Health Resources and Services Administration
U.S. Department of Health and Human Services
Maternal and Child Health Bureau
Division of Child, Adolescent and Family Health
Child and Adolescent Injury and Violence Prevention Resource Centers Cooperative Agreement Program
Announcement Type: New Competing
Announcement Number: HRSA-11-103
Catalog of Federal Domestic Assistance (CFDA) No. 93.110
FUNDING OPPORTUNITY ANNOUNCEMENT
Fiscal Year 2011
Application Due Date: March 25, 2011
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Release Date: February 8, 2011
Date of Issuance: February 8, 2011
Stephanie Bryn, MPH
Division of Child, Adolescent and Family Health
Maternal and Child Health Bureau, HRSA
Parklawn Building, Room 18A-38
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 443-6091
Fax: (301) 443-1296
E-Mail:
Legislative Authority: Title V, Section 501(a)(2) of the Social Security Act, as amended (42 U.S.C. 701(a)(2))
EXECUTIVE SUMMARY
This announcement solicits applications for the Child and Adolescent Injury and Violence Prevention Resource Centers Cooperative Agreement Program.
Purpose
The purpose of the Child and Adolescent Injury and Violence Prevention Resource Centers Cooperative Agreement Program is to improve infant, child, and adolescent health and safety services and systems and, ultimately, the health and safety status of infants, children, and adolescents and to provide protection for infants, children, and adolescents from harm.
Injuries are the leading public health threat facing people aged 1-34 years today. More children and adolescents die from injuries and violence than all diseases combined, and injuries are the leading cause of disability. Every year, one in four children and adolescents are injured seriously enough to require medical attention, and more than 430,000 are hospitalized for their injuries. Injuries are a leading cause of medical spending for children and adolescents. During the past three decades, researchers have made significant progress toward identifying causes of infant, child, and adolescent injuries as well as developing ways to prevent them.
Type of Award
Funding will be provided in the form of a cooperative agreement.
Summary of Funding
This cooperative agreement program will support one award from each of the two (2) categorical efforts under this announcement whose responsibilities are summarized as follows:
1. Children’s Safety Network National Resource Center (CSNNRC). The purpose of this cooperative agreement is to assist States and localities to plan, implement, strengthen, and evaluate injury and violence prevention programs that will improve health services delivery and risk reduction, as well as public health and safety. Programs and activities, such as analysis of childhood injury costs, benefit-cost analyses, and policy analyses, will support injury and violence prevention activities within the existing maternal and child health services programs that focus on and follow the priority areas indicated by their maternal and child health (MCH) needs assessment, recommendations from the State Technical Assessment Team visits performed by the Safe States Alliance, and recommendations from their State Child Death Review Team’s Annual Report.
2. MCH National Child Death Review Policy and Resource Center Program. The purpose of this cooperative agreement is to improve and strengthen State and local capacity to perform Child Death Reviews (CDR) and to use information from the CDRs to improve child and adolescent health services and systems and, ultimately, the health status of children and adolescents. CDR is a community-based action process aimed at guiding communities to identify and solve problems contributing to poor child and adolescent health outcomes.
Table of Contents
I. Funding Opportunity Description 1
1. Purpose 1
2) Background 5
II. Award Information 5
1. Type of Award 5
2. Summary of Funding 6
III. Eligibility Information 7
1. Eligible Applicants 7
2. Cost Sharing/Matching 7
3. Other 7
IV. Application and Submission Information 7
1. Address to Request Application Package 7
2. Content and Form of Application Submission 8
i. Application Face Page 11
ii. Table of Contents 11
iii. Application Checklist 11
iv. Budget 11
v. Budget Justification 11
vi. Staffing Plan and Personnel Requirements 13
vii. Assurances 13
viii. Certifications 13
ix. Project Abstract 13
x. Program Narrative 14
xi. Program Specific Forms 16
xii. Attachments 17
3. Submission Dates and Times 18
4. Intergovernmental Review 18
5. Funding Restrictions 19
6. Other Submission Requirements 19
V. Application Review Information 20
1. Review Criteria 20
2. Review and Selection Process 25
3. Anticipated Announcement and Award Dates 25
VI. Award Administration Information 26
1. Award Notices 26
2. Administrative and National Policy Requirements 26
3. Reporting 27
VII. Agency Contacts 29
VIII. Tips for Writing a Strong Application 30
Appendix A: MCHB Administrative Forms and Performance Measures 31
HRSA 11-103 Page ii
I. Funding Opportunity Description
1. Purpose
This announcement solicits applications for the Child and Adolescent Injury and Violence Prevention Resource Centers Cooperative Agreement Program.
The overall mission of this cooperative agreement program is to improve infant, child, and adolescent health and safety services and systems and, ultimately, the health and safety status of this population and to provide protection for them from harm. Injuries are the leading public health threat facing people aged 1-34 years today. More children and adolescents die from injuries and violence than all diseases combined, and injuries are the leading cause of disability. Every year, one in four children and adolescents are injured seriously enough to require medical attention, and more than 430,000 are hospitalized for their injuries. Injuries are a leading cause of medical spending for children and adolescents. During the past three decades, researchers have made significant progress toward identifying causes of infant, child, and adolescent injuries as well as developing ways to prevent them. This program will further catalyze the translation of these findings from research to the practice community.
This cooperative agreement program responds to the Healthy People 2020 Objectives –
IVP HP2020–5: Increase the number of States and the District of Columbia where 100 percent of deaths to children aged 17 years and under that are due to external causes are reviewed by a child fatality review team.
and responds to the MBHB Performance Measures—
State Title V Programs have identified injury and violence prevention as priority needs. Thirty-six states and jurisdictions include intentional and/or unintentional injury as a priority need for the years 2005-2010, and 34 have included intentional and/or unintentional injuries in their state performance measures. In addition, five (5) have State outcome measures that include intentional and/or unintentional injury.
Category #1 – Children’s Safety Network National Resource Center (CSNNRC)
The purpose of the Children’s Safety Network National Resource Center (CSNNRC) is to demonstrate the effectiveness in assisting States and localities to plan, implement, strengthen, and evaluate injury and violence prevention programs that will improve health services delivery and risk reduction, as well as public health and safety. Programs and activities, such as analysis of childhood injury costs, benefit-cost analyses, and policy analyses, will support injury and violence prevention activities within the existing maternal and child health services programs that focus on and follow the priority areas indicated by their MCH needs assessment, recommendations from the State Technical Assessment Team visits performed by the Safe States Alliance, and recommendations from their State Child Death Review Team’s Annual Report. The awardee and the MCHB have a joint responsibility to determine what issues relevant to the safety of infants, children, and adolescents will be addressed and what strategies will be used to address them, what information relevant to the health and safety of these populations will be transmitted, and how that information will be transmitted to specified target audiences and used to enhance project and program activities.
The CSNNRC will assist State/Territory MCH Programs to improve and enhance the injury and violence prevention skills, abilities, and capacity of their personnel. Under the general guidance of MCHB, the CSNNRC shall serve as a resource to provide state and local MCH agencies and organizations, related public health, education, and safety organizations, and other youth-serving professionals and administrators with injury and violence prevention training and technical assistance. The CSNNRC will also serve as an information resource for the Home Visiting Maternal and Child Health awardees and other MCH demonstration and training awardees, as appropriate.
A. Program Requirements of the Children’s Safety Network National Resource Center
Proposals should specifically address and respond to the following:
1) Need for State and Territorial injury and violence prevention programs to be as evidence-based as possible utilizing best prevention practices strategies, interventions, and programs in order to respond to injury and violence prevention programming needs. Information gained from the priorities indicated by the State/Territory MCH needs assessment, the Safe States Alliance State Technical Assessment Team (STAT) visit recommendations, the recommendations from the State Child Death Review (CDR) Teams, and the recommendations from the Fetal Infant Mortality Reviews (FIMR), among others will provide direction for injury and violence prevention programming.
2) Need of State/Territory personnel to be able to plan, implement, and evaluate their injury and violence prevention activities related to their Injury and Violence Prevention State Performance Measures.
3) Need of States/Territorial governments to make certain that injury and violence including bullying prevention program activities are complementary, coordinated, and non-duplicative.
4) Need to enhance communication, interaction, and coordination on injury and violence including bullying prevention by initiating and maintaining partnerships and collaborative relationships with national organizations, key State and local entities, health, education, and safety networks, and other identified MCHB partners.
5) Need to compile and share morbidity and mortality information including injury costs, data analyses, and injury cost modeling in order to improve and evaluate State/Territorial injury and violence prevention program activities. (An injury cost model is a set of computer programs and data bases that are used to estimate the burden that results from an injury, including medical and other resource costs, work loss, and quality of life loss. Injury cost models typically are used to estimate the burden resulting from a set of injuries or the burden avoided by preventing a set of injuries.)
6) Need of States/Territories to have access to cost and benefit information when planning their injury and violence prevention program activities.
Category #2 – MCH National Child Death Review Policy and Resource Center
The purpose of this cooperative agreement is to improve and strengthen State and local capacity to perform Child Death Reviews (CDR) and to use information from the CDRs to improve child and adolescent health services and systems and, ultimately, the health status of children and adolescents. CDR is a community-based action process aimed at guiding communities to identify and solve problems contributing to poor child and adolescent health outcomes. Specifically, using death as a sentinel event, CDR is the systematic examination of factors that play a role in death which integrates information about the health, safety and personal characteristics of individuals, the community environment, and information descriptive of medical care and community health and social/welfare systems. Information from these reviews is then used to focus planning and policy development, to direct health systems development, and to enhance efforts to develop and maintain risk reduction and prevention programs for children and adolescents. The CDR process improves the ability of State and local health departments to carry out the core public health functions of assessment, policy development and quality assurance. There has been a significant shift in the administrative authority of CDR from a criminal justice/child protection focus to public health. As of 2007, CDR programs are being coordinated by State health departments in at least 23 States. Over the past decade, CDR and other maternal and child health (MCH) mortality reviews such as Fetal and Infant Mortality Review (FIMR) and Maternal Mortality Review (MMR) have been used by many States as part of a system or a continuous quality improvement approach in programming for maternal and child health populations. Some States are beginning to pursue efforts to coordinate the review processes.
The awardee will assist States and localities in implementing, improving and maintaining a CDR process and Program that will promote improved health services delivery and provide risk reduction, prevention and public health and safety promotion programs. The CDR process, if in place in States and communities, will be stabilized and strengthened through planned actions of training and technical assistance, data collection and analysis and program planning using State death review data. The awardee will also link CDR with national organizations to help build the capacity and CDR and to utilize CDR findings for national child/adolescent health and welfare systems improvements.
B. Program Requirements of the MCH National Child Death Review Policy and Resource Center
Proposals should specifically address and respond to the following:
1) Provide technical support and training to States, particularly State Title V agencies and MCH programs as they develop, implement, sustain and improve CDR as a community-based process that can assess and improve services and systems for infants, children and adolescents by:
· Maintaining lists and files on the status of CDR programs in States including protocols, focus, review types, legislation, access to information, confidentiality, data collection, analysis and reporting and translation of CDR findings and recommendations into action for prevention.
· Providing onsite, telephone, and support and training to State CDR programs to facilitate their ongoing CDR process and systems improvements for both State and local teams.
· Coordinating, maintaining and supporting a network of State CDR Coordinators.
· Facilitating the utilization of CDR technical assistance consultants and acting as a broker to link consultants to States and communities for mentoring and assistance.
2) Refine the methodology for CDR through continuous assessment of trends, state of the field and feedback from States and communities by:
· Developing a mechanism(s) to solicit on-going feedback from States and communities on strengths, weaknesses, successes and challenges in implementing the CDR methodology and to responding to that feedback.
· Maintaining the information on progress of States in meeting the U.S. Healthy People 2020 Objective related to CDR.