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Home My WebLink AboutMemorandum Of Understanding and other docs. related to grant proposal for AED's.pdf Commission Memorandum REPORT TO: Honorable Mayor and City Commission FROM: Ken Stocks, Grants Specialist Anna Rosenberry, Finance Director Chris Kukulski, City Manager SUBJECT: Authorize City Manager to sign Memorandum Of Understanding (MOU), grant agreements and other documents on behalf of the City directly related to submission of a grant proposal for Automated External Defibrillators (AED). MEETING DATE: February 14, 2011. AGENDA ITEM TYPE: Consent. RECOMMENDATION: Motion to authorize City Manager to sign grant submittal and related documents. BACKGROUND: The City’s Public Safety Departments (Police and Fire) have been seeking funding for Automated External Defibrillators (AED) on a continuing basis and identified this funding opportunity on February 4th. The U. S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy is sponsoring the Rural AED program. The grant submission deadline is February 28, 2011. The program strongly encourages the development of community partnerships. Therefore, the City has invited Bozeman Deaconess Hospital, MSU Police Department, Gallatin County and rural volunteer fire departments to join in this funding request; requiring the development of a Memorandum of Understanding/Agreement. In consideration of the limited time available to prepare and submit the application, and the absence of a City Commission meeting the week beginning February 21st, authorizing the City Manager to sign grant-related documents will help ensure timely submittal of the application. Our application will request the purchase of AED’s for placement in emergency vehicles and facilities. If awarded, funds will be used to purchase approximately 50 AEDs per year for a period not to exceed three years and a total cost not to exceed $100,000 per year ($300-K cumulatively). No match is required. However, the time-on-task of City firefighters already trained in the use and maintenance of AEDs may be claimed as in-kind for the training requirements associated with the grant. AED’s are essential life-saving apparatus for first responders administering to heart attack victims. 30 FISCAL EFFECTS: Approval of this request will have no adverse impacts on current Police Department or Fire Department budgets. Award of the grant, should it occur, will require no local matching funds. ALTERNATIVES: As suggested by the City Commission. Attachments: NOFA Report compiled on: February 4, 2011 31 U.S. Department of Health and Human Services Health Resources and Services Administration Office of Rural Health Policy (ORHP) Rural Access to Emergency Devices Grant Program Announcement Type: New Competing Announcement Number: HRSA 11-088 Catalog of Federal Domestic Assistance (CFDA) 93.259 FUNDING OPPORTUNITY ANNOUNCEMENT Fiscal Year 2011 Application Due Date in Grants.gov: February 28, 2011 Ensure your Grants.gov registration and passwords are current immediately!! Deadline extensions are not granted for lack of registration. Registration can take up to one month to complete. Release Date: January 4, 2011 Date of Issuance: January 4, 2011 Eileen Holloran Public Health Analyst Office of Rural Health Policy Email: eholloran@hrsa.gov Telephone: 301/443-7529 Fax: 301/443-2803 Legislative Authority: Public Health Improvement Act Title IV – Cardiac Arrest Survival, Subtitle B – Rural Access to Emergency Devices, Section 413, Public Law 106-505 (42 U.S.C. 254c)... 32 HRSA-11-088 i Table of Contents I. FUNDING OPPORTUNITY DESCRIPTION .................................................................... 1 1. PURPOSE .......................................................................................................................... 1 2. BACKGROUND .................................................................................................................. 1 II. AWARD INFORMATION ................................................................................................. 2 1. TYPE OF AWARD .............................................................................................................. 2 2. SUMMARY OF FUNDING .................................................................................................... 2 III. ELIGIBILITY INFORMATION ...................................................................................... 2 1. ELIGIBLE APPLICANTS ..................................................................................................... 2 2. COST SHARING/ MATCHING ............................................................................................. 3 3. OTHER ............................................................................................................................. 3 IV. APPLICATION AND SUBMISSION INFORMATION ................................................. 3 1. ADDRESS TO REQUEST APPLICATION PACKAGE .............................................................. 3 2. CONTENT AND FORM OF APPLICATION SUBMISSION ........................................................ 4 i. Application Face Page .............................................................................................. 8 ii. Table of Contents ...................................................................................................... 8 iii Application Checklist ................................................................................................ 8 iv. Budget ....................................................................................................................... 8 v. Budget Justification .................................................................................................. 8 vi. Staffing Plan and Personnel Requirements ............................................................ 10 vii. Assurances .............................................................................................................. 11 viii. Certifications .......................................................................................................... 11 ix Project Abstract ...................................................................................................... 11 x. Program Narrative .................................................................................................. 10 xi. Attachments ............................................................................................................ 15 3. SUBMISSION DATES AND TIMES ...................................................................................... 16 4. INTERGOVERNMENTAL REVIEW .................................................................................... 16 5. FUNDING RESTRICTIONS ................................................................................................ 16 6. OTHER SUBMISSION REQUIREMENTS ............................................................................. 17 V. APPLICATION REVIEW INFORMATION .................................................................. 18 1. REVIEW CRITERIA ......................................................................................................... 18 2. REVIEW AND SELECTION PROCESS ................................................................................ 21 3. ANTICIPATED ANNOUNCEMENT AND AWARD DATES ..................................................... 21 VI. AWARD ADMINISTRATION INFORMATION.......................................................... 21 1. AWARD NOTICES ............................................................................................................ 21 2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS .......................................... 22 3. REPORTING .................................................................................................................... 23 VII. AGENCY CONTACTS .................................................................................................. 25 VIII. OTHER INFORMATION ............................................................................................ 26 1. TECHNICAL ASSISTANCE CONFERENCE CALL INFORMATION.......................................... 26 2. USEFUL WEB SITES ........................................................................................................ 26 3. DEFINITIONS .................................................................................................................. 27 IX. TIPS FOR WRITING A STRONG APPLICATION ..................................................... 29 33 HRSA-11-088 1 I. Funding Opportunity Description 1. PURPOSE This funding opportunity announcement provides application information for the Rural Access to Emergency Devices (RAED) Grant Program. The RAED Grant Program is authorized by the Public Health Improvement Act Title IV – Cardiac Arrest Survival, Subtitle B – Rural Access to Emergency Devices, Section 413, Public Law 106-505, (42 U.S.C. 254c). The Catalog of Federal Domestic Assistance Number for this grant program is 93.259. The purpose of the RAED Grant Program is to 1) purchase automated external defibrillators (AEDs) that have been approved, or cleared for marketing, by the Food and Drug Administration; 2) provide defibrillator and basic life support training in automated external defibrillator usage through the American Heart Association, the American Red Cross, or other nationally recognized training courses, and 3) place the AEDs in rural communities with local organizations. 2. BACKGROUND The Health Resources and Services Administration’s Office of Rural Health Policy is the focal point for rural health activities within the U.S. Department of Health and Human Services. The Office is statutorily required in Title VII (Section 711) of the Social Security Act to advise the Secretary on the effects of current policies and regulatory changes in the programs established under titles XVIII (Medicare) and XIX (Medicaid) on the financial viability of small rural hospitals, the ability of rural areas to attract and retain physicians and other health professionals and access to (and the quality of) health care in rural areas. The Social Security Act also requires ORHP to coordinate activities within HHS that relate to rural health care and provide relevant information to the Secretary and others in the Department. ORHP accomplishes this mission through two broad strategies that focus on policy and programs. The Office addresses the specific difficulties of providing health care in rural communities through its grant programs. As established in the Public Health Improvement Act Title IV, the overall goals for the RAED Grants are to: purchase and place AEDs in eligible rural areas and train first responders and the lay public in the proper usage of AEDs. Applicants are encouraged to form collaborative community partnerships that would ensure maximum benefit to the limited funding available through this competition. A community partnership may be composed of emergency response entities such as training facilities, local emergency responders, fire and rescue departments, police, community hospitals, and non-profit entities and for-profit entities concerned about cardiac arrest survival rates. All AEDs must be placed in a rural county or rural census tract of an urban county. (See Eligibility Requirements for information on rural areas.) The application must clearly describe how AED placement and training will take place, and how training and other technical assistance will be provided to the targeted areas to reach maximum benefit. Expected outcomes for this program may include, but are not limited to: 34 HRSA 11-088 2 · achieving economies of scale through bulk purchasing of AEDs either through a competitive bidding process or a pre-negotiated bulk purchase arrangement, · extending the “chain of survival” in rural and frontier areas; and, · enhancing recognition of a sudden cardiac event, the use of cardio-pulmonary resuscitation (CPR) and the application of the AED device by lay persons in rural communities II. Award Information 1. Type of Award Funding will be provided in the form of a grant. 2. SUMMARY OF FUNDING Applicants can request up to three years of funding. This program will provide funding for Federal fiscal year 2011 - 2013. Approximately $1.1 Million is expected to be available annually to fund 10 grantees. The period of support is three (3) years. The maximum amount of award for a grant is $100,000 per year. Funding beyond the first year is dependent on the availability of appropriated funds for the RAED Grant Program in subsequent fiscal years, grantee satisfactory performance, and a decision that funding is in the best interest of the Federal government. III. Eligibility Information 1. ELIGIBLE APPLICANTS Community partnerships composed of local emergency response entities such as community training facilities, local emergency responders, fire and rescue departments, police, community hospitals, and local non-profit entities and for-profit entities concerned about cardiac arrest survival rates are eligible to apply. Each community partnership must clearly identify the lead applicant from the group of entities making up the partnership. The lead applicant, also known as the grantee of record, will act as the fiscal agent for the partnership. A list of rural areas eligible to receive AEDs is available on the Office of Rural Health website. Eligible rural counties can be found at http://datawarehouse.hrsa.gov/RuralAdvisor/RuralHealthAdvisor.aspx . The eligible rural census tracts of urban counties are included in the document identified above. To identify the Census tract where your organization is located, visit the webpage at http://www.ffiec.gov/geocode/default.aspx . In addition to eligible rural areas in the 50 States, applicants or members of the partnership can be located in the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, the Territories of the Virgin Islands, Guam, American Samoa, and the Compact Free 35 HRSA 11-088 3 Association Jurisdictions of the Republic of the Marshall Islands, the Republic of Palau and the Federated States of Micronesia. 2. COST SHARING/ MATCHING There is no cost sharing/matching requirement for this program. 3. OTHER Applications that exceed the ceiling amount will be considered non-responsive and will not be considered for funding under this announcement. Any application that fails to satisfy the deadline requirements referenced in Section IV.3 will be considered non-responsive and will not be considered for funding under this announcement. Restriction of funds Federal funds from this grant may not be used for any purpose not authorized by Public Law 106-505, including direct health care services; or to purchase, construct or renovate facilities or real property; or purchase vehicles. IV. Application and Submission Information 1. ADDRESS TO REQUEST APPLICATION PACKAGE Application Materials and Required Electronic Submission Information HRSA requires applicants for this funding opportunity announcement to apply electronically through Grants.gov. All applicants must submit in this manner unless they obtain a written exemption from this requirement in advance by the Director of HRSA’s Division of Grants Policy. Applicants must request an exemption in writing from DGPWaivers@hrsa.gov, and provide details as to why they are technologically unable to submit electronically through the Grants.gov portal. Your email must include the HRSA announcement number for which you are seeking relief, the name, address, and telephone number of the organization and the name and telephone number of the Project Director as well as the Grants.gov Tracking Number (GRANTXXXX) assigned to your submission along with a copy of the “Rejected with Errors” notification you received from Grants.gov. HRSA and its Grants Application Center (GAC) will only accept paper applications from applicants that received prior written approval. However, the application must still be submitted under the deadline. Refer to HRSA’s Electronic Submission User Guide, available online at http://www.hrsa.gov/grants/userguide.htm, for detailed application and submission instructions. Pay particular attention to Sections 2 and 5 that provide detailed information on the competitive application and submission process. Applicants must submit proposals according to the instructions in the Guide and in this funding opportunity announcement in conjunction with Application Form SF-424. The forms contain 36 HRSA 11-088 4 additional general information and instructions for applications, proposal narratives, and budgets. The forms and instructions may be obtained from the following site by: (1) Downloading from www.grants.gov, or (2) Contacting the HRSA Grants Application Center at: 910 Clopper Road Suite 155 South Gaithersburg, MD 20878 Telephone: 877-477-2123 HRSAGAC@hrsa.gov Specific instructions for preparing portions of the application that must accompany Application Form SF-424 appear in the “Application Format” section below. CONTENT AND FORM OF APPLICATION SUBMISSION Application Format Requirements The total size of all uploaded files may not exceed the equivalent of 45 pages when printed by HRSA, approximately 5 MB. This 45-page limit includes the abstract, project and budget narratives, and letters of commitment and support and some attachments (see Attachments, Section xi). Standard forms and some attachments are NOT included in the page limit (see Attachments, Section xi). Applications that exceed the specified limits (approximately 5 MB, or that exceed 45 pages when printed by HRSA) will be deemed non-responsive. All non-responsive applications will be returned to the applicant without further consideration. Application Format Applications for funding must consist of the following documents in the following order: 37 HRSA 11-088 5 SF-424 Non Construction – Table of Contents %% IItt iiss mmaannddaattoorryy ttoo ffoollllooww tthhee iinnssttrruuccttiioonnss pprroovviiddeedd iinn tthhiiss sseeccttiioonn ttoo eennssuurree tthhaatt yyoouurr aapppplliiccaattiioonn ccaann bbee pprriinntteedd eeffffiicciieennttllyy aanndd ccoonnssiisstteennttllyy ffoorr rreevviieeww.. %% FFaaiilluurree ttoo ffoollllooww tthhee iinnssttrruuccttiioonnss mmaayy mmaakkee yyoouurr aapppplliiccaattiioonn nnoonn--rreessppoonnssiivvee.. NNoonn--rreessppoonnssiivvee aapppplliiccaattiioonnss wwiillll nnoott bbee ccoonnssiiddeerreedd uunnddeerr tthhiiss ffuunnddiinngg ooppppoorrttuunniittyy aannnnoouunncceemmeenntt.. %% FFoorr eelleeccttrroonniicc ssuubbmmiissssiioonnss,, aapppplliiccaannttss oonnllyy hhaavvee ttoo nnuummbbeerr tthhee eelleeccttrroonniicc aattttaacchhmmeenntt ppaaggeess sseeqquueennttiiaallllyy,, rreesseettttiinngg tthhee nnuummbbeerriinngg ffoorr eeaacchh aattttaacchhmmeenntt,, ii..ee..,, ssttaarrtt aatt ppaaggee 11 ffoorr eeaacchh aattttaacchhmmeenntt.. DDoo nnoott aatttteemmpptt ttoo nnuummbbeerr ssttaannddaarrdd OOMMBB aapppprroovveedd ffoorrmm ppaaggeess.. %% FFoorr eelleeccttrroonniicc ssuubbmmiissssiioonnss,, nnoo TTaabbllee ooff CCoonntteennttss iiss rreeqquuiirreedd ffoorr tthhee eennttiirree aapppplliiccaattiioonn.. HHRRSSAA wwiillll ccoonnssttrruucctt aann eelleeccttrroonniicc ttaabbllee ooff ccoonntteennttss iinn tthhee oorrddeerr ssppeecciiffiieedd.. %% WWhheenn pprroovviiddiinngg aannyy eelleeccttrroonniicc aattttaacchhmmeenntt wwiitthh sseevveerraall ppaaggeess,, aadddd aa TTaabbllee ooff CCoonntteennttss ppaaggee ssppeecciiffiicc ttoo tthhee aattttaacchhmmeenntt.. SSuucchh ppaaggeess wwiillll nnoott bbee ccoouunntteedd ttoowwaarrddss tthhee ppaaggee lliimmiitt.. Application Section Form Type Instruction HRSA/Program Guidelines Application for Federal Assistance (SF-424) Form Pages 1, 2 & 3 of the SF-424 face page. Not counted in the page limit Project Summary/Abstract Attachment Can be uploaded on page 2 of SF-424 - Box 15 Required attachment. Counted in the page limit. Refer to the funding opportunity announcement for detailed instructions. Congressional Districts Attachment Can be uploaded on page 3 of SF-424 - Box 16 As applicable to HRSA; not counted in the page limit. Application Checklist Form HHS-5161-1 Form Pages 1 & 2 of the HHS checklist. Not counted in the page limit. Project Narrative Attachment Form Form Supports the upload of Project Narrative document Not counted in the page limit. Project Narrative Attachment Can be uploaded in Project Narrative Attachment form. Required attachment. Counted in the page limit. Refer to the funding opportunity announcement for detailed instructions. Provide table of contents specific to this document only as the first page. SF-424A Budget Information - Non- Construction Programs Form Page 1 & 2 to supports structured budget for the request of Non-construction related funds. Not counted in the page limit. Budget Narrative Attachment Form Form Supports the upload of Project Narrative document. Not counted in the page limit. 38 HRSA 11-088 6 Application Section Form Type Instruction HRSA/Program Guidelines Budget Narrative Attachment Can be uploaded in Budget Narrative Attachment form. Required attachment. Counted in the page limit. Refer to the funding opportunity announcement for detailed instructions. SF-424B Assurances - Non-Construction Programs Form Supports assurances for non-construction programs. Not counted in the page limit. Project/Performance Site Location(s) Form Supports primary and 29 additional sites in structured form. Not counted in the page limit. Additional Performance Site Location(s) Attachment Can be uploaded in the SF-424 Performance Site Location(s) form. Single document with all additional site location(s) Not counted in the page limit. Disclosure of Lobbying Activities (SF-LLL) Form Supports structured data for lobbying activities. Not counted in the page limit. Other Attachments Form Form Supports up to 15 numbered attachments. This form only contains the attachment list. Not counted in the page limit. Attachment 1-15 Attachment Can be uploaded in Other Attachments form 1-15. Refer to the attachment table provided below for specific sequence. Counted in the page limit. %% TToo eennssuurree tthhaatt aattttaacchhmmeennttss aarree oorrggaanniizzeedd aanndd pprriinntteedd iinn aa ccoonnssiisstteenntt mmaannnneerr,, ffoollllooww tthhee oorrddeerr pprroovviiddeedd bbeellooww.. NNoottee tthhaatt tthheessee iinnssttrruuccttiioonnss mmaayy vvaarryy aaccrroossss pprrooggrraammss.. %% EEvviiddeennccee ooff NNoonn--PPrrooffiitt ssttaattuuss aanndd iinnvveennttiioonn rreellaatteedd ddooccuummeennttss,, iiff aapppplliiccaabbllee,, mmuusstt bbee pprroovviiddeedd iinn tthhee ootthheerr aattttaacchhmmeenntt ffoorrmm.. %% AAddddiittiioonnaall ssuuppppoorrttiinngg ddooccuummeennttss,, iiff aapppplliiccaabbllee,, ccaann bbee pprroovviiddeedd uussiinngg tthhee aavvaaiillaabbllee rroowwss.. DDoo nnoott uussee tthhee rroowwss aassssiiggnneedd ttoo aa ssppeecciiffiicc ppuurrppoossee iinn tthhee pprrooggrraamm ffuunnddiinngg ooppppoorrttuunniittyy aannnnoouunncceemmeenntt.. %% MMeerrggee ssiimmiillaarr ddooccuummeennttss iinnttoo aa ssiinnggllee ddooccuummeenntt.. WWhheerree sseevveerraall ppaaggeess aarree eexxppeecctteedd iinn tthhee aattttaacchhmmeenntt,, eennssuurree tthhaatt yyoouu ppllaaccee aa ttaabbllee ooff ccoonntteennttss ccoovveerr ppaaggee ssppeecciiffiicc ttoo tthhee aattttaacchhmmeenntt.. TThhee TTaabbllee ooff CCoonntteennttss ppaaggee wwiillll nnoott bbee ccoouunntteedd iinn tthhee ppaaggee lliimmiitt.. Attachment Number Attachment Description (Program Guidelines) Attachment 1 Job Description for Key Personnel: Submit the job descriptions for key personnel listed in the application. Keep each to a one page maximum if possible. For the purposes of this grant application, key personnel is defined as persons funded by this grant or persons conducting activities central to this grant program. Included in page limit. Attachment 2 Biographical Sketches of Key Personnel: Submit biographical sketches or resumes for persons occupying the key positions described in Attachment 1. In the event that a biographical sketch is included for an identified individual who is not yet hired, please include a letter of commitment from that person with the biographical sketch. Included in page limit. 39 HRSA 11-088 7 Attachment Number Attachment Description (Program Guidelines) Attachment 3 Organizational Chart: Submit a one-page organizational chart of the applicant’s agency, department or organization. This document is included in page limit. Attachment 4 Information regarding local and State EMS response times, in particular those for cardiac arrest and/or heart attack should be included if available Attachment 5 Bids From Potential AED Manufacturers or Suppliers or Pre-Existing Contracts: Include at least three bids from potential AED suppliers or a pre-existing contract. (Such as a State procurement contract or purchasing schedule.) Will be included in page limit. Attachment 6 Office of Rural Health Policy Funding History: In this section, former RAED or Outreach grantees involved in or submitting a new application must include: 1. The dates of any prior award; 2. The grant number assigned to the previous grant; 3. A copy of the abstract or project summary that was submitted with the previous grant application; and 4. The role of the applicant and/or network partners in the previous grant. The project must differ from any previous grant-funded activities, enlarge the service area of the project or enhance the previous grant activities. Will be included in page limit Attachment 7 Supplemental Materials: Please include in this section information that is not included elsewhere in the Table of Contents. Be sure each item is clearly labeled. Include letters that specifically indicate a commitment to the project (in-kind services, dollars, staff, space, equipment, etc.) Letters of agreement and support must be dated. List all other support letters on one page. Included in page limit. 40 HRSA 11-088 8 Note the following specific information related to your submission. APPLICATION FORMAT i. Application Face Page Complete Application Form SF-424 provided with the application package. Prepare according to instructions provided in the form itself. For information pertaining to the Catalog of Federal Domestic Assistance, the CFDA Number is 93.259. DUNS Number All applicant organizations are required to have a Data Universal Numbering System (DUNS) number in order to apply for a grant or cooperative agreement from the Federal Government. The DUNS number is a unique nine-character identification number provided by the commercial company, Dun and Bradstreet. There is no charge to obtain a DUNS number. Information about obtaining a DUNS number can be found at http://fedgov.dnb.com/webform or call 1-866-705-5711. Please include the DUNS number in item 8c on the application face page on the application face page. Applications will not be reviewed without a DUNS number. Note: A missing or incorrect DUNS number is the number one reason for applications being “Rejected for Errors” by Grants.gov. HRSA will not extend the deadline for missing or incorrect DUNS. Additionally, the applicant organization (and any subrecipient of HRSA award funds) is required to register annually with the Federal Government’s Central Contractor Registry (CCR) in order to do electronic business with the Federal Government. It is extremely important to verify that your CCR registration is active. Information about registering with the CCR can be found at http://www.ccr.gov. ii. Table of Contents The application should be presented in the order of the Table of Contents provided earlier. Again, for electronic applications no table of contents is necessary as it will be generated by the system. (Note: the Table of Contents will not be counted in the page limit.) iii. Application Checklist Complete the HHS Application Checklist Form HHS 5161-1 provided with the application package. iv. Budget Complete Application Form SF-424A Budget Information – Non-Construction Programs Form provided with the application package. Please complete Sections A, B, E, and F, and then provide a line item budget for each year of the project period using Section B Budget Categories of the SF-424. Applicants must use the Section B columns (2) through (4) for subsequent budget years (three years). v. Budget Justification Provide a narrative that explains the amounts requested for each line in the budget. The budget justification should specifically describe how each item will support the achievement of 41 HRSA 11-088 9 proposed objectives. The budget period is for ONE year. However, the applicant must submit one-year budgets for each of the subsequent budget periods within the requested project period (three years) at the time of application. Line item information must be provided to explain the costs entered in the SF-424A. The budget justification must clearly describe each cost element and explain how each cost contributes to meeting the project’s objectives/goals. Be very careful about showing how each item in the “other” category is justified. For subsequent budget years, the justification narrative should highlight the changes from year one or clearly indicate that there are no substantive budget changes during the project period. The budget justification MUST be concise. Do NOT use the justification to expand the project narrative. The budget and budget justification must be appropriate and adequate to accomplish the stated project goals, action steps, and expected outputs and outcomes as described in the project narrative and matrix. The budget should be reasonable, allocate Federal funds for allowable purposes, and should address: a. AED purchasing, including brand and model information b. Training and maintenance costs c. Data reporting costs d. Description of budget and accounting processes to be used Questions about the budget or fiscal matters should be directed to the Agency’s Grants Management Specialist for the program as listed in Section VIII of this funding opportunity announcement. Budget for Multi-Year Grant Award -Required, if applicable This announcement is inviting applications for project periods up to three years. Awards, on a competitive basis, will be for a one year budget period; although the project period may be for up to three years. Submission and HRSA approval of your Progress Report(s) and any other required submission or reports is the basis for the budget period renewal and release of subsequent year funds. Funding beyond the one-year budget period but within the three year project period is subject to availability of funds, satisfactory progress of the grantee and a determination that continued funding would be in the best interest of the Federal government. Include all appropriate costs in the Budget Justification narrative: Personnel Costs: Personnel costs should be explained by listing each staff member who will be supported from funds (if possible), position title, percentage of full time equivalency, annual salary, and the exact amount requested for each project year which mainly covers indirect cost. Fringe Benefits: List the components that comprise the fringe benefit rate, for example health insurance, taxes, unemployment insurance, life insurance, retirement plan, tuition reimbursement. The fringe benefits should be directly proportional to that portion of personnel costs that are allocated for the project. 42 HRSA 11-088 10 Travel: List travel costs according to local and long distance travel. For local travel, the mileage rate, number of miles, reason for travel and staff member/consumers completing the travel should be outlined. The budget should also reflect the travel expenses associated with participating in meetings and other proposed trainings or workshops. Equipment: List equipment costs and provide justification for the need of the equipment to carry out the program’s goals. Extensive justification and a detailed status of current equipment must be provided when requesting funds for the purchase of computers and furniture items that meet the definition of equipment (a unit cost of $5000 or more and a useful life of one or more years). Supplies: List the items that the project will use. In this category, separate office supplies from medical and educational purchases. Office supplies could include paper, pencils, and the like; medical supplies are syringes, blood tubes, plastic gloves, etc., and educational supplies may be pamphlets and educational videotapes. Remember, they must be listed separately. Contractual: Applicants are responsible for ensuring that their organization or institution has in place an established and adequate procurement system with fully developed written procedures for awarding and monitoring all contracts. Applicants must provide a clear explanation as to the purpose of each contract, how costs were estimated, and the specific contract deliverables. Reminder: recipients must notify potential sub-recipients that entities receiving sub-awards must provide the recipient with their DUNS number. Other: Include all costs that did not fit into the available categories in this section and provide an explanation of each cost in the category. The cost of training in the use of AEDs should be identified as training in this line item. (In some cases, grantee rent, utilities and insurance fall under this category if they are not included in an approved indirect cost rate.) Indirect Costs: Indirect costs are those costs incurred for common or joint objectives which cannot be readily identified but are necessary to the operations of the organization, e.g., the cost of operating and maintaining facilities, depreciation, and administrative salaries. For institutions subject to OMB Circular A-21, the term “facilities and administration” is used to denote indirect costs. If an organization applying for an assistance award does not have an indirect cost rate, the applicant may wish to obtain one through HHS’s Division of Cost Allocation (DCA). Visit DCA’s website at: http://rates.psc.gov/ to learn more about rate agreements, the process for applying for them, and the regional offices which negotiate them. vi. Staffing Plan and Personnel Requirements In this section present a staffing plan and provide a justification for the plan that includes educational level, experience qualifications and rationale for the amount of time being requested for the staff positions necessary to achieve the goals of the project. Position descriptions that include the roles, responsibilities, and qualifications of proposed project staff must be included. If new positions are to be developed for staffing the project, specifically for key personnel of this project, a position description for each must be included in the application. Each position description should be short (one page is suggested) and 43 HRSA 11-088 11 include only major duties to be performed and the experience required for the person to be hired. The position descriptions should be placed in Attachment 1. The pages in Attachment 1 should be numbered and will count against the 45 page limit. Biographical sketches for any key employed personnel that will be assigned to work on the proposed project must be included in Attachment 2. (The Project Director must be employed by or under contract to either the grantee organization or a rural organization that is a member of the community partnership). If the Project Director is under contract to the applicant organization, the terms of the contract must be included. Biographical sketches, which are short overviews of past education and experience that suggest the qualifications necessary to perform assigned works, of all key personnel should be included. Bio-sketches may be used for key staff that will be involved in the implementation of the project. This includes KEY staff of the community partnership members, staff of the grantee organization and staff to be hired that have a key role in the day-to-day management of the program. Information on the staff of the community partnership members should only be included for the staff that will have a major role in the implementation and success of the project. Resumes should be brief, one or two pages are preferred, and should be placed in Attachment 2. The pages in Attachment 2 should be numbered and will count against the 45 page limit. For page limit assistance, do not include information on publications that the staff person developed or employment that is not directly related to the grant proposal. Position descriptions that include the roles, responsibilities, and qualifications of proposed project staff must be included. vii. Assurances Complete Application Form SF-424B Assurances – Non-Construction Programs provided with the application package. viii. Certifications Use the certifications and Disclosure of Lobbying Activities Application Form provided with the application package. ix. Project Abstract An abstract provides a summary of the project being proposed. HRSA will often share project abstracts with the public and Congress; for that reason; please prepare the abstract in a clear, accurate, concise format, without referencing pertinent information to other parts of the application. An abstract should include a brief description of the proposed project to illustrate the community partnership’s mission, the project’s goal, the activities that will take place to address identified needs and a brief description of the population served. The project abstract must be single-spaced and limited to one page in length. The heading of the abstract should include the following information: § Project Title § Applicant Name § Address § Contact Person, Phone Numbers (voice and fax) 44 HRSA 11-088 12 § E-mail address § Web site address, if applicable x. Program Narrative The following project narrative section is used by applicants to explain the problems that the grant proposal seeks to resolve, the work plan to reach the goals of the grant project, and the support the partnership will receive by members of the community to be impacted by the implementation of the project. (Please note that the budget justification, staffing plan and personnel requirements are located in a separate section of the application.) This section provides a comprehensive framework and description of all aspects of the proposed program. It should be succinct, self-explanatory and well organized so that reviewers can understand the proposed project. The following section headers have been provided to assist applicants to frame and inform, in great detail, how the goals of the project and activities to reach the goal will be implemented. These sections are tied to review criteria will also be used by the application reviewers to evaluate, rate, rank, and make recommendations for funding. It is therefore, extremely important that applicants address each of these sections with great care and detail. Introduction: The introduction to this section should briefly describe the purpose of the proposed project and general information on the goals and activities that the project will undertake and accomplish. Need The proposal must demonstrate the need for Federal funding to support the request for AED equipment and training. The proposal should include information on the unmet needs of the target population and/or geographic area. The use of local data is particularly important and should be used to compare the local needs in relation to available State and national data. Information regarding local and State EMS response times, in particular those for cardiac arrest and/or heart attack should be included if available as Attachment 4. If there are no existing records of response time, a plan on how these times will be obtained should be included in your project’s geographical area. The application should include, if applicable, previous efforts to acquire and deploy AEDs and any positive impact towards reducing death and disability related to sudden cardiac arrest that were identified. Applications should include detailed information on geographic isolation, financial, cultural, linguistic, workforce, or other direct barriers that limits access to care. These barriers should be related to the needs in the service area and a discussion of how the proposed project plans to meet or correct these needs. 45 HRSA 11-088 13 Response In this section, the proposal should include a description of how the project activities respond to the stated needs and meet the intent of the program. If a strategic plan has been developed, the goals, objectives and activities should be described in this section. If a strategic plan has not been developed then a description on how the applicant intends to develop a strategic plan should be included. The proposal should also include a description on the community partnership in this section. The application should relate how the structure of the partnership was developed. A listing of the various organizations and the tasks each is responsible for should be clearly delineated. Issues of governance and decision making should be spelled out. The application should also provide the name of the lead organization, the name and contact information for the person responsible for ensuring the day to day operations, and the check and balance system instituted to ensure fiscal integrity of the program. Since the intent of this program is to ensure appropriate placement of AEDs to increase the likelihood of AED usage by the general population, applicants should detail how the intent of the program can be accomplished by the proposed plan and how it would complement existing emergency response systems, if already available. The plans for strategic placement of AEDs should also be considered as part of the response strategy to ensure maximum coverage in areas where the probability of sudden cardiac arrest is highest, where there is a corresponding high concentration of persons and/or where bystander intervention is more likely to occur. Additionally, applicants should consider strategic placement for locations where access to the AED unit may be difficult but where an innovative AED placement could result in more rapid cardio conversion, i.e. State Parks. The application should identify how the State EMS Office will be notified of AED placement locations to ensure complementary integration with local notification to dispatchers and existing or proposed medical directors. The response must also include information on the number of AEDs proposed for purchase, as well as the types of training programs and activities to be conducted. Training activities should include the number of target sessions, the number of people to be trained, the nationally recognized training program to be utilized and identification of training personnel, if known, or the criteria that will be used to select trainers. Describe how training will be accomplished and who will be targeted to receive training. Identify methods to address the cultural and linguistic differences of the trainees and public within training opportunities. Applicants are required to solicit three bids from potential AED manufacturers or suppliers and include them as part of the application. The bids should be placed in Attachment 6. The only exception to this requirement is if the applicant is already bound by a pre-existing contract (such as a State procurement contract or purchasing schedule). If such a pre-existing contract exits, then the applicant must include verification of the contract in lieu of the three bids. 46 HRSA 11-088 14 The proposal should also describe issues regarding liability and ownership issues relating to the placed AEDs, describe how these issues may be resolved. If liability is transferred to the locality where the AED is placed, then such distinction should be included. The application should include a chart that identifies the key community partnership agency that is responsible for accomplishing each goal, strategy and activity, along with realistic time- lines. The chart below may be used to organize how the plan will be implemented. The chart below is illustrative only. Some applicants may develop a different but equally effective format. For example, some applicants have included sub-goals, or objectives. Goals Objectives Activities Anticipated Outputs, Outcomes or impact How Measured Performance Period Responsible Organization or Person 1. A. B. a. b. c. 2. A. a. Impact The use of AEDs has been proven highly effective when the device is applied within the first minutes of a cardiac arrest. While increasing the number of AEDs in a community can result in a significant effect on survival, a more effective program will require the strategic placement of AEDs and the integration of resources and cooperation of all other organizations or entities serving a given community. Indicate the anticipated impact the project activities will have on the community being served. Applications should include information on the strategies used to identify the location where AEDs are placed and how the public is informed and trained in the use of these devices to ensure a degree of comfort that will ensure the use of these devises in time of need. The applicant should identify, document through data collection and disseminate to the public the effectiveness of the program. In this section the application should explain the plan to communicate program results, educational activities, and location of the AEDs to the public. It is expected that receiving a grant award via this program will result in a sustainable project after the initial Federal funding period. The applicant will be expected to identify the overall impact upon the target population served and how their program may be replicated in other communities via dissemination of project results. Evaluation Integration with other existing defibrillation programs in the proposed service area, and especially emergency medical dispatch and EMS response, is of primary importance with any defibrillation program. The same holds true for data collection and evaluative measures. The applicant is encouraged to integrate data inputs from across the community by establishing a baseline to compare future AED efforts (contingent upon appropriations) and incorporate data 47 HRSA 11-088 15 linkages with hospital discharge outcome results consistent with national dataset elements (e.g., National Highway Traffic Safety Administration or National EMS Information System). It is the applicant’s responsibility to determine how data will be collected on the usage of the AEDs once placed in the various locations, the outcomes from the usage and the reporting of such uses to the applicant organization for reporting back to the awarding agency. This section should clearly outline the proposed strategies used to evaluate program objectives, if they have been met and what impact on the community is anticipated. The process of determining what data will be collected, and who collects it, should be clearly presented. Please note: Applicants are expected to explain in this section how the data outcomes will be evaluated. The Budget Narrative should also include the costs associated with this evaluation. Resources/Capabilities Provide information on the applicant organization’s current mission, structure and scope of current activities. Include an organizational chart and describe how these contribute to the ability of the organization to conduct the program requirements and meet program expectations. Place the Organizational Chart in Attachment 3. Also include in Attachment 3 a list of all collaborating partners including contact person and information. If funds are to be contracted out, a copy of one contract should be included here also. xi. Attachments Attachment 1 – –Job Description for Key Personnel Attach position descriptions that include the roles, responsibilities, and qualifications of proposed project staff. Limit to one page in length as much as is possible. Attachment 2 - Biographical Sketches Include biographical sketches for persons occupying the key positions described in Attachment 2, not to exceed two pages in length. In the event that a biographical sketch is included for an identified individual who is not yet hired, please include a letter of commitment from that person with the biographical sketch. Attachment 3 - Organizational Chart and/or contract Provide a one-page figure that depicts the organizational structure of the project, including subcontractors and other significant collaborators. Attachment 4 – Information regarding local and State EMS response times, in particular those for cardiac arrest and/or heart attack should be included, if available. Attachment 5- Bids from potential AED manufacturers or suppliers or pre-existing contracts (such as a State procurement contract or purchasing schedule) Include at least three bids from potential AED suppliers or a pre-existing contract; which will be included in page limit. 48 HRSA 11-088 16 Attachment 6 - Office of Rural Health Policy Funding History Current or former grantees involved in or submitting a new application must include: (1) the dates of any prior award; (2) the grant number assigned to the previous award; (3) a copy of the abstract or project summary that was submitted with the previous grant application; and (4) the role of the applicant and/or the community partnership in the previous grant. The page(s) for this information should be placed in Attachment 8 and will be numbered as part of the application and will count against the 45 page limit. Attachment 7 - Supplemental Materials: Please include in this section information that is not included elsewhere in the Table of Contents. Be sure each item is clearly labeled. Include letters that specifically indicate a commitment to the project (in-kind services, dollars, staff, space, equipment, etc.) Letters of agreement and support must be dated. List all other support letters on one page; which will be included in page limit. SUBMISSION DATES AND TIMES Application Due Date The due date for applications under this funding opportunity announcement is February 28, 2011 at 8:00 P.M. ET. Applications completed online are considered formally submitted when the application has been successfully transmitted electronically by your organization’s Authorized Organization Representative (AOR) through Grants.gov and has been validated by Grants.gov on or before the deadline date and time. The Chief Grants Management Officer (CGMO) or designee may authorize an extension of published deadlines when justified by circumstances such as natural disasters (e.g. floods or hurricanes) or other disruptions of services, such as a prolonged blackout. The CGMO or designee will determine the affected geographical area(s). Late applications: Applications which do not meet the criteria above are considered late applications and will not be considered in the current competition. 4. INTERGOVERNMENTAL REVIEW The RAED Program is not a program subject to the provisions of Executive Order 12372, as implemented by 45 CFR 100. 5. FUNDING RESTRICTIONS Applicants responding to this announcement may request funding for a project period of up to three (3) years, at no more than $100,000 per year. Awards to support projects beyond the first budget year will be contingent upon Congressional appropriation, satisfactory progress in meeting the project’s objectives, and a determination that continued funding would be in the best interest of the Federal government. 49 HRSA 11-088 17 Grant funds may not be spent, either directly or through contract, to provide direct health care services or to pay for the purchase, construction, renovation or improvement of facilities or real property. 6. OTHER SUBMISSION REQUIREMENTS As stated in Section IV.1, except in rare cases HRSA will no longer accept applications in paper form. Applicants submitting for this funding opportunity are required to submit electronically through Grants.gov. To submit an application electronically, please use the http://www.Grants.gov apply site. When using Grants.gov you will be able to download a copy of the application package, complete it off-line, and then upload and submit the application via the Grants.gov site. It is essential that your organization immediately register in Grants.gov and become familiar with the Grants.gov site application process. If you do not complete the registration process you will be unable to submit an application. The registration process can take up to one month. To be able to successfully register in Grants.gov, it is necessary that you complete all of the following required actions: • Obtain an organizational Data Universal Number System (DUNS) number • Register the organization with Central Contractor Registry (CCR) • Identify the organization’s E-Business Point of Contact (E-Biz POC) • Confirm the organization’s CCR “Marketing Partner ID Number (M-PIN)” password • Register an Authorized Organization Representative (AOR) • Obtain a username and password from the Grants.gov Credential Provider Instructions on how to register, tutorials and FAQs are available on the Grants.gov web site at www.grants.gov. Assistance is also available 24 hours a day, 7 days a week (excluding Federal holidays) from the Grants.gov help desk at support@grants.gov or by phone at 1-800-518-4726. Formal submission of the electronic application: Applications completed online are considered formally submitted when the application has been successfully transmitted electronically by your organization’s AOR through Grants.gov and has been validated by Grants.gov on or before the deadline date and time. It is incumbent on applicants to ensure that the AOR is available to submit the application to HRSA by the published due date. HRSA will not accept submission or re-submission of incomplete, rejected, or otherwise delayed applications after the deadline. Therefore, you are urged to submit your application in advance of the deadline. If your application is rejected by Grants.gov due to errors, you must correct the application and resubmit it to Grants.gov before the deadline date and time. If, for any reason, an application is submitted more than once, prior to the application due date, HRSA will only accept the applicant’s last electronic submission prior to the application due date as the final and only acceptable submission of any competing application submitted to Grants.gov. 50 HRSA 11-088 18 Tracking your application: It is incumbent on the applicant to track application status by using the Grants.gov tracking number (GRANTXXXXXXXX) provided in the confirmation email from Grants.gov. More information about tracking your application can be found at http://www07.grants.gov/applicants/resources.jsp. V. APPLICATION REVIEW INFORMATION 1. REVIEW CRITERIA Procedures for assessing the technical merit of grant applications have been instituted to provide for an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Review criteria are outlined below with specific detail and scoring points. Review Criteria are used to review, evaluate and rate applications. Applicants should address these criteria in the process of writing the application, as they are the basis upon which members of the Independent Review Panel will judge their applications. The RAED Program has six review criteria: Criterion 1: Need – 20 Points Applicants will be evaluated by the degree to which the proposal: a) Describes the community in general and details relevant barriers, such as: access to emergency care; providers; inappropriate language and/or comprehension level; cultural and linguistic concerns; financial; geographical; etc., in the target community. b) Describes, if applicable, previous efforts to acquire and deploy AEDs and any positive impact towards reducing death and disability related to sudden cardiac arrest that were identified. c) Documents or cites relevant early defibrillation outcomes stated in the literature, complemented by available public health data, and then delineates a clear benefit for the area or population to be served. d) Ascertains if a formal community-level EMS evaluation has been performed in the proposed service areas. If one has been performed, the proposal relates the results to the proposed impact of this program. e) Describes, if not already available, steps to identify current local response times. Criterion 2: Response – 25 Points Applicants will be evaluated by the degree to which the proposal identifies anticipated outputs and include the anticipated timeframe for the project activities: 51 HRSA 11-088 19 a) Describes the structure of the community partnership and identifies the partner organization (s) and/or person (s) responsible for carrying out each project activity. Demonstrates the degree of integration with the overall EMS response system and how this project will be integrated with existing defibrillation programs. b) Provides a detailed process or strategic plan that will be used to implement the program (e.g., Personal Protective Equipment (PPE), CPR, first responder training and utilization, security, mounting, alerting, access and other support components). A particular emphasis should be placed upon describing how emergency medical dispatch utilizing “9-1-1” pre-arrival instructions, EMS response, medical direction and quality improvement will be integrated into the overall proposed project. c) Documents how the State EMS Office will be notified of AED placement locations to ensure complementary integration with local notification to dispatchers and existing or proposed medical directors. d) Describes how training will be accomplished and who will be targeted to receive training. Identifies methods to address cultural and linguistic differences of the target population(s) within training opportunities. e) Describes the community structure including resources to manage a program. f) Describes the public relations efforts that will be used to enhance community awareness of the proposed program. g) The proposal describes issues regarding liability and ownership issues relating to the placed AEDs, describes how these issues may be resolved. h) Explains how the proposed plan (which includes goals, objectives, responsible agency and timeline) has been developed. Criterion 3: Impact – 15 Points Applicants will be evaluated by the degree to which the proposal: a) Identifies the expected impact of the project activities on the community and the ability to provide prompt services in the case of emergencies. b) Identifies the strategies for placement of AEDs and dissemination of this information to the public. c) Identifies the extent and effectiveness of plans for dissemination of project results. Identifies plans for dissemination of project results, focusing on how such results may be national in scope and the degree to which the project activities are replicable in other communities. d) Identifies logical strategies for project sustainability beyond the Federal funding period Criterion 4: Evaluative Measures – 20 Points Applicants will be evaluated by the degree to which the proposal: 52 HRSA 11-088 20 a) Utilizes a data collection system that will provide data to analyze each use of AEDs, evaluates the overall program effectiveness (e.g., comparison of survival rates. before and after implementation of the AED program and make any necessary improvements during the project period. c) Proposes a benchmark for number of AEDs placed, number of persons trained to include lay public, emergency medical dispatchers if necessary, etc., and the number of operational uses with status of patient after defibrillation (e.g., restoration of pulse and respirations. d) Describes how an average time period will be provided related to the interval from finding patient in distress to use of AED. e) Demonstrates how the program’s data collection activities will be integrated with a State EMS data-collection system to longitudinally monitor project utility beyond the grant period and reference specific data reporting elements to be integrated into national datasets via State EMS Office integration. f) Identifies strategies for collecting data to report usage and outcomes from the AEDs that are placed. Criterion 5: Resources /Capabilities – 10 points Applicants will be evaluated on the degree to which: a) The capabilities of the applicant organization, the quality and availability of facilities and personnel to fulfill the needs and requirements of the proposed project are described b) Project personnel are qualified by training and/or experience to implement and carry out the project. c) The by all collaborating partners level of commitment Criterion 6: Support Requested – 10 points Applicants will be evaluated by the extent to which a) The proposed budget is reasonable in relation to the project objectives and is reflective of each year within the 3 year project period. b) The budget for each year relates to the proposed activities and what funds will be used for each activity. c) The budget narrative fully describes the purpose of the funds being requested Review Criterion Number of Points 1. Need 20 2. Response 25 3. Impact 15 4. Evaluative Measures 20 5. Resources/Capabilities 10 53 HRSA 11-088 21 6. Support Requested 10 Total Points 100 2. REVIEW AND SELECTION PROCESS The Division of Independent Review is responsible for managing objective reviews within HRSA. Applications competing for Federal funds receive an objective and independent review performed by a committee of experts qualified by training and experience in particular fields or disciplines related to the program being reviewed. In selecting review committee members, other factors in addition to training and experience may be considered to improve the balance of the committee, e.g., geographic distribution. Each reviewer is screened to avoid conflicts of interest and is responsible for providing an objective, unbiased evaluation based on the review criteria noted above. The committee provides expert advice on the merits of each application to program officials responsible for final selections for award. Applications that pass the initial HRSA eligibility screening will be reviewed and rated by a panel based on the program elements and review criteria presented in relevant sections of this program announcement. The review criteria are designed to enable the review panel to assess the quality of a proposed project and determine the likelihood of its success. The criteria are closely related to each other and are considered as a whole in judging the overall quality of an application. 3. ANTICIPATED ANNOUNCEMENT AND AWARD DATES It is anticipated that awards will be announced prior to the start date of August 1, 2011. VI. Award Administration Information 1. AWARD NOTICES Each applicant will receive written notification of the outcome of the objective review process, including a summary of the expert committee’s assessment of the application’s merits and weaknesses, and whether the application was selected for funding. Applicants who are selected for funding may be required to respond in a satisfactory manner to Conditions placed on their application before funding can proceed. Letters of notification do not provide authorization to begin performance. The Notice of Award sets forth the amount of funds granted, the terms and conditions of the award, the effective date of the award, the budget period for which initial support will be given, the non-Federal share to be provided (if applicable), and the total project period for which support is contemplated. Signed by the Grants Management Officer, it is sent to the applicant’s Authorized Organization Representative, and reflects the only authorizing document. It will be sent prior to the start date of August 1, 2011. 54 HRSA 11-088 22 2. ADMINISTRATIVE AND NATIONAL POLICY REQUIREMENTS Successful applicants must comply with the administrative requirements outlined in 45 CFR Part 74 Uniform Administrative Requirements for Awards and Subawards to Institutions of Higher Education, Hospitals, Other Nonprofit Organizations, and Commercial Organizations or 45 CFR Part 92 Uniform Administrative Requirements For Grants And Cooperative Agreements to State, Local, and Tribal Governments, as appropriate. HRSA grant and cooperative agreement awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. This includes, as applicable, any requirements in Parts I and II of the HHS GPS that apply to the award. The HHS GPS is available at http://www.hrsa.gov/grants/. The general terms and conditions in the HHS GPS will apply as indicated unless there are statutory, regulatory, or award- specific requirements to the contrary (as specified in the Notice of Award). Cultural and Linguistic Competence HRSA is committed to ensuring access to quality health care for all. Quality care means access to services, information, materials delivered by competent providers in a manner that factors in the language needs, cultural richness, and diversity of populations served. Quality also means that, where appropriate, data collection instruments used should adhere to culturally competent and linguistically appropriate norms. For additional information and guidance, refer to the National Standards for Culturally and Linguistically Appropriate Services in Health Care published by HHS. This document is available online at http://www.omhrc.gov/CLAS. Trafficking in Persons Awards issued under this funding opportunity announcement are subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. 7104). For the full text of the award term, go to http://www.hrsa.gov/grants/trafficking.html. If you are unable to access this link, please contact the Grants Management Specialist identified in this funding opportunity to obtain a copy of the Term. PUBLIC POLICY ISSUANCE HEALTHY PEOPLE 2020 Healthy People 2020 is a national initiative led by HHS that sets priorities for all HRSA programs. The initiative has two major goals: (1) to increase the quality and years of a healthy life; and (2) eliminate our country’s health disparities. The program consists of 38 focus areas containing measurable objectives. HRSA has actively participated in the work groups of all the focus areas, and is committed to the achievement of the Healthy People 2020 goals. More information about Healthy People 2020 may be found online at http://www.healthypeople.gov 55 HRSA 11-088 23 National HIV/AIDS Strategy (NHAS) The new National HIV/AIDS Strategy (NHAS) has three primary goals: 1) reducing the number of people who become infected with HIV, 2) increasing access to care and optimizing health outcomes for people living with HIV, and 3) reducing HIV-related health disparities. The NHAS states that more must be done to ensure that new prevention methods are identified and that prevention resources are more strategically deployed. Further, the NHAS recognizes the importance of getting people with HIV into care early after infection to protect their health and reduce their potential of transmitting the virus to others. HIV disproportionately affects people who have less access to prevention and treatment services and, as a result, often have poorer health outcomes. Therefore, the NHAS advocates adopting community-level approaches to reduce HIV infection in high-risk communities and reduce stigma and discrimination against people living with HIV. To ensure success, the NHAS requires the Federal government and State, tribal and local governments to increase collaboration, efficiency, and innovation. Therefore, to the extent possible, program activities should strive to support the three primary goals of the National HIV/AIDS Strategy. More information can be found at http://www.whitehouse.gov/administration/eop/onap/nhas. Smoke-Free Workplace The Public Health Service strongly encourages all award recipients to provide a smoke-free workplace and to promote the non-use of all tobacco products. Further, 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. 3. Reporting The successful applicant under this guidance must comply with the following reporting and review activities. a. Audit Requirements Comply with audit requirements of Office of Management and Budget (OMB) Circular A- 133. Information on the scope, frequency, and other aspects of the audits can be found on the Internet at www.whitehouse.gov/omb/circulars; b. Payment Management Requirements Submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System. The report identifies cash expenditures against the authorized funds for the grant or cooperative agreement. The FFR Cash Transaction Reports must be filed within 30 days of the end of each calendar quarter. Failure to submit the report may result in the inability to access award funds. Go to www.dpm.psc.gov for additional information. 56 HRSA 11-088 24 c. Status Reports 1) Federal Financial Report. The Federal Financial Report (SF-425) is required within 90 days of the end of each budget period. The report is an accounting of expenditures under the project that year. Financial reports must be submitted electronically through EHB. More specific information will be included in the Notice of Award. 2) Progress Report(s). The awardees must submit a progress report to HRSA on an annual basis. For multi-year awards: Submission and HRSA approval of your Progress Report(s) triggers the budget period renewal and release of subsequent year funds. This report has two parts. The first part demonstrates grantee progress on program-specific goals. The second part collects core performance measurement data including performance measurement data to measure the progress and impact of the project. Further information will be provided in the award notice. (3) Performance Improvement Management System (PIMS) All grantees are required to complete the PIMS Report within 30 days of the end of each budget period. This report can be found in the Electronic Handbook (EHB). NOTE: The Office of Rural Health Policy has defined specific performance measures that RAED grantees will be required to report to ORHP. Performance measures can be process or outcome measures that allow grantees to track their progress toward meeting stated objectives. The following measures are to be reported on: 1) How many AED devices were purchased? How much money was spent to purchase the AEDs? 2) How many first responders were trained, i.e., 911 operators, EMT, police officers, paramedics), Fire Department Personnel? 3) How many lay persons were trained, i.e., community members, non-emergency health professionals, school personnel? 4) How many AED devices were placed? 5) How many uses were reported and what were the outcomes? 6) The number of patients survived? 7) The number of patients deceased? Additional information will be included in the award notice. (4) Narrative Update Within 45 days of the end of your budget period a narrative report explaining the outcomes of the defibrillator uses including, if possible, where the incident occurred and the age of the patient. 57 HRSA 11-088 25 (5) Submit a Final Performance Report. A Final Report should be submitted within 90 days of the end of your project period. The report format and due date will be sent to all grantees before the end of the project period. The final report must be submitted on-line by awardees in the Electronic Handbooks system at https://grants.hrsa.gov/webexternal/home.asp. d. Transparency Act Reporting Requirements New awards issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in Federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (available online at http://www.hrsa.gov/grants/ffata.html). Competing Continuation awardees may be subject to this requirement and will be so notified in the Notice of Award. VII. AGENCY CONTACTS Applicants may obtain additional information regarding business, administrative, or fiscal issues related to this funding opportunity announcement by contacting: Belinda Bedran HRSA/OFAM/Division of Grants Management Operations 5600 Fishers Lane Room 11A-02 Rockville, MD 20857 301-443-1565 Bbedran@hrsa.gov or Carolyn Cobb HRSA/OFAM/Division of Grants Management Operations 5600 Fishers Lane Room 11A-02 Rockville, MD 20857 301-443-6343 ccobb2@hrsa.gov Additional information related to the overall program issues and/or technical assistance regarding this funding announcement may be obtained by contacting Eileen Holloran, RAED Program Coordinator Office of Rural Health Policy 58 HRSA 11-088 26 5600 Fishers Lane Room 9A-42 Rockville, MD 20857 Telephone: 301-443-7529 Fax: 301-443-2803 eholloran@hrsa.gov Applicants may need assistance when working online to submit their application forms electronically. For assistance with submitting the application in Grants.gov, contact Grants.gov 24 hours a day, seven days a week, excluding Federal holidays at: Grants.gov Contact Center Telephone: 1-800-518-4726 E-mail: support@grants.gov VIII. OTHER INFORMATION 1. TECHNICAL ASSISTANCE CONFERENCE CALL INFORMATION The Office of Rural Health Policy will hold a Technical Assistance call for the Rural Access to Emergency Devices grant program. The call will be held on Thursday, January 27, 2011 at 2:00pm Eastern Time. To attend the TA call, please call 1-888-593-8434. The Passcode for this call is RAED. The call will be recorded for playback. The number to access the playback is 1- 866-403-7112. The play back will be available until February 28, 2011 The purpose of the call is to go over the grant guidance, and to provide any additional or clarifying information that may be necessary regarding the application process. There will be a Q&A session at the end of the call to answer any questions. While the call is not required, it is highly recommended that anyone who is interested in applying for the RAED program plan to listen to the call. It is most useful to the applicants when the grant guidance is easily accessible during the call and if questions are written down ahead of time for easy reference. 2. USEFUL WEB SITES Rural Eligibility List- By county - http://datawarehouse.hrsa.gov/Rural Advisor/ ruralhealthadvisor.aspx By Address: http://datawarehouse.hrsa.gov/RuralAdvisor/ruralhealthadvisor.aspx?ruralByAddr=1 State Office of Rural Health (SORH) List- http://www.hrsa.gov/ruralhealth/about/hospitalstate/stateoffices.html Office of Rural Health Policy Homepage- http://ruralhealth.hrsa.gov 59 HRSA 11-088 27 Rural Assistance Center (RAC) - http://www.raconline.org National Association of State EMS Officials - http://www.nasemsd.org/ 3. DEFINITIONS Definitions for some of the terms commonly used in conjunction with the Rural Access to Emergency Devices Grant Program are listed below. Automatic External Defibrillator (AED) – A device used in sudden cardiac events designed to deliver a series of shocks at pre-programmed energy levels to restore spontaneous circulation. Budget Period - 12-month intervals of time into which the three year project period is divided for budgetary and funding purposes. The period also is the “period of funding availability” as specified in 45 CFR Part 74 and 92. Community Partnership - A consortium to include entities listed in the authorizing legislation [Section 413.Grants] such as, but not limited to, local emergency response entities such as community training facilities, local emergency responders, fire and rescue departments, police, community hospitals, and local non-profit entities and for-profit entities concerned about cardiac arrest survival rates. Contract – A written agreement between a grantee and a third party to acquire commercial goods or services. Equipment – Per 45 CFR Part 74.2, equipment is tangible non-expendable personal property, including exempt property, charged directly to the award having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. However, consistent with recipient policy, lower limits may be established. Grant – Financial assistance awarded, in the form of money, or property in lieu of money, by the Federal government to an eligible recipient to carry out an approved project or activity in support of a public purpose and not the direct benefit of the government. The term does not include: any Federal procurement subject to the Federal Acquisition Regulation (FAR); technical assistance (which provides services instead of money); or assistance in the form of revenue sharing, loans, loan guarantees, interest subsidies, insurance, or direct payments of any kind to individuals. Grantee - A recipient to which a grant is awarded and which is responsible and accountable for the use of the funds provided for the project. Lead Applicant - An organization that assumes responsibility to direct the project supported by the grant. The lead applicant is responsible and accountable for the proper 60 HRSA 11-088 28 conduct of the project. The lead applicant is legally responsible and accountable to the Department of Health and Human Services for the performance and financial aspects of the grant. Letter of Commitment - A document submitted by a community partnership member that delineates the role, responsibilities and resources committed to the project by that member. Letter of Support - A letter submitted by a community-based organization that is not a member of the community partnership, but wishes to express support for the project. Memorandum of Agreement – The Memorandum of Agreement is a written document that must be signed by all community partnership member CEOs or Board Chairs to signify their formal commitment as a community partnership. An acceptable MOA must describe the community partnership’s purpose and activities in general; member responsibilities in terms of financial contribution and participation. Nonprofit - Any entity that is a corporation or organization where no part of the net earnings may benefit shareholders or individuals, and is identified as nonprofit by the IRS, State taxing authority, State Attorney General or other appropriate State official. Notice of Award (NoA) - The legally binding document that serves as a notification to the recipient and others that a grant has been made. It contains or references all terms of the grant award and documents the obligation of Federal funds in the Department of Health and Human Services accounting system. Program Income - Gross income earned by a recipient that is directly generated by the grant-supported project, program, or activity or earned as a result of the award. Program income must be used for purposes that will enhance the grant project and can be spent only for purposes that are legally eligible expenditures under the Rural Access to Emergency Devices Grant Program. Project - All proposed activities specified in a grant application as approved for funding. Project Director – An individual designated by the recipient to direct the project or program being supported by a grant. He/she is responsible and accountable to officials of the recipient organization for the proper conduct of the project, program, or activity (can be used interchangeably as Program Director). Project Period - The total time for which support has been programmatically approved. The project period will consist of three years. Rural County/Census Tract: All counties that are not Metropolitan Statistical Areas as defined by the Office of Management and Budget are eligible for this program. Also included are certain Zip Codes in large urban counties that are designated as rural for the purposes of this grant program. A list of rural counties and qualified Census Tracts in 61 HRSA 11-088 29 urban counties can be found at http://datawarehouse.hrsa.gov/RuralAdvisor/RuralHealthAdvisor.aspx This announcement includes, in addition to the 50 States, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, the Territories of the Virgin Islands, Guam, American Samoa, and the Compact of Free Association Jurisdictions of the Republic of the Marshall Islands, the Republic of Palau and the Federated States of Micronesia. IX. TIPS FOR WRITING A STRONG APPLICATION A concise resource offering tips for writing proposals for HHS grants and cooperative agreements can be accessed online at: http://www.hhs.gov/asrt/og/grantinformation/apptips.html. 62