Educating State-level Stakeholders on Strategies to Address Winnable Battles in Public Health

 

The purpose of this project is to reduce the burden of leading causes of death and disability by providing capacity building assistance to states to address priority health issues. Using CDC’s Winnable Battle Initiative as a framework, the project is intended to help increase the uptake of interventions known to successfully address high burden health issues by helping decision makers prioritize issues to address, and educating them on the interventions with the best evidence to support them. The activities to be implemented through this project will contribute to the ultimate reduction of health, financial and social costs of these health challenges across the nation.

Deleted 04/02/2020 (Archived.) 93.827 Agency: Department of Health and Human Services
Office: Centers for Disease Control and Prevention Cooperative Agreements Not Applicable. Sections 311 and 317(k)(2) of the Public Health Service Act, [42 U.S.C. Sections 243 and 247b(k)(2)]. Applicants should be sufficiently connected to state executive branch and/or legislative branch members across the United States in order to accomplish the goal of working with a geographically diverse set of states from all regions of the U.S. Further, the applicant must be well versed both in public health issues such as CDC Winnable Battles and in how states approach and implement policies and practices that impact public health. N/A. No Credentials or documentation are required. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles. Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372. This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. N/A Phase I Review
All applications will be reviewed initially for completeness by CDC PGO staff and will be reviewed jointly for eligibility by the CDC OD and PGO. Incomplete applications and applications that do not meet the eligibility criteria will not advance to Phase II review. Applicants will be notified that their applications did not meet eligibility or published submission requirements.
Phase II Review
A review panel will evaluate complete, eligible applications in accordance with the criteria below.
i. Approach
ii. Evaluation and Performance Measurement
iii. Applicant’s Organizational Capacity to Implement the Approach
Phase III Review
Applications will be funded in order by score and rank determined by the review panel. Contact the headquarters or regional office, as appropriate, for application deadlines. N/A. N/A. N/A. All applications will be reviewed initially for completeness by CDC PGO staff and will be reviewed jointly for eligibility by the CDC OD and PGO. Incomplete applications and applications that do not meet the eligibility criteria will not advance to Phase II review. Applicants will be notified that their applications did not meet eligibility or published submission requirements.

A review panel will evaluate complete, eligible applications in accordance with the criteria below.
Approach Maximum Points: 25

•Describes an overall strategy to achieve the outcomes, as set forth in CDC's approach in Part II above, with specific and appropriate time lines.
•Describes activities that are evidence-based, achievable, and appropriate to achieve the outcomes of the project, and that will build on the prior work described in Section II A.1.e., Relevant Work. Includes how it will
•Identify target states and assemble multi-sector teams
•Create or assemble needs assessments for target states
•Plan and execute effective learning opportunities for state teams
•Facilitate teams' work to develop actionable plans
•Provide technical assistance and ongoing learning opportunities to support implementation of states' action plans for current and previous years' states
•Describes how it will collaborate with partners to expand opportunities to involve and educate state decision makers, and to ensure that subject matter experts are accessible to project participants as needed.
•Provides examples of past work involving the above activities, including collaboration with partners.
•Describes clear monitoring and evaluation procedures and how evaluation and performance measurement will be incorporated into planning, implementation, and reporting of project activities.
•Feasibility of the applicant’s plan to meet the outcomes, the extent to which the specific methods described are likely to achieve the outcomes, and whether the proposed use of funds is efficient.

Evaluation and Performancen Measurement Maximum Points: 25

•Describes an evaluation plan that clearly identifies key evaluation questions, type(s) of evaluations to be conducted, how and by whom evaluation will be conducted, data collection and analysis plans, how data will be reported, and how evaluation and performance measurement findings will be used to demonstrate the outcomes of the FOA and for continuous program quality improvement.
•Provides an evaluation plan that is feasible, ethical, methodologically sound, and engages key stakeholders.
•Describes measures of effectiveness that are consistent with components of the work plan and are likely to measure the intended performance outcomes.

Applicant’s Organizational Capacity to Implement the Approach Maximum Points: 50

•Demonstrates relevant experience, infrastructure and capacity to achieve the goals of the project, as set forth above in the Organizational Capacity of Awardees section; describes past experiences with similar projects, including the outcomes and impacts of such projects. (20 points) For example:
•Describes the ability, directly and/or through existing organizational relationships and partnerships, to bring together and effectively facilitate teams of diverse individuals from the executive and legislative branches from throughout the United States; provides evidence of past success in doing such activities.
•Demonstrates expertise or the ability to access through existing partnerships subject matter expertise in all CDC Winnable Battle focus areas;
•Describes the ability to and prior experience in planning effective virtual and in-person meetings, learning opportunities and technical assistance; provides examples.
•Describes infrastructure and experience in widely disseminating educational information to constituency.
•Provides a staffing plan and project management structure that will be sufficient to meet the goals of the proposed project and which clearly defines staff roles. Provides an organizational chart and provides resumes of key staff; describes how it would replace staff in a timely way should key staff leave during the project period. (20 points)
•Demonstrates existing partnerships as described above in the external organization collaboration section.
•Demonstrates experience and capacity to implement the evaluation plan. (10 points)

Not more than thirty days after the Phase II review is completed, applicants will be notified electronically if their application does not meet eligibility or published submission requirements.

Applications will be funded in order by score and rank determined by the review panel. n 2010, CDC launched the Winnable Battles (WB) Initiative to focus attention both on a set of public health challenges with large scale impact on death and disability, and on an approach to prioritizing and addressing high-impact health problems. The focus areas of the Winnable Battles were determined based on the magnitude of the health problems, and that each has evidence-based interventions or best practices which, if implemented, could result in measurable impact in a relatively short time. By identifying priority strategies and clear targets and working closely with states and other partners, CDC has focused on making significant progress in these health areas.
The Winnable Battles identified by CDC are:
•Tobacco- Tobacco use is the leading preventable cause of disease, disability, and death in the U.S.
•Nutrition, Physical Activity, and Obesity- More than 72 million adults and 12 million youth in the U.S. are obese
•Food Safety- Foodborne diseases sicken 1 out of 6 Americans each year
•Healthcare- Associated Infections (HAIs)- 1 out of 20 hospitalized patients contracts an HAI
•Motor Vehicle Safety- Motor vehicle crashes are a leading cause of death among Americans ages 1 to 54
•Teen Pregnancy- The U.S. has one of the highest rates of teen pregnancy of any developed nation in the world
•HIV- More than 1 million people in the U.S. are living with HIV
Progress in reducing the burden of these health challenges is dependent upon implementation of strategies that are known to positively impact each Winnable Battle focus area, yet many of these known interventions are underutilized. Oftentimes, those in the position to adopt and implement policies and practices that can make a difference are unfamiliar with the interventions, and are unclear about their potential effectiveness and the value they may yield in terms of return on investment.
This project is intended to help increase the uptake of interventions known to successfully address health issues with high burdens, by helping policy makers prioritize the issues to address, and educating them on the interventions with the best evidence to support them. The activities to be implemented through this project will contribute to the ultimate reduction of health, financial and social costs of these health challenges across the nation. Program reports are not applicable. Cash reports are not applicable. Progress reports are not applicable. Federal Financial Reporting (FFR) (required)
The annual FFR form (SF-425) is required and must be submitted through eRA Commons 90 days after the end of the calendar quarter in which the budget period ends. The report must include only 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 unliquidated 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 by the due date may adversely affect the future funding of the project. If the information cannot be provided by the due date, awardees are required to submit a letter of explanation to PGO and include the date by which the Grants Officer will receive information

Final Performance and Financial Report (required)
This report is due 90 days after the end of the project period. CDC programs must indicate that this report should not exceed 40 pages. This report covers the entire project period and can include information previously reported in APRs. At a minimum, this report must include the following:
•Performance Measures – Awardees must report final performance data for all process and outcome performance measures.
•Evaluation Results – Awardees must report final evaluation results for the project period for any evaluations conducted.
•Impact/Results/Success Stories – Awardees must use their performance measure results and their evaluation findings to describe the effects or results of the work completed over the project period, and can include some success stories.
•Additional forms as described in the Notice of Award (e.g., Equipment Inventory Report, Final Invention Statement). Awardee Evaluation and Performance Measurement Plan (required)
With support from CDC, awardees must elaborate on their initial applicant evaluation and performance measurement plan. This plan must be no more than 20 pages; awardees must submit the plan 6 months into the award.

This plan should provide additional detail on the following:
•The frequency that evaluation and performance data are to be collected.
•How data will be reported.
•How evaluation findings will be used for continuous quality and program improvement.
•How evaluation and performance measurement will yield findings to demonstrate the value of the FOA (e.g., improved public health outcomes, effectiveness of FOA, cost-effectiveness or cost benefit).
•Dissemination channels and audiences.
•Other information requested as determined by the CDC program.

Annual Performance Report (APR) (required)
The awardee must submit the APR via www.grants.gov 120 days before the end of the budget period. This report must not exceed 45 pages excluding administrative reporting. Attachments are not allowed, but weblinks are allowed.
This report must include the following:
•Performance Measures: 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 findings from process or outcome evaluations).
•Work Plan: Awardees must update work plan each budget period to reflect any changes in project period outcomes, activities, timeline, etc.
•Successes
•Awardees must report progress on completing activities and progress towards achieving the project period outcomes described in the logic model and 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 must describe any challenges that hindered or might hinder their ability to complete the work plan activities and achieve the project period outcomes.
•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 must describe how CDC could help them overcome challenges to complete activities in the work plan and achieving project period outcomes.
•Administrative Reporting (No page limit)
•SF-424A Budget Information-Non-Construction Programs.
•Budget Narrative – Must use the format outlined in "Content and Form of Application Submission, Budget Narrative" section.
•Indirect Cost Rate Agreement.
The awardee must submit the Annual Performance Report via www.grants.gov 120 days before the end of the budget period.

Performance Measure Reporting (optional)
CDC programs may require more frequent reporting of performance measures than annually in the APR. If this is the case, CDC programs must specify reporting frequency, data fields, and format for awardees at the beginning of the award period. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. N/A Financial records, supporting documents, statistical records, and all other records pertinent to an award shall be retained for a period of three years from the date of submission of the final expenditure report or, for awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report. This program has no statutory formula.
This program has no matching requirements. N/A.
This program does not have MOE requirements. N/A. Financial assistance is available for a 12 month budget period and 5 year project period. Method of awarding/releasing assistance: lump sum. None. Mattie Gilliam CLFT Bldg 21 Rm 10005
MS D37, Atlanta, Georgia 30331 Email: pzg6@cdc.gov Phone: 4046397413 http://pgotim@cdc.gov 75-0943-0-1-550. (Cooperative Agreements) FY 14 $0; FY 15 est $200,000; and FY 16 est $0 - N/A. Fiscal Year:2015
Estimated Total Funding:$1,000,000
Approximate Total Fiscal Year Funding:$200,000
Approximate Project Period Funding:$1,000,000
Total Project Period Length:5 year(s)
Expected Number of Awards:1

Approximate Average Award:$200,000 Per Budget Period. Not Applicable. Not Applicable.