Information Call for Funding Opportunity Announcement CDC-

RFA-PS15-1501Tuberculosis Elimination and

Laboratory Cooperative AgreementJuly 10, 2014

Glen ChristieDeputy Branch Chief

Field Services and Evaluation Branch

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB PreventionDivision of Tuberculosis Elimination

Agenda Goals and objectives FOA amendments FOA Background & overview of approach Prevention & Control, Human Resource

Development, and PH Laboratory strengthening components

Program evaluation Award information and eligibility Application submission & reporting

requirements Application review process Q&A session

Goal and Objective Goal: Provide an opportunity for eligible

applicants to receive assistance with the application process for CDC-RFA-PS15-1501

Objective: Provide an overview of the content of the Funding Opportunity Announcement (FOA) and the application submission process

FOA AmendmentsFOA Section JustificationCDC Project Description (Outcomes)

Provide link to the current national TB program objectives and performance targets

CDC Project Description (Funding Strategy)

Incorporate a more narrow funding range for anticipated awards for P&C, HRD, and Lab in BP1 (2015)

Strategy 5: Program Evaluation

Consistency in language on attendance to TB PEN & ETN Conferences

Collaboration (with organizations external to CDC)

Interim progress reports are not required. Information should be provided in APR

Project Narrative Clarify the page limits for each component between the project narrative and work plan

Award Information Correct the amount listed for floor of individual award range

Application & Submission (Budget Narrative)

Include expectation for attendance at annual National TB Conference

FOA Amendments (cont’d)

The amended FOA will be published after the Laboratory information call on July 14, 2014

FOA Section JustificationApplication & Submission (Budget Narrative)

Provide clarification on the P&C budget submission

Application & Submission (Budget Narrative

Clarify that contract methods are not needed for RTMCC services

Application & Submission (Organizational Capacity)

Clarify requirement for CVs/resumes for key personnel

FOA Background FOA authorized under Section 317E of the

PHS Act Continues a 30-year strategy of federal

support to complement state & local TB prevention & control activities and laboratory services

Provide funds to support TB P&C, HRD, and laboratory services based on a data-driven formula developed in collaboration with NTCA

Beginning in 2015, 100% of P&C and HRD funds allocated according to the case-based formula

Lab funds for each jurisdiction determined according to workload-based formula

FOA Approach The goal is to reduce morbidity and

mortality caused by TB. This section contains: Description of why TB is a problem worth addressing

through the FOA The stated purpose for the prevention, control, and

elimination of TB A logic model outlining the short term, intermediate, and

long term outcomes for the 5-year project period The strategy for awarding funds through the CoAg.

• Note the change for applicants to submit “true needs” budget for P&C and lab that anticipates cost for operations, program improvement, and potential emergencies

Strategies and Activities FOA adopts a priority-based approach for

P&C and list the activities to complete under the three priorities identified on page 9

TB programs should accomplish priority activities based on the tier they belong to

TB programs are assigned to tiers based on number of cases reported each year Tier 1: ≤ 50 cases annually Tier 2: 51-500 cases annually Tier 3: >500 cases annually

Organizational Capacity and Collaboration

Guidance on demonstrating organizational capacity to execute the strategies and activities is provided on page 20

FOA describes the expectation for collaborating with other CDC funded programs as well as organizations external to CDC on pages 15-16

Both required partnerships and recommended collaborations are identified

TB Prevention and Control

Andrew Heetderks, MPHTeam Lead

Field Services and Evaluation Branch

Strategies and Activities

Largely the same as from previous COAGs Found on the Logic model columns 1 & 2 Also enumerated pages 8 - 13 in the FOA Find your tier and then describe activities

which your program intends to employ These strategies and activities should be

justified by the budget

Tiers There are three tiers, broken down by

morbidity Programs are expected at minimum to

perform the activities listed in their tier Programs may utilize additional activities

than found in their tier, but must be vigilant to pursue completion of all their tier priorities first

Tier 1/Priority 1 strategies and activities are cross-cutting and appropriate for all – this includes those for PE, HRD and Lab

What’s New Large outbreak surveillance (tier 1) Targeted testing among those with diabetes

or other NCDs (tier 3) Each grantee will designate at least one

liaison for locally determined high-risk populations (e.g. homeless, corrections) and provide brief summary reports of activities to address TB control in these populations

Health Equity: enhancing collaboration and coordination of health disparities activities

Important notes

Do follow instructions in the FOA – all is in there for you to submit a complete application

Don’t forget to describe your program’s capacity to perform essential TB P&C services found under “Organizational Capacity of Awardees to Execute the Approach”

Work plan Overall, programs should develop and

provide a work plan and implementation plan with elements supporting the scope of their activities in relationship to TB control program strategies and target populations.

Pay attention to page limits Work plan/Narrative 30 pages

CDC Program Support Listed in separate section TA, guidance, coordination and

programmatic consultation Will identify and establish priority for

training needs Will help identify and notify areas about

large outbreaks and assess needs for supplemental assistance

Will collaborate to compile and publish accomplishments and lessons learned

Human Resource Development

Wanda Walton, PhD, MEdBranch Chief

Communications, Education, and Behavioral Studies Branch

Human Resource Development

Priority 1 Activity - Ensure appropriate training, education, and other human resource development (HRD) activities

Strategy 6: Human Resource Development

(HRD)Recipient requirements: Designate person to serve as focal point for

training within the TB program. Ensure designee is active participant in TB

Education and Training Network (TB ETN). Develop Training/Human Resource

Development (HRD) Plan based on program needs.

Provide line-item budget to specify how funds will be used to achieve objectives and activities.

Provide yearly update of progress-to-date on HRD activities.

Areas of Responsibility for TB Education and Training Focal

Points Serve as primary contact in their respective

TB program for DTBE and RTMCC education and training activities, including needs assessments, capacity building, and resource development/sharing.

Ensure development and implementation of an annual Training and HRD Plan specific to their TB program (example provided in FOA).

Provide annual update of progress-to-date on HRD plan activities, i.e., Annual HRD Progress Report.

Coordinate development and implementation of subsequent annual HRD plans.

Human Resource Development (HRD)

Training and HRD Plan

The work plan must include an annual training and HRD plan that describes how activities will be executed to achieve the objectives identified under the “Strategies and Activities” in section A (2.v.) of the FOA.

Develop Annual Training and HRD Plan to:

Establish and improve existing in-service TB training and human resource development.

Establish evaluation strategies to improve existing systems and to identify ongoing training and human resource development needs.

Establish and improve patient education and communications capacity within the TB program.

Coordinate training related to TB control with training for other disease control interventions, such as HIV/AIDS, viral hepatitis, and STD.

Target other health care providers or organizations serving high-risk populations.

Laboratory Component

Angela M. Starks, PhDBranch Chief

Laboratory Branch, Division of Tuberculosis Elimination

Strategy 7: Public Health Laboratory Strengthening

Tier 1 activity Laboratory Component consists of 3

elements described beginning on page 22 of FOA1)Availability of high quality and prompt

laboratory services2)Continual advancement of laboratory

efficiency and quality assurance through use of local data

3)Collaboration with partners to ensure optimal use of services and timely flow of information

Volume Considerations for Laboratory Elements

Tiers Based on Volume Work Plan Requirement1. <2,000 clinical specimens/

year

2. 2,001–6,000 clinical specimens/ year

3. >6,000 clinical specimens/ year

Tier 1- Provide one measurable outcome associated with strategy and activitiesTier 2- Provide two measurable outcomesTier 3- Provide three measurable outcomes

Element 1 All laboratories, regardless of volume, should

describe anticipated outcomes and specific strategies and activities for achieving outcomes

Element 2 and 3 Different level of required activities based on

volume Parallel to P&C tiered approach Consideration for differences in level of funding,

staff, and capacity to support activities

Laboratory Specific Funding Restriction

Laboratories performing first-line drug susceptibility testing for < 50 patient isolates/ year should refer isolates to a higher volume reference laboratory for testing. (http://www.aphl.org/aphlprograms/infectious/tuberculosis/Documents/ID_2007Dec_TB-DST-Report.pdf )

As such, laboratories reporting, as part of this application, DST for < 50 patient isolates/ year may not request funding support for reagents and supplies associated with conventional DST.

Laboratories within this category may request the use of funds for shipping supplies and costs for access to referral services.

Program EvaluationAwal Khan, PhD

Team LeadField Services and Evaluation Branch

Program Logic Model Program Evaluation (PE) Increase partnership & collaboration for PE

plan and implementation with designated PE focal point person

Increase shared learning of PE activities & adoption for improvement in alignment with needs/priorities

Identify best practices & intent to act on sustainable TB P&C efforts by adopting new knowledge

Strategies and Activities Clear expectation(s) of PE Greater consistency in PE practices Standardized approaches and processes to

PE Standardized PE report Bridging PE implementation gaps PE plan is in alignment of program strategic

objectives and needs Establish infrastructure that allows

continuous & sustainable program improvement

Results in improvement in program operation & management

Work Plan Priority levels and target populations Framework – PE questions, indicators,

methods, etc. Collective responsibility and mutual

accountability Communication & using PE findings Actions taken from recommendations Ongoing learning and capacity building Focus on effectiveness along with efficiency Focus on performance management Grantees have autonomy in selecting PE

focus area

Performance Measures

National TB program objectives New measures for formative/process

evaluation Measures of engagement/partnership

strategies Communication mechanisms for PE findings Identifying best practices from PE findings Sustainability of impact – actions are taken

from recommendations FSEB/PET is ready to provide TA as needed

Award Information and Eligibility

Glen Christie, MPHDeputy Branch Chief

Field Services and Evaluation Branch

Award Information and Eligibility

Approximate funded levels listed under award information on page 27 are based on availability of funds

Applicant eligibility and the justification for limited competition did not change from the current CoAg

Application Submission Process & Reporting Requirements

Andrew Heetderks, MPHTeam Lead

Field Services and Evaluation Branch

Application Submission Process & Reporting Requirements

These items are typically covered by PGO in standard language. Application package can be found at www.grants.gov

Applicants may email or call CDC PGO staff for assistance (770) 488-2700 or PGOTIM@cdc.gov

Application deadline August 20, 2014 at 11:59 p.m. Eastern time.

Application Submission As a multicomponent FOA, you have a total

of 30 pages – excluding budget. Please respond to all headings!

Please bold each heading shown in the information submission section.

Applicants must prepare and upload the files identified in FOA as a PDF file at www.grants.gov

Budget requirements are consistent with previous years

Applicants should submit a true needs budget to include costs associated with outbreak response.

Applicants must upload their budgets as a PDF file at www.grants.gov

Reporting Requirements Evaluation and Performance Measurement

Plan Within first 6 months of the project period No more than 25 pages Required content identified in FOA

Annual Performance Report (APR) Not to exceed 45 pages excluding admin reporting;

attachments not allowed, but web links are Submit via www.grants.gov 120 days before end of

budget period APR replaces Annual progress Report and Interim

Progress Report Information serve purpose of both report on

performance measure and application for continued funding

Annual Performance Report The APR should cover each budget period

(BP) throughout the 5-year project period as follows: In BP 2015, the APR will be due August 31 for

the activities performed January 1, 2015 through June 30, 2015.

For BPs 2016–2019, APRs will be due on August 31 of each year and cover the prior calendar year (January 1–December 31) and also an update of activities/ strategies and outcomes achieved during the first 6 months (January 1–June 30) of the current year.

Data and associated information should be stratified by budget year (i.e., do not report as a single 18 month period).

Reporting Requirements Performance Measure Reporting

Annual Performance Reports meet this annual requirement

CDC may request additional report in certain instances such as a jurisdiction’s response to large TB outbreaks

Minimum content of report identified in FOA Submit 90 days following response to large

outbreaks and quarterly thereafter for the first year of outbreak response, and at least semiannually thereafter until the outbreak subsides

Application review Phase I:

Done by PGO and DTBE for completeness and eligibility

Phase II: DTBE will perform structured technical reviews

on criteria and budget sections found in the FOA

Rating criteria assigned to sections under Approach, Evaluation and Performance Management, and Organizational Capacity

CDC PGO staff will review for all assurance and certification forms

Questions?

Additional Questions Submit to FOA mailbox at 2015foa@cdc.gov Recording of FOA information call will be

made available FAQ document will be updated and

distributed

Call Adjourned