[Federal Register Volume 59, Number 137 (Tuesday, July 19, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-17472]


[[Page Unknown]]

[Federal Register: July 19, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
National Institute for Occupational Safety and Health
[Announcement Number 497]

 

Implementing TB Training for Primary Care Physicians and Other 
Health-Care Workers

Introduction

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of fiscal year (FY) 1994 funds for cooperative agreements 
to conduct a training program for primary care physicians and allied 
health-care providers to avoid or reduce their exposure to tuberculosis 
(TB).
    In April 1992, the National Multiple Drug Resistance-TB Task Force 
published a National Action Plan to Combat Multidrug Resistant 
Tuberculosis. This document elaborates upon the CDC's approach to 
eliminating TB through those action steps for which the CDC has lead 
responsibility.
    Problem 27 of this plan states that nosocomial transmission of TB 
to health-care workers and patients is occurring. Such transmission is 
preventable if recommended infection control practices are implemented. 
The objective is to disseminate information on the prevention of TB 
transmission to individuals and facilities that provide services to 
persons with TB or to persons at high risk for TB.
    Implementation Step 4 calls for the establishment of infection 
control programs. A list of Training and Education Materials is 
available and can be ordered. To order the National Action Plan to 
Combat Multiple Drug Resistant Tuberculosis, see the section, Where to 
Obtain Additional Information.
    The Public Health Service (PHS) is committed to achieving the 
health promotion and disease prevention objectives of Healthy People 
2000, a PHS-led national activity to reduce morbidity and mortality and 
improve the quality of life. This announcement is related to the 
priority areas of Health Promotion and Disease Prevention. (To order a 
copy of Healthy People 2000, see the section Where to Obtain Additional 
Information.)

    Authority: This program is authorized under section 21(a) of the 
Occupational Safety and Health Act of 1970 [29 U.S.C. 670 (a)].

Smoke-Free Workplace

    The Public Health Service strongly encourages all grant recipients 
to provide a smoke-free workplace and promote the non-use of all 
tobacco products. This is consistent with the PHS mission to protect 
and advance the physical and mental health of the American people.

Eligible Applicants

    Applications may be submitted by public and private, non-profit and 
for-profit organizations and governments and their agencies. Thus, 
universities, colleges, research institutions, groups representing 
physicians and health-care workers, hospitals, other public and private 
organizations, State and local governments or their bona fide agents, 
federally recognized Indian tribal governments, Indian tribes or Indian 
tribal organizations, and small, minority- and/or women-owned 
businesses are eligible to apply.

Availability of Funds

    Approximately $250,000 is available in FY 1994 to fund up to two 
awards. It is expected that the average award will be $125,000. It is 
expected that the awards will begin on or about September 30, 1994, and 
will be made for a 12-month budget period within a project period of 1 
year. Funding estimates may vary and are subject to change. It is not 
anticipated that the funding period will be extended beyond 1 year.

Purpose

    The purpose of this award is to assist in the implementation of a 
national training program for primary health-care providers to reduce 
their risk of exposure to tuberculosis.

Program Requirements

    In conducting activities to achieve the purpose of this program, 
the recipient shall be responsible for conducting activities under A. 
(Recipient Activities), and CDC shall be responsible for conducting 
activities under B., (CDC/NIOSH/DTBE Activities).

A. Recipient Activities

    1. Select appropriate curriculum or identify topics which meet the 
needs of the target populations as defined in the application. Develop 
sample agenda, initial training, refresher training, and updated skills 
training, and identify course materials. A list of existing CDC TB 
educational materials is available. (To order the National Action Plan 
to Combat Multiple Drug Resistant Tuberculosis, see the section ``Where 
to Obtain Additional Information.'')
    2. Select appropriate participants who will serve as trainers and 
conduct training programs.
    3. Conduct training programs within the designated region, as 
defined by the applicant, for the selected applicants.
    4. Provide audiovisual support, space, facilities, and equipment to 
conduct the training.
    5. Document and conduct an evaluation program to measure the impact 
and success of the training effort.
    6. Develop a plan for a program announcing the availability of the 
training for all target audiences within the region or nationally.

B. CDC/NIOSH/DTBE Activities

    1. Provide technical assistance and consultation, through site 
visits and correspondence, in areas of identifying needs, and program 
development and implementation.
    2. Provide scientific and technical consultation in the 
modification of curriculum materials and their subsequent review.
    3. Provide on-site technical consultation during the training 
programs with recommendations to assist the trainers.
    4. Provide training materials, such as videotapes and printed 
documents, to the recipient, when appropriate and needed.
    5. Provide technical assistance in the evaluation of the results 
and efficacy of the training conducted.
    6. Assist in the dissemination of training information to 
appropriate organizations.

Evaluation Criteria

    Applications will be reviewed and evaluated according to the 
following criteria:
    1. Responsiveness to the objectives of the cooperative agreement as 
defined in the context of the applicant responsibilities including: (a) 
the applicant's understanding of the objectives of the proposed 
cooperative agreement, and (b) the relevance of the proposal to the 
objectives. (20%)
    2. Feasibility of meeting the proposed goals of the cooperative 
agreement including: (a) the proposed schedule for initiating and 
accomplishing each of the activities of the cooperative agreement and, 
(b) the proposed method for evaluating the accomplishments. (20%)
    3. Strengths and comprehensiveness of the training program plan 
which addresses the distinct characteristics and needs of the target 
audience and includes the essential program element for planning, 
conducting, and evaluating of training programs. (25%)
    4. Training and experience of the Program Director and staff 
including: (a) Program Director with experience in managing cooperative 
agreements and grants and with technical expertise in primary 
prevention education and in the occupational safety and health field, 
(b) faculty with training and experience in the appropriate technical 
areas, and (c) staff with experience in developing curricula in 
infectious disease transmission, TB prevention, and control measures in 
the primary health-care occupational setting. (15%)
    5. The capability of accessing, on a regional or national level, 
primary health-care providers who are presently involved in TB 
prevention programs to ensure consistency in delivering training 
programs, and to assure credibility with professional/worker 
organizations and health departments. (10%)
    6. Experience in delivering health and safety programs for the 
target population, particularly in the primary health-care provider 
arena. (10%)
    7. The budget will be evaluated to the extent it is reasonable, 
clearly justified, and consistent with the intended use for funds. (Not 
scored)

Executive Order 12372 Review

    Applications submitted by State and local governments are subject 
to Intergovernmental Review of Federal Programs as governed by 
Executive Order (E.O.) 12372. E.O. 12372 sets up a system for State and 
local government review of proposed Federal assistance applications. 
Indian tribes are strongly encouraged to request tribal government 
review of the proposed application. State and local governments should 
contact their State Single Point of Contact (SPOC) as early as possible 
to alert them to the prospective applications and receive any necessary 
instructions on the State process. For proposed projects serving more 
than one State, the applicant is advised to contact the SPOC for each 
affected State. A current list of SPOCs is included in the application 
kit. If SPOCs have any State process recommendations on applications 
submitted to CDC, they should send them to Henry S. Cassell, III, 
Grants Management Officer, Grants Management Branch, Procurement and 
Grants Office, Centers for Disease Control and Prevention (CDC), 255 
East Paces Ferry Road, NE., Atlanta, GA 30305, no later than 30 days 
after the application due date (a waiver for the 60 day requirement has 
been requested). The Program Announcement number and Program title 
should be referenced on the document. The granting agency does not 
guarantee to ``accommodate or explain'' State process recommendations 
it receives after that date.
    All other applications are not subject to E.O. 12372 review.

Public Health System Reporting Requirements

    This program is not subject to the Public Health System Reporting 
Requirements.

Catalog of Federal Domestic Assistance Number

    The Catalog of Federal Domestic Assurance number for this program 
is 93.263.

Application Submission and Deadline

    The original and two copies of the application PHS Form 5161-1 
(Revised 7/92, OMB Control Number 0937-0189) must be submitted to Henry 
S. Cassell, III, Grants Management Officer, Grants Management Branch, 
Procurement and Grants Office, Centers for Disease Control and 
Prevention (CDC), 255 East Paces Ferry Road, NE, Room 300, Mailstop E-
13, Atlanta, GA 30305, on or before August 23, 1994.
    1. Deadline: Applications shall be considered as meeting the 
deadline above if they are either:
    (a) Received on or before the deadline date; or
    (b) Sent on or before the deadline date and received in time for 
submission to the independent review group. (Applicants must request a 
legibly dated U.S. Postal Service postmark or obtain a legibly dated 
receipt from a commercial carrier or the U.S. Postal Service. Private 
metered postmarks shall not be acceptable as proof of timely mailing).
    2. Late Applications: Applications which do not meet the criteria 
in 1.(a) or 2.(b) above are considered late applications. Late 
applications will not be considered in the current competition and will 
be returned to the applicant.

Where To Obtain Additional Information

    A complete program description, information on application 
procedures, an application package, and business management technical 
assistance may be obtained from Oppie M. Byrd, Grants Management 
Specialist, Grants Management Branch, Procurement and Grants Office, 
Centers for Disease Control and Prevention
    (CDC), 255 East Paces Ferry Road NE, Room 300, Mailstop E-13, 
Atlanta, Georgia 30305, telephone (404) 842-6630.
    Programmatic technical assistance may be obtained from N. Jack 
Berberich, Jr., Ph.D., Chief, Curriculum Development Branch, Division 
of Training and Manpower Development, National Institute for 
Occupational Safety and Health, Centers for Disease Control and 
Prevention (CDC), 4676 Columbia Parkway, Mailstop C-12, Cincinnati, 
Ohio 45226, telephone (513) 533-8231.
    Please refer to Announcement Number 497 when requesting information 
and submitting an application.
    Potential applicants may obtain a copy of the National Action Plan 
to Combat Multiple Drug Resistant Tuberculosis from Information 
Services, Centers for Disease Control and Prevention (CDC), 1600 
Clifton Road, NE, Mailstop O-6, Atlanta, Georgia 30333, or by calling 
telephone (404) 639-1819.
    Potential applicants may obtain a copy of Healthy People 2000, 
(Full Report, Stock Number 017-001-00474-0) or Healthy People 2000, 
(Summary Report, Stock Number 017-001-00473-1) through the 
Superintendent of Documents, Government Printing Office, Washington, DC 
20402-9325, telephone (202) 783-3238.

    Dated: July 13, 1994.
Linda Rosenstock,
Director, National Institute for Occupational Safety and Health, 
Centers for Disease Control and Prevention (CDC).
[FR Doc. 94-17472 Filed 7-18-94; 8:45 am]
BILLING CODE 4163-19-P