REQUEST FOR PROPOSALS (RFP)

Transcription

1 REQUEST FOR PROPOSALS (RFP) EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM IN THE SOUTH BRONX, CENTRAL BROOKLYN, EAST AND CENTRAL HARLEM AND SOUTHEAST QUEENS ISSUE DATE: APRIL 30, 2015 RESPONSE DUE DATE: JUNE 1, 2015 REPLY TO: KEISHA LUGAY RELEASED BY 1 P age

2 Summary: The Fund for Public Health in New York (FPHNY), on behalf of the New York City Department of Health and Mental Hygiene (DOHMH) is currently accepting proposals for National Diabetes Prevention Program (NDPP) providers. FPHNY serves as the fiscal agent for the DOHMH. The purpose of the National Diabetes Prevention Program (NDPP) is to give people at risk for diabetes access to life changing classes that help with stress management, problem solving and motivation. Over the course of a year, a lifestyle coach leads participants with pre diabetes through discussions about how to establish healthy routines, lose weight and exercise more. Evaluation of this model suggests that when people with pre diabetes take part, they cut their risk of developing type 2 diabetes by more than half. The purpose of this RFP is for the DOHMH to identify and support local institutions in four NYC neighborhoods (the South Bronx, Central Brooklyn, East and Central Harlem and Southeast Queens) to offer new NDPP classes to eligible residents, regardless of their ability to pay. Funding and technical support for the development of new classes will be disbursed by FPHNY to eligible institutions based on their response to this RFP. This RFP is intended to solicit non clinical institutions only. However, DOHMH also seeks to support clinical providers to provide NDPP classes. For clinical providers interested in partnering with the DOHMH related to the delivery of NDPP classes, please send an expressing this intent as directed in the Statement of Interest. (see Appendix F). This interest should be e mailed, no later than July 1st, :59 PM EST. KEY DATES RFP POSTED April 30 th, 2015 APPLICATION DEADLINE June 1 st, 2015 NOTIFICATION DATE June 16 th, 2015 GRANT TIMELINE All deliverables to be completed by September 15 th, 2015 I. Background Diabetes is epidemic in New York City. Diabetes prevalence has more than doubled since 1995 and New Yorkers living in low income households disproportionately suffer from diabetes. A person with pre diabetes or a history of gestational diabetes is at elevated risk of developing diabetes, especially if they are also overweight or obese. An estimated 1.5 million New Yorkers have pre diabetes, as diagnosed using a blood test, or roughly 1 in 4 adults. People at risk of diabetes have the opportunity to avoid or delay the onset of diabetes by taking action to lose 2 P age

3 weight and increase physical activity. Making it easier for people at risk for diabetes in the city s low income communities to achieve these lifestyle changes is one of the most important steps we can take towards improving the health of New Yorkers, and reducing the inequities in health outcomes across the city. The NDPP was established by the Centers for Disease Control and Prevention (CDC) as a partnership between community organizations, health plans, employers, health care organizations, and government agencies to make evidence based lifestyle classes available to as many people with pre diabetes or gestational diabetes who are overweight or obese as possible. This effort originated in a large study over fifteen years ago which demonstrated that an intensive lifestyle modification program that emphasized a minimum of 7% weight loss and 150 minutes of weekly physical activity could reduce the 3 year risk of developing type 2 diabetes for at risk participants by 58%, as compared with no treatment. i Among those assigned to the lifestyle modification program, by the end of the curriculum, 50% of the participants reached the goal of weight loss of seven percent or greater. ii Since that time, multiple studies have found that the same curriculum can help people with pre diabetes working in groups in community settings to achieve the same crucial weight loss. Here is how these diabetes prevention classes work. In order to be eligible for the class, a person must be overweight or obese (Defined as BMI 25) and either have a blood test indicating pre diabetes, a history of gestational diabetes, or a positive screen for pre diabetes on the CDC Pre diabetes Screening Test. Over the course of a year, groups of participants participate in hour long classes facilitated by a lifestyle coach to learn strategies to make healthy eating choices, increase physical activity, and manage environmental cues. These classes are held once a week for the first 16 weeks, then monthly for 6 thereafter. The Lifestyle Coach undergoes a 2 day training to prepare him or her to lead the class. An institution selected through this RFP would decide if they wished to use CDC NDPP curriculum (which is available in English and Spanish see Appendix A for curriculum outline), make modifications to that curriculum, or use another alternate curriculum. Curricula may be delivered in person or virtually. The institution will submit the selected curriculum to the CDC s Diabetes Prevention Recognition Program and receive Recognition Status. Then the institution will identify Lifestyle Coaches and arrange for them to undergo coach training (which will be provided by DOHMH) if they have not already done so. At that point, the institution will be ready to develop a plan to deliver NDPP classes in the focus neighborhoods, with DOHMH support and assistance. The institution will maintain the CDC recognition by reporting data on participation and weight loss on a regular basis. This CDC recognition will stand as a stamp of quality, which will encourage health care stakeholders to support the NDPP classes. 3 P age

4 The goal of this Request for Proposals (RFP) is to identify and support non clinical partners that will plan and deliver the NDPP in four New York City neighborhoods (East Harlem, the South Bronx, East and Central Brooklyn, and Southeast Queens) through September We have selected these four neighborhoods because they are home to the communities that suffer disproportionately from pre diabetes, diabetes, hypertension, obesity, and food insecurity. Through this RFP, DOHMH seeks to partner with institutions that are well equipped to offer the NDPP at no cost to participants in a culturally and linguistically competent manner. Because the diabetes epidemic is concentrated in these neighborhoods, we seek to ensure that the National Diabetes Prevention Program is also widely available there, and is provided in a way that meets the needs of residents. II. Description of Award DOHMH will fund two kinds of local non clinical institutions to offer new NDPP classes in one or more of 4 focus NYC neighborhoods. Institutions in both categories can apply for funding to offer NDPP in more than one focus neighborhood. The purpose of this RFP is to identify nonclinical institutions to receive this support. Funding described under this RFP is for activities to be completed by September 15th, 2015 with the possibility of renewal based on performance and availability of funds. The funding for this award is provided through a grant to the Fund for Public Health in New York from the Centers for Disease Control and Prevention (CDC). In addition, DOHMH will work with selected institutions to also establish health system and health plan financing for the ongoing expansion of NDPP classes in 2016 and subsequent years. The two categories of local institutions which may be funded are: 1. New NDPP Providers non clinical institutions that have not yet applied for recognition to the CDC as of April New NDPP Providers can receive support to plan classes in the 4 focus neighborhoods for the first time. The maximum award for New Providers under this RFP is $10,000 per neighborhood. This payment will be contingent on New NDPP Providers completing the following by September 15 th, 2015: a. Successful application to the CDC to become a recognized provider of the NDPP. b. Submit a work plan that outlines the resources, locations, staffing, and start dates of at least 5 NDPP courses scheduled to start by March P age

5 c. Develop a plan with DOHMH to market the classes and to recruit participants through communications and partnerships. 2. Existing NDPP Providers non clinical institutions that have already received full or pending CDC recognition via the Diabetes Prevention Recognition Program (see Appendix B). They can receive support to offer more NDPP classes in the four focus neighborhoods, and plan for ongoing classes. The maximum award for Existing Providers under this RFP is $15,000 per neighborhood. This payment will be contingent on Existing NDPP Providers completing the following by September 15 th, 2015: a. Maintain CDC recognition as an NDPP provider. b. Launch at least 3 NDPP courses per focus neighborhood by September c. Finalize a work plan that outlines the locations, staffing, and start dates of 7 additional classes per neighborhood scheduled through March d. Finalize a plan to market the classes and to recruit participants through outreach and partnerships. An institution may apply for multiple neighborhoods and receive funding for each. For example, an existing provider that applied for all four focus neighborhoods would be committing to launch 12 classes by September 2015 (3 classes in each of the four neighborhoods) and plan 28 additional classes. This institution could receive funding of up to $60,000 (four times $15,000). In addition, only classes with a minimum of 9 participants will be counted towards the required class amounts. Allowable Costs: Include in the application a budget describing how the funds provided will be used. Selected institutions can use this funding to support the staffing and infrastructure in the following roles: 1. Staffing: a. Funding can support Program Coordinators to develop work plans, create marketing materials, build relationships, select and orient coaches, and manage the reporting of data and updates to FPHNY, DOHMH and the CDC. b. Funding can support Lifestyle Coaches to attend trainings, prepare curricular materials, and lead classes in focus neighborhoods. 2. Infrastructure a. Printed materials b. Instructional materials c. Weight scales or other monitoring devices d. Space for recruitment and administration and/or class delivery to take place 5 P age

6 e. Improvements to data management or communication systems to support recruitment f. Other program specific supplies (please define) III. DOHMH Support for Selected Institutions To help with project implementation and expansion, DOHMH may provide support to all selected institutions, at its discretion and subject to available resources, in addition to direct funding. This support is described below. New forms of support may be developed in response to needs identified by local institutions participating in this effort. A. A license to a web based workshop management portal This portal is a secure central registry where an NDPP provider keeps track of information about participants who have enrolled, as well as attendance and weight loss data. The portal is designed to enable an institution to: a. Meet state and federal privacy and security standards related to data collection and storage. b. Generate the required reporting to the Centers for Disease Control and Prevention to achieve National Diabetes Prevention Program Recognition status. B. NDPP training for lifestyle coaches The two day training offers the opportunity for a person with a passion for wellness and strong interpersonal skills to lead the NDPP, even if they have no previous experience in health care or coaching. C. Recruitment support Specifically, DOHMH is in partnership with doctor s offices, health centers and hospitals in each of the focus neighborhoods in order to promote the referral of patients with pre diabetes into classes hosted by NDPP providers selected through this RFP. The DOHMH District Public Health Offices (located in North and Central Brooklyn, the South Bronx, and East and Central Harlem) will also engage community and faith based institutions to spread awareness about pre diabetes and the opportunity for NDPP classes. D. Engagement with major health plans DOHMH will publicize the efforts of NDPP providers selected under this RFP and promote linkages to potentially finance ongoing classes. 6 P age

7 E. If the class held is through distance education (online, on demand video, or phone line), training and technology may be provided to facilitate its successful implementation. F. Linkages and networking with community resources that complement the NDPP classes to facilitate healthy food choices and physical activity, including eligible NDPP participants access to HealthBucks. G. Engagement of NDPP providers in order to identify major barriers to program implementation, and opportunities for breakthrough success. Where valuable, DOHMH may offer ongoing training to partner institutions. IV. Eligibility and Requirements Only non clinical entities are eligible for this funding. In addition to being a non clinical entity, in order to be selected under this RFP, an institution must meet the following criteria: A. Commitment to apply for pending recognition of the CDC s National Diabetes Prevention Program and to observe the reporting requirements necessary to achieve full recognition. B. Commitment to listing classes on the web based portal designated by DOHMH. C. Commitment to accepting eligible referrals and self referrals from DOHMH clinical and community partners at no cost to the participants. If an institution feels that a requirement is impossible for them to fulfill, they may apply for an exemption from DOHMH and FPHNY as part of their application submitted. V. Selection Criteria A selection committee at DOHMH will select institutions for support and funding through this RFP based on the criteria listed below. Capacities will be judged on the basis of prior experience and plans as demonstrated by the application form. New and Existing NDPP Providers will be judged on the same selection criteria. 7 P age

8 1. Applicants must demonstrate strong capacity to engage residents and deliver NDPP classes in at least one of the focus neighborhoods (See Appendix D). (65 percent) 2. Applicant must demonstrate that they have the capacity and experience necessary to deliver NDPP classes that are tailored to meet the unique needs of communities in the focus neighborhoods. This criterion encompasses linguistic and cultural competencies and adjustments to program scheduling to align with routines of focus constituencies. (35 percent) Selection Process and Timeframe: The deadline for submission is June 1st, :59 PM EST. Proposals must be submitted via to Below is a detailed timeline of events related to this Request for Proposals process. Unless otherwise specified, the time of day for the following events will be between 9:00am and 5:00pm EST. Event Date Release of Request for Proposals April 30 th, 2015 Inquiry Period for Questions Q&A Teleconference April 30 th, 2015 to May 7th, 2015, 11:59 PM EST May 13 th, 2015, 2 PM EST Toll free dial in #: Participant Code: RFP Q&A Responses Posted at May 19 th, Deadline for Receipt of Proposals June 1 st, 2015, 11:59 PM EST Notice of Selection June 16 th, 2015 Notification of Applicants Not Selected June 23 rd, P age

9 VI. Support and Funding Process A Selection Committee comprised of DOHMH staff will review the application and assign a score to each application. The total of these scores will inform the selection of institutions for funding from the Fund for Public Health in New York. Institutions selected for funding will receive funding in two installments. Documentation of deliverables must be accompanied by an accounting of costs incurred. New NDPP Providers: 1. May invoice for the first payment of up to 50% of total funds awarded upon documentation of their application to the CDC for pending recognition. 2. May invoice for the second payment of up to the remaining balance of the funds awarded upon submission of the workplan for coordination and implementation of new classes to be launched prior to March 15 th, Existing NDPP Providers: 1. May invoice for the first payment of up to 50% of total funds upon documentation of the scheduling of 3 new NDPP classes to be launched prior to September 15 th, May invoice for the second payment of up to the remaining balance of the funds awarded upon launch of 3 new classes and submission of a work plan for the coordination and implementation of 7 new classes. The second installment will support workplan development and planning for 10 additional NDPP courses before the end of the calendar year. FPHNY and DOHMH intend to fund NDPP providers in each of the focus neighborhoods. VII. Application Instructions In order to prepare your submission in response to this RFP: 1. Please read through the sections of this RFP and the CDC s Diabetes Prevention Recognition Program Standards and Operating Procedures (see Appendix B) 2. Use the Requirements (Section IV, p. 7) to assess whether your organization is a good fit for this RFP and Complete the Organization Capacity Self Assessment (see Appendix C). 9 P age

10 3. Complete each section of the Application Form (included with the RFP as a separate Word document). Please provide your answers to the questions on the second page of the Application Form on separate pages. 4. Complete a budget and budget justification (see Appendix E). In order for a submission to be considered complete, it must include all of the following: 1. A completed Application Form (including attached pages of answers to Questions listed on the second page of the Application Form) 2. A completed Organization Capacity Self Assessment (Appendix C) 3. A completed budget and budget justification (Appendix E) Optional: In addition to the three items listed above, you can also include additional materials about your organization that you would like to be considered. However, no more than 10 pages of additional materials will be accepted. VIII. Submission Information A. Submission Date, Time, and Format Responses must be submitted electronically. Please format all documents submitted in response to this RFP in.pdf (Portable Document Format). Proposals must be e mailed to the following address, no later than June 1st, :59 PM EST. Attn: Ms. Keisha Lugay, Grant Manager Subject: NDPP Provider RFP Submission E mail: klugay@fphny.org Responses received after June 1st, :59 PM EST will not be reviewed. B. RFP Communications and Q&A Potential respondents may send any questions or comments to: Attn: Ms. Keisha Lugay, Grant Manager Subject: Inquiry: NDPP Provider RFP Pre Proposal Q&A E mail: klugay@fphny.org 10 Page

11 All questions must be received by May 7 th, :59 PM EST. The Q & A teleconference will be held on May 13 th, 2015 at 02:00 PM EST to answer all previously submitted programmatic and administrative questions and to discuss additional questions, as time permits. Information discussed during the Q & A teleconference will be made available by May 19 th, 2015 at: No other contact with FPHNY or DOHMH personnel regarding this RFP is permitted in the period between the release of this RFP and the notice of award. Any oral communication shall be considered unofficial and non binding with regard to this RFP and subsequent award. IX. General Disclosures A. Right to Reject Proposals The Fund for Public Health in New York may reject any or all proposals received and may ask for further clarification or documentation. Submitted information that does not respond to all items in this RFP may be excluded from further consideration and alternative information packages may not be considered. The Fund for Public Health in New York may decline to review an application in the event the respondent submits a response after the submission deadline and/or any disparity is found during the evaluation process. B. Costs The respondent will be solely responsible for any costs incurred in preparing, delivering, or presenting responses to this RFP. Respondents will not be reimbursed for any costs incurred in preparing proposals. C. Fulfillment of Requirements By submitting an information package, the respondent acknowledges that the respondent has read and understands this RFP and is capable of fulfilling all requirements. D. Submitted Information Once submitted, responses will be the property of FPHNY and will not be returned. E. Right to Amend, Cancel this RFP, or Solicit a New RFP FPHNY may amend or cancel this RFP at any time, without any liability to FPHNY, and/or DOHMH. FPHNY or DOHMH may solicit new requests for information and/or proposals regarding the services addressed in this RFP at any time. 11 P age

12 F. Amount of Business FPHNY does not guarantee to any specific amount of business or revenue as a result of this RFP. G. Security and Confidentiality Respondents should give specific attention to the identification of those portions of their proposals that they deem to be confidential, proprietary information or trade secrets and provide appropriate justification for why such materials, upon request, should not be disclosed by FPHNY. Such information must be easily separable from the non confidential sections of the proposal. All information not so identified may be disclosed by FPHNY. H. Insurance Certificate and A 133 Audit Information Selected institutions will need to provide proof of liability insurance (including Worker s Compensation) and its most recent certified financial audit report (reports prior to 2013 will not be accepted for review), including A 133 Audit, if applicable. For audit years beginning after 12/26/14, an A 133 Audit is required if your organization expends $750,000 in federal funds in the year. For prior audit years the requirement for A 133 was $500,000 in federal funds during a given year. 12 P age

13 Appendix A: Diabetes Prevention Program (NDPP) Model and Curriculum Outline Core Sessions Session 1: Welcome to the National Diabetes Prevention Program Session 2: Be a Fat and Calorie Detective Session 3: Three Ways to Eat Less Fat and Fewer Calories Session 4: Healthy Eating Session 5: Move Those Muscles Session 6: Being Active A Way of Life Session 7: Tip the Calorie Balance Session 8: Take Charge of What s Around You Session 9: Problem Solving Session 10: Four Keys to Healthy Eating Out Session 11: Talk Back to Negative Thoughts Session 12: The Slippery Slope of Lifestyle Change Session 13: Jump Start Your Activity Plan Session 14: Make Social Cues Work For You Session 15: You Can Manage Stress Session 16: Ways to Stay Motivated Post Core Curriculum Session 1: Welcome to Post Core Session 2: Fats Saturated, Unsaturated, and Trans Fat Session 3: Food Preparation and Recipe Modification Session 4: Healthy Eating Taking it One Meal at a Time Session 5: Healthy Eating with Variety and Balance Session 6: More Volume, Fewer Calories Session 7: Staying on Top of Physical Activity Session 8: Stepping up to Physical Activity Session 9: Balance Your Thoughts for Long Term Maintenance Session 10: Handling Holidays, Vacations, and Special Events Session 11: Preventing Relapse Session 12: Stress and Time Management Session 13: Heart Health Session 14: A Closer Look at Type 2 Diabetes Session 15: Final Session: Looking Back and Looking Forward Visit to download the full curriculum 13 P age

14 Appendix B: Diabetes Prevention Recognition Program (DPRP) Summary Standard Requirement How Evaluated When Evaluated 1 Application for Must provide the Name of organization Upon recognition organization s identifying Address receipt of information to DPRP Contact person application Contact phone/ 2 Lifestyle curriculum 3 Intervention duration 4 Intervention intensity 5 Session attendance during 1 6 Must meet requirements for curriculum content Check box on application form agreeing to use the recommended curriculum or Provide alternative curriculum to DPRP for approval Upon receipt of application 1 year duration Data review Every 12 Minimum of 16 sessions, Data review Every 12 delivered approximately once per week during 1 6, followed by a minimum of sessions, delivered at least 1 session per month, during 7 12 Minimum of 9 sessions attended, on average Attendance averaged over all participants attending a minimum of 4 sessions Every 12 Recognition Status and Full and Full and Full 6 Documentation of body weight On average, participants must have had body weights recorded at a minimum of 80% of the sessions attended Documentation of body weights based on all participants attending a minimum of 4 sessions Every 12 and Full 7 Documentation of physical activity minutes 8 Weight loss achieved at six On average, participants must have had physical activity minutes recorded at a minimum of 60% of all sessions attended Average weight loss achieved by participants Documentation of physical activity minutes based on all participants attending a minimum of 4 sessions Weight loss averaged over all participants Every 12 Every 12 and Full and Full 14 P age

15 attending a minimum of 4 sessions must be a minimum of 5% of starting body weight. 9 Participant average session attendance during the Weight loss achieved at 12 Minimum of 3 sessions in 7 12 Average weight loss achieved over the entire 12 month intervention period by participants attending a minimum of 4 sessions must be a minimum of 5% of starting body weight. attending a minimum of 4 sessions. The first and last weights recorded for each participant during 1 6 will be used to calculate this measure Attendance averaged over all participants attending a minimum of 4 sessions Weight loss averaged over all participants attending a minimum of 4 sessions during the entire intervention period. The first and last weights recorded for each participant during 1 12 will be used to calculate this measure Every 12 Every 12 and Full and Full 11 Program eligibility requirement Minimum of 50% of participants must be eligible for the lifestyle intervention based on either a blood test indicating pre diabetes or a history of GDM. The remainder (maximum of 50% of participants) must be eligible based on the CDC Pre diabetes Screening Test, the American Diabetes Association Type 2 Diabetes Risk Test or a claims based risk test. Calculation of these percentages based on all participants who attended a minimum of four sessions Every 12 and Full Read the Diabetes Prevention Recognition Program Standards in full at the following link: standards.pdf 15 P age

16 Appendix C: Organization Capacity Self Assessment CDC DPRP Standards and Operating Procedures referenced below can be found at this link: standards.pdf Capacity Topic DPRP Standards DPRP Standards Leadership Support Staff Staff Training DPRP Evaluation Data Eligible Participants Recruitment and Enrollment Sustainability Organizational Capacity Assessment Questions Have you and your organization s leadership read the CDC DPRP Standards and Operating Procedures? Does your organization agree to comply with each of the CDC DPRP Standards and Operating Procedures? Does your organization s leadership support submission of this application for CDC DPRP recognition? Does your organization have staff with the knowledge, skills, and qualities listed in the DPRP Standards? Does your organization have a plan for training staff to: 1. Deliver an approved lifestyle change program that includes the required content? 2. Comply with federal, state, and or local laws governing individual level identifiable data including laws related to data collection, storage, use and disclosure? Does your organization have staff with the knowledge, skills, and tools needed to collect and submit the required DPRP Evaluation Data Elements using a comma separated value format to the CDC DPRP every 12? Does your organization have access to a large number of individuals at high risk for type 2 diabetes? Does your organization have the ability to recruit and enroll a sufficient number of eligible individuals to maintain and perpetuate the program? Does your organization have a plan to sustain the lifestyle change program without federal, state or local government grant funds long term? Yes No Unsure 16 P age

17 Appendix D: Focus Neighborhood Locations BEAT Area UHF Codes Neighborhoods Zip Codes The South Bronx 105, 106, 107 Crotona Tremont, High Bridge Morrisania, Hunts Point Mott Haven 10453, 10457, 10460, 10451, 10452, 10456, 10454, 10455, 10459, East and Central Harlem North and Central Brooklyn 302, 303 Central Harlem Morningside Heights, East Harlem 211, 203, 204, 207 Williamsburg, Bushwick, Bedford Stuyvesant Crown Heights, East New York, East Flatbush Flatbush 10026, 10027, 10030, 10037, 10039, 10029, , 11221, 11237, 11213, 11212, 11216, 11233, 11238, 11207, 11208, 11203, 11210, 11225, Southeast Queens 408, 410 Jamaica, Rockaway 11412, 11423, 11432, 11433, 11434, 11435, 11436, 11691, 11692, 11693, 11694, 11695, i Diabetes Prevention Program Research Group. Reduction in the Incidence of Type 2 Diabetes With Lifestyle Intervention Or Metformin. New England Journal of Medicine. February 2002; 346 (6): ii Diabetes Prevention Program Research Group. Reduction in the Incidence of Type 2 Diabetes With Lifestyle Intervention Or Metformin. New England Journal of Medicine. February 2002; 346 (6): P age

18 Appendix E: Sample Budget Template VENDOR NAME Personnel Total Cost (please include Title, FTE and Fringe) PS Total Other Than Personnel Services Materials* Scales or Monitoring Devices* Space* Data Management Systems Supplies* Other. Total Cost OTPS Total TOTAL * ITEMIZE, DELETE OR ADD OTHERS AS NECESSARY In addition to the budget table, also include a budget justification describing each cost category and defining the relationship to the development of new NDPP classes. 18 P age

19 Appendix F: Statement of Interest for Clinical Providers Any clinical providers that are interested in learning more about opportunities for the National Diabetes Prevention Program should contact DOHMH s Primary Care Information Project (PCIP). This project is managing the NDPP clinical partnerships. In that , please: title the subject line: Clinical Setting interested in NDPP include in the body of the all contact information, including name of the clinic/practice, name of contact at clinic/practice to speak with, full address of clinic/practice, address for contact as well as direct phone number. Correspondence should be sent directly to: Victoria Foster via (vfoster@health.nyc.gov), with a cc: to Alec Rill (arill@health.nyc.gov). 19 P age