Affordable Care Act Streamlined surveillance for ventilator-associated pneumonia: Reducing burden an

Ventilator-associated pneumonia (VAP) is one of the most common and deadly healthcare-associated infections (HAIs).

Program activities under this funding will facilitate a study to demonstrate the utility and relevance of sVAP and promote acceptance of sVAP within the critical care community.

Implementation
of a new, reliable, valid, clinically credible and potentially automatable VAP surveillance definition will provide the foundation for national surveillance and prevention efforts and for pay-for-reporting and pay-for-performance programs, leading to improved patient safety and fewer complications for patients needing mechanical ventilation.

Specifically, the objectives of this project are to:

1.

Implement prospective sVAP surveillance in 9 acute-care hospitals currently conducting VAP surveillance using existing National Healthcare Safety Network (NHSN) definitions;,
2.

Compare the total sVAP surveillance burden to the total burden associated with use of existing NHSN VAP definitions;, and
3.

Implement an evidence-based VAP prevention initiative and evaluate sVAP preventability by assessing the association between sVAP rates and prevention measure compliance rates.

Nine hospitals currently engaged in NHSN VAP surveillance will be recruited.

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.

Office - None.

Not applicable.


Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Project funds may be used for costs associated with planning, data collection, organizing, and the implementation of program elements to build HAI prevention and public health capacity.

Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies, and services, such as contractual.

Eligibility Requirements

Applicant Eligibility

Eligible applicants include recipients funded under the CDC Prevention Epicenters Program (CI11-001):
a.

Chicago Prevention Epicenter
b.

Duke University Prevention Epicenter
c.

Eastern Massachusetts Prevention Epicenter
d.

University of Pennsylvania Prevention Epicenter
e.

Washington University Prevention Epicenter.

Beneficiary Eligibility

State and local health departments, U.S. Territories, and the general public.

Credentials/Documentation

Allowable costs will be determined in accordance with OMB Circular No. A-87 for State, Local, and Indian Tribal governments. 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. This program is excluded from coverage under OMB Circular No. A-110. Applicants must download application forms from www.Grants.gov. Applications must be submitted electronically at www.Grants.gov. If an applicant does not have access to the Internet, or if they have difficulty accessing the forms on-line, contact the CDC Procurement and Grants Office Technical Information Management Section (PGO-TIMS) staff. For this, or further assistance, contact PGO-TIMS: Telephone (770) 488-2700, Email: PGOTIM@cdc.gov

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 emailed to the program director and a hard copy mailed to the recipient fiscal officer identified in the application.

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, 317(k)(2), 318 and 318B of the Public health Service Act (42 U.S.C. Sections 247b, 247b(k)(2) and 247c), as amended; and the Patient Protection and Affordable Care Act (PL 111-148), Title IV, Sections 4002, (Prevention and Public Health Fund) for expanded and sustained national investment in prevention and public health programs, IV U.S.C 4002.

Range of Approval/Disapproval Time

From 90 to 120 days.

Appeals

Not Applicable.

Renewals

Renewals will be based upon the conditions in the funding announcement and are subject to the availability of funds under the Patient Protection and Affordable Care Act.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
This program has no matching requirements. This program has no matching requirements.
This program does not have MOE requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

Financial assistance is available for a 18-month budget period. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

The reporting schedule will be based on the requirements listed in the funding announcement.

In most cases, funded applicants must provide an interim and annual progress report.

Where applicable, the interim progress report is due no less than 90 days before the end of the specified budget period.

Where applicable, the Interim Progress Report (IPR) will serve as the non-competing continuation application.

Financial Status Reports are required no more than 90 days after the end of the budget period.

Final financial status and progress reports are due no later than 90 days after the end of the project period.

No cash reports are required.

The reporting schedule will be based on the requirements listed in the funding announcement.

In most cases, funded applicants must provide an interim and annual progress report.

Where applicable, the interim progress report is due no less than 90 days before the end of the specified budget period.

Where applicable, the Interim Progress Report (IPR) will serve as the non-competing continuation application.

Financial Status Reports are required no more than 90 days after the end of the budget period.

Final financial status and progress reports are due no later than 90 days after the end of the project period.

No expenditure reports are required.

No performance monitoring is required.

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. 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 the 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 audits requirements for that year, except as noted in Circular No. A-133. Records must be available for review or audit by appropriate officials of the Federal agency, pass-through entity, and General Accounting Office (GAO). The grantee is to also ensure that the sub-recipients receiving CDC funds also meet these requirements (if total Federal grant or grants funds received exceed $500,000). The grantee should include this requirement in all sub-recipient contracts.

Records

Financial records, supporting documents, statistical records, and all other records pertinent to the program shall be retained for a minimum of 3 years, or until completion and resolution of any audit in process or pending resolution. In all cases records must be retained until resolution of any audit questions. Property records must be retained in accordance with 45 CFR 92.42.

Financial Information

Account Identification

75-0943-0-1-551.

Obigations

(Cooperative Agreements) FY 10 Not Available; FY 11 $1,508,825; FY 12 Estimate Not Available -

Range and Average of Financial Assistance

Approximately $1,508,825 in FY 2011 is anticipated to fund 1application. The award period is 18 months. An applicant may request a project period up to 18 months for a total of $1,508,825 including direct and indirect costs.

Regulations, Guidelines, and Literature

Not Applicable.

Information Contacts

Regional or Local Office

None. Not applicable.

Headquarters Office

Tiffanee L. Woodard CDC
1600 Clifton Rd.
MS-A31
, Atlanta, Georgia 30333 Email: twoodard@cdc.gov Phone: 4046397093 Fax: 406394046

Criteria for Selecting Proposals

Applications will be reviewed for completeness by the Procurement and Grants Office (PGO) staff and for responsiveness jointly by Division of Healthcare Quality Promotion (DHQP), NCEZID and PGO. Incomplete applications and applications that are non-responsive to the eligibility criteria will not advance through the review process. Applicants will be notified the application did not meet submission requirements.

CDC will conduct a review to evaluate complete and responsive applications according to the criteria listed in Section V. Application and Submission Information, subsection "Evaluation Criteria" within the individual funding announcement. Applicants will be notified if their application did not meet program requirements.



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