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Home My WebLink AboutGrant submittal to US Dept. of Health and Human Services for defibrillators Commission Memorandum REPORT TO: Honorable Mayor and City Commission FROM: Ken Stocks, Grants Specialist Anna Rosenberry, Finance Director SUBJECT: Authorize City Manager to sign MOU’s, grant agreements and other documents on behalf of the City directly related to submission of a grant proposal to the U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy for the purchase of Automated External Defibrillators 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. MEETING DATE: March 5, 2012. AGENDA ITEM TYPE: Consent. RECOMMENDATION: Motion to authorize City Manager to sign grant submittal and related documents. BACKGROUND: The City’s Fire Department has been seeking funding for AEDs on a continuing basis and recently identified this funding opportunity. The grant submission deadline is March 19, 2012. The Notice of Funding Availability strongly encourages the development of community partnerships. Therefore, the City is inviting 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 March 12th, authorizing the City Manager to sign grant-related documents will help ensure timely submittal of the application. AED’s are essential life-saving apparatus for first responders administering to heart attack victims. FISCAL EFFECTS: Approval of this request will have no adverse impacts on current Police Department or Fire Department budgets. ALTERNATIVES: As suggested by the City Commission. Attachments: NOFA Report compiled on: February 23, 2012 18 Project Title: Gallatin County Partnership for Saving Lives Applicant: City of Bozeman, Montana Address: PO Box 1230/121 N. Rouse Bozeman, MT 59771 Contact: Sean Grabbe, Project Director, City of Bozeman Fire Department (406) 582-2354 FAX: (406) 582-2355 sgrabbe@bozeman.net Gallatin County’s Cardiac Arrest Survival Team (CAST) mission is to save lives by improving cardiac event outcomes, especially in the more remote and isolated portions of Gallatin County. This goal will be accomplished by the placement of approximately 120 Automated External Defibrillators during the three-year project period throughout the 2,600 square-mile County; and train at least 450 community members and emergency responders in the use of these life-saving devices. CAST will use every cent awarded under this grant for the purchase of Automated External Defibrillators (AEDs), replacement batteries, AED cabinets and spare electrode pads. All other costs including training, travel, personnel, community outreach, maintenance and administration will be met through the commitment of non-federal resources. The City of Bozeman is requesting $100,000/year for the three-year project period for a total of $300-K. CAST is a collaborative community partnership. Members include the City of Bozeman, Gallatin County, Montana State University and Bozeman Deaconess Hospital. The project’s administrative site is Fire Station #1 (34 N. Rouse, Bozeman). The primary training site is Bozeman Deaconess Hospital (915 Highland Boulevard, Bozeman). During the first year, more than 150 people will receive American Heart Association basic life support training in the use of AEDs and at least 40 AEDs will be placed in emergency response vehicles and key locations throughout the County. First year tasks that will be completed in order to achieve this goal include development of a Strategic Plan and community outreach and training. The Strategic Plan will prioritize the placement of AEDs, ensure adequate training within the community and address any other concerns including administration, liability and O&M. All CAST members will collect and analyze data; develop and maintain a relevant data base including outcomes, response time and other data sets and use the data to evaluate and improve the project. Every resident, tourist and commuter between Maudlow and West Yellowstone, Three Forks and Sedan, may potentially require the life-saving services of this project. Gallatin County is home to 89,513 people. More than one million tourists travel through the County every year, often headed towards Yellowstone or Glacier National Parks. Funding of this project helps ensure that tourists and commuters return home, too. 19 U.S.DEPARTMENTOFHEALTHANDHUMANSERVICES HealthResourcesandServicesAdministration OfficeofRuralHealthPolicy PublicAccesstoDefibrillationDemonstrationProject AnnouncementType:New AnnouncementNumber:HRSA-12-085 CatalogofFederalDomesticAssistance(CFDA)No.93.259 FUNDINGOPPORTUNITYANNOUNCEMENT FiscalYear2012 ApplicationDueDate:March19,2012 EnsureyourGrants.govregistrationandpasswordsarecurrentimmediately! Deadlineextensionsarenotgrantedforlackofregistration. Registrationmaytakeuptoonemonthtocomplete. ReleaseDate:February10,2012 IssuanceDate:February13,2012 MicheleGibson,M.H.S. PublicHealthAnalyst/PADDPGrantProgramCoordinator Email:mpray@hrsa.gov Telephone:(301)443-7320 Fax:(301)443-2803 Authority:Section313ofthePublicHealthServiceAct(42U.S.C.245);andthe ConsolidatedAppropriationsAct,2012(P.L.112-74) 20 HRSA-12-085i TableofContents I.FUNDINGOPPORTUNITYDESCRIPTION...................................................................................1 1.PURPOSE ...........................................................................................................................................1 2.BACKGROUND ..................................................................................................................................1 II.AWARDINFORMATION.................................................................................................................2 1.TYPEOF AWARD ..............................................................................................................................2 2.SUMMARYOF FUNDING ...................................................................................................................2 III.ELIGIBILITYINFORMATION......................................................................................................2 1.ELIGIBLE APPLICANTS ....................................................................................................................2 2.COST SHARING/MATCHING ............................................................................................................2 3.OTHER ..............................................................................................................................................2 IV.APPLICATIONANDSUBMISSIONINFORMATION................................................................3 1.ADDRESSTO REQUEST APPLICATION PACKAGE...........................................................................3 2.CONTENTAND FORMOF APPLICATION SUBMISSION....................................................................4 i.ApplicationFacePage............................................................................................................8 ii.TableofContents.....................................................................................................................8 iii.Budget......................................................................................................................................8 iv.BudgetJustification.................................................................................................................9 v.StaffingPlanandPersonnelRequirements.........................................................................11 vi.Assurances.............................................................................................................................12 vii.Certifications..........................................................................................................................12 viii.ProjectAbstract.....................................................................................................................12 ix.ProjectNarrative...................................................................................................................13 x.Attachments...............................................................................................................................17 3.SUBMISSION DATESAND TIMES....................................................................................................17 4.INTERGOVERNMENTAL REVIEW ..................................................................................................18 5.FUNDING RESTRICTIONS ...............................................................................................................18 6.OTHER SUBMISSION REQUIREMENTS ..........................................................................................19 V.APPLICATIONREVIEWINFORMATION.................................................................................21 1.REVIEW CRITERIA .........................................................................................................................21 2.REVIEWAND SELECTION PROCESS ..............................................................................................24 3.ANTICIPATED ANNOUNCEMENTAND AWARD DATES .................................................................24 VI.AWARDADMINISTRATIONINFORMATION.........................................................................24 1.AWARD NOTICES ...........................................................................................................................24 2.ADMINISTRATIVEAND NATIONAL POLICY REQUIREMENTS......................................................24 3.REPORTING ....................................................................................................................................26 VII.AGENCYCONTACTS..................................................................................................................27 VIII.OTHERINFORMATION............................................................................................................28 IX.TIPSFORWRITINGASTRONGAPPLICATION....................................................................28 21 HRSA-12-0851 I.FundingOpportunityDescription 1.Purpose Thisannouncementsolicitsapplicationsfor thePublicAccesstoDefibrillationDemonstration Project(PADDP).TheOfficeofRuralHealthPolicy's(ORHP)PADDPgrantprogramwillfund applicationsthatproposetodevelopandimplementinnovative,comprehensive,community- basedpublicaccessdefibrillationdemonstrationprojectsthat:(1)providecardiopulmonary resuscitationandautomatedexternaldefibrillationtocardiacarrestvictimsinuniquesettings;(2) providetrainingtocommunitymembersincardiopulmonaryresuscitationandautomated externaldefibrillation;and(3)maximizecommunityaccesstoautomatedexternaldefibrillators (AED). Thepurposeofthisgrantprogramisto:(1)purchaseAEDsthathavebeenapproved,orcleared formarketingbytheFoodandDrugAdministration;(2)providebasiclifetraininginautomated externaldefibrillatorusagethroughnationallyrecognizedcourses;(3)provideinformationto communitymembersaboutthepublicaccessdefibrillationdemonstrationprojecttobefunded withthegrant;(4)provideinformationtothelocalemergencymedicalservices(EMS)system regardingtheplacementofAEDsintheuniquesettings;and(5)furtherdevelopstrategiesto improveaccesstoAEDsinpublicplaces. 2.Background TheprogramisauthorizedbySection313ofthePublicHealthServiceAct(42U.S.C.245);and theConsolidatedAppropriationsAct,2012(P.L.112-74).TheCatalogofFederalDomestic Assistance(CFDA)Numberforthisgrantprogramis93.259. AEDprogramshaveproventobehighlyeffectivewhenthedeviceisappliedwithinthefirst minutesofacardiacarrest.Increasingthenumberandefficacyofdeliverysystemsin communitiescanbeexpectedtohaveasignificanteffectonsurvival.Ahighqualityand sustainablecommunityaccessdefibrillationprogramrequiresintegrationofresourcesand cooperationamongmanycommunityentities,mostnotablypolicymakerswithinthat communityorcounty. Theintentofthisgrantprogramistosupportprojectsthatwillincreasepublicaccessto emergencymedicaldevicesandservices.Applicationswillbeevaluatedoncriteriasuchashow welltheproject:(1)demonstratesthegreatestcommunityneedforservicesandprograms;(2) usesinnovative,comprehensive,community-basedpublicaccesstodefibrillation;and(3) proposesaneffectivemechanismforthecollectionofdataregardingresuscitation,defibrillation, andsurvivalrateswithinthesettingservedbytheproject.Additionally,projectsshouldbe responsivetotheuniqueculturalneeds,socialbeliefs,andlinguisticneedsofthetarget population. Applicantsareencouragedtoformcollaborativepartnershipsthatwillensuremaximumbenefit tothelimitedfundingavailablethroughthiscompetition.Partnershipsmaybecomposedof emergencyresponseentitiessuchastrainingfacilities,localemergencyresponders,fireand rescuedepartments,police,communityhospitals,andnon-profitentitiesandfor-profitentities concernedaboutcardiacarrestsurvivalrates.AnapplicantcanbeinpartnershipwithaState- wide,multi-State,regional,ormulti-countyconsortium.Eachpartnershipmusthavea 22 HRSA-12-0852 designatedleadapplicantasthegranteeofrecordtoactasthefiscalagentforthepartnership. State-wideandmulti-StatepartnershipsdonotneedtoincludeallcountiesintheState. Partnershipsmaybeformedthroughamemorandaofagreement(MOA)ormemorandaof understanding(MOU)tobeincludedas Attachment4 tothegrantapplication.TheMOA/MOU mustdescribehowthepartnershipwilldealwithissuesofgovernance,disbursementoffunds, therolesandresponsibilitiesofeachmemberinthepartnershipandthesignificantcontributions ofeachpartnertothegoalsoftheproject. II.AwardInformation 1.TypeofAward Fundingwillbeprovidedintheformofagrant. 2.SummaryofFunding Thisprogramwillprovidefundingduringfederalfiscalyears2012-2014.Approximately $300,000isexpectedtobeavailableannuallytofundupto3grantees.Applicantsmayapplyfor aceilingamountof$100,000peryear.Theprojectperiodisthree(3)years.Fundingbeyond thefirstyearisdependentontheavailabilityofappropriatedfundsforthe“PublicAccessto DefibrillationGrantProgram”insubsequentfiscalyears,granteesatisfactoryperformance,anda decisionthatcontinuedfundingisinthebestinterestoftheFederalgovernment. III.EligibilityInformation 1.EligibleApplicants AnapplicantmustbeapoliticalsubdivisionofaState,afederallyrecognizedNativeAmerican Tribe,oraTribalorganization. Applicantsproposingtousearegionalapproachanddistancelearningtoaddresscommonneeds ofoneregionarestronglyencouragedtoapply. 2.CostSharing/Matching CostSharing/Matchingisnotrequiredforthisprogram. 3.Other Applicationsthatexceedtheceilingamountwillbeconsiderednon-responsiveandwillnotbe consideredforfundingunderthisannouncement. Anyapplicationthatfailstosatisfythedeadlinerequirementsreferencedin SectionIV.3 willbe considerednon-responsiveandwillnotbeconsideredforfundingunderthisannouncement. 23 HRSA-12-0853 MaintenanceofEffort Grantfundsshallnotbeusedtotaketheplaceofcurrentfundingactivitiesdescribedinthe application.Thegranteemustagreetomaintainnon-Federalfundingforgrantactivitiesata levelwhichisnotlessthanexpendituresforsuchactivitiesduringthefiscalyearpriorto receivingthegrant. ThetotalamountoffundsrequestedtoadministerthePADDPgrantprogrammaynotexceedten (10)percentoftherequestedFederalaward,toincludeindirectandotheradministrativecosts. IV.ApplicationandSubmissionInformation 1.AddresstoRequestApplicationPackage ApplicationMaterialsandRequiredElectronicSubmissionInformation HRSA requires applicantsforthisfundingopportunityannouncementtoapplyelectronically throughGrants.gov.Thisrobustregistrationandapplicationprocessprotectsapplicantsagainst fraudandensuresthatonlyauthorizedrepresentativesfromanorganizationcansubmitan application.Applicantsareresponsibleformaintainingtheseregistrations,whichshouldbe completedwellinadvanceofsubmittingyourapplication.Allapplicants must submit inthis mannerunlesstheyobtainawrittenexemptionfromthisrequirementinadvancebytheDirector ofHRSA’sDivisionofGrantsPolicy.Applicantsmustrequestanexemptioninwritingfrom DGPWaivers@hrsa.gov,andprovidedetailsastowhytheyaretechnologicallyunableto submitelectronicallythroughtheGrants.govportal.YouremailmustincludetheHRSA announcementnumberforwhichyouareseekingrelief,theorganization’sDUNSnumber,the name,address,andtelephonenumberoftheorganizationandthenameandtelephonenumberof theProjectDirectoraswellastheGrants.govTrackingNumber(GRANTXXXX)assignedto yoursubmissionalongwithacopyofthe“RejectedwithErrors”notificationyoureceivedfrom Grants.gov.HRSAanditsDigitalServicesOperation(DSO)willonlyacceptpaper applicationsfromapplicantsthatreceivedpriorwrittenapproval.However,theapplication muststillbesubmittedbythedeadline.Suggestion:submitapplicationtoGrants.govatleast twodaysbeforethedeadlinetoallowforanyunforeseencircumstances. Note:CentralContractorRegistration(CCR)informationmustbeupdatedatleastevery12 monthstoremainactive(forbothgranteesandsub-recipients).AsofAugust9,2011, Grants.govbeganrejectingsubmissionsfromapplicantswithexpiredCCRregistrations. AlthoughactiveCCRregistrationattimeofsubmissionisnotanewrequirement,this systematicenforcementwilllikelycatchsomeapplicantsoffguard.AccordingtotheCCR Websiteitcantake24hoursormoreforupdatestotakeeffect,so checkforactiveregistration wellbeforeyourgrantdeadline. AnapplicantcanviewtheirCCRRegistrationStatusbyvisiting http://www.bpn.gov/CCRSearch/Search.aspx andsearchingbytheirorganization’sDUNS.The CCRWebsite providesuserguides,renewalscreenshots,FAQsandotherresourcesyoumay findhelpful. ApplicantsthatfailtoallowampletimetocompleteregistrationwithCCRand/orGrants.gov willnotbeeligibleforadeadlineextensionorwaiveroftheelectronicsubmissionrequirement. 24 HRSA-12-0854 AllapplicantsareresponsibleforreadingtheinstructionsincludedinHRSA’s Electronic SubmissionUserGuide,availableonlineat http://www.hrsa.gov/grants/apply/userguide.pdf. ThisGuideincludesdetailedapplicationandsubmissioninstructionsforbothGrants.govand HRSA’sElectronicHandbooks.PayparticularattentiontoSections2and5thatprovidedetailed informationonthecompetitiveapplicationandsubmissionprocess. ApplicantsarealsoresponsibleforreadingtheGrants.govApplicantUserGuide,available onlineat http://www.grants.gov/assets/ApplicantUserGuide.pdf.ThisGuideincludesdetailed informationaboutusingtheGrants.govsystemandcontainshelpfulhintsforsuccessful submission. ApplicantsmustsubmitproposalsaccordingtotheinstructionsintheGuideandinthisfunding opportunityannouncementinconjunctionwithApplicationFormSF-424.Theformscontain additionalgeneralinformationandinstructionsforapplications,proposalnarratives,andbudgets. Theformsandinstructionsmaybeobtainedby: 1)Downloadingfrom http://www.grants.gov,or 2)ContactingtheHRSADigitalServicesOperation(DSO)at: HRSADSO@hrsa.gov Eachfundingopportunitycontainsauniquesetofformsandonlythespecificformspackage postedwithanopportunitywillbeacceptedforthatopportunity.Specificinstructionsfor preparingportionsoftheapplicationthatmustaccompanyApplicationFormSF-424appearin the“ApplicationFormatRequirements”sectionbelow. 2.ContentandFormofApplicationSubmission ApplicationFormatRequirements Thetotalsizeofalluploadedfilesmaynotexceedtheequivalentof45pageswhenprintedby HRSA.Thetotalfilesizemaynotexceed10MB.The45-pagelimitincludestheabstract, projectandbudgetnarratives,attachments,andlettersofcommitmentandsupport.Standard formsareNOTincludedinthepagelimit.Westronglyurgeyoutoprintyourapplicationto ensureitdoesnotexceedthe45-pagelimit.Donotreducethesizeofthefontsormargins tosavespace.SeetheformattinginstructionsinSection5oftheElectronicSubmission UserGuidereferencedabove. Applicationsmustbecomplete,withinthe45-pagelimit,withinthe10MBlimit,and submittedpriortothedeadlinetobeconsideredunderthisannouncement. ApplicationFormat Applicationsforfundingmustconsistofthefollowingdocumentsinthefollowingorder: 25 HRSA-12-0855 SF-424Non-Construction–TableofContents 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.. ApplicationSection FormType Instruction HRSA/ProgramGuidelines ApplicationforFederalAssistance (SF-424) FormPages1,2&3oftheSF-424facepage.Notcountedinthepagelimit ProjectSummary/AbstractAttachmentCanbeuploadedonpage2ofSF-424-Box 15 Requiredattachment.Countedinthepagelimit. Refertothefundingopportunityannouncement fordetailedinstructions. AdditionalCongressionalDistrictAttachmentCanbeuploadedonpage3ofSF-424-Box 16 AsapplicabletoHRSA;notcountedinthepage limit. ProjectNarrativeAttachmentFormFormSupportstheuploadofProjectNarrative document Notcountedinthepagelimit. ProjectNarrativeAttachmentCanbeuploadedinProjectNarrative Attachmentform. Requiredattachment.Countedinthepagelimit. Refertothefundingopportunityannouncement fordetailedinstructions.Providetableof contentsspecifictothisdocumentonlyasthe firstpage. SF-424ABudgetInformation- Non-ConstructionPrograms FormPages1–2tosupportstructuredbudgetfor therequestofNon-constructionrelatedfunds. Notcountedinthepagelimit. BudgetNarrativeAttachmentFormFormSupportstheuploadofProjectNarrative document. Notcountedinthepagelimit. BudgetNarrativeAttachmentCanbeuploadedinBudgetNarrative Attachmentform. Requiredattachment.Countedinthepagelimit. Refertothefundingopportunityannouncement fordetailedinstructions. SF-424BAssurances-Non- ConstructionPrograms FormSupportsassurancesfornon-construction programs. Notcountedinthepagelimit. Project/PerformanceSite Location(s) FormSupportsprimaryand29additionalsitesin structuredform. Notcountedinthepagelimit. AdditionalPerformanceSite Location(s) AttachmentCanbeuploadedintheSF-424Performance SiteLocation(s)form.Singledocumentwith Notcountedinthepagelimit. 26 HRSA-12-0856 ApplicationSection FormType Instruction HRSA/ProgramGuidelines alladditionalsitelocation(s) DisclosureofLobbyingActivities (SF-LLL) FormSupportsstructureddataforlobbying activities. Notcountedinthepagelimit. OtherAttachmentsFormFormSupportsupto15numberedattachments. Thisformonlycontainstheattachmentlist. Notcountedinthepagelimit. Attachment1-15AttachmentCanbeuploadedinOtherAttachmentsform 1-15. Refertotheattachmenttableprovidedbelowfor specific sequence.Countedinthepagelimit. 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.. 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..WW hheerree sseevveerraall ddooccuummeennttss 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.. LLiimmiitt tthhee ffiillee aattttaacchhmmeenntt nnaammee ttoo uunnddeerr 5500 cchhaarraacctteerrss..DDoo nnoott uussee aannyy ssppeecciiaall cchhaarraacctteerrss ((ee..gg..,,%%,,//,,##))oorr ssppaacciinngg iinn tthhee ffiillee nnaammee oorr wwoorrdd sseeppaarraattiioonn..((TThhee eexxcceeppttiioonn iiss tthhee uunnddeerrssccoorree ((__))cchhaarraacctteerr..))YYoouurr aattttaacchhmmeenntt wwiillll bbee rreejjeecctteedd bbyy GGrraannttss..ggoovv iiff yyoouu uussee ssppeecciiaall cchhaarraacctteerrss oorr aattttaacchhmmeenntt nnaammeess ggrreeaatteerr tthhaann 5500 cchhaarraacctteerrss.. AttachmentNumber AttachmentDescription(ProgramGuidelines) Attachment1 StaffingPlanandPositionDescriptions:Provideastaffingplanfortheproposedprojectandthepositiondescriptionsforkey personnellistedintheapplication.Inthestaffingplan,explainthestaffingrequirementsnecessarytocompletetheproject,the qualificationlevelsfortheprojectstaff,andrationalefortheamountoftimethatisrequestedforeachstaffposition.Providethejob descriptionsforkeypersonnellistedintheapplicationthatdescribesthespecificroles,responsibilities,andqualificationsforeach proposedprojectposition.Keepeachjobdescriptiontoonepage,ifpossible.Forthepurposesofthisgrantapplication,Key Personnelisdefinedaspersonsfundedbythisgrantorpersonsconductingactivitiescentraltothisgrantprogram.Provideatableof contentsforthisattachment.(Thetableofcontentswillnotcountinthepagelimit). Attachment2 BiographicalSketchesforKeyPersonnel:Includebiographicalsketchesforpersonsoccupyingthekeypositionsdescribedin Attachment3,nottoexceedtwopagesinlength.Intheeventthatabiographicalsketchisincludedforanidentified individualwhois notyethired,pleaseincludealetterofcommitmentfromthatpersonwiththebiographicalsketch.Provideatableofcontentsforthis attachment.(Thetableofcontentswillnotcountinthepagelimit). Attachment3 OrganizationalChartandConsortiumMemberList:Submitaone-pageorganizationalchartoftheapplicant’sagency,department ororganizationandaone-pageconsortiumorganizationalchart.Thechartsshoulddepicttheorganizationalstructureoftheproject, includingsubcontractorsandothersignificantcollaborators.Also,includealistoftheconsortiummemberorganizationsincluding: organizationname,completeaddress,contactperson,phoneandfaxnumbers,ande-mailaddress.Thesedocumentsareincludedin pagelimit. Attachment4 PartnershipMemorandumofAgreement/Understanding: ProvideaMemorandumofAgreementorMemorandumofUnderstanding(MOA/MOU)signedbyallnetworkmembersthatreflects themutualcommitmentofthenetworkpartners.Additionalevidence,suchasby-lawsandlettersofincorporationmayalsobe 27 HRSA-12-0857 AttachmentNumber AttachmentDescription(ProgramGuidelines) included.Includedinpagelimit. Attachment5 LiabilityandOwnershipIssues:IncludeanyliabilityissuesthatmaybeassociatedwiththeplacementofAEDs.Includedinpage limit. 28 HRSA-12-0858 ApplicationFormat i.ApplicationFacePage CompleteApplicationFormSF-424providedwiththeapplicationpackage.Prepare accordingtoinstructionsprovidedintheformitself.Importantnote:enterthenameofthe ProjectDirector in8.f.“Nameandcontactinformationofpersontobecontactedonmatters involvingthisapplication.”If,foranyreason,theProjectDirectorwillbeoutoftheoffice, pleaseensuretheiremailOutofOfficeAssistantissetsoHRSAwillbeawareifanyissues arisewiththeapplicationandatimelyresponseisrequired.Forinformationpertainingtothe CatalogofFederalDomesticAssistance,theCFDANumberis93.259. DUNSNumber Allapplicantorganizations(andsubrecipientsofHRSAawardfunds)arerequiredtohavea DataUniversalNumberingSystem(DUNS)numberinordertoapplyforagrantor cooperativeagreementfromtheFederalGovernment.TheDUNSnumberisauniquenine- characteridentificationnumberprovidedbythecommercialcompany,DunandBradstreet. ThereisnochargetoobtainaDUNSnumber.InformationaboutobtainingaDUNSnumber canbefoundat http://fedgov.dnb.com/webform orcall1-866-705-5711.Pleaseincludethe DUNSnumberinitem8contheapplicationfacepage.Applications willnot bereviewed withoutaDUNSnumber.Note:AmissingorincorrectDUNSnumberisthenumberone reasonforapplicationsbeing“RejectedforErrors”byGrants.gov.HRSAwillnotextendthe deadlineforapplicationswithamissingorincorrectDUNSnumber.Applicantsshouldtake careinenteringtheDUNSnumberintheapplication. Additionally,theapplicantorganization(andanysubrecipientofHRSAawardfunds)is requiredtoregisterannuallywiththeCentralContractorRegistration(CCR)inordertodo electronicbusinesswiththeFederalGovernment.CCRregistrationmustbemaintainedwith current,accurateinformationatalltimesduringwhichanentityhasanactiveawardoran applicationorplanunderconsiderationbyHRSA.Itisextremelyimportanttoverifythat yourCCRregistrationisactiveandyourMarketingPartnerIDNumber(MPIN)iscurrent. InformationaboutregisteringwiththeCCRcanbefoundat http://www.ccr.gov. ii.TableofContents TheapplicationshouldbepresentedintheorderoftheTableofContentsprovidedearlier. Again,forelectronicapplicationsnotableofcontentsisnecessaryasitwillbegeneratedby thesystem.(Note:theTableofContentswillnotbecountedinthepagelimit.) iii.Budget CompleteApplicationFormSF-424ABudgetInformation–Non-ConstructionPrograms providedwiththeapplicationpackage. PleasecompleteSectionsA,B,E,andFforeachyearoftheprojectperiod,andthenprovide alineitembudgetusingSectionBObjectClassCategoriesoftheSF-424A.Budget presentationsshouldbeincludedforeachyearofrequestedfunding. PleasecompleteSectionsA,B,E,andF,andthenprovidealineitembudgetforeachyearof theprojectperiod.InSectionAuserows1-3toprovidethebudgetamountsforthefirst threeyearsoftheproject.Pleaseentertheamountsinthe“NeworRevisedBudget”column- notthe“EstimatedUnobligatedFunds”column.InSectionBObjectClassCategoriesofthe 29 HRSA-12-0859 SF-424A,providetheobjectclasscategorybreakdownfortheannualamountsspecifiedin SectionA.InSectionB,usecolumn(1)toprovidecategoryamountsforYear1anduse columns(2)through(3)forsubsequentbudgetyears. SalaryLimitation: TheConsolidatedAppropriationsAct,2012(P.L.112-74)enactedDecember23,2011,limits thesalaryamountthatmaybeawardedandchargedtoHRSAgrantsandcooperative agreements.Awardfundsmaynotbeusedtopaythesalaryofanindividualataratein excessofExecutiveLevelII.TheExecutiveLevelIIsalaryoftheFederalExecutivePay scaleis$179,700.Thisamountreflectsanindividual’sbasesalaryexclusiveoffringeandany incomethatanindividualmaybepermittedtoearnoutsideofthedutiestotheapplicant organization.Thissalarylimitationalsoappliestosubawards/subcontractsunderaHRSA grantorcooperativeagreement. Asanexampleoftheapplicationofthislimitation:Ifanindividual’sbasesalaryis$350,000 peryearplusfringebenefitsof25%($87,500)andthatindividualisdevoting50%oftheir timetothisaward,theirbasesalaryshouldbeadjustedto$179,700plusfringeof25% ($44,925)andatotalof$112,312.50maybeincludedintheprojectbudgetandchargedtothe awardinsalary/fringebenefitsforthatindividual.Seethebreakdownbelow: Individual’s actual basefulltimesalary:$350,000 50%oftimewillbedevotedtoproject Directsalary$175,000 Fringe(25%ofsalary)$43,750 Total$218,750 Amountthatmaybeclaimedontheapplicationbudgetduetothe legislativesalarylimitation: Individual’sbasefulltimesalary adjusted toExecutiveLevelII:$179,700 50%oftimewillbedevotedtotheproject Directsalary $89,850 Fringe(25%ofsalary)$22,462.50 Totalamount $112,312.50 iv.BudgetJustification Provideanarrativethatexplainstheamountsrequestedforeachlineinthebudget.The budgetjustificationshouldspecificallydescribehoweachitemwillsupporttheachievement ofproposedobjectives.ThebudgetperiodisforONEyear.However,theapplicant must submitone-yearbudgetsforeachofthesubsequentbudgetperiodswithintherequested projectperiodatthetimeofapplication.Lineiteminformationmustbeprovidedtoexplain thecostsenteredintheSF-424A.Beverycarefulaboutshowinghoweachiteminthe “other”categoryisjustified.Forsubsequentbudgetyears,thejustificationnarrativeshould highlightthechangesfromyearoneorclearlyindicatethattherearenosubstantivebudget changesduringtheprojectperiod.ThebudgetjustificationMUSTbeconcise.DoNOTuse thejustificationtoexpandtheprojectnarrative. Thisannouncementisinvitingapplicationsforprojectperiodsuptothree(3)years.Awards,on acompetitivebasis,willbeforaone-yearbudgetperiod;althoughtheprojectperiodmaybefor 30 HRSA-12-08510 uptothree(3)years.SubmissionandHRSAapprovalofyourProgressReport(s)andany otherrequiredsubmissionorreportsisthebasisforthebudgetperiodrenewalandreleaseof subsequentyearfunds.Fundingbeyondtheone-yearbudgetperiodbutwithinthethree-year projectperiodissubjecttoavailabilityoffunds,satisfactoryprogressoftheawardee,anda determinationthatcontinuedfundingwouldbeinthebestinterestoftheFederalGovernment. Therearetwocomponentstocompleteaspartofthebudgetjustification:anitemizedbudget andabudgetnarrative. IncludethefollowingintheBudgetJustificationnarrative: PersonnelCosts:Personnelcostsshouldbeexplainedbylistingeachstaffmemberwho willbesupportedfromfunds,name(ifpossible),positiontitle,percentageoffull-time equivalency,andannualsalary.IfnoFederalfundsarebeingrequestedforpersonnel (whichexcludescontractorsandconsultants),informationshouldbeprovidedinthe justificationabouttheapplicantlevelin-kindcontribution(i.e.,nameandpercentof effortfortheindividualattheapplicantorganizationallevelthatwillbeoverseeingthe proposedproject).Totalcostslistedforpersonnelforeachbudgetperiodmustdirectly correspondwiththeamountslistedinthelineitembudgetforpersonnelaswellasthe 424Personnelbudgetlineitemform.Reminder:Awardfundsmaynotbeusedtopay thesalaryofanindividualatarateinexcessofExecutiveLevelIIor$179,700.An individual'sbasesalary,perse,isNOTconstrainedbythelegislativeprovisionfora limitationofsalary.Theratelimitationsimplylimitstheamountthatmaybeawarded andchargedtoHRSAgrantsandcooperativeagreements.Pleaseprovidean individual’sactualbasesalaryifitexceedsthecap.Seethesamplebelow. Sample: NamePositionTitle%of FTE Annual Salary Amount Requested J.SmithChiefExecutiveOfficer50$179,700*$89,850 R.DoeNursePractitioner100$75,950$75,950 D.JonesData/APSpecialist25$33,000$8,250 *Actualannualsalary=$350,000 FringeBenefits:Listthecomponentsthatcomprisethefringebenefitrate,forexample healthinsurance,taxes,unemploymentinsurance,lifeinsurance,retirementplans,and tuitionreimbursement.Thefringebenefitsshouldbedirectlyproportionaltothatportion ofpersonnelcoststhatareallocatedfortheproject.Ifanindividual’sbasesalaryexceeds thelegislativesalarycap,pleaseadjustfringeaccordingly. Travel:Listtravelcostsaccordingtolocalandlongdistancetravel.Forlocaltravel,the mileagerate,numberofmiles,reasonfortravelandstaffmember/consumerscompleting thetravelshouldbeoutlined.Thebudgetshouldalsoreflectthetravelexpenses associatedwithparticipatinginmeetingsandotherproposedtrainingsorworkshops. Equipment:Listequipmentcostsandprovidejustificationfortheneedoftheequipment tocarryouttheprogram’sgoals.Extensivejustificationandadetailedstatusofcurrent equipmentmustbeprovidedwhenrequestingfundsforthepurchaseofcomputersand furnitureitemsthatmeetthedefinitionofequipment(aunitcostof$5,000ormoreanda 31 HRSA-12-08511 usefullifeofoneormoreyears).However,consistentwithrecipientpolicy,lowerlimits maybeestablished.ThePADDPgrantprogramwillconsideranydurableitemswithan acquisitionamountgreaterthan$1,000,andlifeexpectancyofatleastoneyear,as meetingthisdefinition.ThisistoallowforclassificationofAEDsasequipmentunder thisdefinition. Listeveryitemofequipmentanddescribeitspurposeinrelationtotheproject. Supplies:Listtheitemsthattheprojectwilluse.Inthiscategory,separateoffice suppliesfrommedicalandeducationalpurchases.Officesuppliescouldincludepaper, pencils,andthelike;medicalsuppliesaresyringes,bloodtubes,plasticgloves,etc.,and educationalsuppliesmaybepamphletsandeducationalvideotapes.Remember,they mustbelistedseparately. Contractual:Applicantsareresponsibleforensuringthattheirorganizationorinstitution hasinplaceanestablishedandadequateprocurementsystemwithfullydeveloped writtenproceduresforawardingandmonitoringallcontracts.Applicantsmustprovidea clearexplanationastothepurposeofeachcontract,howthecostswereestimated,and thespecificcontractdeliverables.Reminder:recipientsmustnotifypotential subrecipientsthatentitiesreceivingsubawardsmustberegisteredinCCRandprovidethe recipientwiththeirDUNSnumber. Other:Putallcoststhatdonotfitintoanyothercategoryintothiscategoryandprovide anexplanationofeachcostinthiscategory.Insomecases,rent,utilitiesandinsurance fallunderthiscategoryiftheyarenotincludedinanapprovedindirectcostrate. Applicantsmayincludethecostofaccessaccommodationsaspartoftheirproject’s budget,includingsigninterpreters,plainlanguageandhealthliterateprintmaterialsin alternateformats(includingBraille,largeprint,etc.);andcultural/linguisticcompetence modificationssuchasuseofculturalbrokers,translationorinterpretationservicesat meetings,clinicalencounters,andconferences,etc. IndirectCosts:Indirectcostsarethosecostsincurredforcommonorjointobjectives whichcannotbereadilyidentifiedbutarenecessarytotheoperationsoftheorganization, e.g.,thecostofoperatingandmaintainingfacilities,depreciation,andadministrative salaries.ForinstitutionssubjecttoOMBCircularA-21,theterm“facilitiesand administration”isusedtodenoteindirectcosts.Ifanorganizationapplyingforan assistanceawarddoesnothaveanindirectcostrate,theapplicantmaywishtoobtainone throughHHS’sDivisionofCostAllocation(DCA).VisitDCA’swebsiteat: http://rates.psc.gov/tolearnmoreaboutrateagreements,theprocessforapplyingfor them,andtheregionalofficeswhichnegotiatethem. PerSection313(d)ofthePHSAct,notmorethan10%oftheawardmaybeusedfor administrativeexpenses.Thisadministrativecapincludesindirectcosts. v.StaffingPlanandPersonnelRequirements Applicantsmustpresentastaffingplanandprovideajustificationfortheplanthatincludes educationandexperiencequalificationsandrationalefortheamountoftimebeingrequested foreachstaffposition.Positiondescriptionsthatincludetheroles,responsibilities,and 32 HRSA-12-08512 qualificationsofproposedprojectstaffmustbeincluded.Ifnewpositionsaretobedeveloped forstaffingtheproject,specificallyforkeypersonnelofthisproject,apositiondescriptionfor eachmustbeincludedintheapplication.Eachpositiondescriptionshouldbeshort(onepage issuggested)andincludeonlymajordutiestobeperformedandtheexperiencerequiredfor thepersontobehired.Thestaffingplanandpositiondescriptionsshouldbeplacedin Attachment1.Thepagesin Attachment1 shouldbenumberedand will countagainstthe pagelimit. Biographicalsketchesforanykeyemployedpersonnelthatwillbeassignedtoworkonthe proposedprojectmustbeincludedin Attachment2.Whenapplicable,biographical sketches shouldincludetraining,languagefluencyandexperienceworkingwiththeculturaland linguisticallydiversepopulationsthatareservedbytheirprograms.(TheProjectDirector mustbeemployedbyorundercontracttoeitherthegranteeorganizationorarural organizationthatisamemberofthepartnership).IftheProjectDirectorisundercontract totheapplicantorganization,thetermsofthecontractmustbeincluded.Biographical sketches,whichareshortoverviewsofpasteducationandexperiencethatsuggestthe qualificationsnecessarytoperformassignedworks,ofallkeypersonnelshouldbeincluded. Resumesmaybeusedforkeystaffthatwillbeinvolvedintheimplementationoftheproject. ThisincludesKEYstaffoftheconsortiummembers,staffofthegranteeorganizationand stafftobehiredthathaveakeyroleintheday-to-daymanagementoftheprogram. Informationonthestaffoftheconsortiummembersshouldonlybeincludedforthestaffthat willhaveamajorroleintheimplementationandsuccessoftheproject.Resumesshouldbe brief,oneortwopagesarepreferred,andshouldbeplacedin Attachment2.Thepagesin Attachment2 shouldbenumberedand will countagainstthe45pagelimit. Forpagelimitassistance,donotincludeinformationonpublicationsthatthestaffperson developedoremploymentthatisnotdirectlyrelatedtothegrantproposal. vi.Assurances CompleteApplicationFormSF-424BAssurances–Non-ConstructionProgramsprovided withtheapplicationpackage. vii.Certifications UsetheCertificationsandDisclosureofLobbyingActivitiesApplicationFormprovidedwith theapplicationpackage. viii.ProjectAbstract Provideasummaryoftheapplication.Becausetheabstractisoftendistributedtoprovide informationtothepublicandCongress,pleasepreparethissothatitisclear,accurate, concise,andwithoutreferencetootherpartsoftheapplication.Itmustincludeabrief descriptionoftheproposedservicearea,demographicinformationofthetargetpopulation, proposedapproachtomaximizepublicaccess,anticipatednumberofclientsserved, anticipatednumberofAEDsplacedandplacementarea,anticipatedtrainingandwhowillbe trained,andmethodforcollectingdata Pleaseplacethefollowingatthetopoftheabstract: ProjectTitle ApplicantOrganizationName Address 33 HRSA-12-08513 ProjectDirectorName ContactPhoneNumbers(Voice,Fax) E-MailAddress WebSiteAddress,ifapplicable Theprojectabstractmustbesingle-spacedandlimitedtoonepageinlength. ix.ProjectNarrative Thissectionprovidesacomprehensiveframeworkanddescriptionofallaspectsofthe proposedprogram.Itshouldbesuccinct,self-explanatoryandwellorganizedsothat reviewerscanunderstandtheproposedproject. UsethefollowingsectionheadersfortheNarrative: INTRODUCTION Thissectionshoulddescribebrieflythepurposeoftheproposedprojectandoutlinethe needsofthetargetpopulation. NEEDSASSESSMENT Thetargetpopulation’sunmethealthneedsmustbedescribedanddocumentedinthis section.Applicantsshoulddescribethegeneralpopulation,especiallythetarget populationofthecommunitythatwillbeservedbytheproject.Informationregarding localandStateEMSresponsetimes,especiallythoseforcardiacarrestand/orheartattack, shouldbeincluded,ifavailable.Iftherearenoexistingrecordsofresponsetime,aplanon howthesetimeswillbeobtainedshouldbeincluded.Applicantsshouldindicatewhat toolswereusedtoidentifythespecialneedsofthecommunity.Toolscouldincludeneeds assessments,townmeetings,healthscreenings,healthfairs,questionnaires,etc.Local data,whichisparticularlyimportantifavailable,shouldbeusedtodocumenttheunmet needsinthetargetpopulation.ThisdatashouldbecomparedtoStateandnationaldata. METHODOLOGY Pleaseprovideanoverviewonhowtheproposedprojectwillbedeveloped,implemented, andassessed.Pleaseprovideanoverviewoftheinnovativenatureoftheproposedproject. ThissectionshouldincludeinformationonhowmanyAEDsareproposedtobepurchased, theirplacementlocations,andtrainingprograms.Applicantsshoulddescribehowthe StateEMSofficewillbenotifiedofAEDplacementlocationsandpublicrelationsefforts toinformthecommunityoftheproject.Applicantsshouldclearlydescribewhatproposed activitieswilltakeplacetoshowthatprogramobjectiveshavebeenmetandwhatchanges inthecommunityareattributabletothisprogram.Generalinformationontraining activitiesshouldincludeatargetnumberofhowmanyareproposedtobetrained,thetype ofnationaltrainingprogramtobeused,whowillprovidethetraining,andhowmany sessionswillbeoffered. Whenconsideringplacementlocations,specialcareshouldbetakentoensurethatsuch locationsarewheretheprobabilityofsuddencardiacarrestishighgivenacorresponding highconcentrationofpersonsand/orbystanderinterventionislikely.Inaddition,consider thoselocationswhereaccesstopatientsmaybedifficultwhereinnovativeAEDplacement wouldresultinmorerapidcardioversion. 34 HRSA-12-08514 Applicantsshoulddescribeissuesregardingliabilityandownershiprelatingtotheplaced AEDsandhowtheseissuesmayberesolved.Applicantsshoulddiscussifliability remainswiththemasthepotentialapplicantofrecord.Ifliabilityistransferredtothe localitywheretheAEDisplaced,thensuchdistinctionshouldbeincludedand documentedin Attachment5. ApplicantsshoulddescribehowtheprojectwillbeintegratedintotheexistingEMS responsesystemandwithcurrentdefibrillationprograms(i.e.,RuralAccesstoEmergency DevicesGrantProgramandothernon-Federalprograms).Applicantsshoulddescribehow theprojectwillbeimplemented,placingemphasisonemergencydispatchutilizing9-1-1 pre-arrivalinstructions,EMSresponse,medicaldirection,andqualityimprovement. Applicantsshouldexplainhowtheprojectisexpectedtobenefitthetargetpopulationand community.Applicantsshoulddiscusstheplansandmethodsforhowtheprojectresults, educationalactivities,andlocationoftheAEDswillbedisseminatedtothepublic. Applicantsshoulddiscusshowthepublicwillbetrainedintheuseofthesedevices. Itisexpectedthatreceivingagrantawardviathisprogramwillresultinasustainable projectaftertheinitialFederalfundingperiod.Applicantsshouldidentifystrategiesfor projectsustainability.Applicantsshoulddiscusshowtheprojectmaybereplicatedin othercommunitiesviadisseminationofprojectresultsandhowtheresultsmaybenational inscope. WORKPLAN Provideaclearandcoherentworkplanthatisalignedwiththegoalsandobjectivesofthe proposedproject.Identifytheanticipatedoutputs,evidenceofprogress,andthe responsibleagentforcompletingeachstep.Thereshouldbecompletiontimesforthe associatedactivitiesandsteps.Thistimelineshouldencompasstheentirelengthofthe proposedproject(threeyears)andhavecompletiondateswithdeadlinesthatrefertoactual datesbywhichtoaccomplisheachgoal,objective,andactivity. Applicantsmustplanforwaystocontinuouslyincreasethequalityoftheproposedproject. Describeon-goingqualityimprovementstrategiesthatwillassistintheearlyidentification andmodificationofineffectiveprojectactivities. Goals,Objectives,Activities,Outputs/Outcomes,andResponsibleAgentsarethe componentsofaprojectplan.Agoalisthetargetoutcomeorresultthatistobe accomplishedthroughtheproposedprojectactivities.Applicantsmaystateasinglegoal ormultiplegoals.Applicantsshouldindicatehowsignificanttherealizationofthegoal(s) willbeforthetargetpopulationandforothersinthecommunity;forexample,thenumber ofsavedlivesduetodecreasedtimetofirstshock. Anobjectiveisaplantoaccomplishagoal,oraportionofagoal.Anactivityisanaction steptowardcompletionofanobjective.Goalsandobjectivesshouldbemeasurable, realistic,andachievableinaspecifictimeframe. Responsibleagentsarepersonsororganizationsthatareresponsibleforcompleting activities.Completiondatesaredeadlinesbywhichgoals,objectives,andactivitiesareto 35 HRSA-12-08515 becompletedbyresponsibleagents.Outcomesand/orprocessmeasuresareusedto determinewhetheragoal,anobjective,oranactivityhasbeenachieved.Usingthese measures,theapplicantshouldidentifyaprocessforperiodicfeedbackandprogram modificationasnecessary. RESOLUTIONOFCHALLENGES Applicantsshoulddescribeanybarrierssuchasaccesstocareorproviders.Applicants shoulddescribefinancialorlanguagebarriers.Applicantsshoulddescribeany geographicalisolationorrelatedaccesstocareissuestotheproposedAEDplacementplan. Forurbanareas,thereverseofgeographicalisolationwillapplywhenconsideringtraffic andcongestionthatposesignificantdelayswhenaccessingtimelyemergencycare.There maybeimportantphysicalfeaturestothelandscapethatareimportantfactorsaswell. EVALUATIONANDTECHNICALSUPPORTCAPACITY Integrationwithotherexistingdefibrillationprogramsintheproposedservicearea,and especiallyemergencymedicaldispatchandEMSresponse,isofprimaryimportancewith anydefibrillationprogram.Thesameholdstruefordatacollectionandevaluative measures.Applicantsareencouragedtointegratedatainputsfromacrossthecommunity byestablishingabaselinetocomparefutureAEDefforts(contingentuponappropriations) andincorporatedatalinkageswithhospitaldischargeoutcomeresultsconsistentwith nationaldatasetelements(e.g.,NationalHighwayTrafficSafetyAdministrationor NationalEMSInformationSystem). ApplicantsshoulddevelopbenchmarksforthenumberofAEDsplaces,thenumberof personstrainedontheuseofAEDs,andthenumberofoperationaluses(withthestatusof thepatientsafterdefibrillation).Applicantsshoulddescribethedatacollectionsystemthat willbeusedtoanalyzetheuseofAEDsandevaluatetheproject’soveralleffectiveness. Applicantsshoulddescribehowthesystemwillbeusedtomakeimprovementstothe project.Applicantsshoulddescribehowtheaveragetimeintervalfromfindingpatientsin distresstouseofAEDswillbeprovided.Applicantsshouldalsodemonstratehowthedata collectionactivitieswillbeintegratedwiththeStateEMSdatacollectionsystem(toenable monitoringoftheprojectbeyondthegrantperiod)andreferencespecificdatareporting elementsthatmaypotentiallybeintegratedintonationaldatasets. Applicantsshouldprovidethenumberandtypeofrelevantserviceprovidersthatare locatedinandneartheserviceareaoftheprojectandhowtheyrelatetotheproject. Applicantsshouldalsodescribethepotentialimpactoftheprojectonexistingproviders (e.g.,changesinreferralpatterns,practicepatterns,etc.)whoarenotpartoftheproject. Anypotentialadverseeffectisparticularlyimportant,aswellasdiscussiononhowthe projectmaycomplementtheexistingEMSstructureintheservicearea.Applicantsshould alsodescribeifaformalcommunitylevelEMSevaluationhasbeenconductedforthe servicearea.Ifso,applicantsshoulddetailhowitwillimpacttheproposedproject.Ifone hasnotbeenconducted,applicantsshoulddetailtheprocessforconductingoneandan anticipatedcompletiondate. ORGANIZATIONALINFORMATION Provideinformationontheapplicantagency’scurrentmissionandstructure,scopeof 36 HRSA-12-08516 currentactivities,andanorganizationalchart (Attachment3),anddescribehowtheseall contributetotheabilityoftheorganizationtoconducttheprogramrequirementsandmeet programexpectations.Describecurrentexperience,skills,andknowledge,including individualsonstaffatthetimeofawardwhowillinitiatetheproject’sactivities. Theproposalshouldalsoincludeadescriptiononthepartnership,whethermulti-State, State-wide,regional,etc.,inthissection.Applicantsshouldrelatehowthestructureofthe partnershipwasdeveloped.Alistingofthevariousorganizationsandthetaskseachis responsibleforshouldbeclearlydelineated.Issuesofgovernanceanddecisionmaking shouldbespelledout.Applicantsshouldalsodescribepotentialproblems(partner disagreements,personnelactions,expenditureactivities)thatarelikelytobeencountered indesigningandimplementingtheactivitiesdescribedintheworkplan.Approachesthat willbeusedtoresolveidentifiedchallengesshouldbeincluded. Applicantsshouldincludeanyinformationonactual,documentedpastexperienceswithin theserviceareawherehavingaccesstoAEDsandbystanderCPRwouldhavemadea differenceinpatientcare.Applicantsshoulddescribepreviouseffortstoacquireandplace AEDs.Evidenceofsuccesswithothersimilarprojects,particularlycollaborative endeavors,shouldbeprovided. Iftheapplicantisusingpartners,allpartnersmusthavearealisticreasonforbeing includedintheproject.Applicantsshouldidentifythetypeofsupporteachpartnerwill providedtotheproject.Applicantsareencouragedtocarefullyconsiderselectionof partnerstoensurethesuccessofcommonprojectgoals Alistofallpartnersincludingthefulladdress,phone/faxnumbers,andcontactperson shouldbeincluded.Applicantsshoulddescribehowauthoritywillflowfromtheapplicant receivingtheFederalgrantfundstothepartnersandhowaccountabilitytotheproject objectiveswillbereinforced.Applicantsshouldprovidethenameoftheleadorganization, thenameandcontactinformationforthepersonresponsibleforensuringthedaytoday operations,andthecheckandbalancesysteminstitutedtoensurefiscalintegrityofthe program. Includeanorganizationalchartfortheapplicantorganizationandthepartnersin Attachment3. ManagementCriteria Theapplicantorganizationmusthavefinancialmanagementsystemsinplaceandmust havethecapabilitytomanagetheproject.Theapplicantorganizationmust: (1)Exerciseadministrativeandprogrammaticdirectionoverthegrantproject; (2)Beresponsibleforhiringandmanagingthegrantprojectstaff; (3)Demonstratetheadministrativeandaccountingcapabilitiestomanagethegrantfunds; (4)Havepermanentstaffatthetimethegrantawardismade;and (5)TheapplicantorganizationmusthaveitsownEmployerIdentificationNumber(EIN) fromtheInternalRevenueService(IRS). 37 HRSA-12-08517 x.Attachments Pleaseprovidethefollowingitemstocompletethecontentofthe application.Pleasenotethatthesearesupplementaryinnature,andarenotintendedtobea continuationoftheprojectnarrative.Unlessotherwisenoted,attachmentscounttowardthe applicationpagelimit.Eachattachmentmustbeclearlylabeled. Attachment1:StaffingPlanandPositionDescriptionsforKeyPersonnel Provideastaffingplanexplainingthestaffingrequirementsnecessarytocompletethe project,thequalificationlevelsfortheprojectstaff,andrationalefortheamountoftime thatisrequestedforeachstaffposition.Providethejobdescriptionsforkeypersonnel listedintheapplicationthatdescribesthespecificroles,responsibilities,andqualifications foreachproposedprojectposition.Keepeachtoonepageifpossible.Forthepurposesof thisgrantapplication,KeyPersonnelisdefinedaspersonsfundedbythisgrantorpersons conductingactivitiescentraltothisgrantprogram.Thiswillcountagainstthe45page limit. Attachment2:BiographicalSketchesofKeyPersonnel Includebiographicalsketchesforpersonsoccupyingthekeypositionsdescribedin Attachment3,nottoexceedtwopagesinlength.Intheeventthatabiographicalsketchis includedforanidentifiedindividualwhoisnotyethired,pleaseincludealetterof commitmentfromthatpersonwiththebiographicalsketch.Thiswillcountagainstthe45 pagelimit. Attachment3:OrganizationalChartsandConsortiumMemberList Submitaone-pageorganizationalchartoftheapplicant’sagency,departmentor organizationandaone-pageconsortiumorganizationalchart.Thechartsshoulddepictthe organizationalstructureoftheproject,includingsubcontractorsandothersignificant collaborators.Also,includealistoftheconsortiummemberorganizationsincluding: organizationname,completeaddress,contactperson,phoneandfaxnumbers,ande-mail address.Theorganizationalchartsandconsortiummemberinformationlistshouldbe numberedaspartoftheapplicationandwillcountagainstthe45pagelimit. Attachment4:PartnershipMemorandumofAgreement/Understanding: ProvideaMemorandumofAgreementorMemorandumofUnderstanding(MOA/MOU) signedbyallnetworkmembersthatreflectsthemutualcommitmentofthenetwork partners.Additionalevidence,suchasby-lawsandlettersofincorporationmayalsobe included.Thiswillcountagainstthe45pagelimit. Attachment5:State’sLiabilityandOwnershipIssues/GoodSamaritanLaw IncludeanyliabilityissuesthatmaybeassociatedwiththeplacementofAEDs.Thiswill countagainstthe45pagelimit. 3.SubmissionDatesandTimes ApplicationDueDate Theduedateforapplicationsunderthisfundingopportunityannouncementis March19,2012at 8:00P.M.ET.Applicationscompletedonlineareconsideredformallysubmittedwhenthe applicationhasbeensuccessfullytransmittedelectronicallybyyourorganization’sAuthorized OrganizationRepresentative(AOR)throughGrants.govandhasbeenvalidatedbyGrants.govon orbeforethedeadlinedateandtime. 38 HRSA-12-08518 Receiptacknowledgement:Uponreceiptofanapplication,Grants.govwillsendaseriesof emailmessagesadvisingyouoftheprogressofyourapplicationthroughthesystem.Thefirst willconfirmreceiptinthesystem;thesecondwillindicatewhethertheapplicationhasbeen successfullyvalidatedorhasbeenrejectedduetoerrors;thethirdwillbesentwhenthe applicationhasbeensuccessfullydownloadedatHRSA;andthefourthwillnotifytheapplicant oftheAgencyTrackingNumberassignedtotheapplication. TheChiefGrantsManagementOfficer(CGMO)ordesigneemayauthorizeanextensionof publisheddeadlineswhenjustifiedbycircumstancessuchasnaturaldisasters(e.g.,floodsor hurricanes)orotherdisruptionsofservices,suchasaprolongedblackout.TheCGMOor designeewilldeterminetheaffectedgeographicalarea(s). Lateapplications: Applicationswhichdonotmeetthecriteriaaboveareconsideredlateapplicationsandwillnotbe consideredinthecurrentcompetition. 4.IntergovernmentalReview ThePADDP isaprogramsubjecttotheprovisionsofExecutiveOrder12372,asimplemented by45CFR100.ExecutiveOrder12372allowsStatestheoptionofsettingupasystemfor reviewingapplicationsfromwithintheirStatesforassistanceundercertainFederalprograms. ApplicationpackagesmadeavailableunderthisguidancewillcontainalistingofStateswhich havechosentosetupsuchareviewsystem,andwillprovideaStateSinglePointofContact (SPOC)forthereview.InformationonstatesaffectedbythisprogramandStatePointsof ContactmayalsobeobtainedfromtheGrantsManagementOfficerlistedintheAGENCY Contact(s)section,aswellasfromthefollowingWebsite: http://www.whitehouse.gov/omb/grants_spoc. AllapplicantsotherthanfederallyrecognizedNativeAmericanTribalGroupsshouldcontact theirSPOCasearlyaspossibletoalertthemtotheprospectiveapplicationsandreceiveany necessaryinstructionsonthestate’sprocessusedunderthisExecutiveOrder. LettersfromtheSPOCinresponsetoExecutiveOrder12372areduesixtydaysafterthe applicationduedate. 5.FundingRestrictions ForFY2012theapproximateamountoffundingavailableis$300,000.Weanticipatemaking uptofiveawards.Individualgrantawardsarenottoexceed$100,000perawardperyear. Applicantsmayrequestthenecessaryfundingtocompletetheproposedprojectincluding purchaseofneededequipment.Grantfundsmaynotbespent,eitherdirectlyorthroughcontract, topayforthepurchase,construction,renovationorimprovementoffacilitiesorrealproperty. Applicantsrespondingtothisannouncementmayrequestfundingforaprojectperiodofupto3 years,atnomorethan$100,000peryear.Awardstosupportprojectsbeyondthefirstbudget yearwillbecontingentuponCongressionalappropriation,satisfactoryprogressinmeetingthe project’sobjectives,andadeterminationthatcontinuedfundingwouldbeinthebestinterestof thegovernment. 39 HRSA-12-08519 Allprogramincomegeneratedasaresultofawardedgrantfundsmustbeusedforapproved project-relatedactivities. PerSection313(d)ofthePHSAct,notmorethan10%oftheawardmaybeusedfor administrativeexpenses. SalaryLimitation:TheConsolidatedAppropriationsAct,2012(P.L.112-74)enacted December23,2011,limitsthesalaryamountthatmaybeawardedandchargedtoHRSAgrants andcooperativeagreements.Awardfundsmaynotbeusedtopaythesalaryofanindividualata rateinexcessofExecutiveLevelII.TheExecutiveLevelIIsalaryoftheFederalExecutivePay scaleis$179,700.Thisamountreflectsanindividual’sbasesalaryexclusiveoffringeandany incomethatanindividualmaybepermittedtoearnoutsideofthedutiestotheapplicant organization.Thissalarylimitationalsoappliestosubawards/subcontractsunderaHRSAgrant orcooperativeagreement. PerDivisionF,TitleV,Section503oftheConsolidatedAppropriationsAct,2012(P.L.112-74) enactedDecember23,2011(a)NopartofanyappropriationcontainedinthisActortransferred pursuanttosection4002ofPublicLaw111-148shallbeused,otherthanfornormaland recognizedexecutive-legislativerelationships,forpublicityorpropagandapurposes,forthe preparation,distribution,oruseofanykit,pamphlet,booklet,publication,electronic communication,radio,television,orvideopresentationdesignedtosupportordefeatthe enactmentoflegislationbeforetheCongressoranyStateorlocallegislatureorlegislativebody, exceptinpresentationtotheCongressoranyStateorlocallegislatureitself,ordesignedto supportordefeatanyproposedorpendingregulation,administrativeaction,ororderissuedby theexecutivebranchofanyStateorlocalgovernment,exceptinpresentationtotheexecutive branchofanyStateorlocalgovernmentitself.(b)Nopartofanyappropriationcontainedinthis Actortransferredpursuanttosection4002ofPublicLaw111-148shallbeusedtopaythesalary orexpensesofanygrantorcontractrecipient,oragentactingforsuchrecipient,relatedtoany activitydesignedtoinfluencetheenactmentoflegislation,appropriations,regulation, administrativeaction,orExecutiveorderproposedorpendingbeforetheCongressoranyState government,Statelegislatureorlocallegislatureorlegislativebody,otherthanfornormaland recognizedexecutive-legislativerelationshipsorparticipationbyanagencyorofficerofaState, localortribalgovernmentinpolicymakingandadministrativeprocesseswithintheexecutive branchofthatgovernment.(c)Theprohibitionsinsubsections(a)and(b)shallincludeany activitytoadvocateorpromoteanyproposed,pendingorfutureFederal,Stateorlocaltax increase,oranyproposed,pending,orfuturerequirementorrestrictiononanylegalconsumer product,includingitssaleormarketing,includingbutnotlimitedtotheadvocacyorpromotion ofguncontrol. PerDivisionF,TitleV,Section523oftheConsolidatedAppropriationsAct,2012(P.L.112-74) enactedDecember23,2011,nofundsappropriatedinthisActshallbeusedtocarryoutany programofdistributingsterileneedlesorsyringesforthehypodermicinjectionofanyillegal drug. 6.OtherSubmissionRequirements AsstatedinSectionIV.1,exceptinveryrarecasesHRSAwillnolongeracceptapplicationsin paperform.Applicantssubmittingforthisfundingopportunityare required tosubmit 40 HRSA-12-08520 electronically throughGrants.gov.Tosubmitanapplicationelectronically,pleaseusethe APPLYFORGRANTSsectionat http://www.grants.gov.WhenusingGrants.govyouwillbe abletodownloadacopyoftheapplicationpackage,completeitoff-line,andthenuploadand submittheapplicationviatheGrants.govsite. Itisessentialthatyourorganization immediatelyregister inGrants.govandbecomefamiliar withtheGrants.govsiteapplicationprocess.Ifyoudonotcompletetheregistrationprocess,you willbeunabletosubmitanapplication.Theregistrationprocesscantakeuptoonemonth. TobeabletosuccessfullyregisterinGrants.gov,itisnecessarythatyoucompleteallofthe followingrequiredactions: •ObtainanorganizationalDataUniversalNumberingSystem(DUNS)number •RegistertheorganizationwithCentralContractorRegistration(CCR) •Identifytheorganization’sE-BusinessPointofContact(E-BizPOC) •Confirmtheorganization’sCCR“MarketingPartnerIDNumber(M-PIN)”password •RegisterandapproveanAuthorizedOrganizationRepresentative(AOR) •ObtainausernameandpasswordfromtheGrants.govCredentialProvider Instructionsonhowtoregister,tutorialsandFAQsareavailableontheGrants.govwebsiteat http://www.grants.gov.Assistanceisalsoavailable24hoursaday,7daysaweek(excluding federalholidays)fromtheGrants.govhelpdeskat support@grants.gov orbyphoneat1-800- 518-4726.Applicantsshouldensurethatallpasswordsandregistrationarecurrentwellin advanceofthedeadline. ItisincumbentonapplicantstoensurethattheAORisavailabletosubmittheapplication toHRSAbythepublishedduedate.HRSAwillnotacceptsubmissionorre-submissionof incomplete,rejected,orotherwisedelayedapplicationsafterthedeadline.Therefore,you areurgedtosubmityourapplicationinadvanceofthedeadline.Ifyourapplicationisrejected byGrants.govduetoerrors,youmustcorrecttheapplicationandresubmitittoGrants.gov beforethedeadlinedateandtime.Deadlineextensionswillnotbeprovidedtoapplicantswho donotcorrecterrorsandresubmitbeforetheposteddeadline. If,foranyreason,anapplicationissubmittedmorethanoncepriortotheapplicationdue date,HRSAwillonlyaccepttheapplicant’slastvalidatedelectronicsubmissionpriortothe applicationduedateasthefinalandonlyacceptablesubmissionofanycompeting applicationsubmittedtoGrants.gov. Trackingyourapplication:Itisincumbentontheapplicanttotracktheirapplicationbyusing theGrants.govtrackingnumber(GRANTXXXXXXXX)providedintheconfirmationemail fromGrants.gov.Moreinformationabouttrackingyourapplicationcanbefoundat https://apply07.grants.gov/apply/checkApplStatus.faces.Besureyourapplicationisvalidatedby Grants.govpriortotheapplicationdeadline. 41 HRSA-12-08521 V.ApplicationReviewInformation 1.ReviewCriteria Proceduresforassessingthetechnicalmeritofapplicationshavebeeninstitutedtoprovideforan objectivereviewofapplicationsandtoassisttheapplicantinunderstandingthestandardsagainst whicheachapplicationwillbejudged.Criticalindicatorshavebeendevelopedforeachreview criteriontoassisttheapplicantinpresentingpertinentinformationrelatedtothatcriterionandto providethereviewerwithastandardforevaluation.Reviewcriteriaareoutlinedbelowwith specificdetailandscoringpoints. ReviewCriteriaareusedtoreviewandrankapplications.ThePublicAccessDefibrillation DemonstrationProjecthas6reviewcriteria: 1)Need –25Points ItemsunderthiscriterionaddresstheIntroductionandNeedsAssessmentsectionsofthe ProgramNarrative Applicantswillbeevaluatedbytheextenttowhichtheproposal: a)Demonstratesafullunderstandingoftheneedsofthetargetpopulation;thecommunity ingeneral;anddetailsrelevantbarriers,suchasaccesstoemergencycare,accessto providers,languagebarriers,financialbarriers,geographicalbarriers,etc.,inthetarget community. b)Clearlyidentifiesthenumberandtypeofrelevantserviceprovidersintheservicearea; demonstratesathoroughunderstandingofthepotentialimpactoftheprojectonthe providersnotpartoftheproject;anddemonstratesanthoroughunderstandingofthe potentialadverseeffectsoftheprojectontheexistingEMSstructure. c)Documentsorcitesrelevantearlydefibrillationoutcomesstatedintheliterature, complementedbyavailablepublichealthdata,andthendelineatesaclearbenefitforarea orpopulationtobeserved. d)Clearlyestablishesanddocumentstheunmetneedsasevidencedby: Thestrengthandappropriatenessofthetoolsusedtoidentifytheneedsofthe community(needsassessments,healthfairs,questionnaires,etc.). Thestrengthandcompletenessoflocaldatatodocumenttheneedsandcompares thedatatoStateandnationaldata. e)ClearlydiscusseslocalandStateEMSresponsetimes,ifavailable.Ifdataisnot available,strengthandfeasibilityofhowresponsetimeswillbeobtained. f)ClearlyidentifieswhetheraformalcommunitylevelEMSevaluationhasbeenconducted fortheservicearea.Ifso,applicantsshoulddetailhowitwillimpacttheproposed project.Ifonehasnotbeenconducted,applicantsshoulddetailtheprocessfor conductingone andananticipatedcompletiondate. 2)Response-20Points ItemsunderthiscriterionaddresstheMethodology,WorkPlan,andResolutionofChallenges sectionsoftheProgramNarrative a)Theextenttowhichtheproposedprojectrepresentsinnovationinaddressingthe 42 HRSA-12-08522 identifiedneeds. b)Appropriatenessofanticipatedoutputsandtheextenttowhichtheproposedtimeframe fortheprojectactivitiesisfeasibleandrealistic. c)ThedegreeofintegrationwiththeoverallEMSresponsesystemandhowthisprojectwill beintegratedwithexistingdefibrillationprograms(i.e.,RuralAccesstoEmergency Devices,andothernon-Federalprograms). d)Strengthoftheproposedimplementationoftheprogram(e.g.,PPE,CPR,firstresponder trainingandutilization,security,mounting,alerting,accessandothersupport components). e)Strengthoftheproposedtrainingandappropriatenessofthosetargetedtoreceive training. f)Strengthofthepublicrelationseffortsthatwillbeusedtoenhancecommunityawareness oftheproposedproject. g)Strengthoftheproposedplanoutlininghowthecommunitywillsustaintheproject(e.g., whatpublicand/orprivatepartnershipswillbecreatedviathisproject,thedegreeto whichmajoremployersoroccupationalsiteshavebeensolicitedwithintheproposed servicearea)andthedegreetowhichpublicrelationsandmarketingeffortswillbeused tohighlighttheproject. h)Demonstratesaclearunderstandingoftheculturalandlinguisticdifferencesofthetarget population,andthestrengthoftheproposedplantoresolvethesechallenges. i)Demonstratesaclearunderstandingofthebarrierstocareorproviders,andthestrength oftheproposedplantoovercomethesebarriers. j)ClearlydescribestheState,regionaland/orcommunitystructureoftheconsortiumand identifiesthepartnerorganization(s)and/orperson(s)responsibleforcarryingouteach projectactivityanddescribespotentialproblemsandresolutions.Clearlydescribesthe communitystructureincludingresourcestomanagetheproject. 3)EvaluativeMeasures-20Points ItemsunderthiscriterionaddresstheEvaluationandTechnicalSupportCapacitysectionofthe ProgramNarrative a)Providesaclearandcoherentworkplanthatisalignedwiththegoalsandobjectivesof theproposedproject. b)Identifiestheanticipatedoutputs,evidenceofmeasurableprogress,thestrengthofthe responsibleagentforcompletingeachstep,andthereasonablenessoftheanticipated timeframefortheprojectactivities. c)Documentsthestrengthandappropriatenessof:adatacollectionsystemthatwillprovide data,ananalysisoftheAEDusage,evaluatestheoverallprogrameffectiveness(e.g., comparisonofsurvivalratesbeforeandafterimplementationofthepublicaccess defibrillationdemonstrationproject),andfacilitatestheidentificationofanynecessary improvementsduringtheprojectperiod. d)Documentsthestrengthoftheprocessbywhichbenchmarkmeasureswillbemonitored andtrackedthroughouttheprojectperiodonthefollowing:numberofAEDsplaced; numberofpersonstrained(includeslaypublic,emergencymedicaldispatchers,etc.);and numberofoperationaluseswithstatusofpatientafterdefibrillation(e.g.,restorationof pulseandrespirations,sustainedcardiacarrestorasystole)relyinguponUtsteinreporting criteria,asappropriate,givenexistingdataelementscollectedwithintheservicearea. e)Strengthoftheproposalindiscussinghowanaveragetimeintervalfromfindingthe patientindistresstouseofAEDwillbeprovided. 43 HRSA-12-08523 f)Strengthoftheprocessbywhichtheprogram’sdatacollectionactivitieswillbe integratedwithaStateEMSdata-collectionsystemtolongitudinallymonitorproject utilitybeyondthegrantperiodandreferencesspecificdatareportingelementsto potentiallybeintegratedintonationaldatasetsviaStateEMSOfficeintegration(if applicable). 4)Impact–10Points ItemsunderthiscriterionaddresstheWorkPlansectionoftheProgramNarrative a)Extentandpotentialeffectivenessofproposedplansfordisseminationofprojectresults asevidencedbyathoroughdemonstrationofhowsuchresultsmaybenationalinscope andthedegreetowhichtheprojectactivitiesarereplicableinothercommunities. b)IdentifieslogicalandachievablestrategiesforprojectsustainabilitybeyondtheFederal fundingperiod. 5)OrganizationalResourcesandCapabilities –15Points ItemsunderthiscriterionaddresstheEvaluationandTechnicalSupportCapacityand OrganizationalInformationsectionsoftheProgramNarrative Theresourcesandcapabilitiesoftheapplicantsaredirectlyrelatedtohowsuccessfultheyarein meeting,andpossiblyexceeding,programexpectations. a)Thestrengthoftheapplicantasevidencedbythehistoryofsuccessfullymanaging similarprograms,particularlyincollaborativeendeavors. b)ThesuccessofpreviouseffortstoacquireanddeployAEDs c)Clearlydemonstratesanabilitytomanagetheconsortium,administergrantfunds,and delivertheservicesproposedfortheproject. d)Thecapabilityoftheapplicanttodeliverservicesandotherwisemeettheneedsofthe project. e)Theappropriatenessofthepaidstaffthatwillbeavailableatthetimeofawardandtheir capabilitytoinitiatetheactivitiesdescribedintheprojectnarrative. f)Thestrengthoftheconsortiumasevidencedbytheprojectmanagementstrategies. ClearlydefinedlinesofauthorityfromtheapplicantthatreceivestheFederalfundingto allpartners.Clearlyoutlinedprocessreinforcingaccountabilitytoprogramobjectives amongsuchpartners. g)Aclearlydefinedorganizationalchartfortheapplicantorganizationandallrelevant partners,withalistingofallmembersincludingfulladdress,phone/faxnumbersandkey contactperson. 6)SupportRequested–10Points ItemsunderthiscriterionaddresstheOrganizationInformationsectionoftheProgram Narrative a)Thebudgetjustificationlogicallydocumentshowandwhyeachlineitemrequest supportsthegoalsandactivitiesoftheproposedgrant-fundedactivitiesoverthelengthof the3-yearprojectperiod. b)Thedegreetowhichtheestimatedcosttothegovernmentofproposedgrant-funded activitiesappearreasonable. 44 HRSA-12-08524 2.ReviewandSelectionProcess TheDivisionofIndependentReviewisresponsibleformanagingobjectivereviewswithin HRSA.Applicationscompetingforfederalfundsreceiveanobjectiveandindependentreview performedbyacommitteeofexpertsqualifiedbytrainingandexperienceinparticularfieldsor disciplinesrelatedtotheprogrambeingreviewed.Inselectingreviewcommitteemembers, otherfactorsinadditiontotrainingandexperiencemaybeconsideredtoimprovethebalanceof thecommittee,e.g.,geographicdistribution.Eachreviewerisscreenedtoavoidconflictsof interestandisresponsibleforprovidinganobjective,unbiasedevaluationbasedonthereview criterianotedabove.Thecommitteeprovidesexpertadviceonthemeritsofeachapplicationto programofficialsresponsibleforfinalselectionsforaward. ApplicationsthatpasstheinitialHRSAeligibilityscreeningwillbereviewedandratedbya panelbasedontheprogramelementsandreviewcriteriapresentedinrelevantsectionsofthis fundingopportunityannouncement.Thereviewcriteriaaredesignedtoenablethereviewpanel toassessthequalityofaproposedprojectanddeterminethelikelihoodofitssuccess.The criteriaarecloselyrelatedtoeachotherandareconsideredasawholeinjudgingtheoverall qualityofanapplication. 3.AnticipatedAnnouncementandAwardDates ItisanticipatedthatawardswillbeannouncedpriortothestartdateofSeptember1,2012. VI.AwardAdministrationInformation 1.AwardNotices Eachapplicantwillreceivewrittennotificationoftheoutcomeoftheobjectivereviewprocess, includingasummaryoftheexpertcommittee’sassessmentoftheapplication’sstrengthsand weaknesses,andwhethertheapplicationwasselectedforfunding.Applicantswhoareselected forfundingmayberequiredtorespondinasatisfactorymannertoConditionsplacedontheir applicationbeforefundingcanproceed.Lettersofnotificationdonotprovideauthorizationto beginperformance. TheNoticeofAwardsetsforththeamountoffundsgranted,thetermsandconditionsofthe award,theeffectivedateoftheaward,thebudgetperiodforwhichinitialsupportwillbegiven, thenon-federalsharetobeprovided(ifapplicable),andthetotalprojectperiodforwhichsupport iscontemplated.SignedbytheGrantsManagementOfficer,itissenttotheapplicant’s AuthorizedOrganizationRepresentative,andreflectstheonlyauthorizingdocument.Itwillbe sentpriortothestartdateofSeptember1,2012. 2.AdministrativeandNationalPolicyRequirements Successfulapplicantsmustcomplywiththeadministrativerequirementsoutlinedin45CFRPart 74 UniformAdministrativeRequirementsforAwardsandSubawardstoInstitutionsofHigher Education,Hospitals,OtherNonprofitOrganizations,andCommercialOrganizations or45CFR Part92 UniformAdministrativeRequirementsForGrantsAndCooperativeAgreementstoState, Local,andTribalGovernments,asappropriate. 45 HRSA-12-08525 HRSAgrantandcooperativeagreementawardsaresubjecttotherequirementsoftheHHS GrantsPolicyStatement(HHSGPS)thatareapplicablebasedonrecipienttypeandpurposeof award.Thisincludes,asapplicable,anyrequirementsinPartsIandIIoftheHHSGPSthat applytotheaward.TheHHSGPSisavailableat http://www.hrsa.gov/grants/.Thegeneral termsandconditionsintheHHSGPSwillapplyasindicatedunlesstherearestatutory, regulatory,oraward-specificrequirementstothecontrary(asspecifiedintheNoticeof Award). TraffickinginPersons Awardsissuedunderthisfundingopportunityannouncementaresubjecttotherequirementsof Section106(g)oftheTraffickingVictimsProtectionActof2000,asamended(22U.S.C. 7104).Forthefulltextoftheawardterm,goto http://www.hrsa.gov/grants/trafficking.html. Ifyouareunabletoaccessthislink,pleasecontacttheGrantsManagementSpecialist identifiedinthisfundingopportunitytoobtainacopyoftheTerm. Smoke-FreeWorkplace ThePublicHealthServicestronglyencouragesallawardrecipientstoprovideasmoke-free workplaceandtopromotethenon-useofalltobaccoproducts.Further,PublicLaw103-227,the Pro-ChildrenActof1994,prohibitssmokingincertainfacilities(orinsomecases,anyportion ofafacility)inwhichregularorroutineeducation,library,daycare,healthcareorearly childhooddevelopmentservicesareprovidedtochildren. CulturalandLinguisticCompetence HRSAprogramsserveculturallyandlinguisticallydiversecommunitiesandmultiplecultures. Althoughraceandethnicityareoftenthoughttobedominantelementsofculture,HRSA fundedprogramsembraceabroaderdefinitiontoincludelanguage,gender,socio-economic status,sexualorientationandgenderidentity,physicalandmentalcapacity,age,religion, housingstatus,andregionaldifferences.Organizationalbehaviors,practices,attitudes,and policiesacrossallHRSA-supportedentitiesrespectandrespondtotheculturaldiversityof communities,clientsandstudentsserved.HRSAiscommittedtoensuringaccesstoquality healthcareforall.Qualitycaremeansaccesstoservices,information,materialsdeliveredby competentprovidersinamannerthatfactorsinthelanguageneeds,culturalrichness,and diversityofpopulationsserved.Qualityalsomeansthat,whereappropriate,datacollection instrumentsusedshouldadheretoculturallycompetentandlinguisticallyappropriatenorms. Foradditionalinformationandguidance,refertotheNationalStandardsforCulturallyand LinguisticallyAppropriateServicesinHealthCare(CLAS)publishedbyHHSandavailable onlineat http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=15.Additional culturalcompetencyandhealthliteracytools,resourcesanddefinitionsareavailableonlineat http://www.hrsa.gov/culturalcompetence and http://www.hrsa.gov/healthliteracy. HealthyPeople2020 HealthyPeople2020isanationalinitiativeledbyHHSthatsetsprioritiesforallHRSA programs.Theinitiativehasfouroverarchinggoals:(1)attainhigh-quality,longerlivesfreeof preventabledisease,disability,injury,andprematuredeath;(2)achievehealthequity,eliminate disparities,andimprovethehealthofallgroups;(3)createsocialandphysicalenvironmentsthat promotegoodhealthforall;and(4)promotequalityoflife,healthydevelopment,andhealthy behaviorsacrossalllifestages.Theprogramconsistsofover40topicareas,containing measurableobjectives.HRSAhasactivelyparticipatedintheworkgroupsofallthetopicareas 46 HRSA-12-08526 andiscommittedtotheachievementoftheHealthyPeople2020goals.Moreinformationabout HealthyPeople2020maybefoundonlineat http://www.healthypeople.gov/. NationalHIV/AIDSStrategy(NHAS) TheNationalHIV/AIDSStrategy(NHAS)hasthreeprimarygoals:1)reducingthenumberof peoplewhobecomeinfectedwithHIV,2)increasingaccesstocareandoptimizinghealth outcomesforpeoplelivingwithHIV,and3)reducingHIV-relatedhealthdisparities.The NHASstatesthatmoremustbedonetoensurethatnewpreventionmethodsareidentifiedand thatpreventionresourcesaremorestrategicallydeployed.Further,theNHASrecognizesthe importanceofearlyentranceintocareforpeoplelivingwithHIVtoprotecttheirhealthand reducetheirpotentialoftransmittingthevirustoothers.HIVdisproportionatelyaffectspeople whohavelessaccesstoprevention,careandtreatmentservicesand,asaresult,oftenhave poorerhealthoutcomes.Therefore,theNHASadvocatesadoptingcommunity-level approachestoidentifypeoplewhoareHIV-positivebutdonotknowtheirserostatusand reducestigmaanddiscriminationagainstpeoplelivingwithHIV. Totheextentpossible,programactivitiesshouldstrivetosupportthethreeprimarygoalsof theNHAS.AsencouragedbytheNHAS,programsshouldseekopportunitiestoincrease collaboration,efficiency,andinnovationinthedevelopmentofprogramactivitiestoensure successoftheNHAS.Programsprovidingdirectservicesshouldcomplywithfederally- approvedguidelinesforHIVPreventionandTreatment(see http://www.aidsinfo.nih.gov/Guidelines/Default.aspx asareliablesourceforcurrent guidelines).Moreinformationcanalsobefoundat http://www.whitehouse.gov/administration/eop/onap/nhas. HealthIT Healthinformationtechnology(HealthIT)providesthebasisforimprovingtheoverall quality,safetyandefficiencyofthehealthdeliverysystem.HRSAendorsesthewidespread andconsistentuseofhealthIT,whichisthemostpromisingtoolformakinghealthcare servicesmoreaccessible,efficientandcosteffectiveforallAmericans. RelatedHealthITResources: HealthInformationTechnology(HHS) WhatisHealthCareQualityandWhoDecides?(AHRQ) 3.Reporting Thesuccessfulapplicantunderthisfundingopportunityannouncementmustcomplywiththe followingreportingandreviewactivities: a.AuditRequirements ComplywithauditrequirementsofOfficeofManagementandBudget(OMB)Circular A-133.Informationonthescope,frequency,andotheraspectsoftheauditscanbefound ontheInternetat http://www.whitehouse.gov/omb/circulars_default. b.PaymentManagementRequirements SubmitaquarterlyelectronicFederalFinancialReport(FFR)CashTransactionReport viathePaymentManagementSystem.Thereportidentifiescashexpendituresagainstthe 47 HRSA-12-08527 authorizedfundsforthegrantorcooperativeagreement.TheFFRCashTransaction Reportsmustbefiledwithin30daysoftheendofeachcalendarquarter.Failureto submitthereportmayresultintheinabilitytoaccessawardfunds.Goto http://www.dpm.psc.gov foradditionalinformation. c.StatusReports 1)Federal FinancialReport.TheFederalFinancialReport(SF-425)isrequiredwithin 90daysoftheendofeachbudgetperiod.Thereportisanaccountingofexpenditures undertheprojectthatyear.Financialreportsmustbesubmittedelectronicallythrough EHB.MorespecificinformationwillbeincludedintheNoticeofAward. 2)ProgressReport(s).TheawardeemustsubmitaprogressreporttoHRSAonan annualbasis.Furtherinformationwillbeprovidedintheawardnotice. 3)FinalReport.Afinalreportisduewithin90daysaftertheprojectperiodends.The finalreportcollectsprogram-specificgoalsandprogressonstrategies;coreperformance measurementdata;impactoftheoverallproject;thedegreetowhichthegranteeachieved themission,goalandstrategiesoutlinedintheprogram;granteeobjectivesand accomplishments;barriersencountered;andresponsestosummaryquestionsregarding thegrantee’soverallexperiencesovertheentireprojectperiod.Thefinalreportmustbe submittedon-linebyawardeesintheElectronicHandbookssystemat https://grants.hrsa.gov/webexternal/home.asp. d.TransparencyActReportingRequirements Newawards(“Type1”)issuedunderthisfundingopportunityannouncementaresubject tothereportingrequirementsoftheFederalFundingAccountabilityandTransparency Act(FFATA)of2006(Pub.L.109–282),asamendedbysection6202ofPublicLaw 110–252,andimplementedby2CFRPart170.Grantandcooperativeagreement recipientsmustreportinformationforeachfirst-tiersubawardof$25,000ormorein federalfundsandexecutivetotalcompensationfortherecipient’sandsubrecipient’sfive mosthighlycompensatedexecutivesasoutlinedinAppendixAto2CFRPart170 (FFATAdetailsareavailableonlineat http://www.hrsa.gov/grants/ffata.html). Competingcontinuationawardees,etc.maybesubjecttothisrequirementandwillbeso notifiedintheNoticeofAward. VII.AgencyContacts Applicantsmayobtainadditionalinformationregardingbusiness,administrative,orfiscalissues relatedtothisfundingopportunityannouncementbycontacting: CarolynJ.Cobb GrantsManagementSpecialist HRSADivisionofGrantsManagementOperations,OFAM ParklawnBuilding,Room11A-02 5600FishersLane Rockville,MD20857 Telephone:301-443-0829 Fax:301-443-6343 48 HRSA-12-08528 Email:ccobb2@hrsa.gov Additionalinformationrelatedtotheoverallprogramissuesand/ortechnicalassistance regardingthisfundingannouncementmaybeobtainedbycontacting: MicheleGibson,M.H.S. PublicHealthAnalyst PADDPProgramCoordinator OfficeofRuralHealthPolicy,HRSA ParklawnBuilding,Room9A-55 5600FishersLane Rockville,MD20857 Telephone:301-443-7320 Fax:301-443-2803 mpray@hrsa.gov Applicantsmayneedassistancewhenworkingonlinetosubmittheirapplicationforms electronically.Applicantsshouldalwaysobtainacasenumberwhencallingforsupport.For assistancewithsubmittingtheapplicationinGrants.gov,contactGrants.gov24hoursaday, sevendaysaweek,excludingfederalholidaysat: Grants.govContactCenter Telephone:1-800-518-4726 E-mail:support@grants.gov iPortal:http://grants.gov/iportal VIII.OtherInformation HELPFUL WEB SITES: SinglePointofContact(SPOC)List-http://www.whitehouse.gov/omb/grants_spoc OfficeofRuralHealthPolicyHomepage-http://ruralhealth.hrsa.gov RuralAssistanceCenter(RAC)-http://www.raconline.org NationalAssociationofStateEMSOfficials-http://www.nasemso.org IX.TipsforWritingaStrongApplication AconciseresourceofferingtipsforwritingproposalsforHHSgrantsandcooperative agreementscanbeaccessedonlineat: http://www.hhs.gov/asrt/og/grantinformation/apptips.html. 49