[Federal Register Volume 62, Number 120 (Monday, June 23, 1997)]
[Notices]
[Pages 33876-33888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-16310]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[Announcement 780]
State Injury Intervention and Surveillance Program; Notice of
Availability of Funds for Fiscal Year 1997
Introduction
The Centers for Disease Control and Prevention (CDC) announces the
availability of fiscal year (FY) 1997 funds for a cooperative agreement
program for State injury intervention and surveillance programs,
focused in four topic areas: Prevention of Unintentional Injuries
(bicycle helmet promotion (Part IA1), prevention of residential fire-
related injuries (Part IA2)); Trauma Care Systems (Part IB); Emergency
Department Injury Surveillance (Part IC); and Basic Injury Program
Development (Part II).
CDC is committed to achieving the health promotion and disease
prevention objectives of ``Healthy People 2000,'' a national activity
to reduce morbidity and mortality and to improve the quality of life.
This announcement is related to the priority areas of Unintentional
Injuries, Violent and Abusive Behavior, and Surveillance and Data
Systems. (For ordering a copy of ``Healthy People 2000,'' see the
section Where to Obtain Additional Information.)
Programmatic Assistance--Topic Specific Telephone Conferences
During the week of July 7-11, 1997, a series of five, one-hour
each, topic-specific, programmatic assistance telephone conferences
will be arranged by CDC program staff. To receive the exact date, time,
and call-in information, please contact the appropriate CDC program
individual (see where to Obtain Additional Information section).
Authority
This program is authorized under sections 301, 317, 391, and 394A
of the Public Health Service Act [42 U.S.C. 241, 247b, 280b, and 280b-
3] as amended.
Smoke-Free Workplace
CDC strongly encourages all cooperative agreement recipients to
provide a smoke-free workplace and to promote the non-use of all
tobacco products, and Public Law 103-227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities that receive Federal funds in
which education, library, day care, health care, and early childhood
development services are provided to children.
[[Page 33877]]
Eligible Applicants
Eligible applicants are the official State public health agencies
or their bona fide agents. This includes the District of Columbia,
American Samoa, the Commonwealth of Puerto Rico, the Virgin Islands,
the Federated States of Micronesia, Guam, the Northern Mariana Islands,
the Republic of the Marshall Islands, and the Republic of Palau.
Note: Effective January 1, 1996, Public Law 104-65 states that
an organization described in section 501(c)(4) of the Internal
Revenue Code of 1986 which engages in lobbying activities shall not
be eligible to receive Federal funds constituting an award, grant
(cooperative agreement), contract, loan, or any other form.
Availability of Funds
Approximately $3,290,000 is available in FY 1997 to fund up to
nineteen new and competing continuation awards:
Parts IA1 and IA2
Approximately $1,750,000 is available to fund up to ten awards in
the areas of: (1) Bicycle Helmet Promotion, and (2) Residential Fire
Injury Prevention. It is expected that the average award will be
$175,000, ranging from $150,000 to $185,000.
Part IB
Approximately $490,000 is available to fund up to two awards for
Trauma Care System development. It is expected that the average award
will be $245,000, ranging from $230,000 to $260,000.
Part IC
Approximately $750,000 is available to fund up to three awards for
development and enhancement of Emergency Department Injury Surveillance
Programs. It is expected that the average award will be $250,000,
ranging from $225,000 to $275,000.
Part II
Approximately $300,000 is available to fund up to four awards for
Basic Injury Program Development. It is expected that the average award
will be $75,000, ranging from $70,000 to $80,000.
States applying for Unintentional Injury Prevention Programs (Parts
IA1 and IA2) may apply for Bicycle Helmet Promotion (Part IA1) funding
or Residential Fire Injury Prevention (Part IA2) funding, but not both.
States applying for Basic Injury Program Development (Part II) may
not apply for any Part I topics.
Projects are expected to begin on or about September 30, 1997, and
will be made for a 12-month budget period within a project period of up
to 3 years. Funding estimates may vary and are subject to change.
Continuation awards within the project period will be made on the
basis of satisfactory progress and the availability of funds.
Note: At the request of the applicant, Federal personnel may be
assigned in lieu of a portion of the financial assistance.
Funding Preferences: During the selection process, CDC will make
every effort to ensure a balanced geographic distribution, including
urban and rural States, for each topic area.
Use of Funds
Funds may be used for personnel services, supplies, equipment,
travel, subcontracts, and services directly related to project
activities. Project funds cannot be used to supplant other existing
funds for planning, implementation or surveillance activities, for
construction costs, or to lease or purchase buildings, office space, or
vehicles.
Restrictions on Lobbying
Applicants should be aware of restrictions on the use of HHS funds
for lobbying of Federal or State legislative bodies. Under the
provisions of 31 U.S.C. Section 1352 (which has been in effect since
December 23, 1989), recipients (and their subtier contractors) are
prohibited from using appropriated Federal funds (other than profits
from a Federal contract) for lobbying Congress or any Federal agency in
connection with the award of a particular contract, grant, cooperative
agreement, or loan. This includes grants/cooperative agreements that,
in whole or in part, involve conferences for which Federal funds cannot
be used directly or indirectly to encourage participants to lobby or to
instruct participants on how to lobby.
In addition, the FY1997 HHS Appropriations Act, which became
effective October 1, 1996, expressly prohibits the use of 1997
appropriated funds for indirect or ``grass roots'' lobbying efforts
that are designed to support or defeat legislation pending before State
legislatures. This new law, Section 503 of Pub. L. No. 104-208,
provides as follows:
Sec. 503(a) No part of any appropriation contained in this Act
shall be used, other than for normal and recognized executive-
legislative relationships, for publicity or propaganda purposes, for
the preparation, distribution, or use of any kit, pamphlet, booklet,
publication, radio, television, or video presentation designed to
support or defeat legislation pending before the Congress, * * *
except in presentation to the Congress or any State legislative body
itself.
(b) No part of any appropriation contained in this Act shall be
used to pay the salary or expenses of any grant or contract
recipient, or agent acting for such recipient, related to any
activity designed to influence legislation or appropriations pending
before the Congress or any State legislature.
Department of Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 1997, as enacted by the Omnibus
Consolidated Appropriations Act, 1997, Division A, Title I, Section
101(e), Pub. L. No. 104-208 (September 30, 1996).
Prohibition on Use of CDC Funds for Certain Gun Control Activities
The Departments of Labor, Health and Human Services, and Education,
and Related Agencies Appropriations Act, 1997 specifies that: ``None of
the funds made available for injury prevention and control at the
Centers for Disease Control and Prevention may be used to advocate or
promote gun control.''
Anti-Lobbying Act requirements prohibit lobbying Congress with
appropriated Federal monies. Specifically, this Act prohibits the use
of Federal funds for direct or indirect communications intended or
designed to influence a Member of Congress with regard to specific
Federal legislation. This prohibition includes the funding and
assistance of public grassroots campaigns intended or designed to
influence Members of Congress with regard to specific legislation or
appropriation by Congress.
In addition to the restrictions in the Anti-Lobbying Act, CDC
interprets the new language in the CDC's 1997 Appropriations Act to
mean that CDC's funds may not be spent on political action or other
activities designed to affect the passage of specific Federal, State,
or local legislation intended to restrict or control the purchase or
use of firearms.
Background and Definitions for Topic Areas
Part IA1: Bicycle Helmet Promotion
Bicycle riding is a popular American past time. An estimated 66.9
million Americans ride bicycles; indeed, about 29 percent of U.S.
households have one or more bicyclists. Bicycle riding also has
accompanying risks. Each year, an average of 879 persons die from
injuries caused by bicycle crashes, and 592,000 persons are treated in
emergency departments (EDs) for injuries from bicycling. Head injury is
the most common cause of death and serious disability in bicycle-
related crashes; head injuries are involved in about 60
[[Page 33878]]
percent of the deaths, and 30 percent of the bicycle-related ED visits.
Many of these nonfatal head injuries produce lifelong disability from
irreversible brain damage. Societal costs for bicycle-related head
injuries exceed $2 billion annually.
American children, in particular, are avid bicyclists--an estimated
33 million children ride bicycles nearly 10 billion hours each year.
Unfortunately, an average of 384 children die annually from bicycle
crashes, and 450,000 more are treated in EDs for bicycle-riding related
injuries.
Bicycle helmets are a proven intervention that reduce the risk of
bicycle-related head injury by about 80 percent, yet bicycle helmets
are not worn by most riders. Only 19 percent of adults and 15 percent
of children use helmets all or most of the time while cycling. If all
bicyclists wore helmets, from 335-393 deaths and 119,000-140,000 ED-
treated head injuries could be prevented each year. Accordingly, a
Healthy People 2000 goal is 50 percent bicycle helmet use by the Year
2000. To promote this goal, CDC has published recommendations that
urged: (1) Helmets be worn by persons of all ages when bicycling, (2)
riders wear helmets whenever or wherever they ride, (3) helmets should
meet test standards, and (4) States and communities implement
strategies to increase helmet use, including education and promotion,
legislation, enforcement, and program evaluation.
For Bike Helmet Promotion Model Program and further background
information, see the Where to Obtain Additional Information section.
Part IA2: Residential Fire Injury Prevention
In 1995, there were an estimated 414,000 home fires in the United
States, which killed 3,640 individuals and injured an additional 18,650
people. Direct property damage caused by these fires exceeded $4.2
billion. In 1994, the monetary equivalent of all fire deaths and
injuries, including deaths and injuries to fire fighters, was estimated
at $14.8 billion.
Residential fire deaths occur disproportionately in the
southeastern States. They also occur disproportionately during the
winter months of December--February, a period during which more than
one-third of home fires occur, compared to one-sixth in the summer
months of June-August. Many subgroups within the population remain
highly vulnerable to fire morbidity and mortality. The rate of death
due to fire is higher among the poor, minorities, children under age 5,
adults over age 65, low-income communities in remote rural areas or in
poor urban communities, and among individuals living in manufactured
homes built before 1976, when the U.S. Department of Housing and Urban
Development construction safety standards became effective. Other risk
factors for fire-related deaths include:
Inoperative smoke detectors,
Careless smoking,
Abuse of alcohol or other drugs,
Incorrect use of alternative heating sources including
usage of devices inappropriate or insufficient for the space to be
heated,
Inadequate supervision of children,
Insufficient fire safety education.
The majority of fire-related fatalities occur in fires that start
at night while occupants are asleep, a time when effective detection
and alerting systems are of special importance. Operable smoke
detectors on every level provide the residents of a burning home with
sufficient advance warning for escape from nearly all types of fires.
If a fire occurs, homes with functional smoke detectors are half as
likely to have a death occur as homes without smoke detectors. As a
result, operable residential smoke detectors can be highly effective in
preventing fire-related deaths. Accordingly, a Healthy People 2000
objective is the reduction of residential fire deaths to no more than
1.2 per 100,000 people by the Year 2000.
For Residential Fire Injury Prevention Programs the definition for
high-risk target populations is a community or geographic area known to
have: (1) A high prevalence of residential fire deaths, (2) a low
prevalence of functional residential smoke detectors, (3) a composition
of primarily low-income residents, or (4) a high proportion of rented
residential units.
For Residential Fire Injury Prevention Model Program and further
background information, see the Where to Obtain Additional Information
section.
Part IB: Trauma Care System Development
A trauma care system (TCS) is an organized, hierarchical approach
to trauma care in which the medical needs of individual trauma patients
are optimally matched to the resources available in a defined
geographic region. In a TCS, a lead agency categorizes hospitals on the
basis of their trauma care capabilities, designated trauma centers
provide 24 hour access to the highest level of care, and prehospital
field protocols are used to triage injured patients to the most
appropriate hospital. The finding that 30 percent to 35 percent of
trauma patient deaths are preventable in conventional trauma care has
mobilized support for TCS planning and implementation. Studies showing
up to a 50 percent reduction in preventable trauma deaths when a TCS is
implemented provide compelling evidence of TCS effectiveness.
Despite the proven effectiveness of TCSs, in 1993 only five States
satisfied established criteria for a complete TCS, a modest increase
from two States that met the criteria in 1988. Financial constraints
are the major barrier to TCS implementation. Prohibitively high start-
up costs and operating expenses deter emergency medical services (EMS)
agencies from serving as the lead agencies for TCSs, and concerns about
revenue loss impede greater TCS participation by acute care hospitals
and trauma care professionals. Other impediments to TCS implementation
include organizational and political barriers, among the most important
of which is an increasingly competitive health care market that makes
it difficult to establish integrated systems of care. Major planning,
publicity, and educational efforts are needed to develop or enhance a
TCS, along with ongoing coordination of prehospital and hospital
services and continuous quality improvement efforts.
Baseline and follow-up studies of trauma incidence and outcomes are
instrumental in planning, implementing, and evaluating a TCS. Among the
most useful data sources are trauma registries, hospital discharge
data, vital statistics, autopsy records, emergency medical services
(EMS)run reports, and surveys that assess hospital trauma care
capabilities. Among the most informative outcome studies are
preventable trauma death audits using expert review panels, comparisons
of expected and observed mortality using trauma registry data and
predictive mathematical models, and studies of death rates among trauma
patients based on their hospital discharge diagnoses and other data. A
variety of approaches are used to evaluate structural aspects of TCSs
and patient care processes before and after TCS implementation. Among
the most informative of these studies are surveys that identify whether
specific TCS components are in place and process indicators that focus
on the timeliness and appropriateness of trauma care.
For Trauma Care System Model Program and further background
information, see the Where to Obtain Additional Information section.
[[Page 33879]]
Part IC: Emergency Department Injury Surveillance
Public health professionals need adequate information to develop,
implement, and evaluate prevention programs, and decision makers need
adequate information to develop policies to prevent injuries. Public
health surveillance of injuries should provide data to make sound
policy decisions and to plan prevention strategies. Injury surveillance
should: (1) Provide quantitative estimates of injury mortality,
morbidity, and disability; (2) detect clusters of injury events; (3)
identify risk factors for injury events; (4) stimulate more focused
epidemiologic research; (5) help define costs associated with injuries;
and (6) help determine the effectiveness of injury prevention and
control programs.
Mortality Data
Relative to other sources, fatal injury data sources are the most
well-developed, available and utilized. These include death
certificates, medical examiner and coroner reports, the FBI's
Supplemental Homicide Reports, child fatality review system reports,
and the Fatal Accident and Reporting System (FARS) maintained by the
National Highway Traffic Safety Administration. Death certificate data
provide information about both causes and types of fatal injuries
sustained. State and local programs should have the capacity to use
their mortality data systems.
Morbidity Data
Fatal injuries represent only a small portion of the injury problem
in the United States. The lack of adequate data on nonfatal injuries is
a serious problem for injury prevention and control. Given the changing
patterns of health care, hospitalized nonfatal injuries represent a
smaller portion of the injury burden in the United States. Their
usefulness to plan injury control programs is less clear. Because of
this, the ED should be explored for nonfatal injury data. The
development of standardized hospital emergency department based
surveillance systems should provide useful data at State and local
levels. These surveillance systems need to be relevant to local data
needs (i.e., supporting local injury control efforts) and flexible
enough to accommodate changing priorities (e.g., the need to estimate
the risks and benefits of passenger airbags), and have standard case
definitions and data elements so that data collected can be compared to
those collected in other jurisdictions, including national samples.
Definitions for Emergency Department Injury Surveillance
The essential data elements for emergency departments are fully
defined in CDC's ``Data Elements for Emergency Department Systems'',
release 1.0. (For ordering a copy see the Where to Obtain Additional
Information section.)
Surveillance is the ongoing, systematic collection, analysis, and
interpretation of health data necessary for designing, implementing,
and evaluating public health programs.
Hospital emergency departments are defined as facilities offering
24-hour emergency medical services affiliated with an acute care
hospital of six or more beds.
Non-fatal injuries are defined as consistent with the International
Classification of Disease (ICD) coding for injury (E800-E999) with the
specific exclusion of adverse effects of medical care (E870-879) and of
drugs (E930.0-949.9).
For Emergency Department Injury Surveillance Model Program and
further background information, see the Where to Obtain Additional
Information section.
Part II: Basic Injury Program Development
Injury is one of the leading causes of death and disability for all
age groups. It is responsible for more deaths to children and young
adults than any other cause. Each year, nearly 150,000 people die from
injuries. Children, minorities, and the elderly are especially at risk.
Although the greatest cost of injury is in human suffering and loss,
the financial cost is also staggering. Including direct medical care
and rehabilitation costs and lost income and productivity, injury costs
are estimated at more than $224 billion. Without exception, preventing
injuries costs less than treating them.
As late as 1989, most State and local public health agencies in
this country did not have the organizational focus or capacity to
systematically address injuries as a public health problem or to lead
their State or community activities in injury prevention and control.
Currently, each State public health agency, and many of their local
counterparts, maintains a focus in injury prevention and control. While
this injury focus is minimal in a portion of these agencies, an
impressive track record is emerging in this still relatively new field.
Lessons of importance have been learned. While the locus for injury
programs in public health agencies is in a variety of organizational
locations, valuable injury prevention programs are in place and
accurate surveillance is being conducted. Predictably, public health
agencies have shown themselves adept at forging relationships with the
many new partners necessary to address the problem of injuries, and
these partnerships have successfully crossed traditional zones of
comfort for both the public health agencies and their partners.
However, this encouraging level of interest and competence has not
yet resulted in adequate capacity to address this major public health
problem in all States. This program will allow State public health
agencies with minimal injury prevention and control capability to
establish or strengthen the organizational focus needed to develop
viable injury prevention and control activities.
Purpose
The purposes of the cooperative agreements are to enable State
public health agencies to implement priority injury prevention and
control activities. The areas of interest are:
Part I
A. Unintentional Injury Prevention Programs for: 1. Bicycle Helmet
Promotion Programs (Part IA1), 2. Residential Fire Injury Prevention
Programs (Part IA2).
B. Trauma Care System Development Programs (Part IB).
C. Emergency Department Injury Surveillance Programs (Part IC).
Part II Basic Injury Program Development Programs (Part II)
This funding will allow the applicant to establish or strengthen
injury prevention and control activities in the targeted areas (e.g.,
Trauma Care Systems development). It is expected that programs
developed or enhanced under this funding will function as a component
of the public health agency's injury control program (if any exist),
will coordinate related activities both within the agency and within
the jurisdiction, and will mobilize, seek input from, and utilize broad
coalitions.
Four Topic Areas
Part IA1--Bicycle Helmet Promotion
Bicycle Helmet Promotion Programs are used to promote the use of
bicycle helmets among high-risk (unhelmeted) 5-12 year-olds.
(Additional high-risk, age, or demographic groups may be targeted, but
their inclusion must be justified separately and the 5-12 year-old age
group must be covered.)
These programs will establish or strengthen a state-level bicycle
helmet
[[Page 33880]]
promotion program and allow support for multifaceted local programs
within the State. State-level programs will collaborate with the State
Department of Education to promote school-based programs, foster adult
programs on helmets, and provide public programs to change knowledge,
attitudes and beliefs, support helmet discounting or giveaways, develop
helmet-wearing incentive programs, enhance enforcement, encourage
helmet promotion in the health care delivery setting, and collaborate
with governmental and civic organizations.
State programs will foster multifaceted (See Where to Obtain
Additional Information section) programs at local levels within the
State. These local programs will include elements such as school-based
parental programs and public programs to change knowledge, attitudes
and beliefs, bicycle rodeos, helmet discounting or giveaways, helmet-
wearing incentive programs, enforcement and support of existing
legislation/regulation, helmet promotion in the health care delivery
setting, and partnership with civic organizations such as Safe Kids,
Boy Scouts, etc. Programs will also evaluate the effectiveness of
strategies for increasing bicycle helmet use (including observing pre-
and post-program helmet use in the target population.)
Novel approaches to supplement the elements noted above are
strongly encouraged.
Part IA2--Residential Fire Injury Prevention
Residential Fire Injury Prevention Programs are used to allow State
public health agencies to compare the effectiveness of approaches to
promoting residential smoke detectors in high-risk populations. The
focus of the programs is smoke detector installation and maintenance.
Programs can include home visits--smoke detector installation, and/or
maintenance of existing detectors- as well as incentive programs that
provide coupons/discounts for smoke detectors, combined with follow-up.
Programs will involve educating parents and other care givers,
children, teachers, policy makers, community leaders, and the general
public about the importance of residential smoke detectors as an
effective intervention. Programs may also involve the distribution and
installation of smoke detectors in selected high risk communities,
encouraging public policy (nonlegislative), or serving as a resource,
when requested, as issues arise related to local ordinances requiring
smoke detector use. Programs will establish or strengthen local smoke
detector promotion programs which increase current residential smoke
detector prevalence rates, achieve optimal adequacy of coverage, and
maintain smoke detector functionality.
To achieve these goals, programs will support smoke detector
installation and maintenance programs, develop smoke detector incentive
programs, provide public education, form broad partnerships that may
include businesses, governmental agencies, community-based and civic
organizations, and fire safety personnel, enforce local ordinances, and
encourage smoke detector promotion in the health care delivery setting.
Part IB--Trauma Care System Development
This program will enable State public health agencies to enhance
their role as lead agencies or prospective lead agencies in order to
plan and take steps toward implementing or improving an inclusive TCS
in their State or substate region. These programs will develop or
enhance their State TCS by adding components of an optimal TCS as
defined in ``A National Plan for Injury Control'' (See Where to Obtain
Additional Information section), and by evaluating success.
Specifically, programs will assess the current level of TCS
development, create plans, and implement or improve components of the
optimal TCS, regardless of the level of maturity of their existing TCS.
This program is designed for mature and developing TCSs.
Part IC--Emergency Department Injury Surveillance
This program is designed to expedite the development of emergency
department surveillance for injuries in the United States and to
provide a coordinated approach to improving the quality, comparability,
and availability of ED data. State public health agencies will develop
and evaluate or enhance and evaluate a hospital emergency department
injury data system which can provide E-coded injury data representative
of all types of emergency department treated nonfatal injuries
occurring statewide or in a population of one million people or more
which is representative of the State population. Specifically, programs
will improve the quality and availability of population-based, hospital
emergency department nonfatal injury surveillance data for use in
injury control program planning.
Part II--Basic Injury Program Development
These program is designed to allow State public health agencies
with minimal injury prevention and control capability to develop or
strengthen their organizational focus in prevention and control of
injuries. State public health agencies will identify a coordinator for
injury activities, develop a profile of injuries within the State from
existing data sources, develop an advisory structure to utilize
collaborative relationships with public and private sector groups,
organizations, agencies and individuals with interest or expertise in
injury prevention or control, and develop a priority-driven State plan
for injury prevention and control.
Cooperative Activities
In conducting activities to achieve the purposes of this program,
the recipient will be responsible for the activities under A-E.
(Recipient Activities), and CDC will be responsible for the activities
listed under F. (CDC Activities).
A. Recipient Activities: Bicycle Helmet Promotion (Part IA1)
1. Provide a full-time coordinator with the authority,
responsibility, and expertise to conduct and manage the state-level
program and provide technical and evaluation assistance to local
programs.
2. If statewide or local legislation requiring bicycle helmet use
exists, promote its enforcement. Provide evaluation data, when
requested, for use by legislators considering helmet legislation. When
requested, serve as a resource as issues arise relating to local
ordinances requiring bicycle helmet use.
3. Collaborate with highway safety officials, civic organizations,
educational groups, employers, health care providers, and others to
promote statewide bicycle helmet usage.
4. Collaborate with the State Department of Education to promote
school-based programs that increase knowledge, affect attitudes and
beliefs (including students, teachers, and parents), and encourage
rules to foster helmet use. Encourage school systems to support data
collection by allowing initial classroom surveys of ridership and
helmet use by show-of-hands to be conducted.
5. Encourage parental programs that increase knowledge, affect
attitudes and beliefs (e.g., in the workplace), provide public
education (meetings, newsletters, media coverage), support helmet
discounting or giveaways, develop
[[Page 33881]]
helmet-wearing incentive programs, and encourage helmet promotion in
the health care delivery setting.
6. Conduct a multifaceted program and support the development and
implementation of multifaceted community-based programs to promote the
use of bicycle helmets.
7. Evaluate the effectiveness of both the State and local programs,
including pre- and post-program observed helmet use among the target
population and, for local programs, observation of at least 100 child
bicyclists (from at least 4 different sites) in the immediate pre- and
post-intervention periods.
8. Designate control communities and conduct observations in these
communities in order to help differentiate program effects from
background trends.
9. Participate in a process of evaluation and improvement in which
lessons learned are shared with other States implementing bicycle
helmet promotion programs.
B. Recipient Activities: Residential Fire Injury Prevention (Part IA2)
1. Provide a full-time coordinator with the expertise, authority,
and responsibility to manage the state-level program. This individual
will oversee the development of local area residential smoke detector
promotion programs and coordinate evaluations of and comparison among
local interventions conducted within the State during the funding
cycle. This individual will provide technical and evaluation assistance
to local programs.
2. Collaborate with state-level firefighters' associations, fire
marshals' associations, fire safety coalitions and other grassroots
organizations (e.g., SAFE KIDS Campaign) which are interested in
reducing residential fire-related deaths and injuries.
3. Support the development and implementation of multifaceted
community-based programs to promote the installation and maintenance of
smoke detectors in all residential dwellings. Local programs will: (a)
provide a coordinator who will develop residential smoke detector
promotion program(s) targeted to a local high-risk group(s) (see Where
to Obtain Additional Information section); (b) conduct multifaceted
programs to promote the installation and maintenance of smoke detectors
in all residential dwellings, including fire-safety education through
door-to-door canvassing and public education; (c) canvass households
(at least 400) in the targeted population to determine the
functionality of residential smoke detectors and install additional
units as needed, and simultaneously canvass households (at least 400)
in a comparable population to determine the presence and functionality
of residential smoke detectors, distribute home fire-safety literature,
and recommend smoke detector installation, as needed, and (d) conduct
evaluation of both groups 12 months post intervention implementation to
assess the difference in effectiveness of intervention strategies. When
requested, serve as a resource as issues arise relating to local
ordinances requiring residential smoke detector use. If such ordinances
exist promote their enforcement.
4. Evaluate the effectiveness of local programs, including pre- and
post-program estimates of the proportion of functional residential
smoke detectors, as well as adequacy of residential smoke detector
coverage among the target population. Coordinate evaluation of
installation smoke detector promotion efforts in the target communities
versus other strategies utilized in comparable communities to discern
the effectiveness of each intervention.
5. When requested, serve as a resource as issues arise relating to
statewide legislation requiring residential smoke detector use. Promote
enforcement if such legislation exists.
6. Participate in a process of evaluation and improvement in which
lessons learned are shared with other States implementing residential
fire injury prevention programs.
C. Recipient Activities: Trauma Care System Development (Part IB)
1. Provide a full-time coordinator with the authority,
responsibility, and expertise to conduct and manage the state-level
program.
2. Plan, develop, and implement a data-driven system to monitor and
evaluate prehospital and hospital compliance with TCS standards,
utilizing such data sources as trauma registries, EMS run reports,
hospital discharge data, vital statistics and autopsy records.
3. Design, test, refine, and use methods to identify and respond to
preventable trauma morbidity, complications, and disability among
patients hospitalized from trauma throughout the TCS.
4. Establish administrative rules and procedures for designating
trauma centers, if needed.
5. Administer and complete (if needed) a trauma center designation
process.
6. Establish or improve a TCS information system and collect and
analyze TCS data.
7. Develop a strategic plan to overcome specified barriers to an
optimal TCS, and over time, monitor the impact of this strategic plan.
8. Identify non-federal sources of support for the TCS.
9. Participate in a process of evaluation and improvement in which
lessons learned are shared with other States implementing trauma care
systems.
D. Recipient Activities: Emergency Department Injury Surveillance (Part
IC)
1. Provide a full-time coordinator with the authority,
responsibility, and expertise to conduct and manage the state-level
program.
2. Develop, implement, and evaluate a plan for conducting hospital
ED surveillance.
3. Conduct hospital emergency department surveillance, which
includes (but is not limited to) the essential injury elements (see
definitions) as specified in ``Data Elements for Emergency Department
Systems'' (DEEDS), and collect information addressing demographics,
diagnoses, treatment, etiology, severity, charges, and outcome.
4. Evaluate the surveillance system for completeness and validity
of data collected using methods described in ``Guidelines for
Evaluating Surveillance Systems.''
5. Develop and submit an annual report of the analysis of
surveillance data, and compile and share aggregated data with CDC in
electronic format.
6. Participate in a process of evaluation and improvement in which
lessons learned are shared with other States implementing ED
surveillance.
E. Recipient Activities: Basic Injury Program Development (Part II)
1. Provide a full-time coordinator who has the authority,
responsibility, and expertise to conduct and manage the state-level
program.
2. Establish an advisory group to address issues relevant to injury
prevention and control in the State. This group will consist of public
and private individuals, organizations, agencies, and groups such as
internal public health agency units (e.g., MCH, epidemiology, EMS,
block grant coordination), Governor's Highway Safety Representatives,
police, SAFE KIDS, NFPA Champions, National Safety Council, AARP, Brain
Injury Association, trauma care organizations, violence prevention
programs, and community-based organizations. The advisory group will
advise and make recommendations in areas such as reviewing injury data,
setting priorities,
[[Page 33882]]
assessing the public health agency's capacity and resources to address
injury as a priority public health problem, and creating a State plan
for injury prevention and control.
3. Analyze existing data to define the magnitude of the injury
problem in the State, the population(s) at risk, and the causes of
injury. Potential data sources include E-coded hospital discharge data,
vital statistics, emergency department data, BRFSS, fire incident
reports, police records, child death review records, autopsy records,
and EMS run reports.
4. Prepare a report (for dissemination within the State) that
includes an annotated inventory or data sources, the magnitude and
causes of the injury problem in the State, and the populations
affected.
5. Identify and catalog current and potential injury prevention and
control resources within the State.
6. Develop a State plan which is based on data and prioritized for
the prevention and control of injuries.
7. Participate in a process of evaluation and improvement in which
lessons learned are shared with other States implementing basic injury
prevention programs.
F. CDC Activities
1. Provide consultation on planning, implementation, evaluation,
data analysis, and dissemination of results.
2. Provide coordination between and among the States, by assisting
in the transfer of information and methods developed to other programs,
and providing up-to-date information.
3. Provide technical assistance for program planning and
management.
4. Develop and provide BRFSS and other specific injury surveillance
modules.
5. Plan and coordinate review of program activities by outside
experts to ensure available expertise and provide for quality
assurance.
6. Operate a process of evaluation and improvement in which lessons
learned are shared with other States implementing the same type of
program.
Technical Reporting Requirements
An original and two copies of semiannual progress reports (and an
electronic copy submitted by electronic mail to the project officer)
are required of all awardees. Time lines for the reports will be
established at the time of award. Final financial status and
performance reports are required no later than 90 days after the end of
the project period. All reports will be submitted to the Grants
Management Branch, Procurement and Grants Office, CDC.
Semiannual progress reports should include:
A. A brief, updated program description, and a one-page summary of
quarterly activities.
B. A status report on accomplishment of program goals and
objectives, accompanied by a comparison of the actual accomplishments
related to the goals and objectives established for the period. Include
target population, intervention/surveillance elements and activities,
collaborative activities, and evaluation.
C. If established goals and objectives were not accomplished or
were delayed, describe both the reason for the deviation and
anticipated corrective action or deletion of the activity from the
project. Include lessons learned and recommendations.
D. Other pertinent information, including changes in staffing,
contractors, or partners.
Application Content
A separate application should be submitted for each Part (topic
area) for which funding is requested. Each application, including
appendices, should not exceed 70 pages (75 pages for competing
continuation applications) and the Proposal Narrative section should
not exceed 30 pages. Competing continuation applications may add up to
five pages (for a total of 35 pages) to address progress and outcomes
from the prior funded program. Pages should be clearly numbered and a
complete index to the application and any appendices included. The
project narrative section must be double-spaced. The original and each
copy of the application must be submitted unstapled and unbound. All
materials must be typewritten, double-spaced, with unreduced type (font
size 10 point or greater) on 8\1/2\'' by 11'' paper, with at least 1''
margins, headers and footers, and printed on one side only.
The applicant should provide a detailed description of first-year
activities and briefly describe future-year objectives and activities.
For Bicycle Helmet Promotion (Part IA1) Applications, the Application
Must Include
A. Abstract
A one page summary of the proposed program.
B. Progress Report: (To be completed by competing continuation
applicants only.)
Provide a detailed report on the achievements of the program over
the preceding three-year period of CDC funding for prevention of
bicycle-related head injuries. The applicant should include the
accomplishments made with CDC funding covering all areas related to
that cooperative agreement. The section should not exceed five pages.
C. Background and Capacity
Identify suitable target populations and include data justifying
need for the program regarding lack of helmet use in the target
population and magnitude of the bicycle-related head injury problem.
Justify the inclusion of high-risk, demographic, or other age groups
beyond 5-12 years-old. Indicate ridership data by age and month or
season if available. Provide supporting data. Demonstrate capacity to
conduct the program. Include a description of current activities and
previous experience in bicycle helmet promotion programs, including
status of surveillance activities related to the program. Show the
appropriateness of position descriptions, curriculum vitea's (CV's),
and lines of command to accomplish program goals and objectives.
D. Goals and Objectives
Include goals which are relevant to the purpose of the program and
feasible for the project period. Goals should be specific and
measurable. Include objectives which are feasible for the budget
period, and which address all activities necessary to accomplish the
purpose of the proposal. Objectives should be specific, time-framed,
measurable, and realistic. If groups beyond 5-12 year-olds are
targeted, include goals and objectives for them separately.
E. Methods and Staffing
Describe activities at the State and local levels. Describe how the
model bicycle helmet promotion program (see Where to Obtain Additional
Information section) will be implemented, and why deviations from this
model, if any, are necessary for the applicant's setting. Provide
detail on proposed multifacetedness. Describe creative approaches to
impact the high-risk (unhelmeted) target population. Provide: (a) A
detailed description of proposed activities designed to achieve each
objective and overall program goals, and which includes designation of
responsibility for each action
[[Page 33883]]
undertaken; (b) a complete time frame indicating when each activity
will occur; and (c) a description of the roles of each unit,
organization, or agency, and coordination, supervision and degree of
commitment (e.g., time, in-kind, financial) of staff, organizations,
and agencies involved in activities. Show allocation of staff to the
activities. Describe the roles and responsibilities of the project
director and each staff member. Descriptions should include the
position titles, education and experience required, and the percentage
of time each will devote to the program. Curriculum vitae for existing
staff should be included. Document specific concurrence of plans by all
other involved parties, including consultants, and provide a letter
from each consultant or outside agency describing their willingness and
capacity to fulfill proposed responsibilities.
For each local program conducting interventions, describe the local
program's ability and commitment to: (a) Provide a coordinator who will
act as liaison with the State, (b) organize a coalition of appropriate
individuals, agencies, and organizations to generate community input
and support for bicycle helmet promotion campaigns, (c) collaborate
with the local health department, (d) state measurable objectives for
the project, (e) conduct pre- and post-program observations of helmet
use that collects data on at least 100 child bicyclists from 4 or more
different types of sites (e.g., residential areas, bike paths, parks,
to/from schools), (f) educate each child who receives a ``program''
helmet and the parents about proper use, fit, and maintenance and safe
bicycle riding practices, (g) maintain records of helmet promotional
activities and provide to the State coordinator at the requested
interval.
Women, Racial and Ethnic Minorities. Provide a description of the
proposed plan for the inclusion of both sexes and racial and ethnic
minority populations for appropriate representation.
F. Evaluation
Provide sufficient detail on how the proposed evaluation system
will document program process, effectiveness, and impact on helmet use.
Evaluation should include progress in meeting program objectives.
Demonstrate potential data sources for evaluation purposes, and
document staff availability, expertise, experience, and capacity to
perform the evaluation. Include a plan for reporting evaluation results
and using evaluation information for programmatic decisions. Describe,
if it exists, a capacity to monitor bicycle-related head injuries,
costs associated with bicycle-related head injuries, and changes in
health outcomes associated with the program. Describe the use of
control populations to help differentiate program effects from
background trends. Indicate willingness to participate in a process of
continuous improvement which may require frequent review of progress
and processes utilized, remediation of identified barriers, and
adoption of modified methods and measures.
G. Collaboration
Describe the relationships between the program and other
organizations, agencies, and health department units (e.g. MCH) that
relate to the program. Describe coalition membership and member roles.
Describe relationships with the Governor's Office of Highway Safety,
public safety officials, and Injury Control Research Centers (ICRC's)
or local academic institutions, and show evidence of specific support.
Describe relationships with local communities conducting intervention
activities and show evidence of specific support. For areas with helmet
laws, letters from appropriate officials should be provided that
express a commitment to enforcement and detail the nature of their
involvement and measures to be taken in the enforcement effort to
promote helmet use.
H. Budget and Accompanying Justification
Provide a detailed budget with accompanying narrative justifying
all individual budget items which make up the total amount of funds
requested. The budget should be consistent with stated objectives and
planned activities. The budget should include funds for two trips to
Atlanta by key State and community staff for participation in
continuous improvement activities, and ``grantee'' meetings.
I. Human Subjects
Indicate whether human subjects will be involved, and if so, how
they will be protected, and describe the review process which will
govern their participation.
For Residential Fire Injury Prevention (Part IA2), the Application Must
Include
A. Abstract
A one page abstract and summary of the proposed program.
B. Progress Report: (To be completed by competing continuation
applicants only.)
Provide a detailed report on the achievements of the program over
the preceding three-year period of CDC funding for prevention of
residential fire-related injuries. The applicant should include the
accomplishments made with CDC funding covering all areas related to
that cooperative agreement. The section should not exceed five pages.
C. Background, Need, and Capacity
Describe background and need for the program, quantifying the
magnitude of the residential fire-related injury problem (local versus
State data), populations at risk, extent of the problem, and
demographics of the targeted community. Include a description of
current activities and previous experience in fire-related injury
prevention programs (such as door-to-door campaigns), including status
of surveillance activities related to the problem. Demonstrate capacity
to conduct the program. Show the appropriateness of position
descriptions, CV's, and lines of command to accomplish program goals
and objectives.
D. Goals and Objectives
Specify goals which indicate what the applicant anticipates its
residential fire-related injury prevention program will have
accomplished at the end of the three-year project period. Include
specific time-framed, measurable and achievable objectives which can be
accomplished during the first budget period. Objectives should relate
directly to project goals, and should include, but not be limited to,
increasing smoke detector usage and maintenance, and demonstrating the
effectiveness of smoke detector intervention activities.
E. Methods and Staffing
Describe how the model residential fire injury prevention program
(see Where to Obtain Additional Information section) will be
implemented and why deviations from this model, if any, are necessary
for the applicant's setting. Specify how the target population
corresponds to the high-risk population, as defined (see Background and
Definitions section). Describe activities at the State and local levels
that are designed to achieve each of the program objectives during the
budget period. A time-frame should be included which indicates when
each activity will occur. Include an organizational chart identifying
placement of the residential fire-related injury prevention program.
Show allocation of staff to the activities. Describe the roles and
responsibilities of the project director and each staff member.
Descriptions should include
[[Page 33884]]
the position titles, education and experience required, and the
percentage of time each will devote to the program. CVs for existing
staff should be included. Document specific concurrence of plans by all
other involved parties, including consultants, and provide a letter
from each consultant or outside agency describing their willingness and
capacity to fulfill proposed responsibilities.
For each local program conducting interventions, describe the
program's ability and commitment to:
1. Provide a coordinator to act as liaison with the State,
2. Organize a coalition of appropriate individuals, agencies, and
organizations to generate community input and support for smoke
detector promotion campaigns,
3. Collaborate with the local health department,
4. State measurable objectives for the project,
5. Conduct pre- and post-program household surveys of smoke
detector use within the target and comparable populations,
6. Educate residents who receive a home visit smoke detector on
fire safety and smoke detector installation and maintenance,
7. Maintain records of smoke detector promotional activities and
provide to the state coordinator at the requested interval.
Women, Racial and Ethnic Minorities. Provide a description of the
proposed plan for the inclusion of both sexes and racial and ethnic
minority populations for appropriate representation.
F. Evaluation
Provide a detailed description of the methods and design to
evaluate program effectiveness, including what will be evaluated, data
to be used, and the time-frame. Document staff availability, expertise,
and capacity to evaluate program activities and effectiveness, and
demonstrate evaluation data availability. Evaluation should include
progress in meeting the objectives and conducting activities on
residential smoke detector programs (process evaluation measures), and
increasing residential smoke detector prevalence and functionality
(outcome measures). Describe the use of control populations to help
differentiate program effects from background trends. Indicate
willingness to participate in a process of continuous improvement which
may require frequent review of progress and processes utilized,
remediation of identified barriers, and adoption of modified methods
and measures.
G. Coordination and Collaboration
Provide a description of the relationship between the program and
other organizations, agencies, and health department units that will
relate to the program. Composition and roles of State and/or local
coalitions should be included; specific commitments of support should
be provided. Letters of support from public safety officials should
also be included if related activities are undertaken. A description of
proposed collaboration with ICRC's (see Where to Obtain Additional
Information section) local academic institutions should be included.
H. Budget and Accompanying Justification
Provide a detailed budget with accompanying narrative justifying
all individual budget items which make up the total amount of funds
requested. The budget should be consistent with stated objectives and
planned activities. The budget should include funds for two trips to
Atlanta by key State and community staff for participation in
continuous improvement activities and ``grantee'' meetings.
I. Human Subjects
Indicate whether human subjects will be involved, and if so, how
they will be protected, and describe the review process which will
govern their participation.
For Trauma Care System Development (Part IB), the Application Must
Include
A. Abstract
A one page summary of the proposed program.
B. Background and Capacity
Define the current magnitude of trauma burden, in terms of
mortality, hospitalizations, and/or disability. Define the current
status of the trauma care system in the State, including the extent to
which the key components of a TCS are currently in place (see Where to
Obtain Additional Information section). Identify a sub-state target
area (if such is proposed) and justify its need and use. Specify
barriers to TCS planning, development, and operations. Demonstrate
capacity to utilize data systems (e.g., trauma registries, hospital
discharge data, autopsy records, EMS run reports, and surveys) that
assess hospital trauma care capabilities. Demonstrate capacity to
conduct the program. Show the appropriateness of position,
descriptions, CV's, and lines of command to accomplishment of program
goals and objectives.
C. Goals and Objectives
Provide specific goals which indicate where the applicant
anticipates its TCS program will be at the end of the three-year
project period. Include specific time-framed, measurable, and
achievable objectives that can be accomplished during the first budget
period. Objectives should relate directly to the project goals, and
should include, but not be limited to, improving the TCS structure and
process and reducing trauma morbidity, mortality, and disability.
Include objectives which address all activities necessary to accomplish
the purpose of the proposal.
D. Methods and Staffing
Describe how the model trauma care system (see Where to Obtain
Additional Information section) will be implemented and why deviations
from this model, if any, are necessary for the applicant's setting.
Describe proposed activities at the State, regional, and local levels.
Provide: (a) A detailed description of proposed activities which are
designed to achieve each objective and overall program goals, and which
includes designation of responsibility for each activity undertaken;
(b) a complete time frame indicating when each activity will occur; and
(c) a description of the roles of each unit, organization, or agency,
and coordination, supervision, and degree of commitment (e.g., time,
in-kind, financial) of staff, organizations, and agencies involved in
activities. Show allocation of staff assigned to the activities.
Describe the roles and responsibilities of the project director and
each staff member. Descriptions should include the position titles,
education and experience required, and the percentage of time each will
devote to the program. CVs for existing staff should be included.
Document specific concurrence of plans by all other involved parties,
including consultants, and provide a letter from each consultant or
outside agency describing their willingness and capacity to fulfill
proposed responsibilities.
Women, Racial and Ethnic Minorities. Provide a description of the
proposed plan for the inclusion of both sexes and racial and ethnic
minority populations for appropriate representation.
E. Evaluation
Describe how the proposed evaluation system will document program
progress, and how proposed evaluation measures will measure success in
developing the TCS. Evaluation should include progress in meeting
program objectives. Demonstrate potential data sources and
[[Page 33885]]
TCS information systems (or plans to develop one) for evaluation
purposes, and document staff availability, expertise, experience, and
capacity to perform the evaluation. Include a plan for reporting
evaluation results and using evaluation information for programmatic
decisions. Indicate willingness to participate in a process of
continuous improvement which may require frequent review of progress
and processes utilized, remediation of identified barriers, and
adoption of modified methods and measures.
F. Coordination and Collaboration
Provide a description of the relationship between the program and
other organizations, agencies, and health department units that will
associate with the program. Composition and roles of State, regional,
and/or local coalitions should be included; specific commitments of
support should be provided. A description of proposed collaboration
with ICRC's (see Where to Obtain Additional Information section) or
local academic institutions should be included.
G. Budget and Accompanying Justification
Provide a detailed budget with accompanying narrative justifying
all individual budget items which make up the total amount of funds
requested. The budget should be consistent with stated objectives and
planned activities. The budget should include funds for two trips to
Atlanta by key State and community staff for participation in
continuous quality improvement activities and ``grantee'' meetings.
H. Human Subjects
Indicate whether human subjects will be involved, and if so, how
they will be protected, and describe the review process which will
govern their participation.
For Emergency Department Injury Surveillance (Part IC), the Application
Must Include
A. Abstract
A one page summary of the proposed program.
B. Background and Capacity
Provide a brief description of the need for non-fatal injury
surveillance within the State, and provide a description of the
existing injury (fatal, hospitalized, and non-hospitalized)
surveillance program within the jurisdiction, including:
1. Existing staff and brief summary of their qualifications.
2. Methods of current non-hospitalized injury surveillance,
including: (a) Case definition(s), (b) Data elements collected, and (c)
Data sources used and their completeness.
3. A brief summary of any data analyses completed.
4. A brief summary of any evaluations of surveillance system data
quality which addresses the attributes of the surveillance system.
Provide evidence of the existence of a statewide (or in a
population of one million or more, which is representative of the
State) population-based E-coded hospital discharge data system. Provide
analysis of the most recent year of data from this system. Provide
documentation that legislation and/or regulations are in place which
support current collection of hospital emergency department data, and
which protect the confidentiality of these data. Demonstrate capacity
to conduct this injury surveillance program. Show the appropriateness
of position descriptions, CV's, and lines of command to accomplish
program goals and objectives. Provide a description of the capability
for the entry, management, processing and analysis of data, including a
description of available computer hardware and software resources.
C. Goals and Objectives
Provide specific goals which indicate what the applicant
anticipates its ED Injury Surveillance program will have accomplished
at the end of the three-year project period. Include specific time-
framed, measurable, and achievable objectives that can be accomplished
during the first budget period. Objectives should relate directly to
the project goals. Include objectives which address all activities
necessary to accomplish the purpose of the proposal.
D. Methods and Staffing
Describe how the model ED surveillance program (see Where to Obtain
Additional Information section) will be implemented and why deviations,
if any, are necessary for the applicant's setting. Describe proposed
activities at all involved levels (State, local, organization).
Provide: (a) A detailed description of proposed activities which are
designed to achieve each objective and overall program goals, and which
includes designation of responsibility for each activity undertaken;
(b) a complete time frame indicating when each activity will occur; and
(c) a description of the roles of each unit, organization, or agency
and coordination, supervision, and degree of commitment (e.g., time,
in-kind, financial) of staff, organizations, and agencies involved in
activities. Show allocation of staff to the activities. Describe the
roles and responsibilities of the project director and each staff
member. Descriptions should include the position titles, education and
experience required, and the percentage of time each will devote to the
program. CVs for existing staff should be included. Document specific
concurrence of plans by all other involved parties, including
consultants, and provide a letter from each consultant or outside
agency describing their willingness and capacity to fulfill proposed
responsibilities.
Specifically, include proposed methods of system development or
system enhancement, and data collection, including:
1. Case definitions for inclusion in the system.
2. A listing of data elements proposed for collection. Provide
plans to incorporate the essential DEEDS data elements, as defined
above. At a minimum, data elements collected for every case should
include birthdate, age, sex, race, county (or zip code) of residence,
ICD-9-CM diagnostic and external cause-of-injury codes, dates of
encounter, or dates of injury and death (if applicable). Medical
service charges should be included. If the plan includes use of a
representative sample of hospital emergency department injury visits,
provide the sampling frame and plan.
3. All other sources of data that would be used to provide
additional information on cases. Other optional sources of data might
include hospital medical record, EMS, or police report data. Provide a
brief description of the proposed use of data for injury prevention
programs.
E. Evaluation
Describe how the proposed evaluation activities will assess the
sensitivity, predictive value positive, quality of the data collected,
and other attributes of the surveillance system (e.g.,
representativeness, timeliness). Evaluation should include progress in
meeting program objectives. Document staff availability, expertise,
experience, and capacity to perform the evaluation. Include a plan for
reporting evaluation results and using evaluation information for
programmatic decisions. Indicate willingness to participate in a
process of continuous improvement which may require frequent review of
progress and processes utilized, remediation of identified barriers,
and adoption of modified methods and measures.
[[Page 33886]]
F. Coordination and Collaboration
Provide a description of the relationship between the program and
other organizations, agencies, and health department units that will
associate with the program. Composition and roles of State, regional,
and/or local partners should be included; specific commitments of
support should be provided. Include a description of proposed
collaboration with ICRC's or local academic institutions.
G. Budget and Accompanying Justification
Provide a detailed budget with accompanying narrative justifying
all individual budget items which make up the total amount of funds
requested. The budget should be consistent with stated objectives and
planned activities. The budget should include funds for two trips to
Atlanta by key State and community staff for participation in
continuous improvement activities and ``grantee'' meetings.
For Basic Injury Prevention Programs (Part II), the Application Must
Include
A. Abstract
Provide a one page summary of the proposed program.
B. Background and Need
Describe current and past injury control activities of the public
health agency. Justify the need to develop a basic injury prevention
and control program. Describe the benefit of creating or enhancing a
State public health injury prevention and control focal point. Describe
the type and nature of current and past advisory groups related to
injury prevention and control. Demonstrate capacity to conduct the
program.
C. Goals and Objectives
Provide specific goals which indicate what the applicant
anticipates its Basic Injury Prevention Program will have accomplished
at the end of the three-year project period. Include specific time-
framed, measurable and achievable objectives that can be accomplished
during the first budget period. Objectives should relate directly to
the project goals. Include objectives which address all activities
necessary to accomplish the purpose of the proposal. Specifically, they
should include, but not be limited to, creation of an advisory
structure, producing a profile of injuries in the State, assessing
public health agency capacity to prevent injuries, and developing a
State plan to address injury prevention and control.
D. Methods and Staffing
Describe how the program will be implemented. Provide: (a) A
detailed description of proposed activities designed to achieve each
objective and overall program goals and which includes designation of
responsibility for each activity undertaken; (b) a complete time frame
indicating when each activity will occur; and (c) a description of the
roles of each unit, organization, or agency and coordination,
supervision, and degree of commitment (e.g., time, in-kind, financial)
of staff, organizations, and agencies involved in activities. Show
allocation of staff to the activities. Describe the roles and
responsibilities of the project director and each staff member.
Descriptions should include the position titles, education and
experience required, and the percentage of time each will devote to the
program. CVs for existing staff should be included. Document specific
concurrence of plans by all other involved parties, including
consultants, and provide a letter from each consultant or outside
agency describing their willingness and capacity to fulfill proposed
responsibilities.
E. Evaluation
Describe how the proposed evaluation system will document program
progress, and how proposed evaluation measures will measure success in
developing basic injury prevention programs. Evaluation should include
progress in meeting program objectives. Document staff availability,
expertise, experience, and capacity to perform the evaluation. Include
a plan for reporting evaluation results and using evaluation
information for programmatic decisions. Indicate willingness to
participate in a process of continuous improvement which may require
frequent review of progress and processes utilized, remediation of
identified barriers, and adoption of modified methods and measures.
F. Coordination and Collaboration
Provide a description of the relationship between the program and
other organizations, agencies, and health department units that will
associate with the program. Composition and roles for the advisory
structure and other partners should be included; specific commitments
of support should be provided. Include a description of proposed
collaboration with ICRC's (see Where to Obtain Additional Information
section) or local academic institutions.
G. Budget and Accompanying Justification
Provide a detailed budget with accompanying narrative justifying
all individual budget items which make up the total amount of funds
requested. The budget should be consistent with stated objectives and
planned activities. The budget should include funds for two trips to
Atlanta by key State staff for participation in continuous improvement
activities and ``grantee'' meetings.
Evaluation Criteria
Applications will be reviewed and evaluated according to the
following criteria (maximum 100 total points):
A. Background, Need, and Capacity (30 percent)
The extent to which the applicant presents data and information
documenting the capacity to accomplish the program, positive progress
in related past or current activities or programs, and, as appropriate,
need for the program. The extent to which current resources demonstrate
capability to conduct the program.
Note: For competing continuation applicants, the extent to which
past activities are presented completely and demonstrate attainment
of objectives.
B. Goals and Objectives (10 percent)
The extent to which the applicant includes goals which are relevant
to the purpose of the proposal and feasible to accomplish during the
project period, and the extent to which these are specific and
measurable. The extent to which the applicant has included objectives
which are feasible to accomplish during the budget period, and which
address all activities necessary to accomplish the purpose of the
proposal. The extent to which the objectives are specific, time-framed,
measurable, and realistic.
C. Methods and Staffing (30 percent)
The extent to which the applicant provides: (1) A detailed
description of proposed activities which are likely to achieve each
objective and overall program goals, and which includes designation of
responsibility for each action undertaken; (2) a reasonable and
complete schedule for implementing all activities; and (3) a
description of the roles of each unit, organization, or agency, and
evidence of coordination, supervision, and degree of commitment (e.g.,
time, in-kind, financial) of staff, organizations, and agencies
involved in activities.
The degree to which the applicant has met the CDC Policy
requirements
[[Page 33887]]
regarding the inclusion of women, ethnic, and racial groups in the
proposed project. This includes: (a) The proposed plan for the
inclusion of both sexes and racial and ethnic minority populations for
appropriate representation; (b) The proposed justification when
representation is limited or absent; (c) A statement as to whether the
design of the study is adequate to measure differences when warranted;
and (d) A statement as to whether the plans for recruitment and
outreach for study participants include the process of establishing
partnerships with community(ies) and recognition of mutual benefits
will be documented.
D. Evaluation (20 percent)
The extent to which the proposed evaluation system is detailed,
addresses goals and objectives of the program, and will document
program process, effectiveness, and impact. The extent to which the
applicant demonstrates potential data sources for evaluation purposes
and methods to evaluate the data sources, and documents staff
availability, expertise, experience, and capacity to perform the
evaluation. The extent to which a feasible plan for reporting
evaluation results and using evaluation information for programmatic
decisions is included. The extent to which an agreement to participate
in continuous improvement activities is present.
E. Collaboration (10 percent)
The extent to which relationships between the program and other
organizations, agencies, and health department units that will relate
to the program or conduct related activities are clear, complete and
provide for complementary or supplementary interactions. The extent to
which coalition membership and roles are clear and appropriate. The
extent to which relationships with ICRC'S or local academic
institutions are completely described and activity-specific.
F. Budget and Justification (Not Weighted)
The extent to which the applicant provides a detailed budget and
narrative justification consistent with stated objectives and planned
program activities.
G. Human Subjects (Applicable Parts Only) (Not Weighted)
The extent to which the applicant describes the involvement of
human subjects (if any) and the process which will govern their
participation. The extent to which adequate safeguards are in place.
Executive Order 12372 Review
Applications are subject to 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 for each affected State. A
current list of SPOCs is included in the application kit. If SPOCs have
any State process recommendations on applications submitted to CDC,
they should send them to Ron S. Van Duyne, 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, GA 30305, no later than 30 days after
the application deadline. (The appropriation for this financial
assistance program was received late in the fiscal year and would not
allow for the application receipt date which would accommodate the 60-
day recommendation process period.) The Program Announcement Number and
Program Title should be referenced on the document. The granting agency
does not guarantee to ``accommodate or explain'' the State process
recommendations it receives after that date.
Public Health System Reporting Requirements
This program is not subject to the Public Health System Reporting
Requirements.
Catalog of Federal Domestic Assistance Number
The Catalog of Federal Domestic Assistance number is 93.136.
Other Requirements
Paperwork Reduction Act
Projects that involve the collection of information from 10 or more
individuals and funded by the cooperative agreement will be subject to
review by the Office of Management and Budget (OMB) under the Paperwork
Reduction Act.
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
forms provided in the application kit.
Women, Racial and Ethnic Minorities
It is the policy of the Centers for Disease Control and Prevention
(CDC) to ensure that individuals of both sexes and the various racial
and ethnic groups will be included in CDC-supported research projects
involving human subjects, whenever feasible and appropriate. Racial and
ethnic groups are those defined in OMB Directive No. 15 and include
American Indian, Alaskan Native, Asian, Pacific Islander, Black and
Hispanic. Applicants shall ensure that women, racial and ethnic
minority populations are appropriately represented in applications for
research involving human subjects. Where a clear and compelling
rationale exists that inclusion is inappropriate or not feasible, this
situation must be explained as part of the application. This policy
does not apply to research studies when the investigator cannot control
the race, ethnicity, and/or sex of subjects. Further guidance to this
policy is contained in the Federal Register, Vol. 60, No. 179, pages
47949-47951, dated Friday, September 15, 1995.
Application Submission and Deadline
The original and two copies of the application PHS Form 5161-1
(Revised 7/92, OMB Number 0937-0189) must be submitted to Joanne A.
Wojcik, Grants Management Specialist, Grants Management Branch,
Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Room 321, Mailstop E-
13, Atlanta, GA 30305, on or before August 12, 1997.
1. Deadline: Applications shall be considered as meeting the
deadline if they are either; a. Received on or before the deadline
date; or b. Sent on or before the deadline date and received in time
for submission to the objective review group. (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 will not be acceptable as proof of timely mailing.)
[[Page 33888]]
2. Late Applications: Applications that do not meet the criteria in
1.a. or 1.b. above are considered late applications. Late applications
will not be considered and will be returned to the applicant.
Where To Obtain Additional Information
To receive additional written information call (404) 332-4561. You
will be asked to leave your name, address, and telephone number and
will need to reference Announcement 780. You will receive a complete
program description, information on application procedures, and
applications forms.
If you have questions after reviewing the contents of all the
documents, business management technical assistance may be obtained
from Joanne A. Wojcik, Grants Management Specialist, Grants Management
Branch, Procurement and Grants Office, Centers for Disease Control and
Prevention (CDC), 255 East Paces Ferry Road, NE., Mailstop E-13,
Atlanta, GA 30305, telephone (404) 842-6535 or Internet address
jcw6@cdc.gov.
Programmatic technical assistance may be obtained from:
Part IA1: Bicycle Helmet Promotion Programs, Jeffrey Sacks, M.D.,
MPH, telephone (770) 488-4901, Mailstop K63, Internet address
jjs3@cdc.gov>.
Part IA2: Residential Fire Injury Prevention Programs, Pauline
Harvey, MSPH, telephone(770) 488-4592, Mailstop K63, Internet address
pdh7@cdc.gov>.
Part IB: Trauma Care Systems Development, Paul Burlack, telephone
(770) 488-4713, Mailstop F41, Internet address pab5@cdc.gov>.
Part IC: Emergency Department Injury Surveillance, Daniel Sosin,
M.D., MPH, telephone (770) 488-4233, Mailstop K02, Internet address
dms8@cdc.gov.
Part II: Basic Injury Program Development, James Belloni, MA,
telephone (770) 488-4538, Mailstop K02, Internet address
jsb1@cdc.gov>.
National Center for Injury Prevention and Control, Centers for
Disease Control and Prevention (CDC), 4770 Buford Highway, NE.,
Mailstop (Insert Mailstop from above), Atlanta, GA 30341-3724.
The complete application kit includes a copy of the following
listed addendums. These addendums provide the applicants with
additional program guidance, such as additional background information
and further define model programs described in this announcement and
provide a complete listing of the ICRCs.
--Addendum IA1: Bicycle Helmet Promotion Programs
--Addendum IA2: Residential Fire Injury Prevention Programs
--Addendum IB: Trauma Care Systems Development
--Addendum IC: Emergency Department Injury Surveillance
--Addendum II: Injury Control Research Centers (ICRCs)
This and other CDC announcements are available through the CDC
homepage on the Internet. The address for the CDC homepage is http://
www.cdc.gov>.
CDC will not send application kits by facsimile or express mail.
Please refer to Announcement 780 when requesting information and
submitting an application.
Potential applicants may obtain a copy of ``Healthy People 2000''
(Full Report, Stock No. 017-001-00474-0) or ``Healthy People 2000''
(Summary Report, Stock No. 017-001-00473-1) referenced in the
``Introduction'' through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325, telephone (202) 512-1800.
Dated: June 17, 1997.
Joseph R. Carter,
Acting Associate Director for Management and Operations, Centers for
Disease Control and Prevention (CDC).
[FR Doc. 97-16310 Filed 6-20-97; 8:45 am]
BILLING CODE 4163-18-P
