CDC Presentation

CDC Presentation

Information Call for Funding Opportunity Announcement CDCRFA-PS20-2001 Tuberculosis Elimination and Laboratory Cooperative Agreement July 10, 2019 Glen Christie Deputy Branch Chief, Field Services Branch Division of TB Elimination National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Tuberculosis Elimination Agenda Objectives

NOFO background & overview of approach Prevention & Control Program Evaluation Surveillance Human Resource Development (HRD) Award information and eligibility Application submission & reporting requirements Application review process

Q&A session Goal and Objective Goal: Assist applicants with their application process for CDC-RFA-PS20-2001. Discussions during the webinar is limited to conversation that will assist applicants with their application Objective: Provide an overview of the content of the NOFO and the application submission process Note: Instructions for the Laboratory section will be addressed during the information call scheduled on July 17, 2019

NOFO Background NOFO authorized under Section 317E of the PHS Act Continues 30 years of federal support to state & local TB prevention & control activities and laboratory services Provide funds to support TB P&C, HRD, and Laboratory services Funding for P&C activities is based on a datadriven formula developed in collaboration with

NTCA Lab funding for each jurisdiction is determined NOFO Approach The goal is to reduce morbidity and mortality caused by TB, and the approach: Describes why TB is a problem worth addressing through the NOFO Outlines strategies and activities to achieve desired outcomes that meet the goals of the NOFO Contains a logic model outlining the short term, intermediate, and long term outcomes for the 5-year project period. NOFO Approach (cont)

NOFO adopts a priority-based approach for employing P&C activities based on TB incidence TB programs are assigned to one of two categories: High incidence jurisdictions: 150 TB cases annually Low incidence jurisdictions: < 150 TB cases annually High incidence jurisdictions are expected to implement targeted testing and treatment for LTBI among high-risk populations

NOFO Key Changes from 2015 NOFO Section CDC Project Description CDC Project Description (Strategies and Activities) P&C Strategy (2c) P&C Strategy (2c) Surveillance Strategy (4) Evaluation and Performance Measurement Changes An added focus on testing and treating persons with LTBI Simplify/reduce tier system from 3 to 2 tiers: - High-incidence jurisdictions: 150 cases; - Low-incidence jurisdiction: < 150 cases Targeted testing and treatment of LTBI in

high-risk populations required for high incidence jurisdictions, strongly encouraged for low Use ARPE for both Contacts and Targeted Testing activities. Report due 3/31 instead of 8/31 to allow more data to be used with the funding formula Promote standardized collection and reporting of LTBI (if feasible) Emphasis on CDCs right to assign program evaluation topics that advance the goal of national TB elimination NOFO Key Changes (contd) NOFO Section Award Information (Direct Assistance) Application & Submission (Budget Narrative) Application & Submission

(Budget NarrativeHRD) Award Administration Information (Performance Measure Reporting) Overall Justification Medication from the national TB stockpile Funding estimator calculator resource provided Additional emphasis on staff attending appropriate CDC or COE trainings, such as the CDC Program Managers Course or COE Contact Investigation Interviewing skills course ARPE timelines changed from August to March. Require contacts AND targeted testing TB NOFO resource webpage available with information beneficial to recipients (e.g., a

work plan example) Prevention and Control Strategies Strategy 1 - Diagnosis/treatment of persons with TB disease Strategy 2 - Diagnosis/treatment of persons with LTBI Contact investigations Examination of immigrants and refugees Targeted testing and treatment of LTBI

Strategy 3 - Program planning, evaluation, and improvement Strategy 4 - Epidemiology surveillance and response Standardized data collection and case-based reporting for LTBI Prevention and Control Strategies Largely the same as current COAGs, however 2b (EDN) is required for high and low incidence, and 2c (targeted testing) is required for high

incidence Outlined under NOFO Approach in the CDC Project Description section Provide clear description of the activities your program intends to employ that aligns with your category (high or low incidence) Ensure justifications in budget narrative align with stated activities P&C (Surveillance)

Enhance identification, reporting and follow-up of cases and suspects Ensure complete, accurate, and timely reporting of cases Ensure prompt investigation of genotype cluster and response to outbreak If feasible, Promote standardized collection and reporting case-level LTBI surveillance data Provide data on case-based surveillance for LTBI

HRD and Partnerships Strategy Designate a focal point for training and education Identify training and HRD needs Provide competency-based in-service TB training and human resource development Establish evaluation strategies to improve existing trainings and to identify ongoing training and HRD needs

Improve patient education and communications capacity within the program Collaborate with organizations and providers serving high-risk populations Program Planning, Evaluation and Improvement Strategy Each recipient must designate a focal point for program evaluation At the beginning of each year recipients should:

Identify an evaluation focus area, describing the justification Describe the evaluation plan Annual Performance Reports (APRs) should include findings, lessons learned and remediation plans resulting from the prior years evaluation See guidance under section on APRs for more information 13

Work plan Work plans should contain elements supporting the scope of their activities in relationship to TB control program strategies and target populations An example of a work plan can be found on the TB NOFO resource page at https:// Align work plan to the strategies and activities, including the relevant performance objectives Break for Question?

Application Submission Process Requirements are outlined in section D. Application and Submission Information in the NOFO. Application package can be found at, using funding opportunity number CDC-RFA-PS20-2001 Applicants may email or call CDC OGS staff for assistance at (770) 488-2700 or Grants.govs customer service at 800-518-4726 or email [email protected]

Deadline for applications is September 5, 2019 at 11:59 p.m. Eastern time Reporting Requirements Guidance on reporting requirements can be found in the Award Administration Information section Evaluation and Performance Measurement Plan Within first 6 months of the project period Describe how TB performance indicators (found in the National TB Indicators Project or NTIP) will be used to monitor TB program performance No more than 20 pages

Reporting Requirements Annual Performance Report (APR) Not to exceed 45 pages excluding admin reporting; attachments not allowed, but web links are Submit via 120 days before end of budget period (instructions in the NoA, usually 8/31 but OGS will announce) Information in APR serves purpose of both reporting on performance and as an application for continued funding Annual Performance Report The APR should cover each budget period (BP) throughout the 5-year project period as follows: In BP 2020, the APR will be due August 31 for activities performed January 1, 2020 through

June 30, 2020 For BPs 2021-2024, APRs will be due on August 31 each year. Each covers activities for the prior calendar year (January 1December 31), and also provide update on activities and outcomes achieved during the first 6 months (January 1 June 30) of the current year Data and associated information should be stratified by budget year (i.e., do not report as a *Note for Annual Performance Report for 2019 Refer to the Dear Colleague letter on March 22, 2019 2019 Notice of Funding Opportunity requires a project period close out report in March 2020 for the period of 2015-2019 Include a detailed analysis and progress made in year 4

(2018) and year 5 (2019) in the close out report Submission of Workload and TAT data for the laboratory for the period of performance Jan-Dec 2018 and Jan-June 2019 will be discussed in the upcoming lab call on July 17 Performance Measure Reports May be required in addition to the APR in certain instances such as a jurisdictions response to large TB outbreaks Minimum content of report identified in NOFO Submit 90 days following response to large

outbreaks and quarterly thereafter for the first year of outbreak response, and at least semiannually thereafter until the outbreak subsides See guidance in the Award Administration Information section Application review Phase I: Done by OGS and DTBE for completeness and eligibility Phase II:

DTBE will perform structured technical reviews using criteria outlined in the Review and Selection Process section CDC OGS staff will review for all assurance and certification forms Additional Information A recording of NOFO information call along with a copy of the presentation will be made available on the TB NOFO Resource Page Questions can be submitted after the information call to the NOFO mailbox at [email protected]

FAQ document will created based on questions during todays call and updated as needed if additional questions received The FAQ document will be posted on the TB NOFO Resource Page at htm Questions ? Call Adjourned

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