Notice2024-05831
Native Public Health Resilience
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
March 20, 2024
Issuing agencies
Health and Human Services DepartmentIndian Health Service
Full Text
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<title>Federal Register, Volume 89 Issue 55 (Wednesday, March 20, 2024)</title>
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[Federal Register Volume 89, Number 55 (Wednesday, March 20, 2024)]
[Notices]
[Pages 19838-19848]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-05831]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Native Public Health Resilience
Announcement Type: New.
Funding Announcement Number: HHS-2024-IHS-NPHR-0001.
Assistance Listing (Catalog of Federal Domestic Assistance or CFDA)
Number: 93.231.
Key Dates
Application Deadline Date: May 14, 2024.
Earliest Anticipated Start Date: July 1, 2024.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS) is accepting applications for
grants for Native Public Health Resilience. This program is authorized
under the Snyder Act, 25 U.S.C. 13; the Transfer Act, 42 U.S.C.
2001(a); and the American Rescue Plan Act, Public Law 117-2, 135 Stat.
42 (2021). The Assistance Listings section of <a href="http://SAM.gov">SAM.gov</a> (<a href="https://sam.gov/content/home">https://sam.gov/content/home</a>) describes this program under 93.231.
Background
The IHS, an agency within the Department of Health and Human
Services (HHS), is the principal Federal health care provider and
health advocate for American Indian and Alaska Native (AI/AN) people,
and its goal is to raise their health status to the highest possible
level. One core strategic goal of the IHS is to ensure that
comprehensive, culturally appropriate personal and public health
services are available and accessible to AI/AN people. The Division of
Epidemiology and Disease Prevention (DEDP) provides and supports
applied public health and epidemiologic services to further the overall
IHS mission. Through the provision of direct services and key
partnerships, our collective work strives to improve overall awareness,
understanding, and mitigation of priority health conditions negatively
impacting AI/AN populations. The American Rescue Plan Act appropriated
funding to IHS for purposes that include enhancing public health
capacity.
Purpose
The purpose of this program is to enhance Tribes', Tribal
organizations', and Urban Indian Organizations' capacity to implement
core Public Health functions, services, and activities, and to further
develop and improve their Public Health management capabilities.
As part of the IHS mission to raise the physical, mental, social,
and spiritual health of American Indians and Alaska Natives to the
highest level, this program seeks to build on and strengthen community
resilience by supporting wider access to the 10 Essential Public Health
Services (EPHS) \1\ in Indian Country, a framework designed to offer
all people a fair and just opportunity to achieve optimal health and
well-being. For more information on the EPHS, please visit <a href="https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html">https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html</a>. The framework of the EPHS has served as a
guide to the public health field since 1994 and describes the public
health activities that all communities should undertake, including, (1)
monitor health status to identify and solve community health problems,
and (2) Diagnose and investigate health problems and health hazards in
the community. The EPHS framework was revised in 2020 with an emphasis
on equity and reflects current and future priorities for public health
practice. The EPHS have been included in the HHS Healthy People
initiatives since 2010, when the initiative first included a focus area
of Public Health Infrastructure with the goal to ``ensure that Federal,
Tribal, State, and local health agencies have the infrastructure to
provide essential public health services effectively.''
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\1\ For the full details of each EPHS, please review the
resources posted at: <a href="https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html">https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html</a>.
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The IHS is offering competitive awards to assist applicants in
enhancing EPHS implementation within established public health programs
serving AI/AN communities.
The 10 EPHS include:
1. Assess and monitor population health status, factors that
influence health, and community needs and assets.
2. Investigate, diagnose, and address health problems and hazards
affecting the population.
3. Communicate effectively to inform and educate people about
health, factors that influence it, and how to improve it.
4. Strengthen, support, and mobilize communities and partnerships
to improve health.
5. Create, champion, and implement policies, plans, and laws that
impact health.
6. Use legal and regulatory actions designed to improve and protect
the public's health.
7. Contribute to an effective system that enables equitable access
to the individual services and care needed to be healthy. This Service
description has been adapted to better align with the anticipated scope
of intended recipient jurisdictions.
8. Build and support a diverse and skilled public health workforce.
9. Improve and innovate public health functions through ongoing
evaluation, research, and continuous quality improvement.
10. Build and maintain a strong organizational infrastructure for
public health.
Required and Allowable Activities
The following activities are required under this funding
announcement. For more guidance on the proposal requirements, please
see Project Narrative, below.
Required Activities
Select and implement one or more new EPHS or implement significant
expansion of existing EPHS to support Tribal communities throughout the
planned project period. Recipients are required to offer new or
expanded EPHS activities through the award's period of performance.
Applicants must address at least two core elements of their selected
EPHS in their proposal, as described below.
EPHS 1: Assess and monitor population health status, factors that
influence health, and community needs and assets.
Core elements:
a. Maintaining an ongoing understanding of health in the
jurisdiction by collecting, monitoring, and analyzing data on health
and factors that influence health to identify threats,
[[Page 19839]]
patterns, and emerging issues, with a particular emphasis on
disproportionately affected populations.
b. Using data and information to determine the root causes of
health disparities and inequities.
c. Working with the community to understand health status, needs,
assets, key influences, and narrative.
d. Collaborating and facilitating data sharing with partners,
including multisector partners.
e. Using innovative technologies, data collection methods, and data
sets.
f. Utilizing various methods and technology to interpret and
communicate data to diverse audiences.
g. Analyzing and using disaggregated data (e.g., by race) to track
issues and inform equitable action.
h. Engaging community members as experts and key partners.
EPHS 2: Investigate, diagnose, and address health problems and
hazards affecting the population.
Core elements:
a. Anticipating, preventing, and mitigating emerging health threats
through epidemiologic identification.
b. Monitoring real-time health status and identifying patterns to
develop strategies to address chronic diseases and injuries.
c. Using real-time data to identify and respond to acute outbreaks,
emergencies, and other health hazards.
d. Using public health laboratory capabilities and modern
technology to conduct rapid screening and high-volume testing.
e. Analyzing and utilizing inputs from multiple sectors and sources
to consider social, economic, and environmental root causes of health
status.
f. Identifying, analyzing, and distributing information from new,
big, and real-time data sources.
EPHS 3: Communicate effectively to inform and educate people about
health, factors that influence it, and how to improve it.
Core elements:
a. Developing and disseminating accessible health information and
resources, including through collaboration with multi-sector partners.
b. Communicating with accuracy and necessary speed.
c. Using appropriate communications channels (e.g., social media,
peer-to-peer networks, mass media, and other channels) to effectively
reach the intended populations.
d. Developing and deploying culturally and linguistically
appropriate and relevant communications and educational resources,
which includes working with stakeholders and influencers in the
community to create effective and culturally resonant materials.
e. Employing the principles of risk communication, health literacy,
and health education to inform the public, when appropriate.
f. Actively engaging in two-way communication to build trust with
populations served and ensure accuracy and effectiveness of prevention
and health promotion strategies.
g. Ensuring public health communications and education efforts are
asset-based when appropriate and do not reinforce narratives that are
damaging to disproportionately affected populations.
EPHS 4: Strengthen, support, and mobilize communities and
partnerships to improve health.
Core elements:
a. Convening and facilitating multisector partnerships and
coalitions that include sectors that influence health (e.g., planning,
transportation, housing, education, etc.).
b. Fostering and building genuine, strengths-based relationships
with a diverse group of partners that reflect the community and the
population.
c. Authentically engaging with community members and organizations
to develop public health solutions.
d. Learning from, and supporting, existing community partnerships
and contributing public health expertise.
EPHS 5: Create, champion, and implement policies, plans, and laws
that impact health.
Core elements:
a. Developing and championing policies, plans, and laws that guide
the practice of public health.
b. Examining and improving existing policies, plans, and laws to
correct historical injustices.
c. Ensuring that policies, plans, and laws provide a fair and just
opportunity for all to achieve optimal health.
d. Providing input into policies, plans, and laws to ensure that
health impact is considered.
e. Continuously monitoring and developing policies, plans, and laws
that improve public health and preparedness and strengthen community
resilience.
f. Collaborating with all partners, including multi-sector
partners, to develop and support policies, plans, and laws.
g. Working across partners and with the community to systematically
and continuously develop and implement health improvement strategies
and plans, and evaluate and improve those plans.
EPHS 6: Use legal and regulatory actions designed to improve and
protect the public's health.
Core elements:
a. Ensuring that applicable laws are equitably applied to protect
the public's health.
b. Conducting enforcement activities that may include, but are not
limited to sanitary codes, especially in the food industry; full
protection of drinking water supplies; and timely follow-up on hazards,
preventable injuries, and exposure-related diseases identified in
occupational and community settings.
c. Licensing and monitoring the quality of healthcare services
(e.g., laboratory, nursing homes, and home healthcare).
d. Reviewing new drug, biologic, and medical device applications.
e. Licensing and credentialing the healthcare workforce.
f. Including health considerations in laws from other sectors
(e.g., zoning).
EPHS 7: Contribute to an effective system that enables equitable
access to the individual services and care needed to be healthy.
Core elements:
a. Connecting the population to needed health and social services
that support the whole person, including preventive services.
b. Ensuring access to high-quality and cost-effective healthcare
and social services, including behavioral and mental health services,
that are culturally and linguistically appropriate.
c. Engaging health delivery systems to assess and address gaps and
barriers in accessing needed health services, including behavioral and
mental health.
d. Addressing and removing barriers to care.
e. Building relationships with payers and healthcare providers,
including the sharing of data across partners to foster health and
well-being.
f. Contributing to the development of a competent healthcare
workforce.
EPHS 8: Build and support a diverse and skilled public health
workforce
Core elements:
a. Providing education and training that encompasses a spectrum of
public health competencies, including technical, strategic, and
leadership skills.
b. Ensuring that the public health workforce is the appropriate
size to meet the public's needs.
c. Building a culturally competent public health workforce and
leadership that reflects the community and practices cultural humility.
d. Incorporating public health principles in non-public health
curricula.
e. Cultivating and building active partnerships with academia and
other
[[Page 19840]]
professional training programs and schools to assure community-relevant
learning experiences for all learners.
f. Promoting a culture of lifelong learning in public health.
g. Building a pipeline of future public health practitioners.
h. Fostering leadership skills at all levels.
EPHS 9: Improve and innovate public health functions through
ongoing evaluation, research, and continuous quality improvement.
Core elements:
a. Building and fostering a culture of quality in public health
organizations and activities.
b. Linking public health research with public health practice.
c. Using research, evidence, practice-based insights, and other
forms of information to inform decision-making.
d. Contributing to the evidence base of effective public health
practice.
e. Evaluating services, policies, plans, and laws continuously to
ensure they are contributing to health and not creating undue harm.
f. Establishing and using engagement and decision-making structures
to work with the community in all stages of research.
g. Valuing and using qualitative, quantitative, and lived
experience as data and information to inform decision-making.
EPHS 10: Build and maintain a strong organizational infrastructure
for public health.
Core elements:
a. Developing an understanding of the broader organizational
infrastructures and roles that support the entire public health system
in a jurisdiction (e.g., government agencies, elected officials, and
non-governmental organizations).
b. Ensuring that appropriate, needed resources are allocated
equitably for the public's health.
c. Exhibiting effective and ethical leadership, decision-making,
and governance.
d. Managing financial and human resources effectively.
e. Employing communications and strategic planning capacities and
skills.
f. Having robust information technology services that are current
and meet privacy and security standards.
g. Being accountable, transparent, and inclusive with all partners
and the community in all aspects of practice.
Allowable Activities
Allowable costs and activities must align with the 10 EPHS.
Additional activities that complement but are not explicitly captured
within the defined core elements are allowable but should be clearly
associated with the selected EPHS.
II. Award Information
Funding Instrument--Grant
Estimated Funds Available
The total funding identified for fiscal year (FY) 2024 is
approximately $6,000,000. Individual award amounts for the first budget
year are anticipated to be between $300,000 and $400,000. The funding
available for competing and subsequent continuation awards issued under
this announcement is subject to the availability of appropriations and
budgetary priorities of the Agency. The IHS is under no obligation to
make awards that are selected for funding under this announcement.
Anticipated Number of Awards
The IHS anticipates issuing approximately 15 awards under this
program announcement.
Period of Performance
The period of performance is for 3 years.
III. Eligibility Information
1. Eligibility
To be eligible for this funding opportunity applicant must be one
of the following, as defined by 25 U.S.C. 1603:
<bullet> A federally recognized Indian Tribe as defined by 25
U.S.C. 1603(14). The term ``Indian Tribe'' means any Indian Tribe,
band, nation, or other organized group or community, including any
Alaska Native village or group, or regional or village corporation, as
defined in or established pursuant to the Alaska Native Claims
Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is
recognized as eligible for the special programs and services provided
by the United States (U.S.) to Indians because of their status as
Indians.
<bullet> A Tribal organization as defined by 25 U.S.C. 1603(26).
The term ``Tribal organization'' has the meaning given the term in
section 4 of the Indian Self-Determination and Education Assistance Act
(25 U.S.C. 5304(l)): ``Tribal organization'' means the recognized
governing body of any Indian Tribe; any legally established
organization of Indians which is controlled, sanctioned, or chartered
by such governing body or which is democratically elected by the adult
members of the Indian community to be served by such organization and
which includes the maximum participation of Indians in all phases of
its activities: provided that, in any case where a contract is let or
grant made to an organization to perform services benefiting more than
one Indian Tribe, the approval of each such Indian Tribe shall be a
prerequisite to the letting or making of such contract or grant.
Applicant shall submit letters of support and/or Tribal Resolutions
from the Tribes to be served.
<bullet> An Urban Indian organization, as defined by 25 U.S.C.
1603(29). The term ``Urban Indian organization'' means a nonprofit
corporate body situated in an urban center, governed by an urban Indian
controlled board of directors, and providing for the maximum
participation of all interested Indian groups and individuals, which
body is capable of legally cooperating with other public and private
entities for the purpose of performing the activities described in 25
U.S.C. 1653(a). Applicants must provide proof of nonprofit status with
the application, e.g., 501(c)(3). Each awardee shall provide services
under this award only to eligible Urban Indians living within the urban
center in which the Urban Indian Organization (UIO) is situated.
The Division of Grants Management (DGM) will notify any applicants
deemed ineligible.
2. Additional Information on Eligibility
The IHS does not fund concurrent projects. Specifically, an
applicant may not be awarded under both this opportunity and the Native
Public Health Resilience Planning opportunity (number HHS-2024-IHS-
NPHRP-0001). Applications on behalf of individuals (including sole
proprietorships) and foreign organizations are not eligible and will be
disqualified from competitive review and funding under this funding
opportunity.
Note: Please refer to Section IV.2 (Application and Submission
Information/Subsection 2, Content and Form of Application
Submission) for additional proof of applicant status documents
required, such as Tribal Resolutions, proof of nonprofit status,
etc.
3. Cost Sharing or Matching
The IHS does not require matching funds or cost sharing for grants
or cooperative agreements.
4. Other Requirements
Applications with budget requests that exceed the highest dollar
amount outlined under Section II Award Information, Estimated Funds
Available, or exceed the period of performance outlined under Section
II Award Information, Period of Performance, are considered not
responsive and will not
[[Page 19841]]
be reviewed. The DGM will notify the applicant.
Additional Required Documentation
Tribal Resolution
The DGM must receive an official, signed Tribal Resolution prior to
issuing a Notice of Award (NoA) to any Tribe or Tribal organization
selected for funding. An applicant that is proposing a project
affecting another Indian Tribe must include resolutions from all
affected Tribes to be served. However, if an official signed Tribal
Resolution is not available by the application deadline date, a draft
Tribal Resolution may be submitted with the application by the
application deadline date in order for the application to be considered
complete and eligible for review. The draft Tribal Resolution is not in
lieu of the required official signed resolution but is acceptable until
a signed resolution is received. Applications submitted without either
official signed or draft Tribal Resolution(s) are considered incomplete
and will not be reviewed. If an application submitted with only draft
Tribal Resolution(s) is selected for funding, the applicant will be
contacted by the Grants Management Specialist (GMS) listed in this
funding announcement and given 90 days to submit an official signed
Tribal Resolution to the GMS. If the signed Tribal Resolution is not
received within 90 days, the award will be forfeited.
Applicants organized with a governing structure other than a Tribal
council must submit an equivalent document commensurate with their
governing organization. Please include documentation explaining and
substantiating your organization's governing structure.
Proof of Nonprofit Status
Organizations claiming nonprofit status must submit a current copy
of the 501(c)(3) Certificate with the application.
IV. Application and Submission Information
<a href="http://Grants.gov">Grants.gov</a> uses a Workspace model for accepting applications. The
Workspace consists of several online forms and three forms in which to
upload documents--Project Narrative, Budget Narrative, and Other
Documents. Give your files brief descriptive names. The filenames are
key in finding specific documents during the merit review and in
processing awards. Upload all requested and optional documents
individually, rather than combining them into a single file. Creating a
single file creates confusion when trying to find specific documents.
This can contribute to delays in processing awards, and could lead to
lower scores during the merit review.
1. Obtaining Application Materials
The application package and detailed instructions for this
announcement are available at <a href="https://www.Grants.gov">https://www.Grants.gov</a>.
Please direct questions regarding the application process to
<a href="/cdn-cgi/l/email-protection#bafefdf7fad3d2c994ddd5cc"><span class="__cf_email__" data-cfemail="f2b6b5bfb29b9a81dc959d84">[email protected]</span></a>.
2. Content and Form Application Submission
Mandatory documents for all applications are listed below. An
application is incomplete if any of the listed mandatory documents are
missing. Incomplete applications will not be reviewed.
<bullet> Application forms:
1. SF-424, Application for Federal Assistance.
2. SF-424A, Budget Information--Non-Construction Programs.
3. SF-424B, Assurances--Non-Construction Programs.
4. Project Abstract Summary form.
<bullet> Project Narrative (not to exceed 15 pages). See Section
IV.2.A, Project Narrative for instructions.
<bullet> Budget Narrative (not to exceed 5 pages). See Section
IV.2.B, Budget Narrative for instructions.
<bullet> One-page Work Plan Chart.
<bullet> Logic Model (Included as an attachment, not in the
narrative page limit).
<bullet> Biographical sketches for all Key Personnel.
<bullet> Contractor/Consultant resumes or qualifications and scope
of work.
<bullet> Certification Regarding Lobbying (GG-Lobbying Form).
The documents listed here may be required. Please read this list
carefully.
<bullet> Tribal Resolution(s) as described in Section III,
Eligibility.
<bullet> Letters of Support from organization's Board of Directors,
if applicable.
<bullet> 501(c)(3) Certificate, if applicable.
<bullet> Disclosure of Lobbying Activities (SF-LLL), if applicant
conducts reportable lobbying.
<bullet> Copy of current Negotiated Indirect Cost (IDC) rate
agreement (required in order to receive IDC).
<bullet> Documentation of current Office of Management and Budget
(OMB) Financial Audit (if applicable).
Acceptable forms of documentation include:
1. Email confirmation from Federal Audit Clearinghouse (FAC) that
audits were submitted; or
2. Face sheets from audit reports. Applicants can find these on the
FAC website at <a href="https://facdissem.census.gov/">https://facdissem.census.gov/</a>.
Additional documents can be uploaded as Other Attachments in
<a href="http://Grants.gov">Grants.gov</a>. These can include:
<bullet> Position descriptions for key staff.
<bullet> Resumes of key staff that reflect current duties.
<bullet> Consultant or contractor proposed scope of work and letter
of commitment (if applicable).
<bullet> Organizational chart.
<bullet> Map of area identifying project location(s).
<bullet> Additional documents to support narrative (for example,
data tables and key news articles).
Public Policy Requirements
All Federal public policies apply to IHS grants and cooperative
agreements. Pursuant to 45 CFR 80.3(d), an individual shall not be
deemed subjected to discrimination by reason of their exclusion from
benefits limited by Federal law to individuals eligible for benefits
and services from the IHS. See <a href="https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html">https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html</a>.
Requirements for Project and Budget Narratives
A. Project Narrative
This narrative should be a separate document that is no more than
15 pages and must: (1) have consecutively numbered pages; (2) use black
font 12 points or larger (applicants may use 10 point font for tables);
(3) be single-spaced; and (4) be formatted to fit standard letter paper
(8\1/2\ x 11 inches). Do not combine this document with any others.
Be sure to succinctly answer all questions listed under the
evaluation criteria (refer to Section V.1, Evaluation Criteria), and
place all responses and required information in the correct section
noted below or they will not be considered or scored. If the narrative
exceeds the overall page limit, the reviewers will be directed to
ignore any content beyond the page limit. The 15-page limit for the
project narrative does not include the work plan, standard forms,
Tribal Resolutions, budget, budget narratives, and/or other items. Page
limits for each section within the project narrative are guidelines,
not hard limits.
There are three parts to the project narrative: Part 1--Program
Information; Part 2--Program Planning and Evaluation; and Part 3--
Program Report. See below for additional details about what must be
included in the narrative.
[[Page 19842]]
Part 1: Program Information (Limit--3 Pages)
Section 1: Introduction and Need for Assistance
Briefly describe the population that will be served, including the
estimated population size, and geographic reach.
Briefly describe the public health problem your proposed project
will address, including community and/or organizational strengths, and
any existing capacities it would build upon to foster success. This
section should include a description of the needs and strengths of the
population. Clearly identify any existing public health system and
unmet community needs.
Part 2: Program Planning and Evaluation (Limit--10 Pages)
Section 1: Program Planning
Identify one or more new EPHS or implement significant expansion of
existing EPHS to support Tribal communities throughout the planned
project period. Applications must address at least two core elements of
their selected EPHS in their proposal, as described above. If
additional activities are proposed, explicitly link each to at least
one of the 10 EPHS. Applicants must include a clear description of how
the selected EPHS will address the problem described in Part 1, Section
1: Needs and select existing evidence-based strategies that meet those
needs. Part 1, Section 1: Needs, or describe novel strategies that will
be evaluated over the course of the project period. Applicants are
encouraged to consider using or adapting strategies identified in
Healthy People 2030 at <a href="https://health.gov/healthypeople">https://health.gov/healthypeople</a>, the
Foundational Public Health Services Framework at <a href="https://phnci.org/transformation/fphs">https://phnci.org/transformation/fphs</a>, Public Health Accreditation Standards and Measures
at <a href="https://phaboard.org/">https://phaboard.org/</a>, and the HHS Equity Action Plan at <a href="https://www.hhs.gov/sites/default/files/hhs-equity-action-plan.pdf">https://www.hhs.gov/sites/default/files/hhs-equity-action-plan.pdf</a>.
The Program Plan should include details of the applicant's plan to
address the project objectives. The work plan should include details of
the applicant's plan to address each required activity.
Section 2: Program Evaluation
The evaluation plan should identify how the applicant plans to
measure program progress, outcomes, success, and opportunities for
refinement. List measurable and attainable goals with explicit
timelines that detail expectation of findings. Applicants must clearly
identify the outcomes they expect to achieve by the end of the period
of performance, as identified in the logic model. Outcomes are the
results that the program intends to achieve and usually indicate the
intended direction of change (e.g., increase, decrease).
Part 3: Program Report (Limit--2 Pages)
Describe your organization's significant program activities and
accomplishments over the past 5 years, if any, in performing activities
related to the proposed project.
B. Budget Narrative (Limit--5 Pages)
Provide a budget narrative that explains the amounts requested for
each line item of the budget from the SF-424A (Budget Information for
Non-Construction Programs) for the entire project, by year. The
applicant can submit with the budget narrative a more detailed
spreadsheet than is provided by the SF-424A (the spreadsheet will not
be considered part of the budget narrative). The budget narrative
should specifically describe how each item would support the
achievement of proposed objectives. Be very careful about showing how
each item in the ``Other'' category is justified. Do NOT use the budget
narrative to expand the project narrative.
3. Submission Dates and Times
Applications must be submitted through <a href="http://Grants.gov">Grants.gov</a> by 11:59 p.m.
Eastern Time on the Application Deadline Date. Any application received
after the application deadline will not be accepted for review.
<a href="http://Grants.gov">Grants.gov</a> will notify the applicant via email if the application is
rejected.
If technical challenges arise and assistance is required with the
application process, contact <a href="http://Grants.gov">Grants.gov</a> Customer Support (see contact
information at <a href="https://www.Grants.gov">https://www.Grants.gov</a>). If problems persist, contact
Mr. Paul Gettys, Deputy Director, DGM, by email at <a href="/cdn-cgi/l/email-protection#f5b1b2b8b59c9d86db929a83"><span class="__cf_email__" data-cfemail="e3a7a4aea38a8b90cd848c95">[email protected]</span></a>. Please
be sure to contact Mr. Gettys at least 10 days prior to the application
deadline. Please do not contact the DGM until you have received a
<a href="http://Grants.gov">Grants.gov</a> tracking number. In the event you are not able to obtain a
tracking number, contact the DGM as soon as possible by email at
<a href="/cdn-cgi/l/email-protection#82c6c5cfc2ebeaf1ace5edf4"><span class="__cf_email__" data-cfemail="74303339341d1c075a131b02">[email protected]</span></a>.
The IHS will not acknowledge receipt of applications.
4. Intergovernmental Review
Executive Order 12372 requiring intergovernmental review is not
applicable to this program.
5. Funding Restrictions
<bullet> Pre-award costs are allowable up to 90 days before the
start date of the award provided the costs are otherwise allowable if
awarded. Pre-award costs are incurred at the risk of the applicant.
<bullet> The available funds are inclusive of direct and indirect
costs.
<bullet> Only one grant may be awarded per applicant.
<bullet> The purchase of food (i.e., as supplies, for meetings or
events, etc.) is an allowable cost with this grant funding and should
be included in the budget/budget justification where there is a clear
relationship between the chosen intervention and food (such as
community gardens, traditional food, promotion activities, etc.).
6. Electronic Submission Requirements
All applications must be submitted via <a href="http://Grants.gov">Grants.gov</a>. Please use the
<a href="https://www.Grants.gov">https://www.Grants.gov</a> website to submit an application. Find the
application by selecting the ``Search Grants'' link on the homepage.
Follow the instructions for submitting an application under the Package
tab. The IHS will not accept any applications submitted through any
means outside of <a href="http://Grants.gov">Grants.gov</a> without an approved waiver.
If you cannot submit an application through <a href="http://Grants.gov">Grants.gov</a>, you must
request a waiver prior to the application due date. You must submit
your waiver request by email to <a href="/cdn-cgi/l/email-protection#3672717b765f5e4518515940"><span class="__cf_email__" data-cfemail="14505359547d7c673a737b62">[email protected]</span></a>. Your waiver request must
include clear justification for the need to deviate from the required
application submission process.
If the DGM approves your waiver request, you will receive a
confirmation of approval email containing submission instructions. You
must include a copy of the written approval with the application
submitted to the DGM. Applications that do not include a copy of the
waiver approval from the DGM will not be reviewed. The Grants
Management Officer of the DGM will notify the applicant via email of
this decision. Applications submitted under waiver must be received by
the DGM no later than 5:00 p.m. Eastern Time on the Application
Deadline Date. Late applications will not be accepted for processing.
Applicants that do not register for both the System for Award
Management (SAM) and <a href="http://Grants.gov">Grants.gov</a> and/or fail to request timely
assistance with technical issues will not be considered for a waiver to
submit an application via alternative method.
Please be aware of the following:
<bullet> Please search for the application package in <a href="https://www.Grants.gov">https://www.Grants.gov</a> by entering the Assistance Listing number or the Funding
Opportunity Number. Both numbers are located in the header of this
announcement.
<bullet> If you experience technical challenges while submitting
your application, please contact <a href="http://Grants.gov">Grants.gov</a>
[[Page 19843]]
Customer Support (see contact information at <a href="https://www.Grants.gov">https://www.Grants.gov</a>).
<bullet> Upon contacting <a href="http://Grants.gov">Grants.gov</a>, obtain a tracking number as
proof of contact. The tracking number is helpful if there are technical
issues that cannot be resolved and a waiver from the agency must be
obtained.
<bullet> Applicants are strongly encouraged not to wait until the
deadline date to begin the application process through <a href="http://Grants.gov">Grants.gov</a> as
the registration process for SAM and <a href="http://Grants.gov">Grants.gov</a> could take up to 20
working days.
<bullet> Please follow the instructions on <a href="http://Grants.gov">Grants.gov</a> to include
additional documentation that may be requested by this funding
announcement.
<bullet> Applicants must comply with any page limits described in
this funding announcement.
<bullet> After submitting the application, you will receive an
automatic acknowledgment from <a href="http://Grants.gov">Grants.gov</a> that contains a <a href="http://Grants.gov">Grants.gov</a>
tracking number.
The IHS will not notify you that the application has been received.
System for Award Management
Organizations that are not registered with the SAM must access the
SAM online registration through the SAM home page at <a href="https://sam.gov">https://sam.gov</a>.
Organizations based in the U.S. will also need to provide an Employer
Identification Number from the Internal Revenue Service that may take
an additional 2-5 weeks to become active. Please see <a href="http://SAM.gov">SAM.gov</a> for
details on the registration process and timeline. Registration with the
SAM is free of charge but can take several weeks to process. Applicants
may register online at <a href="https://sam.gov">https://sam.gov</a>.
Unique Entity Identifier
Your <a href="http://SAM.gov">SAM.gov</a> registration now includes a Unique Entity Identifier
(UEI), generated by <a href="http://SAM.gov">SAM.gov</a>, which replaces the DUNS number obtained
from Dun and Bradstreet. <a href="http://SAM.gov">SAM.gov</a> registration no longer requires a DUNS
number.
Check your organization's <a href="http://SAM.gov">SAM.gov</a> registration as soon as you
decide to apply for this program. If your <a href="http://SAM.gov">SAM.gov</a> registration is
expired, you will not be able to submit an application. It can take
several weeks to renew it or resolve any issues with your registration,
so do not wait.
Check your <a href="http://Grants.gov">Grants.gov</a> registration. Registration and role
assignments in <a href="http://Grants.gov">Grants.gov</a> are self-serve functions. One user for your
organization will have the authority to approve role assignments, and
these must be approved for active users in order to ensure someone in
your organization has the necessary access to submit an application.
The Federal Funding Accountability and Transparency Act of 2006, as
amended (``Transparency Act''), requires all HHS recipients to report
information on sub-awards. Accordingly, all IHS recipients must notify
potential first-tier sub-recipients that no entity may receive a first-
tier sub-award unless the entity has provided its UEI number to the
prime recipient organization. This requirement ensures the use of a
universal identifier to enhance the quality of information available to
the public pursuant to the Transparency Act.
Additional information on implementing the Transparency Act,
including the specific requirements for SAM, are available on the DGM
Grants Management, Policy Topics web page at <a href="https://www.ihs.gov/dgm/policytopics/">https://www.ihs.gov/dgm/policytopics/</a>.
V. Application Review Information
Possible points assigned to each section are noted in parentheses.
The project narrative and budget narrative should include the proposed
activities for the entire period of performance. The project narrative
should be written in a manner that is clear to outside reviewers
unfamiliar with prior related activities of the applicant. It should be
well organized, succinct, and contain all information necessary for
reviewers to fully understand the project. Attachments requested in the
criteria do not count toward the page limit for the narratives. Points
will be assigned to each evaluation criteria adding up to a total of
100 possible points. Points are assigned as follows:
1. Evaluation Criteria
A. Introduction and Need for Assistance (10 Points)
Proposal should succinctly describe the population that will be
served, including the estimated population size, and geographic reach.
Proposals will be scored on how adequately they describe the public
health problem they propose to address, including community and/or
organizational strengths and any existing capacities it would build
upon to foster success.
B. Program Planning (30 Points)
Adequately describe the proposed project for implementing
activities within the targeted community. The Program Plan should
include details of the applicant's plan to address the project
objectives. The narrative should provide sufficient details of the
applicant's plan to address each required activity. Applicants must
link their chosen EPHS with the problem described in Part 1, Section 1:
Needs and plan to implement existing evidence-based strategies that
meet those needs or describe novel strategies that will be evaluated
over the course of the project period.
C. Program Evaluation (30 Points)
The evaluation plan will be scored on the feasibility of
appropriately measuring program implementation. Reviewers will focus on
whether goals are measurable, attainable, and related to the outcomes
proposers expect to achieve by the end of the period of performance, as
identified in their logic model.
D. Program Report, Organizational Capabilities, Key Personnel, and
Qualifications (10 Points)
Provide a detailed biographical sketch of each member of key
personnel assigned to carry out the objectives of the program plan. The
sketches should detail the qualifications and expertise of identified
staff.
E. Categorical Budget and Budget Narrative (20 Points)
Provide a detailed budget of each expenditure directly related to
the identified program activities. Ensure that allowable activities are
identified separately from required activities.
2. Review and Selection
Each application will be prescreened for eligibility and
completeness as outlined in the funding announcement. The Review
Committee (RC) will review applications that meet the eligibility
criteria. The RC will review the applications for merit based on the
evaluation criteria. Incomplete applications and applications that are
not responsive to the administrative thresholds (budget limit, period
of performance limit) will not be referred to the RC and will not be
funded. The DGM will notify the applicant of this determination.
Applicants must address all program requirements and provide all
required documentation.
3. Notifications of Disposition
All applicants will receive an Executive Summary Statement from the
IHS DEDP within 30 days of the conclusion of the review outlining the
strengths and weaknesses of their application. The summary statement
will be sent to the Authorizing Official identified on the face page
(SF-424) of the application.
[[Page 19844]]
A. Award Notices for Funded Applications
The NoA is the authorizing document for which funds are dispersed
to the approved entities and reflects the amount of Federal funds
awarded, the purpose of the award, the terms and conditions of the
award, the effective date of the award, the budget period, and period
of performance. Each entity approved for funding must have a user
account in GrantSolutions in order to retrieve the NoA. Please see the
Agency Contacts list in Section VII for the systems contact
information.
B. Approved but Unfunded Applications
Approved applications not funded due to lack of available funds
will be held for 1 year. If funding becomes available during the course
of the year, the application may be reconsidered.
Note: Any correspondence, other than the official NoA executed
by an IHS grants management official announcing to the project
director that an award has been made to their organization, is not
an authorization to implement their program on behalf of the IHS.
VI. Award Administration Information
1. Administrative Requirements
Awards issued under this announcement are subject to, and are
administered in accordance with, the following regulations and
policies:
A. The criteria as outlined in this program announcement.
B. Administrative Regulations for Grants:
<bullet> Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for HHS Awards currently in effect or implemented
during the period of award, other Department regulations and policies
in effect at the time of award, and applicable statutory provisions. At
the time of publication, this includes 45 CFR part 75, at <a href="https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75.pdf">https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75.pdf</a>.
<bullet> If you receive an award, HHS may terminate it if any of
the conditions in 2 CFR 200.340(a)(1)-(4) are met. Please review all
HHS regulatory provisions for Termination at 2 CFR 200.340, at the time
of this publication located at <a href="https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-340.pdf">https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-340.pdf</a>. No other
termination conditions apply.
C. Grants Policy:
<bullet> HHS Grants Policy Statement, Revised January 2007, at
<a href="https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf">https://www.hhs.gov/sites/default/files/grants/grants/policies-regulations/hhsgps107.pdf</a>.
D. Cost Principles:
<bullet> Uniform Administrative Requirements for HHS Awards, ``Cost
Principles,'' at 45 CFR part 75 subpart E, at the time of this
publication located at <a href="https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartE.pdf">https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartE.pdf</a>.
E. Audit Requirements:
<bullet> Uniform Administrative Requirements for HHS Awards,
``Audit Requirements,'' at 45 CFR part 75 subpart F, at the time of
this publication located at <a href="https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartF.pdf">https://www.govinfo.gov/content/pkg/CFR-2022-title45-vol1/pdf/CFR-2022-title45-vol1-part75-subpartF.pdf</a>.
F. As of August 13, 2020, 2 CFR part 200 was updated to include a
prohibition on certain telecommunications and video surveillance
services or equipment. This prohibition is described in 2 CFR 200.216,
at the time of this publication located at <a href="https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-216.pdf">https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-216.pdf</a>. This will also be described in the terms and conditions of
every IHS grant and cooperative agreement awarded on or after August
13, 2020.
2. Indirect Costs
This section applies to all recipients that request reimbursement
of IDC in their application budget. In accordance with HHS Grants
Policy Statement, Part II-27, the IHS requires applicants to obtain a
current IDC rate agreement and submit it to the DGM prior to the DGM
issuing an award. The rate agreement must be prepared in accordance
with the applicable cost principles and guidance as provided by the
cognizant agency or office. A current rate covers the applicable grant
activities under the current award's budget period. If the current rate
agreement is not on file with the DGM at the time of award, the IDC
portion of the budget will be restricted. The restrictions remain in
place until the current rate agreement is provided to the DGM.
Per 2 CFR 200.414(f) Indirect (F&A) costs, found at <a href="https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-414.pdf">https://www.govinfo.gov/content/pkg/CFR-2023-title2-vol1/pdf/CFR-2023-title2-vol1-sec200-414.pdf</a>. Electing to charge a de minimis rate of 10 percent
can be used by applicants that have received an approved negotiated
indirect cost rate from HHS or another cognizant Federal agency.
Applicants awaiting approval of their indirect cost proposal may
request the 10 percent de minimis rate. When the applicant chooses this
method, costs included in the indirect cost pool must not be charged as
direct costs to the award.
Available funds are inclusive of direct and appropriate indirect
costs. Approved indirect funds are awarded as part of the award amount,
and no additional funds will be provided.
Generally, IDC rates for IHS recipients are negotiated with the
Division of Cost Allocation at <a href="https://rates.psc.gov/">https://rates.psc.gov/</a> or the Department
of the Interior (Interior Business Center) at <a href="https://ibc.doi.gov/ICS/tribal">https://ibc.doi.gov/ICS/tribal</a>. For questions regarding the indirect cost policy, please write
to <a href="/cdn-cgi/l/email-protection#bdf9faf0fdd4d5ce93dad2cb"><span class="__cf_email__" data-cfemail="95d1d2d8d5fcfde6bbf2fae3">[email protected]</span></a>.
3. Reporting Requirements
The recipient must submit required reports consistent with the
applicable deadlines. Failure to submit required reports within the
time allowed may result in suspension or termination of an active
award, withholding of additional awards for the project, or other
enforcement actions such as withholding of payments or converting to
the reimbursement method of payment. Continued failure to submit
required reports may result in the imposition of special award
provisions and/or the non-funding or non-award of other eligible
projects or activities. This requirement applies whether the
delinquency is attributable to the failure of the recipient
organization or the individual responsible for preparation of the
reports. Per DGM policy, all reports must be submitted electronically
by attaching them as a ``Grant Note'' in GrantSolutions. Personnel
responsible for submitting reports will be required to obtain a login
and password for GrantSolutions. Please use the form under the
Recipient User section of <a href="https://www.grantsolutions.gov/home/getting-started-request-a-user-account/">https://www.grantsolutions.gov/home/getting-started-request-a-user-account/</a>. Download the Recipient User Account
Request Form, fill it out completely, and submit it as described on the
web page and in the form.
The reporting requirements for this program are noted below.
A. Progress Reports
Program progress reports are required semi-annually. The progress
reports are due within 30 days after the reporting period ends
(specific dates will be listed in the NoA Terms and Conditions). These
reports must include a brief comparison of actual accomplishments to
the goals established for the period, a summary of progress to date or,
if applicable, provide sound justification for the lack of progress,
and other pertinent information as required. A final report must be
submitted within 120 days of expiration of the period of performance.
[[Page 19845]]
B. Financial Reports
Federal Financial Reports are due 90 days after the end of each
budget period, and a final report is due 120 days after the end of the
period of performance.
Recipients are responsible and accountable for reporting accurate
information on all required reports: the Progress Reports and the
Federal Financial Report.
Failure to submit timely reports may result in adverse award
actions blocking access to funds.
C. Data Collection and Reporting
Reporting for recipients will be required semi-annually (two
progress reports per year).
Recipients will track the implementation of strategies and
activities and determine the progress made in achieving outcomes based
on their selected evaluation plan elements.
D. Federal Sub-Award Reporting System (FSRS)
This award may be subject to the Transparency Act sub-award and
executive compensation reporting requirements of 2 CFR part 170.
The Transparency Act requires the OMB to establish a single
searchable database, accessible to the public, with information on
financial assistance awards made by Federal agencies. The Transparency
Act also includes a requirement for recipients of Federal grants to
report information about first-tier sub-awards and executive
compensation under Federal assistance awards.
The IHS has implemented a Term of Award into all IHS Standard Terms
and Conditions, NoAs, and funding announcements regarding the FSRS
reporting requirement. This IHS Term of Award is applicable to all IHS
grant and cooperative agreements issued on or after October 1, 2010,
with a $25,000 sub-award obligation threshold met for any specific
reporting period.
For the full IHS award term implementing this requirement and
additional award applicability information, visit the DGM Grants
Management website at <a href="https://www.ihs.gov/dgm/policytopics/">https://www.ihs.gov/dgm/policytopics/</a>.
E. Non-Discrimination Legal Requirements for Recipients of Federal
Financial Assistance
<bullet> If you receive an award, you must follow all applicable
nondiscrimination laws. You agree to this when you register in <a href="http://SAM.gov">SAM.gov</a>.
You must also submit an Assurance of Compliance (HHS-690). To learn
more, see <a href="https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/index.html">https://www.hhs.gov/civil-rights/for-providers/laws-regulations-guidance/laws/index.html</a>. Pursuant to 45 CFR 80.3(d), an
individual shall not be deemed subjected to discrimination by reason of
their exclusion from benefits limited by Federal law to individuals
eligible for benefits and services from the IHS.
F. Federal Awardee Performance and Integrity Information System
(FAPIIS)
The IHS is required to review and consider any information about
the applicant that is in the FAPIIS at <a href="https://sam.gov/content/fapiis">https://sam.gov/content/fapiis</a>
before making any award in excess of the simplified acquisition
threshold (currently $250,000) over the period of performance. An
applicant may review and comment on any information about itself that a
Federal awarding agency previously entered. The IHS will consider any
comments by the applicant, in addition to other information in FAPIIS,
in making a judgment about the applicant's integrity, business ethics,
and record of performance under Federal awards when completing the
review of risk posed by applicants, as described in 45 CFR 75.205.
As required by 45 CFR part 75 Appendix XII of the Uniform Guidance,
NFEs are required to disclose in FAPIIS any information about criminal,
civil, and administrative proceedings, and/or affirm that there is no
new information to provide. This applies to NFEs that receive Federal
awards (currently active grants, cooperative agreements, and
procurement contracts) greater than $10 million for any period of time
during the period of performance of an award/project.
Mandatory Disclosure Requirements
As required by 2 CFR part 200 of the Uniform Guidance, and the HHS
implementing regulations at 45 CFR part 75, the IHS must require an NFE
or an applicant for a Federal award to disclose, in a timely manner, in
writing to the IHS or pass-through entity all violations of Federal
criminal law involving fraud, bribery, or gratuity violations
potentially affecting the Federal award.
All applicants and recipients must disclose in writing, in a timely
manner, to the IHS and to the HHS Office of Inspector General all
information related to violations of Federal criminal law involving
fraud, bribery, or gratuity violations potentially affecting the
Federal award. 45 CFR 75.113.
Disclosures must be sent in writing to:
U.S. Department of Health and Human Services, Indian Health
Service, Division of Grants Management, ATTN: Marsha Brookins,
Director, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857
(Include ``Mandatory Grant Disclosures'' in subject line), Office:
(301) 443-5204, Fax: (301) 594-0899, Email: <a href="/cdn-cgi/l/email-protection#6226252f220b0a114c050d14"><span class="__cf_email__" data-cfemail="cd898a808da4a5bee3aaa2bb">[email protected]</span></a>.
AND
U.S. Department of Health and Human Services, Office of Inspector
General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330
Independence Avenue SW, Cohen Building, Room 5527, Washington, DC
20201, URL: <a href="https://oig.hhs.gov/fraud/report-fraud/">https://oig.hhs.gov/fraud/report-fraud/</a> (Include
``Mandatory Grant Disclosures'' in subject line), Fax: (202) 205-0604
(Include ``Mandatory Grant Disclosures'' in subject line) or Email:
<a href="/cdn-cgi/l/email-protection#91dcf0fff5f0e5fee3e8d6e3f0ffe5f4f4d5f8e2f2fdfee2e4e3f4e2d1fef8f6bff9f9e2bff6fee7"><span class="__cf_email__" data-cfemail="4409252a2025302b363d0336252a302121002d3727282b3731362137042b2d236a2c2c376a232b32">[email protected]</span></a>.
Failure to make required disclosures can result in any of the
remedies described in 45 CFR 75.371 Remedies for noncompliance,
including suspension or debarment (see 2 CFR part 180 and 2 CFR part
376).
VII. Agency Contacts
1. Questions on the program matters may be directed to: Lisa Neel,
Public Health Advisor, Office of Public Health Support, 5600 Fishers
Lane, Rockville, MD 20852, Phone: (301) 443-4305, Email:
<a href="/cdn-cgi/l/email-protection#610d0812004f0f04040d210809124f060e17"><span class="__cf_email__" data-cfemail="cea2a7bdafe0a0ababa28ea7a6bde0a9a1b8">[email protected]</span></a>.
2. Questions on grants management and fiscal matters may be
directed to: Indian Health Service, Division of Grants Management, 5600
Fishers Lane, Mail Stop: 09E70, Rockville, MD 20857, Email:
<a href="/cdn-cgi/l/email-protection#4206050f022b2a316c252d34"><span class="__cf_email__" data-cfemail="3074777d705958431e575f46">[email protected]</span></a>.
3. For technical assistance with <a href="http://Grants.gov">Grants.gov</a>, please contact the
<a href="http://Grants.gov">Grants.gov</a> help desk at (800) 518-4726, or by email at
<a href="/cdn-cgi/l/email-protection#1f6c6a6f6f706d6b5f786d7e716b6c31787069"><span class="__cf_email__" data-cfemail="1c6f696c6c736e685c7b6e7d72686f327b736a">[email protected]</span></a>.
4. For technical assistance with GrantSolutions, please contact the
GrantSolutions help desk at (866) 577-0771, or by email at
<a href="/cdn-cgi/l/email-protection#254d404955654257444b51564a4950514c4a4b560b424a53"><span class="__cf_email__" data-cfemail="b9d1dcd5c9f9decbd8d7cdcad6d5cccdd0d6d7ca97ded6cf">[email protected]</span></a>.
VIII. Other Information
The Public Health Service strongly encourages all grant,
cooperative agreement, and contract recipients to provide a smoke-free
workplace and promote the non-use of all tobacco products. In addition,
Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in
certain facilities (or in some cases, any portion of the facility) in
which regular or routine education, library, day care, health care, or
early childhood development services are provided to children. This is
consistent with the HHS mission to
[[Page 19846]]
protect and advance the physical and mental health of the American
people.
Roselyn Tso,
Director, Indian Health Service.
Sample Logic Model for the 10 Essential Public Health Services
Implementation Proposals
Background
The 10 Essential Public Health Services (EPHS) describe the public
health activities that all communities should undertake. For the past
25 years, the EPHS have served as a well-recognized framework for
carrying out the mission of public health. The EPHS framework was
originally released in 1994 and more recently updated in 2020. The
revised version is intended to bring the framework in line with current
and future public health practice.
For an implementation tool kit, please see the Public Health
National Center for Innovations. 10 Essential Public Health Services
Toolkit. September 9, 2020. <a href="http://ph.phnci.net/10ephs">ph.phnci.net/10ephs</a>.
----------------------------------------------------------------------------------------------------------------
Resources/inputs Activity example Output example Outcomes example
----------------------------------------------------------------------------------------------------------------
1. Assess and monitor population health status, factors that influence health, and community needs and assets
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Begin and/or maintain Number of internal and Increased program
an ongoing external reports on the capacity to describe
understanding of health selection and use or the health of the
in the population by adaptation of health population served.
collecting, monitoring, data sources. Increased program
and analyzing data on capacity to
health and factors that communicate the root
influence health to causes of health
identify threats, disparities in the
patterns, and emerging service population.
issues.
Identified via proposal............ b. Work with the Number of in-person and Increased program
community to understand virtual outreach events capacity to describe
health status, needs, to form connections the health knowledge,
assets, and key with community members attitudes, and beliefs
influences. Include on health status, of the population
social determinants of needs, assets, and key served.
health measures when influences.
assessing health risks
and outcomes.
Identified via proposal............ c. Engage community Number of completed Increased local
members as experts and community-based participation in
key partners. participatory research program planning and
(CBPR)-informed events implementation.
to engage community
members and community
organizations in
program planning and
implementation.
----------------------------------------------------------------------------------------------------------------
2. Investigate, diagnose, and address health problems and hazards affecting the population
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Increase access to Number of completed Increased rapid
public health activities to implement screening and high-
laboratory capabilities the ``Competency volume testing in the
to conduct rapid Guidelines for Public service population.
screening and high- Health Laboratory
volume testing. Professionals'' in a
Tribal laboratory.
Number of formal
agreements with
existing public health
laboratories.
Identified via proposal............ b. Monitor real-time Number of internal and Increased program
health status and external reports on the capacity to document
identify patterns to selection and use or and describe the
develop strategies to adaptation of data health of the service
address chronic disease benchmarks. population.
and injuries.
Identified via proposal............ c. Use real-time data to Number of completed Increased number of
identify and respond to action plans to stand active data-sharing
acute outbreaks, up a rapid response to agreements to support
emergencies, and other outbreaks, emergencies, real-time data access,
health hazards. and other health analysis, and action.
hazards.
----------------------------------------------------------------------------------------------------------------
3. Communicate effectively to inform and educate people about health, factors that influence it, and how to
improve it
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Develop and deploy Number of health Increase in Health
culturally and communication campaigns communication
linguistically using and reporting the campaigns that apply
appropriate and reach of multiple integrated strategies
relevant communications channels, including to deliver messages
and educational mass media. that aim to affect
resources, working with people's health
community influencers behaviors.
to create effective and
culturally resonant
materials.
Identified via proposal............ b. Actively engage in Number of completed Increased local
two-way communication community-based participation in
to build trust with participatory research prevention and health
populations served and (CBPR)-informed events promotion planning and
ensure accuracy and to engage community implementation.
effectiveness of members and community
prevention and health organizations in
promotion strategies. program planning and
implementation.
Identified via proposal............ c. Ensure public health Number of public health Increased public health
communication and communication and communication and
education efforts are education campaigns education programs
asset-based when that are asset-based with positive and
appropriate and do not and do not reinforce affirming messages.
reinforce narratives narratives that are
that are damaging to damaging to the service
disproportionately population.
affected populations.
----------------------------------------------------------------------------------------------------------------
4. Strengthen, support, and mobilize communities and partnerships to improve health
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Convene and Number of formal Increased consumption
facilitate multi-sector collaborations across of healthy traditional
partnerships and local services to host foods and/or increased
coalitions that include and teach seasonal physical activity in
sectors that influence cultural and communities.
health (planning, traditional practices
transportation, that support health and
housing, education, wellness.
etc.).
Identified via proposal............ b. Foster and build Use community-based Increased local
genuine, strengths- participatory research participation in
based relationships (CBPR) methods to program planning and
with a diverse group of engage community implementation.
partners that reflect members and community
the community and the organizations in
population. program planning and
implementation.
[[Page 19847]]
Identified via proposal............ c. Authentically engage Number of completed Increased local
with community members community-based participation in
and organizations to participatory research program planning and
develop public health (CBPR)-informed events implementation.
solutions. to engage community
members and community
organizations in
program planning and
implementation.
----------------------------------------------------------------------------------------------------------------
5. Create, champion, and implement policies, plans, and laws that impact health
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Provide input into Number of laws, Increased consideration
policies, plans, and policies, and related for health protection
laws to ensure that resources that when writing policies,
health impact is ultimately accommodate plans, and laws in
considered and health implications and/ your tribal
addressed. or promote health. government.
Identified via proposal............ b. Assess health impacts Number of completed Increased advocacy for
of policies, plans, and reviews of law and health protection when
laws. policy resources writing policies,
related to tribal plans, and laws in
public health for your tribal
applicability to the government.
policies, plans, and
laws in your tribal
government.
Identified via proposal............ c. Monitor and develop Number of completed Increase in community
policies, plans, and reviews of law and resilience measures
laws that improve policy resources such as educational
public health and related to tribal access, households
preparedness and public health for without reliable
strengthen community applicability to the transportation,
resilience. policies, plans, and hospital capacity, or
laws in your tribal presence of civic and
government. social organizations.
Number of new or amended
policies, plans, and
laws.
Number of adapted Health
Improvement Plans in
the service community.
----------------------------------------------------------------------------------------------------------------
6. Utilize legal and regulatory actions designed to improve and protect the public's health
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Conduct enforcement Number of completed Reduction in
activities that may reviews of Tribal Laws preventable injuries
include, but are not Related to Occupational and exposure-related
limited to sanitary Safety and Health. diseases identified in
codes, especially in occupational and
the food industry; full community settings.
protection of drinking
water supplies; and
timely follow-up on
hazards, preventable
injuries, and exposure-
related diseases
identified in
occupational and
community settings.
----------------------------------------------------------------------------------------------------------------
7. Assure an effective system that enables equitable access to the individual services and care needed to be
healthy
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Connect the Number of activities Increased discussion
population to needed implementing the about dementia and
health and social evidence-based caregiving within
services that support practices in The tribal communities.
the whole person, Healthy Brain Increased use of a
including preventive Initiative Road Map for public health approach
services. Indian Country. to dementia and
associated caregiving.
Identified via proposal............ b. Engage health Number of persons Reduce gaps and
delivery systems to needing alcohol and/or barriers in accessing
assess and address gaps illicit drug treatment needed health
and barriers in who received specialty services, including
accessing needed health treatment for a behavioral and mental
services, including substance use problem health.
behavioral and mental in the past year.
health.
----------------------------------------------------------------------------------------------------------------
8. Build and support a diverse and skilled public health workforce
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Build a culturally Number of programs using Increase in public
competent public health core competencies for health professionals
workforce and public health in using Core
leadership that continuing education Competencies for
reflects the community planning. Public Health in their
and practices cultural work.
humility.
Identified via proposal............ b. Incorporate public Number of formal Increased consumption
health principles in collaborations across of healthy traditional
non-public health local services to host foods and/or increased
curricula. and teach seasonal physical activity in
cultural and communities.
traditional practices
that support health and
wellness.
Identified via proposal............ c. Cultivate and build Number of culturally- Increased dissemination
active partnerships informed training, or development of
with academia and other educational materials, culturally-informed
professional training and process evaluation training, educational
programs and schools to tools available to materials, and process
assure community- service population. evaluation tools that
relevant learning build workforce
experiences for all capacity.
learners.
----------------------------------------------------------------------------------------------------------------
9. Improve and innovate public health functions through ongoing evaluation, research, and continuous quality
improvement
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Contribute to the Number of reports, Increased inclusion of
evidence base of journal articles, oral Tribal contexts in the
effective public health histories, and public health evidence
practice. presentations on public base to support future
health practice continuous quality
evaluations and program improvement.
outcomes.
Identified via proposal............ b. Establish and use Number of events using Increase in the use of
engagement and decision- best practices in innovative public
making structures to planning, designing, health functions.
work with the community and delivering virtual
in all stages of Public events with the service
Health research. population.
Identified via proposal............ c. Value and use Number of qualitative Increase in decision-
qualitative, data analyses, making that includes a
quantitative, and lived inclusive of a wide range of perspectives
experience as data and range of perspectives and lived experiences
information to inform from the service in the service
decision-making. population. population.
----------------------------------------------------------------------------------------------------------------
10. Build and maintain a strong organizational infrastructure for public health
----------------------------------------------------------------------------------------------------------------
Identified via proposal............ a. Develop an Number of assessments of Increased capacity to
understanding of the organizational implement public
broader organizational infrastructure and health programs and
infrastructures and roles in the services to address
roles that support the jurisdiction. prioritized public
entire public health health problems in AI/
system in your AN communities.
jurisdiction.
[[Page 19848]]
Identified via proposal............ b. Develop and/or Number of program plans Increased capacity to
maintain robust using informatics in implement public
information technology public health (Healthy health programs and
services in your people 2030: Public services to address
jurisdiction's public Health Infrastructure.) public health
health program. They priorities in AI/AN
should be current and communities.
meet privacy and
security standards.
----------------------------------------------------------------------------------------------------------------
[FR Doc. 2024-05831 Filed 3-19-24; 8:45 am]
BILLING CODE 4166-14-P
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</html>Indexed from Federal Register on March 20, 2024.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.