Preventing Heart Attacks and Strokes in High Need Areas

The purpose of program is to support implementation of population-wide and priority population approaches to prevent and control high blood pressure, and reduce health disparities associated with high blood pressure, among adults in Mississippi's 18-county Delta Region, which is a high burden, underserved,
rural area.
Related Programs93.283 Centers for Disease Control and Prevention_Investigations and Technical Assistance

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.

Website Address

http://www.cdc.gov




Selected Recipients for this Program


RecipientAmount Start DateEnd Date
Health, Mississippi State Department Of $ 3,150,000   2019-09-302024-09-29
Health, Mississippi State Department Of $ 9,450,000   2016-09-302019-09-29
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   
$ 0   



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

Funds may be used to implement two components ? Component 1 and Component 2 ? across MS's 18-county Delta Region: ? Component 1 is to implement or strengthen policy, system, and environmental (PSE) strategies to: increase environments that promote, support, or reinforce physical activity and healthy foods and beverages, particularly those with low or no sodium; and to increase tobacco- and smoke-free environments. ? Component 2 is to implement or strengthen health systems strategies and community-clinical linkage strategies -- In their proposed budget, Mississippi Department of Health / Mississippi Delta Health Collaborative must allocate more funding (i.e., at least 60% of their proposed budget) towards Component 2 (health systems strategies and community-clinical linkage strategies) than Component 1 (policy, system, and environmental strategies). -- Mississippi Department of Health / Mississippi Delta Health Collaborative must sub-award 50% of award funds to local entities to contribute to the work, must provide leadership and technical assistance to selected MS Delta communities, and must ensure overall coordination. -- Mississippi Department of Health / Mississippi Delta Health Collaborative should allocate between 5% - 10% of their total funding award to evaluation and performance monitoring. -- In order to maximize the reach of federal funding, Mississippi Department of Health / Mississippi Delta Health Collaborative must ensure that efforts are complementary and not duplicative of other efforts in the 18-county MS Delta Region, such as State Public Health Actions (DP13-1305), Partnerships to Improve Community Health (PICH) (DP14-1417), and Racial and Ethnic Approaches to Community Health (REACH) (DP14-1419).

-- Awardee may not use funds for research. -- Awardee may not use funds for clinical care. -- Awardee may not use funds for construction. -- Awardee may use funds only for reasonable program purposes, including personnel, travel, supplies, and services. -- Generally, awardee may not use funds to purchase furniture or equipment.

Any such proposed spending must be clearly identified in the budget. -- Reimbursement of pre-award costs is not allowed. -- Other than for normal and recognized executive-legislative relationships, no funds may be used for: o publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body o the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body.

-- The direct and primary recipient in a cooperative agreement program must perform a substantial role in carrying out project outcomes and not merely serve as a conduit for an award to another party or provider who is ineligible. Awardee may not use funds for construction.

Eligibility Requirements

Applicant Eligibility

The Mississippi Department of Health / Mississippi Delta Health Collaborative is uniquely qualified positioned to carry out the activities outlined in this FOA because: -- To meet Congressional intent detailed in the FY 2015 Appropriations language, CDC needs to continue supporting the Mississippi Department of Health / Mississippi Delta Health Collaborative's work related to policy, systems, and environmental approaches, as well as community-clinical linkages for the prevention and control of chronic diseases, such as heart disease and stroke. -- The Mississippi Department of Health's mission is to promote and protect the health of the citizens of Mississippi.

In addition, The Mississippi Department of Health is designated as the sole and official agency to administer and supervise all health planning responsibilities for the state, as established by Section 41-7-171 et seq., of the Mississippi Code 1972.

Therefore they are uniquely qualified to identify those areas of greatest need in the state; develop strategies to reduce barriers and deficiencies in the state's public health care system; and establish policies to encourage the provision of appropriate and quality care in the public and private health care system.

Through its program, the Mississippi Delta Health Collaborative, reach of the Mississippi Department of Health is further extended to address health issues of rural areas of the state (i.e., the 18-county MS Delta Region).

The MS Delta Region bears a disproportionate burden of heart disease and stroke, and related conditions as compared to the rest of Mississippi and to the nation.

-- Mississippi Delta Health Collaborative has provided leadership and coordination of heart disease and stroke prevention and control efforts in communities across the MS Delta Region.

Also, by directly engaging, and providing funding and technical assistance to community organizations to promote coordination of public health efforts, the Mississippi Delta Health Collaborative is poised to expeditiously and successfully implement strategies related to policy, systems, and environmental approaches; health systems; and community-clinical linkages to prevent and control heart disease and stroke in the MS Delta Region.

Beneficiary Eligibility

The ultimate benefits of this program will be received by the general and priority adult populations in a local, rural area of Mississippi (i.e., the MS Delta Region) who have high blood pressure, and experience health disparities associated with high blood pressure. Priority adult populations are those adult population subgroups in the MS Delta Region who experience racial/ethnic and socioeconomic disparities, including inadequate access to care and poor quality of care. Strategies related to the prevention and control of heart disease and stroke will be implemented and tailored to meet the unique local needs of the MS Delta Region and to achieve the greatest impact.

Credentials/Documentation

No Credentials or documentation are required. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is required.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. The awardee will be subject to a term and condition that applies the terms of 48 CFR section 3.908 to the award and requires that grantees inform their employees in writing (in the predominant native language of the workforce) of employee whistleblower rights and protections under 41 U.S.C. 4712 -- The awardee is subject to the DUNS, SAM Registration, and Federal Funding Accountability And Transparency Act Of 2006 (FFATA) requirements.

Award Procedures

-- Financial assistance from this FOA will be provided only to the Mississippi Department of Health / Mississippi Delta Health Collaborative. Successful applicants will receive a Notice of Award (NOA) from the CDC Procurement and Grants Office. The NOA shall be the only binding, authorizing document between the recipient and CDC. The NoA will be signed by an authorized Grants Management Officer and e-mailed to the program director. A hard copy of the NoA will be mailed to the recipients fiscal officers identified in the applications.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

This program is authorized under Section 317 of the Public Health Services Act (PHS Act), 42 U.S.C. 247b(k)(2) as amended.

Range of Approval/Disapproval Time

From 120 to 180 days. September 30, 2015 to September 29, 2018 Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the awardee (as documented in required reports), and the determination that continued funding is in the best interest of the Federal Government. The total number of years for which federal support has been programmatically approved (project period) will be shown in the ?Notice of Award.? This information does not constitute a commitment by the Federal Government to fund the entire period. The total project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s).

Appeals

Not Applicable.

Renewals

From 120 to 180 days. September 30, 2015 to September 29, 2018 Throughout the project period, CDC will continue the award based on the availability of funds, award(s).

Assistance Considerations

Formula and Matching Requirements

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

Length and Time Phasing of Assistance

FY 15 Budget Year: 12 months (September 30, 2015 to September 29, 2016) Total Project Period Length: 3 years (September 30, 2015 to September 29, 2018) -- Throughout the project period, CDC will continue the award based on the availability of funds, the evidence of satisfactory progress by the awardee (as documented in required reports), and the determination that continued funding is in the best interest of the Federal Government. The total number of years for which federal support has been programmatically approved (project period) will be shown in the ?Notice of Award.? This information does not constitute a commitment by the Federal Government to fund the entire period. The total project period comprises the initial competitive segment and any subsequent non-competitive continuation award(s). Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

4 program/progress reports are required: 1.

Awardee Evaluation and Performance Measurement Plan; due 6 months into award. 2.

Annual Performance Report (APR); due 120 days before end of budget period, and serves as yearly continuation application. 3.

Federal Financial Reporting Forms; due 90 days after end of calendar quarter in which budget period ends. 4.

Final Performance and Financial Report; due 90 days after end of project period.

Cash reports are not applicable.

Four program/progress reports are required: 1.

Awardee Evaluation and Performance Measurement Plan; due 6 months into award. 2.

Annual Performance Report (APR); due 120 days before end of budget period, and serves as yearly continuation application. 3.

Federal Financial Reporting Forms; due 90 days after end of calendar quarter in which budget period ends.

.

Final Performance and Financial Report; due 90 days after end of project period.

-- Having routine and ongoing communication between CDC and awardee. -- Conducting site visits by CDC to awardee. -- Reviewing and providing feedback on awardee reporting (including work plans, performance, and financial reporting). -- Tracking awardee?s progress in achieving the desired outcomes. -- Ensuring the adequacy of awardee?s systems that underlie and generate data reports. -- Creating an environment that fosters integrity in program performance and results. -- Ensuring that awardee?s work plans are feasible based on the budget and consistent with the intent of the award. -- Ensuring that awardee is performing at a sufficient level to achieve outcomes within stated timeframes. -- Working with awardee on adjusting the work plan based on achievement of outcomes, evaluation results, and changing budgets. -- Working with awardee on performance measures (both programmatic and financial) to assure satisfactory performance levels. -- Monitoring and reporting activities that assist grants management staff (e.g., grants management officers and specialists, and project officers) in the identification, notification, and management of high-risk grantees.

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.

Records

Financial records, supporting documents, statistical records, and all other records pertinent to an award shall be retained for a period of three years from the date of submission of the final expenditure report or, for awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report.

Financial Information

Account Identification

75-0943-0-1-550.

Obigations

(Cooperative Agreements) FY 16 $3,150,000; FY 17 est $3,000,000; and FY 18 est $3,150,000

Range and Average of Financial Assistance

Funding for the Mississippi Department of Health / Mississippi Delta Health Collaborative has ranged from $1,058,464 to $$4,000,000. FY16 and 17 supports new FOA DP16-1612.

Regulations, Guidelines, and Literature

Not Applicable.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Refilwe Moeti 4770 Buford Highway, NE, , Atlanta, Georgia 30341 Email: RMoeti@cdc.gov Phone: 7704885519

Criteria for Selecting Proposals

Not Applicable.



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