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REACH

REACH

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Number of Pages:78

Date Created:May 23, 2014

Date Uploaded to the Library:May 29, 2014

Tags:1419PPHF14, comprehensive, strategies, evaluation, Awardees, Increase, implementation, reach, funding, performance, applicant, applicants, award, activities, Community, GSA, project, health, HHS, program, federal, IRS


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Part Overview Information ........................................................................................................................ Federal Agency Name .................................................................................................... Funding Opportunity Title .............................................................................................. Agency Funding Opportunity Number ........................................................................... Catalog Federal Domestic Assistance (CFDA) Number .............................................. Dates: ............................................................................................................................. Eligible Applicants: Limited competition ....................................................................... FOA Type: Cooperative agreement ................................................................................ Approximate Number Awards: .................................................................................. Total Project Period Funding: ........................................................................................ 
Part II. Full Text ............................................................................................................................................. Funding Opportunity Description .................................................................................. Award Information ....................................................................................................... Eligibility Information ................................................................................................... Application and Submission Information ..................................................................... Application Review Information .................................................................................. Award Administration Information .............................................................................. Agency Contacts ........................................................................................................... Other Information ........................................................................................................ Glossary ........................................................................................................................ 
 

 
 
 
 
Part Overview Information   
 
Applicants must the synopsis page this announcement www.grants.gov and click the Send Change Notifications Emails link ensure they receive notifications any changes DP14-1419PPHF14#. Applicants also must provide e-mail address www.grants.gov receive notifications changes. Federal Agency Name: 

 
Centers for Disease Control and Prevention (CDC) Funding Opportunity Title: 

 
PPHF 2014: Racial and Ethnic Approaches Community Health (REACH) financed part Prevention and Public Health Funding Announcement Type:  

 
This announcement only for non-research domestic activities supported CDC. research proposed, the application will not considered. Research for this purpose defined http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf. Agency Funding Opportunity Number: 

 
CDC-RFA-DP14-1419PPHF14 Catalog Federal Domestic Assistance (CFDA) Number:   

 
CDFA 93.738, 93.304  Racial and Ethnic Approaches Community Health (REACH) financed part Prevention and Public Health Funding Dates: Letter Intent (LOI) Deadline:  June 2014 (Required) Application Deadline:  July 22, 2014, 11:59 p.m. U.S. Eastern Daylight Time, www.grants.gov Informational conference call for potential applicants:   May 30, 2014, 1:30  3:00 p.m. Eastern Daylight time, Call-in number:  888 955 8965 (toll free), Participant Passcode 965 8383 Executive Summary: Summary Paragraph:  

 
CDC announces the availability fiscal year 2014 (FY14) funds implement DP14-1419PPHF14:  PPHF 2014: Racial and Ethnic Approaches Community Health (REACH) -financed part Prevention and Public Health Funding. 
 
This 3-year initiative will award funds help create healthier communities by: Strengthening existing capacity implement locally tailored evidence- and practice-based, policy, systems, and environmental improvements priority populations experiencing disparities chronic diseases and associated risk factors; Supporting implementation, evaluation and dissemination population-based strategies, and Supporting effective implementation existing population-wide policy, systems, and environmental (PSE) improvements, ultimately leading reducing eliminating health disparities racial and ethnic communities. 

 
Applicants will able choose from two levels funding:  
Basic Implementation level will support those communities: Having existing infrastructure components that need strengthened, Having recently active coalitions and partnerships with history successfully working together issues relating health other disparities, Selecting strategies that are based upon community health needs assessment that has been completed since 2010, and Needing discrete amount time strengthen infrastructure, activate coalitions and partners, and finalize work plans order actively ready for implementation locally tailored evidence- and practice-based, policy, systems, and environmental improvements. 

Comprehensive Implementation level will support those communities: With existing, strong infrastructure components, Having recently active coalitions and partnerships with history successfully working together issues relating health other disparities, Selecting strategies that are based upon community health needs assessment that has been completed since 2010, and Having infrastructure, coalition and partnership network, and existing work plan that allow the funded community immediately implement locally tailored evidence- and practice-based, policy, systems, and environmental improvements. 

These approaches are not intended exclude any racial ethnic group other non-target population.  Instead, this FOA tailors interventions address challenges that have made prevention efforts less effective the past. Exclusion any individual group individuals from federally-funded opportunities not allowed. Eligible Applicants: Limited competition FOA Type: Cooperative agreement Approximate Number Awards: 15-20 Basic Implementation and 30-40 Comprehensive Implementation Total Project Period Funding: $105,000,000 Average One Year Award Amount: $400,000-Basic Implementation (range: $300,000 $500,000); $800,000- Comprehensive Implementation (range: $600,000 $1,000,000) Number Years Award: Years Approximate Date When Awards will Announced:  September 30, 2014 Cost Sharing and /or Matching Requirements:  

 
Not applicable for this announcement  
 

Part II. Full Text Funding Opportunity Description Background Statutory Authorities:  This program authorized under section 317(k)(2) the Public Health Service Act, U.S.C. 247b(k)(2) and Title IV, Section 4002 the Affordable Care Act, Prevention and Public Health Fund. Healthy People 2020:  

 
Healthy People 2020 committed the vision society which all people live long, healthy lives. The Racial and Ethnic Approaches Community Health (REACH) initiative funded under this cooperative agreement  supports relevant Healthy People 2020 goals: (1) Create social and physical environments that promote good health for all; (2) Promote health and reduce chronic disease risk through the consumption healthful diets and achievement and maintenance healthy body weight; (3) Improve access comprehensive, quality health care services; and (4) Reduce illness, disability, and death related tobacco use and secondhand smoke exposure. This site accessible at: http://www.healthypeople.gov. Other National Public Health Priorities and Strategies:  

 
This REACH initiative also aligns with and supports other relevant national strategies, including the Health and Human Services Action Plan Reduce Racial and Ethnic Disparities: Nation Free Disparities Health and Health Care (HHS Disparities Action Plan)   The HHS Disparities Action Plan outlines goals and actions reduce health disparities among racial and ethnic minorities. The HHS goals related the REACH initiative are: (1) Strengthen the nations health and human services infrastructure and workforce; and (2) Advance health, safety, and well-being the American people. The HHS Disparities Action Plan website can accessed at:  http://minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1lvlid=33ID=285 addition, this REACH initiative aligns with and supports The National Stakeholder Strategy for Achieving Health Equity (National Stakeholder Strategy). The National Stakeholder Strategy was established mobilize nationwide, comprehensive, community-driven, and sustained approach combating health disparities and move the nation toward achieving health equity. This initiative aligns with several National Stakeholder Strategy goals: (1) AwarenessIncrease awareness the significance health disparities, their impact the nation, and the actions necessary improve health outcomes for racial, ethnic, and underserved populations. (2) Health System and Life ExperienceImprove health and healthcare outcomes for racial, ethnic, and underserved populations; and (3) Cultural and Linguistic CompetencyImprove cultural and linguistic competency and the diversity the health-related workforce. Additional information can accessed at: http://minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1lvlid=33ID=286 Relevant Work:  

 
This initiative builds the body knowledge developed through previous REACH Programs (i.e., REACH 2010, REACH CORE, REACH U.S., REACH Minority-Serving Organizations, and REACH National Networks) that have successfully addressed health disparities the community level the following priority population groups: African American/Black; American Indian/Alaska Native; Asian; Hispanic/Latino; and Native Hawaiian/Other Pacific Islander populations.  For years, the CDC REACH program has empowered community members priority population groups seek better health, help change local healthcare practices, and mobilize communities implement evidence-based public health programs reduce health disparities across broad range health conditions. This Funding Opportunity Announcement (FOA) seeks strengthen existing capacity implement locally tailored evidence- and practice-based population-based improvements priority populations experiencing chronic disease disparities and associated risk factors; and support implementation, evaluation and dissemination strategies.  This FOA will also support effective implementation existing PSE improvements; thus, offering opportunities for community changes take comprehensive action address risk factors contributing the most common and debilitating chronic conditions. Additional information the REACH Program accessible the CDC website:  http://www.cdc.gov/nccdphp/dch/programs/reach/ CDC Project Description Approach: 

 
The REACH logic model (see Figure and Appendix provides community coalition partners with framework drive program planning, implementation, and evaluation. tool that can used organize evidence around program results.  All proposed activities should connected elements reflected the logic model and contribute decreasing eliminating health disparities, with the ultimate goal improving quality life, averting premature deaths, and reducing medical costs within the priority population(s). Recipients will accountable for short-term outcomes identified the logic model.  
 
 
 
 
 
 
 
 
 
 
 
 
 

Figure REACH Logic Model Problem Statement:  

 
Despite significant progress reducing and eliminating racial and ethnic health disparities over the past decades, disparities continue persist and are widening for some population groups.  Chronic diseases, such obesity, heart disease, diabetes and cancer, disproportionately affect certain populations. For example, the adult obesity rates the U.S. are higher among non-Hispanic African Americans and Mexican Americans than among non-Hispanic Whites. Research the area racial and ethnic health disparities suggests that disparities are created and maintained through various, interrelated and complex pathways. Poverty, lack education, property neglect, tobacco use and exposure, physical inactivity, poor nutrition, and lack access quality health care services are some the factors that influence health and contribute racial and ethnic health disparities. For disadvantaged racial and ethnic populations, the exposure risks for chronic disease exists across the lifespan, and often accompanied chronic stress associated with the social and psychological experience living unhealthy neighborhood and concentrated poverty conditions. 
 

effective program eliminate health disparities characterized the integration tailored strategies across the social and physical environment racial and ethnic communities. This orientation distinguishes the aims REACH from other community-based chronic disease prevention programs. 
 
Incorporating within the program community-based participatory approach (CBPA) unites public health and partners from various settings and disciplines with communities address racial and ethnic health disparities. This done balancing improvements public health practice with responses community needs. With these established partnerships many communities are the readiness stage for building and sustaining long-term successful partnerships; implementing and evaluating culturally appropriate strategies and other CBPA activities; defining practice-based and promising approaches based CBPA; and disseminating successful strategies for use other racial and ethnic communities. Eliminating the root causes racial and ethnic health disparities can realized combining CBPA with sound public health practice, and evaluating these approaches improve the health the community. The REACH programs use this comprehensive perspective helps advance the understanding how social, cultural, political, organizational, and environmental systems impact disparities. 
 
 
ii. Purpose:  

 
This 3-year initiative will award funds create healthier communities strengthening existing capacity implement locally tailored evidence- and practice-based population-based PSE improvement strategies priority populations experiencing chronic disease disparities and associated risk factors, and supporting implementation, evaluation and dissemination these strategies.  This FOA will also support effective implementation existing PSE improvements and offers the opportunity for communities take comprehensive action address risk factors contributing the most common and debilitating chronic conditions.  
 
The intent REACH also build evidence base that supports community centered approaches reducing eliminating health disparities. Applicants will provide compelling data support the priority population selected; that data should accompanied justification for selection the intervention(s) that will improve population health.  Applicants should plan strong evaluation proposed activities and strategies. This will contribute increased understanding how racial and ethnic minority communities and their partners can effectively reduce eliminate health disparities, and achieve health equity. 
 
 
iii. Outcomes:  

 
Measurable outcomes are essential for determining the extent which strategies 
 

achieve their objective creating healthier community with lower burden chronic disease and associated risk factors.  REACH outcomes are categorized short-term, intermediate and long-term. The responsibility for outcome measurement will depend upon the outcome type, and described below. Short-term Outcomes part their local evaluation plan, awardees will responsible for measuring short-term outcomes.  Monitoring progress short-term outcomes also provides opportunity for awardees make adjustments strategies that might result increased long-term health the priority population.    All awardees will expected measure and report the short-term outcomes from the list (a.) through (d.) below that are relevant the chronic disease risk factor(s) that are the focus their work plan Community Action Plan (CAP) described page 10. Outcomes (a.) through (d.) are referred Awardee Reach, the estimated number people with access healthier environments and opportunities.  CDC will provide guidance estimating Awardee Reach, after awards are made.  Short-term outcome (e.) optional the discretion the awardee.  CDC will aggregate awardee short-term outcome data part the REACH National Evaluation Plan.  Short-term outcomes include: Increased access smoke-free tobacco-free environments Increased access environments with healthy food beverage options Increased access physical activity opportunities Increased opportunities for chronic disease prevention, risk reduction management through clinical and community linkages Positive changes attitudes, beliefs, knowledge, awareness, and behavioral intentions for relevant strategies Intermediate Outcomes part the REACH National Evaluation Plan, CDC will responsible for measuring intermediate outcomes.  Because available data are typically not adequate measure these changes individual community, CDC will identify communities with similar strategies and aggregate available data (e.g., from BRFSS) from multiple communities, possible. larger communities, adequate data may available for awardees assess intermediate outcomes.  Intermediate outcomes include: 

 Reduced exposure secondhand smoke  

 Increased daily consumption fruit  

 Increased daily consumption vegetables 

 Increased consumption healthy beverages 

 Increased physical activity  

 Increased use community-based resources related better control chronic disease Long-term Outcomes part the REACH National Evaluation Plan, CDC will responsible for estimating long-term outcomes.  CDC will model changes long-term outcomes based performance monitoring and short-term outcome data.  Long-term outcomes include: 

  
 Reduced rates death and disability due tobacco use the implementation area. 

 Reduced prevalence obesity the implementation area. 

 Reduced rates death and disability due diabetes, heart disease and stroke the implementation area. Impact part the REACH National Evaluation Plan, CDC will responsible for estimating impact.  CDC will model impact based performance monitoring and short- and intermediate-term outcome data.  Impact includes: 

 Improved quality life 

 Premature deaths averted 

 Medical costs averted 

 
 
iv. Funding Strategy:  

 
Two levels funding will awarded: Basic Implementation and Comprehensive Implementation.  
 
Basic Implementation applicants should well positioned address one risk factor with one racial and ethnic priority population group. These applicants, with CDC technical assistance, will have months finalize three-year CAP. The applicant should strengthen the infrastructure and existing organizational and partnership capacities ensure implementation activities begin within days CAP approval later than the start Year  
 
Comprehensive Implementation applicants are expected immediately implement their CAP and require minimal CDC technical assistance. These applicants should address least two risk factors with one two racial ethnic priority population groups.  
 
All recipients will have similar performance expectations for implementation efforts. Strategies and Activities:  

 
REACH aims strengthen existing capacity implement evidence- and practice-based PSE improvements priority population communities experiencing chronic disease health disparities. 
 
 

This FOA supports two funding level categories:   Basic Implementation and Comprehensive Implementation.  Applicants will propose activities for the Comprehensive Implementation Basic Implementation category.  Applicants may not apply for both categories.   
 
Basic Implementation awardee activities will include:     
Program Infrastructure and Organizational Capacity 
Program infrastructure and organizational capacity are essential components ensure successful planning, implementation, and evaluation for public health program. Applicants should ensure the program has adequate staff and the ability administer, manage, and evaluate the program throughout the project period.  
 Identify minimum Program Manager (1.0 FTE) and administrative support within days post award.  

 Understanding that Year will primarily used prepare for full implementation, beginning Year CDC recommends using the public health benchmark minimum 10% the annual award support evaluation activities.1 

  Year funding may used support evaluation planning and establishment baseline and data collection processes, among others. Providing support for planning and implementation, monitoring short-term outcomes, and evaluation. 

 The applicant should use Year and CDC technical assistance ensure the infrastructure strengthened and ready begin full implementation later than the start Year 

 Understanding that Year will primarily used prepare for full implementation, beginning Year CDC recommends that the applicant should plan use minimum 10% the annual award support communication activities. This includes activities, such buying and placing radio ad, working with local news outlet feature program success, and briefing tribal community leaders and decision makers partner event elsewhere. Provide support for planning, implementing, and evaluating communication activities. Track and report activities annually.  

 Develop draft sustainability plan end Year CDC will provide guidance funded awardees post award. 

 Basic Implementation Year funding will used support the following. completing and submitting approved, finalized three-year CAP within months using quick hiring ensure key staff are place within months Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs  2014.Atlanta: U.S. Department Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office Smoking and Health, 2014 strengthening stakeholder and coalition engagement support implementation activities beginning implementation CAP within days approval later than the start Year identifying and selecting contractors and consultants assist with program infrastructure and implementation activities initiating communication and evaluation support activities  

Fiscal Management 
Fiscal management refers appropriately managing funds throughout the project period. The applicant will manage its funding, complete timely and accurate reporting, and monitor any funding provided local entities complete work associated with this funding opportunity announcement.  
 Identify Fiscal Manager monitor the cooperative agreement funds, program contracts, and grants, ensuring funds are expended and are support approved activities.   

 Provide funding appropriate local entities coalitions committed the goals the initiative and actively engaged selected strategies. 

 Establish procedures track and report expenditures accordance with CDC Procurement and Grants Office federal guidelines and procedures.    

 
 
Coalition 
The coalition collection individuals and organizations working together achieve specific goals.   The coalition should functioning and multi-sectoral composition, partner with community representative(s), and practice CBPA during the entire project period.  
 Demonstrate that multi-sectoral coalition has been actively engaged for least two consecutive years since 2010 and has capacity conduct the work this funding opportunity.  The coalition must include representatives  with two years experience serving the priority population the tribe community, well well local health departments similar tribal health organizations, tribal community-based organizations, university/academic institutions and non-traditional partners (e.g., local education agencies, parks and recreation, transportation, environmental health, housing and urban development, public safety, financial, and health care organizations).   Two years experience will help assure that coalition representatives have substantive experience with populations interest and are familiar with community population health issues that are critical this effort, e.g., community based participatory approaches, community health needs assessments and stakeholder engagement. the applicant intends work improving linkages quality health care, the coalition must include representation from local health care organizations. The coalition should have considerable experience using CBPA plan, implement, and 

 

evaluate PSE improvements for the proposed priority population(s).   

 Demonstrate key accomplishments, including success reducing health disparities, through mobilizing partners implement PSE improvements locally that increase smoke-free tobacco-free environments, physical activity opportunities, healthy food and beverage options, and access quality health care, well address health disparities. 

 During Year the awardee should strengthen the coalition ensure ready implement the CAP and achieve outcomes.       

 
Community Action Plan  
The CAP the work plan road map for guiding the applicant and coalition throughout the project period. This will assist with implementing the proposed activities and strategies. The applicant responsible for working with the coalition develop, implement, and selectively evaluate comprehensive CAP.  
 collaboration with the coalition and partners, submit Year CAP with the application. addition, the applicant should provide high level plan for Years 2-3 that will fully developed during Year Collaborate with CDC obtain final approval the CAP within months post-award.  Planning activities should position the awardee implement this strategic and comprehensive CAP within their selected priority population(s) later than the start Year 

 Identify one the following priority populations:   African American/Black, American Indian/Alaska Native, Asian, Native Hawaiian/Other Pacific Islander, Hispanic/Latino.  

 Applicants should propose enhance the reach and impact existing policies, systems, and environments rather than developing new ones. Data and justification must provided. 

 Identify one the following chronic disease risk factors that disproportionally impact one priority population group: Tobacco use and exposure Poor nutrition Physical inactivity Lack access  chronic disease prevention, risk reduction and management opportunities 

 Select evidence-based PSE strategies shown improve the one chronic disease risk factor selected. The strategies should responsive the unique social and physical environments characterizing the health disparities within the identified priority population. These strategies should culturally and locally tailored meet the communitys needs. Examples strategies that address existing policy, system environment improvement that may have the past created barriers decreasing health disparities are provided Appendix 

 Activities should align with the community health needs assessment, available data (e.g., incidence, prevalence, morbidity, mortality, health behaviors, etc.), community 

 

engagement findings, and opportunities for policy, systems, and environmental improvement. 

 Propose objectives that are specific, measurable, achievable, realistic, and time-phased (SMART).  Objectives and related activities should clearly connected intended outcomes. All objectives and related activities must deliberate how they connect with each other and the overall project outcomes. 

 Implement combination broad and culturally tailored strategies that will impact least 75% the selected priority population across multiple settings.  Applicants should specify the census tract numbers that will served the proposed program activities strategies. 

 
Performance Measurement and Evaluation 
Performance measurement and evaluation allows the awardee and CDC track progress and measure outcomes awardees efforts.   
 Proposed objectives and activities the awardees CAPs should clearly relate the selected chronic disease risk factor and relevant short-term outcomes.   

 Estimates the targets for the relevant short-term outcomes related awardee reach will refined using CDC guidance after CAPs are approved. 

 Input activities, objectives and projected awardee reach from the approved CAP into the CDC identified electronic performance monitoring and reporting system. 

 Provide updates CAP implementation progress CDC through monthly calls with the Project Officer and quarterly awardee submission progress data activities and objectives the CDC identified electronic performance monitoring and reporting system.   

 Use CAP performance monitoring data for ongoing program improvement and midcourse corrections. 

 Use CAP performance monitoring data and other available sources document the steps taken implement the selected strategies. Recipient must notify CDC Project Officer within two weeks identification any missed activities other key implementation milestone(s) schedule technical assistance call. 

 Track overall progress short-term outcomes, well specific progress activities designed address health disparities.  

 Use evaluation activities help ensure interventions are meeting the needs the priority population. 

 Develop and distribute least one unique dissemination documents created for stakeholders the broader community based the outcome evaluation. Developed the end Year the document(s) may briefing updates, reports, case studies, peer-reviewed manuscripts use other formats. Funded applicants can reach other professionals through peer reviewed manuscripts journals, presentations conferences, and guest editorials. 

 Submit performance monitoring and financial expenditure data CDC twice year 

 

through the CDC identified electronic performance monitoring and reporting system. 

 
Communication  
Communicating accurate and timely information component effective public health programs. Communication also helps inform, educate, and empower people about health issues. Applicants should plan use media and communication support their program efforts and convey program messages, activities, and successes throughout the funding period. CDC has resources and technical assistance available help awardees. 
 Use media and communication support program efforts and convey successes key audiences (i.e., public, partners, stakeholders) least every 1-3 months. This would include activities such buying and placing radio ad, working with local news outlet feature program success, using social media share information with the public, preparing presentations talking points for partners, and talking points briefing tribal community leaders and decision makers partner event elsewhere. 

 Monitor and report media activities yearly. This will help applicants track their work and plan future activities. sample media tracking worksheet will provided funded applicants for their use.  

 Develop communication plan, which notes the audience, key messages, and communication-specific activities.  

 Submit least two success stories per year over the course the project period.  CDC recommends using its online success story application (http://www.cdc.gov/nccdphp/dch/success-stories/) meet this requirement.  

 
Comprehensive Implementation awardee activities will include:    
Program Infrastructure and Organizational Capacity 
Program infrastructure and organizational capacity are essential components ensure successful planning, implementation, and evaluation for public health program. Applicants should ensure the program has adequate staff and the ability administer, manage, and evaluate the program throughout the project period.  
 Identify minimum Program Manager (1.0 FTE) and administrative support within days post award.  

 Support for evaluation activities. Provide support for planning and implementation, monitoring short-term outcomes, and evaluation. 

 Support for communication activities. This includes activities, such buying and placing radio ad, working with local news outlet feature program success, and briefing tribal community leaders partner event. Provide support for planning, implementing, and evaluating communication activities. Track and report activities annually.  

 

 Develop draft sustainability plan Year CDC will provide guidance funded awardees post award. 

 
Fiscal Management 
Fiscal management refers appropriately managing funds throughout the project period. The awardee will manage its funding, complete timely and accurate reporting, and monitor any funding provided local entities complete work associated with this funding opportunity announcement.  
 Identify Fiscal Manager monitor the cooperative agreement funds, program contracts, and grants; ensuring funds are expended and are support approved activities.   

 Provide funding appropriate local entities coalitions committed the goals the initiative and actively engaged selected strategies.   

 Establish procedures track and report expenditures accordance with CDC Procurement and Grants Office federal guidelines and procedures.    

 
Coalition 
The coalition collection individuals and organizations working together achieve specifics goals.  The coalition should functioning, multi-sectoral group with community representatives that practices CBPA during the entire project period.  
 Demonstrate key accomplishments mobilizing partners implement local PSE improvements that increase physical activity opportunities, healthy food and/or beverage options, and access quality health care smoke-free tobacco-free environments, well address health disparities.  

 Demonstrate functioning multi-sectoral coalition that has been existence for least two consecutive years since 2010.  The coalition must include representatives with two years experience serving the priority population the tribe community, well  local health departments similar tribal health organizations, tribal community-based organizations, university/academic institutions and non-traditional partners (e.g., parks and recreation, transportation, environmental health, housing and urban development, public safety, financial, and health care organizations). the applicant intends work improving linkages quality health care services, the coalition must include representation from local health care organizations. The coalitions should have considerable experience using CBPA plan, implement, and evaluate PSE strategies for the proposed priority population(s).   

 Demonstrate key accomplishments mobilizing partners implement local PSE improvements that increase smoke-free tobacco-free environments, physical activity opportunities, healthy food and beverage options, and access quality health care, well address health disparities. any coalition receiving federal funds, condition participation that the coalition complies with all applicable federal funding guidance.  Please see General Provisions, Title Division Consolidated Appropriations Act, 2014.  Section 503 Proper Use Appropriations, described later this document. 
 
Community Action Plan 
The CAP the work plan road map for guiding the applicant and coalition throughout the project period. This will assist with implementing the proposed activities and strategies.  The applicant responsible for working with the coalition develop, implement and evaluate comprehensive CAP.  
 Submit part the application three year Community Action Plan (CAP) collaboration with the coalition and partners. Collaborate with CDC obtain final approval the CAP within days post-award.  The CAP should ready for implementation immediately after submitting the final, approved CAP.  

 Identify more than two the following priority populations:   African American/Black, American Indian/Alaska Native, Asian, Native Hawaiian/Other Pacific Islander, Hispanic/Latino.   

 Comprehensive Implementation applicants must select one priority population ensure their efforts are well-focused, and may select two priority populations. Using CBPA, each priority population applicant proposes address through this FOA must fully engaged through planning, implementation, and evaluation the proposed strategies, and the dissemination findings. The applicant should clearly describe governance and the decision-making structure, culturally appropriate processes engagement for selected priority populations, and how work coordinated across among the two priority populations. 

 Identify pre-existing policies, systems, environments that have shown limited improvement behavioral and/or health outcomes for the priority population(s) identified when compared the same outcomes for the broader population that have exacerbated health inequalities the priority population(s).  Data and justification must provided. 

 Identify least two the following chronic disease risk factors that disproportionately impact the priority population: Physical inactivity Poor nutrition Poor linkages quality health care services Tobacco use and exposure  

 Select evidence-based PSE strategies shown improve physical activity opportunities, provide healthy food and/or beverage options, and support access quality health care smoke-free tobacco free environments.  The strategies should responsive the unique social and physical environments characterizing health disparities within the identified priority population.  Strategies should culturally and locally tailored meet the communitys needs. Example strategies that address pre-existing population-wide policy/system/environment improvement that may create barriers 

 

decreasing health disparities are provided Appendix  

 Align with the community health needs assessment, available data (e.g., incidence, prevalence, morbidity, mortality, health behaviors, etc.), community engagement findings, and opportunities for policy, systems, and environmental improvement. 

 Propose objectives that are specific, measurable, achievable, realistic, and time-phase (SMART). Objectives and related activities should clearly connected intended outcomes.  

 Implement combination broad and culturally tailored strategies that will reach least 75% the selected priority population across multiple settings. Settings should defined the specific census tracts that will served the program. Applicants should specify the census tract numbers that will served the proposed program activities strategies. 

 
Performance Measurement and Evaluation 
Performance measurement and evaluation allows the awardee and CDC track progress and measure outcomes awardees efforts.   
 Proposed objectives and activities the awardees CAPs should clearly relate the selected chronic disease risk factors and relevant short-term outcomes.   

 Estimates the targets for the relevant short-term outcomes related awardee reach will refined using CDC guidance after CAPs are approved. 

 Input activities, objectives and projected awardee reach from the approved CAP into the CDC identified electronic performance monitoring and reporting system. 

 Provide updates CAP implementation progress CDC through monthly calls with the Project Officer and quarterly awardee submission progress data activities and objectives the CDC identified electronic performance monitoring and reporting system.   

 Use CAP performance monitoring data for ongoing program improvement and midcourse corrections. 

 Use CAP performance monitoring data and other available sources document the steps taken implement the selected strategies. Recipient must notify CDC Project Officer within two weeks identification any missed activities other key implementation milestone(s) schedule technical assistance call. 

 Track overall progress short-term outcomes, well specific progress activities designed address health disparities.  

 For those awardees opting implement strategy new priority population setting, conduct outcome evaluation. 

 Develop and distribute least one unique dissemination document created for stakeholders the broader community based the outcome evaluation. Developed the end Year the document(s) may briefing updates, reports, case studies, peer-reviewed manuscripts use other formats. Funded applicants can reach other professionals through peer reviewed 

 

manuscripts journals, presentations conferences, and guest editorials. 

 Submit performance monitoring and financial expenditure data CDC twice year through the CDC identified electronic performance monitoring and reporting system. 

 
Communication  
Communicating accurate and timely information component effective public health programs. Communication also helps inform, educate, and empower people about health issues. Applicants should plan use media and communication support their program efforts and convey program messages, activities, and successes throughout the funding period. CDC has resources and technical assistance available help funded applicants. 
 Use media and communication support program efforts and convey successes key audiences (i.e., public, partners, stakeholders) least every 1-3 months. This would include activities such buying and placing radio ad, working with local news outlet feature program success, using social media share information with the public, preparing presentations talking points for partners, and talking points briefing tribal community leaders and decision makers partner event elsewhere. 

 Monitor and report media activities yearly. This will help applicants track their work and plan future activities. sample media tracking worksheet will provided funded applicants for their use.  

 Develop communication plan, which notes the audience, key messages, and communication-specific activities.  

 Submit least two success stories per year over the course the project period.  CDC recommends using its online success story application (http://www.cdc.gov/nccdphp/dch/success-stories/) meet this requirement. 

 
SUGGESTED STRATEGIES FOR POPULATION-BASED APPROACH CHRONIC DISEASE RISK FACTORS (RFs)  This list includes examples local-level population-based strategies that can selected for inclusion the CAP and should implemented consistent with applicable federal laws. #1: Increase the number people with access tobacco- and smoke-free environments: 
 
 Increase the number settings that have 100% smoke-free policy.  

 Increase the number smoke-free multi-unit housing complexes that have smoke-free policy.   

 Use point-of-sale communication strategies reduce access some all tobacco products  

 Prevent youth access tobacco products, including electronic cigarettes and other electronic nicotine delivery systems #2: Increase the number people with access environments with healthy food and 
 

beverage options: 
 
 Increase policies and practices support breastfeeding (e.g., health care, workplaces, childcare settings)  

 Increase availability local farmers fruits and vegetables via farmer distribution agreements with  public and private organizations (e.g., work sites, hospitals, schools, other community settings) 

 Increase availability healthy foods communities, including working with community partners incentivize new grocery store development, expanding farmers markets,  small store initiatives, mobile vending carts, and restaurant initiatives  

 Promote purchase fruits, vegetables, and other healthy foods through food assistance program incentives, such accepting EBT payments Farmers Markets and providing Health Bucks coupons EBT users who purchase fruits and vegetables. 

 Increase availability and affordability healthy foods and beverages institutional settings, workplaces, prisons, senior centers, childcare settings, and government facilities #3: Increase the number people with access physical activity opportunities: 
 
 Increase employee physical activity opportunities workplaces through flexible work hours, access gyms, and promoting the use stairs (instead elevators) 

 Work with education partners such Parent-Teacher Associations, School Board Associations and others share information the current state childrens elementary school physical activity levels, and how quality physical education programs can improve their childrens health and academic performance.  Offer technical assistance schools districts implementing quality physical education programs. 

  Increase opportunities for physical activity public settings: Improved community designs make streets safe for pedestrians, bicyclists, and public transit users (e.g., neighborhood slow zones, community-wide traffic calming) Joint use agreements (e.g., school grounds open the public during off hours) 

 Improve physical activity and education policies and practices early child care settings 

 Work with community partners assess the impact community changes community health and well-being, including physical activity opportunities. #4: Increase the number people with access opportunities for chronic disease prevention, risk reduction, management through clinical and community linkages: 
 
 

 Increase access chronic disease preventive services and self-management programs (e.g. tobacco cessation support groups)  worksites and community settings 

 Increase number referrals community-based resources and services for chronic disease risk reduction and management (e.g., hypertension, diabetes, and obesity) 

 Increase number and training multi-disciplinary teams (i.e., physicians, pharmacists, community health workers), including core competency training for community health workers and  cultural competence training for health care providers  

 Establish health systems to: Collect data populations bearing disproportionate burden chronic disease Provide feedback quality care across health care providers and health care organizations Collaborations  With CDC funded programs:  

 
Recipients are encouraged work with any other CDC-funded programs their geographic area. This will help ensure proposed activities are complementary with other CDC-funded programs operating the same area.   
 State- and/or local-level CDC funded programs for chronic  disease (e.g., Division Community Health, Office Smoking and Health; Division for Heart Disease and Stroke Prevention;  Division Cancer Prevention and Control; Division Population Health; Division Diabetes Translation; Division Nutrition, Physical Activity,  and Obesity) 

 Million Hearts Initiative http://millionhearts.hhs.gov/index.html 

 Healthy Community Design Initiative http://www.cdc.gov/healthyplaces/ With organizations external CDC:  

 
For both funding levels:  All applicants must provide evidence fully developed and established coalition that has been active for least two years, grounded CBPA, well actively involved the planning, development and implementation draft CAP. establish evidence coalition/partnership grounded CBPA, coalition partners must included the development the application and operational aspects the CAP.   Applicants must include one Letter Involvement from each contributing coalition member detail their specific involvement the CAP. minimum five letters are required. These Letters Involvement must clearly describe the partner level participation developing the application, anticipated contribution overall program strategies and activities. Tribal resolutions, MOUs, MOAs exist and are related this application, they should also submitted from each coalition member.  Name the file Letters Involvement/tribal resolutions/MOUs/MOAs, and upload PDF file www.grants.gov.   
 
Applicants may also include letters support, appropriate, and name the file 
 

Letters Support, and upload PDF file www.grants.gov.  These letters support are not considered strong evidence fully developed and established coalition. 
 
Collaborations should include entities such tribal local health departments; tribal community based organizations; health care organizations; faith-based organizations; tribal organizations; local, regional, state, national organizations, including local affiliates national organizations with  demonstrated history and experience working with racial and ethnic populations order alleviate certain disparate impacts; university/academic institutions, non-traditional partners (e.g., local education agencies, parks and recreation, transportation, environmental health, housing and urban development, public safety, financial, and health care organizations). The coalition should include members  with two years experience serving the priority population the community, local health departments similar tribal health organizations, tribal community-based organizations, university/academic institutions, and non-traditional partners. the applicant intends work improving linkages quality health care services, the coalition must include representation from the local health care organizations. Linkages with other tribal, state and community partners working together promote health equity and prevent chronic diseases are encouraged. 
 
The applicant should describe the coalition functions that facilitate planning, education, outreach, dissemination, and evaluation efforts.  Applicant may use the CDC Practitioners Guide for Advancing Health Equity: Community Strategies for Preventing Chronic Disease (http://www.cdc.gov/nccdphp/dch/health-equity-guide/) inform aspects its programming. Applicants should include the application any available agreements (ex. Tribal resolution, MOU, MOA) with organizations that are involved work associated with the CAP. 
 
Comprehensive Implementation- The coalitions Letters Involvement should collectively present evidence that functioning, and ready immediately help implement the CDC-approved 3-year CAP.   
 
Basic Implementation- The coalitions Letters Involvement should collectively present evidence that functioning, and ready help implement the CDC-approved year CAP (also includes high level plan for years and 3), and directly contributes the development CDC-approved final CAP that includes years and Target Populations:  

 
Basic Implementation applicants are focus their strategies the community tribal 
 

level addressing health disparities one the following priority population groups and Comprehensive Implementation applicants two priority population groups:  
 African American/Black 

 American Indian/Alaska Native 

 Asian American 

 Hispanic/Latino 

 Native Hawaiian/Other Pacific Islander populations. 

 
Applicants should focus their efforts specific target populations the priority population(s). For the REACH FOA, these specific target populations are defined primarily geographic sub-areas with high rates poverty and lack high school education. recommended define specific target populations the basis poverty and education, applicants must provide the following data: 
 map the census tracts included the selected vulnerable population 

 list the census tracts 

 the demographic makeup that area (age, sex and race/ethnicity) 

 with income below 100% federal poverty level 

 adults >25 years age without high school education. 

 
These data can obtained from the census bureau: http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml?refresh=t.  
 
Applicants may find easier access these data from the following web site: www.CHNA.org. recommended that specific target populations considered the census tracts where the population resides have the following characteristics: 
 least 30% with income below 100% federal poverty level, and 

 least 25% adults >25 years age without high school education. further define specific target populations, recommended that applicants include: 
 Information about additional measures vulnerability that are available CHNA.org.; examples include linguistically isolated populations (households where English not the preferred language adults years age older) and populations who have limited access health food (e.g. food deserts) (See Glossary) 

 Information from other sources, such vital statistics data, data from local health surveys and hospitals. 

 
 
 
 

Inclusion:  
 
N/A Evaluation and Performance Measurement: CDC Evaluation and Performance Measurement Strategy:  

 
CDC Evaluation Strategies for REACH include: Implement the National Evaluation Plan which based the three levels outcome measures. 

 Aggregate short-term outcomes across awardees strategies, appropriate. 

 Measure intermediate-term outcomes.  Intermediate-term outcomes will reflect changes targeted health-related behaviors (see outcome measures, above) the population level.   Because available data are typically not adequate measure these changes individual community, CDC will identify communities whose strategies have similar objectives and aggregate available data (e.g., BRFSS) for multiple communities, possible.  

 Model long-term outcomes from Awardee Performance Monitoring data and Awardee Reach data 

 Model impact from Awardee Performance Monitoring data and Awardee Reach data. Provide detailed guidance and technical assistance on: 

 CDC performance monitoring and reporting system.  

 Measurement Awardee Reach which will rolled into Short-term Outcome measures, i.e. the number people who have access healthier environments result the implementation awardee strategies.   

 Awardee assessment actual use least one implemented healthier environment. 

 Awardee outcome evaluation PSE strategies applied new priority populations settings.  Where applicable, this will include finalization Outcome Evaluation Plan. 

 
 
ii. Applicant Evaluation and Performance Measurement Plan:   

 
The Awardee Evaluation and Performance Measurement Plan will comprised three components: CDC may revise the existing requirements which case detailed explanation any additional requirements will provided the Notice Award successful applicants.  Any additional reporting requirements will not exceed applicable grants regulations limits.    The Awardee Evaluation and Performance Measurement Plan will comprised three components: Tracking progress and completion strategies. using the CDC 

 

identified electronic performance monitoring and reporting system, each awardee will track overall progress infrastructure and short-term outcome objectives, well as, specific progress activities quarterly basis. This collection this data known performance monitoring data.  CDC will provide training and guidance the use the performance monitoring and reporting system. 

 Use ongoing performance monitoring data, along with any community health needs assessment data, for ongoing program improvement and midcourse corrections.  

 Track overall progress outcome objectives well specific progress activities designed for vulnerable populations. Use performance monitoring data and other available sources document the steps taken implement PSE improvements describing successes, barriers, and challenges. Measurement Short-term Outcomes.  Using detailed guidance from CDC (provided post-award), awardees will set targets and then monitor progress towards these targets the number people who have access healthier environments result the implementation each awardee strategies describe the CAP objectives.   This known Awardee Reach for each strategy. These targets will ultimately rolled into the relevant short-term outcomes. 

 For example, awardee might implementing two strategies that are targeting different populations different settings.  One strategy increasing physical activity elementary age children implementing evidence-based strategies elementary schools (e.g., physical education, recess) increase youth physical activity, which would increase physical activity for 55,000 children enrolled these schools.   The awardee will track the successful implementation recommended strategies each school that they will know how many children have access improved physical activity environment.  The second strategy increasing physical activity 350 early care/child care centers implementing recommended evidence based strategies physical activity these settings, which would increase physical activity for 2,000 children enrolled these programs.   The awardee will track the successful implementation recommended evidence based strategies each early care/child care centers, that they will know how many children have access improved physical activity environment.  The target short-term outcome would combine the target Awardee Reach for these two strategies, and 

 

progress would tracked over time.  Thus, the target short-term outcome would 57,000 people with increased access physical activity opportunities.   

 Report Awardee Reach data for each strategy and update quarterly basis. Assessment actual use healthier environment.   With guidance from CDC, awardees will assess the actual use least one healthier environment they created implementing strategy.  This required for all awardees regardless funding level and must completed before the end the 3-year project period.   This assessment complementary with the estimated Awardee Reach for the selected healthier environment. 

 For example, awardee plans achieve increased access healthier foods corner stores.  They decide, collaboration with CDC Evaluation Technical Assistance, assess whether healthier foods are purchased these stores after the strategy place. Therefore, they develop assessment plan.  Using the same assessment method, they measure the purchases healthier foods selected number stores before the strategy, and after the strategy was completed.   

 CDC Evaluation Technical Assistance will work closely with the awardee design simple, low cost assessment.  Whenever possible, the assessment will use methods and survey questions successfully used other community health improvement programs. 

 Report the results this assessment CDC. appropriate, incorporate the results into success story that shared described above. addition, Awardees should adhere the following guidance:  

 Awardees are encouraged use available data measure intermediate-term outcomes, when possible.  However, mentioned above, due lack adequate, existing data many communities, primary responsibility for measuring intermediate-term outcomes will rest most cases with CDC. Communities with access adequate data measure intermediate-term outcomes might include: counties with large number respondents the Behavioral Risk Factor Surveillance System (BRFSS), counties that conduct the Youth Risk Behavior Surveillance System (YRBSS). 

 

 Awardees should share their successes and lessons learned through the creation and dissemination two (or more) success stories per year (one submitted every months with the Interim and Annual Progress Report). previously stated, success stories should include the challenge, solution, results, and how sustain success long-term. CDC recommends using its online success story application (http://www.cdc.gov/nccdphp/dch/success-stories/) meet this requirement.  

 
Outcome evaluation strategies applied new priority population setting. order expand the evidence base for effective community strategies, Comprehensive Implementation Awardees strategies implemented new priority populations settings should include rigorous outcome evaluation determine strategy effectiveness. addition, awardees should use common measures and metrics, that their findings can compared with others.  CDC evaluation technical assistance liaisons will provide assistance with the finalization the Outcome Evaluation Plan and the selection common measures and metrics.    

 Within days after finalizing the CAP with the Project Officer, submit CDC outcome evaluation plan for strategies proposed for implementation new priority population setting that meets the criteria described above and that directly tied appropriate components the CAP (refer Evaluation Guide Developing Evaluation Plan available  http://www.cdc.gov/dhdsp/state_program/evaluation_guides/pdfs/evaluation_plan.pdf. 

 The plan must include logic model that illustrates the relationship between program activities and expected outcomes and reflects initiative priorities.  

 The plan activities must described timeline they relate proposed objectives the CAP. 

 The plan must include methodological overview and description how the planned evaluation activities will: Target PSE goals, Assess impact health disparities, and Ensure broad dissemination evaluation findings stakeholders multiple levels. 

 The plan may focus particular geographic physical settings, 

 

age groups, vulnerable populations experiencing disproportionate burden chronic disease and conditions.  

 The plan must identify area- and program-specific data sources assess strategies outcomes, including appropriate changes proper nutrition, physical activity, exposure second hand smoke, and risk reduction chronic disease management through clinical and community linkages. addition, Comprehensive Implementation Awardees develop and distribute:  

 One more unique dissemination documents created for stakeholders the broader community based evaluation and/or performance monitoring data. Developed the end Year these document(s) may briefing updates, reports, case studies, manuscripts, take other formats. Organizational Capacity Awardees Execute the Approach:  

 
Funding will provided highly qualified applicants serving racial and ethnic populations with  documented burdens chronic diseases, conditions and risk factors that include social determinants health and with the following experience and support place:  
 Demonstrated success working with multiple partners experience working with community, tribal, other leaders, appropriate;  

 Demonstrated track record improving community outcomes (including documented evaluations) through  policy, systems, environmental, programmatic, and infrastructure improvements;  

 Demonstrated efforts  aimed reducing health disparities; and  

 Demonstrated ability meet reporting requirements such programmatic, financial, and management benchmarks required the FOA.   

 
CDC will provide support communities that have demonstrated significant and effective past experience addressing racial and ethnic health disparities the community level and with additional resources can achieve larger scale community health impacts through PSE improvements. 
 
Successful applicants will identify and hire staff with appropriate qualifications implement and manage all levels activity within the program. Minimum staffing requirements include Program Manager highly knowledgeable and experienced CBPA, and administrative support staff. Staff must physically located within the community. Resumes key coalition members and organizational staff, organizational staffing chart for the applicant organization, and staffing plan that describes actual position titles with descriptions, lines supervision and brief 
 

description roles and responsibilities all program staff required.   
 
Applicants will possess well documented evidence successful collaborative community health efforts with broad range partners.  The evidence coalition should reflected variety materials: tribal resolutions, MOAs, MOUs, Letters Involvement, meeting minutes, coalition newsletters, media articles, length membership, frequency active membership, etc.   
Applicants must demonstrate the existence established and collaborative coalition (with least two years continuous activity) that develops and sustains linkages and collaborations, feasible, with such entities local, state, tribal health departments; community tribal health centers; faith-based organizations; tribal organizations; national organizations that target the selected population health disparities; university/academic institutions. The coalition must have representation from individuals with direct connections the priority population community.  The applicant, the funded entity, will work with key partners and the coalition implement PSE improvement strategies and achieve objectives identified the Community Action Plan (CAP). expected that the community/coalition capacity fully developed and will require minimal investment operationalize the CAP; funds are not available for capacity building. Work Plan:  

 
Applicants must prepare work plan consistent with the CDC Project Description Work Plan section.  
 
 The work plan integrates and delineates more specifically how the awardee plans carry out achieving the project period outcomes, strategies, and activities, evaluation and performance measurement, including key milestones.  

 
 Applicants must name this file Work Plan and upload PDF file www.grants.gov. 

  
 The work plan, CAP, guide the awardee implementing their work, assists the Project Officer monitoring awardee activities, and reflects activities supported the annual budget. The CAP should also demonstrate how the outcomes, strategies, activities, timelines, and staffing/collaborations work together. The applicant should consider how sustain activities include the CAP after funding ends.   

 
Comprehensive Implementation applicants: Provide detailed CAP that covers Years 1-3.  
The CAP should:   
 Support detailed program description with strategy documentation and 

 

proposed logic model.  

 Align with the community health needs assessment, available data (e.g., incidence, prevalence, morbidity, mortality, health behaviors, etc.), community engagement findings, and opportunities for PSE improvement.  

 well organized and ready for implementation. All strategy tools and documents should place later than the end Year (e.g., protocols for strategy delivery) support well-executed implementation rollout.   

 Describe key activities, priority population(s), milestones and timelines for achieving strategy implementation, anticipated outcomes, SMART objectives (specific, measureable, achievable, realistic, and time phased), and plans for collecting data and measuring progress objectives and outcomes.   

 Include evidence-based strategies improve physical activity opportunities, provide healthy food beverage options, and support access quality health care services access smoke-free tobacco-free environments for least 75% the priority population defined geographic area.  

 Include strategies which are evidence- practice-based, culturally tailored and responsive the unique social and physical environments the priority population.  

 Document the planning process including key decisions, changes the initial plan, and the lessons those changes represent.  

 Note the percent key partners and coalition members who are community decision makers, health agencies, institutions, and others whose expertise supports the PSE improvements.  

 Clearly specify roles and responsibilities for the funded organization, partners, and coalition members for implementing the CAP and sustaining activities after CDC funding ends. Contributions may also reflected any planning documents letters involvement. 

 Demonstrate the use CBPA.  

 Facilitate the evaluation strategies that are being implemented new priority population setting.  

 Give consideration how the activities can replicated that other communities across the nation might use them the future they are successful. 

 
Basic Implementation applicants: Provide detailed CAP for Year and high level plan for Years 2-3.  
The CAP should: 
 Support detailed program description with strategy documentation and proposed logic model.  

 Align with the community health needs assessment, available data (e.g., incidence, prevalence, morbidity, mortality, health behaviors, etc.), community 

 

engagement findings, and opportunities for PSE improvement.   

 Provide high level overview for implementation activities Years 2-3. Information should included how all strategy tools and documents will place later than the start Year (e.g., protocols for strategy delivery) support well-executed implementation rollout.  

 Describe key activities, priority population(s), milestones and timelines for achieving strategy implementation, anticipated outcomes, SMART objectives (specific, measureable, achievable, realistic, and time phased), and plans for collecting data and measuring progress objectives and outcomes.  

 During the first year, the work plan may include objectives related strengthening infrastructure that allows the awardee fully implementation ready year two. 

 Include PSE, evidence-based strategies improve physical activity opportunities, provide healthy food beverage options, and support access case access smoke-free tobacco-free environments for least 75% the priority population defined geographic area.  

 Include strategies which are evidence- practice-based, culturally tailored and responsive the unique social and physical environments the priority population. these are not included, the applicant should note how this will identified and finalized before implementation begins.  

 Document the planning process including key decisions, changes the initial plan, and the lessons those changes represent.  

 Note the percent key partners and coalition members who are community decision makers, health agencies, institutions, and others whose expertise supports the PSE improvements.  

 Clearly specify roles and responsibilities for the funded organization, partners, and coalition members for implementing the CAP and sustaining activities after CDC funding ends. Contributions should also reflected any planning documents letters involvement. Document how planning and implementation uses CBPA.  

 Demonstrate the use CBPA.  

 Facilitate the evaluation appropriate strategies further the evidence base. For example, include baseline and target measures, priority population, estimated number people reached, and how each objective strategy will evaluated.  

 Give consideration how the activities can replicated that other communities across the nation might use them the future they are successful. 

 
Appendix includes CAP template and example CAP. Applicants are not required use the template; however, represents the required elements that will used the performance monitoring system for this award, which applicants will required report quarterly.  
 
Note: The CAP will reviewed extensively and finalized collaboration with subject matter experts CDC. should developed conjunction with the development Local Evaluation Plan. Revision CAPs will collaborative process, and all partners and coalition members must agree work with CDC adjust the CAP reflect any emerging best practices guidance. revised CAP should submitted with the summary statement response within days the notice award. CDC Monitoring and Accountability Approach:  

 
Monitoring activities include routine and ongoing communication between CDC and awardees, site visits, and awardee reporting (including work plans, performance, and financial reporting). The HHS Awarding Agency Grants Administration Manual specifies the following HHS expectations for post-award monitoring for grants and cooperative agreements: 
 Tracking awardee progress achieving the desired outcomes. 

 Insuring the adequacy awardee systems that underlie and generate data reports. 

 Creating environment that fosters integrity program performance and results. 

 
Monitoring may also include the following activities: 
 Ensuring that work plans are feasible based the budget and consistent with the intent the award. 

 Ensuring that awardees are performing sufficient level achieve objectives within stated timeframes. 

 Working with awardees adjusting the work plan based achievement objectives and changing budgets. 

 Monitoring performance measures (both programmatic and financial) assure satisfactory performance levels. 

 
Other activities deemed necessary monitor the award, applicable. addition, the DCH strategy for monitoring awardee performance will primarily include: 
Utilizing CDC identified electronic performance monitoring and reporting system track overall awardee progression outcome objectives well specific progress activities quarterly basis. CDC Program Support Awardees:  

 
CDC will have substantial involvement beyond site visits and regular performance and financial monitoring during the project period.  CDC activities ensure the success the 
 

project will include the following: 
 Technical Assistance: Provide pre-application assistance potential applicants. Provide Post award technical assistance. 

 Provide resources and tools including CDC-developed tools such Success Story Application, Community Health Online Resource Center, Community Health Media Center, Community Health Needs Assessment, Practitioners Guide for Advancing Health Equity. Review progress reports, evaluation tools, and CAPs. Facilitate collaborative opportunities with national partners. 

 Information Sharing between Awardees: Facilitate routine conference calls, webinars, and information exchange between awardees. 

 Develop mechanism for documenting and sharing lessons learned. Award Information Type Award: Cooperative Agreement 

CDCs substantial involvement this program appears the CDC Program Support Awardees section. Award Mechanism:  U58 Chronic Disease Control Cooperative Agreement Fiscal Year: FY2014 Approximate Total Fiscal Year Funding: $35,000,000 Approximate Total Project Period Funding: $105,000,000 Total Project Period Length:  Three (3) years Approximate Number Awards: 15-20 Basic Implementation and 30-40 Comprehensive Implementation Approximate Average Award: $400,000-Basic Implementation (range: $300,000 $500,000) $800,000- Comprehensive Implementation (range: $600,000 $1,000,000) Floor Individual Award Range$300,000 for Basic Implementation and  $600,000 for Comprehensive Implementation 

 
10. Ceiling Individual Award Range: $500,000 for Basic Implementation and $1,000,000 for Comprehensive Implementation   

 
11. Anticipated Award Date:  September 30,2014 

 
12. Budget Period Length: Twelve (12) months 

Throughout the project period, CDC will continue the award based the availability funds, the evidence satisfactory progress the awardee (as documented required reports), and the determination that continued funding the best interest the federal government. The total number years for which federal support has been approved (project period) will shown the Notice Award. This information does not constitute commitment the federal government fund the entire period. The total project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s).] 
 

 
 
 
13. Direct Assistance:  

Direct Assistance (DA) not available through this FOA Eligibility Information Eligible Applicants: 

 
 Local governments their bona fide agents 

 Public nonprofit organizations 

 Private nonprofit organizations 

 For profit organizations 

 Small, minority, women-owned businesses 

 Universities 

 Colleges 

 Hospitals 

 Community-based organizations 

 Faith-based organizations 

 Federally recognized state recognized American Indian/Alaska Native tribal governments 

 American Indian/Alaska Native tribally designated organizations 

 Alaska Native health corporations 

 Urban Indian health organizations 

 Tribal epidemiology centers 

 Public Housing Authorities/Indian Housing Authorities Special Eligibility Requirements:  

 
     Applicants are required submit Letter Intent (LOI) part the application process eligible apply for this program. Failure submit LOI will result non-responsiveness, and the applicant will prohibited from continuing the application process.  Applicants must submit LOI the date and time posted this announcement. Justification for Less than Maximum Competition:  

 
The FY14 Omnibus Bill states that, The CDC directed award all increased funds under  the terms and conditions which the funds were awarded prior fiscal year 2012.  The REACH model targeted place-based intervention that involves community ownership the interventions.  The pre-2012 REACH model focused funding local organizations that organize and maintain multi-sectoral teams, which are consisting partners from various local organizations, and have easy access local data and understanding community needs that can addressed through this FOA. Thus, FOA funding will provided these highly qualified applicants serving vulnerable populations with high documented burdens 
 

chronic diseases, conditions and risk factors community settings. addition, CBO applicants will funded with following experience and support place: demonstrated success working with multiple sectors experience working with community, tribal, other leaders; demonstrated track record improving community outcomes (including documented evaluations) through population-based strategies; and demonstrated ability meet reporting requirements related programmatic, financial, and management benchmarks required the REACH FOA. Cost Sharing Matching:  

 
Cost sharing matching funds are not required for this program.  
 
Although statutory matching requirement for this FOA exists, leveraging other resources and related ongoing efforts promote sustainability strongly encouraged.  Sources for cost sharing matching include complementary foundation funding, other U.S. government funding sources including programs supported HHS other agencies (e.g., Department Agriculture, Department Education, Department Housing and Urban Development, Department Transportation, Environmental Protection Agency, U.S. Park Service) and other funding sources. Applicants should coordinate with multiple partners such public health, transportation, education, health care delivery, and agriculture. Maintenance Effort: 

 
Maintenance effort not required for this program. Application and Submission Information 

Additional materials that may helpful applicants: http://www.cdc.gov/od/pgo/funding/docs/FinancialReferenceGuide.pdf Required Registrations: organization must registered the three following locations before can submit application for funding www.grants.gov. Data Universal Numbering System: All applicant organizations must obtain Data Universal Numbering System (DUNS) number. DUNS number unique nine-digit identification number provided Dun Bradstreet (DB). will used the Universal Identifier when applying for federal awards cooperative agreements. 

 
The applicant organization may request DUNS number telephone 1-866-705-5711 (toll free) internet http://fedgov.dnb.com/webform/displayHomePage.do. The DUNS number will provided charge. funds are awarded applicant organization that includes sub-awardees, those sub-awardees must provide their DUNS numbers before accepting any funds. System for Award Management (SAM): The SAM the primary registrant database for the federal government and the repository into which entity must submit information required conduct business awardee. All applicant organizations must register with SAM, and will assigned SAM number. All information relevant the SAM number must current all times during which the applicant has application under consideration for funding CDC. award made, the SAM information must maintained until final financial report submitted the final payment received, whichever later. The SAM registration process usually requires not more than five business days, and registration must renewed annually. Additional information about registration procedures may found www.SAM.gov. Grants.gov: The first step submitting application online registering your organization www.grants.gov, the official HHS E-grant Web site. Registration information located the Get Registered option www.grants.gov. 

 
All applicant organizations must register www.grants.gov. The one-time registration process usually takes not more than five days complete. Applicants must start the registration process early possible. Request Application Package: Applicants may access the application package www.grants.gov. Application Package: Applicants must download the SF-424, Application for Federal Assistance, package associated with this funding opportunity www.grants.gov. Internet access not available, the online forms cannot accessed, applicants may call the CDC PGO staff 770-488-2700 e-mail PGO PGOTIM@cdc.gov for assistance. Persons with hearing loss may access CDC telecommunications TTY 1-888-232-6348. Submission Dates and Times: the application not submitted the deadline published the FOA, will not processed. PGO personnel will notify the applicant that their application did not meet the deadline. The applicant must receive pre-approval submit paper application (see Other Submission Requirements section for additional details). the applicant authorized submit paper application, must received the deadline provided PGO. Letter Intent (LOI) Deadline must emailed p.m. Eastern Daylight Time June 2014 postmarked June 2014 Application Deadline: July 22, 11:59 p.m. U.S. Eastern Daylight Time, www.grants.gov CDC Assurances and Certifications: All applicants are required sign and submit Assurances and Certifications documents indicated 

 

http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm.  

 
Applicants may follow either the following processes: 
 Complete the applicable assurances and certifications, name the file Assurances and Certifications and upload PDF file www.grants.gov 

Assurances and certifications submitted directly CDC will kept file for one year and will apply all applications submitted CDC within one year the submission date. Content and Form Application Submission: Applicants are required include all the following documents with their application package www.grants.gov. Letter Intent (LOI):  

 
Applicants are required submit Letter Intent (LOI) part the application process eligible apply for this program. Failure submit LOI will result non-responsiveness, and the applicant will prohibited from continuing the application process.   
 
 The LOI opportunity for the applicant demonstrate that meets standards provided the Organizational Capacity and Special Eligibility Requirements sections. The LOI should more than two pages (8.5 11), double-spaced, printed the applicant organizations letterhead, printed one side, with one-inch margins, written English (avoiding jargon), and unreduced 12-point font. emailed, the LOI should sent from the applicant organizations email address. sample LOI template with the required elements included provided Appendix E.FOA Number and title this FOA 

 Descriptive title the proposed project 

 Description priority population(s)  

 The mission statement the applicant 

 Brief description the experience the applicant addressing health disparities 

 Name and brief description the established coalition that will help plan, manage, and implement the health disparities activities conducted the proposed project, including the date which the coalition came into existence 

 Brief descriptions least projects/strategies/ significant initiatives related addressing health disparities which the coalition has participated 

 The date and owner the most recent community health needs assessment conducted where the proposed REACH project will implemented 

 Name, address, telephone number, and email address both the proposed Principal Investigator and the Project Director (names must match application) 

 Name, address, telephone number, and e-mail address the primary contact for writing and submitting this application 

 

 
LOIs may sent via email REACHLOI@cdc.gov, via U.S. express mail delivery service to:  
Ferrinnia (Toni) Augustus-High 
  FOA DP14-1419PPHF14 Department Health and Human Services 
CDC Procurement and Grants Office 2920 Brandywine Rd,  MS#E-09 Atlanta, 30341 Table Contents: (No page limit and not included Project Narrative limit) 

Provide detailed table contents for the entire submission package that includes all the documents the application and headings the Project Narrative section. Name the file Table Contents and upload PDF file under Other Attachment Forms www.grants.gov. Project Abstract Summary: (Maximum page) project abstract included the mandatory documents list and must submitted www.grants.gov. The project abstract must self-contained, brief summary the proposed project including the purpose and outcomes. This summary must not include any proprietary confidential information. Applicants must enter the summary the Project Abstract Summary text box www.grants.gov. 
 
 
10. Project Narrative: (Maximum pages, single spaced, Calibri point, 1-inch margins, number all pages. Content beyond pages will not considered.  The work plan included the page limit.) 

 
The Project Narrative must include all the bolded headings shown this section. The Project Narrative must succinct, self-explanatory, and the order outlined this section. must address outcomes and activities conducted over the entire project period identified the CDC Project Description section.  
 
Applicants must submit Project Narrative with the application forms. Applicants must name this file Project Narrative and upload www.grants.gov. Background: Applicants must provide description relevant background information that includes the context the problem. (See CDC Background.) Approach Problem Statement:  Applicants must describe the core information relative the problem for the jurisdictions populations they serve. The core information must help reviewers understand how the applicants response the FOA will address the public health problem and support public health priorities. (See CDC Project Description.) 

 

ii. Purpose: Applicants must describe 2-3 sentences specifically how their application will address the problem described the CDC Project Description.  

iii. Outcomes: Applicants must clearly identify the outcomes they expect achieve the end the project period. Outcomes are the results that the program intends achieve. All outcomes must indicate the intended direction change (i.e., increase, decrease, maintain). (See the program logic model the Approach section the CDC Project Description.) addition the project period outcomes required CDC, applicants should include any additional outcomes they anticipate. 
iv. Strategy and Activities: Applicants must provide clear and concise description the strategies and activities they will use achieve the project period outcomes. Whenever possible, applicants should use evidence-based program strategies identified the Community Guide2 (or similar reviews) and reference explicitly source. Applicants may propose additional strategies and activities achieve the outcomes. Applicants must select existing evidence-based strategies that meet their needs, describe the rationale for developing and evaluating new strategies. (See CDC Project Description: Strategies and Activities section.) Collaborations:  Applicants must describe how they will collaborate with programs and organizations either internal external CDC. Applicants must file the tribal resolution, MOU, MOA, appropriate, name the file letters involvement/tribal resolution/MOUs/MOAs, and upload PDF file www.grants.gov. Applicants must file letters involvement, appropriate, name the file Letters Involvement, and upload PDF file www.grants.gov.] [The applicant Letters Involvement should collectively present strong evidence functioning and interconnected coalition, with clear confirmation its ability demonstrate immediate action. These should include descriptions previously successful efforts achieve health equity amongst similar priority populations and clearly describing the scope and level effort coalition member cross sectoral partner will provide part the work described this application. 

ii. Target Populations: Applicants must describe the specific target population(s) their jurisdiction. Refer back the CDC Project http://www.thecommunityguide.org/index.html 
Description section  Approach: Target Population. 

iii. Inclusion: Not applicable for this program. Applicant Evaluation and Performance Measurement Plan: Applicants must provide overall jurisdiction community-specific evaluation and performance measurement plan that consistent with the CDC Evaluation and Performance Measurement Strategy section the CDC Project Description this FOA. Data collected must used for ongoing monitoring the award evaluate its effectiveness, and for continuous program improvement. 

 
The plan must:  
 Describe how key program partners will engaged the evaluation and performance measurement planning processes. 

 Describe the type evaluations conducted (i.e., process and/or outcome).  

 Describe key evaluation questions answered. 

 Describe other information, determined the CDC program (e.g., performance measures developed the applicant) that must included. 

 Describe potentially available data sources and feasibility collecting appropriate evaluation and performance data.  

 Describe how evaluation findings will used for continuous program and quality improvement. 

 Describe how evaluation and performance measurement will contribute development that evidence base, where program strategies are being employed that lack strong evidence base effectiveness. 

 
Awardees will required submit evaluation plan for any strategy implemented new priority population setting within days after the CAP finalized, outlined the reporting section the FOA. Organizational Capacity Applicants Implement the Approach: 

Applicant must address the organizational capacity requirements described the CDC Project Description.  Applicants must name this file CVs/Resumes Organizational Charts and upload www.grants.gov. Appendix provides list resources that may used during the writing the application. 

  
 
11. Work Plan: (Included the Project Narratives page limit) 

Applicants must prepare work plan consistent with the CDC Project Description Work Plan 
 

section. The work plan integrates and delineates more specifically how the awardee plans carry out achieving the project period outcomes, strategies, and activities, evaluation and performance measurement, including key milestones.      
 
Applicants must name this file Work Plan and upload PDF file www.grants.gov. 
 
 
12. Budget Narrative: 

 
Applicants must submit itemized budget narrative, which may scored part the Organizational Capacity Awardees Execute the Approach. When developing the budget narrative, applicants must consider whether the proposed budget reasonable and consistent with the purpose, outcomes, and program strategy outlined the project narrative. The budget must include: 
 Salaries and wages 

 Fringe benefits 

 Consultant costs 

 Equipment 

 Supplies 

 Travel 

 Other categories 

 Total Direct costs 

 Total Indirect costs 

 Contractual costs 

 
For guidance completing detailed budget, see Budget Preparation Guidelines at: http://www.cdc.gov/od/pgo/funding/grants/foamain.shtm. applicable and consistent with statutory authority, applicant entities may use funds for activities they relate the intent this FOA meet national standards seek health department accreditation through the Public Health Accreditation Board (see: http://phaboard.org). Applicant entities include state, local, territorial governments (including the District Columbia, the Commonwealth Puerto Rico, the Virgin Islands, the Commonwealth the Northern Marianna Islands, American Samoa, Guam, the Federated States Micronesia, the Republic the Marshall Islands, and the Republic Palau), their bona fide agents, political subdivisions states (in consultation with states), federally recognized state-recognized American Indian Alaska Native tribal governments, and American Indian Alaska Native tribally designated organizations. Activities include those that enable public health organization deliver public health services such activities that ensure capable and qualified workforce, up-to-date information systems, and the capability assess and respond public health needs. Use these funds must focus achieving minimum one national standard that supports the intent the FOA. Proposed activities must included the budget narrative and must indicate which standards will addressed.   
 

 
Applicants must name this file Budget Narrative and upload PDF file www.grants.gov. requesting indirect costs the budget, copy the indirect cost-rate agreement required. the indirect cost rate provisional rate, the agreement must have been made less than months earlier. Applicants must name this file Indirect Cost Rate and upload www.grants.gov. 
 
 
13. Tobacco and Nutrition Policies: 

 
Awardees are encouraged implement tobacco and nutrition policies.   
 
Unless otherwise explicitly permitted under the terms specific CDC award, funds associated with this FOA may used implement the optional policies, and applicants will evaluated scored whether they choose implement these optional policies. 
 
CDC supports implementing evidence-based programs and policies reduce tobacco use and secondhand smoke exposure, and promote healthy nutrition. CDC encourages all awardees implement the following optional recommended evidence-based tobacco and nutrition policies within their own organizations. The tobacco policies build upon the current federal commitment reduce exposure secondhand smoke, specifically The Pro-Children Act, U.S.C. 7181-7184, that prohibits smoking certain facilities that receive federal funds which education, library, day care, health care, early childhood development services are provided children. 
 
Tobacco Policies: Tobacco-free indoors:  Use any tobacco products (including smokeless tobacco) electronic cigarettes not allowed any indoor facilities under the control the awardee. Tobacco-free indoors and adjacent outdoor areas:  Use any tobacco products electronic cigarettes not allowed any indoor facilities, within feet doorways and air intake ducts, and courtyards under the control the awardee. Tobacco-free campus:  Use any tobacco products electronic cigarettes not allowed any indoor facilities anywhere grounds outdoor space under the control the awardee. 

 
Nutrition Policies: Healthy food-service guidelines must, minimum, align with HHS and General Services Administration Health and Sustainability Guidelines for Federal Concessions and Vending Operations. These guidelines apply cafeterias, snack bars, and vending machines any facility under the control the awardee and accordance with contractual obligations for these services (see: http://www.gsa.gov/graphics/pbs/Guidelines_for_Federal_Concessions_and_Vending_Operations.pdf). Resources that provide guidance for healthy eating and tobacco-free workplaces are:  

http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/tobacco/index.htm 
http://www.thecommunityguide.org/tobacco/index.html  
http://www.cdc.gov/chronicdisease/resources/guidelines/food-service-guidelines.htm.  
 
 
14. Health Insurance Marketplaces: healthier country one which Americans are able access the care they need prevent the onset disease and manage disease when present. The Affordable Care Act, the health care law 2010, creates new Health Insurance Marketplaces, also known Exchanges, offer millions Americans affordable health insurance coverage. addition, the law helps make prevention affordable and accessible for Americans requiring health plans cover certain recommended preventive services without cost sharing. Outreach efforts will help families and communities understand these new options and provide eligible individuals the assistance they need secure and retain coverage smoothly possible. For more information the Marketplaces and the health care law, visit:  www.HealthCare.gov.  
 
 
15. Intergovernmental Review:     

 
The application subject Intergovernmental Review Federal Programs, governed Executive Order 12372, which established system for state and local intergovernmental review proposed federal assistance applications. Applicants should inform their state single point contact (SPOC) early possible that they are applying prospectively for federal assistance and request instructions the states process. The current SPOC list available at: http://www.whitehouse.gov/omb/grants_spoc/.  
 
 
16. Funding Restrictions: 

 
Restrictions that must 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 may use funds only for reasonable program purposes, including personnel, travel, supplies, and services. 

 Generally, awardees may not use funds purchase furniture equipment. Any such proposed spending must clearly identified the budget. 

 Reimbursement pre-award costs not allowed. 

 Other than for normal and recognized executive-legislative relationships, funds may used for: publicity propaganda purposes, for the preparation, distribution, use any material designed support defeat the enactment legislation before any legislative body the salary expenses any grant contract recipient, agent acting for such recipient, related any activity designed influence the enactment legislation, appropriations, regulation, administrative action, Executive order proposed pending before any legislative body 

 See Additional Requirement (AR) for detailed guidance this prohibition and additional guidance lobbying for CDC awardees. 

 The direct and primary recipient cooperative agreement program must perform substantial role carrying out project outcomes and not merely serve conduit for award another party provider who ineligible. 

 
 
17. Other Submission Requirements: Electronic Submission: Applications must submitted electronically www.grants.gov. The application package can downloaded www.grants.gov. Applicants can complete the application package off-line and submit the application uploading www.grants.gov. All application attachments must submitted