\S
CDC0522.03\E
>>
HELLO AND WELCOME TO THIS
SPECIAL
SATELLITE BROADCAST,
"STEPS
TO A HEALTHIER
RFA
GUIDANCE."\E
I'M JOE
WASHINGTON,
YOUR
MODERATOR FOR THIS PROGRAM,
AND
WE'RE COMING TO YOU LIVE
FROM
THE CENTERS FOR DISEASE
CONTROL
AND PREVENTION
IN
THIS
BROADCAST
IS RUNNING
CONCURRENTLY
WITH ANOTHER
TELEVISED
EVENT BEING BROADCAST
FROM
THE 21st NATIONAL
CONFERENCE
ON HEALTH EDUCATION
AND
HEALTH PROMOTION
IN SAN
DIEGO.\E
THE TWO
TELEVISED SESSIONS,
"STRATEGIES
FOR A TUMULTUOUS
PUBLIC
HEALTH FUTURE -- GETTING
IT
RIGHT" AND "THE POLITICS
OF FOOD
CHOICE" ARE BEING WEB
ARCHIVED
AND WILL BE AVAILABLE
FOR
VIEWING LATER.\E
WE WILL
PROVIDE YOU
WITH
INFORMATION ABOUT WHERE
TO FIND
THE BROADCAST ARCHIVES
FOR
BOTH PROGRAMS AT THE END
OF THE
SHOW.\E
BEFORE
WE INTRODUCE
OUR
PANELISTS, LET'S HEAR
FROM
TOMMY THOMPSON, SECRETARY
OF
HEALTH AND HUMAN SERVICES.\E
>>
HELLO.\E
I'M
TOMMY THOMPSON, THE
SECRETARY
OF HEALTH AND HUMAN
SERVICES.\E
LADIES
AND GENTLEMEN, AS HEALTH
PROFESSIONALS,
YOU KNOW AS WELL
AS I
DO, AND YOU KNOW AS WELL AS
ANYONE
THAT TOO MANY AMERICANS
SUFFER
FROM PREVENTABLE CHRONIC
DISEASES.\E
APPROXIMATELY
64% OF OUR ADULTS
ARE
OVERWEIGHT OR OBESE.\E
AT
LEAST 17 MILLION AMERICANS,
OR 1
OUT OF EVERY 20 PEOPLE,
SUFFER
FROM DIABETES.\E
MORE
THAN 125 MILLION AMERICANS
LIVE
WITH CHRONIC CONDITIONS AND
MILLIONS
OF NEW CASES ARE
DIAGNOSED
EACH AND EVERY YEAR.\E
AND
THAT'S JUST THE BEGINNING OF
MANY
FRIGHTENING STATISTICS.\E
IN THE
PAST WE'VE FOCUSED ON
TREATING
DISEASE, BUT NOW,
LADIES
AND GENTLEMEN, IT IS TIME
TO
FOCUS ON PREVENTION.\E
AND THE
GOOD NEWS IS, THAT
PREVENTION
ACTUALLY WORKS.\E
TODAY
I'M VERY EXCITED TO TELL
YOU
ABOUT THE STEPS TO A
HEALTHIER
THIS IS
A BOLD, NEW INITIATIVE
THAT
ADVANCES THE
ADMINISTRATION'S
GOAL OF HELPING
AMERICANS
LIVE LONGER, HEALTHIER
LIVES.\E
STEPS
TO A HEALTHIER
USE
GOVERNMENT AND GOVERNMENT
RESOURCES
TO EDUCATE AMERICANS
ABOUT
THE TREMENDOUS HEALTH
BENEFITS
FROM SIMPLE AND MODEST
IMPROVEMENTS
IN PHYSICAL
ACTIVITY,
NUTRITION, AND
BEHAVIOR.\E
FRIENDS,
YOU ARE THE LEADERS,
YOU ARE
THE HEALTH CARE
PROFESSIONALS
AND YOU
KNOW
THESE METHODS REDUCE
THE
RISK OF CHRONIC DISEASES.\E
NOW, I
NEED YOUR HELP TO SUPPORT
TO
INFORM, AND MOST IMPORTANTLY,
BE ABLE
TO MOTIVATE YOURSELVES,[SZ1]
YOUR
FAMILY, YOUR FRIENDS AND
COMMUNITY
MEMBERS TO PRACTICE
MAKING
HEALTHIER CHOICES EACH
AND
EVERY DAY.\E
I
ENCOURAGE ALL OF YOU TO BECOME
INVOLVED
IN THE STEPS TO A
HEALTHIER
THIS IS
ONLY THE BEGINNING.\E
ABOUT
WHAT WE CAN DO TOGETHER TO
MAKE
GOD
BLESS YOU, GOD BLESS THE
UNITED
STATES OF AMERICA.\E
>>
THANK YOU, SECRETARY
THOMPSON.\E
NOW WE
HAVE AN IMPORTANT
MESSAGE
FROM
ACTING
DEPUTY ASSISTANT
SECRETARY
FOR HEALTH, OFFICE
OF
DISEASE PREVENTION AND HEALTH
PROMOTION
AT THE DEPARTMENT
OF
HEALTH AND HUMAN SERVICES.\E
>>
I'M
ACTING
DEPUTY ASSISTANT
SECRETARY
FOR HEALTH FOR DISEASE
PREVENTION
AND HEALTH PROMOTION
AT
HHS.\E
NOW
THAT YOU HAVE JUST HEARD
FROM
SECRETARY THOMPSON ABOUT
THE
STEPS FOR A HEALTHIER
I WANT
TO SHARE WITH
YOU THE
PURPOSE AND THE GOALS
BEHIND
THE INITIATIVE.\E
IF YOU
TAKE AWAY ONE THING
FROM
THIS BROADCAST TODAY, IT
SHOULD
BE HOW CRITICAL
YOUR
EFFORTS WILL BE TO CURBING
THE
NATION'S HEALTH CARE CRISIS.\E
IT WILL
REQUIRE ALL OF US
WORKING
TOGETHER, THINKING
DIFFERENTLY
ABOUT POSSIBLE
SOLUTIONS,
SHARING OUR BEST
IDEAS
AND PRACTICES, BUILDING
OFF OF
OUR SUCCESSES AND LASTLY,
NEVER
FORGETTING WHY ACTING NOW
IS SO
CRUCIAL.\E
DAUNTING
AS ALL THIS MAY SOUND,
WHAT WE
KNOW WITH 100% CERTAINTY
IS THAT
SMALL CHANGES OVER TIME
WILL
INDEED YIELD BIG REWARDS.\E
YOU ARE
PROBABLY ALL TOO
FAMILIAR
NOW WITH THE STAGGERING
STATISTICS,
TRULY THE PROBLEM IS
OF
EPIDEMIC PROPORTIONS.\E
CONSIDER
THAT 125 MILLION
AMERICANS
LIVE WITH CHRONIC
CONDITIONS
AND MILLIONS OF NEW
CASES
ARE DIAGNOSED EACH YEAR.\E
THE
HARD REALITY IS THAT EVERY
AMERICAN
IS ADVERSELY AFFECTED
BY
CHRONIC DISEASE IN
OR
ANOTHER, THROUGH THE DEATH
OF A
LOVED ONE, A FAMILY
MEMBER'S
STRUGGLE WITH LIFELONG
ILLNESS,
DISABILITY,
OR
COMPROMISED QUALITY OF LIFE,
OR THE
HUGE PERSONAL
AND
SOCIETAL FINANCIAL BURDEN
WROUGHT
BY CHRONIC DISEASE.\E
AS
SECRETARY THOMPSON HAS
PROCLAIMED,
THE CASE
FOR
PREVENTION HAS NEVER BEEN
MORE
COMPELLING.\E
CHRONIC
DISEASES, WHICH ARE
LARGELY
PREVENTABLE
THROUGH
ATTENTION TO HEALTHY
LIFESTYLES
AND PREVENTIVE
SERVICES,
CAUSE 70% OF ALL
DEATHS
EACH YEAR AND ACCOUNT
FOR 75%
OF OUR HEALTH CARE
COSTS.\E
ONE-THIRD
OF THE YEARS
OF
POTENTIAL LIFE LOST BEFORE
AGE 65
ARE DUE TO CHRONIC
DISEASE.\E
WHEN WE
MEASURE OUR NATION'S
HEALTH
BY THE LENGTH OF LIFE
OR BY
THE QUALITY OF THAT LIFE,
WE
CANNOT AFFORD TO IGNORE
THE
URGENCY OF PREVENTION.\E
NOR CAN
WE IGNORE THE ESCALATING
COSTS.\E
IF
CURRENT POLICIES
AND
CONDITIONS HOLD TRUE,
BY THE
YEAR 2011, OUR NATION
WILL BE
SPENDING OVER
$2.8
TRILLION ON HEALTH CARE.\E
CLEARLY,
THE COUNTRY CANNOT
CONTINUE
THIS UPWARD SPIRAL.\E
THE
GOOD NEWS IS OUR AGENTS
FOR
CHANGE START AT THE HIGHEST
LEVEL.\E
THE
PRESIDENT BEING THIS
COUNTRY'S
MOST ARDENT.\E
SHORT
OF A YEAR AGO, PRESIDENT
BUSH
LAUNCHED HEALTHIER
A
DISEASE PREVENTION AND HEALTH
PROMOTION
INITIATIVE DESIGNED
TO GIVE
AMERICANS THE GUIDANCE
THEY
NEED TO REVERSE
THE
NATION'S UNHEALTHY LIFESTYLE
TRENDS.\E
WITH
FOUR KEY HEALTH PILLARS
IDENTIFIED
-- PHYSICAL ACTIVITY,
NUTRITION,
PREVENTIVE HEALTH
SCREENINGS
AND MAKING HEALTHY
CHOICES
-- THE PRESIDENT SET
A
NATIONAL GOAL OF HELPING
AMERICANS
LEAD SAFER, HEALTHIER,
LONGER
LIVES, CHALLENGING ALL
OF US
TO DO OUR PART.\E
SECRETARY
THOMPSON PROMPTLY --\E
AND I
MIGHT ADD, PASSIONATELY --\E
EMBRACED
THIS GOAL.\E
HE
LAUNCHED THE STEPS
TO A
HEALTHIER
A
BLUEPRINT TO A HEALTHY, STRONG
ARE
PREVENTED WHEN POSSIBLE,
CONTROLLED
WHEN NECESSARY,
AND
TREATED WHEN APPROPRIATE.\E
STEPS
ENHANCES THE PRESIDENTIAL
INITIATIVE
BY EMPHASIZING PROVEN
DISEASE
PREVENTION STRATEGIES
AND
ESTABLISHES PUBLIC HEALTH
SCIENCE.\E
SPECIFICALLY,
STEPS
TO A
HEALTHIER
DIABETES,
OBESITY, ASTHMA,
CANCER,
AND CARDIOVASCULAR
DISEASE,
AND RISK FACTORS SUCH
AS POOR
NUTRITION AND PHYSICAL
INACTIVITY,
TOBACCO USE,
AND
YOUTH RISK BEHAVIORS.\E
BUILDING
ON A GROWING BODY
OF
PREVENTION RESEARCH WHICH
SHOWS
THAT SMALL, SIMPLE STEPS
CAN
OFTEN PREVENT OR CONTROL
THESE
HEALTH BURDENS.\E
STEPS
WILL PROMOTE PROGRAMS
TO MOTIVATE
AND SUPPORT
RESPONSIBLE
HEALTH CHOICES.\E
STEPS
WILL SUPPORT COMMUNITY
INITIATIVES
TO PROMOTE
AND
ENABLE HEALTHY CHOICES.\E
STEPS
WILL ENCOURAGE HEALTHCARE
AND
INSURANCE SYSTEMS THAT
TARGET
REDUCTION OF RISK FACTORS
AND
COMPLICATIONS OF CHRONIC
DISEASE.\E
AND
STEPS WILL ENCOURAGE
COOPERATION
AMONG POLICY MAKERS
TO
INVEST IN DISEASE PREVENTION
AND
HEALTH PROMOTION.\E
TAKEN
TOGETHER, WE BELIEVE THESE
EFFORTS
CAN HELP MOVE US
FROM A
DISEASE CARE SYSTEM
TO A
TRUE HEALTH CARE SYSTEM.\E
FROM A
PUBLIC HEALTH
PERSPECTIVE,
THE GOALS
OF THE
STEPS INITIATIVE ARE
CONSIDERABLE
AND INSPIRING
AT THE
SAME TIME.\E
WE
BELIEVE BY WORKING
WITH
THE COMMUNITIES THROUGHOUT
THE
THEM.\E
HERE'S
WHAT WE WANT
TO
ACCOMPLISH.\E
OUR
GOALS --\E
PREVENT
75,000 TO 100,000
AMERICANS
FROM DEVELOPING
DIABETES.\E
PREVENT
100,000 TO 150,000
AMERICANS
FROM DEVELOPING
OBESITY.\E
AND
LASTLY, PREVENT 50,000
AMERICANS
FROM BEING
HOSPITALIZED
FOR ASTHMA.\E
LET ME
TELL
YOU HOW WE ARE TURNING
THESE
GOALS INTO A REALITY.\E
FIRST,
WE ARE KEEPING UP STRONG,
SUSTAINED
ACTIVITIES TO HELP
AMERICANS[SZ3]
UNDERSTAND
THE IMPACT OF CHRONIC
DISEASES.\E
TO
BUILD MOMENTUM FOR STEPS,
THE
SECRETARY HAS APPEARED
IN TOWN
HALL MEETINGS ACROSS
THE
COUNTRY, AND JUST LAST
MONTH,
HOSTED THE NATION'S FIRST
PREVENTION
WITH
ATTENDANCE ULTIMATELY
REACHING
1,000.\E
THAT
WAS DOUBLE OUR INITIAL
EXPECTATIONS,
AND IMPORTANTLY,
INCLUDED
REPRESENTATION
FROM
EVERY FACET OF HEALTH
AND
THEN SOME -- NATIONAL, STATE
AND
LOCAL POLICYMAKERS, HEALTH
AGENCIES,
BUSINESS AND EDUCATION
COMMUNITIES
AND LEADING HEALTH
STAKEHOLDERS.\E
THIS
TYPE OF PARTICIPATION,
WE
BELIEVE, IS INDICATIVE
OF THE
PERVASIVE NEED AND DESIRE
OF THIS
COUNTRY TO MOBILIZE
OUR
EFFORTS AND HELP BUILD
A
STRONGER, HEALTHIER NATION.\E
SECONDLY,
HHS DEVELOPED A SERIES
OF
PUBLICATIONS TO GUIDE
COMMUNITY
LEADERS, POLICYMAKERS
AND
HEALTH OFFICIALS
IN
THEIR EFFORTS TO MAKE
THEIR
COMMUNITIES HEALTHIER
BY
PROVIDING USEFUL TOOLS.\E
THE
TRIO OF PUBLICATIONS
INCLUDES
--\E
THE
POWER OF PREVENTION,
AN
INFORMATIONAL RESOURCE
FOR
EDUCATING POLICYMAKERS
ABOUT
LONG-TERM COST-EFFECTIVE
PREVENTION
PROGRAMS,
PREVENTION
STRATEGIES THAT WORK,
A
HOW-TO PREVENTION GUIDE
FOR
LEARNING EFFECTIVE
STRATEGIES
FOR REDUCING
THE
BURDEN OF DISEASES SUCH
AS
DIABETES, OBESITY, CANCER,
HEART
DISEASE AND STROKE,
AS WELL
AS FOR THE LIFESTYLE
CHOICES
ASSOCIATED WITH THEM.\E
PREVENTION
PROGRAMS IN ACTION,
A
COLLECTION OF EXEMPLARY
PREVENTION
PROGRAMS FROM STATES
AND
COMMUNITIES ACROSS
THE
UNITED STATES.\E
ALL
THESE DOCUMENTS ARE
AVAILABLE
ONLINE AT
WWW.HEALTHIERUS.GOV/STEPS.\E
AND
THIRDLY, THE REASON WHY
YOU
HAVE JOINED US TODAY,
TO KICK
OFF THE STEPS GRANT
PROGRAM.\E
SECRETARY
THOMPSON IS
MARSHALLING
ALL AVAILABLE
RESOURCES
WITHIN HHS TO HELP
SUPPORT
THE STEPS "HEALTHY
COMMUNITIES"
GRANT,
UNQUESTIONABLY
THE LYNCH PIN
OF THIS
INITIATIVE.\E
RIGHT
NOW, THE RFA INCLUDES
$15
MILLION IN FUNDING.\E
THE
PRESIDENT HAS REQUESTED
AN
ADDITIONAL $110 MILLION
FOR
FISCAL YEAR 2004.\E
HHS IS
DEDICATED TO SUPPORTING
COMMUNITY
EFFORTS.\E
YOUR
ENGAGEMENT IS FUNDAMENTAL
TO
ACHIEVING REAL
AND
SUSTAINABLE IMPROVEMENTS
IN THE
LIVES OF AMERICANS.\E
WE WILL
FUND PROGRAMS THAT WORK
THROUGH
PUBLIC-PRIVATE
PARTNERSHIPS
AT THE STATE
AND
COMMUNITY LEVELS
AND
SUPPORT.\E
PROGRAMS
THAT ENABLE PERSONS
TO
ADOPT HEALTHY LIFESTYLES.\E
PROGRAMS
THAT CONTRIBUTE
DIRECTLY
TO THE PREVENTION,
DELAY
AND/OR MITIGATION
OF THE
CONSEQUENCES OF DIABETES,
ASTHMA,
AND OBESITY.\E
STEPS
WILL ACHIEVE THESE
OUTCOMES
BY IMPROVING NUTRITION,
INCREASING
PHYSICAL ACTIVITY,
PREVENTING
TOBACCO USE
AND
EXPOSURE, INCREASING TOBACCO
CESSATION,
IMPROVING THE QUALITY
OF
CARE, AND INCREASING
EFFECTIVE
SELF-MANAGEMENT.\E
THIS IS
JUST THE BEGINNING.\E
OUR
COLLECTIVE FIRST STEP,
IF YOU
WILL.\E
MANY OF
YOU MAY HAVE BEEN
PRESENT
WHEN SECRETARY THOMPSON
LAID
OUT HIS VISION
AND
FRAMEWORK FOR STEPS
AT THE
PREVENTION SUMMIT LAST
MONTH.\E
IMAGINE
HOW REWARDING IT WILL BE
WHEN WE
RECONVENE TO REVIEW
OUR
PROGRESS NEXT YEAR -- YES,
HOLD
THE DATES.\E
MARCH
18th AND 19th, 2004
FOR OUR
NEXT PREVENTION
YOU CAN
EXPECT AN INVITATION
TO JOIN
AND SHARE YOUR PROGRAMS
AND
EXPERIENCES.\E
THERE
IS NO TIME TO LOSE.\E
PREVENTION
IS THE RIGHT CAUSE,
THE
RIGHT ISSUE, AND, THE RIGHT
TIME TO
APPLY AND BECOME A PART
OF
STEPS.\E
NOW,
I'LL TURN IT
OVER TO
JIM MARKS TO TELL
YOU
MORE.\E
THANK
YOU.\E
>>
WELL, THANK YOU, ELIZABETH,
FOR
THAT IMPORTANT OVERVIEW.\E
WE WILL
GET TO DR. MARK'S
PRESENTATION,
BUT FIRST WE NEED
TO GO
OVER A FEW DETAILS
ABOUT
TODAY'S BROADCAST.\E
THERE
WILL BE NO CONTINUING
EDUCATION
OFFERED FOR TODAY'S
PROGRAM.\E
THIS PROGRAM
IS SPONSORED
BY THE
DEPARTMENT OF HEALTH
AND
HUMAN SERVICES
AND
CO-SPONSORED BY SEVERAL HHS
AGENCIES
--\E
THE
ADMINISTRATION ON AGING,
THE
AGENCY FOR CHILDREN
AND
FAMILIES,
THE
CENTER FOR MEDICARE
AND
MEDICAID SERVICES,
THE
CENTERS FOR DISEASE CONTROL
AND
PREVENTION,
THE
FOOD AND DRUG
ADMINISTRATION,
THE
HEALTH RESOURCES
AND
SERVICES ADMINISTRATION,
THE
INDIAN HEALTH SERVICE,
THE
NATIONAL INSTITUTES
OF
HEALTH,
AND THE
SUBSTANCE ABUSE
AND
MENTAL HEALTH SERVICES
ADMINISTRATION.\E
THE
GOALS OF TODAY'S BROADCAST
ARE TO
PROVIDE POTENTIAL
APPLICANTS
WITH AN UNDERSTANDING
OF THE
APPLICATION PROCESS,
THE
ELIGIBILITY CRITERIA,
THE
PROGRAM REQUIREMENTS,
THE
DESIRED CONTENTS
OF THE
APPLICATIONS, AND HOW
THE
APPLICATIONS WILL BE JUDGED.\E
AFTER
VIEWING THE PROGRAM,
YOU
WILL BE ABLE TO --\E
DETERMINE
WHETHER YOU ARE
ELIGIBLE
TO APPLY FOR FUNDING,
UNDERSTAND
WHAT IS EXPECTED
FROM
THE STEPS PROGRAM, PREPARE
AN
APPLICATION FOR FUNDING,
DEFINE
HOW THE APPLICATIONS WILL
BE
JUDGED, ACCESS HHS AGENCY
RESOURCES
TO PREPARE
AN
APPLICATION, AND OBTAIN
ANSWERS
TO QUESTIONS REGARDING
AN
APPLICATION.\E
DURING
TODAY'S
PROGRAM,
WE WILL HAVE A PHONE
IN
QUESTION AND ANSWER SESSION,
AND YOU
CAN PHONE IN YOUR
QUESTIONS
AT ANY TIME DURING THE
BROADCAST.\E
OUR
PHONE OPERATORS WILL WRITE
DOWN
YOUR QUESTIONS AND RELAY
THEM TO
THE PANEL QUESTIONS.\E
ASK AS
MANY QUESTIONS AS YOU
LIKE
AND WE'LL TRY TO
MANY AS
POSSIBLE ON THE AIR.\E
AND THE
PHONE LINES WILL BE OPEN
FOR TWO
HOURS AFTER THE
BROADCAST.\E
THAT'S
UNTIL
TIME TO
ANSWER ANY FOLLOW-UP
QUESTIONS.\E
HERE'S
HOW YOU CAN CONTACT US.\E
FOR
VOICE CALLS IN THE UNITED
STATES,
800-793-8598,
INTERNATIONAL
VOICE
CALLS 404-639-0180.\E
YOU CAN
FAX YOUR QUESTION
OR
COMMENT TO US AT
800-553-6323.\E
FOR
THOSE OF YOU OUTSIDE
THE UNITED
STATES, THE FAX
NUMBER
IS 404-639-0181.\E
FINALLY,
OUR TTY
NUMBER IS 800-815-8152.\E
THE
INTERNATIONAL TTY NUMBER IS
404-639-0182.\E
PLEASE
REMEMBER THAT THESE
PUBLIC
HEALTH TRAINING NETWORK
800
NUMBERS ARE ANSWERED
NORMALLY
ONLY DURING PUBLIC
HEALTH TRAINING
NETWORK
SATELLITE
BROADCASTS, BUT TODAY
WE WILL
ACCEPT PHONE CALLS
FOR TWO
HOURS AFTER THE END
OF THE
BROADCAST AT
EASTERN
TIME, AFTER
PLEASE
USE THE PHONE NUMBERS
PUBLISHED
IN THE RFA.\E
BEFORE
WE GET
STARTED WITH TODAY'S
PROGRAM,
WE NEED TO TAKE CARE
OF A
FEW ADMINISTRATIVE ISSUES.\E
IF YOU
ARE HAVING TECHNICAL
TROUBLE
RECEIVING OUR SIGNAL,
YOU CAN
CALL US HERE AT CDC
AT
800-728-8232.\E
IF YOU
ARE VIEWING THE PROGRAM
FROM
OUTSIDE THE UNITED STATES,
THE
TECHNICAL NUMBER IS
404-639-1289.\E
NOW, TO
HELP CLARIFY THE PURPOSE
OF THIS
COOPERATIVE AGREEMENT
PROGRAM
AND TO BETTER UNDERSTAND
ITS
BACKGROUND, LET'S HEAR
FROM
JAMES S. MARKS, DIRECTOR,
DISEASE
PREVENTION AND HEALTH
PROMOTION.\E
>>
THANKS, JOE.\E
HERE
AT THE
FOR
CHRONIC DISEASE PREVENTION
AND
HEALTH PROMOTION, WE'RE
WORKING
HAND-IN-HAND
WITH
OUR FELLOW HHS AGENCIES
TO
SUPPORT STEPS TO
A
HEALTHIER
A
STRONG PUBLIC HEALTH
INITIATIVE.\E
IT
ENABLES ALL OF US TO REALIZE
THAT
SMALL STEPS CAN MAKE SUCH
A BIG
DIFFERENCE.\E
SO FAR
IN THIS BROADCAST, WE'VE
GIVEN
YOU A BROAD OVERVIEW
OF THE
PRIORITIES AND THE NEED
FOR
THIS INITIATIVE.\E
LET'S
TURN NOW TO A MORE
DETAILED
LOOK AT THE CENTERPIECE
OF THE
STEPS INITIATIVE --\E
THE
FIVE-YEAR COOPERATIVE
AGREEMENT
PROGRAM.\E
FIRST,
LET ME
STRESS
THAT THIS FUNDING
INITIATIVE
IS TRULY
A
COOPERATIVE AGREEMENT.\E
BY
THAT, I MEAN THAT THE SUCCESS
OF THE
PROGRAM WILL RELY
ON OUR
WORKING TOGETHER
TO
UTILIZE THE STRENGTHS WE ALL
BRING
TO THE TABLE.\E
YOU
UNDERSTAND YOUR
COMMUNITIES
-- THE NEEDS,
CULTURE,
AND RESOURCES
AVAILABLE,
AND HOW TO WORK
WITHIN
THAT ENVIRONMENT.\E
HHS
WILL PROVIDE TECHNICAL
ASSISTANCE
AND OVERALL
EVALUATION
COORDINATION.\E
YOUR
FELLOW GRANTEES WILL
PROVIDE
A SOUNDING BOARD
FOR
IDEAS, ADVISE
YOU
ABOUT THEIR PAST
EXPERIENCES,
AND WORK
WITH
YOU TO DEVELOP COMMON
INDICATORS
TO MEASURE PROGRESS.\E
THE
PURPOSE OF THE STEPS
FIVE-YEAR
COOPERATIVE AGREEMENT
PROGRAM
IS TO SUPPORT
PUBLIC/PRIVATE
PARTNERSHIPS
AT THE
COMMUNITY LEVEL.\E
THOSE
LOCAL COLLABORATIONS WILL
DEVELOP
AND IMPLEMENT SPECIFIC
COMMUNITY-DRIVEN
INTERVENTIONS
TO
PREVENT, DELAY, OR MITIGATE
DIABETES,
ASTHMA, AND OBESITY.\E
THE
STEPS PROGRAM IS DESIGNED
TO
CREATE HEALTHIER COMMUNITIES
THROUGH
INNOVATIVE AND EFFECTIVE
COMMUNITY-BASED
HEALTH PROMOTION
AND
CHRONIC DISEASE PREVENTION
AND
CONTROL PROGRAMS.\E
THE
STEPS PROGRAM REQUIRES
YOU TO
IMPLEMENT INTERVENTIONS
IN SIX
AREAS --\E
DIABETES,
ASTHMA, OBESITY,
AND THE
UNDERLYING RISK
FACTORS
-- PHYSICAL ACTIVITY,
NUTRITION,
AND TOBACCO USE
AND
EXPOSURE.
IT IS
IMPORTANT
TO NOTE
THAT THE STEPS PROGRAMS
YOU
IMPLEMENT NEED TO BUILD ON,
BUT NOT
DUPLICATE, CURRENT
AND
PRIOR HHS PROGRAMS.\E
THESE
PROGRAMS ALSO MUST
COORDINATE
FULLY WITH EXISTING
PROGRAMS
AND RESOURCES
IN THE
COMMUNITY.\E
ADMITTEDLY,
THE ELIGIBILITY
CRITERIA
FOR THE STEPS PROGRAM
ARE
COMPLEX.\E
AND I'D
LIKE TO PROVIDE
YOU
WITH SOME ADDITIONAL
INFORMATION
TO HELP
YOU
UNDERSTAND WHICH CATEGORY
YOU
SHOULD APPLY.\E
THERE
ARE THREE CATEGORIES
OF
APPLICANTS.\E
FIRST,
LARGE CITIES CAN APPLY
FOR
FUNDS UNDER THIS
ANNOUNCEMENT.\E
FOR THE
PURPOSES OF THE STEPS
PROGRAM,
LARGE CITIES ARE
GEOGRAPHICALLY
CONTIGUOUS URBAN
COMMUNITIES
WITH A POPULATION
OF MORE
THAN 400,000 PEOPLE.\E
LARGE
CITY APPLICANTS MUST HAVE
SUBSTANTIAL
EXPERTISE
AND
INFRASTRUCTURE
FOR THE
DESIGN, DELIVERY
AND
EVALUATION OF CHRONIC
DISEASE
PREVENTION AND CONTROL
INTERVENTIONS.\E
FOR
THIS RFA, WASHINGTON, D.C.\E
IS
ELIGIBLE UNDER THIS CATEGORY.\E
WE
EXPECT THAT, IN MOST CASES,
THE
DEPARTMENT
WILL BE THE LEAD
AGENCY
FOR THE STEPS PROJECT.\E
HOWEVER,
A BONA FIDE AGENT
OF THE
HEALTH DEPARTMENT CAN
ALSO
TAKE THE LEAD
FOR THE
APPLICATION AND PROGRAM
IMPLEMENTATION.\E
A BONA
FIDE AGENT IS AN OFFICIAL
FISCAL
AGENT THAT,
WITH
THE APPROVAL OF THE MAYOR,
WILL
FUNCTION ON BEHALF
OF THE
LOCAL HEALTH DEPARTMENT.\E
THE
ACTUAL INTERVENTION AREA
WITHIN
THE CITY OR URBAN
COMMUNITY
MUST ALSO BE
A
GEOGRAPHICALLY CONTIGUOUS AREA
AND
MUST INCLUDE A MINIMUM
OF
150,000 RESIDENTS,
BUT NO
MORE THAN 500,000
RESIDENTS.\E
IN
OTHER WORDS, ALTHOUGH
THE
CITY OR URBAN COMMUNITY MUST
HAVE
400,000 RESIDENTS TO BE
ELIGIBLE,
YOU CAN SELECT
A
SMALLER INTERVENTION AREA
WITHIN
THE CITY TO FOCUS
YOUR
EFFORTS.\E
SECOND,
FEDERALLY RECOGNIZED
TRIBAL
GOVERNMENTS, REGIONAL
AREA
INDIAN HEALTH BOARDS, URBAN
INDIAN
ORGANIZATIONS,
AND
INTER-TRIBAL COUNCILS THAT
SERVE
10,000 OR MORE AMERICAN
INDIANS,
ALASKAN NATIVES
IN
THEIR CATCHMENT AREA CAN
APPLY
DIRECTLY UNDER THIS
ANNOUNCEMENT.\E
THESE
CATCHMENT AREAS NEED NOT
BE
CONTIGUOUS BUT MAY BE
A
COALITION OF INTERVENTION
AREAS
WORKING TOGETHER.\E
ALL
OTHER COMMUNITIES THAT DO
NOT
FALL INTO THESE CATEGORIES
MAY BE
ELIGIBLE FOR AWARDS
UNDER
STATE APPLICATIONS.\E
TO
PREPARE A STATE APPLICATION,
THE
OFFICIAL STATE HEALTH
DEPARTMENT
OR ITS EQUIVALENT,
SHOULD
SERVE AS THE LEAD AGENCY
FOR
COMMUNITY
APPLICATIONS.\E
ALL
STATE APPLICANTS MUST
IDENTIFY
TWO TO FOUR COMMUNITIES
OF
TOTAL RESIDENT SIZE NOT
TO
EXCEED 800,000 PEOPLE
COMBINED,
AND ONLY ONE
APPLICATION
FROM EACH STATE WILL
BE
ACCEPTED.\E
THESE
COMMUNITIES MUST BE
IDENTIFIED
UP FRONT
IN THE
APPLICATION.\E
A
PROCESS FOR LATER IDENTIFYING
OR
SELECTING COMMUNITIES WILL
NOT BE
AN ACCEPTABLE RESPONSE.\E
THE
STEPS PROGRAM IN EACH
OF THE
INDIVIDUAL COMMUNITIES
IN A
STATE WILL NEED TO BE
DEVELOPED
SPECIFICALLY FOR THAT
COMMUNITY.\E
IN
OTHER WORDS, IT SHOULD BE
SPECIFICALLY
TAILORED
TO THE
NEEDS, CULTURE,
AND
RESOURCES OF THE COMMUNITY.\E
THUS,
COMMUNITY PROGRAMS WITHIN
A
DIFFERENT
FROM EACH OTHER
IN
CONTENT AND IMPLEMENTATION,
WITHIN
THE REQUIRED SIX FOCUS
AREAS.\E
AGAIN,
A BONA FIDE AGENT
OF THE
STATE HEALTH DEPARTMENT
CAN BE
DESIGNATED AS THE LEAD
AGENCY
WITH THE APPROVAL
OF THE
GOVERNOR.\E
FOR
THIS ANNOUNCEMENT, THE TERM
"STATE"
INCLUDES THE 50 U.S.\E
STATES,
THE COMMONWEALTH
OF
ISLANDS,
THE COMMONWEALTH
OF THE
NORTHERN MARIANNA
ISLANDS,
THE
FEDERATED STATES
OF
OF THE
AND THE
NOW
THAT WE'VE TALKED
ABOUT
THE PURPOSE OF THE STEPS
COOPERATIVE
AGREEMENT PROGRAM
AND WHO
IS ELIGIBLE, LET'S
REVIEW
THE NUMBER OF AWARDS
AND THE
AMOUNT OF FUNDING
AVAILABLE.\E
THIS
GRAPHIC SHOWS EACH
OF THE
ELIGIBLE APPLICANTS,
THE
TOTAL AMOUNT OF FUNDING
FOR
THAT PROGRAM, THE NUMBER OF
EXPECTED
AWARDS,
AND THE
AVERAGE AMOUNT
OF
FUNDING AVAILABLE TO EACH
COOPERATIVE
AGREEMENT RECIPIENT.\E
AS YOU
CAN SEE, APPROXIMATELY
$13.6
MILLION IS AVAILABLE
IN
FISCAL YEAR 2003 TO FUND
THE
STEPS PROGRAM.\E
OF THIS
AMOUNT, APPROXIMATELY
$9
MILLION IS AVAILABLE TO FUND
9 TO 12
LARGE CITY AND URBAN
COMMUNITY
APPLICATIONS.\E
IT IS
EXPECTED THAT THE AVERAGE
AWARD
WILL BE ABOUT $1 MILLION
AND
COULD RANGE FROM $750,000
TO
$1.25 MILLION.\E
APPROXIMATELY
$250,000 IS
AVAILABLE
TO FUND ONE TRIBAL
APPLICATION.\E
AND,
APPROXIMATELY $4.4 MILLION
IS
AVAILABLE TO FUND UP TO FOUR
STATE-COORDINATED
SMALL CITY
AND
RURAL COMMUNITY
APPLICATIONS.\E
IT IS
EXPECTED THAT THE AVERAGE
AWARD
TO STATES OR TERRITORIES
WILL BE
$1.5 MILLION AND WILL
RANGE
FROM $1 MILLION
TO $2 MILLION.\E
THE
AWARD AMOUNTS FOR THE FUNDED
COMMUNITIES
WILL INCREASE
IN
FISCAL YEAR 2004.\E
SO THAT
YOU CAN PLAN YOUR BUDGET
FOR
YEARS TWO THROUGH FIVE
OF YOUR
PROJECT, WE ESTIMATE
THAT
EACH LARGE CITY/URBAN
COMMUNITY
GRANTEE WILL INCREASE
TO $2
MILLION TO $3 MILLION PER
YEAR,
EACH TRIBAL AWARD WILL
INCREASE
TO $300,000
TO $1
MILLION PER YEAR, AND EACH
STATE
OR TERRITORY COORDINATED
AWARD
WILL INCREASE
TO $4
MILLION TO $10 MILLION PER
YEAR.\E
THE
AWARDS WILL BEGIN
ON OR
ABOUT SEPTEMBER 22nd,
2003,
FOR A 12-MONTH BUDGET
PERIOD
WITHIN THE FULL PROJECT
PERIOD
OF UP TO FIVE YEARS.\E
THESE
COOPERATIVE AGREEMENT
FUNDS
MAY BE USED TO EXPAND,
ENHANCE,
OR COMPLEMENT EXISTING
ACTIVITIES
TO ACCOMPLISH
THE
OBJECTIVES OF THIS PROGRAM
ANNOUNCEMENT.\E
FOR
EXAMPLE, FUNDS COULD BE USED
TO
IMPLEMENT AND EVALUATE
ACTIVITIES
SUCH AS PROMOTING
HEALTHY
FOOD CHOICES AWAY
FROM
HOME OR ESTABLISHING
COMMUNITY
WALKING PROGRAMS.\E
THE RFA
PROVIDES A NUMBER
OF
EXAMPLES OF THE TYPES
OF
INTERVENTIONS THAT CAN BE
INCLUDED
IN YOUR PROGRAM.\E
YOUR
CHALLENGE WILL BE
TO
INTEGRATE THE INTERVENTIONS
YOU
SELECT INTO A COMPREHENSIVE,
SYNERGISTIC
PACKAGE THAT IS
APPROPRIATE
FOR YOUR COMMUNITY.\E
IT IS
IMPORTANT TO EMPHASIZE
THAT
FUNDS RECEIVED UNDER THIS
ANNOUNCEMENT
CANNOT BE USED
TO
SUPPLANT OR REPLACE EXISTING
LOCAL,
STATE, OR FEDERAL FUNDS
OR
ACTIVITIES.\E
THESE
FUNDS ALSO MAY NOT BE USED
FOR
DIRECT PATIENT CARE,
DIAGNOSTIC
MEDICAL TESTING,
PATIENT
REHABILITATION,
PHARMACEUTICAL
PURCHASES,
FACILITIES
CONSTRUCTION,
LOBBYING,
BASIC RESEARCH,
OR CONTROLLED
TRIALS.\E
MORE
SPECIFIC INFORMATION
ABOUT
THE COOPERATIVE AGREEMENT
PROGRAM
REQUIREMENTS WILL BE
DISCUSSED
LATER ON IN THIS
SESSION.\E
ON
BEHALF OF HHS, WE LOOK
FORWARD
TO YOUR CONTRIBUTIONS
AND
APPRECIATE YOUR EFFORTS
TO HELP
US BUILD A
HEALTHIER
U.S.\E
THIS IS
A TERRIFIC OPPORTUNITY
FOR ALL
OF YOU TO IDENTIFY NEW
WAYS TO
HARNESS LOCAL RESOURCES
TO
REDUCE THREE OF THE MOST
PREVALENT
CHRONIC HEALTH
CONDITIONS
IN THE UNITED STATES.\E
THANK
YOU.\E
>>
THANK YOU, DR. MARKS.\E
NOW,
IT'S MY PLEASURE
TO INTRODUCE
THE REST OF TODAY'S
PANEL.\E
FIRST,
WE HAVE STEPHANIE ZAZA,
SENIOR
SCIENTIST, STEPS
TO A
HEALTHIER U.S., NATIONAL
CENTER
FOR CHRONIC DISEASE
PREVENTION
AND HEALTH PROMOTION.\E
MARY
VERNON-SMILEY, TEAM LEADER,
NATIONAL
CAPACITY BUILDING
SECTION,
DIVISION OF ADOLESCENT
AND
SCHOOL HEALTH NATIONAL
CENTER
FOR CHRONIC DISEASE
PREVENTION
AND HEALTH PROMOTION.\E
MICHAEL
FRIEDMAN, MEDICAL
EPIDEMIOLOGIST
AND DIRECTOR,
CONTROLLING
ASTHMA IN AMERICAN
CITIES
PROJECT, NATIONAL CENTER
FOR
ENVIRONMENTAL HEALTH.\E
AND
SANDRA MANNING, DIRECTOR,
PROCUREMENT
AND GRANTS OFFICE.\E
ALL OF
THESE PANEL MEMBERS ARE
FROM
CDC, AS CDC IS THE LEAD
AGENCY
FOR THE COOPERATIVE
AGREEMENT.\E
LATER
IN THE BROADCAST, WE WILL
HEAR
FROM INDIVIDUALS
REPRESENTING
OTHER AGENCIES.\E
NEXT,
OUR PANEL WILL DISCUSS
IN
DETAIL WHAT A GOOD
APPLICATION
FOR THE STEPS RFA
WOULD
LOOK LIKE.\E
WE HOPE
THIS WILL GIVE
YOU AN
IDEA OF WHERE TO BEGIN.\E
FIRST,
DR. ZAZA WILL DESCRIBE
WHAT TO
EXPECT IN THE COMMUNITY
INTERVENTION
COMPONENT
OF YOUR
APPLICATION.\E
NEXT,
DR. VERNON-SMILEY WILL
TALK
ABOUT THE SCHOOL
INTERVENTIONS.\E
THEN
DR. FRIEDMAN WILL DISCUSS
OUR
EXPECTATIONS FOR
THE
LEADERSHIP AND COLLABORATION
COMPONENT
OF YOUR APPLICATION.\E
WE WILL
RETURN TO DR. ZAZA, WHO
WILL
PROVIDE YOU WITH SOME
ADDITIONAL
INFORMATION
ABOUT
THE PROJECT MONITORING
AND
EVALUATION COMPONENT
OF THE
PROGRAM.\E
FINALLY,
MS. MANNING WILL
EXPLAIN
THE TECHNICAL DETAILS
OF THE
APPLICATION PROCESS.\E
FOLLOWING
THESE PRESENTATIONS,
WE WILL
HAVE THE OPPORTUNITY
TO
ANSWER QUESTIONS FROM YOU,
OUR
AUDIENCE.\E
LET'S
START WITH DR. ZAZA.\E
>> THANK YOU, JOE.\E
GOOD
AFTERNOON.\E
I'M
DELIGHTED TO BE PART OF THE
CDC
TEAM THAT WILL BE
WORKING
WITH YOU ON THE STEPS
COOPERATIVE
AGREEMENT PROGRAM.\E
IN
DEVELOPING YOUR COMMUNITY
INTERVENTIONS,
WE WANT
YOU TO
FOCUS ON SOME KEY
ELEMENTS.\E
FIRST,
AS DR. MARKS
DESCRIBED,
THIS IS AN UNUSUAL
RFA IN
THAT WE ARE ASKING
YOU TO
ADDRESS SIX RELATED AREAS
SIMULTANEOUSLY.\E
THAT IS
BECAUSE
WE BELIEVE THAT REAL,
SCIENCE-BASED
STEPS AND PROGRAMS
ARE
AVAILABLE TO ADDRESS ALL
OF
THESE AREAS, AND THAT
IMPROVEMENTS
IN ONE AREA WILL
TRANSLATE
INTO IMPROVEMENTS
IN
OTHERS.\E
IT'S
THIS SYNERGY
THAT WE
HOPE WILL HELP US TURN
AROUND
THE EPIDEMIC OF CHRONIC
DISEASES.\E
BECAUSE
THE SELECTED
RISK
FACTORS AND DISEASES ARE
SO
CLOSELY RELATED TO EACH
OTHER,
WE HAVE REQUIRED THAT
YOU
DEVELOP AN INTEGRATED
AND
SYNERGISTIC PROGRAM.\E
A
STRONG APPLICATION WILL
DEMONSTRATE
THAT THE PROGRAM
ELEMENTS
ARE RELATED
AND
INTEGRATED WITH EACH OTHER
AND
DON'T CREATE NEW "SILOS"
OR
PROGRAMS THAT CAN'T WORK
TOGETHER.\E
FOR
EXAMPLE, PROGRAMS
THAT
ADDRESS ALL 6 AREAS WILL
NOT
ONLY HELP PEOPLE WHO ALREADY
HAVE
DIABETES, ASTHMA,
OR
OBESITY, BUT PEOPLE WHO ARE
AT RISK
FOR THEM BECAUSE OF POOR
NUTRITION,
LACK OF PHYSICAL
ACTIVITY,
OR BECAUSE THEY USE
OR ARE
EXPOSED TO TOBACCO.\E
THE
SECOND ELEMENT WE'LL BE
LOOKING
FOR IN YOUR APPLICATION
IS THE
SCIENTIFIC BASIS
FOR
YOUR PROPOSED COMMUNITY
ACTION
PLAN.\E
FOR
EXAMPLE,
YOU
SHOULD EXPLAIN THE LOGICAL
CONNECTION
BETWEEN VARIOUS
INTERVENTIONS:
DO THEY ADDRESS
DIFFERENT
ASPECTS OF THE PROBLEM
AND
WORK AT DIFFERENT LEVELS:\E
INDIVIDUAL,
FAMILY,
ENVIRONMENTAL,
AND SOCIAL?\E
YOU
SHOULD EXPLAIN THE LOGICAL
CONNECTION
BETWEEN THE PROPOSED
INTERVENTIONS
AND THE OUTCOMES
THAT
YOU EXPECT TO SEE
IF THEY
ARE IMPLEMENTED WELL.\E
IN
ADDITION, ANY SCIENTIFIC
EVIDENCE
ABOUT DEMONSTRATED
EFFECTIVENESS
SHOULD BE
DOCUMENTED.\E
WE'RE
SHOWING
YOU
JUST A FEW OF THE MANY
RESOURCES
AVAILABLE
TO YOU
TO IDENTIFY EFFECTIVE
INTERVENTIONS;
A BROAD LIST
OF
RESOURCES IS AVAILABLE
IN
ATTACHMENT B OF THE RFA
AT THE
WEBSITE: HEALTHIERUS.GOV.\E
THE KEY
TO THE SUCCESS
OF YOUR
STEPS INITIATIVE WILL BE
IMPLEMENTING
COMMUNITY-FOCUSED
PROGRAMS
THAT INCLUDE THE FULL
ENGAGEMENT
OF SCHOOLS,
BUSINESSES,
FAITH-COMMUNITIES,
HEALTH
CARE PROVIDERS, ACADEMIC
INSTITUTIONS,
SENIOR CENTERS,
AND
MANY OTHER COMMUNITY SECTORS
WORKING
TOGETHER TO PROMOTE
HEALTH
AND PREVENT CHRONIC
DISEASE.\E
AS YOU
WORK TO BUILD
AND
STRENGTHEN THAT COMMUNITY
SUPPORT,
THE PROGRAMS
YOU
PROPOSE UNDER THIS
APPLICATION
MUST COORDINATE
FULLY
WITH EXISTING PROGRAMS
AND
RESOURCES IN THE COMMUNITY.\E
ALSO,
AS DR. MARKS MENTIONED,
IT IS
IMPORTANT THAT ANY PROGRAM
YOU
DESCRIBE IN YOUR APPLICATION
BUILDS
ON, BUT DOES NOT
DUPLICATE,
CURRENT AND PRIOR
HHS
PROGRAMS.\E
EXAMPLES
OF CDC
FUNDED
PROGRAMS ARE BEING SHOWN
ON THE
SCREEN.\E
THESE
AND OTHERS
ARE THE
TYPES OF PROGRAMS
WITH
WHICH YOU SHOULD BE
FAMILIAR
AND THAT SHOULD BE
COORDINATED
WITH YOUR PROPOSED
STEPS
PROGRAM.\E
LAST,
AS WITH ALL
PROGRAM
APPLICATIONS, IT IS
IMPERATIVE
THAT YOU DEMONSTRATE
HOW THESE
PROGRAMS WILL BE
EFFECTIVE
IN REACHING THE TARGET
AUDIENCE
AND HOW THEY WILL BE
SUSTAINABLE
OVER TIME.\E
YOU
SHOULD DOCUMENT
THE
PERCENTAGE OF THE COMMUNITY
LIKELY
TO RECEIVE OR BE IMPACTED
BY THE
INTERVENTION AND HOW THAT
WILL BE
MEASURED.\E
AND,
BECAUSE
OF THE COMPLEXITY
OF THE
STEPS RFA, YOU SHOULD
MAKE
CLEAR WHAT INFRASTRUCTURE
IS
ALREADY IN PLACE THAT WILL
ALLOW
YOU TO EFFECTIVELY
IMPLEMENT
THE PROPOSED PROGRAM
AND
KEEP IT RUNNING.\E
SO,
TO
SUMMARIZE, THE COMMUNITY
INTERVENTION
COMPONENT
OF YOUR
APPLICATION WILL BE
EVALUATED
ON THE ESTIMATED
EFFECTIVENESS
OF YOUR PROPOSED
ACTION
PLAN, THE LIKELY REACH
OF THE
INTERVENTIONS, THE EXTENT
TO
WHICH YOUR PLAN BUILDS
ON AND
COMPLEMENTS, BUT DOESN'T
DUPLICATE,
EXISTING PROGRAMS,
AND THE
POTENTIAL SYNERGY
CREATED
BY YOUR PROPOSED PLAN.\E
>>
NOW, I WOULD LIKE
TO
INTRODUCE DR. MARY
VERNON-SMILEY,
THE TEAM LEADER
FOR THE
NATIONAL CAPACITY
BUILDING
SECTION IN CDC'S
DIVISION
OF ADOLESCENT
AND
SCHOOL HEALTH.\E
DR.
VERNON-SMILEY WILL TALK
ABOUT
THE SCHOOL HEALTH
COMPONENT
OF THIS RFA.\E
>>
THANK YOU, JOE.\E
AS WAS
MENTIONED EARLIER,
SCHOOLS
ARE TO PLAY AN IMPORTANT
PART OF
THE COMMUNITY
INTERVENTIONS
IN STEPS.\E
LET ME
OUTLINE
SOME WAYS THAT SHOULD BE
ADDRESSED
IN YOUR PROPOSALS.\E
MOST
IMPORTANTLY, WE EXPECT THAT
FINANCIAL
RESOURCES
AND
LEADERSHIP WILL BE SHARED
BY THE
DEPARTMENTS OF HEALTH
AND
EDUCATION.\E
FOR
EXAMPLE,
THE
LEADERSHIP TEAM MUST INCLUDE
BOTH
THE LOCAL HEALTH DEPARTMENT
AND THE
LOCAL EDUCATION AGENCY
OR
AGENCIES.\E
THE RFA
ALSO STIPULATES THAT THE
LEAD
AGENCY -- USUALLY THE
HEALTH
DEPARTMENT -- IS
RESPONSIBLE
FOR ALLOCATING AND
DISTRIBUTING
FUNDS TO THE
EDUCATION
AGENCY.\E
THERE
SHOULD
BE CLEAR SUPPORT
FOR THE
STEPS PROGRAM
FROM
SCHOOL ADMINISTRATORS,
TEACHERS,
SCHOOL NURSES,
AND
PARENT ASSOCIATIONS.\E
LETTERS
OF
SUPPORT SHOULD ADDRESS
THE
ACTIVITIES YOU PROPOSE
IN YOUR
WORK PLAN AND INDICATE
SPECIFIC
SUPPORT THAT WILL BE
PROVIDED.\E
DEPENDING
ON HOW
YOU
DEFINE YOUR TARGET
COMMUNITY,
IT MAY INCLUDE
AN
ENTIRE SCHOOL DISTRICT, ONLY
A PART
OF A DISTRICT,
OR A
COMBINATION OF SEVERAL
DISTRICTS.\E
WHATEVER
THE CONFIGURATION, THE
RFA
STIPULATES
THAT THE MAJORITY
OF
SCHOOLS IN THE TARGET
COMMUNITY
MUST BE INCLUDED
IN
INTERVENTION ACTIVITIES.\E
THUS,
YOU SHOULD ALSO DESCRIBE
HOW THE
PROGRAM WILL BE
COORDINATED
ACROSS THE SCHOOLS
IN THE
TARGET COMMUNITY.\E
AS YOU
DEVELOP YOUR APPLICATION,
WE
STRONGLY ENCOURAGE
YOU TO
INCLUDE A HIGHLY
QUALIFIED
FULL-TIME SCHOOL
HEALTH
COORDINATOR AND ESTABLISH
A
SCHOOL HEALTH COUNCIL.\E
INFORMATION
ABOUT SCHOOL HEALTH
COUNCILS
IS REFERENCED
IN THE
RFA.\E
YOUR
SCHOOL
INTERVENTION
PLAN SHOULD BE
SENSITIVE
TO THE UNIQUE NATURE
OF THE
SCHOOL ENVIRONMENT
AND HOW
IT OPERATES.\E
BUT IT
SHOULD
ALSO BE WELL INTEGRATED
INTO
THE LARGER COMMUNITY PLAN.\E
TO
WHATEVER EXTENT FEASIBLE,
SCHOOL
PROGRAMS SHOULD SUPPORT
COMMUNITY
ACTIVITIES.\E
SCHOOL
INTERVENTIONS
SHOULD BE
CONSISTENT
WITH APPLICABLE CDC
GUIDELINES
AND RECOMMENDATIONS,
MANY OF
WHICH ARE REFERENCED
IN THE
RFA.\E
A
STRONG APPLICATION
WILL
NOTE HOW SCHOOLS CURRENTLY
MEET
THESE GUIDELINES AND AREAS
IN
WHICH THE PROJECT WILL
STRENGTHEN
THEM.\E
IN
ADDITION
TO THE
CDC GUIDELINES, THERE ARE
A
NUMBER OF TOOLS TO HELP
YOU
IMPLEMENT THEM, SUCH
AS THE
SCHOOL HEALTH INDEX.\E
WE
EXPECT TO SEE COORDINATION
OF YOUR
PROPOSED SCHOOL
INTERVENTIONS
WITH YOUR EXISTING
SCHOOL
HEALTH PROGRAM.\E
THESE
INCLUDE
HEALTH EDUCATION,
PHYSICAL
EDUCATION, HEALTH
SERVICES,
NUTRITION SERVICES,
COUNSELING
AND SOCIAL
AND
PSYCHOLOGICAL SERVICES,
THE
SCHOOL ENVIRONMENT, HEALTH
PROMOTION
FOR STAFF,
AND
FAMILY/COMMUNITY
INVOLVEMENT.\E
MUCH
HAS ALREADY
BEEN
DONE TO LAY OUT GUIDELINES,
STANDARDS,
AND RESOURCES
FOR
SCHOOL HEALTH.\E
ALL
APPLICANTS
SHOULD CALL
UPON
STATE EDUCATION AND HEALTH
AGENCIES
FOR TECHNICAL
ASSISTANCE
AND MATERIAL SUPPORT.\E
>>
THANK YOU, MARY.\E
NOW,
LET'S HEAR FROM DR. MICHAEL
FRIEDMAN
WHO WILL DISCUSS
LEADERSHIP
AND COLLABORATION
ISSUES.\E
>>
THANK YOU, JOE.\E
WE ALL
KNOW THAT IT TAKES MORE
THAN
GOOD IDEAS AND GOOD
INTENTIONS
TO CREATE
A
SUCCESSFUL PROJECT.\E
BEYOND
SOLID
INTERVENTION STRATEGIES,
IT WILL
TAKE: DYNAMIC LEADERSHIP
AND
VISION, AN ENERGIZED
COMPETENT
AND RESOURCEFUL WORK
FORCE;
AND THE RIGHT BLEND
OF
PERSONALITIES; ALL WORKING
IN A
STRUCTURE THAT CREATES
ORDER
AND FOCUS, YET FOSTERS
CREATIVITY
AND A SENSE
OF
PERSONAL RESPONSIBILITY
FOR THE
WORK AHEAD.\E
YOUR
CHALLENGE IS TO PUT A TEAM
TOGETHER
THAT MEETS THIS IDEAL
AND, AT
THE SAME TIME,
REPRESENTS
THE COMMUNITIES WHERE
THE
PROJECT'S ACTIVITIES WILL BE
FOCUSED.\E
NOW,
BEFORE WE SIMPLY
SAY,
"GOOD LUCK," WE DO HAVE
SOME
INSIGHTS FROM PAST
EXPERIENCES
AND THE SCIENTIFIC
LITERATURE
REGARDING COALITION
DEVELOPMENT
THAT ARE WORTH
EXPLORING
AND SHARING WITH YOU.\E
TO
START WITH, LET'S BREAK THIS
DOWN
INTO 4 CRITICAL COMPONENTS
EACH OF
WHICH IS REQUIRED TO BE
ADDRESSED
IN YOUR APPLICATION:\E
PROJECT
LEADERSHIP; STAFFING;
COLLABORATION
WITH COMMUNITY
ORGANIZATIONS,
INSTITUTIONS,
AND
INDIVIDUALS; AND PROJECT
ORGANIZATION
AND STRUCTURE.\E
FIRST
LEADERSHIP, A PROJECT THIS[SZ4]
BROAD
IN SCOPE AND AS AMBITIOUS
AS THIS
IS CLEARLY GOING TO NEED
OUTSTANDING
LEADERSHIP
FROM
PEOPLE ON YOUR LEADERSHIP
TEAM,
YOUR STAFF,
AND
YOUR COMMUNITY CONSORTIUM
MEMBERS.\E
LOOK
FOR LEADERS
WITH
EXPERIENCE WITH COMPLEX
COMMUNITY
INTERVENTIONS;
WITH
KNOWLEDGE OF THE SUBJECT
MATTER,
THE COMMUNITY, THE LOCAL
MEDICAL
OR SOCIAL SUPPORT
SYSTEMS;
AND WITH THE SKILL
TO
MANAGE LARGE NUMBERS
OF
PEOPLE AND ACTIVITIES.\E
PEOPLE
SKILLS
- AN ABILITY TO ENERGIZE
PEOPLE,
GAIN COMMUNITY
AND
INDIVIDUAL TRUST, SHARE
A
VISION AND INCORPORATE
THE
IDEAS OF OTHERS INTO THAT
VISION,
MAKE DIFFICULT
DECISIONS,
AND DELEGATE
RESPONSIBILITIES
-- SHOULD NOT
BE
UNDERESTIMATED
ON A PROJECT LIKE
THIS.\E
YOUR
LEADERSHIP TEAM MUST
INCLUDE
AT LEAST ONE LEADER
FROM
BOTH THE LOCAL HEALTH
DEPARTMENT
AND SCHOOL SYSTEM.\E
THIS
TEAM SHOULD ALSO INCLUDE
OTHER
INFLUENTIAL LEADERS
AND THINKERS
THAT REPRESENT
VARIOUS
GROUPS WITHIN
THE
COMMUNITY.\E
IT
SHOULD ALSO
INCLUDE
LEADERS WITH SOME DEGREE
OF
SUBJECT MATTER EXPERTISE
AND
COMMUNITY INTERVENTION
EXPERIENCE.\E
DIVERSITY
OF
BACKGROUNDS, EXPERIENCES,
AND
SKILLS SHOULD BE EMPHASIZED.\E
THE
ROLE OF YOUR SMALL
LEADERSHIP
TEAM IS LARGELY UP
TO
YOU.\E
WE
REQUIRE SUCH A TEAM
IN
ORDER TO ENSURE THAT EACH
SITE
HAS KEY INDIVIDUALS WHO CAN
SEE
BEYOND THE DAY-TO-DAY
DETAILS
AND ARE RESPONSIBLE
FOR
CONSIDERING THE BROADEST
ISSUES
OF THIS WORK: THE NEEDS
OF THE
COMMUNITY; THE SOCIAL
AND
CULTURAL ENVIRONMENT;
THE
REACH AND EFFECTIVENESS
OF THE
WORK AT THE VARIOUS
STAGES
OF PROJECT DEVELOPMENT;
AND, OF
COURSE, SUSTAINABILITY
AND
POLICY ISSUES.\E
NOW
THAT
WE'VE
TALKED A LITTLE BIT
ABOUT
LEADERSHIP, LET'S TALK
ABOUT
STAFFING.\E
PROJECT
FUNDS
ARE
LIMITED AND THE WORK TO BE
DONE
VAST -- LEADING US
TO
PROPOSE THAT YOU STRIKE
A
BALANCE BETWEEN STAFF PAID
BY
PROJECT FUNDS AND
COLLABORATORS
AND VOLUNTEERS
WHOSE
TIME AND WORK ARE GIVEN
IN-KIND
TO THE PROJECT.\E
A PAID
FULL-TIME
PROJECT COORDINATOR IS
A
MUST.\E
THIS
PERSON SHOULD BE A LEADER,
A
CREATOR, AND A COMMUNICATOR.\E
THEY
SHOULD KNOW THE COMMUNITY,
ITS
ORGANIZATIONS AND AGENCIES,
AND
HAVE EXPERIENCE
WITH
COMMUNITY INTERVENTIONS.\E
OTHER
FULL AND PART-TIME PROJECT
STAFF
SHOULD HAVE THE SPECIFIC
SKILLS
NEEDED TO MAKE
YOUR
PROGRAM WORK.\E
THIS
THOUGHT
PROCESS
OF DETERMINING STAFFING
NEEDS
AND WHO SPECIFICALLY
IN YOUR
COMMUNITY WILL FILL THEM
SHOULD
BE DOCUMENTED IN AS MUCH
DETAIL
AS YOU CAN.\E
NAMING
SPECIFIC
INDIVIDUALS
AND
THEIR QUALIFICATIONS, WHEN
POSSIBLE,
IS IDEAL, SINCE
WE ARE
LOOKING FOR PROJECT TEAMS
THAT
CAN BE UP AND RUNNING
IN
WEEKS TO MONTHS OF BEING
AWARDED
FUNDS.\E
AS ONE
MORE BIT
OF
ADVICE, BE CAREFUL
TO
IDENTIFY STAFF AND LEADERS
WHO ARE
TEAM PLAYERS AND WHO CAN
WORK
TOGETHER TO CREATE A TEAM
PERSONALITY
THAT FITS THE NEEDS
OF THE
PROJECT, THE COMMUNITY,
AND
YOUR COLLABORATORS.\E
[SZ5]WE THINK THAT SUCCESS OF YOUR
PROJECT
MAY
HINGE
ON A LEVEL OF INNOVATION,
DEDICATION,MOBILIZATION[SZ6] AND
COLLABORATION[SZ7]
BEYOND
THE NORM.\E
LET'S
BE HONEST, THIS
IS AN
AMBITIOUS PROJECT THAT
SEEKS
TO MAKE BIG CHANGES
IN VERY
COMPLEX HEALTH
BEHAVIORS,
AND TO SOME DEGREE,
CHANGES
IN THE WAY WE APPROACH
COMMUNITY
AND PUBLIC HEALTH.\E
LET
US
FOCUS IN ON COLLABORATION
AND
MOBILIZATION OF COMMUNITY
RESOURCES.\E
YOU'RE
REQUIRED
TO
DEVELOP A COMMUNITY
CONSORTIUM
AND CERTAIN
INSTITUTIONS
MUST BE ACTIVELY
INVOLVED,
SUCH AS THOSE SHOWN
ON THE
SCREEN.\E
BUT
YOUR
CHALLENGE IS TO THINK
OUTSIDE
THE BOX ABOUT THE VALUE
OF
INCLUDING OTHER PARTNERS.\E
AGAIN,
WE'RE SHOWING YOU SOME
EXAMPLES
ON THE SCREEN, BUT FEEL
FREE TO
BE CREATIVE ABOUT THIS.\E
OF
COURSE, YOUR CHALLENGE IS
TO
IDENTIFY THESE ORGANIZATIONS
AND
INDIVIDUALS, GAIN
THEIR
TRUST AND SUPPORT, AND TAP
THEIR
ENERGIES AND SKILLS
IN A CONSTRUCTIVE
AND EFFICIENT
WAY.\E
IN YOUR
APPLICATION,
YOU
SHOULD DESCRIBE
YOUR
COLLABORATIVE STRATEGIES:\E
WHAT
YOU SPECIFICALLY EXPECT
TO GET
OUT OF THESE
RELATIONSHIPS
AND HOW YOU PLAN
TO MAKE
THAT HAPPEN.\E
FOR
EXAMPLE, INSTEAD OF JUST
STATING
THAT YOUR LOCAL
DIABETES,
ASTHMA, AND OBESITY
COALITIONS
WILL WORK TOGETHER
WITH
PROJECT STAFF AND LEADERS,
YOU
SHOULD EXPLAIN TO WHAT
DEGREE
THESE COALITIONS ARE
WILLING
TO REDEFINE
OR
RESTRUCTURE THEMSELVES
TO MEET
THE OVERALL PROJECT
AND
COMMUNITY NEEDS,
TO THE
EXTENT, OF COURSE, THAT
YOU
KNOW OR CAN PREDICT THIS.\E
THIS
WILL NOT BE AN EASY
PROCESS,
BUT ADDRESSING THESE
ISSUES
DIRECTLY AND OPENLY EARLY
IN THE
PROCESS WILL HELP
YOU
IMMEASURABLY AND WILL MAKE
OUR JOB
OF ASSESSING
YOUR
READINESS MUCH EASIER.\E
LETTERS
OF SUPPORT FROM YOUR KEY
COLLABORATORS
ARE REQUIRED
AND
MUST INCLUDE DETAILS OF HOW
THEY
SPECIFICALLY PLAN
TO
CONTRIBUTE TO THIS INITIATIVE
AND WHY
THEIR SUPPORT HELPS
THE
PROJECT AND THEMSELVES.\E
FINALLY,
WE WANT TO EMPHASIZE
THE
IMPORTANCE OF THINKING
THROUGH
AND THEN CREATING
AN
ORGANIZED STRUCTURE
FOR THE
PROJECT.\E
IN
TERMS
OF YOUR
APPLICATION, THE MORE
DETAIL
YOU CAN PROVIDE
ABOUT
YOUR PROJECT STRUCTURE,
INCLUDING
THE DECISION-MAKING
PROCESSES
AND ROLES
OF THE
LEADERSHIP TEAM, PROJECT
STAFF,
AND CONSORTIUM
OF
COLLABORATORS, THE BETTER.\E
SO WHAT
IS AN IDEAL PROJECT
STRUCTURE?\E
WE
DON'T NECESSARILY
HAVE A
SINGLE CORRECT ANSWER
EXCEPT
TO SAY THAT IT SHOULD BE
A
STRUCTURE THAT REALLY WORKS
BEST
FOR YOUR CONSORTIUM
AND
COMMUNITY IN TERMS
OF
GETTING THE RIGHT WORK DONE
EFFICIENTLY
AND EFFECTIVELY.\E
SINCE
TIME IS LIMITED BEFORE
APPLICATIONS
ARE DUE,
WE
RECOMMEND FOCUSING
IN ON
THESE KEY ISSUES.\E
AND
KEEPING THE DIALOG OPEN AND
CLEAR.\E
>>
THANK YOU, MIKE.\E
AND
NOW, LET'S GO BACK
TO
STEPHANIE FOR A DISCUSSION
OF
PROJECT EVALUATION
AND
MONITORING.\E
>>
THANKS, JOE.\E
THE
EVALUATION OF YOUR PROGRAM
WILL BE
AN EXTREMELY IMPORTANT
COMPONENT.\E
HOWEVER,
WE WANT TO EMPHASIZE
THAT
YOUR
APPLICATION DOES NOT NEED
TO
DESCRIBE A FULLY FLESHED-OUT,
RESEARCH-STYLE
EVALUATION PLAN.\E
RATHER,
WE WANT YOU TO DOCUMENT
FOR US
HOW YOU WILL ORGANIZE
YOUR
PROJECT SO THAT YOU CAN
PARTICIPATE
WITH OTHER STEPS
GRANTEES
IN EVALUATION
AND
PROJECT MONITORING
ACTIVITIES.\E
FOR
EXAMPLE,
DESCRIBE
WHAT ACCESS
YOU
CURRENTLY HAVE TO DATA
SOURCES
THAT CAN BE USED
TO
DESIGN AND MONITOR YOUR STEPS
PROGRAM
INTERVENTIONS.\E
RELEVANT
DATA SOURCES MIGHT
INCLUDE
VITAL STATISTICS DATA,
THE
BRFSS, BEHAVIORAL RISK
FACTOR
SURVEILLANCE SYSTEM, OR
THE
YRBS, YOUTH RISK BEHAVIOR
SURVEY,
HOSPITALIZATION DATA, OR
MEDICARE
DATA, DESCRIBE
HOW YOU
WILL PARTICIPATE
IN
DEVELOPING COMMON PERFORMANCE
MEASURES
TO TRACK YOUR PROGRESS.\E
DESCRIBE
YOUR DATA COLLECTION
AND
ANALYSIS CAPABILITIES
AND
TELL US WHERE TECHNICAL
ASSISTANCE
MIGHT BE REQUIRED.\E
AGAIN,
WE'RE NOT LOOKING
FOR
RESEARCH HERE, THIS
RFA IS
SPECIFICALLY DESIGNED
TO BE
AN INTERVENTION
IMPLEMENTATION
PROGRAM
WITH
PROJECT MONITORING THAT
WILL
ALLOW YOU AND US TO MONITOR
YOUR
PROGRESS TOWARD EARLY,
INTERMEDIATE
AND LONG-TERM
OUTCOMES
THAT WE WILL DEVELOP
TOGETHER.\E
MEASUREMENT
ACROSS
SITES
IN COMPARABLE WAYS WILL BE
EXTREMELY
IMPORTANT, AS ALL
GRANTEES
MUST SHOW SIGNIFICANT
PROGRESS
TOWARD THE PROGRAM
OBJECTIVES
DURING THE FIRST TWO
YEARS
OF FUNDING TO RECEIVE
ONGOING
FUNDS IN YEARS THREE
THROUGH
FIVE.\E
>>
THANKS, STEPHANIE.\E
NOW I'D
LIKE TO INTRODUCE
OUR
NEXT PANEL MEMBER, SANDRA
MANNING,
DIRECTOR
OF THE
PROCUREMENT AND GRANTS
OFFICE,
WHO IS RESPONSIBLE
FOR
RECEIVING ALL APPLICATIONS
FOR ALL
CDC FINANCIAL ASSISTANCE
PROGRAMS.\E
>>
THANK YOU, JOE.\E
I AM PLEASED
TO BE A PART
OF THIS
BROADCAST AND LOOK
FORWARD
TO SHARING
WITH
YOU THE SPECIFICS
ABOUT
THE PROCESS OF SUBMITTING
AN
APPLICATION, BUT BEFORE
WE TALK
ABOUT THE APPLICATION
ITSELF,
I WOULD LIKE TO CALL
YOUR
ATTENTION TO THE LETTER
OF
INTENT ADDRESSED IN THE RFA.\E
AN LOI
IS REQUESTED IN ORDER
TO
ASSIST IN PLANNING
THE
APPLICATION REVIEW PROCESS.\E
LETTERS
OF INTENT GIVE BOTH
THE
PROCUREMENT OFFICE
AND THE
CENTER AN IDEA
OF THE
NUMBER OF APPLICATIONS
TO
EXPECT.\E
WHILE
THERE IS
CERTAIN
INFORMATION YOU SHOULD
INCLUDE
IN YOUR LOI, THERE IS
NO
SPECIFIC FORMAT.\E
YOUR
LOI
SHOULD
INCLUDE: THE NAME
OF YOUR
AGENCY'S OFFICIAL
CONTACT
PERSON, AS WELL
THE
TYPE OF COMMUNITY YOU ARE,
(IF YOU
ARE A LARGE CITY/URBAN
COMMUNITY
APPLICANT.\E
AS WELL
AS THE PHONE NUMBER, FAX
NUMBER
AND E-MAIL ADDRESS.\E
BOUNDARIES
AND POPULATION SIZE
OF THE
GEOGRAPHIC AREAS, IF YOU
ARE A
LARGE CITY, URBAN
APPLICANT.\E
ALTHOUGH
THE RFA STATES THAT THE
LETTER
OF INTENT IS DUE JUNE 1st
2003,
BECAUSE THAT IS A SUNDAY,
WE WILL
BE ACCEPTING LETTERS
OF
INTENT UNTIL 4:00 P.M. ON
JUNE
THE 2nd, 2003.\E
THIS IS
THE DATE THAT THE
THE LOI
MUST BE RECEIVED AT CDC.\E
THE LOI
SHOULD BE SENT
TO DR.
STEPHANIE ZAZA AT CDC'S
NATIONAL
CENTER FOR CHRONIC
DISEASE
PREVENTION AND HEALTH
PROMOTION.\E
NOW,
LET'S TALK
ABOUT
THE ACTUAL APPLICATION.\E
THE
REQUIRED APPLICATION FORM IS
THE CDC
1246.\E
IT CAN
BE FOUND
IN A
FILLABLE FORMAT ON THE CDC
WEB
SITE WWW.CDC.GOV.\E
CLICK
ON FUNDING.\E
THEN
APPLICATION AND RELATED
FORMS.\E
YOU
SHOULD FOLLOW THE GUIDANCE
FOR THE
APPLICATION PROVIDED IN
THE RFA
VERY CAREFULLY
AND
ADHERE TO THE PUBLISHED PAGE
LIMITS.\E
YOUR
APPLICATION
NARRATIVE
SHOULD INCLUDE
A
PRELIMINARY FIVE-YEAR
COMMUNITY
ACTION PLAN.\E
BY
REQUESTING A FIVE-YEAR PLAN,
CDC IS
ENCOURAGING A CHANGE
IN THE
WAY GRANTEES VIEW
THEIR
PROJECTS AND FUNDING.\E
IN THE
PAST, GRANTEES WOULD
SUBMIT
ONLY A ONE-YEAR INITIAL
PLAN.\E
THIS
LED TO A MINDSET
THAT
THE PROGRAM WAS A SERIES
OF
ONE-YEAR PROJECTS WITHIN
A
FIVE-YEAR TIME FRAME.\E
THIS
STEPS
PROJECT IS TRULY
A
FIVE-YEAR PROJECT,
WITH
ONE-YEAR INCREMENTS ALONG
THE
WAY.\E
BY
HAVING
AN
ESTABLISHED PLAN
FOR THE
ENTIRE PROJECT PERIOD,
YOU
WILL BE ABLE TO ASSESS
AND
REPORT ON YOUR PROGRESS EACH
YEAR.\E
WITHIN
THE FIRST EIGHT
MONTHS
OF THE PROJECT, YOU WILL
BE
REQUIRED TO FINALIZE
YOUR
COMMUNITY ACTION PLAN.\E
YOU
WILL THEN REVIEW AND UPDATE
YOUR
COMMUNITY ACTION PLAN
ANNUALLY.\E
THE
APPLICATION
DEADLINE
IS 4:00 P.M. JULY 15,
2003.\E
THE
DEADLINE IS THE DATE
THAT
THE APPLICATION MUST BE
RECEIVED
AT CDC.\E
LATE
APPLICATIONS
WILL NOT BE
REVIEWED
OR FUNDED.\E
YOUR
APPLICATION SHOULD BE SENT
TO THE
TECHNICAL INFORMATION
MANAGEMENT
SECTION
AT THE
ADDRESS BEING SHOWN
ON YOUR
SCREEN, AND PUBLISHED IN
THE
RFA.\E
ONCE
YOUR APPLICATION ARRIVES AT
CDC, IT
WILL BE LOGGED IN,
ALONG
WITH THE RECEIPT DATE.\E
THE
APPLICATION WILL THEN BE
REVIEWED
FOR COMPLETENESS
AND
FORWARDED TO THE STEPS
PROGRAM
OFFICE FOR EVALUATION.\E
APPLICATIONS
ARE SCORED BASED
ON THE
EVALUATION CRITERIA
LISTED
IN THE PROGRAM
ANNOUNCEMENT.\E
IN
WRITING
YOUR
APPLICATION, IT IS VERY
IMPORTANT
TO FOLLOW THE GUIDANCE
LISTED
IN THE APPLICATION FORM
INSTRUCTIONS
IN THE "APPLICATION
CONTENT
AND EVALUATION CRITERIA
SECTIONS"
OF THE RFA.\E
MAKE
SURE
THAT YOUR APPLICATION
ADDRESSES
ALL THE EVALUATION
CRITERIA.\E
THE
BUDGET IS A PART OF THE
APPLICATION.\E
PROVIDE
A
DETAILED BUDGET FOR THE FIRST
YEAR
AND ESTIMATED BUDGETS
FOR
YEARS TWO THROUGH FIVE[SZ8].\E
IN A STATE
COORDINATED APPLICATION,
STATE HEALTH
DEPARTMENTS MUST ENSURE
THAT
75% OF THE TOTAL STEPS
AWARD
IS DISTRIBUTED
ON AN
ANNUAL BASIS
TO THE
IDENTIFIED COMMUNITIES
WITHIN
FOUR MONTHS OF THE AWARD
DATE.\E
YOU
SHOULD DOCUMENT HOW
THIS
FISCAL RESPONSIBILITY WILL
BE
CARRIED OUT.\E
WHILE
WE HAVE
NOT
REQUIRED THAT YOU IDENTIFY
MATCHING
FUNDS FOR THIS
INITIATIVE,
YOU ARE ENCOURAGED
TO
IDENTIFY FINANCIAL
AND
IN-KIND CONTRIBUTIONS
TO
SUSTAIN ACTIVITIES.\E
LEAD/FIDUCIARY
AGENCIES WILL BE
ELIGIBLE
TO RECEIVE UP TO 5%
OF
THEIR TOTAL AWARD
FOR
INDIRECT COSTS.\E
AS DR.
ZAZA
DISCUSSED,
YOU WILL PARTICIPATE
IN
ESTABLISHING A COMMON SET
OF
PERFORMANCE MEASURES TO TRACK
THE
NUMBER OF PEOPLE SERVED
BY YOUR
INTERVENTION STRATEGIES,
AND THE
ACHIEVEMENT
OF
SHORT-TERM, INTERMEDIATE,
AND
LONG-TERM OUTCOMES.\E
THE
PERFORMANCE GOALS WILL LINK
YOUR
PROGRAM ACTIVITIES
TO THE
ACHIEVEMENT OF THE STEPS
INITIATIVES
OVERREACHING GOALS.\E
IN
ADDITION, FUNDING IN YEARS
THREE
THROUGH FIVE OF THE
PROJECT
DEPENDS
ON YOUR
SATISFACTORY PROGRESS
TOWARD
MEETING THE OVERARCHING
STEPS
PROGRAM GOALS
DURING
THE FIRST TWO PROJECT
YEARS.\E
YOU
WILL BE SUBMITTING
INTERIM
REPORTS TO DOCUMENT
THE
PROCESS IN ACHIEVING
PERFORMANCE
MEASURES.\E
THE
LEVEL
OF
CONTINUATION FUNDING
FOR
APPLICANTS FUNDED IN FISCAL
YEAR
2003 WILL BE DETERMINED
BY YOUR
UPDATED COMMUNITY ACTION
PLANS.\E
GRANTEES
FUNDED IN '03
WILL
HAVE EIGHT MONTHS TO REVISE
THEIR
COMMUNITY ACTION PLANS.\E
THE
REVISED PLANS WILL BE
EVALUATED
AND FUNDING
FOR THE
SECOND BUDGET YEAR WILL
BE
BASED ON THE REVISED PLANS.\E
FINALLY,
ADDITIONAL FUNDS MAY
BECOME
AVAILABLE IN FISCAL YEAR
2004.\E
IF YOU
APPLY THIS YEAR -- FISCAL
YEAR
2003 -- AND YOUR
APPLICATION
IS
APPROVED,
BUT IT DOES NOT RANK
HIGH
ENOUGH TO BE FUNDED,
YOU
COULD BE FUNDED IN FISCAL
YEAR
2004, THUS, IT IS CRITICAL
THAT
YOU SUBMIT HIGH-QUALITY
APPLICATIONS
THAT MEET
THE
REQUIREMENTS OF THIS
ANNOUNCEMENT.\E
BECAUSE
THE
FUNDING LEVELS ARE EXPECTED
TO BE
HIGHER IN FISCAL YEAR
2004,
IF YOU ARE FUNDED
FOR THE
FIRST TIME IN 2004,
YOU
WILL BE REQUIRED TO SUBMIT
A
REVISED WORK PLAN AND BUDGET
AT THAT
TIME.\E
IF
ADDITIONAL
FUNDS
BECOME AVAILABLE IN FUTURE
YEARS,
THERE MAY BE AN OPEN
COMPETITION
SEASON FOR NEW
APPLICANTS.\E
>>
THANK YOU, SAM, FOR THAT
HELPFUL
INFORMATION.\E
AT THIS
TIME, WE'RE GOING ANSWER
AS MANY
OF YOUR QUESTIONS
AS
POSSIBLE.\E
LET ME
FIRST GIVE
YOU
THOSE NUMBERS AGAIN.\E
FOR
VOICE CALLS WITHIN
THE
UNITED STATES, THE NUMBER IS
800-793-8598.\E
IF
YOU'RE
AN
INTERNATIONAL VIEWER, CALL
404-639-0180.\E
YOU CAN
FAX YOUR QUESTION OR
COMMENT
TO US AT 800-553-6323.\E
AND FOR
THOSE MUCH YOU OUTSIDE
THE
UNITED STATES, THE FAX
NEWSPAPER
IS 404-639-0181.\E
FINALLY
OUR TTY NUMBER IS
800-815-8152.\E
AND THE
INTERNATIONAL TTY NUMBER
IS
404-639-0182.\E
AND
REMEMBER, WE'LL
KEEP
THE PHONE LINES OPEN
FOR TWO
HOURS AFTER
THE
BROADCAST ENDS, THAT'S UNTIL
5:00
P.M. EASTERN TIME.\E
NOW,
OUR FIRST QUESTION IS A
FAXED
QUESTION THAT COMES FROM
WASHINGTON.\E
WE'LL
DIRECT IT TO YOU,
STEPHANIE.\E
SHOULD
THE APPLICATION BALANCE
PREVENTION
AND INTERVENTION
EFFORTS?\E
>>
THAT'S A VERY GOOD QUESTION,
JOE.\E
I THINK
WHAT THE QUESTION IS
TRYING
TO GET AT IS, HOW TO
BALANCE
BETWEEN WHAT WE OFTEN
CALL
PRIMARY PREVENTION, AND
ADDRESSING
THE RISK FACTORS FOR
THIS
RFA.\E
AND
MORE SECONDARY PREVENTIVE
EFFORTS
OR TREATMENT EFFORTS FOR
SOME OF
THE DISEASES AND
CONDITIONS
THAT WE REQUIRE YOU
TO
ADDRESS IN THIS RFA.\E
THE
COMMUNITY SHOULD TRY TO
STRIKE
A BALANCE AND TO FIND THE
KINDS
OF INTERVENTIONS THAT WILL
WORK
BEST IN THEIR COMMUNITY.\E
NOT
ONLY THOSE THAT HAVE BEEN
SHOWN
TO BE EFFECTIVE IN THE
PAST,
BUT THOSE THAT ARE MOST
FEASIBLE
AND MOST ACCEPTABLE TO
THE
COMMUNITY IN WHICH THEY'LL
BE PUT
IN PLACE.\E
SO YOU
NEED TO DECIDE FOR
YOURSELVES
WHAT THAT BALANCE
NEEDS
TO BE.\E
AND TRY
TO CREATE THE BEST
PROJECT
FOR YOUR COMMUNITIES.\E
THERE
ARE, AS WE MENTIONED
EARLIER,
NUMEROUS RESOURCES FOR
YOU TO
FIND INTERVENTIONS IN
BOTH
AREAS IN PRIMARY AND
SECONDARY
PREVENTION.\E
>>
THANK YOU.\E
WE HAVE
ANOTHER QUESTION, THIS
ONE
FROM OHIO.\E
AND
THIS IS FOR YOU, MICHAEL.\E
IF THE
SCHOOLS HAVE A HEALTH
LEADERSHIP
COUNCIL WITH
REPRESENTATION
OF THE COMMUNITY,
WILL
THE CITY NEED TO ESTABLISH
ANOTHER
HEALTH COUNCIL TO
OVERSEE
THE GRANT?\E
>>
THAT'S A GOOD QUESTION.\E
AND WE
ENCOURAGE THE COMMUNITIES
TO USE
EXISTING STRUCTURE AS
MUCH AS
POSSIBLE.\E
SO IF
YOU HAVE AN EXISTING
SCHOOL
COUNCIL, HEALTH COUNCIL,
AND
THAT IS FUNCTIONING WELL, WE
ENCOURAGE
YOU TO USE THAT AS
MUCH AS
POSSIBLE.\E
HOWEVER,
THE PROJECT ITSELF
STILL [SZ9]NEEDS A LEADERSHIP TEAM.\E
IT
STILL NEEDS A STRUCTURE,
BECAUSE
THE WORK OF THE PROJECT
WILL BE
ONGOING, NOT ONLY IN THE
SCHOOL,
BUT ALSO IN THE
COMMUNITY.\E
SO,
YES, USING EXISTING SCHOOL
INFRASTRUCTURE
OR OTHER
STRUCTURES
IS GREAT.\E
BUT
UNDERSTAND THAT THE LARGER
PROJECT
WILL NEED ITS OWN
STRUCTURE.\E
>>
OKAY.\E
THANK
YOU.\E
WE HAVE
A QUESTION FOR YOU,
MARY.\E
SHOULD
PRIVATE SCHOOLS ALSO BE
INCLUDED
IN THE SCHOOL COMPONENT
OF OUR
PROGRAM?\E
>>
YES, JOE.\E
PRIVATE
SCHOOLS SHOULD BE
INCLUDED.\E
THE
PROGRAM ANNOUNCEMENT RFA
STATES
THAT THE MAJORITY OF
SCHOOLS,
BOTH IN PRIVATE AND
PUBLIC
SCHOOLS IN THE TARGET
AREA,
SHOULD BE INCLUDED.\E
NOW,
YOU WILL NEED SOME GUIDANCE
FROM
YOUR DEPARTMENT OF
EDUCATION
WHO CAN HELP YOU,
ALONG
WITH THE LEADERSHIP OF
YOUR
PROJECT, DECIDE HOW TO
CARRY
OUT THAT MANAGEMENT PLAN.\E
AND AS
DR. ZAZA MENTIONED
EARLIER,
WE ARE LOOKING FOR YOU
TO BE
CREATIVE.\E
LOOK
FOR OPPORTUNITIES TO
DEVELOP
A MANAGEMENT PLAN THAT
WILL
SHOW SOME UNIFIED WORK
BETWEEN
BOTH THE PUBLIC SCHOOLS
AND THE
PRIVATE SCHOOLS.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
NOW, WE
HAVE A QUESTION FOR YOU,
SAM.\E
WILL
THE LETTER OF INTENT BE
USED TO
PRE-EVALUATE OUR
APPLICATION?\E
>>
THE LETTER OF INTENT WILL NOT
BE USED
FOR PRE-EVALUATION
PURPOSES.\E
BUT IF
THE -- WHEN THE LETTER IS
REVIEWED,
IF IT'S DETERMINED
THAT WE
FEEL THAT THE APPLICANT
HAS
MISREAD THE ANNOUNCEMENT AND
IS NOT
TRULY QUALIFIED TO APPLY,
WE WILL
THEN AT THAT TIME CALL
THE
APPLICANT AND GO OVER THE
ELIGIBILITY
CRITERIA WITH THEM.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
ANOTHER
QUESTION FOR YOU,
STEPHANIE.\E
IN TWO
PROPOSALS FROM A SINGLE
STATE,
CAN THEY BE SUBMITTED AND
SUCCEED,
ONE AS A LARGE CITY,
URBAN
COMMUNITY SUBMITTED BY THE
COUNTY
HEALTH DEPARTMENT, OR
WITHIN
AS A STATE COORDINATED
SMALL
CITY OR RURAL?\E
>>
YES.\E
A STATE
AND A CITY CAN BOTH
SUBMIT
AN APPLICATION AND BE
SUCCESSFUL,
AS LONG AS THE
INTERVENTION
AREAS DON'T
OVERLAP.\E
SO, FOR
EXAMPLE, THE COMMUNITY,
OR THE
URBAN COMMUNITY COMING IN
UNDER
THE LARGE CITY/URBAN
COMMUNITIES
CATEGORY CAN COME IN
UNDER
THAT CATEGORY.\E
AND THE
STATE CAN COME IN AS
LONG AS
IT'S -- THE TWO TO FOUR
INTERVENTION
COMMUNITIES DO NOT
OVERLAP
WITH THAT OTHER
APPLICANT.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
MARY,
WE HAVE ANOTHER QUESTION
FOR
YOU.\E
WHAT
ARE SOME EVIDENCE-BASED
INTERVENTIONS
THAT MIGHT BE
IMPLEMENTED
AS PART OF THE
SCHOOL
HEALTH COMPONENT OF OUR
PROJECT?\E
>>
ACTUALLY, THE RFA LISTS A
NUMBER
OF REFERENCES, RESOURCES
AND
SUGGESTIONS FOR
EVIDENCE-BASED
INTERVENTION
STRATEGIES
THAT YOU MIGHT
IMPLEMENT
IN YOUR SCHOOL HEALTH
COMPONENT.\E
I HAD
MENTIONED EARLIER ABOUT
RESOURCES
SUCH AS THE SCHOOL
HEALTH
INDEX, OR YOU MIGHT LOOK
AT
REFERENCES AROUND THE SCHOOL
HEALTH
GUIDELINES DOCUMENT THAT
IS ALSO
LISTED IN YOUR
REFERENCES
OF THE RFA.\E
>>
THANK YOU.\E
MIKE,
ANOTHER QUESTION FOR YOU.\E
WHAT
DOES CDC OR HHS HOPE TO
LEARN
FROM THIS PROJECT?\E
>>
WELL, WE HOPE TO LEARN A
TREMENDOUS
AMOUNT FROM THIS
PROJECT,
ABOUT HOW THINGS REALLY
WORK IN
COMMUNITIES.\E
THERE'S
A TREMENDOUS AMOUNT OF
SCIENTIFIC
LITERATURE ABOUT THE
MEDICAL
SCIENCE OF THESE
DISEASES.\E
AND TO
SOME DEGREE, ABOUT THE
COMMUNITY
INTERVENTIONS.\E
BUT WE
REALLY DON'T KNOW ABOUT
HOW
MUCH THESE THINGS CAN REALLY
FUNCTION
AND WORK ON A COMMUNITY
LEVEL.\E
ESPECIALLY
IN AN INTEGRATED AND
SYNERGISTIC
WAY.\E
SO IF
WE CAN LEARN THAT FROM
THIS,
THAT WILL BE OF HELP TO
ALL OF
PUBLIC HEALTH.\E
>>
THANK YOU.\E
SAM, WE
HAVE A QUESTION FOR YOU.\E
WHY ARE
YOU ONLY ALLOWING
INDIRECT
COSTS TO BE CHARGED AT
5%?\E
THEY'RE
SAYING THAT'S JUST NOT
ENOUGH.\E
>>
THAT'S A GOOD QUESTION, JOE.\E
THE
STEPS INITIATIVE IS AN
EXTREMELY
IMPORTANT INITIATIVE.\E
THEREFORE,
WE THOUGHT THAT IT
WOULD
BE BEST TO LIMIT THE
INDIRECT
COSTS SO THAT MORE
FUNDING
COULD BE APPLIED TO THE
PROGRAMS.\E
>>
ALL RIGHT.\E
WE HAVE
A QUESTION HERE FOR
STEPHANIE.\E
WE'VE
IDENTIFIED THREE
COMMUNITIES
WITHIN OUR STATE TO
BE THE
INTERVENTION COMMUNITIES
AS PART
OF OUR STEPS PROGRAM.\E
DO THEY
ALL HAVE TO IMPLEMENT
THE
SAME COMMUNITY ACTION PLAN?\E
>>
ABSOLUTELY NOT.\E
ACTUALLY,
WHAT WE HOPE WILL
HAPPEN
IS THAT WITHIN A STATE,
THE TWO
TO FOUR, OR IN THIS CASE
THREE
COMMUNITIES THAT WILL BE
IMPLEMENTING
COMMUNITY ACTION
PLANS
WILL TAILOR THOSE PLANS
VERY
DIRECTLY TO THEIR OWN
COMMUNITIES.\E
SO
WITHIN THE SIX REQUIRED FOCUS
AREAS
THAT ALL OF THE
COMMUNITIES
MUST ADDRESS, THEY
CAN DO
THAT IN VERY, VERY
DIFFERENT
WAYS.\E
AND WE
LOOK FORWARD TO SEEING
SOME OF
THE CREATIVITY THAT WILL
COME
ABOUT FROM THE DIFFERENT
COMMUNITIES.\E
>>
THANK YOU.\E
MARY,
ANOTHER QUESTION FOR YOU.\E
OUR
STATE DOES NOT USE THE YRBS
SURVEY.\E
CAN WE
STILL APPLY FOR STEPS
FUNDING?\E
>>
YES.\E
YOU CAN
STILL APPLY.\E
HOWEVER,
IF YOUR STATE DOES NOT
COLLECT
YRBS DATA, A COMMITMENT
TO
COLLECT DATA SHOULD BE MADE.\E
AND IT
IS REQUIRED BY THE RFA.\E
YOU
NEED THE DATA TO DESIGN AND
MONITOR
YOUR PROGRAM.\E
SO IF
YOU DO NOT COLLECT THIS
DATA,
YOU NEED TO WORK WITH YOUR
DEPARTMENT
-- YOUR STATE
DEPARTMENT
OF EDUCATION, AND CDC
TO USE
COMPARABLE QUESTIONS THAT
CAN BE
USED TO COLLECT DATA ON
PHYSICAL
ACTIVITY, NUTRITION,
AND
TOBACCO.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
MIKE,
ANOTHER QUESTION FOR YOU.\E
DOES
THE HEALTH DEPARTMENT HAVE
TO BE
THE LEAD AGENCY FOR THIS
AWARD?\E
>>
ANOTHER GOOD QUESTION.\E
THE
HEALTH DEPARTMENT HAS TO BE
ON A
LEADERSHIP TEAM.\E
SO
THERE IS A LEADERSHIP TEAM AS
WE
DISCUSSED.\E
AND
THEY OBVIOUSLY ARE A KEY
MEMBER
OF THAT.\E
THEY
ALSO IN MANY CASES WILL BE
THE
FIDUCIARY AGENCY.\E
HOWEVER,
IT IS REALLY UP TO THE
COMMUNITY,
THE MAYOR AND THE
HEALTH
DEPARTMENT TOGETHER TO
DECIDE
REALLY WHO'S GOING TO
TAKE
THE KIND OF THE KEY LEAD ON
THIS
PROJECT.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
SAM, A
QUESTION FOR YOU.\E
CAN YOU
PLEASE EXPLAIN THE PAGE
LIMITS
FOR THE NARRATIVE, AND
WHAT IS
CONSIDERED PART OF THE
NARRATIVE?\E
50
PAGES FOR A CITY APPLICATION,
ACCORDING
TO THIS PERSON,
DOESN'T
SEEM LIKE ENOUGH SPACE
TO
EXPLAIN EVERYTHING THEY WANT
TO
DO.\E
>>
WELL, THE PAGE LIMITS ARE
DIFFERENT.\E
FOR
LARGE STATES AND URBAN
COMMUNITIES,
AS WELL AS TRIBAL
COUNCILS,
THERE ARE 50-PAGE
LIMITS
ON THEM.\E
AND FOR
THE STATE COORDINATED
SMALL
CITIES, IT'S 100 PAGES.\E
MY ADVICE
TO EVERYONE WOULD BE,
PLEASE
MAKE YOUR NARRATIVE VERY
CLEAR
AND CONCISE.\E
THAT
WAY IT WILL MAKE IT EASIER
ON THE
REVIEWER.\E
AND WE
FEEL THAT THOSE PAGE
LIMITS
SHOULD BE SUFFICIENT.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
ANOTHER
QUESTION FOR YOU,
STEPHANIE.\E
WE PLAN
TO APPLY UNDER THE STATE
AND
TERRITORY COORDINATED SMALL
CITIES
AND RURAL COMMUNITIES
CATEGORY.\E
AND
WE'RE TRYING TO DETERMINE
WHICH
COMMUNITIES TO INCLUDE.\E
WHEN
SELECTING COMMUNITIES,
SHOULD
WE CHOOSE TO FOCUS ON
COMMUNITIES
THAT ALREADY HAVE A
LOT OF
CAPACITY TO DO THESE
INTERVENTIONS,
OR STRICTLY ON
COMMUNITIES
WITH THE GREATEST
NEED?\E
>>
AN EXCELLENT AND IMPORTANT
QUESTION.\E
THERE
WILL PROBABLY BE A LOT OF
CLAMORING
FROM THE COMMUNITIES
IN YOUR
STATE TO BE ONE OF THE
TWO TO
FOUR COMMUNITIES THAT IS
FUNDED,
AND IS ABLE TO WORK ON
THIS
PROJECT.\E
SO YOU
NEED TO THINK CAREFULLY
ABOUT
WHICH COMMUNITIES WILL BE
SELECTED.\E
WE HOPE
THAT YOU WILL BE ABLE TO
FIND
SOME KIND OF BALANCE
BETWEEN
COMMUNITIES THAT ARE
ABLE TO
IMMEDIATELY BEGIN
IMPLEMENTING
INTERVENTIONS
AND
WHERE
THERE
IS CONSIDERABLE BURDEN AND
NEED IN
THAT COMMUNITY.\E
THIS
DECISION, THOUGH, IS
ENTIRELY
UP TO YOU ON HOW YOU
WANT TO
ALLOCATE THE FUNDS
WITHIN
YOUR STATE.\E
AND YOU
WILL NEED TO IN YOUR
APPLICATION
TELL US HOW THOSE
COMMUNITIES
WERE SELECTED AND
WHY.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
HERE'S
ANOTHER QUESTION FOR YOU,
SAM.\E
IF WE
DON'T RECEIVE FUNDING IN
FISCAL
YEAR 2003, ARE WE
ELIGIBLE
FOR FUNDING IN FUTURE
YEARS?\E
>>
CERTAINLY.\E
AS I
STATED IN MY PRESENTATION
EARLIER,
IF YOU ARE NOT FUNDED
IN THE
FIRST YEAR, THAT YOU
COULD
BE -- BECAUSE YOU DID NOT
SCORE
HIGH ENOUGH, YOU COULD BE
FUNDED
IN SUBSEQUENT YEARS.\E
THEREFORE,
IT'S EXTREMELY
IMPORTANT
TO TURN IN A GOOD,
CLEAR
AND CONCISE APPLICATION
PACKAGE.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
MARY,
HERE'S A QUESTION FOR YOU.\E
OUR
CITY WILL BE APPLYING UNDER
THE
LARGE CITY/URBAN COMMUNITY
CATEGORY
WITH THE HEALTH
DEPARTMENT
AS THE LEAD AGENCY,
BUT
THERE ARE SEVERAL SCHOOL
DISTRICTS
WITHIN THE CITY.\E
HOW
SHOULD WE HANDLE THAT?\E
>>
WELL, ACTUALLY, THE RFA
RECOMMENDS
HIRING A HIGHLY
QUALIFIED
SCHOOL HEALTH
COORDINATOR,
AND ESTABLISHING A
SCHOOL
HEALTH COUNCIL.\E
AGAIN,
WE'RE LOOKING FOR
INNOVATION.\E
SO THAT
REALLY IMPLIES THAT
THERE
SHOULD BE SOME
COORDINATION
ACROSS THOSE
PARTICULAR
DISTRICTS.\E
THAT
WILL REQUIRE CROSS-DISTRICT
COLLABORATION,
CROSS-DISTRICT
RESPONSIBILITIES.\E
FOR AN
EXAMPLE, LOOK FOR
OPPORTUNITIES
TO BE CREATIVE,
YOU
MIGHT DECIDE TO HAVE MORE
THAN
ONE SCHOOL HEALTH COUNCIL
ACROSS
THOSE PARTICULAR
DISTRICTS.\E
BUT WE'RE
LOOKING FOR
COLLABORATION.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
A
QUESTION FOR YOU, MIKE.\E
FOR THE
CITY PROJECTS, IS THERE
A
REQUIREMENT TO WORK WITH THE
STATE
HEALTH DEPARTMENT AS THERE
IS FOR
STATE EDUCATION, FOR THE
STATE
EDUCATION AGENCY?\E
>>
WE ANTICIPATE THAT YOU WILL
WORK
WITH THE STATE EDUCATION
AGENCY,
AND WITH THE STATE
DEPARTMENT
OF HEALTH.\E
BOTH OF
THEM HAVE A TREMENDOUS
AMOUNT
OF EXPERTISE AND
EXPERIENCE
IN THE FIELD OF
CHRONIC
DISEASE AND PREVENTION.\E
AND,
THEREFORE, I THINK OUR
IMPORTANT
COLLABORATORS
ARE
IMPORTANT
TO WORK
WITH.\E
THEIR
SPECIFIC ROLES IN THE
PROJECT
WILL BE SOMEWHAT
DESIGNED
BY YOU IN THAT
RELATIONSHIP.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
STEPHANIE,
ANOTHER QUESTION FOR
YOU.\E
DO YOU
ENVISION PROVIDING GRANTS
OR
OTHER FINANCIAL ASSISTANCE
UNDER
THE INITIATIVE FOR
PLANNING
PURPOSES, AND FISCAL
YEAR
2003, OR DO YOU EXPECT
GRANTEES
TO USE THESE FUNDS TO
BEGIN
IMPLEMENTING THEIR
PROGRAMS
AS WELL?\E
>>
IT'S THE LATTER, WE EXPECT
PROGRAMS
TO BEGIN IMPLEMENTING
INTERVENTIONS
VERY QUICKLY.\E
ALTHOUGH
THERE IS A PERIOD WHERE
THERE
WILL OBVIOUSLY BE SOME
TIME TO
REVISE COMMUNITY ACTION
PLANS
AND TO LEARN ABOUT HOW
THIS IS
GOING TO WORK.\E
SO THIS
IS MEANT TO BE AN
INTERVENTION
AND IMPLEMENTATION
AND
THIS WILL HAPPEN
QUICKLY
IN THE FIRST YEAR FUNDS.\E
>>
MIKE, A QUESTION FOR YOU.\E
FOR A
STATE APPLICANT, IS THERE
A
SPECIFIC PROJECT STRUCTURE FOR
HOW THE
STATE WORKS
WITH
THE TWO/FOUR FUNDED
COMMUNITIES?\E
>>
AGAIN, THAT STRUCTURE WILL BE
LARGELY
UP TO YOU.\E
BUT WE
DO ANTICIPATE THAT THE
COMMUNITIES
WILL DEVELOP, FIRST
OF ALL,
THEIR OWN STRUCTURE,
THEIR
OWN LOCAL STRUCTURE IN
TERMS
OF HOW THEY ARE GOING TO
ORGANIZE
THIS PROJECT AND MAKE
DECISIONS
ABOUT WHAT'S BEST FOR
THE
COMMUNITY.\E
THE
STATE WILL OBVIOUSLY PLAY AN
IMPORTANT
ROLE IN SUPERVISING
THOSE
-- THE IMPLEMENTATION OF
THE
ACTIVITIES AND THE
DISCUSSION
ABOUT THE -- WHAT
NEEDS
TO HAPPEN AT THAT LEVEL.\E
AND
COORDINATING THE ACTIVITIES
AMONG
THE DIFFERENT COMMUNITIES
AND
STUFF.\E
BUT I
THINK IN TERMS OF HOW THAT
RELATIONSHIP
WORKS IS LARGELY UP
TO THE
STATE AND THOSE
COMMUNITIES
TO WORK OUT FOR
THEMSELVES.\E
WE
WOULD, OF COURSE, WANT YOU TO
DOCUMENT
THAT IN AS MUCH DETAIL
AS
POSSIBLE IN YOUR APPLICATION.
>>
ALL RIGHT.\E
THANK
YOU.\E
SAM, IS
THERE A SPECIFIC FORMAT
IN
WHICH THE APPLICATION SHOULD
BE
WRITTEN?\E
>>
THERE IS NO SPECIFIC FORMAT,
BUT I
WOULD REFER YOU TO -- BACK
TO THE
RFA, AND PAY CLOSE
ATTENTION
TO WHAT IT REQUIRES
THAT
THE CONTENT OF THAT
APPLICATION
PACKAGE TO BE.\E
AND BE
SURE THAT YOU ALSO PAY
CLOSE
ATTENTION TO THE NUMBER OF
PAGES
AND THE 12-POINT RESPONSE
THAT IS
USED TO BE USED -- OR
THE
FONT THAT IS SUPPOSED TO BE
USED.\E
WHEN WE
SAY 50 PAGES OR 100
PAGES,
THAT'S THE SIZE OF YOUR
NARRATIVE,
THAT DOES NOT INCLUDE
THE
LETTER OF TRANSMITTAL, NOR
DOES IT
INCLUDE ANY LETTERS OF
SUPPORT.\E
IT IS
SIMPLY THE NARRATIVE THAT
CONTAINS
YOUR PROGRAM AND YOUR
BUDGET.\E
>>
THANK YOU.\E
STEPHANIE,
WE HAVE A FAX
QUESTION
FOR YOU FROM MARYLAND.\E
IN A
STATE COORDINATED SMALL
CITY
APPLICATION, DOES EACH
SELECTED
COMMUNITY NEED TO COVER
THE SIX
CONDITIONS, TOBACCO,
NUTRITION
AND PHYSICAL ACTIVITY?\E
>>
YES, IT DOES.\E
AS I
MENTIONED EARLIER, WHILE
EACH
COMMUNITY CAN IMPLEMENT ITS
OWN
COMMUNITY ACTION PLAN, IT
STILL
MUST DO ALL -- IT MUST
ADDRESS
AND COVER ALL SIX FOCUS
AREAS.\E
THE
THREE CONDITIONS OR DISEASES
OF
ASTHMA, OBESITY AND DIABETES,
AND THE
THREE RISK FACTOR AREAS
OF
PHYSICAL ACTIVITY, NUTRITION
AND
SMOKING.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
ANOTHER
QUESTION FOR YOU,
STEPHANIE.\E
OUR
CITY HAS A POPULATION OF
ABOUT
230,000 PEOPLE, BUT IF WE
ADD
NEIGHBORING COMMUNITIES TO
IT WE
HAVE OVER 500,000 PEOPLE.\E
DO WE
APPLY IN THE LARGE
CITY/URBAN
CATEGORY?\E
>>
THIS IS QUITE A COMMON
QUESTION
THAT WE'RE GETTING.\E
SINCE
THE RFA CAME OUT A COUPLE
OF
WEEKS AGO.\E
AND YOU
CAN DRAW YOUR BOUNDARIES
HOWEVER
YOU WISH, AS LONG AS THE
RELEVANT
ENTITIES WITHIN THOSE
COMMUNITIES
ARE INVOLVED AND
AGREE
THAT THAT APPLICATION WILL
COME IN
THAT WAY.\E
AND YOU
STILL NEED TO SELECT
YOUR
LEAD AGENCY AND WHO WILL BE
ON YOUR
LEADERSHIP COUNCIL TO
COVER
THAT AREA.\E
SO,
YES, YOU CAN INCLUDE
SURROUNDING
METRO AREA, FOR
EXAMPLE,
TO GET OVER THE
400,000-PERSON
MINIMUM.\E
BUT YOU
HAVE TO HAVE THE
AGREEMENT
OF ALL THE GROUPS IN
THAT
AREA.\E
>>
ALL RIGHT.\E
THANKS.\E
MIKE,
ANOTHER QUESTION FOR YOU.\E
FOR A
STATE APPLICANT, IS THERE
A
SPECIFIC PROJECT STRUCTURE FOR
HOW THE
STATE RELATES TO AND
WORKS
WITH -- NOW, DID WE HAVE
THAT
QUESTION BEFORE?\E
I
THOUGHT WE DID HAVE THAT.\E
IT DID
SOUND FAMILIAR.\E
I GOT
SOME QUESTIONS MIXED UP
HERE.\E
HERE'S
ONE.\E
WE'RE
VERY INTERESTED IN HAVING
A
SCHOOL HEALTH COUNCIL.\E
HOW
SHOULD THIS COUNCIL RELATE
TO THE
LEADERSHIP TEAM AND THE
REST OF
THE COMMUNITY COALITION?\E
>>
THE LEADERSHIP TEAM IS REALLY
INTEGRAL
TO THE PROJECT AND MUST
BE
THERE.\E
THAT
TEAM CAN CONSISTS OF
MEMBERS
OF THE HEALTH DEPARTMENT
AND THE
SCHOOL, AS WELL AS OTHER
KEY
LEADERS.\E
THE
SCHOOL COUNCIL, WHICH MAY BE
DEVELOPED
AS PART OF THIS
PROJECT,
WE ENCOURAGE THAT.\E
IT
WOULD BE SOMETHING THAT DEALS
SPECIFICALLY
WITH SCHOOL RELATED
ISSUES.\E
BUT
THEN WOULD THEN RELATE THAT
INFORMATION
ON TO THE LEADERSHIP
TEAM.\E
AND SO
ULTIMATELY, DECISIONS
WILL BE
MADE AT THE LEADERSHIP
TEAM
LEVEL.\E
AND AT
THE CONSORTIUM LEVEL.\E
BUT AS
AN IMPORTANT COMMITTEE,
OR AS A
SUBGROUP WIN THE PROJECT
STRUCTURE,
A SCHOOL COUNCIL
WOULD
BE IMPORTANT.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
A
QUESTION FOR YOU, STEPHANIE.\E
THIS IS
A FAXED QUESTION FROM
OKLAHOMA.\E
CAN A
COMMUNITY BE DEFINED AS
THE
ENTIRE STATE, EXCLUDING THE
URBAN
AREAS, I.E., THE NON-URBAN
AREA OF
AN ENTIRE STATE?\E
>>
THAT'S A VERY INTERESTING
QUESTION.\E
I WOULD
REFER YOU BACK TO THE
RFA AND
LOOK VERY, VERY
CAREFULLY
AT THE ELIGIBILITY
CRITERIA.\E
THE
INTENT OF THE RFA UNDER THE
STATE
COORDINATED, SMALL
COMMUNITY
AND RURAL -- SMALL
CITY,
RURAL COMMUNITY APPLICANTS
IS THAT
THE STATE WILL SELECT
TWO TO
FOUR CONTIGUOUS
COMMUNITIES
AND IMPLEMENT VERY
INTENSIVE
PROGRAMS IN THOSE
COMMUNITIES.\E
AND
THEN THERE ARE THE SIZE
REQUIREMENTS,
AGAIN, FOR THOSE
TWO TO
FOUR COMMUNITIES, A
MINIMUM
OF 10,000, MAXIMUM OF
400,000
PEOPLE IN EACH OF THOSE
TWO TO FOUR
COMMUNITIES.\E
FOR A
TOTAL OF A MAXIMUM OF
800,000
PEOPLE IN THE STATE
BEING
COVERED.\E
SO I
WOULD REFER THE CALLER BACK
TO THE
RFA TO LOOK VERY
CAREFULLY
AT THE ELIGIBILITY
CRITERIA.\E
>>
MIKE, A QUESTION FOR YOU.\E
ARE
THERE EVIDENCE-BASED
STRATEGIES
FOR ADDRESSING ASTHMA
THAT
WOULD FIT IN WITH THIS
PROJECT?\E
>>
ASTHMA, I THINK, IS VERY MUCH
LIKE
SOME OF THE OTHER
CONDITIONS,
IN THAT THERE IS A
SCIENCE
BASE, IN TERMS OF
UNDERSTANDING
ASTHMA AND
UNDERSTANDING
HOW TO CONTROL
ASTHMA.\E
HOWEVER,
WHEN YOU TALK ABOUT
COMMUNITY
LEVEL INTERVENTIONS,
AND
INFORMATION THAT IS KNOWN
ABOUT
WHAT IS EFFECTIVE ON A
COMMUNITY
LEVEL, THERE'S FEWER
THINGS
THAT ARE KNOWN.\E
AT CDC
WE ACTUALLY HAVE PUT
TOGETHER
A LIST OF EFFECTIVE
INTERVENTIONS
THAT YOU CAN FIND
ON OUR
WEB SITE.\E
WHICH
DETAILS SOME OF THOSE
INTERVENTIONS
THAT HAVE BEEN
CRITICALLY
EVALUATED.\E
AND I
WOULD REFER PEOPLE TO THAT
AS
WELL.\E
WE ALSO
WOULD REFER PEOPLE TO
THE
APPENDIX C IN THE RFA WHICH
TALKS
ABOUT POSSIBLE
INTERVENTION
STRATEGIES, OR
IDEAS
THAT COMMUNITIES COULD USE
TO
ADDRESS THESE ISSUES.\E
I THINK
PUTTING THOSE TOGETHER,
AND
ALSO PUTTING TOGETHER WHAT
YOUR
COMMUNITY NEEDS ARE, AND
WHAT
YOUR COMMUNITY IS GOOD AT,
WHAT
YOUR ASSETS ARE IN THE
COMMUNITY,
PUTTING ALL THAT
TOGETHER,
I THINK, WILL REALLY
HELP
YOU INFORM YOU ON WHERE YOU
SHOULD
KIND OF MOVE FORWARD AND
ADDRESS
YOUR ASTHMA CONTROL
NEEDS.\E
>>
ALL RIGHT.\E
THANK
YOU.\E
I'D
LIKE TO THANK YOU FOR YOUR
QUESTIONS.\E
NOW,
FOR SOME FURTHER
INFORMATION
ABOUT
THE
APPLICATION PROCESS, I'D
LIKE TO
INTRODUCE A PANEL
OF
INDIVIDUALS REPRESENTING
VARIOUS
FEDERAL AGENCIES.\E
THEY
WILL BE ABLE TO TELL
YOU
WHAT THEY EXPECT TO SEE
IN A
WINNING APPLICATION.\E
THE
PANEL MEMBERS ARE: HELEN
BURSTIN
FROM THE AGENCY
FOR
HEALTHCARE RESEARCH
AND
QUALITY; SAM S. SHEKAR
WITH
THE HEALTH RESOURCES
AND
SERVICES ADMINISTRATION;
WILLIAM
C. VANDERWAGEN
WITH
INDIAN HEALTH SERVICE;
AND
GREGORY J. MOROSCO
OF THE
NATIONAL INSTITUTES
OF
HEALTH.\E
LET'S
TAKE A LOOK AT WHAT OUR
FEDERAL
PANEL HAD TO SAY.\E
>>
THE AGENCY FOR HEALTH CARE
RESEARCH
AND QUALITY IS PLEASED
TO WORK
WITH OUR FEDERAL
PARTNERS
INCLUDING CDC ON THESE
STEPS
TO A HEALTHIER U.S.\E
PROGRAM.\E
WE HOPE
TO BRING OUR EXPERTISE
AND
OUTCOME OF QUALITY
MEASUREMENT
TO HELP YOU ASSESS
THE
IMPACT OF YOUR PROGRAMS IN
YOUR
COMMUNITY.\E
OUR
FOCUS HAS TRADITIONALLY BEEN
ON
IMPROVING THE QUALITY OF
HEALTH
CARE SERVICES.\E
MORE
SIMPLY, IT'S ABOUT CLOSING
THE GAP
BETWEEN WHAT WE KNOW AND
WHAT
ACTUALLY HAPPENS IN
CLINICAL
PRACTICE.\E
AS YOU
CONSIDER YOUR GRANT
SUBMISSIONS,
WE WOULD REALLY
WANT
YOU TO CONSIDER AND
INCORPORATING
THE USE OF
CLINICAL
PROVIDERS INTO YOUR
PROGRAMS.\E
THAT'S
ONE OF THE TARGET
AUDIENCES
FOR ARC, AND THAT'S
WHAT I
WOULD LIKE TO TELL YOU A
LITTLE
BIT ABOUT TODAY, ABOUT
OUR
INITIATIVES AND HOW WE THINK
SOME OF
THESE TOOLS COULD BE
USED BY
YOU AS YOU DEVELOP YOUR
GRANT
SUBMISSIONS TO A HEALTHIER
U.S.\E
FIRST,
WHILE OUR TARGET AUDIENCE
IS
CLINICAL PROVIDERS AND OUR
JOB IS
TO MAKE THEM AWARE OF NEW
KNOWLEDGE
THAT THEY CAN USE TO
IMPROVE
CLINICAL PRACTICE, WE
ALSO
KNOW THAT IT'S CRITICALLY
IMPORTANT
THAT WE REACH
CONSUMERS
SO THEY CAN BECOME
INFORMED
CONSUMERS, SO WHEN THEY
SEE
THEIR PROVIDERS, THEY CAN
MAKE
SURE THEY ASK FOR THE RIGHT
KIND OF
SERVICES THEY NEED TO
IMPROVE
THE HEALTH CARE -- TO
IMPROVE
THEIR HEALTH CARE.\E
OUR
MISSION IS TWO FOLD.\E
IN
ADDITION TO CONDUCTING
RESEARCH
ON WHAT WORKS, WE'RE
ALSO
VERY VESTED IN WORKING WITH
PATIENTS
TOP TRANSLATE WHAT WE
KNOW IN
DIRECT PRACTICE.\E
WE
CARRY OUT OUR MISSION IN THE
AREA OF
CLINICAL PREVENTIVE
SERVICES
TO SEVERAL LARGE
PROGRAMS.\E
I WOULD
LIKE TO RUN THROUGH
THOSE
WITH YOU TODAY.\E
THE
FIRST IS THE U.S. PREVENTIVE
SERVICES
TASK FORCE.\E
THE
U.S. SERVICES TASK FORCE IS
AN
INDEPENDENT PANEL OF EXPERTS
IN
PRIMARY CARE AND PREVENTION
WHO
MEET REGULARLY TO
SYSTEMATICALLY
REVIEW THE
EVIDENCE
OF WHAT'S THE RIGHT
KIND OF
PREVENTIVE SERVICES
PEOPLE
SHOULD USE WHEN THEY SEE
THEIR
PROVIDERS.\E
SUCH AS
ASPIRIN TO PREVENT HEART
DISEASE,
TO REDUCE SMOKING AND
RISKY
DRINKING.\E
AND
IT'S REALLY CONSIDERED THE
GOAL
STANDARD BY MANY PEOPLE,
INCLUDING
CLINICIANS, POLICY
MAKERS
AND HEALTH PLANNERS WHO
RELY ON
THE TASK FORCE
RECOMMENDATIONS
FOR WHAT IS THE
RIGHT
THING TO DO AT THE RIGHT
TIME.\E
OVER
THE LAST COUPLE OF YEARS
WE'VE
ISSUED SEVERAL
RECOMMENDATIONS,
LIKE SCREENING
FOR
HYPERTENSION AND COUNSELING
FOR
PHYSICAL ACTIVITY.\E
WE PUT
CONSIDERABLE EFFORT INTO
GETTING
THE WORD OUT TO
CLINICIANS
AND CONSUMERS ABOUT
THE
LATEST RECOMMENDATIONS.\E
AS YOU
THINK ABOUT YOUR PROGRAMS
BE SURE
TO INCORPORATE THE BEST
EVIDENCE
BASED RECOMMENDATIONS
FROM
THE TASK FORCE.\E
WORKING
IN TANDEM WITH TASK
FORCE
IS CALLED PUT PREVENTION
INTO
PRACTICE, TO INCREASE THE
DELIVERY
OF APPROPRIATE CLINICAL
SERVICES.\E
THERE'S
WONDERFUL RESOURCES IN
BOTH
ENGLISH AND SPANISH, HEALTH
GUIDES
FOR CHILDREN, ADULTS,
ADULTS
OVER 50, AS WELL AS
PREVENTIVE
CARE TIMELINES FOR
ADULTS
AND CHILDREN.\E
AND
OTHER RESOURCES FOR OFFICE
SYSTEMS,
INCLUDING A NEW
STEP-BY-STEP
GUIDE TO DELIVERING
CLINICAL
PREVENTIVE SERVICES
SYSTEMS
APPROACH.\E
THROUGH
THIS WORK, WE CAN HELP
IMPROVE
THE USE OF CLINICAL
PREVENTIVE
SERVICES IN OFFICE
PRACTICES.\E
WE ALSO
PROVIDE TECHNICAL
ASSISTANCE
TO STATE AND LOCAL
HEALTH
DEPARTMENTS AND OTHERS TO
HELP
ADOPT THESE RESOURCES.\E
WE LOOK
FORWARD TO WORKING WITH
YOU AS
YOU PLAN YOUR PROGRAMS TO
SEE HOW
YOU CAN INCORPORATE
THESE
RESOURCES INTO YOUR
PROGRAMS.\E
I WOULD
ALSO LIKE TO TELL YOU
ABOUT
ANOTHER PROGRAM WE HAVE
CALLED
THE PRIMARY CARE
PRACTICE-BASED
RESEARCH
NETWORKS.\E
THESE
NETWORKS, WHICH ARE
SUPPORTED
SINCE 2001 SUPPORT
GROUPS
OF PRIMARY CARE PRACTICES
WHO DO
RESEARCH IN COMMUNITY
BASED
PRACTICE.\E
THEY
DON'T JUST COME TOGETHER
FOR A
SINGLE STUDY, WE SUPPORT
THEIR
INFRASTRUCTURE SO OVER
TIME
THEY CAN LOOK AT MANY
DIFFERENT
QUESTIONS THAT ARE
IMPORTANT
TO PRIMARY CARE AND
PREVENTIVE
PRACTICE.\E
WE
CURRENTLY FUND 36 REGIONAL
AND
NATIONAL NETWORKS THAT
ACTUALLY
COVER 10,000 PRIMARY
CARE
PROVIDERS WHO ACTUALLY COME
IN
CONTACT WITH 10 MILLION
PATIENTS.\E
THEY
REALLY HAVE GREAT IMPACT
ACROSS
THE UNITED STATES.\E
THESE
NETWORKS CROSS A WIDE
RANGE
OF SETTINGS, COMMUNITY
HEALTH
CENTERS, PRIVATE
PRACTICES,
GROUP HEALTH PLANS,
AS WELL
AS BOTH RURAL AND INNER
CITY
AREAS.\E
SEVERAL
LARGE PROFESSIONAL
ORGANIZATIONS
LIKE THE AMERICAN
ACADEMY
OF FAMILY PHYSICIANS AND
THE
AMERICAN ACADEMY OF
PEDIATRICS
ARE MEMBERS OF OUR
NETWORK.\E
THEY
CAN HELP PROVIDE YOU WITH
RESOURCES
AND THE RIGHT
RESEARCHERS
WHO CAN HELP YOU
DEVELOP
THE OUTCOME MEASURES
THAT
YOU'LL WANT TO ASSESS THE
IMPACT
OF YOUR PROGRAMS.\E
THE
NETWORKS ALSO ARE TESTING
NEW
INFORMATION TECHNOLOGY, OR
I.T.
TOOLS TO HELP PUT
INFORMATION
TO THE HANDS OF
CLINICIANS
WHEN THEY NEED IT,
RIGHT
WHEN THEY NEED IT, WHEN
THEY'RE
SEEING PATIENTS.\E
WE HAVE
A NEW INITIATIVE WITH A
VENDOR
WHICH IS PUTTING DOC
ALERTS
ON PDAs OR HAND-HELD
DEVICES
SO PROVIDERS CAN SEE THE
NEWEST
RECOMMENDATION OF THE
TASK
FORCE, TO KNOW THEY'RE
PROVIDING
THE HIGHEST QUALITY OF
CARE
WHEN PATIENTS GO TO SEE
THEM.\E
WE'RE
ALSO WORKING ON WEB-BASED
APPLICATIONS
THAT HELP PROVIDERS
BETTER
MANAGE HEALTH CONDITIONS
LIKE
THE ONES WE'RE FOCUSING ON
SUCH AS
DIABETES, OBESITY AND
ASTHMA.\E
WE'RE
EXCITED ABOUT A NEW
INITIATIVE
WE HAVE CALLED
PRESCRIPTION
FOR HEALTH.\E
WE'RE
GOING TO BE WORKING WITH
THEM
AND SUPPORTING GRANTS TO
PRIMARY
CARE PRACTICE-BASED
RESEARCH
NETWORKS TO LOOK AT THE
BEST
WAYS AND MOST EFFECTIVE
WAYS TO
COUNSEL PATIENTS ABOUT
RISKY
DRINKING, SMOKING,
EXERCISE
AND DIET.\E
THESE
GRANTEES WILL PROVIDE A
REALLY
VALUABLE RESOURCE FOR YOU
IN YOUR
LOCAL AREAS, AS YOU'RE
TRYING
TO INCREASE SOME OF THE
SAME
HEALTHY BEHAVIORS.\E
IN
ADDITION, I'D ALSO LIKE TO
OFFER
YOU THE OPPORTUNITY THAT
AS
YOU'RE SPEAKING THROUGH YOUR
PROGRAM,
PLEASE LET US KNOW IF
WE CAN
HOOK YOU UP WITH PRIMARY
CARE
RESEARCHERS IN YOUR
COMMUNITY
WHO CAN OFFER YOU
TECHNICAL
ASSISTANCE, AS YOU CAN
MEASURE
THE OUTCOME OF WHAT YOU
DO, AND
PARTICULARLY THOUGH MUCH
OF THIS
WORK TO STEPS TO
HEALTHIER
U.S. PROGRAM FOCUSES
TO THE
LOCAL COMMUNITY, WE WANT
TO MAKE
SURE THE CLINICAL
PROVIDERS
GET WOVEN IN THE
PROGRAM
AND USED MOST
EFFECTIVELY
TO IMPROVE THE
HEALTH
OF OUR COMMUNITIES.\E
FINALLY,
INFORMATION TECHNOLOGY
HAS
BEEN IDENTIFIED AS MANY AS A
TRUE
HELP IN HEALTH CARE.\E
IT'S
PROBABLY WHAT'S GOING TO
IMPROVE
THE HEALTH CARE THE MOST
IN THE
NEXT DECADE.\E
WE'RE A
LEADER IN HOW TO USE
I.T. TO
EFFECTIVELY IMPROVE
SAFETY
AND QUALITY OF CARE.\E
THESE
I.T. TOOLS CAN BE USED TO
BOTH
MINIMIZE ERRORS AS WELL AS
INCREASE
AND IMPROVE THE QUALITY
OF CARE
GIVEN BY CLINICIANS TO
PATIENTS.\E
THE
MORE WE CAN GET THESE TOOLS
INTO
PEOPLE'S HANDS, SO THAT
THEY
KNOW WHAT THEY NEED WHEN
THEY GO
SEE THEIR DOCTOR, THE
BETTER
THEIR HEALTH CARE WILL
BE.\E
SO WE
LOOK FORWARD TO WORKING
WITH
YOU, AS WE DEVELOP SOME OF
THESE
NEW INTERACTIVE WEB AND
PDA
TOOLS FOR BOTH CLINICIANS
AND
PATIENTS BASED ON THE TASK
FORCE
RECOMMENDATIONS AND THE
P.I.P.
PROGRAM.\E
THE
TOOLS WILL BE AVAILABLE THIS
YEAR,
AND WILL ALLOW BOTH
CLINICIANS
AND CONSUMERS TO
DETERMINE
THE APPROPRIATE
PREVENTIVE
SERVICES FOR THE
PATIENT.\E
IN
CLOSING, I WANT TO SAY THAT
ARC
WILL BE WORKING WITH CDC AND
OUR
OTHER FEDERAL PARTNERS, IN
PARTICULAR,
HELPING YOU BEST
DETERMINE
THE RIGHT OUTCOME
MEASURES
AND THE BEST WAYS TO
ASSESS
THE IMPACT OF THE WORK
THAT
YOU'RE DOING IN COMMUNITIES
TO HELP
ENSURE HEALTHIER LIVES
FOR US
ALL.\E
THANK
YOU.\E
>>
MY AGENCY, THE HEALTH
RESOURCES
AND SERVICES
ADMINISTRATION,
OFTEN REFERRED
TO AS
THE ACCESS AGENCY,
SUPPORTS
AND ARRAY OF PROGRAMS
THAT
REACH INTO EVERY CORNER OF
AMERICA,
PROVIDING A SOLID
SAFETY
NET OF HEALTH CARE
SERVICES
THAT ARE RELIED UPON BY
MILLIONS
OF OUR FELLOW CITIZENS.\E
GRANTEES
OF 3400 COMMUNITY SITES
FUNDED
THROUGH THE HEALTH CARE
DELIVER
QUALITY, PREVENTIVE AND
HEALTH
CARE TO MORE THAN 10
MILLION
LOW INCOME AND UNINSURED
INDIVIDUALS
IN EVERY PART OF THE
COUNTRY.\E
AT OUR
HIV BUREAU, WE ADMINISTER
PROGRAMS
THAT GIVE MORE THAN
$500,000
TO PEOPLE WITH HIV/AIDS
THE
EDUCATION THEY NEED TO STAY
WELL.\E
WE
ENSURE THAT BABIES ARE BORN
HEALTHY,
AND THAT PREGNANT WOMEN
AND
CHILDREN HAVE ACCESS TO THE
HEALTH
CARE THEY NEED.\E
WE ALSO
HELP TRAIN PHYSICIANS,
NURSES
AND OTHER HEALTH CARE
PROVIDERS
THROUGH OUR BUREAU OF
HEALTH
PROFESSIONS AND PLACE
THEM IN
COMMUNITIES WHERE THEIR
SERVICES
ARE DESPERATELY NEEDED.\E
FROM
OUR OFFICE OF RURAL HEALTH
POLICY,
WE HELP RURAL HEALTH
CARE
PROVIDERS BUILD, COORDINATE
ASSISTANCE
OF CARE TO SERVE
LOCAL
RESIDENTS BETTER.\E
AND WE
OVERSEE THE NATION'S
ORGAN
TRANSPLANTATION SYSTEM
THROUGH
OUR OFFICE OF SPECIAL
PROGRAMS.\E
WITH
THIS VAST NATIONAL NETWORK
OF
PROGRAMS AND SERVICES, WE
OFFER
GRANTS TO APPLICANTS TO A
HEALTHIER
U.S. PROGRAM, NUMEROUS
OPPORTUNITIES
FOR BUILDING A
STRONG
WORKING PARTNERSHIP.\E
TAKE
OUR HEALTH CENTER PROGRAM,
FOR
EXAMPLE.\E
PRESIDENT
BUSH IS COMMITTED TO
CREATING
1200 NEW OR EXPANDED
HEALTH
CENTERS AND CLINICS AND
TO
INCREASING THE NUMBER OF
PEOPLE
SERVED ANNUALLY, MORE
THAN
$16 MILLION BY 2006.\E
HEALTH
CENTERS HAVE A VERY WELL
DESERVED
REPUTATION FOR
PROVIDING
SOME OF OUR NATION'S
POOREST
CITIZENS WITH SOME OF
THE
BEST PRIMARY AND PREVENTIVE
CARE
ATTAINABLE ANYWHERE.\E
AS WE
EXPAND, WE PLAN TO
MAINTAIN
THIS INCREDIBLE
REPUTATION
FOR QUALITY, AND EVEN
IMPROVE
UPON IT IF WE CAN.\E
MANY
HEALTH CENTERS, FOR EXAMPLE
PARTICIPATE
IN HEALTH
DISPARITIES
COLLABORATORS THAT
ARE
DESIGNED SPECIFICALLY TO
IMPROVE
HEALTH OUTCOMES AMONG
MEDICALLY
UNDERSERVED PEOPLE.\E
WE
FOCUS ON DIABETES AND ASTHMA,
IN
ADDITION TO CARDIOVASCULAR
DISEASE,
DEPRESSION, HIV/AIDS
AND
CANCER.\E
AND WE
HAVE PREVENTION
COLLABORATIVES
OF
HEALTHY THINGS SUCH AS
LEAD
SCREENING AND TOBACCO USE
AND
ORAL HEALTH.\E
THESE
ARE LEADING TO A
FUNDAMENTAL
CHANGE TO A PATIENT
ORIENTED
SYSTEM OF CARE, BY
HELPING
PATIENTS SET PERSONAL
GOALS
TO MANAGE THEIR CONDITIONS
WORKING
WITH THEIR PROVIDERS,
AND BY
REACHING OUT TO LOCAL
ORGANIZATIONS
FOR DISCOUNT DRUGS
FOR
HEALTH PROMOTION ACTIVITIES
AND
OTHER TYPES OF
CONTRIBUTIONS.\E
WE HAVE
HAD IMPRESSIVE RESULTS
WITH
THESE COLLABORATORS, AND
OUR
EXPERIENCE IN THIS AREA WILL
BE OF
TREMENDOUS BENEFIT TO
POTENTIAL
TO A HEALTHIER U.S.\E
THE
STEPS APPLICANTS COULD ALSO
BENEFIT
FROM THE WORK AROUND THE
COUNTRY
WITH PRIMARY CARE
ASSOCIATIONS,
THAT'S PRIVATE
NONPROFIT
ORGANIZATIONS LOCATED
IN
EVERY STATE THAT REPRESENT
COMMUNITY-BASED
PROVIDERS OF
CARE TO
THOSE WHO ARE MEDICALLY
UNDERSERVED.\E
THESE
ARE JUST A FEW OF THE MANY
WAYS IT
CAN SERVE AS A VALUABLE
LINK TO
CRITICAL HEALTH CARE
RESOURCES
IN YOUR STATES AND
LOCAL
COMMUNITIES.\E
AS YOU
PREPARE YOUR GRANT
APPLICATIONS,
I URGE YOU TO GO
TO THE
STEPS TO A HEALTHIER U.S.\E
WEB
SITE WHERE YOU WILL FIND
MANY
HERSA RESOURCES FOR MORE
USEFUL
INFORMATION.\E
ON
BEHALF OF THE ENTIRE HERSA
FAMILY,
I THANK YOU FOR THIS
OPPORTUNITY
TO SPEAK WITH YOU
TODAY.\E
>>
HELLO.\E
I'M DR.
CRAIG VANDERWAGEN, I'M
THE
CHIEF MEDICAL OFFICER OF THE
INDIAN
HEALTH SERVICE, ONE OF
THE
OPERATING DIVISIONS OF THE
DEPARTMENT
OF HEALTH AND HUMAN
SERVICES.\E
I'M
HERE TODAY TO PROVIDE YOU
WITH A
BRIEF DESCRIPTION OF THE
INDIAN
HEALTH SYSTEM ROLE IN THE
STEPS
TO A HEALTHIER U.S.\E
INITIATIVE.\E
THE
INDIAN HEALTH SERVICE IS ONE
OF THE
OPERATING DIVISIONS OF
THE
DEPARTMENT.\E
IT HAS
THE LEAD RESPONSIBILITY
FOR
ADDRESSING THE HEALTH NEEDS
OF
AMERICAN INDIANS AND ALASKA
NATIVES.\E
THIS
RESPONSIBILITY IS BASED ON
A
GOVERNMENT-TO-GOVERNMENT
RELATIONSHIP
BETWEEN THE FEDERAL
GOVERNMENT
AND THE GOVERNMENT OF
VARIOUS
INDIAN TRIBES.\E
IT'S
NOT AN ENTITLEMENT PROGRAM
FOR
INDIVIDUALS, BUT RATHER IS
DISCRETIONARY
IN NATURE.\E
THE
WHOLE DEPARTMENT HAS
COMMITTED
ITSELF TO MEETING THE
NEEDS
IN HEALTH RESEARCH,
SURVEILLANCE,
PREVENTION AND
TREATMENT
SERVICES FOR AMERICAN
INDIANS
AND ALASKA NATIVES.\E
BUT THE
INDIAN HEALTH SERVICE
RESPONSIBILITY
IS TO PROVIDE
COORDINATION
AND FOCUS.\E
THE
INDIAN HEALTH SYSTEM
DELIVERS
HEALTH SERVICES THROUGH
FEDERALLY
OPERATED HOSPITALS
CLINICS
AND PROGRAMS, AND
COMMUNITY-BASED
PROGRAMS, AND
THROUGH
LIMITED NUMBER OF INDIAN
URBAN
PROGRAMS SPREAD THROUGHOUT
THE
COUNTRY.\E
THE
INDIAN HEALTH SYSTEM HAS
FOCUSED
ON THE USE OF COMMUNITY
ORIENTED
PRIMARY CARE TO MEET
ITS
MISSION, TO ELEVATE THE
HEALTH
OF AMERICAN INDIANS AND
THE
ALASKA NATIVES TO THE
HIGHEST
POSSIBLE LEVEL.\E
THIS
APPROACH, WHICH COMBINES
MEDICAL
SERVICE PROVISION WITH
COMMUNITY-BASED
PUBLIC HEALTH
INTERVENTIONS,
HAS BEEN MOST
PRODUCTIVE
IN CREATING
IMPROVEMENTS
IN HEALTH, INFANT
MORTALITY
AND OTHER BROAD HEALTH
INDICATORS
HAVE INDEED IMPROVED
SIGNIFICANTLY.\E
HOWEVER,
WE ARE NOW CONFRONTING
CHALLENGES
IN DISEASES THAT ARE
CHRONIC
IN NATURE, AND THAT ARE
AFFECTED
BY LIFESTYLE CHOICES
AND
HEALTH BEHAVIORS.\E
DIABETES,
OBESITY, ASTHMA AND
THE
RISK FACTORS WHICH
CONTRIBUTE
TO THE FREQUENCY OF
THESE
DISEASES ARE CRITICAL
TARGETS
FOR OUR PROGRAM EFFORTS.\E
FOR
EXAMPLE, WHILE THERE'S
VARIABILITY
AMONG TRIBES IN
COMMUNITIES
WITH REGARDS TO
SPECIFIC
DISEASES AND RISK
FACTORS,
SOME THINGS CAN BE
STATED
ON A BROAD NATIONAL
BASIS.\E
ONE OF
THESE IS THAT THE OVERALL
RATE OF
DIABETES AMONG AMERICAN
INDIANS
AND ALASKA NATIVES IS
THREE
TIMES THAT OF THE U.S.\E
POPULATION.\E
OBESITY,
PARTICULARLY AMONG
CHILDREN,
IS ONE AND A HALF TO
TWO
TIMES GREATER THAN THAT IN
THE
GENERAL POPULATION.\E
THE
TOBACCO USE ALSO EXCEEDS
THAT OF
THE GENERAL POPULATION.\E
TO
ADDRESS THESE ISSUES, THE
INDIAN
HEALTH SYSTEM IN
COOPERATION
WITH OUR DHHS
COLLEAGUES
HAS INITIATED
SIGNIFICANT
ACTIVITIES TO
ADDRESS
DIABETES, OBESITY,
PHYSICAL
ACTIVITY, AND
NUTRITIONAL
DISPARITIES.\E
THE
DIABETES PROGRAM IN
PARTICULAR
INCLUDES BOTH PRIMARY
AND
SECONDARY PREVENTION
COMPONENTS.\E
DOCUMENTED
OUTCOME IMPROVEMENTS
HAVE
BEEN A FEATURE OF THESE
PROGRAMS.\E
A
PARTICULAR INTEREST TO YOU MAY
BE THE
INNOVATIONS THE TRIBAL
COMMUNITIES
HAVE DEVELOPED IN
PRIMARY
PREVENTION.\E
THIS
INCLUDES EXERCISE PROGRAMS,
COMMUNITY
FITNESS EDUCATION
EFFORTS,
NUTRITION EDUCATION,
AND
EVEN INNOVATIONS IN THE
FEDERAL
FOOD PROGRAMS, INCLUDING
COMMODITIES
FOODS, WICK AND SCHOOL
LUNCH
PROGRAMS TO IMPROVE THE
NUTRITIONAL
CONTENT OF THESE
PROGRAMS
IN MANY TRIBAL
COMMUNITIES.\E
WE CAN
PROVIDE YOU WITH
INFORMATION
ON THE BEST
PRACTICES
THAT HAVE EMERGED IN
THE
TRIBAL COMMUNITIES.\E
WE
BELIEVE THAT THE STEPS
PROGRAM
WILL COMPLEMENT THE
EXISTING
PROGRAMS IN OUR
COMMUNITIES
BY LINKING MORE
DIRECTLY
THE DISEASE AREAS AND
RISK
FACTORS THAT ARE COMPONENTS
OF THE
COOPERATIVE AGREEMENT FOR
EXPANDED
COMMUNITY PROGRAMS.\E
THE
POTENTIAL FOR HOLISTICALLY
ADDRESSING
THESE ISSUES WILL
LINK
SMOOTHLY TO NATIVE VIEWS OF
LIFE,
WHERE SPIRIT, MIND,
EMOTION
AND BODY ARE ALL
UNDERSTOOD
AS CONTRIBUTORS TO
THE
WELL-BEING OF AN INDIVIDUAL,
A
FAMILY AND A COMMUNITY.\E
WE ALSO
BELIEVE THAT CITIES AND
STATES
CAN COMPLEMENT OUR
EFFORTS
BY INCLUDING INDIAN
PEOPLE
IN THE DEVELOPMENT OF
THEIR
SUBMISSIONS TO THIS
COOPERATIVE
AGREEMENT.\E
SINCE
WE HAVE LIMITED CAPACITY
FOR
THESE PROGRAMS IN MANY
LOCATIONS.\E
WE CAN
ASSIST YOU IN CONNECTING
WITH
TRIBAL GOVERNMENTS AND
URBAN
INDIAN ORGANIZATIONS IF
YOU
DESIRE SUCH ASSISTANCE.\E
CONSULTATION
WITH THE INDIAN
PEOPLE
THEMSELVES WILL PROVIDE
YOU
WITH VIBRANT AND INTERESTING
CONCEPTS
ON HOW BEST TO ADDRESS
MANY OF
THESE ISSUES, NOT ONLY
FOR
AMERICAN INDIANS AND ALASKA
NATIVES,
BUT PERHAPS FOR THE
TOTAL
POPULATION THAT YOU PLAN
TO
INFLUENCE.\E
CALL
UPON US IF YOU NEED OUR
ASSISTANCE.\E
THANK
YOU FOR SPENDING SOME TIME
TO VIEW
THIS BRIEF OVERVIEW.\E
GOOD
LUCK, AND BEST WISHES IN
YOUR
EFFORTS TO PROTECT AND
ELEVATE
THE HEALTH OF THE
NATION.\E
>>
HELLO.\E
MY NAME
IS GREG MOROSCO.\E
I
REPRESENT THE NATIONAL
INSTITUTES
OF HEALTH, KNOWN AS
NIH,
LOCATED IN BETHESDA,
MARYLAND.\E
COMPRISED
OF 27 INSTITUTES AND
CENTERS,
NIH IS DEVOTED TO THE
ACQUISITION
OF SCIENTIFIC
KNOWLEDGE
THROUGH RESEARCH.\E
AS WELL
AS THE TRANSLATION AND
DISSEMINATION
OF RESEARCH
FINDINGS
TO IMPROVE THE PUBLIC'S
HEALTH.\E
WE ARE
CERTAINLY PLEASED TO BE
PART OF
SECRETARY THOMPSON'S
STEPS
TO A HEALTHIER U.S.\E
INITIATIVE.\E
AND
FEEL STRONGLY THAT YOU CAN
MAKE A
DIFFERENCE IN YOUR
COMMUNITY'S
CHRONIC DISEASE
BURDEN
THROUGH THE APPLICATION
OF
EXISTING SCIENCE-BASED
INFORMATION.\E
APPROXIMATELY
25% OF THE NIH
BUDGET
IS SPENT ON PREVENTION
RESEARCH.\E
INDEED,
NIH FUNDED MUCH OF THE
RESEARCH
THAT PROVIDES THE
SCIENTIFIC
UNDERPINS FOR THE
INTERVENTIONS
DIRECTED TO ASTHMA
DIABETES,
AND OBESITY THAT CAN
BE USED
FOR STEPS ACTIVITIES.\E
SO, HOW
CAN WE HELP YOU PREPARE
YOUR
STEPS APPLICATION IN REGARD
TO
THESE THREE DISEASE AREAS?\E
LET ME
BEGIN WITH ASTHMA.\E
NIH
INSTITUTES ARE INVOLVED IN
ASTHMA
RESEARCH AND EDUCATION.\E
THEY
ARE THE NATIONAL INSTITUTE
OF
ALLERGY AND INFECTIOUS
DISEASES,
OR NIAID, THE NATIONAL
INSTITUTE
OF ENVIRONMENTAL
HEALTH
SCIENCES, OR NIEHS, AND
THE
NATIONAL HEART-LUNG AND
BLOOD
INSTITUTE, OR NHLBI.\E
THEY
EACH PROVIDE WEB ACCESS TO
A WIDE
VARIETY OF RESOURCE
MATERIALS.\E
I WOULD
ENCOURAGE YOU TO LOOK
FOR
INFORMATION ABOUT THE NIAID
AND
NIEHS FUNDED SECOND NATIONAL
COOPERATIVE
INNER CITY ASTHMA
STUDY
THAT SEEKS TO REDUCE THE
DISPROPORTIONATE
VERSION OF
MORBIDITY
OF INNER CITY CHILDREN
AND
ADOLESCENTS FROM 4 TO 12
YEARS
OF AGE.\E
LESSONS
LEARNED FROM NAIAD'S
FIRST
STUDY INITIATED IN 1991
YIELDED
IMPORTANT LESSONS
LEARNED
THAT ARE NOW BEING
APPLIED
THROUGH CDC GRANTS
AWARDED
IN 2001 TO 23 SITES
NATIONWIDE.\E
I WOULD
ALSO ENCOURAGE YOU TO
REVIEW
USEFUL INFORMATION ABOUT
THE
NATIONAL ASTHMA EDUCATION
AND
PREVENTION EDUCATION
PROGRAM.\E
WHICH
WAS INITIATED IN 1989 BY
NHLBI,
AND OVER 30 PROFESSIONAL
SOCIETIES,
VOLUNTARY HEALTH
ORGANIZATIONS,
AND OTHER FEDERAL
AGENCIES.\E
SINCE
THEN, THE NATIONAL PROGRAM
HAS
ISSUED A WIDE RANGE OF
EDUCATION
MATERIALS, INCLUDING
CLINICAL
GUIDELINES ON THE
DIAGNOSIS
AND MANAGEMENT OF
ASTHMA.\E
INFORMATION
ABOUT THE PROGRAM IS
LOCATED
UNDER THE SPECIAL WEB
SITES
AND INTERACTIVE
APPLICATIONS
SECTION OF NHLBI'S
HOME
PAGE.\E
THERE
YOU MAY ALSO FIND THE
NHLBI
HEALTHY PEOPLE 20/10
GATEWAY
USEFUL AND SHOULD NOTE
THE
INFORMATION ABOUT THE
UPCOMING
NATIONAL ASTHMA
CONFERENCE
TO BE HELD IN
WASHINGTON,
D.C. ON JUNE 19th
THROUGH
21st.\E
THE
CONFERENCE WILL LOOK AT
RECENT
TRENDS IN ASTHMA
DIAGNOSIS
AND TREATMENT, CUTTING
EDGE
BASIC AND CLINICAL RESEARCH
NEW
THERAPIES AND MEDICATIONS,
ASTHMA
COALITION EFFORTS, THE
DEMOGRAPHICS
OF ASTHMA, HEALTH
DISPARITIES
AND THE NEEDS OF
INNER
CITY AND RURAL POPULATIONS
AND THE
LATEST WEB-BASED
TECHNOLOGIES
TO REACH THE
PUBLIC.\E
IT'S
NOT TOO LATE TO REGISTER
FOR
THIS UNIQUE GATHERING OF
RESEARCHERS
AND CLINICAL AND
PUBLIC
HEALTH PRACTITIONERS.\E
I HOPE
TO SEE YOU THERE.\E
>>
NOW, LET'S TURN OUR ATTENTION
TO
DIABETES.\E
THE
NATIONAL INSTITUTE OF
DIABETES
AND DIGESTIVE AND
KIDNEY
DISEASES, OR NIDDKs,
DIABETES
PREVENTION PROGRAM
CLINICAL
TRIAL PROVIDED
SCIENTIFIC
EVIDENCE THAT THE
ONSET
OF DIABETES CAN BE
PREVENTED
OR DELAYED IN PEOPLE
AT HIGH
RISK.\E
HOW?\E
BY
LOSING 5% TO 7% OF BODY
WEIGHT
AND GETTING 30 MINUTES OF
PHYSICAL
ACTIVITY, SUCH AS BRISK
WALKING
ON MOST DAYS.\E
THE
GOOD NEWS IS THAT THESE
LIFESTYLE
CHANGES WORK FOR BOTH
MEN AND
WOMEN OF EVERY ETHNIC
AND
RACIAL GROUP WHO
PARTICIPATED
IN THE STUDY.\E
FURTHERMORE,
IT WAS ESPECIALLY
SUCCESSFUL
FOR PEOPLE OVER AGE
60.\E
THE
SMALL STEPS, BIG REWARDS
PREVENT
TYPE 2 DIABETES CAMPAIGN
IS
DESIGNED TO GET THIS
IMPORTANT
MESSAGE OUT TO THE 16
MILLION
AMERICANS WITH
PRE-DIABETES,
A CONDITION THAT
PUTS
THEM AT HIGH RISK FOR
DEVELOPING
TYPE 2 DIABETES.\E
NIDDK'S
WEB SITE PROVIDES ACCESS
TO THE
CAMPAIGN MATERIALS AND
OTHER
DIABETES INFORMATION THAT
I
BELIEVE YOU WILL FIND MOST
USEFUL.\E
NOW,
FOR OBESITY.\E
NIDDK'S
WEIGHT CONTROL
INFORMATION
NETWORK WAS
ESTABLISHED
IN 1994 TO RAISE
AWARENESS
AND PROVIDE UP-TO-DATE
SCIENCE-BASED
INFORMATION ON
OBESITY,
PHYSICAL ACTIVITY,
WEIGHT
CONTROL AND RELATED
NUTRITION
ISSUES TO HEALTH
PROFESSIONALS.\E
PEOPLE
WHO ARE OVERWEIGHT OR
OBESE,
THE MEDIA, CONGRESS AND
THE
GENERAL PUBLIC.\E
NHLBI'S
OBESITY EDUCATION
INITIATIVE
LAUNCHED IN 1991 HAS
PRODUCED
A NUMBER OF USEFUL
EDUCATION
TOOLS, INCLUDING
EVIDENCE-BASED
CLINICAL
GUIDELINES
IN VARIOUS FORMATS.\E
INCLUDING
WEB-BASED APPLICATIONS
AND CME
LEARNING PROGRAMS.\E
THE OEI
HAS ALSO PRODUCED BMI
CALCULATORS,
INTERACTIVE MENU
PLANNERS,
SLIDE SHOWS AND OTHER
EDUCATIONAL
MATERIALS, ALL OF
WHICH
ARE ON THE AIM FOR A
HEALTHY
WEIGHT WEB PAGE.\E
YOU MAY
ALSO BE INTERESTED IN
NHLBI'S
HEARTS AND PARKS
PROGRAM.\E
ARTS
AND PARKS IS A NATIONAL
COMMUNITY-BASED
EFFORT SUPPORTED
BY
NHLBI AND THE NATIONAL
RECREATION
AND PARK ASSOCIATION.\E
IT'S
DESIGNED TO ENCOURAGE A
HEALTHY
EATING PLAN AND
INCREASED
PHYSICAL ACTIVITY
THROUGH
LOCAL PARK AND
RECREATION
AGENCIES.\E
I HOPE
THAT YOU'LL FIND ALL OF
THIS
INFORMATION USEFUL, AND I
WISH
YOU EVERY SUCCESS IN
PREPARING
A WINNING STEPS
APPLICATION.\E
AGAIN,
FOR THE RESOURCES I'VE
MENTIONED,
GO TO WWW.NIH.GOV.\E
FROM
THE NIH HOME PAGE, YOU CAN
THEN
EASILY ACCESS THE RELEVANT
INSTITUTES
AND THEIR RESOURCE
MATERIALS.\E
THANK
YOU VERY MUCH.\E
>>
AND SO, THAT BRINGS US TO THE
CLOSE
OF STEPS TO A HEALTHIER
U.S.,
RFA GUIDANCE.\E
WE WANT
TO REMIND YOU OF SOME
IMPORTANT
UPCOMING DEADLINES.\E
YOUR
LETTERS OF INTENT ARE DUE
ON JUNE
2nd, 2003.\E
APPLICATIONS
ARE DUE ON JULY
15th,
2003.\E
AND WE
ANTICIPATE ANNOUNCING THE
AWARDS
IN MID-SEPTEMBER.\E
I WOULD
LIKE TO THANK OUR STUDIO
GUESTS
TODAY, STEPHANIE ZAZA,
MARY
VERNON-SMILEY, MICHAEL
FRIEDMAN,
AND SANDRA MANNING.\E
AND OUR
PANEL, SAM S. SHEKAR,
GREGORY
MOROSCO, WILLIAM
VANDERWAGEN,
AND HELEN BURSTIN.\E
AND OF
COURSE, WE THANK
ELIZABETH
MAJESTIC AND TOMMY
THOMPSON.\E
AND WE
THANK YOU THE VIEWING
AUDIENCE
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[SZ1]Did he really say the first line twice?
[SZ2]This doesn't make sense.� Did he really say it this way?
[SZ3]There'
[SZ4]This should be "a project AS broad in scope"
[SZ5]This is the "super" not meant to be in the text.
[SZ6]I thought we corrected this in the "fixes" so that he only says mobilization.
[SZ7]I love "lab ration" but this should be "collaboration" !!!
[SZ8]This sentence should end after "five" and a new one start with "In a state..."
[SZ9]This should be "still" not "steel"