.75_1302"45 CFR 75.302 The financial system should permit the preparation of reports required by general and program-specific terms and conditions; and the tracing of funds to a level of expenditure adequate to establish that such funds have been used according to the federal statutes, regulations, and terms and conditions of the federal award.

Applicants should to demonstrate their ability to manage the required procurement efforts, including the ability to write and award contracts in accordance with applicable grants regulations.

Please include CVs/resumes of proposed staff. Applicants must name this file "CVs/Resumes" or "Organizational Charts" and upload it at www.grants.gov.

d. Work Plan Applicant must identify and address the activities under this NOFO in no more than 20 pages.

Specific details on how the proposed strategies will achieve the outcomes should be included.

CDC will provide feedback and technical assistance to recipients to finalize the work plan during if needed.

A description of administrative and assessment processes to ensure successful implementation, reporting and quality assurance A description of the staff and administrative roles and functions to support the project work plan and the outcomes. Recipients should identify and assign staff, contractors, and/or consultants, sufficient in number and expertise, to carry out the activities of the activities of this NOFO.

A sample work plan format is presented below to show how a traditional work plan aligns with the logic model and narrative.

In this format, the table would be completed for each period of performance outcome. If a particular activity leads to multiple outcomes, it should be described under each outcome measure.

Period of Performance Outcome:

[from Outcomes section and/or logic model]

Outcome Measure:

[from Evaluation and Performance Measurement section]

Strategies and Activities

Process Measure [from Evaluation and

Responsible Position / Party

Completion Date https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75%23se45.1.75_1302%2245%20CFR%2075.302 https://www.ecfr.gov/cgi-bin/text-idx?node=pt45.1.75%23se45.1.75_1302%2245%20CFR%2075.302 http://www.grants.gov/

Performance Measurement section]

1.

2.

3.

4.

5.

e. CDC Monitoring and Accountability Approach Monitoring activities include routine and ongoing communication between CDC and recipients, site visits, and recipient reporting (including work plans, performance, and financial reporting).

Consistent with applicable grants regulations and policies, CDC expects the following to be included in post-award monitoring for grants and cooperative agreements:

Tracking recipient progress in achieving the desired outcomes.

Ensuring the adequacy of recipient systems that underlie and generate data reports.

Creating an environment that fosters integrity in program performance and results.

Monitoring may also include the following activities deemed necessary to monitor the award:

Ensuring that work plans are feasible based on the budget and consistent with the intent of the award.

Ensuring that recipients are performing at a sufficient level to achieve outcomes within stated timeframes.

Working with recipients on adjusting the work plan based on achievement of outcomes, evaluation results and changing budgets.

Monitoring performance measures (both programmatic and financial) to assure satisfactory performance levels.

Monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk recipients.

f. CDC Program Support to Recipients

CDC support to this program includes, but is not limited to the following activities:

Learning Hub: The Learning Hub primarily provides support to organizations implementing flu and COVID-19 vaccination activities through other CDC NOFOs. This support includes learning opportunities, materials, and collaboration opportunities with other organizations participating in the program. Recipients of the award described in this

NOFO may be asked to share materials, insights, or learning opportunities with the Learning Hub.

State and Community Health Media Center: The Media Center is an online repository of advertisements and marketing materials produced by state and local health departments, nonprofit organizations, and federal agencies. The purpose of the Media Center is to share best practices, audience research and communication materials. Recipients may be expected to share materials they develop or refine, as relevant.

Data-Informed Technical Assistance: Data-Informed Technical Assistance provides the program with data and data-use orientations, self-service data analysis, and office hours for data-related questions and needs .

B. Award Information

1. Funding Instrument Type:

CA (Cooperative Agreement) CDC's substantial involvement in this program appears in the CDC Program Support to Recipients Section.

2. Award Mechanism:

H75

3. Fiscal Year:

4. Approximate Total Fiscal Year Funding:

$ 1,000,000

5. Total Period of Performance Funding:

$ 5,000,000 This amount is subject to the availability of funds.

Estimated Total Funding:

$ 1,000,000

6. Total Period of Performance Length:

year(s)

7. Expected Number of Awards:

8. Approximate Average Award:

$ 333,333 Per Budget Period

9. Award Ceiling:

$ 0 Per Budget Period

This amount is subject to the availability of funds.

10. Award Floor:

$ 0 Per Budget Period

11. Estimated Award Date:

February 01, 2021

12. Budget Period Length:

12 month(s)

Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the federal government. The total number of years for which federal support has been approved (project period) will be shown in the “Notice of Award.” This information does not constitute a commitment by the federal government to fund the entire period. The total period of performance comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

13. Direct Assistance Direct Assistance (DA) is not available through this NOFO.

C. Eligibility Information

1. Eligible Applicants Eligibility Category:

12 (Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education)

25 (Others (see text field entitled "Additional Information on Eligibility" for clarification))

2. Additional Information on Eligibility National Medical Association (NMA) National Hispanic Medical Association (NHMA) National Black Nurses Association (NBNA) Association of American Indian Physicians (AAIP) National Council of Urban Indian Health (NCUIH)

If the application is incomplete, late or does not address the requirements listed in this NOFO, it will be considered non-responsive and will not be entered into the review process.

3. Justification for Less than Maximum Competition Significant racial and ethnic disparities exist in adult vaccination coverage, including lower rates of vaccination among certain groups. These groups experiencing disparities are also disproportionately affected by COVID-19, at risk for serious illness from COVID-19, and/or at high risk for complications from influenza infection. Immunization Services Division (ISD) held a convening to discuss possible solutions: equipping influential community members, and increasing vaccination opportunities through non-traditional vaccination sites.

CDC requires help from health professionals from certain racial and ethnic groups in communicating vaccine-related messages to patients who belong to the same certain racial and ethnic groups.

A strong recommendation from a healthcare provider is the single most important factor in vaccine acceptance, especially if the provider is of the same racial or ethnic minority group as the patient. Health professionals who are members of certain racial and ethnic groups are trusted agents on vaccine-related issues for patients who belong to the same racial and ethnic group. To improve vaccine confidence and coverage among certain racial and ethnic groups, CDC aims to increase the likelihood that providers will recommend vaccination to patients from certain racial and ethnic groups.

Given the urgent concerns regarding the co-circulation of COVID-19 and influenza this year, it is particularly important to expedite this work. The proposed organizations have unique national reach into certain racial and ethnic populations that will help CDC urgently address provider-related vaccine acceptance, availability, and coverage. These organizations were established specifically to serve professionals who belong to certain racial and ethnic groups, and these groups represent most of these organizations’ memberships. By partnering with these specific organizations, CDC can leverage the relationships that these organizations have with health professionals from certain racial and ethnic groups and thereby more efficiently and effectively reach certain racial and ethnic populations.

This year it is critical that physicians communicate the importance of both vaccinations in a way that resonates with their patients who are currently vaccinating at lower rates.

Combined, these organizations represent nearly 300,000 health professionals from certain racial and ethnic groups across the U.S. and can influence care for patients in impacted populations.

Implementation will focus on improving flu vaccination coverage now and COVID-19 vaccination coverage (when the COVID-19 vaccine becomes available) among adults in racial and ethnic groups experiencing disparities. Medical and professional associations will be funded to do the following: 1) develop strategies and resources for individual providers or clinicians administering health care; 2) develop strategies and resources for health care organizations; and

3) enhance the resource and evidence base.

This award builds on the work done through a supplement to CDC’s Racial and Ethnic Approaches to Community Health (REACH) program. NCIRD is deploying funding to REACH recipients to implement focus areas aiming to increase flu vaccination coverage (and COVID-19, when appropriate) among racial and ethnic groups experiencing disparities. As a complement to the REACH work, CDC is also funding two supportive resources: Learning Hubs and Data Informed Technical Assistance. Medical and professional associations will build on learnings from these CDC-funded activities and, based on their expertise, experience, and nationwide influence, will contribute to information and insights to both platforms.

This work may also incorporate lessons learned from other ISD partnerships with medical and professional associations focused on adult vaccination coverage.

Partnerships have been critical in the REACH work in addressing disparities and will continue to be so for this current project. Without them, ISD’s capacity to build trust and amplify messages in these communities would be severely hampered.

4. Cost Sharing or Matching Cost Sharing / Matching Requirement:

No

5. Maintenance of Effort D. Application and Submission Information

1. Required Registrations An organization must be registered at the three following locations before it can submit an application for funding at 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 can require 10 or more 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 at www.grants.gov, the official HHS E-grant Web site. Registration information is located at the https://www.grants.gov/ http://fedgov.dnb.com/webform/displayHomePage.do https://www.sam.gov/SAM/ https://grants.gov/

"Applicant Registration" option at www.grants.gov.

All applicant organizations must register at www.grants.gov. The one-time registration process usually takes not more than five days to complete. Applicants should start the registration process as early as possible.

Step

System Requirements Duration Follow Up

Data Universal Number System

(DUNS)

1. Click on http:// fedgov.dnb.com/ webform

2. Select Begin DUNS search/request process

3. Select your country or territory and follow the instructions to obtain your DUNS 9-digit #

4. Request appropriate staff member(s) to obtain DUNS number, verify & update information under DUNS number

1-2 Business Days

To confirm that you have been issued a new DUNS number check online at (http:// fedgov.dnb.com/ webform) or call 1-866-705-

System for Award Management

(SAM)

formerly Central Contractor Registration

(CCR)

1. Retrieve organizations DUNS number

2. Go to https://www.sam.gov/SAM/ and designate an E-Biz POC (note CCR username will not work in SAM and you will need to have an active SAM account before you can register on grants.gov)

3-5 Business Days but up to 2 weeks and must be renewed once a year

For SAM Customer Service Contact https://fs d.gov/ fsd-gov/ home.do Calls: 86 6-606-8220

3 Grants.gov

1. Set up an individual account in Grants.gov using organization new DUNS number to become an authorized organization representative

(AOR)

2. Once the account is set up the E-BIZ POC will be notified via email

3. Log into grants.gov using the password the E-BIZ POC received and create new password

4. This authorizes the AOR to submit applications on behalf of the organization

Same day but can take 8 weeks to be fully registered and approved in the system (note, applicants MUST obtain a DUNS number and SAM account before applying on grants.gov)

Register early!

Log into grants.gov and check AOR status until it shows you have been approved http://www.grants.gov/ https://www.grants.gov/ http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform http://fedgov.dnb.com/webform https://www.sam.gov/SAM/ https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do https://fsd.gov/fsd-gov/home.do

2. Request Application Package Applicants may access the application package at www.grants.gov.

3. Application Package Applicants must download the SF-424, Application for Federal Assistance, package associated with this notice of funding opportunity at www.grants.gov.

4. Submission Dates and Times If the application is not submitted by the deadline published in the NOFO, it will not be processed. Office of Grants Services (OGS) personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval to submit a paper application (see Other Submission Requirements section for additional details). If the applicant is authorized to submit a paper application, it must be received by the deadline provided by OGS.

a. Letter of Intent Deadline (must be emailed or postmarked by)

b. Application Deadline

Due Date for Applications 01/19/2021

01/19/2021 11:59 pm U.S. Eastern Standard Time, at www.grants.gov. If Grants.gov is inoperable and cannot receive applications, and circumstances preclude advance notification of an extension, then applications must be submitted by the first business day on which grants.gov operations resume.

Due Date for Information Conference Call Potential applicants may participate in a conference call for information on this NOFO. The conference call will be conducted by the Immunization Services Division. The call will be held: January 8, 2021, 2:00-3:00. Please use this link to access the call:

Meeting

URL:

https://cdc.zoomgov.com/j/1604676742?pwd=SWpsYTlRV2ZqM0dnbGI0dnRNSkJhdz 09&from=addon

Meeting

ID:

160 467 6742

Passcod e:

98d8V!$w

Join by Telephone

Phone one-tap:

US: +16692545252,,1604676742#,,,,,,0#,,86465031# or +16468287666,,1604676742#,,,,,,0#,,86465031#

For higher quality, dial a number based on your current location.

Dial:

US: +1 669 254 5252 or +1 646 828 7666 or +1 551 285 1373 or +1 669 216 1590

Meeting

ID:

160 467 6742 https://www.grants.gov/ https://www.grants.gov/ https://www.grants.gov/ https://cdc.zoomgov.com/j/1604676742?pwd=SWpsYTlRV2ZqM0dnbGI0dnRNSkJhdz09&from=addon https://cdc.zoomgov.com/j/1604676742?pwd=SWpsYTlRV2ZqM0dnbGI0dnRNSkJhdz09&from=addon tel:+16692545252,,1604676742#,,,,,,0#,,86465031# tel:+16468287666,,1604676742#,,,,,,0#,,86465031#

Passcod e (dial-in):

86465031

5. CDC Assurances and Certifications All applicants are required to sign and submit “Assurances and Certifications” documents indicated at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa)) /Homepage.aspx.

Applicants may follow either of the following processes:

Complete the applicable assurances and certifications with each application submission, name the file “Assurances and Certifications” and upload it as a PDF file with at www.grants.gov

Complete the applicable assurances and certifications and submit them directly to CDC on an annual basis at http://wwwn.cdc.gov/ grantassurances/ (S(mj444mxct51lnrv1hljjjmaa))/ Homepage.aspx

Assurances and certifications submitted directly to CDC will be kept on file for one year and will apply to all applications submitted to CDC by the applicant within one year of the submission date.

Risk Assessment Questionnaire Requirement

CDC is required to conduct pre-award risk assessments to determine the risk an applicant poses to meeting federal programmatic and administrative requirements by taking into account issues such as financial instability, insufficient management systems, non-compliance with award conditions, the charging of unallowable costs, and inexperience. The risk assessment will include an evaluation of the applicant’s CDC Risk Questionnaire, located at https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, as well as a review of the applicant’s history in all available systems; including OMB-designated repositories of government-wide eligibility and financial integrity systems (see 45 CFR 75.205(a)), and other sources of historical information. These systems include, but are not limited to: FAPIIS (https://www.fapiis.gov/), including past performance on federal contracts as per Duncan Hunter National Defense Authorization Act of 2009; Do Not Pay list; and System for Award Management (SAM) exclusions.

CDC requires all applicants to complete the Risk Questionnaire, OMB Control Number 0920- 1132 annually. This questionnaire, which is located at https://www.cdc.gov/grants/documents/PPMR-G-CDC-Risk-Questionnaire.pdf, along with supporting documentation must be submitted with your application by the closing date of the Notice of Funding Opportunity Announcement. If your organization has completed CDC’s Risk Questionnaire within the past 12 months of the closing date of this NOFO, then you must submit a copy of that questionnaire, or submit a letter signed by the authorized organization representative to include the original submission date, organization’s EIN and DUNS.

http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx https://www.grants.gov/ http://wwwn.cdc.gov/grantassurances/(S(mj444mxct51lnrv1hljjjmaa))/Homepage.aspx…