NON-ACA/PPHF-Building Capacity of the Public Health System to Improve Population Health through Nati

This program will cover NON-ACA/PPHF-funded capacity building assistance projects under CDC-RFA-OT13-1302: Building Capacity of the Public Health System to Improve Population Health through National, Nonprofit Organizations.

Applicant organizations will have the opportunity to compete for ACA/PPHF
supported projects as well as high priority CDC projects.

This program will assist state, tribal, local and U.S.

territorial health departments, and other components of the public health system by making available to them capacity building assistance (including technical consultation, skills building/training, information, and technology transfer assistance) that will result in: systems and organizational efficiencies; a capable and qualified workforce; state-of-the-art information technology systems and integrated and standardized community and population data; improved planning, implementation and evaluation of evidence-based public health policies, laws, programs and services; results driven local and national public and private partnerships; and increased availability and accessibility of public health resources, such as publications, educational materials, syndicated website material, training curricula, assessments and evaluation tools, and other products for improvement of public health agencies and other agencies in the public health system.

The overall goal of capacity building assistance is to ensure improvements in the public health infrastructure so that it is prepared for responding to both acute and chronic threats relating to the Nation s health such as emerging infections, disparities in health status, and increases in chronic disease and injury rates.

Capacity building assistance will focus on the provision of technical consultation, skills building/training, and information and technology transfer assistance to ensure successful planning, implementation, coordination and evaluation of the key areas for public health infrastructure investments.

CBA may also be provided for CDC-funded projects which may include limited CBA to international public health agencies where there is a benefit to US public health efforts or to the US public health system.
Investing in CBA is expected to help public health agencies and other public health components fulfill their mission of protecting and promoting health in their communities and effectively performing essential public health services.

Some of the capacity building needs are in the following areas:
• Improving the public health workforce (e.g., e-learning, other training, and fellowship programs); vital statistics systems (electronic birth and death registration); food and water borne disease identification and prevention, prevention of hospital acquired infections, electronic health record/IT systems, communications systems and processes (e.g.

information syndication and social media capacity), and laboratory and epidemiologic capacity.
• Developing information systems to support adoption, implementation, enforcement, and/or evaluation of public health legislation, codes, rules, regulations, ordinances, and other policies.
• Improving public health system development/redevelopment by building or re-engineering infrastructure to improve networking, coordination, standardization, and centralization of public health services to effectively and efficiently address priority health indicators.
• Implementing best health care practices and conducting impact evaluation
• Improving information and data system capacity through policy/communication for standardized data collection and analysis systems, information management technology, information dissemination, and meaningful data use and translation
• Improving organizational capacity to effectively and efficiently use resources such as fiscal agents, and intermediaries, and
• Improving technical and program guidance and evaluation of preventive services to expand coverage for community and clinical preventive services.

This includes technical consultation and promotion on the adoption and utilization of the recommendations from the Guide for Community Preventive Services.

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

Not Applicable.

Uses and Use Restrictions

Project funds will be used for costs associated with providing capacity building assistance to strengthen the infrastructure of State, Tribal, Local, and Territorial public health agencies and other components of the public health system.

For the purposes of this program, "other components of the public health system" refers to specific professional constituencies (i.e., epidemiologists, community health nurses, health education and promotion specialists tribal health leaders, chronic disease directors, health information specialists, Medicaid/Medicare Directors, state/local public health financial officials, etc.) or key components of the public health system (i.e., community and neighborhood health centers, public health and primary care delivery systems, community and faith-based organizations, public health and accreditation boards, public health institutes, primary care residency programs, health insurance consortia, family/social services programs, maternal/child health associations, etc.).

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

Applicants will be required to participate, comply, and cooperate with CDC for any reporting requirements stipulated by, or mandated for, the receipt of funding.

PPHF funding is intended to be used only in support of PPHF programs and projects.

Eligibility Requirements

Applicant Eligibility

1.

Eligible Applicants: Organizations with nonprofit 501(c)(3) or nonprofit 501(c)(6) IRS status (other than institutions of higher education).


2.

Special Eligibility Requirements: The applicant organization must provide evidence of national scope of work and of public health charge or mission.


3.Justification for Less than Maximum Competition:
•The program leadership in the Office of State, Tribal, Local and Territorial Support (OSTLTS) determined that in order to achieve its strategic priorities for strengthening the public health infrastructure and advancing the quality of public health decision making, OSTLTS will need to expand its capacity building assistance (CBA) efforts through national, non-profit organizations with experience and expertise providing capacity building assistance to governmental and non-governmental components of the public health system.
•Eligible applicants are limited to national, non-profit professional public health mission organizations with experience and expertise providing capacity building assistance (CBA) to governmental and non-governmental components of the public health system.
•The CDC is requesting the provision of capacity building assistance (CBA) to public health agencies and other public health entities across the United States and its territories in order to strengthen public health practice to improve health for all populations.

These national public health mission organizations are the only entities positioned to effectively and efficiently execute on the expected capacity building outcomes, outputs, and activities outlined in the FOA.

The characteristics that position these organizations are: 1) designated mission and experience working nationally, 2) demonstrated infrastructure, experience and expertise providing CBA, and 3) relationship to the public health system workforce across the United States and Territories.


•Therefore, eligibility is limited to the above specified types of applicants/organizations that are expected to demonstrate significant experience and expertise providing capacity building assistance (CBA) to the target populations described in the attached OT13-1302 FOA.
•This expertise is necessary for the grantee to effectively and efficiently complete the related activities and achieve the program outcomes described in the funding opportunity announcement.
•Additionally the following capacities will facilitate the completion of projects in the specified timeframe: infrastructure to organize, conduct work and disseminate key outcomes; communicate key information to organization members, stakeholders and the public health community on a regular basis; leverage a wide array of resources among organization members and the public health community to expeditiously achieve results in a cost-effective manner; interact with other public health organizations; and act as a networking hub to build the capacity of governmental and non-governmental components of the public health system.

Beneficiary Eligibility

Beneficiaries include state health departments; tribal health organizations; local health departments; the District of Columbia; U.S. Territories; and other components of the public health system. The general public will also serve as beneficiaries.

Credentials/Documentation

The applicant organization must include evidence of national scope of work and of public health role or mission. Articles of incorporation, board resolution or by-laws are acceptable forms of evidence. The applicant must also provide evidence of federally assigned 501(c)(3) or 501(c)(6) status designation by submitting a copy of the current, valid Internal Revenue Service (IRS) determination letter. This program is excluded from coverage under OMB Circular No. A-87. This program is excluded from coverage under OMB Circular No. A-87.

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. This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. Allowable costs will be determined in accordance with OMB Circular No. A-87 for non-profit non-governmental organizations.

Applicants must download application forms from www.grants.gov, and completed 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

1. Phase I Review: All eligible applications will be initially reviewed for completeness by CDC s Procurement and Grants Office (PGO) staff. In addition, eligible applications will be jointly reviewed for responsiveness by CDC/OSTLTS and PGO. Incomplete applications and applications that are non-responsive to the eligibility criteria will not advance to Phase II review. Applicants will be notified if the application did not meet eligibility and/or published submission requirements.

2. Phase II (Initial Base-Funding) Review: An objective review panel will evaluate complete and responsive applications according to the criteria listed in the "Criteria" section of the FOA. The applications will be compiled and reviewed according to the category for which applicants submitted their applications. Applicants will be notified electronically if the application did not meet eligibility and/or published submission requirements thirty (30) days after the completion of Phase II review.

3. Phase III Review: In addition, the following factors may affect the funding decision during Phase II (Initial Base-Funding Competition) Review:
a. Preference to avoid duplication of CBA services to the same target populations.
b. Preference may be given to the funding of applicants that propose to provide CBA services to target populations not served by higher ranking applicants.
c. Preference will be given to ensure funding of organizations that provide CBA services to target populations not duplicated in other CDC funding mechanisms.

CDC will provide justification for any decision to fund outside of ranked order of scores.

Final funding determinations will be based on application scores from the objective review panels and consideration for CDC s funding preferences.

4. Phase IV (Secondary CIO-Funding) Review: Applicants that are successful in Phase II (Initial Base-Funding) Review and are awarded funds will be eligible to participate in the Phase IV (Secondary CIO-Funding) Review for CDC-wide public health projects. Eligible awardees will receive an application packet detailing the Phase IV (Secondary CIO-Funding) application submission process upon receipt of the Phase II (Initial-Base Funding) Notice of Award. The awardees must submit stand-alone applications in response to a range of CBA projects that represent public health disciplinary areas and cross-cutting disciplines and/or topics. CIO-funded projects may also include limited CBA to international public health constituents where there is a benefit to U.S. public health efforts or to the U.S. public health system. The applications will be compiled and reviewed according to the Category and CIO project for which applicants submitted proposals. In the event a technical review is more efficient (i.e., there is one proposal submitted for a particular CIO project), the technical review will be held in place of an objective review.

Final funding determinations will be based on application scores from the objective review (and technical review) panels.

Deadlines

Jan 07, 2013 to Mar 08, 2013

Authorization

This program is authorized under sections 301 and 317 of the Public Health Service Act (PHS Act), 42 U.S.C. 241 and 247b as amended. In addition, this program is authorized under sections 311, 317 (K) (2), and 1703, of Public Health Service Act [42 USC, 243, 247 (K) (2), and 300 (U)-(2)] as amended, and the Patient Protection and Affordable Care Act (PL 111-148), Title IV, Section 4002 (Prevention and Public Health Fund) for expanded and sustained national investment in prevention and public health programs., Title IV, Section 4002, 42 U.S.C 242, 247.

Range of Approval/Disapproval Time

From 30 to 60 days.

Appeals

Not Applicable.

Renewals

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

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.
Matching requirements are not applicable to this program.
MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Financial assistance is available for a 12-month budget period within project periods ranging from one to five years. Method of awarding/releasing assistance: lump sum. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

a.

Reporting: Reporting allows for continuous program monitoring and identifies successes and challenges that awardees encounter throughout the award.

Reporting is also necessary for awardees to apply for yearly continuation of funding.

In addition, reporting is helpful to CDC and awardees because it:
• Helps target support to awardees, particularly for cooperative agreements.
• Provides CDC with periodic data to monitor awardee progress towards meeting the FOA outcomes and overall performance.
• Allows CDC to track performance measures and evaluation findings for continuous program improvement throughout the project period and to determine applicability of evidence-based approaches to different populations, settings, and contexts.
• Enables the assessment of the overall effectiveness and impact of the FOA.



As described below, awardees must submit one report per year; ongoing performance measures data, administrative reports, and a final performance and financial report.

Below are the specific reporting requirements:

b.

Annual Performance Report (due 120 days before the end of the budget period; serves as a continuation application).

This report must not exceed 35 pages, excluding work plan and administrative reporting.

Attachments are not permitted when submitting this report.
This report must include the following:
• Performance Measures (including outcomes): Awardees must report on performance measures for each budget period and update measures, if needed.
• Evaluation Results: Awardees must report evaluation results for the work completed to date (including any impact data).
• Work Plan (maximum of 25 pages): Awardees should update the work plan each budget period.
• Successes
b.

-Awardees must report progress on completing activities outlined in the work plan.
- Awardees must describe any additional successes (e.g., identified through evaluation results or lessons learned) achieved in the past year.
- Awardees must describe success stories.
• Challenges
- Awardees should describe any challenges that hinder achievement of both annual and project period outcomes, performance measures, or their ability to complete the activities in the work plan.


- Awardees must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year.
• CDC Program Support to Awardees
- Awardees should describe how CDC could assist them in overcoming any challenges to achieve both annual and project period outcomes and performance measures, and complete activities outlined in the work plan.
• Administrative Reporting (not subject to page limits)
- SF-424A Budget Information-Non-construction Programs
- Budget Narrative - Must use the format outlined in Section IV.

Content and Form of Application Submission, Budget Narrative Section
- Indirect Cost Rate Agreement

During years 2-5, awardees may request up to 75% of their estimated unobligated funds to be carried forward into the next budget period.



The carryover request must:
• Express a bona fide need for permission to use an unobligated balance.


• Include a signed, dated, and accurate Federal Financial Report (FFR) for the budget period from which the fund will be transferred (can request up to 75% unobligated balances).
• Include a list of proposed activities, an itemized budget, and a narrative justification of those activities.



The applicant must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.



c.

Performance Measure Reporting: CDC programs must require awardees to submit performance measures at least annually.

CDC may require more frequent reporting of performance measures.

Performance measure reporting should be limited to the collection and reporting of data.

CDC programs should specify reporting frequency, required data fields, and format for awardees at the beginning of the award.
As indicated in the previous section, awardees will submit annual performance reports based on their selected program strategies and activities.

These performance measures and the frequency of reporting will vary by project.



d.

Federal Financial Reporting: The Annual Federal Financial Report (FFR) SF 425 is required and must be submitted through eRA Commons within 90 days after the end of each budget period.

The FFR should only include those funds authorized and disbursed during the timeframe covered by the report.

The final FFR must indicate the exact balance of unobligated funds and may not reflect any un-liquidated obligations.

There must be no discrepancies between the final FFR expenditure data and the Payment Management System s (PMS) cash transaction data.

Failure to submit the required information in a timely manner may adversely affect the future funding of this project.

If the information cannot be provided by the due date, you are required to submit a letter explaining the reason and date by which the Grants Management Officer will receive the information.



e.

Final Performance and Financial Report: At the end of the five-year project period, awardees should submit a final report to include a final financial and performance report.

This report is due 90 days after the end of the project period and should not exceed 40 pages.



At a minimum, this report must include the following:
• Performance Measures (including outcomes): Awardees should report final performance data for all performance measures for the project period.
• Evaluation results: Awardees should report final evaluation results for the project period.
• Impact/Results: Awardees should describe the impact/results of the work completed over the project period, including success stories.
• The completed FFR (SF-425).

The report should be emailed to the CDC Project Officer and the GMS listed in "Agency Contacts" section of the FOA.

Cash reports are not applicable.

Progress reports are not applicable.

Expenditure reports are not applicable.

Performance monitoring is not applicable.

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 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 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

75-0959-0-1-550.

Obigations

(Cooperative Agreements) FY 13 $0; FY 14 est $40,000,000; and FY 15 est $40,000,000

Range and Average of Financial Assistance

The range is $4 million to up to $20 million for Category A, $1 million to up to $15 million for Category B and $100,000 to up to $5 million for Category C. The approximate average award ranges for the 12-month budget period are up to $15 million for Category A, up to $5 million for Category B and up to $2 million for Category C.

Regulations, Guidelines, and Literature

Regulations governing this program are published under 42 CFR 55b. Guidelines are available for 45 CFR 92, and also HHS Grants Policy Statement at http://www.ahrq.gov/fund/hhspolicy.htm

Evaluation activities such as submission of annual reports and site visit participation will be required to ensure awardees adhere to the program guidelines and regulations. Detailed report requirements are described in Funding Opportunity Announcement CDC-RFA-OT13-1302.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Samuel Taveras 1600 Clifton Road, MS-E70, Altanta, Georgia 30333 Email: syt2@cdc.gov Phone: 770-488-1523

Criteria for Selecting Proposals

Not Applicable.


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