[Federal Register Volume 60, Number 83 (Monday, May 1, 1995)]
[Notices]
[Pages 21366-21368]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-10577]
[[Page 21365]]
_______________________________________________________________________
Part IV
Department of Health and Human Services
_______________________________________________________________________
Public Health Service
_______________________________________________________________________
Availability of Funds for a Cooperative Agreement To Prevent Cancer in
Minority Populations; Notice
Federal Register / Vol. 60, No. 83 / Monday, May 1, 1995 /
Notices
[[Page 21366]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
RIN 0905-ZA88
Availability of Funds for a Cooperative Agreement To Prevent
Cancer in Minority Populations
AGENCY: Office of Minority Health, Office of the Assistant Secretary
for Health.
ACTION: Notice.
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Introduction
The Office of Minority Health (OMH) of the U.S. Public Health
Service (PHS) announces the availability of Fiscal Year 1995 funds to
support one demonstration cooperative agreement to establish a cancer
prevention project in Philadelphia, Pennsylvania.
The OMH 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. This announcement is related to the health status, risk reduction
and services and protection objectives for Health People objective
priority area Number 16, cancer.
Authorizing Legislation
This cooperative agreement is authorized under Section 1707(d)(1)
of the Public Health Service Act, as amended by Public Law 101-527.
Availability of Funds
Approximately $250,000 (direct and indirect costs) will be
available in Fiscal Year 1995 to fund one cooperative agreement.
Support may be requested for a project period not to exceed 3 years.
Continuation awards within the project period will be made on the basis
of satisfactory progress and availability of funds. The funding
estimate may vary and is subject to change.
Background
Since the publication of the Report of the Secretary's Task Force
on Black and Minority Health, the OMH and all PHS agencies have made a
commitment to reduce the excessive burden of disability and death borne
by minority populations in the United States.
Congress has expressed a commitment to providing comprehensive
primary health care services for urban city minorities: Asian
Americans/Pacific Islanders; American Indians/Alaska Natives; Blacks;
and Hispanics, with the objective of reducing the excessive burden of
disability and death within these populations. Congress is concerned
about the increasing rate of cancer among the nation's minority
populations and has expressed particular interest about the high rates
in urban areas such as North Philadelphia. For example, in 1992, of the
173 cases of buccal cavity and pharynx cancer in males in Philadelphia,
Black males had 92, or 53.4% of the cases. In the same year, of the 91
cases of esophagus cancer in Philadelphia's male population, Black
males had 49 of the cases, or 53.8%. Of the 4,090 all cancer sites in
males in Philadelphia, Black men had 1,727, or 35.1%. For all cancer
sites for women, Black women had 2,547 of the 4,702 cases or 32.9%.
The high rates of cancer mortality in Philadelphia for the non-
white population, supports the need to develop and deliver cancer
services to diverse minority populations in order to study ways to
improve mortality rates in urban areas.
Congress has recommended that the Office of Minority Health conduct
a cancer outreach and service program in an urban area, such as
Philadelphia. OMH plans to fund a cancer program in North Philadelphia
to address these concerns.
Applicants should possess the following capabilities:
(1) Has the ability and track record to conduct a comprehensive
needs assessment of the prevalence and impact of cancer on minorities
in North Philadelphia compared to other parts of the city, the county,
the state and the nation.
(2) Has a developed and expanded infrastructure to provide
comprehensive cancer reduction health care services for high risk
minorities who reside in North Philadelphia. Furthermore, the health
care services are aimed at reducing unnecessary morbidity and cancer
mortality rates among targeted low income minority populations of the
service area.
(3) Has a comprehensive cancer care program embracing four
components of care: the medical component, which consists of some
combination of surgical, chemical and/or radiation therapy; the oral
health component, which identifies linkages with the dental community,
particularly minority dentists; the psychological component, in which
the emotional needs of cancer patients are addressed; and the
prevention component, which stresses behavioral changes in smoking and
dietary practices, and education and cancer awareness programs.
(4) Is a teaching hospital in North Philadelphia which focuses on
serving low-income minority populations.
(5) Has developed cancer research component to enhance treatment
modalities and prevention strategies to target minority populations.
(6) Has demonstrated outreach linkages with minority neighborhoods
through cancer screening in the community; and by promoting cancer
prevention at community health fairs, through neighborhood businesses,
and religious organizations.
(7) Has trained healthcare professionals with the work experience
and track record of providing culturally appropriate outreach,
screening and health care to Black, Hispanic, Native American and Asian
populations, including the ability to communicate in a variety of
languages.
Applicant Eligibility
Eligible applicants are public and private non-profit organizations
with demonstrated capability to serve the target population in North
Philadelphia. Only teaching hospitals located in North Philadelphia
should apply.
The community served by the applicant should have a minority
population (Black American and/or Hispanic/Latino) in excess of 60
percent, an unemployment rate exceeding the national average by at
least 25 percent, and a poverty rate at least twice the national
average.
Program Requirements
The cooperative agreement will include substantive involvement of
both the recipient and the Federal Government. At a minimum, the
following expectations are anticipated:
Recipient Responsibilities
(1) The recipient shall conduct a comprehensive needs analysis of
cancer prevalence in the North Philadelphia community and document
cancer rates for various types of cancers, i.e., breast, cervical,
prostrate, lung, skin, oral, etc., in the target area; compare
prevalence to other areas of the county, state and the nation in order
to justify the need, and justify the need to select specific types of
cancer for the study.
(2) The recipient shall design a model for minorities in high risk,
low income, urban communities which is integrated, culturally and
linguistically sensitive community-based cancer outreach program. The
model shall embody the four basic components of care: the medical
component, which consists of some combination of surgical, chemical
and/or radiation therapy; oral health component which includes linkages
[[Page 21367]] with the dental community; the psychological component,
in which the emotional needs of the cancer patients are addressed; and
a prevention component which stresses behavioral changes and cancer
awareness programs. The model shall provide for the treatment of cancer
through early diagnosis and provide continuity of support to patients
from screening through treatment. The model should include a viable
coalition of community organizations, and appropriately utilize them to
assist in the development of the project and accomplish the project
objectives. The model should be a coordinated community approach that
involves formal relations with established community organizations with
high visibility and substantial ingress to the targeted population. The
model shall have the potential for replication in similar communities.
(3) The recipient shall establish formal relations with a coalition
or affiliation of community based organizations and professional
associations to assist in the development and conduct of the project.
Recipient shall also coordinate project activities with state and/or
local health departments as appropriate.
(4) The recipient shall implement and conduct all facets of the
model, including screening, treatment, and other necessary and desired
support and follow-up activities, in the targeted minority community.
All aspects of the project shall be fully operational within 10 months
of the effective date of the cooperative agreement.
(5) The recipient shall evaluate the effects of the project in
terms of numbers of patients screened and the provision of continuity
of support to diagnosed cancer patients and submit a written evaluation
report, within 1 year of the effective date of the cooperative
agreement.
(6) The recipient shall prepare a manual for replicating the model
in other similar communities. Consideration should be given to
replication of the approach for diseases other than cancer.
(7) The recipient shall submit monthly progress reports to the
Project Officer. The recipient shall meet with the Project Officer on
an as-needed basis as determined by the Project Officer.
(8) The recipient shall arrange an annual meeting (for appropriate
government, professional and community officials) to provide briefings
regarding programmatic outcomes, evaluation plans, strategies,
agreements, and to provide expertise regarding the identification of
evolving areas of concern affecting the minority populations targeted
in the project.
(9) The recipient shall assist OMH staff in selecting potential
sites for replicating the model.
OMH Responsibilities
Substantial programmatic involvement is as follows:
(1) OMH shall arrange an initial orientation meeting to: discuss
and finalize a project management plan; clarify roles and
responsibilities of the recipient, collaborating community based
organizations, and OMH and other Federal agency staff participating in
the project; establish clear lines of communication.
(2) OMH shall introduce the project participants to other PHS and
Department of Health and Human Services (DHHS) staff, in particular,
staff of cancer programs at the National Cancer Institute (NCI) and the
Centers for Disease Control and Prevention (CDC), for technical and
programmatic consultation and assistance; and to discuss and review a
workplan.
(3) OMH staff shall provide technical assistance and oversight as
necessary to project staff and consultants for the overall design,
implementation, conduct, and assessment of project activities.
(4) OMH staff shall provide technical assistance to the recipient
in the design, development, and implementation of the evaluation plans
and strategies.
(5) OMH staff shall review and approve all evaluation plans and
strategies prior to implementation.
(6) OMH staff shall assist the recipient in arranging for
consultation, on an as-needed basis, from other Government agencies and
non-governmental organizations such as the American Cancer Society.
(7) OMH staff shall be responsible for the selection of potential
sights for replicating the project.
(8) OMH staff shall facilitate the cooperation of organizations
that have grant programs within the service area. These programs will
include the following: Health Careers Opportunity Program (HCOP),
Centers of Excellence (COE), Minority Community Health Coalition
Demonstration, and Public Housing Primary Care Program. In addition to
these programs, OMH staff will facilitate the cooperation of national
organizations such as: National Medical Association, National Dental
Association, Hispanic Dental Association and Interamerican College of
Physicians and Surgeons.
(9) OMH shall be responsible for the printing and distribution of
the manual for replicating the model in similar communities.
Review of Applications
Applications will be screened upon receipt. Those that are judged
to be incomplete, non-responsive to the announcement or nonconforming
will be returned without comment. Applications judged to be complete,
conforming, and responsive, will be reviewed for technical merit in
accordance with PHS policies.
Applications will be evaluated by Federal reviewers. Applicants are
advised to pay close attention to program guidelines, review criteria,
and the general and supplemental instructions provided in the
application kit.
Contacts
Applications will be prepared on PHS Standard Form 5161-1 (approved
by OMB under control number 0937-0189). Application kits and technical
assistance on business and grants management information may be
obtained from Ms. Carolyn A. Williams, Grants Management Officer,
Office of Minority Health, Rockwall II Building, Suite 1000, 5515
Security Lane, Rockville, Maryland 20852, telephone number (301) 594-
0758. Completed applications are to be submitted to the same address.
For program information, contact Mr. John H. Walker, III, Project
Officer, Office of Minority Health, Rockwall II Building, Suite 1000,
5515 Security Lane, Rockville, MD 20852, telephone number (301) 594-
0769.
Application Deadline
To receive consideration, grant applications must be received by
C.O.B. (30 days from the date of this publication). Applications will
be considered as meeting the deadline 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 orderly processing. Applicants should
request a legibly dated receipt from a commercial carrier or U.S.
Postal Service. Private metered postmarks will not be accepted as proof
of timely mailing. Applications which do not meet the deadline will be
considered late and will be returned to the applicant.
Provision of Smoke-Free Workplace and Non-Use of Tobacco Products by
Recipients of PHS Grants
PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and to promote the nonuse of all tobacco
products. In [[Page 21368]] addition, Public Law 103-227, the Pro-
Children Act of 1994, prohibits smoking in certain facilities (or in
some cases, any portion of a facility) in which regular or routine
education, library, day care, health care or early childhood
development services are provided to children.
State Reviews
Applications are subject to state review as governed by Executive
Order 12372, Intergovernmental Review of Federal Programs. All comments
from a State office must be received by the Office of Minority Health's
Grants Management Officer within 60 days after the application
deadline. Applicants should contact the appropriate State Single Points
of Contact (SPOC) early in the application preparation process. A list
of the SPOCs is enclosed with the application kit material.
Public Health System Reporting Requirements
This program is subject to Public Health Systems Reporting
Requirements. Under these requirements, an applicant involving a
community based nongovernmental organization must prepare and submit a
Public Health System Impact Statement (PHSIS). The PHSIS is intended to
provide information to State and local health officials to keep them
apprised of proposed health services grant applications submitted by
community-based nongovernmental organizations within their
jurisdictions.
Applicants involving community-based nongovernmental organizations
are required to submit the following information to the head of the
appropriate State and local health agencies in the area(s) to be
impacted no later than the Federal application receipt due date: (a) a
copy of the face page of the applications (SF 424), (b) a summary of
the project (PHSIS), not to exceed one page, which provides: (1) a
description of the population to be served, (2) a summary of the
services to be provided, (3) a description of the coordination planned
with the appropriate State or local health agencies.
There is no Catalog of Federal Domestic Assistance number for this
program since it is a one-time project.
Dated: March 17, 1995.
Clay E. Simpson, Jr.,
Acting Deputy Assistant Secretary for Minority Health.
[FR Doc. 95-10577 Filed 4-28-95; 8:45 am]
BILLLING CODE 4160-17-M
