Improving, Enhancing, and Evaluating Outcomes of Comprehensive Heart Health Care Programs for High-R

To provide funding to improve and enhance existing women's heart health care programs in hospitals, clinics, and/or health centers and to enable the programs to track and evaluate outcome data.

Each grantee shall enhance an existing women's heart health care program so that it provides a continuum
of heart health care services through the integration of the following five interrelated components: Education and Awareness, Screening and Risk Assessment, Diagnostic Testing and Treatment, Lifestyle Modification and Rehabilitation, and Tracking and Evaluation.

Grantees shall also target high-risk women in at least one of the following groups: women aged 60 years or older, racial and ethnic minority women, and/or women who live in rural communities.

These programs will offer comprehensive heart health care services that are women-centered, culturally competent, multi-disciplinary, continuous and integrated.

The goal of these programs will be to reduce heart disease mortality and morbidity among women and to increase the number of high-risk women who receive quality heart health care, including education, prevention, screening, diagnosis, treatment and rehabilitation.

These programs will be demonstration projects; as such, they will provide the evidence necessary to evaluate whether comprehensive women's heart health care programs are effective in improving heart disease outcomes in high-risk women.


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.



Program Accomplishments

None.

Uses and Use Restrictions

Funds may be used to cover costs of: personnel; consultants; grant related office supplies and software; grant related travel (domestic only); educational, promotional and evaluation materials; and other grant related costs.

Funds should be used to strengthen infrastructure, track and evaluate outcome data, conduct community outreach and educational activities, improve the coordination and continuity of care, and reduce fragmentation of heart health care services that already exist within the health care facility.

For example, funds can be used to hire a program coordinator, set up a data tracking system, acquire or produce educational materials, etc.

Funds shall not be used to fund direct health care services or equipment for patients (e.g.

diagnostic tests, screening equipment, treatment, etc.).

Also, funds may not be used for: building alterations or renovations, construction, screening supplies or equipment, incentives and prizes, food, fund raising activities, political education and lobbying, and other activities that are not grant related.



Eligibility Requirements

Applicant Eligibility

Applicants must be a public or private hospital, clinic, or health center providing heart health care services to women.

Academic health centers and state, county, and local health departments are eligible for funding under this announcement.

Programs that will be implemented in medically underserved areas, enterprise communities, and empowerment zones as well as community health centers funded under Section 330 of the Public Health Service Act are encouraged to apply.

Native American tribal organizations, faith-based organizations, and organizations serving rural or frontier communities are also encouraged to apply.

In order to apply for the award, applicants must already have a basic women's heart health care program in place.

Applicants must also have the framework for three of the five components described in the funding opportunity description (Education and Awareness, Screening and Risk Assessment, Diagnostic Testing and Treatment, Lifestyle Modification and Rehabilitation, Tracking and Evaluation) already in place.

Beneficiary Eligibility

Underserved women will benefit.

Credentials/Documentation

None.

Aplication and Award Process

Preapplication Coordination

This program is subject to the requirements of Executive Order 12372 that allows States the option of setting up a system for reviewing applications from within their States for assistance under certain Federal programs.

The application kit to be made available under this notice will contain a listing of States that have chosen to set up a review system and will include a State Single Point of Contact (SPOC) in the State for review.

Applicants (other than federally recognized Indian tribes) should contact their SPOCs as early as possible to alert them to the prospective applications and receive any necessary instructions on the State process.

For proposed projects serving more than one State, the applicant is advised to contact the SPOC in each affected State.

A complete list of SPOCs may be found at the following web site: www.whitehouse.gov/omb/grants/spoc.html The due date for State process recommendations is 60 days after the application deadline.

The Office on Women's Health does not guarantee that it will accommodate or explain its responses to State process recommendations received after that date.

(See "Intergovernmental Review of Federal Programs," Executive Order 12372, and 45 CFR Part 100 for a description of the review process and requirements.)

Application Procedures

Application kits may be requested by calling (240) 453-8822 or writing to: Ms. Karen Campbell, Director, Office of Public Health and Science (OPHS) Office of Grants Management, 1101 Wootton Parkway, Suite 550, Rockville, MD 20852. Applications should be submitted to: Ms. Karen Campbell, Director, Office of Public Health and Science (OPHS), Office of Grants Management, 1101 Wootton Parkway, Suite 550, Rockville, MD 20852. Applications must be prepared using Form OPHS-1. This form is available in Adobe Acrobat format at the following website: http://www.cdc.gov/od/pgo/forminfo.htm . The Office of Public Health and Science (OPHS) provides multiple mechanisms for the submission of applications. Applicants will receive notification via mail from the OPHS Office of Grants Management confirming the receipt of applications submitted using any of these mechanisms. Applications submitted to the OPHS Office of Grants Management after the deadlines will not be accepted for review and will be returned to the applicant unread. The submission deadline will not be extended. Applications which do not conform to the requirements of the grant announcement will not be accepted for review and will be returned to the applicant. Applications may only be submitted electronically via the electronic submission mechanisms specified below. Any applications submitted via any other means of electronic communication, including facsimile or electronic mail, will not be accepted for review. While applications are accepted in hard copy, the use of the electronic application submission capabilities provided by the OPHS e-Grants system or the Grants.gov Web site Portal is encouraged. Information about this system is available on the OPHS e-Grants Web site, https://egrants.osophs.dhhs.gov .

Award Procedures

Applications will be screened upon receipt. Those that are judged to be incomplete or arrive after the deadline will be returned without review or comment. If funding is requested in an amount greater than the ceiling of the award range ($150,000 for a 12-month budget period), the application will be considered nonresponsive and will not be entered into the review process. The application will be returned with notification that it did not meet the submission requirements. Applicants that are judged to be in compliance will be notified by the OPHS Office of Grants Management. Accepted applications will be reviewed for technical merit in accordance with DHHS policies. Applications will be evaluated by a technical review panel composed of experts in the fields of program management, heart disease and health care, community outreach and health education, and community-based research. Consideration for award will be given to applicants that best demonstrate the potential to design a program that achieves the program goals stated in this announcement. The federal government may conduct pre-award site visits of applicants with scores in the funding range prior to final selection. Funding decisions will be made by the DHHS Office on Women's Health (OWH), and will take into consideration the recommendations and ratings of the review panel, pre-award site visits, program needs, geographic location, and stated preferences. To increase the likelihood of funding organizations serving rural or frontier communities and/or Native American tribal organizations, OWH will award 5 bonus points to applicants meeting these criteria.

Deadlines

To be considered for review, applications must be submitted by the established due date. Applications not meeting the deadline will be considered late and will be returned to the applicant unread.

Authorization

Public Health Service Act, Section 1703(a).

Range of Approval/Disapproval Time

Approximately 50 days from the application deadline date.

Appeals

None.

Renewals

None.

Assistance Considerations

Formula and Matching Requirements

None.

Length and Time Phasing of Assistance

The award period is one year. Funds will be released on a monthly basis in twelve (12) equal increments.

Post Assistance Requirements

Reports

Grantees are required to submit quarterly progress reports, a final report, and a final Financial Status Report in the format established by the DHHS Office on Women's Health (OWH), in accordance with provisions of the general regulations which apply under "Monitoring and Reporting Program Performance," 45 CFR parts 74 and 92.

The purpose of the quarterly and final reports is to provide accurate and timely program information to program managers and to respond to Congressional, Departmental, and public requests for information about the program.

An original and two copies of the quarterly progress reports must be submitted by December 2, March 2, and June 2.

A draft of the final report must be submitted by July 24.

The report should describe all project activities for the entire year and include an analysis of the tracking and evaluation data.

OWH will review the draft.

Suggested revisions will be discussed individually during a conference call with each grantee.

The mutually agreed upon revisions must be incorporated into the final report by the end date of the award.

Audits

In accordance with the provisions of OMB Circular No. A- 133 (Revised, June 30, 1997), Audits of States, Local Governments, and Nonprofit Organizations, nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records

Financial records, supporting documents, statistical records, and all other records pertinent to a grant shall be retained for a minimum of 3 years, or longer pending completion and resolution of any audit findings.

Financial Information

Account Identification

75-0120-0-1-551.

Obigations

(Grants) FY 07 not available; FY 08 not available; and FY 09 est not reported.

Range and Average of Financial Assistance

up to $150,000 (direct and indirect costs).

Regulations, Guidelines, and Literature

Specific program requirements are contained in the application instructions, the Federal Register announcement, and the PHS Grants Policy Statement (DHHS Publication No. (OASH) 90-50,000, (Rev.) April 1, 1994). 45 CFR parts 74, 92 and 100 apply.

Information Contacts

Regional or Local Office

Not applicable.

Headquarters Office

Questions regarding programmatic information and/or requests for technical assistance in the preparation of the "Project Narrative" should be directed to: Dr. Suzanne Haynes, Senior Science Advisor, Office on Women's Health, US Department of Health and Human Services, 200 Independence Avenue, SW, Rm. 719E, Washington, DC 20201, E-mail: shaynes@osophs.dhhs.gov. For application kits and information on budget and business aspects, please contact: Ms. Karen Campbell, Director, OPHS Office of Grants Management, 1101 Wootton Parkway, Suite 550, Rockville, MD 20857, Telephone: (240) 453-8822, E-mail: kcampbell@osophs.dhhs.gov.

Criteria for Selecting Proposals

Applications will be reviewed using the following criteria: (A) The Program Plan (30 points) evaluated by rating the applicant's approach to accomplishing each of the requirements identified in the funding opportunity description of the federal register notice; (B) The Statement of Need (20 points) evaluated by rating the applicant's demonstrated need for improving, enhancing, and evaluating outcomes of the women's heart health care program; (C) The Experience and Commitment of Key Personnel (20 points) evaluated by rating the qualifications of key personnel proposed to perform the work and the amount of effort estimated for each person; (D) The Management Plan (20 points) evaluated by rating the effectiveness of the applicant's staffing, scheduling, and logistics plans and the applicant's ability to achieve the program goals within the time frames set-forth. (E) Past Performance (10 points) evaluated by considering the number, size, complexity, and success of similar projects that the applicant has previously successfully implemented. Accepted applications will be reviewed for technical merit in accordance with DHHS policies. Applications will be evaluated by a technical review panel composed of experts in the fields of program management, heart disease and health care, community outreach and health education, and community-based research. Consideration for award will be given to applicants that best demonstrate the potential to design a program that achieves the program goals. The federal government may conduct pre-award site visits of applicants with scores in the funding range prior to final selection. Funding decisions will be made by the DHHS Office on Women's Health (OWH), and will take into consideration the recommendations and ratings of the review panel, pre-award site visits, program needs, geographic location, and stated preferences. To increase the likelihood of funding organizations serving rural or frontier communities and/or Native American tribal organizations, OWH will award 5 bonus points to applicants meeting these criteria.



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