Amendment I made 4.24.12 to the Funding Opportunity Title.
Table of Contents
Part 1. Overview Information
Part 2. Full Text of the Announcement
Section I. Funding Opportunity Description
Section II. Award Information
Section III. Eligibility Information
Section IV. Application and Submission Information
Section V. Application Review Information
Section VI. Award Administration Information
Section VII. Agency Contacts
Section VIII. Other Information
PART 1. OVERVIEW INFORMATION
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Federal Agency Name: Federal Centers for Disease Control and Prevention (CDC)
Funding Opportunity Title: PPHF 2012 State Public Health Approaches for Ensuring Quitline Capacity Financed solely by 2012 Prevention and Public Health Funds
Announcement Type: New Cooperative Agreement
Agency Funding Opportunity Number: CDC-RFA-DP12-1214PPHF12
Catalog of Federal Domestic Assistance Number: 93.735
Key Dates:
To receive notification of any changes, provide an e-mail address at the "Send Me Change Notification Emails" link on the CDC-RFA-DP12-1214PPHF12 synopsis page at www.grants.gov.
Application Deadline: May 24, 2012 at 5:00 p.m. U.S. Eastern Standard Time
Note: Information on individual state and territorial funding amounts can be found in Appendix A- Award Amount
Executive Summary:
Tobacco use continues to be the leading preventable cause of death and disease in the United States. Cessation of tobacco use can reduce the risk of tobacco-related disease, even among those who have used tobacco for decades. State media campaigns which promote quitlines are used to reach all tobacco users within the population. This approach advances cessation within the framework of a comprehensive tobacco control program by making cessation assistance available for those who seek it while actively promoting quitting among all tobacco users. The National Tobacco Education Campaign was launched in March 2012. It will run for three months and is expected to substantially increase calls to state quitlines by approximately 7 - 30 percent or more nationally, with larger increases expected in states with low quitline utilization. Approximately 0.5 to 1% of additional smokers are expected to call state quitlines.
The National Campaign contains a series of hard hitting advertisements featuring testimonials from real people who are living with serious health consequences from smoking. The television ads include the 1-800-QUIT-NOW national portal number, which routes callers to their state quitlines. Similar campaigns are anticipated in calendar year 2013.
Applicants must describe their need for funding, including: data on the effect of previous state media campaigns on quitline call volume, plans to address the anticipated increase in calls, media to increase quit attempts, and strategies to sustain quitline capacity.
CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) is at the forefront of the nation’s efforts to promote people living healthy lives free from the devastation of chronic diseases. The mission of NCCDPHP is to lead efforts to promote health and well-being through prevention and control of chronic diseases.
Measurable outcomes of the program will be in alignment with the following performance goal for the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP): Reduce death and disability due to tobacco use by 5% in the implementation area.
This announcement is only for non-research activities supported by CDC. If research is proposed, the application will not be reviewed. For the definition of research, please see the CDC Web site at the following Internet address:
http://www.cdc.gov/od/science/integrity/docs/cdc-policy-distinguishing-public-health-research-nonresearch.pdf.
PART 2. FULL TEXT
I. FUNDING OPPORTUNITY DESCRIPTION
Statutory Authority
This program is authorized under sections 301 of the Public Health Service Act, as amended, and Title IV Section 4002 Prevention and Public Health Fund.
Background
Interventions that increase quitting can decrease tobacco-related morbidity and mortality and associated health care costs in the short-term as well as in the long term. Quitting by age 30 eliminates nearly all excess risk associated with tobacco use. Tobacco users who quit before age 50 cut in half their risk of dying in the next 15 years. But tobacco use is addictive. More than 50% of tobacco users try to quit each year, but without assistance most will relapse (Centers for Disease Control, Telephone Quitlines, A Resource for Development, Implementation, and Evaluation).
Comprehensive education campaigns have been shown to increase quit attempts among smokers and the number of smokers who call state quitlines. The National Tobacco Education Campaign was launched in March 2012, and will run for three months. The National Campaign is expected to substantially increase calls to state quitlines by approximately 7 - 30 percent or more nationally with larger increases expected for states with low quitline utilization. Approximately 0.5-1.0% of additional smokers will call state quitlines. The campaign consists of a series of hard hitting advertisements featuring testimonials from real people who are living with serious health consequences from smoking. The television ads include the 1-800-QUIT-NOW number, which routes callers to their state quitlines, where they can receive free information, counseling, and, in some states, medications. An increase in either the number of tobacco users making quit attempts or in the success rate for such attempts can lead to higher overall cessation rate, moreover, this provides a population based approach to comprehensive tobacco control.
Purpose
As part of the overall effort to reduce the burden of chronic diseases and chronic disease risk factors, the Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Office on Smoking and Health (OSH) announces the opportunity to apply for funds to ensure and support state quitline capacity, in order to respond to upcoming federal initiatives such as the National Tobacco Education Campaign. http://www.cdc.gov/tobacco.
This program addresses the “Healthy People 2020” focus area of tobacco use and the goal of reducing illness, disability, and death related to tobacco use and secondhand smoke exposure. Preventing tobacco use and helping tobacco users quit can improve the health and quality of life for Americans of all ages. People who stop smoking greatly reduce their risk of disease and premature death. Benefits are greater for people who stop at earlier ages, but quitting tobacco use is beneficial at any age.
Program Implementation
Recipient Activities
Recipients must address the following activities from Quitline Capacity and Monitoring and Evaluation. Applicants may also address recipient activities from Quitline Enhancements, Media and Sustainability, as long as Quitline capacity and Monitoring and Evaluation are sufficiently addressed either through this FOA or state support.
Quitline Capacity
· Address the anticipated increase in calls resulting from upcoming federal initiatives during this project period.
· Expand capacity and state-determined eligibility as needed to ensure that all callers receive some form of assistance. Recipients should ensure the following: 1) each call is answered live or by a caller-friendly interactive voice recording system (IVR) that provides information and access to automated or live services, 2) callers are provided with quit tips and encouragement to assist with quit attempts, 3) callers are referred to resources to assist them with quitting based on eligibility. Emphasis should be placed on reaching all callers rather than providing more intensive services to fewer callers.
Performance will be measured by evidence of the ability to provide all callers with some form of assistance and the provision of such assistance to callers.
Quitline Enhancements
· Increase efficiencies of quitline operations, such as connecting to or incorporating an interactive voice recording system (IVR) at the state or federal level.
· Incorporate technological enhancements to provide additional forms of assistance to callers who want to quit.
· Provide quitline services in languages spoken by populations with tobacco related disparities or difficulty accessing services via an English-only line.
Assure that quitlines meet the FDA criteria for cessation resources as outlined in Appendix B.
· Performance will be measured by evidence of expanded hours of operation, implementation of an IVR system to avoid busy signals or dropped on-hold calls, increased services offered including web-based services and text messaging, additional languages, assurance to CDC that the state quitline services meet the FDA criteria for cessation resources, systems changes focusing on populations and/or communities with a disproportionate burden of tobacco use as determined by data sources, and adequate progress on key output and outcome measures.
Media
· Expand paid and earned media to promote tobacco cessation and increase quit attempts. Campaigns can employ a variety of execution strategies, such as television, radio, print, outdoor and social media.The program should determine which strategy is the most cost effective for reaching their target audience, while building on the Federal campaign.
Performance will be measured by evidence of delivery of additional messages with appropriate emotional and graphic quality; frequency and reach of paid and earned media (e.g., Gross Rating Points (GRP), Targeted Rating Points (TRP)); revised communication plans, and evidence of the inclusion of the NCI 1-800-QUIT-NOW Quitline portal number or the state’s Quitline number in media messages and materials.
Sustainability
State health departments can partner with health care and other organizations to change systems and policies in order to facilitate long-term increases in the use of proven cessation treatments and to decrease tobacco use prevalence:
· Develop and/or implement private/public partnerships or other strategies to sustain long-term quitline capacity.
· Identify strategies to reduce costs, limitations, and other barriers to treatment for underserved populations, particularly the uninsured, the underinsured, and populations disproportionately affected by tobacco use.
· Encourage health system identification and advice to tobacco users
· Increase utilization of effective cessation services.
Performance will be measured based on expanded utilization of cessation services
Monitoring and Evaluation
· Participation in CDC conference calls and technical assistance webinars
· Evaluation of impact of sustainability efforts to increase promotion and utilization of cessation services
Performance will be measured by participation in CDC technical assistance opportunities and evaluation of the impact of sustainability efforts to increase promotion and utilization of cessation services.
Reporting Requirements
· Participate in the CDC, OSH, National Quitline Data Warehouse (NQDW) (i.e., reporting of intake data on quitline callers and information on services provided through the NQDW Online Services Survey).
· Provide information on any state media campaign activity during the National Tobacco Education campaign, if possible including exact flight dates/occurrences, planned weekly Gross Rating Points (GRPs), and actual weekly GRPs
· Track calls to the quitline generated by the National Tobacco Education Campaign and other federal initiatives
In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring.
CDC Activities
To assist recipients in achieving the purpose of this award, CDC will conduct the following activities:
1) Provide ongoing guidance, technical assistance, training, and support in the following areas:
a. Evidence-based and practice-based approaches
b. Access to the CDC Office on Smoking and Health Media Campaign Resource Center
c. Community mobilization and partnership development
d. Program sustainability and program strategies
e. Monitoring and evaluation of service utilization and quit rates
f. Developing and revising tobacco control strategic plans
2) Collaborate with NCI to enhance and expand the national quitline portal, 1-800-QUIT-NOW, related IVR systems, and text messaging cessation programs.
3) Provide guidance and administer the National Quitline Data Warehouse
4) Collaborate with the Food and Drug Administration and provide information related to new FDA regulations.
5) Provide Project Monitoring and Evaluation
· Provide expert resources to assist in the design, collection, analysis, and use of comparable evaluation data to assess and strengthen programs.
· Ensure consistency in measurement to facilitate comparability across grantee programmatic activities.
· Provide appropriate performance measures along with guidance on formats and timelines for semi-annual submission of required information.
II. AWARD INFORMATION
Type of Award: Cooperative Agreement
CDC substantial involvement in this program appears in the Activities Section above
Award Mechanism: U58 - Chronic Disease Prevention and Control
Fiscal Year Funds: FY 2012 Year Funds, Prevention and Public Health Funds
Approximate Current Fiscal Year Funding: Approximately $22,282,000 (This amount is an estimate, and is subject to availability of funds. This includes direct and indirect costs.)
Approximate Total Project Period Funding: Approximately $44,564,000 (This amount is an estimate, and is subject to availability of funds. This includes direct and indirect costs.)
Approximate Number of Awards: 53
Approximate Average Award: This amount is for the 12-month budget period, and includes both direct and indirect costs.
Floor of Individual Award Range: (See Appendix A)
Ceiling of Individual Award Range: (See Appendix A)
Anticipated Award Date: June 25, 2012
Budget Period Length: 12 months
Project Period Length: 24 months
Funding is based on census and other data.
Throughout the project period, CDC’s commitment to continuation of awards will be conditioned on the availability of funds, evidence of satisfactory progress by the recipient (as documented in required reports), and the determination that continued funding is in the best interest of the Federal government.
III. ELIGIBILITY INFORMATION
Eligible Applicants
Eligibility is limited to currently funded recipients under CDC-RFA-DP09-901 and CDC-RFA-DP09-902. These include state, District of Columbia, and the U.S. territorial health departments of Guam and Puerto Rico because they are the only entities with the capacity to prevent and control tobacco use and which provide quitline services within the states and territories.
State and territorial health departments are also uniquely qualified to address the anticipated increase in calls to quitlines due to federal media education campaigns, while expanding capacity and eligibility to ensure all callers receive some form of assistance. These agencies are also uniquely qualified to promote the quitline, increase quit attempts, and increase public and private partnerships to ensure quitline sustainability.
Required Registrations
Registering your organization through www.Grants.gov, the official agency-wide E-grant website, is the first step in submitting an application online. Registration information is located on the “Get Registered” screen of www.Grants.gov. Please visit www.Grants.gov at least 30 days prior to submitting your application to familiarize yourself with the registration and submission processes. The “one-time” registration process will take three to five days to complete. However, the Grants.gov registration process also requires that you register your organization with the Central Contractor Registry (CCR) and DUN and Bradstreet (D&B) Data Universal Numbering System (DUNS) which will require up to at least 4 weeks to complete registration in its entirety. The CCR registration can require an additional two weeks to complete. You are required to maintain a current registration in CCR. CCR registration must be renewed annually.