Maternal and Child Environmental Health Collaborative Improvement

and Innovation Network

Funding Opportunity Announcement HRSA-17-093 Technical Assistance Webinar

November 16, 2016

Ann Ferrero Division of Services for Children with Special Health Care Needs Maternal and Child Health Bureau (MCHB) Health Resources and Services Administration (HRSA)

Housekeeping Items

• How to access the Funding Opportunity Announcement (FOA)

• Download today’s presentation • Program website: Maternal and Child Environmental

Health CoIIN

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How to access the Funding Opportunity Announcement (FOA) Announcement HRSA-17-093: http://www.grants.gov/web/grants/search-grants.html?keywords=hrsa-17-093 1. Click on HRSA-17-093 2. Click the “Package” tab 3. Click “Select Package” 4. Submit the requested information (email address), or select

“No.” 5. Click Submit 6. Option 2: Download Legacy Application Package

• Download Instructions - FOA • Download Package – Grant Application Package

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Executive Summary

• The purpose of this program is to support and improve coordinated systems of care to address the needs of maternal, infant, and child populations that are at risk for or experience exposure to lead.

• A Collaborative Improvement and Innovation Network (CoIIN) will be implemented with 10 state or territorial teams with the goal of decreasing maternal and child morbidity and mortality associated with exposure to lead.

• By the end of the project period, participating teams will show an increase in the number of infants and children that have access to a system of coordinated care to address their needs as a result of exposures to lead.

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Overview

• Number of awards: 1 • Maximum funding amount: $850,000 • Project Period: Three years • Type of award: Cooperative Agreement (pages 6-7) • Application due date: January 31, 2017 • Projected start date: September 1, 2017

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Eligibility

• Per 42 CFR § 51a.3(a), any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b) is eligible to apply.

• Foreign entities are not eligible for HRSA awards, unless the authorizing legislation specifically authorizes awards to foreign entities or the award is for research.

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Application Guide

Application Guides • HRSA SF-424

Application Guide • Video for prospective

applicants • Website: Application

Guides: SF-424 and SF-424 R&R

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What is CoIIN

• Teams of federal, state and local leaders working together • Use technology to remove geographic barriers and share

ideas, best practices, lessons learned • Develop straight-forward aims and SMART objectives • Use evidence-based strategies • Develop metrics and measure progress using real-time

data

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Overall Goal

• Goal: To decrease maternal and child morbidity and mortality associated with exposure to lead. By the end of the project period, states participating in the CoIIN will show an increase in the number of infants and children that have access to a system of coordinated care1 to address their needs as a result of exposure to lead.

1Perrin, JM, et. al. A Family-Centered, Community-Based System of Services for Children and Youth with Special Health Care Needs. Archives of Pediatrics and Adolescent Medicine. 2007; 161(10):933-936.

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Program Objectives

• Identification at least one source of lead exposure that leads to elevated blood lead levels in children

• Develop or update a state action plan to decrease children’s exposure to lead from all sources

• Increase the number of children with elevated blood lead levels who are identified

• Increase the number of providers who are following the recommendations from the Centers for Disease Control and Prevention (CDC) for treatment and follow-up of children exposed to lead

• Increase the number of children with elevated blood lead levels who receive care in a medical home

• Decrease blood lead levels in children aged 1-5 years (Healthy People 2020 Objective EH-8)

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Program Requirements

• Planning and Establishing State Teams • Identify 10 state or territorial teams • Must include: Title V; CDC-funded Childhood Lead Poisoning

Prevention Programs; families • National steering committee • Charter • Funding to state teams

• Coordination and Alignment • Convene annual meeting for state teams • Environmental policy assessments • Focus on medically underserved, disadvantaged, geographically

isolated, special needs populations

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Program Requirements

• Training and Facilitation • Provide training and guidance to state teams • Develop public health approach to reduce children’s exposure to

lead • Facilitate communication across teams • Web-based platform for collaboration

• Quality Improvement Processes • Collaborative learning and quality improvement activities

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Program Requirements

• Data Collection and Reporting • Develop SMART goals and indicators • Information system to collect, analyze and display data from teams

• Dissemination and Spread • Playbook – methods and lessons learned • Disseminate best practices • Engage future initiatives and partnerships • Develop/update state action plans

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Budget

• See Section 4.1.iv of HRSA’s SF-424 Application Guide. • The Total Project or Program Costs are the total allowable costs

(inclusive of direct and indirect costs) incurred by the recipient to carry out a HRSA-supported project or activity.

• The Consolidated Appropriations Act, 2016, Division H, § 202, (P.L. 114-113) states, “None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II.” Please see Section 4.1.iv Budget – Salary Limitation of HRSA’s SF-424 Application Guide for additional information. Note that these or other salary limitations may apply in FY 2017, as required by law.

• Budget Narrative: See Section 4.1.v. of HRSA’s SF-424 Application Guide.

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Funding Restrictions

• You may request funding for a project period of up to three years, at no more than $850,000 per year. Awards beyond the first budget year will be contingent upon Congressional appropriation, satisfactory progress in meeting the project’s objectives, and a determination that continued funding would be in the best interest of the Federal Government.

• Any foreign travel (using federal award dollars or program income) must be submitted to HRSA for approval

• The General Provisions in Division H of the Consolidated Appropriations Act, 2016 (P.L. 114-113) apply to this program. See Section 4.1 of HRSA’s SF-424 Application Guide for additional information.

• You are required to have the necessary policies, procedures and financial controls in place to ensure that your organization complies with the all federal funding requirements and prohibitions.

• All program income generated as a result of awarded funds must be used for approved project-related activities.

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Evaluation Plan

• The program performance evaluation should monitor ongoing processes and the progress towards the goals and objectives of the project. Include descriptions of the inputs (e.g., organizational profile, collaborative partners, key staff, budget, and other resources), key processes, and expected outcomes of the funded activities. Specifically, describe how the State Team activities will be monitored and coordinated.

• Describe the systems and processes that will support your organization’s performance management requirements through effective tracking of performance outcomes, including a description of how the organization will collect and manage data (e.g., assigned skilled staff, data management software) in a way that allows for accurate and timely reporting of performance outcomes.

• Describe current experience, skills, and knowledge, including individuals on staff, materials published, and previous work of a similar nature.

• Describe the data collection strategy to collect, analyze and track data to measure process and impact/outcomes, with different cultural groups (e.g., race, ethnicity, language) and explain how the data will be used to inform program development and service delivery.

• Describe any potential obstacles for implementing the program performance evaluation and how those obstacles will be addressed.

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Evaluation Plan

• Include the following: • Methodology for developing common SMART goals and

indicators with the State Teams • Plans for the information system to regularly collect progress

reports, analyze and display data from State Teams. As part of developing the information system, identify and specify measures (numerator and denominator), identify available data sources, facilitate the resolution of confidentiality issues among participants, develop and implement necessary data use and sharing agreements, and process, analyze, and display data.

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Data Collection

• Number of infants and children that have access to a system of coordinated care to address their needs as a result of exposures to lead.

• Number of states that have identified at least one source of lead exposure that results in elevated blood lead levels in children.

• Number of states with a state action plan to decrease children’s exposure to lead from all sources.

• Number children with elevated blood lead levels who are identified. • Number of providers who are following CDC guidelines for treatment

and follow-up of children exposed to lead. • Number of children with elevated blood lead levels receiving care in a

medical home. • Percent of children aged 1-5 years, with reduced blood lead levels

(Healthy People 2020 Objective EH-8)

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Review Criteria

• Need (5 points) • Response (35 points)

• Public health strategies (8 points) • QI/CoIIN Methodology (12 points) • Work plan (10 points) • Resolution of Challenges (5 points)

• Evaluative Measures (15 points) • Impact (10 points) • Resources/Capabilities (20 points) • Support Requested (15 points)

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How to apply

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• Register in three different systems • SF-424 Application Guide, pages 22-25

System Why it is important Website

Data Universal Number System (DUNS)

Unique 9-digit number that identifies an organization; adopted by the Federal Government to track how grant money is distributed

http://fedgov.dnb.com/webform

System for Award Management (SAM)

Central repository for organizations doing business with the Federal Government; designate E-Biz POC

http://www.sam.gov/

Grants.gov Apply for grants online http://www.grants.gov/

Submit application in grants.gov

• Make sure your application is complete

• Watch your email • An applicant should receive a series of emails:

• Submission Receipt • Submission Validation – OR – Rejection with Errors • Application downloaded by HRSA • Agency Tracking Number

• Track the status of your application (see pages 26-29

of the SF-424 Application Guide)

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Helpful Tips

• Application Planning • Check registrations in DUNS, SAM, and grants.gov! • Read the entire FOA and HRSA SF-424 Application

Guide • Does your organization have the technical expertise,

the personnel, and the financial capacity? • Are all stakeholders supportive?

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Helpful Tips

• Application Writing and Development • Be sure your application aligns with the purpose of the

grant program • Use clear, plain language • Describe how you will address each goal and program

activity. • Align budget, budget justification, and work plan • Adhere to 80 page limit! • Check out the Review Criteria (FOA, pages 19-22) • Submit application early! • HRSA Website: How to Apply for a Grant

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Questions? Programmatic Questions • Ann Ferrero • Project Officer • Email: aferrero@hrsa.gov • Phone: 301-443-3999

Budget/Fiscal Questions • Djuana Gibson • Grants Management

Specialist • Email: dgibson@hrsa.gov • Phone: 301-443-4293