The University of Colorado Denver School of Public Health Centers for American Indian and Alaska Native Health Center of Excellence in Eliminating Disparities (CEED) among American Indians and Alaska Natives Request for Proposals For Reducing Disparities in Diabetes and Cardiovascular Disease among Urban American Indians and Alaska Natives through Policy, Systems, and Environmental Change Deadline: August 1, 2011
BACKGROUND The University of Colorado Denver (UCD), School of Public Health, Centers for American Indian and Alaska Native Health, Center of Excellence in Eliminating Disparities (CEED) is funded by the Centers for Disease Control and Prevention (CDC) REACH U.S. (Racial and Ethnic Approaches to Community Health across the U.S.) to serve as a national center of expertise related to implementing, coordinating, refining, and disseminating evidencebased public health programmatic activities to eliminate health disparities in diabetes and cardiovascular disease among American Indians and Alaska Natives. The primary goal of the UCD CEED REACH U.S. Project is to eliminate racial and ethnic health disparities in diabetes and cardiovascular disease (CVD) and their risk factors in urban American Indians and Alaska Natives. These disparities will be addressed through the implementation and expansion of a community-based curriculum Honoring the Gift of Heart Health among the 36 Urban Indian Health Programs of the Indian Health Service and through our support and guidance of urban Indian communities in pursing policy and environmental change designed to reduce diabetes and CVD risk among urban Indian populations. PURPOSE The UCD CEED REACH U.S. Project provides funding and support to organizations serving urban Indians to encourage them to initiate or enhance work to eliminate racial and ethnic health disparities. The UCD CEED REACH U.S. Project will award up to three contracts or Legacy Awards (one per Title V Urban Indian Health Program or 501c3 urban Indian community-based organization) focusing on the reduction of diabetes and cardiovascular disease and their risk factors in urban Indian communities throughout the U.S. The goal of these Legacy Projects is to build a national community network of organizations, agencies, and coalitions that are conducting evidence-based, community-based activities and policy
development to address diabetes and cardiovascular disease in urban Indian communities. ELIGIBILITY Eligibility is limited to Title V Urban Indian Health Programs and 501c3 non-profit communitybased organizations that serve urban American Indians and Alaska Natives.
FUNDING Up to three contracts will be awarded, ranging from $25,000-$37,500 in total costs for one year. Additional future contracts may be awarded to a grantee institution but only on a yearly basis. The award mechanism will be a subcontract between UCD and the grantee organization. PROPOSAL REQUIREMENTS Proposed activities must be consistent with the following UCD CEED REACH U.S. program priorities and must address diabetes and CVD risk reduction among urban American Indians and Alaska Natives in the U.S.: Facilitation of the Honoring the Gift of Heart Health curriculum among urban American Indians and Alaska Natives in the U.S. Implementation of activities to support of Honoring the Gift of Heart Health, such as: o Increasing heart-healthy nutrition practices through implementation of cooking classes or grocery shopping tours. o Increasing physical activity through coordination of exercise classes and walking groups. o Decreasing use of commercial tobacco through smoking cessation classes. Grantees also must engage in activities targeting policy change and/or environmental change designed to reduce diabetes- and CVD-related health disparities among urban American Indians and Alaska Natives. Activities in support of policy change and/or environmental change could consist of, but are not limited to: o Starting or enhancing a community coalition to support diabetes and CVD risk reduction activities in the community.
o Making efforts toward policy and environmental changes that would enhance opportunities for physical activity in the service area (e.g., improving availability of safe and accessible areas for exercise, publicizing available walking trails). o Implementing policy and environmental changes that enhance opportunities for improved nutritional choices among the urban Indian population served (e.g., advocating local farmers markets, developing community gardens, working with legislators to address legal options such as a salt tax, working with local stores to provide healthier food and beverage options, working with local organizations on vending machine policies). Advocating for improved tobacco policy that may reduce tobacco use in Grantee Expectations the community (e.g., limiting smoking areas or tobacco advertising). Designate a financial staff person to attend contractor orientation Provide proof of current Indirect Cost Rate (IDC) if applicable Submit written annual budget of detailed proposed costs for one contract year Implement work plan activities in one contract year Attend trainings and/or meetings Participate in site visits Submit quarterly reports Present accomplishments & program activities at UCD CEED REACH U.S. miniconference at end of grant year Submit monthly invoices Demonstrate ability to sustain program past the end of the Legacy grant period
REACH CEED Responsibilities UCD CEED REACH U.S. will provide: Mentorship for Legacy grantees Funding Technical assistance Site visits Training on Honoring the Gift of Heart Health curriculum Training on engaging communities in public policy development to implement policy and environmental changes to address diabetes and CVD health disparities Conference calls (as needed) Submission of Proposal To submit a complete RFP response package, please do the following: 1. Thoroughly review the entire RFP. 2. Comply with all instructions. 3. Submit a Letter of Intent by 5:00 PM July 15, 2011 via email with the subject line: CEED Legacy Award Letter of Intent to timothy.noe@ucdenver.edu or kelly.moore@ucdenver.edu. The Letter of Intent should include: a. A title and brief description of the proposed project (no more than 1 page). b. Name, address and telephone number of the Project Director c. An estimated budget d. Participating institutions, including name and address e. Signature of the authorized official at the grantee institution
The letter of intent is not binding and does not enter into the review of a subsequent application. The information that it contains allows staff to estimate the potential review workload and plan the review. 4. Submit an application in response to the RFP via e-mail with the subject line CEED RFP Response Package by 5:00 PM Mountain Time on August 1, 2011. This package must contain: A cover page with the following information: Name of Urban Indian Health Organization or Community-based Organization serving Urban Indians: FEI Number: Contact Person: Address: Phone Number: Fax Number: E-mail Address: A narrative in typewritten form, 11-point font with a maximum of 10 pages double-spaced. Tables need not be double-spaced. The narrative must provide a detailed description of: 1) Need statement; 2) Resource Assessment; 3) Work Plan; 4) Evaluation Plan; and 5) Organizational capacity. A Work Plan Template must also be provided (see instructions below). The Work Plan Template is not included in the 10 page limit. A detailed line item budget and budget narrative (not included in 10 page limit).
All supporting documents and information. 5. Submit application via email to: Timothy.noe@ucdenver.edu; and Kelly.moore@ucdenver.edu 6. Proposals will not be considered if any of the following exists: Proposal was not submitted by the stated deadline. Proposal does not include the entire proposal package. Proposal does not comply with all of the requirements of the RFP process and solicitation. Proposal does not meet UCD guidelines and CDC Terms and Conditions for Awards. Review Criteria 1. PROGRAM RATIONALE (20 POINTS) a. Need Statement (10 points): Provide a statement of need which presents a complete picture of applicant and area served with data specific to area and grant; target population clearly identified; demographics provided; and unique needs of target population described. Provide evidence that the project will impact improvements in diabetes and heart disease risk awareness and diabetes and heart disease prevention activities including increased physical activity, decreased fat and sodium intake and other heart healthy nutrition practices, and commercial tobacco cessation/commercial tobacco abuse prevention. b. Resource Assessment (10 points): Provide a comprehensive description of programs, policies and practices available to support the goals of the program. Also describe any barriers to resources, services and access and how those will be addressed.
2. PROGRAM DESIGN (50 POINTS) a. Work Plan and Sustainability (30 points): Use the work plan template (attached) to provide a clear, achievable, and complete work plan with the implementation of Honoring the Gift of Heart Health curriculum and physical activity, nutrition and/or commercial tobacco cessation/commercial tobacco abuse prevention focus supporting activities with timeline. Make sure your work plan includes efforts to implement improved opportunities for physical activity and healthier nutrition choices in your service area through policy development/change and/or environmental changes. Work plan should be limited to no more than two pages. Clearly state the program s long-term impact, goals, objectives, activities, and responsibility for completing activities. Describe the impact of this program on your target population and estimated number of individuals impacted by program. Provide a summary statement on how the program s efforts/successes will be sustained beyond the contract period. b. Evaluation Plan (10 points): Include an evaluation design, which includes criteria to be used to assess the effectiveness of the projects. List specific evaluation tool(s) to be used; identify persons responsible for measuring and reporting interim progress and final evaluation reports; describe financial/staff resources that will be dedicated to evaluation. c. Budget and Narrative (10 points): Include a detailed budged with all proposed expenditures relating to program goals/objectives and show adherence to allowable expense guidelines. Provide evidence of research into specific items/services to be purchased and include approximate costs and accurate calculations. Identify expected cost savings derived from volunteers, in-kind services, recycling options, use of existing materials, etc. Describe methods for tracking in-kind contributions and identify opportunities to leverage funds.
3. ORGANIZATIONAL CAPACITY (30 POINTS) a. Program Support (15 points): Provide evidence that your Urban Indian Health Program or community-based organization that serves urban Indians has sufficient staff resources, technical expertise, and experience to successfully manage this project. Include resumes, endorsements and references. b. Certification (15 points): Provide evidence that program staff have appropriate training, education and experience to implement the program. Provide evidence that at least two program staff have received training or will receive training in the Honoring the Gift of Heart Health curriculum. Outline of Non-allowable items but not limited to: (Approved detailed list will be provided in contract) No advance payments of or in anticipation of goods or services to be provided to subcontractors or vendors. No items of equipment, property or capital purchases shall be reimbursed under the provisions of this agreement. Equipment is defined as an article of non-expendable, tangible personal property having a useful life of more than one (1) year and an acquisition cost that equals $5,000 or more. No expenditures for capital improvement No meals (Breakfast, Lunch or Dinner) No promotional or incentive items that do not comply with established guidelines and scope of work.
Resources http://www.policylink.org/site/c.lkixlbmnjre/b.5136441/k.bd4a/home.htm http://www.cdc.gov/socialdeterminants/ http://www.who.int/social_determinants/en/ http://eatbettermovemore.org/sa/policies/index.php http://www.cdc.gov/ncipc/dvp/social-ecological-model_dvp.htm http://www.cdph.ca.gov/sitecollectiondocuments/stratstoincreasefruitvegconsumption.pdf http://198.246.98.21/healthycommunitiesprogram/tools/change/downloads.htm http://www.gih.org/ Please see the following attachments for other useful resources in preparing your application s proposed activities. community_strategie s_guide.pdf PolicyBrief_February 2010.pdf COCOMO strats and measures WON 07150 Questions regarding this RFP: For questions regarding this RFP please contact: Kelly Moore at 303-724-1445 or by email at kelly.moore@ucdenver.edu or Tim Noe at 303-724-1446 or via email at timothy.noe@ucdenver.edu
Goal: Work Plan Template Objectives Activities Measures of Effectiveness Data Time-frame for Assessing Progress Staff Responsible