[Federal Register: July 10, 2008 (Volume 73, Number 133)]
[Notices]
[Page 39708-39712]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr10jy08-70]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Division of Nursing, Office of Public Health Nursing
Funding Opportunity Number: HHS-2008-IHS-PHN-0001.
Announcement Type: New.
Catalog of Federal Domestic Assistance Number(s): 93.933.
Key Dates:
Application Deadline Date: August 4, 2008.
Review Date: August 15, 2008.
Award Announcement: August 22, 2008.
Earliest Anticipated Start Date: August 29, 2008.
I. Funding Opportunity Description
The Indian Health Service (IHS) Division of Nursing, Office of
Public Health Nursing (PHN) announces a new competitive grant
application for community based model of PHN case management services.
This program is authorized under the Snyder Act, 25 U.S.C. 13; Section
301(a), Public Health Service Act, as amended; and the Indian Health
Care Improvement Act (IHCIA) 25 U.S.C. 1652. This program is described
at 93.933 in the Catalog of Federal Domestic Assistance (CFDA).
The purpose of the program is to improve health outcomes of high
risk patients through a community case management model that utilizes
the PHN as case manager. Research indicates nursing case management is
a cost effective way to maximize health outcomes. The PHN Model of
community based case management utilizes roles and functions of PHN
services of assessment, planning, coordinating services, communication
and monitoring. The goals and outcomes of the PHN Case Management model
are early detection, diagnosis, treatment and evaluation that will
improve health outcomes in a cost effective manner. This model utilizes
all prevention components of primary, secondary and tertiary prevention
in the home with patient and family. The community based case
management model addresses the scope of practice of PHN working with
individuals and families in a population-based practice.
Health disparities are greater for American Indian/Alaska Native
(AI/AN) communities than the general United States population. Infant
mortality is greater in the AI/AN population than United States in
general, suicide rates are greater, unintentional injuries are greater,
and chronic disease is increasing. This project will focus on a PHN
community based case management model. The project will be conducted in
a phased approach, using the nursing process--assessment, planning,
implementation, and evaluation.
First Phase: Assessment--Conduct a comprehensive community
assessment. The Senior Nurse Consultant will recommend a community
assessment tool and provide appropriate training to the grantees in the
Fall of 2008. Include, if available, pertinent data from the various
community assessments and local health status data of the community in
the community assessment.
In addition, obtain input from key stake-holders such as, community
members and healthcare administration and community health groups to
determine the health care priorities. Develop plans for project
sustainability.
The PHN case management model will develop case management services
addressing the priority health issues identified from the community
assessment. The PHN case management program will establish policies and
procedures, best practice (BP) for services, and mechanisms for
tracking outcomes using the recommended PHN community based case
management tool to improve the health care status.
Second Phase: Planning--After the community assessment is completed
and priorities for Public Health Nursing case management services are
determined, planning the case management model project will begin.
Obtain additional staff training needed
[[Page 39709]]
for the community based case management model and additional training
needed such as evidence based practice, motivational interviewing, and
any other training that would be applicable to the health issues
addressed in the case management model. Plan specific case management
services such as admission criteria, caseload size, policies and
procedures, and an evaluation plan to include data tracking for
outcomes generated and feedback to key stakeholders. Develop program
guidelines. Obtain approval from healthcare administration. Develop
patient education materials and community education materials for the
program.
Third Phase: Implementation--Case management program includes
admission criteria, caseload size, and at risk population to receive
this service with appropriate care standards. Patient caseload
established. Monitor progress and make adjustments as needed. Track
patient data outcomes. Continue to plan ongoing sustainability of
program after award period ends.
Fourth Phase: Patient Satisfaction Surveys--Data evaluation
obtained from key stakeholders. Evaluate program services from
population served and obtain satisfaction surveys. Evaluate and revise
if needed, review policy and procedures and education materials. Report
back to key stake-holders progress of the project.
Each site will share program material with IHS Headquarters PHN
program. This will be shared IHS-wide for replication of the project
across IHS with credit given to the organization that developed the
material. Poster presentation or oral presentation will be given at the
National Combined Councils or IHS annual national nursing meeting.
The Senior Nurse Consultant for PHN will make one or two site
visits to each site.
The program established must be sustainable after completion of the
project.
II. Award Information
Type of Awards: Grant.
Estimated Funds Available: The total amount identified for fiscal
year (FY) 2008 is $1,200,000. The awards are for 48 months in duration
and the average award is $150,000 per year. Continuation awards under
this announcement are subject to the availability of funds and
satisfactory performance.
Anticipated Number of Awards: A total of eight awards will be made
under this Program Announcement. One award will be made to an urban
program and seven awards to Tribes and/or Tribal programs.
Project Period: 4 years (48 months).
Award Amount: $150,000 per year.
III. Eligibility Information
1. Eligible applicants, the AI/AN must be one of the following
(please specify in the application which category applies to each
applicant):
A. A Federally-recognized Indian Tribe, or
B. A Non-Profit Urban Indian Organization as defined by the IHCIA,
25 U.S.C. 1603(f), or
C. A Non-Profit Tribal organization as defined by the IHCIA, 25
U.S.C. 1603(e).
2. Supporting Documentation to Determine Eligibility:
A. Tribal Resolution--If the applicant is an Indian Tribe or Tribal
organization, a resolution from the Tribal government of all Tribes to
be served supporting the project must accompany the application
submission. Applications by Tribal organizations will not require
resolutions if the current Tribal resolutions under which they operate
would encompass the proposed activities. In this instance, a copy of
the current resolution must accompany the application. The list of
Tribes to be served by the project in the proposal must match the set
of appended resolutions. If a resolution from an appropriate
representative of each Tribe to be served is not submitted, the
application will be considered incomplete and will not be considered
for review. No separate mailings of documents will be accepted for the
proposal; all documents, Tribal resolutions, etc., must accompany the
submission as one complete proposal.
B. Non-Profit applicants must submit proof of non-profit status. A
current IRS tax exemption certificate or a copy of 501(c)3 form is
required proof that must accompany all applications.
3. Cost Sharing or Matching--The PHN will not require matching
funds or cost sharing.
4. Other Requirements
If the application budget exceeds $150,000 per year, the
application will not be considered for review.
Each application must be accompanied by a Tribal
Resolution or a 501(c)3. If applicant is unable to obtain an approved
Tribal resolution by the application deadline, a letter explaining the
steps taken to achieve one, and any barriers confronted should be
explained. Urban centers should include a letter from their Board of
Directors.
IV. Application and Submission Information
1. Applicant package HHS-2008-IHS-PHN-0001 may be found at http://
www.grants.gov Web site. Please use CFDA number HHS-2008-IHS-PHN-0001
to search for the grant opportunity. Information regarding the
electronic application process may be directed to Grants.gov Help Desk;
1-800-518-4726. If the applicant is unable to resolve issues, applicant
should contact Michelle Bulls at 301-443-6290.
The entire application package and downloadable application
instructions are available at http://www.grants.gov.
2. Content and Form of Application Submission:
Be single spaced.
Be typewritten.
Have consecutively numbered pages.
Use black type not smaller than 12 characters per one
inch.
Contain a narrative that does not exceed 15 typed pages
that includes the other submission requirements below. The 15 page
narrative does not include the work plan, standard forms, Tribal
resolutions, table of contents, budget, budget justifications,
narratives, and/or other appendix items.
Public Policy Requirements: All Federal-wide public policies apply
to IHS grants with exception of the discrimination public policy.
3. Submission Dates and Times: Applications must be submitted
electronically through Grants.gov by August 4, 2008, 6 p.m. Eastern
Standard Time (EST). If technical challenges arise and the applicant is
unable to successfully complete the electronic application process, the
applicant should contact Grants Policy Staff (GPS) at 301-443-6290 at
least fifteen days prior to the application deadline and describe the
difficulties that your organization continues to experience. The
grantee must obtain prior approval, in writing (e-mails are
acceptable), allowing the paper submission. If submission of a paper
application is requested and approved, the original and two copies may
be sent to: Norma Jean Dunne, Division of Grants Operations (DGO), 801
Thompson Avenue, TMP 360, Rockville, MD 20852 by August 4, 2008 6:00
p.m. EST. Applications not submitted through Grants.gov or submitted in
hard copy without an approved waiver will be returned to the applicant
without review or consideration. Late applications will not be accepted
for processing, it will be returned to the applicant without further
consideration.
4. Intergovernmental Review: Executive Order 12372 requiring
[[Page 39710]]
intergovernmental review is not applicable to this program.
5. Funding Restrictions:
Pre-award costs are allowable pending prior approval from
the awarding agency. However, in accordance with 45 CFR part 74, all
pre-award costs are incurred at the recipient's risk. The awarding
office is under no obligation to reimburse such costs if for any reason
the applicant does not receive an award or if the award to the
recipient is less than anticipated.
The available funds are inclusive of direct and
appropriate indirect costs.
Only one grant will be awarded per eligible applicant.
IHS will not acknowledge receipt of applications.
6. Other Submission Requirements: If the applicant is unable to
submit via Grants.gov and obtains a waiver from the standard
application requirements please use the following forms: SF-424, 424A,
424B, and certification forms, as appropriate. One original and two
copies must be submitted to: Attn: Norma Jean Dunne; Division of Grants
Operations; 801 Thompson Avenue, TMP 360, Rockville, MD 20852.
Applications are due on August 4, 2008 prior to 6 p.m. EST.
Electronic Submission--the preferred method for receipt of
applications is electronic submission through Grants.gov. However,
should any technical challenges arise regarding the submission, please
contact Grants.gov Customer Support at 1-800-518-4726 or
support@grants.gov. The Contact Center hours of operation are Monday-
Friday from 7 a.m. to 9 p.m. EST. The applicant must seek assistance at
least fifteen days prior to the application deadline. Applicants that
do not adhere to the timelines for Central Contractor Registry (CCR)
and/or Grants.gov registration and/or requesting timely assistance with
technical issues will not be a candidate for paper applications.
To submit an application electronically, please use the http://
www.Grants.gov Web site and select ``Apply for Grants'' link on the
home page. Download a copy of the application package, on the
Grants.gov Web site, complete it offline and then upload and submit the
application via the Grants.gov site.
You may not e-mail an electronic copy of a grant application to
IHS.
Please be reminded of the following:
Under the new IHS application submission requirements,
paper applications are not the preferred method. However, if you have
technical problems submitting your application on-line, please contact
directly Grants.gov Customer Support at: http://www.grants.gov/
CustomerSupport.
Upon contacting grants.gov, obtain a tracking number as
proof of contact. The tracking number is helpful if there are technical
issues that cannot be resolved and a waiver request from GPS must be
obtained.
If it is determined that a formal waiver is necessary, the
applicant must submit a request, in writing (e-mails are acceptable),
to Michelle.Bulls@ihs.gov that includes a justification for the need to
deviate from the standard electronic submission process. Upon receipt
of approval, a hard-copy application package must be downloaded by the
applicant from Grants.gov, completed, and sent directly to the Division
of Grants Operations, 801 Thompson Avenue, TMP 360, Rockville, MD 20852
by August 4, 2008 6 p.m. EST.
Upon entering the Grants.gov Web site, there is
information available that outlines the requirements to the applicant
regarding electronic submission of an application through Grants.gov,
as well as the hours of operation. We strongly encourage all applicants
not to wait until the deadline date to begin the application process
through Grants.gov as the registration process for CCR and Grants.gov
could take up to fifteen working days.
To use Grants.gov, you, as the applicant, must have a Data
Universal Numbering System (DUNS) number and register in the CCR. You
should allow a minimum of ten working days to complete CCR
registration. See below on how to apply.
You must submit all documents electronically, including
all information typically included on the SF-424 and all necessary
assurances and certifications.
Please use the optional attachment feature in Grants.gov
to attach additional documentation that may be requested by IHS.
Your application must comply with any page limitation
requirements described in the program announcement.
After you electronically submit your application, you will
receive an automatic acknowledgment from Grants.gov that contains a
Grants.gov tracking number. The IHS DGO will download your application
from Grants.gov and provide necessary copies to the cognizant program
office. The DGO will not notify applicants that the application has
been received.
You may access the electronic application for this program
on http://www.Grants.gov.
You may search for the downloadable application package by
either the CFDA 93.933 number or the Funding Opportunity Number (FON)
HHS-2008-IHS-PHN-0001.
The applicant must provide FON HHS-2008-IHS-PHN-0001.
E-mail applications will not be accepted under this announcement.
DUNS Number
Applicants are required to have a DUNS number to apply for a grant
from the Federal Government. The DUNS number is a nine-digit
identification number, which uniquely identifies business entities.
Obtaining a DUNS number is easy and there is no charge. To obtain a
DUNS number, access http://www.dunandbradstreet.com or call 1-866-705-
5711. Interested parties may wish to obtain their DUNS number by phone
to expedite the process.
Applications submitted electronically must also be registered with
the CCR. A DUNS number is required before CCR registration can be
completed. Many organizations may already have a DUNS number. Please
use the number listed above to investigate whether or not your
organization has a DUNS number.
Registration with the CCR is free of charge. Applicants may
register by calling 1-888-227-2423. Please review and complete the CCR
Registration Worksheet located on http://www.grants.gov/CCRRegister.
More detailed information regarding these registration processes
can be found at http://www.grants.gov.
V. Application Review Information
1. Criteria
The instructions for preparing the application narrative also
constitute the evaluation criteria for reviewing and scoring the
application. Weights assigned to each section are noted in parentheses.
The narrative should include four years of activities. The narrative
section should be written in a manner that is clear to outside
reviewers unfamiliar with prior related activities of the applicant. It
should be well organized, succinct, and contain all information
necessary for reviewers to understand the project fully.
a. Format--maximum of 15 pages (5 Points).
Be single spaced.
Be typewritten.
Have consecutively numbered pages.
Use black type not smaller than 12 characters per one
inch.
The narrative should not exceed 15 typed pages that
include the other submission requirements below. The 15 page narrative
does not include the work plan, standard forms, Tribal
[[Page 39711]]
resolutions (if necessary), or organization's letter of support, proof
of Non-Profit status, table of contents, budget, budget justifications,
narratives, and/or other appendix items.
b. Background/Problem Statement (5 Points).
Provide demographic information, prevalence rates of
disease, and baseline health data to substantiate the proposal.
Describe how data collection will support the stated
project objectives and how it will support the project evaluation in
order to determine the impact of the project. Address how the proposed
project will result in health improvements.
Name of facility, location, type of site (Direct Care,
Tribal or urban).
Contact person and phone number, address, e-mail address,
and fax number.
c. Goals and Objectives (25 Points).
Establish two to three measurable objectives within a plan
that will provide significant outcome. Goals/Objectives should be
specific with a realistic time line.
d. Methodology/Activities (20 Points).
Describe the activities that will be implemented in a work
plan to meet the objectives. The work plan should be directly related
to the objectives.
Describe how you will monitor the objectives (chart
reviews, survey, etc.).
Describe any collaborative efforts with programs outside
of PHN.
e. Budget (15 Points).
Discuss all expected expenses for each project year, one
through four.
Provide a justification of the funds for each project
year, one through four.
Provide a succinct description of specific roles and
activities of each person involved in the proposed project and their
ability to perform in that capacity.
f. Evaluation (30 Points).
Describe the methods for evaluating the project activities. Each
proposed project objective should have an evaluation component and the
evaluation activities should appear on the work plan. At a minimum,
projects should describe plans to collect or summarize evaluation
information about all project activities. Please address the following
for each of the proposed objectives:
Describe the community assessment tool that will be
reviewed and what data will be selected to evaluate the success of the
objective(s)?
How the data will be collected to assess the program's
objective(s) (e.g., methods used such as, but not limited to, community
focus groups, surveys, interviews, or other data collection
activities)?
When the data will be collected and the data analysis
completed?
The extent to which there are specific data sets, data
bases or registries already in place to measure/monitor meeting
objective.
Who will collect the data and any cost of the evaluation
(whether internal or external)?
Where and to whom the data will be presented, key stake
holders?
Address anticipated obstacles to the success of the
proposal such as underlying causes and the nature of their influence on
accomplishing the objectives.
Describe how the community assessment will be evaluated.
Describe the process that will be used to follow-up on the
PHN Case Management Project findings/conclusions.
When the applicant is approved for funding, the award recipient
must comply with the proposal or provisions may result in withholding
of support of other eligible projects.
2. Review and Selection Process
a. The review committee will review each proposal according to this
program announcement and undertake an in-depth evaluation based on the
reviewer's findings, recommendations, scoring, and approval or
disapproval. The final selection determination will be made by the PHN
Nurse Consultant.
b. All applications meeting the proposal requirements will be
scored.
c. The final score will be ranked by totaling the numerical scores
and dividing by the number of reviewers which will be read into the
record.
d. Each reviewer will use the score sheet when evaluating
proposals, a signature and date will complete the evaluation record
which will be returned to the committee chairperson.
e. The review committee may provide differing scores to the
chairperson for discussion, resolution, and committee consensus.
f. The review will be conducted in accordance with the IHS
Objective Review Guidelines. The applications will be evaluated and
rated on the basis of the evaluation criteria.
g. An Executive Summary will be used to provide advice to the
program officials in making award decisions and comments to applicants.
The review committee chairperson will compile an Executive
Summary of the review, findings, recommendation, and comments of the
project type, and proposal scores.
The reviewer's written evaluation will be used by the
selecting official.
3. Anticipated Announcement and Award Dates
Anticipated Announcement date is August 22, 2008 and Award Date is
August 29, 2008.
VI. Award Administration Information
1. Award Notices
The Notice of Award (NoA) will be initiated by the DGO and will be
mailed via postal mail to each entity that is approved for funding
under this announcement. The NoA will be signed by the Grants
Management Officer, and this is the authorizing document for which
funds are dispersed to the approved entities. The NoA will serve as the
official notification of the grant award and will reflect the amount of
Federal funds awarded, the purpose of the grant, the terms and
conditions of the award, the effective date of the award, and the
budget and project periods. The NoA is the legally binding document.
Applicants who are approved but unfunded or disapproved based on their
Objective Review score will receive a copy of the Executive Summary
which identifies the weaknesses and strengths of the application
submitted.
2. Administrative Requirements.
Grants are administrated in accordance with the following
documents:
This Program Announcement.
Administrative Requirements: 45 CFR Part 92, ``Uniform
Administrative Requirements for Grants and Cooperative Agreements to
State, Local and Tribal Governments,'' or 45 CFR Part 74, ``Uniform
Administrative Requirements for Awards to Institutions of Higher
Education, Hospitals, Other Non-Profit Organizations, and Commercial
Organizations.''
Grants Policy Guidance: HHS Grants Policy Statement,
January 2007.
Cost Principles: OMB Circular A-87, ``State, Local, and
Indian'' (Title 2 Part 225).
Cost Principles: OMB Circular A-122, ``Non-Profit
Organizations'' (Title 2 Part 230).
Audit Requirements: OMB Circular A-133, ``Audits of
States, Local Governments, and Non-profit Organizations.''
3. Indirect Costs: This section applies to all grant recipients
that request reimbursement of indirect costs in their grant
application. In accordance with HHS Grants Policy Statement, Part II-
27, IHS requires applicants to have a current indirect cost rate
agreement in place prior to award. The rate agreement
[[Page 39712]]
must be prepared in accordance with the applicable cost principles and
guidance as provided by the cognizant agency or office. A current rate
means the rate covering the applicable activities and the award budget
period. If the current rate is not on file with the DGO at the time of
award, the indirect cost portion of the budget will be restricted and
not available to the recipient until the current rate is provided to
the DGO.
Generally, indirect costs rates for IHS grantees are negotiated
with the Division of Cost Allocation http://rates.psc.gov/ and the
Department of Interior, National Business Center at http://www.nbc.gov/
acquisition/ics/icshome.html Web site. If your organization has
questions regarding the indirect cost policy, please contact the DGO at
(301) 443-5204.
4. Reporting
A. Progress Report. Program progress reports are required semi-
annually. These reports will include a brief comparison of actual
accomplishments to the goals established for the period, or, if
applicable, provide sound justification for the lack of progress, and
other pertinent information as required. A final report must be
submitted within 90 days of expiration of the budget/project period.
B. Financial Status Report. Semi-annual financial status reports
must be submitted within 30 days of the end of the half year. Final
financial status reports are due within 90 days of expiration of the
budget/project period. Standard Form 269 (long form) will be used for
financial reporting.
Grantees are responsible and accountable for accurate reporting of
the Progress Reports and Financial Status Reports which are generally
due semi-annually and the final reports, Financial Status Report (SF-
269) and Program Progress Report are due 90 days after each budget
period. The grantee must verify how the value was derived and submit
reports according to the terms and conditions of the award.
Failure to submit required reports within the time allowed may
result in suspension or termination of an active grant, withholding of
additional awards for the project, or other enforcement actions such as
withholding of payments or converting to the reimbursement method of
payment. Continued failure to submit required reports may result in one
or both of the following: (1) The imposition of special award
provisions; and (2) the non-funding or non-award of other eligible
projects or activities. This applies whether the delinquency is
attributable to the failure of the grantee organization or the
individual responsible for preparation of the reports.
5. Telecommunication for the hearing impaired is available at: TTY
(301) 443-6394.
VII. Agency Contacts
For program-related information regarding the community based model
of PHN case management services: Cheryl Peterson, R.N., Project
Official, Indian Health Service, 801 Thompson Avenue, Suite 329,
Rockville, Maryland 20852, (301) 443-1840, Cheryl.Peterson@ihs.gov.
For general information regarding this announcement: Ms. Orie
Platero, Office Clinical and Preventive Services, Indian Health
Service, 801 Thompson Avenue, Suite 326, Rockville, Maryland 20852,
(301) 443-2522, Fax: (301) 594-6213.
For specific grant-related and business management information: Ms.
Norma Jean Dunne, Division of Grant Operations, Indian Health Service,
801 Thompson Avenue, TMP 360-79, Rockville, Maryland 20852, (301) 443-
5204, Fax: (301) 443-9602.
VIII. Other Information
The Department of Health and Human Services (HHS) is committed to
achieving the health promotion and disease prevention objectives of
Healthy People 2010, a HHS-led activity for setting priority areas.
This project will aid the accomplishment of Healthy People 2010 Focus
Area 1--Access. Potential applicants may obtain a printed copy of
Healthy People 2010, (Summary Report No, 017-001-00549-5) or CD-ROM,
Stock No. 017-001-00549-5, through the Superintendent of Documents,
Government Printing Office, P.O. Box 371954, Pittsburgh, PA 15250-7945,
(202) 512-1800. You may also access this information at the following
Web site: http://www.healthypeople.gov/Publications.
The IHS is focusing efforts on three Health Initiatives that,
linked together, have the potential to achieve positive improvements in
the health of AI/AN people. These three initiatives are Health
Promotion/Disease Prevention, Management of Chronic Disease, and
Behavioral Health. Further information is available at the Health
Initiatives Web site: http://www.ihs.gov/NonMedicalPrograms/
DirInitiatives/index.cfm.
Dated: June 27, 2008.
Robert G. McSwain,
Director, Indian Health Service.
[FR Doc. E8-15773 Filed 7-9-08; 8:45 am]
BILLING CODE 4165-16-P
