[Federal Register Volume 60, Number 8 (Thursday, January 12, 1995)]
[Notices]
[Pages 2971-2975]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-790]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement Number 515]
Cooperative Agreement Program for Urban Center(s) for Applied
Research in Public Health
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 1995 funds for a cooperative agreement
program for the establishment of an Urban Center(s) for Applied
Research in Public Health. Activities coordinated by the Urban
Center(s) are intended to use ``population laboratories''* to produce
information useful in health policy decisions and planning, thereby
enhancing the effectiveness, quality, and cost-effectiveness of
preventive and health care delivery systems and improving the health of
persons living in the city.
*The phrase ``population laboratory'' as used herein refers to
an organization dedicated to epidemiologic, sociologic, and economic
study of public health interventions in a well defined urban
population. Projects may or may not include support from a
laboratory as defined in the traditional clinical setting.
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The Public Health Service (PHS) is committed to achieving the
health promotion and disease prevention objectives of ``Healthy People
2000,'' a PHS-led national activity to reduce morbidity and mortality
and improve the quality of life. As the lead Federal agency for
prevention, CDC has emphasized evaluation of prevention programs. As
part of that continuing effort, CDC is strengthening efforts to assure
that public health priorities and program strategies maximize the
health of the population relative to the resources expended.
Epidemiologic research is required in urban areas both to recognize
emerging problems of illness and injury, to describe trends in risk
factors, especially among youth and diverse populations, and to better
characterize known public health problems. While research is required
to identify persons at highest risk, studies are particularly needed to
evaluate the efficacy, effectiveness, and economic feasibility of
proposed and ongoing preventive interventions.
Residents of many urban neighborhoods have high rates of disease
and injury, such as sexually transmitted diseases and AIDS,
tuberculosis, lead toxicity, diabetes, asthma, violence, and teen
pregnancy. Interventions to reduce these problems must address the
complex social, behavioral, and economic conditions of the communities
as well as the determinants of the specific diseases and injuries
themselves. These comprehensive, multidisciplinary interventions need
to be implemented and evaluated to determine their effectiveness and
cost effectiveness. This cooperative agreement is intended to create an
interdisciplinary urban center to work with the community. The center
will assess the health impact of interventions targeted to address
underlying problems contributing to high rates of disease and injury.
CDC also recognizes the vital importance of measuring the impact on
health (including effectiveness, safety, and cost) of prevention
policies, programs, and practices. The assessment of prevention
effectiveness is the ongoing process of applying evaluation tools to
prevention practices.
This announcement is related to all of the priority area(s) of
Healthy People 2000. (For ordering a copy of ``Healthy People 2000,''
see the section ``Where to Obtain Additional Information.'')
Authority
This program is authorized under section 301 of the Public Health
Service Act (42 U.S.C. 241) as amended.
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and promote the non-use of all
tobacco products. This is consistent with the PHS mission to protect
and advance the physical and mental health of the American people.
Eligible Applicants
Assistance will be provided only to local (city/county) health
departments or research organizations collaborating with local health
departments of the fifty largest U.S. cities ranked by population per
square mile (as determined from the County and City Book 1994--refer to
Attachment A). Applications should be made by the local (city or
county) department of health or by one or more other organizations
(e.g., academic, technical, or community organizations) with a written
indication of support from the local health department. Therefore,
there should be only one application per [[Page 2972]] geographic area
(e.g., the responsible local health agency may apply as a single
applicant or in consortium). The list of organizational partners should
include at least one with demonstrated substantial expertise in
epidemiologic research, evaluation, economics, and quantitative policy
analysis. In addition, collaboration with health care providers,
especially managed care organizations, will be of significant
importance. The interests of the community organizations should be
incorporated into the development of this cooperative agreement.
Availability of Funds
Federal financial assistance totalling approximately $600,000 is
available in FY 1995 to fund up to three awards in support of core
activities. Awardees will be expected to secure additional funding from
other sources (public and private sector support). It is expected that
the award(s) will be made on or about April 1, 1995, and will extend
for a 12-month budget period. Projects may be approved for a period of
up to 5 years, renewable on an annual basis. Federal funding estimates
may vary and are subject to change. Continuation awards within an
approved project period will be made on the basis of satisfactory
progress and availability of funds. Funds for specific program project
activities may be added to the awards in subsequent years upon
availability.
Grant awards cannot supplant existing funding for epidemiologic
research in urban areas. Eligible applicants are encouraged to secure
additional funds from other sources, including consortia agreements, as
necessary, to meet the requirements of the program and strengthen the
overall application.
Purpose
The purpose of this cooperative agreement is to assist the
recipient in the development of an urban ``population laboratory''
which utilizes the combined resources of the recipient, other local
organizations, the local community, and CDC. The goal is to promote
collaborative epidemiologic and prevention effectiveness research on
the most serious health threats facing urban residents; and thereby,
developing information for public health planning and for improving the
health of citizens. A key aim of this center will be to identify
opportunities related to the inner city. The Center will be beneficial
to CDC by unifying the process of community planning.
The specific objectives of the population laboratory are as
follows:
A. To assess the availability and capacity of existing prevention
programs offered by State and local health agencies; public and private
health care providers; and other community or lay organizations.
B. To foster the development of collaborative relationships among
the population laboratory, CDC, and the State and local health
departments for the purpose of focusing the expertise of academic
institutions and community based organizations on high priority urban
health problems.
C. To develop and implement organizational and sociological
intervention studies to optimize effectiveness in prevention programs
by involving the community in planning, program design, and related
public health activities.
D. To develop a multidisciplinary approach to prevention programs
and to develop, test, evaluate, and disseminate model programs to
enhance health promotion and disease and injury prevention in various
settings and populations.
Program Requirements
Applications that do not meet the following requirements will be
considered non-responsive. Applicants must:
Provide evidence of working relationships with partner
organizations and community leaders which allow evaluation and
implementation of any proposed intervention activities.
Provide evidence of supplemental technical and financial
assistance from other ``partner organizations.''
Provide evidence of expertise in research related to urban
and minority health issues or a planned process for developing such
expertise in a short timeframe.
Provide evidence/plans for core activities, demonstration
projects, collaborations/collaborative projects with State/local health
departments and academic institutions.
In conducting activities to achieve the purpose of this program,
the recipient will be responsible for the activities under A,
(Recipient Activities), and CDC will be responsible for the activities
listed under B, (CDC Activities).
A. Recipient Activities
1. Establish and operate a demonstration population laboratory for
epidemiologic, social science, behavioral science, and prevention
effectiveness research.
a. Establish the population laboratory in a defined population in a
geographically defined urban area.
b. Establish an Executive Board composed of representatives from
the community as well as public health, academic, health care community
leaders and private partners to provide advice and guidance to the
Urban Center Project Director, as needed. The recipient will obtain
participation and input from community-based organizations in the
proposed geographic area.
2. Propose and conduct multidisciplinary research dedicated to
improving the health and well-being of urban populations. Address
research topics of typical urban health problems (e.g., HIV
transmission and AIDS, tuberculosis, violence, lead poisoning,
immunization, diabetes, and cardiovascular disease).
3. Manage, analyze, and interpret data from population laboratory
projects, and publish and disseminate important public health
information stemming from population laboratory projects.
4. Monitor and evaluate scientific and operational accomplishments
of the population laboratory and progress in achieving the purpose and
overall goals of this program.
5. Document findings in the scientific literature.
6. Evaluate specific interventions (programs) to address typical
urban health problems researched in #2 of Recipient activities.
7. Foster the development of prevention programs that are not
categorical but that cut across health issues that affect common
populations. Coordinate activities with CDC's Prevention Centers
program.
B. CDC Activities
1. Assign a CDC scientist on-site to function as liaison, provide
technical assistance, and facilitate collaboration of population
laboratory staff with CDC staff. The assignee will provide cross-
cutting coordination for all CDC Centers, Institute, and Offices (CIO)
programmatic activities which are relevant to the Urban Center(s)'
activities, especially activities undertaken by CDC's Prevention
Centers program.
2. Provide consultation and scientific and technical assistance in
designing and conducting individual population laboratory projects.
3. Participate in analysis and interpretation of data from
population laboratory projects. Participate in the dissemination of
findings and information stemming from population laboratory projects.
4. Monitor and evaluate scientific and operational accomplishments
of the population laboratory and progress in [[Page 2973]] achieving
the purpose and overall goals of this program.
Evaluation Criteria
Upon receipt, applications will be reviewed by CDC staff for
completeness and responsiveness as outlined under the previous heading
Program Requirements (a listing of where these requirements are
described and/or documented in the application will facilitate the
review process). Incomplete applications and applications that are not
responsive will be returned to the applicant without further
consideration.
Applications which are complete and responsive will undergo an
initial peer evaluation of the scientific and technical merit to
warrant further review; the CDC will withdraw from further
consideration applications judged to be noncompetitive and promptly
notify the principal investigator/program director and the official
signing for the applicant organization. The second review will be
conducted by senior Federal staff, who will consider the results of the
first review together with program need and relevance. Awards will be
made based on merit and priority score ranking by the peer review,
program review by senior Federal staff, and the availability of funds.
A. The Objective Review Committee may recommend approval or
disapproval based on the content of the application and the following
criteria:
1. The Population Laboratory for Applied Research in Public Health
Purpose (5 points)
The extent to which the efforts will result in innovative
approaches or interventions to meet health priorities, emerging health
and other health needs of urban residents, or an identified demographic
group, or combination thereof.
2. Overall program plan (10 points)
The extent to which the overall program plan has clear objectives
that are specific, measurable, and realistic, and makes effective use
of population laboratory resources to advance the population
laboratory's purpose.
3. Strategy and Technical Approach (45 points)
The technical and scientific merits of the proposed projects, the
potential to achieve the stated objectives and the extent to which the
applicant's plans are consistent with the purpose of the program.
a. Core activities (10 points)
--Description of the core activities of the Urban Center.
b. Collaborations/collaborative projects with State/local health
departments and academic institutions (35 points)
--Plan for including community-based organizations, State and local
health departments, and academia in planning, developing, and
implementing collaborative projects (15 points)
--Plan for conducting collaborative assessments to identify urban
health issues (5 points)
--Plan to identify, train, and involve community residents in program
activities (5 points)
--Project descriptions of collaborative projects (10 points)
4. Evaluation plan (5 points)
The extent to which the overall population laboratory objectives
will be evaluated in regards to progress, efficacy, and cost benefit to
the urban areas.
5. Management and staffing plan (15 points)
The extent to which the applicant demonstrates the ability and
capacity to carry out the overall objectives and specific project
plans. Elements to consider include:
(a) Demonstrated knowledge and experience of the proposed project
director in planning and managing large and complex interdisciplinary
programs involving public health and urban issues (5 points);
(b) Demonstrated knowledge and experience of the proposed staff in
carrying out the project objectives, including the percentage of time
each person will devote to each project/activity (5 points); and
(c) Institutional capacity, demonstrated by the experience and
continuing capability of the State and local health departments,
academia, and community-based organizations to initiate and implement
similar projects.
Applicant should describe previous related efforts and the current
capacity of its collaborators/collaborating organizations (5 points).
6. Institutionalization plan/Collaboration (20 points)
The population laboratory's plan for collaborating and developing
relationships with local/State health departments, academic/research
institutions, and community leaders. Extent to which the applicant
demonstrates that proposed activities are being conducted in
conjunction with, or through, organizations with known and established
ties in the identified urban area. Evidence of support and
participation from appropriate community-based organizations in the
form of memoranda of understanding or other agreements of
collaboration.
7. Budget (not scored)
The extent to which the budget and justification are consistent
with the program objectives and purpose. Applicants are strongly urged
to include a plan for obtaining additional resources that lead to
institutionalization of the population laboratory.
B. Review by senior Federal staff
Further review will be conducted by Senior Federal staff.
Factors to be considered will be:
1. Results of the peer review.
2. Program needs and relevance to national goals.
3. Budgetary considerations.
Executive Order 12372 Review
Applications are subject to the Intergovernmental Review of Federal
Programs as governed by Executive Order (E.O.) 12372. E.O. 12372 sets
up a system for State and local government review of proposed Federal
assistance applications. Applicants should contact their State Single
Point of Contact (SPOC) as early as possible to alert them to the
prospective applications and receive any necessary instructions on the
State process. For proposed projects serving more than one State, the
applicant is advised to contact the SPOC of each affected State. A
current list is included in the application kit. If SPOC have any State
process recommendations on applications submitted to CDC, they should
forward them to Henry S. Cassell, III, Grants Management Officer,
Grants Management Branch, Procurement and Grants Office, Centers for
Disease Control and Prevention (CDC), 255 East Paces Ferry Road, NE.,
Room 300, Mailstop E-13, Atlanta, Georgia 30305, no later than 60 days
after the deadline date for new and competing awards. The granting
agency does not guarantee to ``accommodate or explain'' State process
recommendations it receives after that date.
Public Health System Reporting Requirements
This program is subject to the Public Health System Reporting
Requirements. Under these requirements, all community-based
nongovernmental applicants must prepare and submit the
[[Page 2974]] items identified below to the head of the appropriate
State and/or local health agency(s) in the program area(s) that may be
impacted by the proposed project no later than the receipt date of the
Federal application. The appropriate State and/or local health agency
is determined by the applicant. The following information must be
provided:
A. A copy of the face page of the application (PHS 398, AA).
B. A summary of the project that should be titled ``Public Health
System Impact Statement'' (PHSIS), not exceed one page, and include the
following:
1. A description of the population to be served;
2. A summary of the services to be provided; and
3. A description of the coordination plans with the appropriate
State and/or local health agencies.
If the State and/or local health official should desire a copy of
the entire application, it may be obtained from the SPOC or directly
from the applicant.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance number is 93.135.
Other Requirements
A. Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by cooperative agreement will be subject to
review by the Office of Management and Budget (OMB) under the Paperwork
Reduction Act.
B. Human Subjects
If the proposed project involves research on human subjects, the
applicant must comply with the Department of Health and Human Services
Regulations, 45 CFR Part 46, regarding the protection of human
subjects. Assurance must be provided to demonstrate that the project
will be subject to initial and continuing review by an appropriate
institutional review committee. The applicant will be responsible for
providing assurance in accordance with the appropriate guidelines and
form provided in the application kit.
Application Submission and Deadlines
A. Preapplication Letter of Intent
Although it is not a prerequisite to apply, potential applicants
are encouraged to submit a non-binding letter of intent to apply to the
Grants Management Officer (whose address is given in this section, Item
B). It should be postmarked on or before February 21, 1995. The letter
should identify the announcement number being responded to, title and
brief description of the proposed population laboratory, and the names
and addresses of the principal investigators. The letter of intent does
not influence review or funding decisions, but it will enable CDC to
plan the review more efficiently.
B. Applications
Applicants should submit an original and five copies of form PHS-
398 (OMB Number 0925-0001) to Henry S. Cassell, III, Grants Management
Officer, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, on or
before March 13, 1995.
C. Deadlines
Applications shall be considered as meeting the deadline above if
they are either:
1. Received on or before the deadline date; or
2. Sent on or before the deadline date and received in time for
submission to the peer review committee. (Applicants must request a
legibly dated U.S. Postal Service postmark or obtain a legibly dated
receipt from a commercial carrier or the U.S. Postal Service. Private
metered postmarks shall not be acceptable as proof of timely mailing.)
D. Late Applications
Applications which do not meet the criteria in C.1 or C.2. above
are considered late applications. Late applications will not be
considered in the current competition and will be returned to the
applicant.
Where to Obtain Additional Information
A complete program description, information on application
procedures, an application package, and business management technical
assistance may be obtained from Georgia Jang, Grants Management
Specialist, Grants Management Branch, Procurement and Grants Office,
Centers for Disease Control and Prevention (CDC), 255 East Paces Ferry
Road, NE., Room 300, Mailstop E-13, Atlanta, Georgia 30305, telephone
(404) 842-6814. Programmatic technical assistance may be obtained from
Mary Moreman, Project Officer, Epidemiology Program Office, Centers for
Disease Control and Prevention (CDC), 1600 Clifton Road, NE., Mailstop
C-08, Atlanta, Georgia 30333, telephone (404) 488-4390.
Please refer to Program Announcement Number 515 when requesting
information and submitting an application.
Potential applicants may obtain a copy of Healthy People 2000 (Full
Report; Stock number 017-001-00474-0) or Healthy People 2000 (Summary
Report; Stock number 017 001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325,
telephone (202) 783-3238.
Dated: December 19, 1994.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
Attachment A
50 largest U.S. Cities with 200,000 or more population ranked by
population per square mile, 1992 (reference: County and City Data Book
1994)
New York, NY
San Francisco, CA
Jersey City, NJ
Chicago, IL
Philadelphia, PA
Boston, MA
Newark, NJ
Santa Ana, CA
Miami, FL
Washington, D.C.
Baltimore, MD
Long Beach, CA
Buffalo, NY
Los Angeles, CA
Detroit, MI
Oakland, CA
Minneapolis, MN
Pittsburgh, PA
Rochester, NY
Cleveland, OH
Milwaukee, WI
St. Louis, MO
Seattle, WA
Anaheim, CA
St. Paul, MN
Cincinnati, OH
Norfolk, VA
San Jose, CA
Honolulu, HI
Louisville, KY
Stockton, CA
Toledo, OH
Sacramento, CA
St. Petersburg, FL
Fresno, CA
Akron, OH
Portland, OR
Las Vegas, NE
San Diego, CA
Omaha, NE
Columbus, OH
Richmond, VA
Denver, CO
Houston, TX [[Page 2975]]
Riverside, CA
Baton Rouge, LA
Albuquerque, NM
Atlanta, GA
Dallas, TX
Arlington, TX
Local Health Departments for the 50 Largest Urban Cities
New York City, Dept of Health, 125 Worth St., New York, NY 10013, (212)
788-5261
Los Angeles County Department of Health Services, 313 North Figueroa,
Room 930, Los Angeles, CA 90012, (213) 240-8156
Chicago Department of Health, DePaul Center, 333 South State, 2nd
Floor, Chicago, IL 60602, (312) 747-9870
City of Houston Health and Human Services, 8000 North Stadium Dr.,
Houston, TX 77054, (713) 794-9311
Philadelphia Department of Health, 1600 Arch St., Seventh Floor,
Philadelphia, PA 19103, (215) 686-5043
San Diego County Department of Health Services, Suite 211, 1700 Pacific
Highway, San Diego, CA 92101, (619) 236-7633
Detroit Health Department, Herman Kiefer Health Complex, 1151 Taylor,
Detroit, MI 48202, (313) 876-4000
Dallas County Health Department, 1936 Amelia Court, Dallas, TX 75235-
7795, (214) 920-7910
Santa Clara County Health Department, 2220 Moorpark Ave., San Jose, CA
95128, (408) 299-2301
Baltimore City Health Department, Eighth Floor, 303 East Fayette St.,
Baltimore, MD 21202, (410) 396-4387
San Francisco Department of Health, 101 Grove St., Suite 306, San
Francisco, CA 94102, (415) 554-2600
Franklin County Health Department, 410 South High St., Courthouse
Annex, Fifth Floor, Columbus, OH 43215, (614) 462-3160
City of Milwaukee Health Department, 841 North Broadway, Room 112,
Milwaukee, WI 53202, (414) 278-3521
District of Columbia Division of Public Health, Suite 1200, 1660 L St.,
NW, Washington, D.C. 20036, (202) 673-7700
City of Boston Department of Health and Hospitals, 818 Harrison Ave.,
Boston, MA 02118, (617) 534-5365
Seattle/King County Health Department, Suite 600, 110 Prefontaine
Place, South, Seattle, WA 98104, (206) 296-4603
Cuyahoga County Health Department, One Playhouse Square, 1375 Euclive
Ave., Cleveland, OH 44115, (216) 443-7500
Denver Department of Health, 605 Bannock, Denver, CO 80204, (303) 436-
7200
Mulnomah County Department of Health, Eighth Floor, 426 Southwest
Stark, Portland, OR 97204, (503) 248-3674
Department of Health and Human Services, City of Long Beach, 2525 Grand
Ave., Long Beach, CA 90806, (310) 570-4014
City of St. Louis, 634 North Grand, Ninth Floor, St. Louis, MO 63103,
(314) 658-1140
Fulton County Health Department, District 3, Unit 2, 99 Butler St., SE,
Atlanta, GA 30303, (404) 703-1205
District Health Department, Box 25846, 1111 Stanford Dr., N.E.,
Albuquerque, NM 87125, (505) 841-4100
Alameda County Health Care Services Agency, 409 Fifth St., Oakland, CA
94607, (510) 268-2727
Allegheny County Health Department, 3333 Forbes Ave., Pittsburgh, PA
15213-9913, (412) 578-8026
Sacramento County Health Department, 3701 Branch Center Rd.,
Sacramento, CA 95827, (916) 366-2181
Hennepin County Community Health Department, Third Floor, 525 Portland
Ave., South, Minneapolis, MN 55415, (612) 348-4382
Hawaii State Department of Health, 1250 Punchbowl St., PO Box 3378,
Honolulu, HI 96801, (808) 548-6505
Cincinnati Health Department, 3101 Burnet Ave., Cincinnati, OH 45229-
3098, (513) 357-7285
Dade County Health Department, 1350 Northwest 14th St., Miami, FL
33125, (305) 324-2400
Fresno County Department of Health, 1221 Fulton Mall, PO Box 11867,
Fresno, CA 93775, (209) 445-3202
Douglas County Health Department, 1819 Farnam St., Room 401, Omaha, NE
68183-0401, (402) 444-7472
Toledo Health Department, 635 North Erie St., Health Center, Toledo, OH
43624, (419) 245-1711
Erie County Health Department, Rath Office Building, 95 Franklin St.,
Buffalo, NY 14202, (716) 858-7690
Jersey City Division of Health, 586 Newark Ave., Jersey City, NJ 07306,
(201) 547-5168
Newark Department of Health, and Welfare, 110 Williams St., Newark, NJ
07102, (201) 733-5310
Orange County Health Department, Box 355, Santa Ana, CA 92702, (714)
834-3155
Monroe County Health Department, 111 Westfall Rd., Health and Social
Services Building, Rochester, NY 14692, (716) 274-6068
Dakota County Community Health Services, Suite 345 West, 33 East
Wentworth, St. Paul, MN 55118, (612) 450-2608
Norfolk Department of Public Health, Norfolk City Health District, 401
Colley Ave., Norfolk, VA 23507
Louisville/Jefferson County Health, Department, PO Box 1704,
Louisville, KY 40202, (502) 625-6530
San Joaquin Local Health District, 1601 East Hazelton Ave., PO Box
20009, Stockton, CA 95201, (209) 468-3411
Pinellas County Health Unit, 500 Seventh Ave., South, PO Box 13549, St.
Petersburg, GL 33701, (813) 824-6924
Akron City Health Department, 177 South Broadway, Akron, OH 44308-1799,
(216) 375-2960
Clark County Health Department, PO Box 4426, Las Vegas, NV 89106, (702)
383-1201
Henrico County Health Department, Henrico Gov't Center, Human Services,
8600 Dixon Powers Dr., Box 27032, Richmond, VA 23273
Riverside County Health Department, 4065 County Circle Dr., Riverside,
CA 92503, (909) 358-5058
Capitol Regional Health Department, Region II, 1772 Wooddale Boulevard,
Baton Rouge, LA 70806, (504) 925-7200
Texas Department of Health, Region #5, 2561 Matlock, Arlington, TX
76015, (817) 459-6767.
[FR Doc. 95-790 Filed 1-11-95; 8:45 am]
BILLING CODE 4163-18-P
