Partnerships to Improve Community Health

The purpose of this funding is to support implementation of evidenced- and practice-based strategies that address previously-identified community gaps and needs within a defined jurisdiction in order to reduce the prevalence of chronic disease and related risk factors.


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.

Website Address

http://www.cdc.gov


Relevant Nonprofit Program Categories




Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Applcants must adhere to all CDC guidelines regarding allowable and unallowable expenses.

Restrictions that must be considered while planning the programs and writing the budget are:
- Awardees may not use funds for research.
- Awardees may not use funds for clinical care.
- Awardees my use funds only for reasonable program purposes, including personnel, travel, supplies, and services.
- Generally, awardees may not use funds to purchase furniture or equipment.

Any such proposed spending must be clearly identified in the budget.
- Reimbursement of pre-award costs is not allowed.
- Other than for normal and recognized executive-legislative relationships, no funds may be used for:
- publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body
- the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body
- See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC awardees.
- The direct and primary recipient in a cooperative agreement program must perform a substantial role in carrying out project outcomes and not merely serve as a conduit for an award to another party or provider who is ineligible.



Eligibility Requirements

Applicant Eligibility

Eligible applicants are considered responsive if providing:

1.

Evidence of being a member of or working through a functioning multi-sector community coalition of organizations and agencies that are committed to improving the health of their community ( of 2 or more years);
2.

Documentation of how they have helped populations with high documented burdens of chronic diseases, conditions and risk factors (for example, a documented diabetes prevalence rate greater than 8.3% among the population);
3.

Results of a community health needs assessment completed no earlier than May 1, 2011;
4.

Description of how the organization has helped implement strategies to address chronic disease risk factors related to tobacco use or exposure; poor nutrition; physical inactivity; or limited access to opportunities for chronic disease prevention, risk reduction, or management through clinical and community linkages.

Beneficiary Eligibility

Anyone/General Public.

Credentials/Documentation

Applicants should document the need for assistance, state the objectives of the project, outline the method of operation, describe the evaluation procedures, and provide a budget with justification of funds. OMB Circular No. A-87 applies to this program. OMB Circular No. A-87 applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. OMB Circular No. A-110 applies to this program.

Award Procedures

Successful applicants will receive a Notice of Award (NoA) from the CDC Procurement and Grants Office. The NoA shall be the only binding, authorizing document between the recipient and CDC. The NoA will be signed by an authorized Grants Management Officer and e-mailed to the program director. A hard copy of the NoA will be mailed to the recipient fiscal officer identified in the application.
Any application awarded in response to this FOA will be subject to the DUNS, CCR Registration and Transparency Act requirements.
Unsuccessful applicants will receive notification of the results of the application review by mail.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

This program is authorized under sections 317(k)(2) of the Public Health Service Act, [42 U.S.C. Section 247b(k)(2)], as amended.

Range of Approval/Disapproval Time

From 60 to 90 days.

Appeals

Not Applicable.

Renewals

From 120 to 180 days. Project period is 3 years with 12-month budget periods. Applications must be obtained from www.Grants.Gov.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
Matching Requirements: Cost sharing funds are required for this project to motivate sustainability measures. Cost sharing funds are required from non-Federal sources in an amount not less than 15 percent of Federal funds awarded to Large City and Urban County and to Small City and County Coalition Awardees in Year 1, increasing by 5 percentage points every year, and ending at 25 percent by Year 3. Tribal organizations will not be required to meet cost sharing requirements.
This program does not have MOE requirements.

Length and Time Phasing of Assistance

12 month budget period within 3 year project period. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

Annual Performance Report: This report must not exceed 30 pages excluding administrative reporting; attachments are not allowed, but Web links are allowed.
The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.

In addition, the awardee must submit an annual Federal Financial Report within 90 days after the end of the calendar quarter in which the budget year ends.

Final Performance and Financial Report: At the end of the project period, awardees must submit a final report including a final financial and performance report.

This report is due 90 days after the project period ends.

(Maximum of 40 pages).

No cash reports are required.

Annual Performance Report: This report must not exceed 30 pages excluding administrative reporting; attachments are not allowed, but Web links are allowed.
The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.

In addition, the awardee must submit an annual Federal Financial Report within 90 days after the end of the calendar quarter in which the budget year ends.

Final Performance and Financial Report: At the end of the project period, awardees must submit a final report including a final financial and performance report.

This report is due 90 days after the project period ends.

(Maximum of 40 pages).

Federal Financial Reports are required 90 days after the end of the fiscal year.

CDC may revise the existing requirements through an addendum to this notice, which could include additional recipient requirements for evaluation and performance measurement.

The Awardee Evaluation and Performance Measurement Plan will be comprised of three components:

• Tracking progress and completion of strategies.

By using the CDC identified electronic performance monitoring and reporting system, each awardee will track overall progress on infrastructure and short-term outcome objectives, as well as, specific progress on activities on a quarterly basis.

This collection of data is known as performance monitoring data.

CDC will provide training and guidance on the use of the performance monitoring and reporting system.
o Use ongoing performance monitoring data, along with any community health assessment data, for ongoing program improvement and midcourse corrections.


o Track overall progress on outcome objectives as well as specific progress on activities designed for priority populations.

Use performance monitoring data and other available sources to document the steps taken to implement PSE improvements by describing successes, barriers, and challenges.

• Measurement of Short-term Outcomes.

Using detailed guidance from CDC (provided post-award), awardees will set targets and then monitor progress towards these targets on the number of people who have access to healthier environments as a result of the implementation of each awardee strategies describe in the CAP objectives.

This is known as Awardee Reach for each intervention.

These targets will be ultimately rolled up into the relevant short-term outcomes.
o For example, an awardee might be implementing two strategies that are targeting different populations in different sectors.

One strategy is increasing physical activity in elementary age children by implementing recommended standards of physical activity in all 80 elementary schools in the community, which would increase physical activity for 55,000 children enrolled in these schools.

The awardee will track the successful implementation of recommended standards in each school so that they will know how many children have access to an improved physical activity environment.

The second strategy is increasing physical activity in 350 early care/child care centers by implementing recommended standards of physical activity in these settings, which would increase physical activity for 2,000 children enrolled in these programs.

The awardee will track the successful implementation of recommended standards in each early care/child care centers, so that they will know how many children have access to an improved physical activity environment.

The target short-term outcome would combine the target Awardee Reach for these two strategies, and progress would be tracked over time.

Thus, the target short-term outcome would be 57,000 people with increased access to physical activity opportunities.



o Report Awardee Reach data for each strategy and update on a quarterly basis.



• Assessment of actual use of a healthier environment.

With guidance from CDC, awardees will assess the actual use of at least one healthier environment they created by implementing an intervention.

This is required for all awardees regardless of funding level and must be completed before the end of the 3-year project period.

This assessment is complimentary to the estimated Awardee Reach for the selected healthier environment.

o For example, an awardee plans to implement strategies to increase access to healthier foods in corner stores.

They decide, in collaboration with CDC Evaluation Technical Assistance, to assess whether healthier foods are purchased at these stores after the intervention is in place.

Therefore, they develop an assessment plan.

Using the same assessment method, they measure the purchases of healthier foods in a selected number of stores before the intervention, and after the intervention was completed.



o CDC Evaluation Technical Assistance will work closely with the awardee to design a simple, low cost assessment.

Whenever possible, the assessment will use methods and survey questions successfully used in other community health improvement programs.

o Report the results of this assessment to CDC.



• Outcome evaluation for an innovative strategy (if applicable).

In order to expand the evidence base for effective community strategies, innovative intervention(s) may be implemented, and include outcome evaluation to determine intervention effectiveness.

No more than 15% of the annual award can be used for innovative strategies.

The evaluation methodology should be designed with sufficient rigor to measure impact on chronic disease risk factors or other relevant outcomes.

This methodology should be described in the Outcome Evaluation Plan Template (Appendix B).

CDC evaluation technical assistance liaisons will provide assistance with the finalization of the Outcome Evaluation Plan and the selection of common measures and metrics.


o Within 30 days after finalizing the CAP with the Project Officer, submit to CDC an outcome evaluation plan for any innovative strategies that meets the criteria described above and is directly tied to appropriate components of the CAP (refer to Evaluation Guide on Developing an Evaluation Plan available at: http://www.cdc.gov/dhdsp/state_program/evaluation_guides/pdfs/evaluation_plan.pdf.
o The plan must include a logic model that illustrates the relationship between program activities and expected outcomes and reflects initiative priorities.


o The plan activities must be described on a timeline as they relate to proposed objectives in the CAP.
o The plan must include a methodological overview and a description of how the planned evaluation activities will:
 Target high impact goals,
 Assess impact on health disparities, and
 Ensure broad sharing of evaluation findings to the public, partners, and community leaders as appropriate.

(See Communication and Dissemination with the Public, Partners, and Stakeholders, page 11).
o The plan may focus on particular geographic or physical settings, age groups, or priority populations experiencing a disproportionate burden of chronic disease and conditions.


o The plan must identify area- and program-specific data sources to assess strategies outcomes, including as appropriate changes in proper nutrition, physical activity, exposure to second hand smoke, and risk reduction or chronic disease management through clinical and community linkages.
In addition, Awardees should adhere to the following guidance:

• Awardees are encouraged to use available data to measure intermediate-term outcomes, when possible.

However, as mentioned above, due to lack of adequate, existing data in many communities, primary responsibility for measuring intermediate-term outcomes will rest in most cases with CDC.



o Communities with access to adequate data to measure intermediate-term outcomes might include: 1) counties with a large number of respondents to the Behavioral Risk Factor Surveillance System (BRFSS), 2) counties that conduct the Youth Risk Behavior Surveillance System (YRBSS), 3) school districts that routinely record the height and weight of students.

• The awardee should share their successes and lessons learned through the creation and dissemination of two (or more) success stories per year (one submitted every 6 months with the Interim and Annual Progress Report).

As stated previously, CDC recommends using its online success story application (http://www.cdc.gov/nccdphp/dch/success-stories/) to meet this requirement.



• Use the outcome evaluation to develop a project summary for community leaders by the end of Year 3.

Awardee will work with CDC to identify the best format for a given effort.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit 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.

Records

There is a 3-year record retention requirement; records shall be retained beyond the 3-year period if final audit has not been done or findings resolved. Property records must be retained in accordance with PHS Grants Policy Statement requirements.

Financial Information

Account Identification

75-0943-0-1-550.

Obigations

(Cooperative Agreements) FY 13 $0; FY 14 est $50,000,000; and FY 15 est $50,000,000

Range and Average of Financial Assistance

$100,000 - $5,000,000.

Regulations, Guidelines, and Literature

Successful applicants must comply with the administrative requirements outlined in 45 Code of Federal Regulations (CFR) Part 74 or Part 92, as appropriate. The following additional requirements apply to this project:
Additional information on the requirements can be found on the CDC Web site at the following Internet address: http://www.cdc.gov/od/pgo/funding/Addtl_Reqmnts.htm.
For more information on the Code of Federal Regulations, see the National Archives and Records Administration at the following Internet address: http://www.access.gpo.gov/nara/cfr/cfr-table-search.html

Information Contacts

Regional or Local Office

None.

Headquarters Office

Shannon Griffin-Blake 4770 Buford Highway, MS-F81, Atlanta, Georgia 30341 Phone: 7704885266

Criteria for Selecting Proposals

An objective review panel will be held to review applications based on criteria described in the Funding Opportunity Announcement.



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