Tribal Public Health Capacity Building and Quality Improvement Umbrella Cooperative Agreement

This program's ultimate outcomes are 1) decreased morbidity and mortality among AI/ANs; 2) advanced capacity of Indian Country to identify, respond to, and mitigate public health threats;
3) improved capacity of the workforce to deliver essential public health services; 4) increased culturally-appropriate
practice-based evidence programs and policies that are effective and sustainable throughout Indian Country; and 5) improved capacity to collaboratively and strategically address AI/AN health needs and advance health equity.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.




Selected Recipients for this Program


RecipientAmount Start DateEnd Date
Alaska Native Tribal Health Consortium Inc $ 2,059,628   2018-08-312023-08-31
Great Lakes Inter-tribal Council, Inc. $ 2,149,334   2018-08-312023-08-30
Eastern Band Of Cherokee Indians $ 1,524,700   2018-08-312023-08-30
Choctaw Nation Of Oklahoma $ 1,382,778   2018-08-312023-08-30
Southern Plains Tribal Health Board Foundation $ 2,044,000   2018-08-312023-08-30
Albuquerque Area Indian Health Board Inc $ 1,849,333   2018-08-312023-08-30
Chickasaw Nation $ 2,144,000   2018-08-312023-08-30
The Cherokee Nation $ 1,471,080   2018-08-312023-08-30
United South & Eastern Tribes, Inc $ 2,194,000   2018-08-312023-08-30
Northwest Portland Area Indian Health Board $ 3,537,079   2018-08-312023-08-30



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Historically, tribal public health systems have been separated from the larger US public health system, which has led to limited strategic partnerships with federal, state, and local partners; underdeveloped infrastructure; data access barriers; and diminished public health workforce.

Tribal health systems provide public health services across the United States and are central to reducing health disparities in tribal nations.

Building tribal public health infrastructure enhances Indian Country's capacity to prevent disease, promote health, and prepare for and respond to emerging threats and chronic challenges. Implementation of business practice improvements leading to efficiencies and cost savings; education/training of workforce; integration of technology in data collection and information systems, implementation of culturally adapted and traditional evidence-based public health programs, policies and services; development of capacity to meet national standards; development of strategic partnerships to enhance capacity to implement evidenced-based public health intervention strategies; improvement responsiveness to disease trends through culturally relevant public health communication tools; and improvement in quality, availability and accessibility of public health tools and resources.

Eligibility Requirements

Applicant Eligibility

Executive Order 13175, ?Consultation and Coordination with Indian Tribal Governments,? 65 FR 67, 249, issued by President Clinton on November 6, 2000, and the Presidential Memorandum for the Heads of Executive Departments and Agencies on Tribal Consultation, 74 FR 57881, signed by President Obama on November 5, 2009 [http://www.gsa.gov/portal /content/101569] encourage strengthening intergovernmental relations between the federal government and AI/AN tribal nations.

As such, eligibility for this CoAg is limited to federally recognized American Indian and Alaska Native (AI/AN) tribal nations and regional tribally designated organizations. AI/AN tribal nations have the right of self-determination and governance over their citizens.

In addition, AI/AN tribal nations and regional tribally designated organizations have a unique understanding of AI/AN cultures, fluency in Native languages, knowledge of indigenous history and traditional practices.

These entities are the best qualified to address AI/AN public health needs in an efficient, effective, and culturally-appropriate manner. AI/AN tribal public health infrastructure and capacity initiatives and quality improvements are more likely to be sustained when they begin as tribal initiatives rather than as external initiatives.

This CoAg will further efforts in Indian Country by supporting a culturally- appropriate approach advocated for and by the CDC/ATSDR Tribal Advisory Committee, tribal public health practitioners and partners.

Direct funding will support tribal governments and tribal-serving organizations in making sound and efficient public health planning and resource allocation.

The funding method for this CoAg will allow for more programs in CDC to provide direct funding to Indian Country in order to improve tribal public health systems and reach the outcomes stated in the logic model.

Beneficiary Eligibility

Eligible applicants should be able to demonstrate tribal affiliation including (1) a record of effectively working with American Indian and Alaska Native populations (2) an ability to methodically and efficiently reach tribal members in American Indian and Alaska Native communities and (3), if recipient is a tribally owned and operated organization, it should provide a letter of approval from Tribal council for the proposed program.

Credentials/Documentation

An applicant must be in one of the applicant types listed here to be eligible for funding. ? Federally recognized AI/AN tribal nations must demonstrate support from the tribe by providing an official letter from a currently elected tribal leader, or a tribal resolution ? Regional AI/AN tribally designated organizations must demonstrate support in the form of tribal resolutions or letters of support from currently elected tribal leaders from at least half of the tribes within the organization's service area Official email correspondence from elected leaders will be accepted. Files should be named 'Tribal Support', and uploaded as PDFs at www.grants.gov. CDC will consider any application that does not include this documentation as non- responsive and it will not receive further review. Please note the following NOFO-specific terms: Federally recognized AI/AN tribal nations refers to Native American tribal governments (Federally recognized) and American Indian or Alaska Native tribal governments (federally recognized). Regional AI/AN tribally designated organizations refer to Native American tribal organizations (other than federally recognized tribal governments) and American Indian or Alaska Native tribally designated organizations. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Each application should address one of the following target population categories: 1) Category A: HHS Regions I, II, III, and IV; 2) Category B: HHS Regions V, VI, and VII; and 3) Category C: HHS Regions VIII, IX, and X. Applications should reflect one or more of the seven collaboratively identified Tribal practices around health and wellness. Each applicant identifies the practices, which will guide their programmatic approach: (1) Family and community activities that connect cultural teachings to health and wellness. (2) Seasonal cultural and traditional practices that support health and wellness. (3) Social and cultural activities that promote community wellness. (4) Tribal, intertribal, governmental, and nongovernmental collaborations that strengthen well-being. (5) Intergenerational learning opportunities that support well-being and resilience. (6) Cultural teachings and practices about traditional healthy foods to promote health, sustenance, and sustainability. (7) Traditional and contemporary physical activities that strengthen well-being.

Award Procedures

This funding opportunity will use a two-part strategy. Funding Strategy 1: Initial Funding - Responsive applications submitted under this funding opportunity will be reviewed objectively as described in the Review and Selection Process section of this NOFO. Awards under Funding Strategy 1 will support building capacities and capabilities. Applicants selected for Funding Strategy 1 will become part of a group of organizations that are eligible for funding under Funding Strategy 2. Funding Strategy 2: CIO Project Plans - The second funding strategy is subject to the availability of appropriated funds and agency priorities. To maximize CDC's program priorities and health system needs in Indian Country, applicants funded under Funding Strategy 1 will be eligible to apply for additional funding under Funding Strategy 2. Under Funding Strategy 2, CDC will publish and compete CIO project plans according to geographic categories. The plans will be published on www.grants.gov as a supplement to CDC-RFA-OT18-1803. Organizations will submit 'Work Plans in Response to CIO Project Plans' that are relevant to the geographic category and target population for which they were awarded funding under Funding Strategy 1.

Deadlines

Feb 23, 2018 to Apr 24, 2018 Letter of Intent (optional) - March 30, 2018.

Authorization

Public Health Service Act, Executive Order 13175, 42 U.S.C 247(b)(k)(2).

Range of Approval/Disapproval Time

From 1 to 15 days.

Appeals

Not Applicable.

Renewals

Annual Performance Report (due 120 days before the end of the budget period; serves as a continuation application) for FY2019-FY2022.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

All funds awarded must be spent by the end of the 12 month budget year. There are 5 budget years in the project period. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

No program reports are required.

No cash reports are required.

The recipient must submit the Annual Progress Report via www.Grantsolutions.gov no later than120 days prior to the end of the budget period.

This report must not exceed 45 pages excluding administrative reporting.

Attachments are not allowed, but web links are allowed. This report must include the following: ? Performance Measures: Recipients must report on performance measures for each budget period and update measures, if needed. ? Evaluation Results: Recipients must report evaluation results for the work completed to date (including findings from process or outcome evaluations). ? Work Plan: Recipients must update work plan each budget period to reflect any changes in period of performance outcomes, activities, timeline, etc. ? Successes o Recipients must report progress on completing activities and progress towards achieving the period of performance outcomes described in the logic model and work plan. o Recipients must describe any additional successes (e.g.

identified through evaluation results or lessons learned) achieved in the past year. o Recipients must describe success stories. ? Challenges o Recipients must describe any challenges that hindered or might hinder their ability to complete the work plan activities and achieve the period of performance outcomes. o Recipients must describe any additional challenges (e.g., identified through evaluation results or lessons learned) encountered in the past year. ? CDC Program Support to Recipients o Recipients must describe how CDC could help them overcome challenges to complete activities in the work plan and achieving period of performance outcomes. ? Administrative Reporting (No page limit) o SF-424A Budget Information-Non-Construction Programs. o Budget Narrative ? Must use the format outlined in 'Content and Form of Application Submission, Budget Narrative' section. o Indirect Cost Rate Agreement.

? Administrative Reporting (No page limit) o SF-424A Budget Information-Non-Construction Programs. o Budget Narrative ? Must use the format outlined in 'Content and Form of Application Submission, Budget Narrative' section. o Indirect Cost Rate Agreement.

As indicated, recipients will submit annual performance reports based on their selected program strategies and activities.

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

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503

Records

Fiscal & Programmatic records pertaining to the program shall be maintained for 3 years, after all closeout actions are completed, or until the completion and resolution of any audit in process or pending.

Financial Information

Account Identification

75-0943-0-1-551.

Obigations

(Cooperative Agreements) FY 17 Not Available; FY 18 est $12,500,000; and FY 19 est $12,500,000

Range and Average of Financial Assistance

No Data Available.

Regulations, Guidelines, and Literature

Per the Funding Opportunity Announcement OT18-1803, additional applicable HHS/CDC regulations and requirements specified, detailed and listed in corresponding Notice of Award apply.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Carmen (Skip) Clelland 1825 Century Blvd NE, Atlanta, Georgia 30345 Email: yur3@cdc.gov Phone: 404-498-2208 Fax: 404-498-6882

Criteria for Selecting Proposals

As specified in the funding opportunity announcement OT18-1803, Section II E, application review and Selection Process. An objective review panel with experience working with tribes or tribal organizations will evaluate complete applications. Reviewers will be primarily selected from a pool of CDC subject matter experts with demonstrated experience working with tribes or in tribal settings to establish cultural competence. The specific objective reviewer scores will be used to produce a rank order of proposals. However, proposals may be funded out of rank order based upon the following criteria: health conditions and geographical diversity of populations that the applicants will directly serve.



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