U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Bureau of Health Professions (BHPr)
Division of State, Community and Public Health (DSCPH)
Bioterrorism Training and Curriculum Development Program
(BTCDP)
New Competition
Announcement No. HRSA-05-080
Catalog of Federal Domestic Assistance (CFDA) No. 93.996
PROGRAM GUIDANCE
Fiscal Year 2005
Application Due Date: May 19, 2005
Date of Issuance: March 30, 2005
Lou Coccodrilli Lynn Wegman
Chief, AHEC Branch Director, DSCPH
Telephone: (301) 443-1648 Telephone: (301) 443-1648
Fax: (301) 443-0157 Fax: (301) 443-0157
Authority: Public Health Service Act, Title III, Section 319F(g), 42 U.S.C. 247d-6.
Table of Contents
I. Funding Opportunity Description ....................................................................................................................4
Purpose .................................................................................................................................................................4
Continuing Education (CE) ..............................................................................................................................5
Curriculum Development (CD) ........................................................................................................................7
Background ...........................................................................................................................................................9
II. Award Information .......................................................................................................................................... 10
1. Type of Award ................................................................................................................................................. 10
2. Summary of Funding ....................................................................................................................................... 11
BTCDP Continuing Education (CE) Awards ................................................................................................. 11
BTCDP Curriculum Development (CD) Awards ........................................................................................... 12
III. Eligibility Information ................................................................................................................................... 12
1. Eligible Applicants ......................................................................................................................................... 12
B. Cost Sharing/Matching.................................................................................................................................. 13
IV. Application and Submission Information .................................................................................................... 13
1. Address to Request Application Package ....................................................................................................... 13
2. Content and Form of Application Submission ............................................................................................... 14
Application Format Requirements .................................................................................................................. 14
Application Format ......................................................................................................................................... 15
I. Application Face Page ................................................................................................................................ 15
II. Table of Contents ...................................................................................................................................... 15
III. Application Checklist .............................................................................................................................. 16
IV. Budget...................................................................................................................................................... 16
V. Budget Justification .................................................................................................................................. 16
VI. Staffing Plan and Personnel Requirements .............................................................................................. 19
VII. Assurances............................................................................................................................................... 20
VIII. Certifications .......................................................................................................................................... 20
IX. Project Abstract ........................................................................................................................................ 20
X. Program Narrative ...................................................................................................................................... 21
A. Introduction ........................................................................................................................................... 21
B. Needs Assessment ................................................................................................................................. 22
C. Methodology ......................................................................................................................................... 23
D. Partnerships and Linkages .................................................................................................................... 26
E. Work Plan .............................................................................................................................................. 26
F. Reporting Requirements ........................................................................................................................ 27
G. Resolution Of Challenges ...................................................................................................................... 28
H. Evaluation And Technical Support Capacity ......................................................................................... 28
I. Organizational Information ..................................................................................................................... 29
XI. Program Specific Forms ........................................................................................................................... 29
XII. Appendices .............................................................................................................................................. 29
3. Submission Dates And Times ......................................................................................................................... 30
4. Intergovernmental Review ............................................................................................................................. 31
5. Funding Restrictions ...................................................................................................................................... 31
6. Other Submission Requirements .................................................................................................................... 31
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V. Application Review Information ................................................................................................................... 33
1. Review Criteria .............................................................................................................................................. 33
2. Review and Selection Process ........................................................................................................................ 37
3. Anticipated Announcement and Award Dates................................................................................................ 37
VI. Award Administration Information ............................................................................................................. 37
1. Award Notices ................................................................................................................................................ 37
2. Administrative and National Policy Requirements ........................................................................................ 37
3. Reporting ...................................................................................................................................................... 38
VII. Agency Contacts............................................................................................................................................ 39
VIII. Other Information ....................................................................................................................................... 40
A. Technical Assistance Workshops ................................................................................................................... 40
B. Definitions ...................................................................................................................................................... 40
C. Resource Materials ....................................................................................................................................... 46
1. Professional Competencies/Proficiencies Resources ................................................................................. 46
2. Healthcare Workforce Resources .............................................................................................................. 47
3. Guidelines .................................................................................................................................................. 57
4. Bioterrorism and Other Disaster Training Centers ..................................................................................... 58
5. Training Courses/Curriculum .................................................................................................................... 58
6. CD-ROM Bioterrorism Educational Resources ......................................................................................... 62
7. National Response Plan (NRP) .................................................................................................................. 63
D. Paperwork Reduction Act .............................................................................................................................. 64
IX. Tips for Writing a Strong Application ......................................................................................................... 64
X. HRSA Training Grant Application Forms .................................................................................................... 66
FACE PAGE ................................................................................................................................................... 67
DETAILED BUDGET ................................................................................................................................... 68
CONSOLIDATED BUDGET ........................................................................................................................ 69
CONSOLIDATED BUDGET (Cont.) ............................................................................................................ 70
Assurances and Certifications (Application Checklist) .................................................................................. 71
XI. Program Specific Forms ................................................................................................................................ 75
APPLICATION CHECKLIST ....................................................................................................................... 76
Application Detail Page .................................................................................................................................. 77
Biographical Sketch format ............................................................................................................................ 78
BTCDP Health Care Professionals (Project Year 1)....................................................................................... 79
BTCDP Health Care Professionals (Project Year 2)....................................................................................... 80
BTCDP Health Care Professionals (Project Year 3)....................................................................................... 81
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I. Funding Opportunity Description
Purpose
This announcement solicits applications for the Bioterrorism Training and Curriculum
Development Program (BTCDP). The goal of this program is the development of a health
care workforce with the knowledge, skills, abilities and competencies to: (1) recognize
indications of a terrorist event; (2) meet the acute care needs of patients, including pediatric
and other vulnerable populations, in a safe and appropriate manner; (3) participate in a
coordinated, multidisciplinary response to terrorist events and other public health
emergencies; and (4) rapidly and effectively alert the public health system of such an event at
the community, state, and national level. Emergency preparedness and response issues
include other forms of terrorism (e.g., the use of chemical, explosive and incendiary agents;,
acute radiation exposure in a nuclear explosion), natural disasters and catastrophic events.
Effective responses to public health emergencies require close collaboration among all types
of health professionals involved in patient care including allied health professionals, medical
and dental specialists, mental health and other professionals, as well as collaboration within
the public health system and emergency response system. To achieve such a collaborative
environment, it will be necessary to implement new models of undergraduate/graduate
curricula and continuing education and training for health professionals that broaden public
health knowledge and ensure that essential multidisciplinary and interdisciplinary
collaborative responses to emergencies will occur. In the development or enhancement of
curricula and training courses, applicants are encouraged to incorporate existing competencies
or proficiencies on bioterrorism preparedness. The utilization of these competencies or
proficiencies permits the nationwide establishment of discipline-specific standards or
milestones for bioterrorism preparedness training programs. Information on
competencies/proficiencies that have been developed can be found in the C. Resource
Materials section of this guidance. Cooperative agreements will be awarded to assist entities
to prepare a workforce of healthcare professionals to address the medical consequences of and
response to bioterrorism and other public health emergencies, including other forms of
terrorism (such as the use of chemical, explosive and incendiary agents; acute radiation
exposure in a nuclear explosion), natural disasters and catastrophic accidents.
The Bioterrorism Training and Curriculum Development Program consists of two discrete foci
of activity or areas to meet the needs and goals addressed in this program:
Continuing Education (CE)
Curriculum Development (CD)
The applicant must submit a separate application for each area. If the applicant wishes
to apply for both areas, two separate applications must be submitted.
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Continuing Education (CE)
Awardees of the BTCDP CE component will be expected to:
a) Identify needs of health professionals including allied health, dentistry, EMS personnel,
environmental health, medicine, mental health, nursing, pharmacy, and other professions
as they relate to both community and clinical personnel’s ability to meet the four goals of
this program:
(1) recognize indications of a terrorist event;
(2) meet the acute care needs of patients, including pediatric and other vulnerable
populations, in a safe and appropriate manner;
(3) participate in a coordinated, multidisciplinary response to terrorist events and
other public health emergencies; and
(4) rapidly and effectively alert the public health system of such an event at the
community, state, and national level.
b) Utilize, whenever possible, existing bioterrorism preparedness and public health
emergency continuing education materials (available from Federal entities, awardees, and
others) to plan and implement continuing education programs designed to address the
needs identified.
c) Where competencies or proficiencies for bioterrorism preparedness have been developed
for the specific professions to be trained in the application, then these competencies or
proficiencies should be used in developing the training methodology and evaluating
training outcomes. To the extent possible, each course of study shall articulate the
competencies or proficiencies on bioterrorism preparedness that trainees will exhibit upon
completion of training. Applicants may wish to review the Professional Competencies and
Proficiencies Resources contained in the C. Resource Materials section of this guidance to
become familiar with the competencies developed thus far in some disciplines, e.g.,
medicine, nursing, public health, and others.
d) Evaluate the CE training programs provided, and evaluate the CE trainees’ performance.
Awardees shall participate in or conduct a drill/exercise annually to evaluate performance
of trainees in a coordinated, multidisciplinary community response, and develop strategies
for improved performance for future training. All drills/exercises shall be compliant with
the National Incident Management System (NIMS).
e) Share training results or products developed with other academic or training programs.
Nature of Training: The training supported with BTCDP funds is expected to focus not only
on the discipline specific knowledge, skills and abilities needed to recognize, treat and
efficiently report instances of a terrorist event or other public health emergency, but also to
prepare the learners to participate in a multidisciplinary response reflecting a didactic and
practical application approach. Each course of study shall include both discipline-appropriate
clinically oriented material and the team collaboration/coordination activities necessary to
respond to terrorist events and other public health emergencies. These activities will
encompass the integrated professional roles and responsibilities inherent in a community
response and should include participation in drills, exercises and/or simulations. Whenever
possible, participation in these drills/exercises should be in collaboration with Federal, State
and local emergency response systems.
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Targeted Trainees: The applicant must demonstrate the ability to provide training to the
comprehensive range of health care professionals in an entire state, either through its own
efforts or through partnerships or subcontracts. Applicants are encouraged to implement a
statewide approach that is responsive to the state’s training needs. With regard to the trainees
to be served, applicants are encouraged to consider the health care providers initially sought
by the population, particularly those considered to be vulnerable populations, in their
geographical areas during a bioterrorism event or other public health emergency. The targeted
trainees addressed in this program include both clinical and community-based health care
providers including, but not limited to, those serving in public and private hospitals,
Community Health Centers, Migrant Health Centers, Federally Qualified Health Centers,
National Health Service Corps Sites, and private and group practices.
Advisory Board: In an effort to encourage coordination within states, Continuing Education
applicants should describe plans to collaborate with the Joint Advisory Committees for CDC
and HRSA Cooperative Agreements. The Joint Advisory Committees for CDC and HRSA
Cooperative Agreements are composed of representatives from the HRSA National
Bioterrorism Hospital Preparedness Program (NBHPP) and the CDC Public Health
Preparedness and Response for Bioterrorism Program (PHPRB), as well as representatives
from state, territorial, municipal and local health departments, state hospital associations, state
mental health agencies, academic health centers, and others. Contact information for both the
HRSA National Bioterrorism Hospital Preparedness Program and the CDC Public Health
Preparedness and Response for Bioterrorism Program by State can be found within the C.
Resource Materials section of this guidance. Letters of support from the awardees of the
HRSA National Bioterrorism Hospital Preparedness Program and the CDC Public Health
Preparedness and Response for Bioterrorism Program should be obtained, if available, by the
applicant and included in the list of letters of support provided by the applicant.
An applicant may also establish an advisory committee or board to oversee the proposed
Continuing Education program. This board would provide guidance to the project’s principal
investigator during the project’s three-year period and beyond.
Partnerships and Linkages: As stated above, Continuing Education applicants are
encouraged to obtain, if possible, letters of support from HRSA National Bioterrorism
Hospital Preparedness Program awardees and the CDC Public Health Preparedness and
Response for Bioterrorism Program awardees. In addition, applicants are encouraged to
obtain and submit a list of letters of support demonstrating evidence of cooperative
agreements or established linkages/relationships with entities that provide emergency
preparedness and response training, including, but not limited to, the State Designated Agency
for Emergency Preparedness, the National Health Service Corps, Indian Health Service
centers, Community and Migrant Health Centers, Public Health Training Centers (PHTCs),
Area Health Education Centers (AHECs), and Emergency Preparedness Centers. These
relationships shall be clearly described. A comprehensive coordinated multi-disciplinary
approach must be undertaken to effectively meet the needs without replication and
redundancy. Due to the 80-page application limit, a list of letters of support by author can be
provided; include in the list, letters of support from state NBHPP and PHPRB programs.
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Collaboration with DHS: Applicants are encouraged to collaborate with Department of
Homeland Security (DHS) sponsored training programs and/or drills and exercises.
Applicants should review the “National Response Plan December 2004” released by DHS on
January 6, 2005. Specific areas of collaboration include: Homeland Security Presidential
Directive-5 (HSPD-5), the National Incident Management System (NIMS); HSPD-8, a
national domestic all-hazards preparedness goal; and HSPD-10, a comprehensive framework
for the Nation’s biodefense. More information on the National Response Plan and HSPD-5,
HSPD-8 and HSPD-10, can be found in the B. Definitions and the 7. National Response Plan
(NRP) sections of the guidance. All drills/exercises shall be NIMS compliant.
As DHS policies and guidances evolve in FY 2005-FY 2007, BTCDP awardees will be
expected to develop and offer Continuing Education (CE) preparedness training programs that
are consistent with HHS recommendations. Existing curricula/courses associated with an all
hazards approach should be reviewed prior to developing new curricula. For example,
awardees should review existing CE curricula in the area of preparedness for terrorist events
associated with the use of chemicals, especially those programs and curricula on emergency
treatment for chemical exposure that have been developed and used by the Department of
Defense (DOD). HHS is exploring ways to make these DOD training materials more readily
available to BTCDP awardees and others and hopes to offer additional information in this
regard in the near future.
Curriculum Development (CD)
Awardees of the BTCDP CD component will be expected to:
a) Develop and/or adapt existing curricula (bioterrorism preparedness and public
health emergency curricula and teaching aids available from Federal entities,
awardees, and others) to address the students’ knowledge, skills, abilities and
competencies to meet the following four goals of this program:
(1) recognize indications of a terrorist event;
(2) meet the acute care needs of patients, including pediatric and other vulnerable
populations, in a safe and appropriate manner;
(3) participate in a coordinated, multidisciplinary response to terrorist events and
other public health emergencies; and
(4) rapidly and effectively alert the public health system of such an event at the
community, State, and national level.
b) Utilize, whenever possible, existing competencies for bioterrorism preparedness
that have been developed for the specific professions to be educated in the
application. These competencies should be used in developing the project
methodology and curriculum, and in evaluating the outcomes of the education.
c) Involve at least three disciplines in curriculum development
d) Pilot and evaluate the curriculum for at least one discipline (key discipline).
e) Incorporate the syllabi and adapted materials for the key discipline into the
school’s required overall curriculum within two years.
f) Within three years, share the curricular content and methodology with other
academic or training programs; and implement the new or revised curricular
content in schools of participating disciplines, so that no fewer than three
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disciplines will have incorporated preparedness courses into required curriculum.
These cooperative agreements will be used to pilot both the professionally specific curriculum
and the curriculum enhancement process. These curricula will constitute “model curriculum”
containing information that will be disseminated to the Federal Government and other
academic institutions upon project completion.
Nature of Training: The training supported with the BTCDP funds is expected to not only
focus on the discipline specific knowledge skills and abilities needed to recognize, treat, and
efficiently report instances of a terrorist event and other public health emergencies, but also
prepare the learners to participate in a multidisciplinary response reflecting a didactic and
practical application approach. Each course of study shall include both discipline appropriate
clinically oriented material and the team collaboration/coordination activities necessary to
respond to terrorist events and other public health emergencies. These activities will outline
the integrated professional roles and responsibilities inherent in a community response and
should include participation in drills, exercises and/or simulations. Whenever possible,
participation in these exercises should be in collaboration with Federal, State and local
emergency response systems.
Each course of study shall articulate the competencies or proficiencies on bioterrorism
preparedness which students are expected to learn. Applicants may wish to review the 1.
Professional Competencies/Proficiencies Resources section of this guidance to become
familiar with the competencies developed thus far in some disciplines such as medicine,
nursing, and public health.
Multidisciplinary Training: Applicants shall demonstrate through programmatic
descriptions and letters of support that the funds awarded will be utilized in conjunction with
no less than three health care disciplines. One school will be held responsible for
developing/adapting and implementing the curriculum by the end of the second project year
for at least one discipline (key discipline). However, the curriculum, or a core component of
the curriculum, must be used by no fewer than three disciplines by the end of the three-year
project period. The discipline of the school where the curriculum or a core component of the
curriculum will be implemented will be referred to as the key discipline. Eligible entities, if
not a health professions school, must include in their application the participation (i.e., through
letters of agreement) of such a school to implement the enhanced or newly developed
curriculum. A support letter from the Dean of the school at which the curriculum for the key
discipline will be implemented is required.
Partnerships and Linkages: Applicants are encouraged to provide letters of support
demonstrating evidence of established linkages among the participating schools or programs.
Letters providing evidence of established linkages or how linkages will be formed should be
obtained by the applicant and presented in the Appendices section under the 2. Content and
Form of Application Submission section of the application. Due to the 80-page application
limit, a list of letters of support by author can be provided, along with a few key letters of
support.
Collaboration with DHS: Applicants are encouraged to collaborate with Department of
Homeland Security (DHS) sponsored training programs and/or drills and exercises.
Applicants should review the “National Response Plan December 2004” released by DHS on
8
January 6, 2005. Specific areas of collaboration include: Homeland Security Presidential
Directive-5 (HSPD-5), the National Incident Management System (NIMS); HSPD-8, a
national domestic all-hazards preparedness goal; and HSPD-10, a comprehensive framework
for the Nation’s biodefense. More information on the National Response Plan and HSPD-5,
HSPD-8 and HSPD-10 can be found in the B. Definitions and the 7. National Response Plan
(NRP) sections of the guidance. All drills/exercises shall be NIMS compliant.
As DHS policies and guidances evolve in FY 2005-FY 2007, BTCDP awardees will be
expected to develop and offer preparedness curricula/training programs that are consistent
with HHS recommendations. Existing curricula/courses associated with an all hazards
approach should be reviewed prior to developing new curricula. For example, awardees
should review existing curricula in the area of preparedness for terrorist events associated with
the use of chemicals, especially those programs and curricula on emergency treatment for
chemical exposure that have been developed and used by the Department of Defense (DOD).
HHS is exploring ways to make these DOD training materials more readily available to
BTCDP awardees and others and hopes to offer additional information in this regard in the
near future.
Background
The BTCDP is in its third year and in its second competitive cycle. In FY 2003 and FY 2004,
the BTCDP cooperative agreement program made 32 awards as follows: 19 Continuing
Education (CE) and 13 Curricular Enhancement/Curriculum Development (CD) awards.
The 19 BTCDP CE awardees provided CE programs in the disciplines of allied health,
dentistry, emergency medical services, medicine, mental health, nursing, nurse practitioner,
pharmacy, public health, and veterinary medicine. Awardees were located in the following
states: Arkansas; California; Colorado; Connecticut; Illinois; Kansas; Kentucky; Montana;
New Jersey; New Mexico; New York; North Dakota; Oklahoma; Pennsylvania; South
Carolina; Tennessee; Texas; Virginia; and West Virginia.
The 13 BTCDP CD awardees carried out Curriculum Development in the key disciplines of
allied health, medicine, nursing, nurse practitioner, pharmacy, physician assistant, public
health, and other disciplines. Awardees were located in the following states: Arkansas,
California, Hawaii, Illinois, Montana, Nebraska, New Jersey, New York, Ohio, Tennessee,
Texas, Virginia, and Washington. Because of the multi-disciplinary requirements of the CD
program, each application proposed the training of one key discipline and two or more other
disciplines.
The following table displays the estimated number of trainees by discipline of the BTCDP FY
2003-04 awardees:
BTCDP Awardees: FY 2003-04
Target Professions Estimate of Estimate of
Number of CE Number of CD
Trainees Years 01 Trainees Years 01
and 02 and 02
Allied Health Providers 11,887 6,731
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Nursing 68,660 3,385
Medicine 36,375 4,818
Nurse Practitioners 7,508 593
Physician Assistants 2,773 574
Dentists 3,317 693
Pharmacists 5,982 1,624
Mental Health Providers 7,392 0
Public Health Providers 2,091 430
EMS 16,043 285
Veterinarians 508 0
Others 10,626 395
Total 173,786 19,528
II. Award Information
1. Type of Award
Funding will be provided in the form of a cooperative agreement.
Cooperative Agreement Statement
This program will utilize Cooperative Agreements to distribute funds. Federal programmatic
involvement with the planning, development, administration, and evaluation of the project will
be substantial. The respective roles of the Federal Government and the awardee are as
follows:
Federal program staff will:
Review the extent to which Continuing Education awardees participate, if possible, in
the Joint Advisory Committee for CDC and HRSA Cooperative Agreements;
If awardee has developed an advisory board, review the board’s activities with regard
to project guidance and support;
Confirm or encourage the use of competencies on bioterrorism preparedness in training
program design, e.g., in curricula and training courses and in evaluation;
Participate in an annual evaluation of the cooperative agreement program;
Assist in planning and implementing project priorities by coordinating and facilitating
the interchange of technical and program information;
Assist project staff in the development, compilation and dissemination of materials
prepared by project personnel;
Review programmatic content of all contracts and agreements among recipient health
professions schools and community-based centers (unless such reviews are formally
delegated to the recipient cooperating school); and
Provide guidance concerning the content, structure and form of the annual progress
report and final project report.
The BTCDP awardee will:
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Develop a healthcare workforce that possesses the knowledge, skills, abilities, and
competencies as stated in the program goals;
To the greatest extent possible, use existing competencies on bioterrorism
preparedness to establish learning objectives and evaluate trainees in meeting these
competencies;
Identify and collaborate with existing national, state and local emergency preparedness
plans;
Provide interdisciplinary and multidisciplinary training opportunities;
Annually, provide a list and brief description of all training courses, modules, CD
ROMs, and other training products conducted by this program to include course title
and description, objectives, target audience by discipline, contact hours, delivery
mechanisms, evaluation results, and lessons learned;
Annually, submit reports in accordance with HRSA/BHPr reporting requirements;
Attend two BTCDP meetings in Washington, DC, using staff travel funds itemized in
the proposed budget for at least two staff members; and
Attend other federally-sponsored bioterrorism and public health preparedness
meetings; the Program Director may use staff travel funds to attend such meetings.
2. Summary of Funding
BTCDP applicants may request support for up to three years. The BTCDP will provide
funding for the following two distinct areas:
1. Continuing Education
2. Curriculum Development
In this application guidance, the term Curriculum Development encompasses curricular
enhancement, refinement, adaptation and development.
BTCDP Continuing Education (CE) Awards
It is estimated that a total of $24,000,000 will be made available for BTCDP CE awards.
A maximum award of $1,500,000 per year will be allowed per BTCDP CE award.
In selecting from among the most highly ranked applications, efforts will be made to balance
awards to achieve geographic distribution and breadth of professionals reached.
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BTCDP Curriculum Development (CD) Awards
It is estimated that a total of $2,000,000 will be made available for BTCDP CD awards.
A maximum award of $200,000 per year will be allowed for BTCDP CD awards to applicants
that address Curriculum Development in one or more of the following disciplines: Mental
Health, Dentistry, Pharmacy or Veterinary Medicine. Approximately $1,600,000 will be
available.
A total of approximately $400,000 will be made available to applicants that address
Curriculum Development in other health professions disciplines. A range of $50,000 to
$100,000 will be allowed annually per award to applicants that address Curriculum
Development in other health professions disciplines.
Distribution of awards by discipline will be a consideration.
BTCDP CD and CE Awards
The allocation of funds to approved applications for BTCDP CE or BTCDP CD will be
adjusted if a sufficient number of applications are not received and/or are not recommended
for approval in either category: BTCDP CE applications or BTCDP CD applications.
III. Eligibility Information
1. Eligible Applicants
Eligible Applicants For Continuing Education: The entities eligible to apply for this
program are academic health centers; other public or private nonprofit accredited or licensed
health professions schools; other educational entities such as professional organizations and
societies; private accrediting organizations; other nonprofit institutions or entities including
faith-based organizations and community-based organizations; and multi-state or multi-
institutional consortia of various combinations of these eligible entities.
Eligible Applicants For Curriculum Development: The entities eligible to apply for this
program are public or private nonprofit accredited or licensed health professions schools;
other educational entities such as professional organizations and societies; and other nonprofit
institutions or entities including faith-based organizations and community-based
organizations.
To apply for funding for Curriculum Development, an entity that is not a health professions
school must provide a written agreement with a health professions school demonstrating that
the health professions school will participate in carrying out the project and will implement
the newly developed or the modified/enhanced curriculum. This agreement must describe the
roles of the entity and collaborating health professions school. A letter of support from the
collaborating health professions school is required.
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2. Cost Sharing/Matching
Cost sharing is not required for the Bioterrorism Training and Curriculum Development
Program.
Applicants must demonstrate that previous levels of institutional support are not being reduced
or supplanted by the availability of BTCDP grant funds. Applications must include total
income available from sources other than this grant (Reference budget information):
1. State government $_________
2. County or municipal government $_________
3. Private sector $_________
4. Department of Homeland Security/
Office of Domestic Preparedness $_________
5. Other (specify) $_________
6. Total $_________
Maintenance of Effort
The grant/award shall not be used to reduce or supplant current funding for activity described
in the application. The grantee/awardee must agree to maintain non-Federal funding for grant
activities at a level which is not less than expenditures for such activities during the fiscal year
prior to receiving the grant/award. Applicants must complete the following table:
NON-FEDERAL EXPENDITURES
FY 2004 (Actual) FY 2005 (Estimated)
Actual FY 2004 non-Federal funds, including in-kind, Estimated FY 2005 non-Federal funds, including in-
designated for activities proposed in this application. If kind, designated for proposed grant activities.
proposed activities are new or not currently funded by
the institution, enter $0.
Amount: $_______________ Amount: $_________________
IV. Application and Submission Information
1. Address to Request Application Package
Application Materials
Applicants must submit proposals using Health Resources and Services Administration
(HRSA) Forms 6025-1, 6025-2, and 6025-3 found under the X. HRSA Training Grant
Application Forms section of the guidance. This application guidance contains all
required forms and components necessary to submit a proposal for a BTCDP award for
FY 2005. If additional forms or information are needed, this application package
(CFDA 93.996) and the required forms may be obtained from the following sites by:
(1) Downloading from http://www.hrsa.gov/grants/forms.htm
13
or
(2) Contacting the HRSA Grants Application Center at:
The Legin Group, Inc.
901 Russell Avenue, Suite 450
Gaithersburg, MD 20879
Telephone: 877-477-2123
HRSAGAC@hrsa.gov.
2. Content and Form of Application Submission
Application Format Requirements
If applying on paper, the entire application may not exceed 80 pages in length, including
the abstract, project and budget narratives, face page, attachments, any appendices, and
letters of commitment and support. Pages must be numbered consecutively.
If applying on-line, the total size of all uploaded files may not exceed the equivalent of 80
pages when printed by HRSA, approximately 10 MB.
Applications, whether submitted on paper or electronically, that exceed the specified
limits (80 pages or approximately 10 MB, or that exceed 80 pages when printed by
HRSA) will be deemed non-compliant. All non-compliant applications will be
returned to the applicant without further consideration.
a. Number of Copies (Paper Applications only)
Submit one (1) original and two (2) unbound copies of the application.
Please do not bind or staple the application. Application must be single sided.
b. Font
Please use an easily readable serif typeface, such as Times Roman, Courier, or CG
Times. The text and table portions of the application must be submitted in not less than
12 point and 1.0 line spacing. Applications not adhering to 12 point font requirements
may be returned.
This is an example of 12 point Times New Roman font and 1.0 line spacing; this
document uses the 12 point Times New Roman font.
This is an example of 12 point Arial font and 1.0 line spacing.
Please note that print size cannot be smaller than these examples.
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c. Paper Size and Margins
For scanning purposes, please submit the application on 8 ½” x 11” white paper.
Margins must be at least one (1) inch at the top, bottom, left and right of the paper.
Please left-align text.
d. Numbering
Please number the pages of the application sequentially from page 1 (face page) to the
end of the application, including charts, figures, tables, and appendices.
e. Names
Please include the name of the applicant on each page.
f. Section Headings
Please put all section headings flush left in bold type.
Application Format
Applications for funding must consist of the following documents in the following order:
I. Application Face Page
Use the Health Resources and Services Administration (HRSA) Form 6025-1 found in the X.
HRSA Training Grant Application Forms section of this guidance. Prepare this first page
according to instructions provided in the form itself. For information pertaining to the Catalog
of Federal Domestic Assistance, the Catalog of Federal Domestic Assistance (CFDA) Number
is 93.996.
DUNS Number
All applicant organizations are required to have a Data Universal Numbering System (DUNS)
number in order to apply for a grant from the Federal Government. The DUNS number is a
unique nine-character identification number provided by the commercial company, Dun and
Bradstreet. There is no charge to obtain a DUNS number. Information about obtaining a
DUNS number can be found at http://www.hrsa.gov/grants/preview/dunsccr.htm or call 1-
866-705-5711. Please include the DUNS number next to the OMB Approval Number on the
application face page. Applications will not be reviewed without a DUNS number.
Additionally, the applicant organization will be required to register with the Federal
Government’s Central Contractor Registry (CCR) in order to do electronic business with the
Federal Government. Information about registering with the CCR can be found at
http://www.hrsa.gov/grants/preview/dunsccr.htm.
II. Table of Contents
15
Provide a Table of Contents for the remainder of the application (including appendices), with
page numbers. A suggested format for the Table of Contents is found below. This format
presents the section of the application in the correct order and is the minimum required.
Applicants may include more detail if indicated.
I. APPLICATION FACE PAGE
II. TABLE OF CONTENTS
III. APPLICATION CHECKLIST
IV. BUDGET
V. BUDGET JUSTIFICATION
VI. STAFFING PLAN AND PERSONNEL REQUIREMENTS
VII. ASSURANCES
VIII. CERTIFICATIONS
IX. PROJECT ABSTRACT
X. PROGRAM NARRATIVE
XI. PROGRAM SPECIFIC FORMS
XII. APPENDICES
III. Application Checklist
Carefully review and complete the Application Checklist found in the X. HRSA Training
Grant Application Forms section of this guidance. Place the Application Checklist form after
the Table of Contents in your submitted application.
IV. Budget
Please complete the budget forms in HRSA Training Grant Application Forms 6025-2 and
6025-3 found in the X. HRSA Training Grant Application Forms of this guidance according to
the instructions found within the V. Budget Justification section.
V. Budget Justification
Budget for Multi-Year Grant Award
This announcement is inviting applications for project periods up to 3 years. Awards, on a
competitive basis, will be for a one-year budget period, although project periods may be for 3
years. Applications for continuation grants funded under these awards beyond the one-year
budget period but within the 3 year project period will be entertained in subsequent years on a
noncompetitive basis, subject to availability of funds, satisfactory progress of the grantee and a
determination that continued funding would be in the best interest of the Government.
The Detailed Budget form and Consolidated Budget form are to be used in presenting the
budget. Please do not alter the format of these forms.
Provide a narrative that explains the amounts requested for each line in the budget. The
budget justification should specifically describe how each item will support the
achievement of proposed objectives. The budget period is for ONE year. A Detailed
Budget is required for the first budget period. However, the applicant must submit one-
16
year consolidated budgets for each of the subsequent project period years at the time of
application. Line item information must be provided to explain the costs entered in form
6025-2. The budget justification must clearly describe each cost element and explain how
each cost contributes to meeting the project’s objectives/goals. Be very careful about
showing how each item in the “other” category is justified. The budget justification MUST
be concise. Do NOT use the justification to expand the project narrative.
If applicable, enter the information requested for indirect costs.
Include the following in the Budget Justification narrative:
Personnel Costs: List participants (professional and nonprofessional) by name and
position, or by position only if not yet filled, for whom salary is requested. For each
professional, state the percent of time or effort to be devoted to the project. It is important
to note that the sum of percentages of time or effort to be expended by each individual for
all professional activities must not exceed 100 percent. For each nonprofessional, indicate
hours per week on the project. Be sure to list the total project effort of hours or percent of
time that key personnel, including unpaid (voluntary) faculty, professional, technical,
secretarial and clerical staff will devote to the project and reflect their contribution in the
budget justification even though funds for salaries have not been requested. Information on
both grant and non-grant supported positions is essential in order for reviewers to determine
if project resources are adequate.
List the dollar amounts separately for fringe benefits and salary for each individual. In
computing estimated salary charges, an individual's salary represents the total authorized
annual compensation that an applicant organization would be prepared to pay for a
specified work period irrespective of whether an individual's time would be spent on
government-sponsored research, teaching or other activities. The base salary for the
purposes of computing charges to a DHHS grant excludes income which an individual may
be permitted to earn outside of full-time duties to the applicant organization. Where
appropriate, indicate whether the amounts requested for the professional personnel are for
summer salaries or academic year salaries, and include the formulas for calculating summer
salaries.
Indirect Costs: Indirect costs are those costs incurred for common or joint objectives
which cannot be readily identified but are necessary to the operations of the organization,
e.g., the cost of operating and maintaining facilities, depreciation, and administrative
salaries. Indirect costs may be requested at 8 percent of total allowable direct costs
exclusive of tuition, fees, equipment and subcontract costs exceeding $25,000 per
subcontract or actual rate, whichever is less. State and local government agencies may
request full indirect cost. If the applicant does not have an indirect cost rate, you may
obtain one by visiting the Division of Cost Allocation website at http://rates.psc.gov/ .
Use the bottom section of CONSOLIDATED BUDGET form (6025-3) to show the total
funding for the project. The Federal contribution requested should be consistent with the
totals indicated on the Consolidated Budget form. Other existing Federal funding
supporting this project should be entered on the second line. Enter both matching funds and
in-kind contributions for the applicant, if applicable. Funding received from other sources
should be entered on the seventh line; any expected program income should be shown on
17
the eighth line of page 2 of the CONSOLIDATED BUDGET (Cont.) form. This
information will assist reviewers in determining if project resources are adequate.
Fringe Benefits: List the components that comprise the fringe benefit rate, for example
health insurance, taxes, unemployment insurance, life insurance, retirement plan, tuition
reimbursement. The fringe benefits should be directly proportional to that portion of
personnel costs that are allocated for the project. Fringe benefits, if treated consistently by
the grantee institution as a direct cost to all sponsors, may be requested separately for each
individual in proportion to the salary requested, or may be entered as a total if your
institution has established a composite fringe benefit rate.
An applicant organization has the option of having specific salary and fringe benefit
amounts for individuals omitted from the copies of the application that are made available
to outside reviewing groups. If the applicant organization elects to exercise this option, use
asterisks on the original and two copies of the application to indicate those individuals for
whom salaries and fringe benefits are being requested; the subtotals must still be shown. In
addition, submit a copy of detailed budget page of the application, completed in full with
the asterisks being replaced by the amount of the salary and fringe benefits requested for
each individual listed. This budget page will be reserved for internal DHHS staff use only.
Consultant Costs: Give name and institutional affiliation of each consultant, if known, and
indicate the nature and extent of the consultant service to be performed. Include expected
rate of compensation and total fees, travel, per diem, or other related costs for each
consultant.
Travel: List travel costs according to local and long distance travel. For local travel, the
mileage rate, number of miles, reason for travel and staff member/consumers completing
the travel should be outlined. The budget should also reflect the travel expenses associated
with participating in meetings and other proposed trainings or workshops. The amount
should reflect staff travel essential to the project. Describe the purpose of the travel giving
the number of trips involved, the destinations and the number of individuals for whom
funds are requested. Please note that travel costs for consultants, should be included under
"Consultants."
Equipment: List and justify each separate item of equipment costing $5,000 or more. List
equipment costs and provide justification for the need of the equipment to carry out the
program’s goals. Extensive justification and a detailed status of current equipment must be
provided when requesting funds for the purchase of computers and furniture items. If
requesting funds to purchase equipment that is already available, explain the need for the
duplication.
Supplies: List the items that the project will use. In this category, separate office supplies
from medical and educational purchases. Office supplies could include paper, pencils, and
the like; medical supplies are syringes, blood tubes, plastic gloves, etc., and educational
supplies may be pamphlets and educational videotapes. Itemize and justify as to how major
types of supplies, such as general office and photocopying expenses (expendable personal
property), relate to the project. Remember, they must be listed separately by category;
however items costing less than $5,000 should be grouped together.
18
Subcontracts: To the extent possible, all subcontract budgets and justifications should be
standardized. Provide a clear explanation as to the purpose of each contract, how the costs
were estimated, and the specific contract deliverables. List and justify each proposed
contract and provide a description of activities or functions to be performed. Provide a
breakdown of and justification for costs, the basis upon which indirect cost charges, if any,
will be reimbursed. If indirect costs are requested, include the amount requested, for
indirect costs, in the total requested for each contract. Also indicate the type of contract
proposed, the kind of organizations or other parties to be selected, and the method of
selecting these parties.
Data Collection Activities: Funds may be requested to support appropriate and justifiable
costs which are directly related to meeting data reporting requirements. Identify and justify
how these funds will be used under the appropriate budget category.
Trainee Expenses
Stipends: Not allowed under the Bioterrorism Training and Curriculum Development
Program.
Tuition and Fees: Not allowed under the Bioterrorism Training and Curriculum
Development Program.
Student/Trainee Travel: Enter amount requested for trainee travel necessary to the
education/training experience. Describe the purpose of the travel, giving the number of trips
involved, the travel allowance used, the destinations and the number of individuals for
whom funds are requested.
Other: Put all costs that do not fit into any other category into this category and provide
and explanation of each cost in this category. In some cases, grantee rent, utilities and
insurance fall under this category if they are not included in an approved indirect cost rate.
Do not include in this category items which properly belong in one of the other categories.
VI. Staffing Plan and Personnel Requirements
Applicants must present a staffing plan and provide a justification for the plan that includes
education and experience qualifications and rationale for the amount of time being
requested for each key professional personnel. In developing the staffing plan, describe the
principal roles and responsibilities of key project personnel. Position descriptions that
include the roles, responsibilities, and qualifications of proposed key project staff must be
clearly described. Consider the actual time required for project activities in determining
percentages of effort for each individual. Provide the percentage of effort and hours
worked per week for project staff in the Detailed Budget. Applicants may choose to
incorporate this information into the Work Plan section of this guidance.
Professional Experience:
Copies of biographical sketches for any key employed personnel that will be assigned to
work on the proposed project must be included in Appendices section of the submitted
19
application (see II. Table of Contents in the 2. Content and Form of Application
Submission section). Each biographical sketch must be limited to one page including
publications (see Biographical Sketch format in the X. HRSA Training Grant Application
Forms section of this guidance. Include all degrees and certificates. When listing
publications under the Professional Experience, list authors in the same order as they
appear on the paper, the full title of the article and complete reference as it is cited in a
journal. List also relevant and most recent community-based partnerships,
development/educational experiences and activities. The sketches should be arranged in
alphabetical order after the project director’s sketch and placed in Appendix section of the
submitted application. Because of the 80-page application limit, two biographical sketches
per page are permitted.
VII. Assurances
Carefully review the detailed list and check the appropriate response found in the
Assurances and Certifications (Application Checklist) section of this guidance.
VIII. Certifications
Carefully review the detailed list and check the appropriate response found in the
Assurances and Certifications (Application Checklist) section of this guidance.
IX. Project Abstract
Provide a summary of the application. Because the abstract is often distributed to provide
information to the public and Congress, please prepare this so that it is clear, accurate,
concise, and without reference to other parts of the application. It must include a brief
description of the proposed project including the needs to be addressed, the proposed
services, and the population group(s) to be served.
The project abstract must be single-spaced and limited to three (3) pages in length.
(Please note that this page or these pages will be counted in the page limitation established
for this grant program.) The abstract should clearly describe the project as a whole. The
Abstract will be utilized extensively by reviewers. It is essential, therefore, that the
Abstract reflect the most critical points of the application. In addition to the categories
listed, the Abstract should also include a brief description of the CONTINUING
EDUCATION or CURRICULUM DEVELOPMENT PROGRAMS, including the purpose
and program characteristics, the disciplines and numbers of students (actual and/or
projected for each project year) and a brief description of the training facilities/sites. It is
suggested that the three page Abstract be prepared after the Program Narrative has been
completed. If the application is approved and funded, the Abstract will become public
information and may be further distributed. Please use the following format:
ABSTRACT – 3 page total
Program: Bioterrorism Training and Curriculum Development Program (BTCDP)
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BTCDP Continuing Education (CE): G OR BTCDP Curriculum Development (CD): G
Project Title:
Applicant/Organization Name:
Address:
Project Director:
Telephone: Fax: E-Mail:
Web Site address, if applicable:
Project Coordinator (if different from above):
Project Period:
Abstract Narrative:
Narrative should include the following:
Need/Rationale
Purpose/Objectives
Total Number of Students or Providers Trained Each Year
Methodology/Activities
Evaluation
Collaborative Partners/Linkages
X. Program Narrative
This section provides a comprehensive framework and description of all aspects of the
proposed program. It should be succinct, self-explanatory and well organized so that
reviewers can understand the proposed project. Information contained in this section will be
evaluated by the objective reviewers according to the criteria contained in the Application 1.
Review Criteria section of this guidance.
All applicants that were previously funded under the BTCDP must submit a Summary
Progress Report highlighting the achievements of the applicant’s CE or CD program during
FY 2003-04. The Summary Progress Report can incorporate information from
Comprehensive Performance Management System and Uniform Progress Reports
(CPMS/UPR) and should not exceed three pages in length.
A. Introduction
21
Briefly describe the purpose of the proposed project. The proposed project’s purpose,
objectives, and activities should focus on assisting health care providers acquire the
knowledge, skills, abilities, and competencies to meet the four goals of the Bioterrorism
Training and Curriculum Development Program. The goals are as follows:
1. recognize indications of a terrorist event;
2. meet the acute care needs of patients, including pediatric and other vulnerable
populations, in a safe and appropriate manner;
3. participate in a coordinated, multidisciplinary response to terrorist events and other
public health emergencies; and
4. rapidly and effectively alert the public health system of such an event at the
community, state, and national level.
If competencies for bioterrorism preparedness have been developed for the specific
professions proposed to be trained in the application, then these competencies should be used
to evaluate the outcomes of the training to the extent possible. Information on competencies
that have been developed can be found in the C. Resource Materials section of this guidance.
B. Needs Assessment
This section outlines the needs of your community and/or organization. The target trainee
population and its level of preparedness to respond to bioterrorism and other public health
emergencies must be documented. Demographic data should be used and cited whenever
possible to support the information provided. Please discuss any relevant barriers in the
service area that the project hopes to overcome. This section should help reviewers
understand the community and/or organization, and trainee target population that will be
served by the proposed project. Secondary populations to be served by the project, including
vulnerable or special populations (e.g., pediatric, geriatric, disabled populations), should be
described. The baseline data that is generated under the needs assessment can be used both to
develop objectives and activities designed to achieve those objectives and also to guide the
evaluation component of the project.
Review current efforts to prepare health care professionals in the profession
(Curriculum Development) or prepare the state or geographical region (Continuing
Education) to recognize, respond appropriately to, and report instances of bioterrorism
and other public health emergencies utilizing a multidisciplinary approach.
1. Provide a brief review of existing training programs or curricula
addressing bioterrorism and other public health emergencies in the
target area. This review could include sources of training programs or
curricula, target populations, competencies/proficiencies addressed and
evaluation materials. Include a review of existing curricula on
emergency treatment for chemical exposure, and curricula on
emergency treatment of acute radiation exposure in a nuclear explosion.
2. Provide an estimate of the pool of health care professionals and
personnel, by discipline, in the region or per unit area available to be
trained or educated in bioterrorism and public health preparedness.
“Per unit area” is a term defined by the applicant. The per unit area
could be an entire state, a metropolitan area or region spanning two or
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more states, a county, or other geographical unit. The per unit area is
also known as the target area in this document.
Continuing Education: Based upon this estimated number of
health care professionals/personnel, determine the total number
of licensed health care professionals or health personnel, by
discipline, that would be targeted for training by the BTCDP CE
in the target area. The total number of health personnel by
discipline that will be participating in the program will be
considered the cohort to be served. Resources available to aid in
this determination are identified in the Resource Materials
section, in particular under 1. Professional
Competencies/Proficiencies Resources section of this guidance.
Use these numbers of targeted professionals/personnel in
completing the Work Plan Table. Use these numbers of targeted
professionals/personnel to be trained by discipline in completing
the tables in the XI. Program Specific Forms section of this
guidance.
Curriculum Development: Determine the numbers of students
and preceptors, by discipline, that are being educated by the
health professions schools in the target area. Based upon this
number, determine the number that will be trained in
bioterrorism and public health preparedness based on need.
These numbers could be tied in with workforce goals in
bioterrorism and public health preparedness for the target area.
Resources available to aid in this determination are identified in
the C. Resource Materials section, in particular under the 2.
Healthcare Workforce Resources section of this guidance. Use
these numbers of targeted students/preceptors in completing the
Work Plan Table under the E. Work Plan section of this
guidance. Use these numbers of targeted students/professionals
to be educated by discipline in completing the BTCDP Health
Care Professionals tables under the XI. Program Specific Forms
section of this guidance.
Utilizing the information gathered under parts one and two above, specifically identify
the gaps that the project is intended to fill and, in so doing, describe the need for the
project and its ability to improve the level of preparedness of the health care
workforce. Identify, when possible, the workforce serving vulnerable populations and
underrepresented minorities/disadvantaged populations in the target area;
Continuing Education: provide a map showing the geographical area that the project
will cover in the as shown under the 2. Content and Form of Application Submission
section of this guidance.
Curriculum Development: identify the existence of competencies or proficiencies on
bioterrorism preparedness within the key discipline and/or identify the need to develop
competencies in targeted disciplines.
C. Methodology
23
Organize the objectives and activities using the suggested format provided in the Work Plan
Table under the E. Work Plan section of this guidance.
1. Objectives
List specific objectives for this Bioterrorism Training and Curriculum Development Program.
The objectives should contain measures that will serve as the basis of the project’s progress
reports and will assist the peer reviewers in evaluating the application. The objectives must be
based upon a need as identified in the needs assessment, directed at specific health
professions/disciplines, measurable with specific outcomes for each project year in the stated
time frame. The outcome descriptions should include information on courses offered, the
number of participants trained, and measures of the knowledge, skills abilities and
competencies gained. To calculate and present data on the number of participants to be
trained each year, applicants should complete the three BTCDP trainee tables titled BTCDP
Health Care Professionals (Project Year 1) found under the XI. Program Specific Forms
section of this guidance. Each measurable objective should have an evaluation methodology
associated with it.
When writing objectives, be sure that they:
1. Address the four program goals;
2. Address existing discipline-specific competencies on bioterrorism preparedness to the
extent possible;
3. Are quantifiable and measurable with specific outcomes, included within the
evaluation plan, for each budget period of the project;
4. Are realistic and attainable in the stated time frame;
5. Are developed from quantitative/qualitative baseline data (developed in needs
assessment); and
6. Relate to the identified problems or needs.
2. Activities
Describe, by year, the activities, methods and techniques to be used to accomplish the
objectives of the proposed BTCDP Continuing Education or Curriculum Development
project.
Describe the nature and structure of the academic partnerships, including academic
health centers, that will be developed in this project.
Describe the roles and responsibilities of key project personnel.
Describe performance or process indicators and program milestones associated with
each activity. Include these indicators within the evaluation plan.
Distance Learning
The use of distance-based learning methodologies is desirable but not required. If distance
learning is utilized as a methodology for training or education, the applicant should describe
the use of distance learning in terms of collaborative approaches for increasing the number of
students and health care providers in rural and underserved areas who can access educational
24
opportunities through the use of electronic distance learning methodologies (please see
description below).
“Distance Learning Methodologies” are defined as a continuum of audiovisual media for
presenting educational content. The interaction continuum ranges from television with full-
motion video and audio interaction to interaction with either visual or audio media. The
midpoint of this continuum is the use of computers as an interactive medium for learning.
If “Distance Learning Methodologies” are used for a significant part of the students’
learning activities, the following information should be included:
a. a discussion of the application of distance learning to the outcomes
of the proposed project;
b. on campus requirements for distance learning students;
c. a plan to maintain and foster scholarly dialogue and interaction
between faculty and students;
d. scheduling of courses for distance learning students compared to
that of students in traditional settings, if applicable
e. the technical, human and administrative resources available to
support distance learning;
f. financing for distance learning courses;
g. sustainability of the distance learning methodology portion of the
program including plans for continued use and updating of hardware
and software following the grant period;
h.specific coursework information related to:
the design of course(s) and learning experiences
the number, length, and frequency of courses
anticipated number of clinical experiences (if applicable) and how
clinical learning for distance learning students will be guided
plan for evaluation of the student clinical experience (if applicable)
the relationship between the methodology and the project objectives
plan for assessing students’ computer skills and providing training
as needed (if applicable)
description of the teaching faculty’s expertise with the proposed
distance learning methodology(ies) and the plan to develop faculty
if appropriate;
identify other programs using similar methodologies in close
proximity to the proposed program;
i. number of students per course expected to utilize the methodology and,
j. evaluation of student outcomes comparing students taking on-campus
25
courses to those using the distance learning methodology(ies) related to
this proposal.
The three BTCDP trainee tables under the XI. Program Specific Forms section contain
categories for distance learning information to be provided.
D. Partnerships and Linkages
1. Describe how the proposed BTCDP curricula/courses relate to the December 2004
Department of Homeland Security (DHS) National Response Plan, specifically the
following Homeland Security Presidential Directives (HSPDs):
a. HSPD-5 : National Incident Management System (NIMS)
b. HSPD-8 : National Domestic All-Hazards Preparedness Goal
c. HSPD-10 : Comprehensive Framework for the Nation’s Biodefense
2. Describe how the proposed BTCDP drills or exercises will be coordinated, where
possible, with DHS drills/exercises or with other Federal, state or local preparedness drills
or exercises. All drills/exercises shall be NIMS compliant.
3. Describe the degree to which the applicant has established working relationships with
HRSA National Bioterrorism Hospital Preparedness Program awardees and CDC Public
Health Preparedness and Response for Bioterrorism Program awardees, and with other
entities that provide emergency preparedness and response training including, but not
limited to, the State Designated Agency for Emergency Preparedness, the National Health
Service Corps, Indian Health Service Centers, Community and Migrant Health Centers,
Public Health Training Centers (PHTCs) and Area Health Education Centers (AHECs).
COMMUNITY BASED LINKAGES
General: The Health Professions Education Partnerships Act of 1998 seeks to assure
maximum effort to leverage available funds by requiring applicants to describe programmatic
linkages with academic institutions, health care facilities and other community entities. To the
extent possible, grantees are required to establish working relationships with providers of
health care services to underserved communities and populations. Special and vulnerable
populations should be described and addressed to the greatest extent possible. See the section
on D. Partnerships and Linkages in this guidance.
E. Work Plan
1. Describe how each activity will be accomplished by providing:
a. Description of steps or processes that will be used to achieve each program
activity;
b. Person(s) responsible for each program activity;
c. Time frame required to achieve each activity;
d. Outcomes expected and their indicators.
3. Describe how project data will be disseminated or shared with other entities.
26
a. Description of data-sharing plan.
For consistency across applications, the following suggested format should be used to clearly
organize the elements of the Program Narrative:
Work Plan Table
Needs Objectives/ Methodology/ Resources Time/ Evaluation
Assessment Sub Objectives Activities Personnel Milestones Measure/
Data Listed in Responsible Process
Measurable For Outcome
Terms Program
Activity
An example of how the format above may be completed is provided below:
Needs Objectives/Sub Methodology/ Resources Time/ Evaluation
Assessment Objectives Activities Personnel Milestones Measure/
Data Listed in Responsible Process
Measurable for Program Outcome
Terms Activity
1,200/2000 Identify the BT The BT modules June 1, October 1,
or 60% of training needs of Bioterrorism Professor Joe 2005: 200 2005: 400
physician PAs in the state, Certified Smith will PAs PAs will be
assistants tie these needs Curriculum conduct the receive BT evaluated in
(PAs) in the to the Modules will training at the Certified a
state have not competencies in be used over a university Curriculum multidiscipli
been trained bioterrorism for 3-year period learning center, Modules nary tabletop
in PAs, and to train PAs. community training. exercise or
bioterrorism implement a Approximatel health center, September drill as
(BT) training y 400 PAs will as well as other 1, 2005: having
response curriculum to be trained per sites to be 200 more demonstrated
preparedness meet this need. year in the specified. PAs will competencies
By June 1, 2005, state via receive BT in BT
50% of the 400 classroom- Certified response
or 200 PAs will based and 200 Curriculum preparedness
have received will be trained Modules and will have
BT training and distance-based training. completed
be certified. training. and passed
course and
received
certification.
F. Reporting Requirements
27
The Government Performance and Results Act (GPRA), enacted in 1993 to assure Federal
accountability for achieving program results, became fully operational in 1999. This law
emphasizes data collection and reporting requirements related to project outcomes. In
response to this requirement, the BHPr has developed an outcome-based performance system
known as the Comprehensive Performance Management System (CPMS). CPMS builds on
the BHPr focus of assuring access through programs that improve the distribution, diversity,
and quality of the healthcare workforce. Access, distribution, diversity, and quality are
defined as:
Access means the ability to obtain quality health care.
Distribution means the geographic dispersion of health care professional delivery
services. The objective is to improve access and improve health care in medically
underserved communities by encouraging professionals to establish their practices in
such areas.
Diversity means the racial, gender and socioeconomic composition of the healthcare
workforce is generally representative of the national population. The objective is to
increase diversity.
Quality means demonstrating high standards in development of the health professions
workforce. The objective is to assure quality healthcare.
All funded applicants will be required to submit an annual Uniform Progress Report (UPR) as
described under the H. Evaluation And Technical Support Capacity section and under the 3.
Reporting section of this guidance.
G. Resolution Of Challenges
Discuss challenges that are likely to be encountered in designing and implementing the
activities described in the E. Work Plan section and the approaches that will be used to resolve
these challenges.
H. Evaluation And Technical Support Capacity
Develop evaluation methodology to evaluate each objective and activity associated with that
objective. The Work Plan Table format provided under the E. Work Plan section of this
guidance may be used to organize the evaluation strategy in relation to projective
objectives/activities/outcomes. The evaluation strategy must:
Be tied explicitly to the project objectives and the proposed performance measures or
outcomes;
To the extent possible, utilize existing discipline-specific competencies/proficiencies
on bioterrorism preparedness to measure and evaluate the process/outcome objectives;
Specify qualitative and/or quantitative outcome measures for each objective and
activity;
Describe the methods and techniques that will used to measure the outcomes of each
objective;
Specify what data will be collected, the method for collection and the manner in which
data will be analyzed and reported. Data analysis and reporting must facilitate
evaluation of the project outcomes.
28
Describe the responsibilities of key personnel and the amount of time and effort
proposed to perform the project evaluation activities.
Grantees/awardees must submit an annual Uniform Progress Report to describe progress in
meeting the objectives stated in the application. To assure accurate data collection and
reporting, the applicant must describe in the application the methods that will be used to
collect and report performance data. When the infrastructure for data collection is not in place,
the applicant must include a plan with milestones and target dates to implement a systematic
method for collecting, analyzing and reporting performance information data.
The Uniform Progress Reports will enable BHPr to collect and analyze the data to identify
problems, to plan technical assistance, and to make decisions concerning grant continuation.
Uniform Progress Reports from new grantees, which cover less than 12 months of grant-
funded activity, will be used to evaluate progress in relation to first year milestones stated in
the original application.
Note: When current grantees apply for continuation of the grant, they must submit
performance information for the most recent budget period in the application in the Summary
Progress Report. If funded for an additional three years under a competing continuation grant,
the applicant need not submit a final report for the first two years of the grant.
I. Organizational Information
Provide information on the applicant’s current mission relating to bioterrorism preparedness
and other public health emergencies, structure, scope of current bioterrorism activities, and an
organizational chart, and describe how these all contribute to the ability of the organization to
conduct the program requirements and meet program expectations. If an applicant creates an
advisory board, describe the board, its function, and how the board members will provide
guidance to the principal investigator of the project.
XI. Program Specific Forms
Complete the BTCDP program specific forms found in the X. HRSA Training Grant
Application Forms section of this guidance. Include these forms as part of your submitted
application.
XII. Appendices
Please provide the following items to complete the content of the application. Be sure each
appendix is clearly labeled. Appendices are counted within the allowable 80-page limit.
Please do not use color printed materials (fonts or images) in any part of this application.
Please see the Table of Contents under the 2. Content and Form of Application Submission
section of this guidance for placement of appendices in the application.
Appendix A: Biographical Sketches
Include biographical sketches for key professional personnel contributing to the project.
Begin with current position, then in reverse chronological order, list relevant previous
employment and experience. Each biographical sketch must be limited to one page including
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publications. Because of the 80-page application limit, two biographical sketches per page are
permitted. Include relevant degrees and certificates. When listing publications under
Professional Experience, list authors in the same order as they appear on the paper, the full
title of the article, and the complete reference as it is usually cited in a journal. List all
relevant and most recent community-based partnership development/education experiences
and activities.
The sketches should be arranged in alphabetical order after the project director’s sketch. Use
the provided format for each Biographical Sketch found under the X. HRSA Training Grant
Application Forms section of this guidance.
Appendix B: Letters of Support
Include only letters of support which indicate a commitment to the project/program. Due to
the 80-page application limit, a list of letters of support by author can be included; the letters
of support in the list shall be dated, signed and retained by the applicant.
Appendix C: Project Organizational Chart
Provide a one-page figure that depicts the organizational structure of the project, including
subcontractors and other significant collaborators.
Appendix D: Application Detail Page
Appendix E: BTCDP Trainee Tables (3).
The BTCDP Health Care Professionals tables can be found under the HRSA Training Grant
Application Forms of this guidance.
Appendix F: Other Relevant Documents
Include here any other documents that are relevant to the application, for example, a map of
the geographical area to be covered by the project.
3. Submission Dates And Times
The due date for applications under this grant announcement is May 19, 2005 at 5:00 P.M. ET.
Applications will be considered as meeting the deadline if they are either:
(1) Received on or before the due date; or
(2) Post marked or E marked on or before the due date, and received in time for the
Independent Review Committee review.
The Chief Grants Management Officer (CGMO) or a higher level designee may authorize an
extension of published deadlines when justified by circumstances such as acts of God (e.g.
floods or hurricanes), widespread disruptions of mail service, or other disruptions of services,
such as a prolonged blackout. The authorizing official will determine the affected
geographical area(s).
Electronic Submission:
Applications submitted electronically will be time/date stamped electronically, which will
serve as receipt of submission. Applications must be submitted by 5:00 P.M. ET. To ensure
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that you have adequate time to follow procedures and successfully submit the application, we
recommend you start submission no later than noon on the due date.
Paper Submission:
Upon receipt of a paper application, the Grants Application Center will mail an
acknowledgement of receipt to the applicant organization’s Program Director.
In the event that questions arise about meeting the application due date, applicants must have a
legibly dated receipt from a commercial carrier or the U.S. Postal Service. Private metered
postmarks will not be accepted as proof of timely mailing.
Late applications:
Applications which do not meet the criteria above are considered late applications. Health
Resources and Services Administration (HRSA) shall notify each late applicant that its
application will not be considered in the current competition.
4. Intergovernmental Review
The BTCDP Program is not subject to the provisions of Executive Order 12372.
5. Funding Restrictions
Applicants responding to this announcement may request funding for a project period of up to
three (3) years. Awards to support projects beyond the first budget year will be contingent
upon Congressional appropriation, satisfactory progress in meeting the project’s objectives,
and a determination that continued funding would be in the best interest of the government.
Under OMB regulations, funds under this announcement may not be used for: (1) stipends,
and (2) tuition and fees.
6. Other Submission Requirements
Paper Submission
Paper applications, if you choose to submit paper copy, please send the original and two (2)
copies of the application to:
The HRSA Grants Application Center
The Legin Group, Inc.
Attn: Bioterrorism Training and Curriculum Development Program
Program Announcement No. HRSA-05-080
CFDA No. 93.996
901 Russell Avenue, Suite 450
Gaithersburg, MD 20879
Telephone: 1- (877) 477-2123
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In the event that questions arise about meeting the application due date, applicants must have a
legibly dated receipt from a commercial carrier or the U.S. Postal Service. Private metered
postmarks will not be accepted as proof of timely mailing.
Electronic Submission
HRSA encourages applicants to submit applications on-line. To ensure that you have
adequate time to follow procedures and successfully submit the application, we recommend
you start submission no later than noon on the due date.
To register and/or log-in to prepare your application, go to
https://grants.hrsa.gov/webexternal/login.asp. For assistance in using the on-line application
system, call 877-GO4-HRSA (877-464-4772) between 8:30 am to 5:30 pm ET or e-mail
callcenter@hrsa.gov.
Online applications are required to submit ONLY one form in signed hard copy: the SF-
424/6025 Face Sheet, since all other elements of the application have been captured and
transmitted electronically.
Formal submission of the electronic application: Applications completed online are
considered formally submitted when the Authorizing Official electronically submits the
application to HRSA. However, to complete the submission requirements, a hard-copy of the
SF-424/6025 Face Sheet must be printed, signed, and submitted to the HRSA Grants
Application Center. The SF-424/6025 can be printed from the online application.
For an online application, the signed SF-424/6025 must be sent to the HRSA GRANTS
APPLICATION CENTER at the above address and received by HRSA by no later than five
days after the May 19, 2005 due date.
Applications will be considered as having met the deadline if: (1) the application has been
successfully transmitted electronically by your organization’s Authorizing Official through
Grants.Gov or before the deadline date and time, and (2) the signed SF-424/6025 Face Sheet is
received by HRSA no later than five days after the deadline date.
REMINDER: Only applicants who apply online are permitted to forego hard-copy
submission of all application forms EXCEPT the signed SF-424/5161.
If the application is submitted as a hard-copy, the rules of submission as described earlier in
this guidance must be followed.
Application narratives and spreadsheets will need to be created separately and submitted as
attachments to the application. You will be prompted to “upload” your attachments at
strategic points within the application interface. The following document types will be
accepted as attachments: WordPerfect (.wpd), Microsoft Word (.doc), Microsoft Excel (.xls),
Rich Text Format (.rtf), Portable Document Format (.pdf). If there are tables that are not
supported as data entry forms from within the application, they should be downloaded to your
hard drive, filled in, and then uploaded as attachments with your application.
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Applications submitted electronically will be time/date stamped electronically, which will
serve as receipt of submission.
To look for funding opportunities, go to http://www.hrsa.gov/grants and follow the links.
Information on grant opportunities both within HRSA and in other Federal agencies is also
available through http://www.grants.gov, the official E-Grants website where applicants can
find and apply for federal funding opportunities.
Whether you submit electronically or via paper, please understand that we will not consider
additional information and/or materials submitted after your initial application. You must
therefore ensure that all materials are submitted together, whether electronically or on paper.
V. Application Review Information
1. Review Criteria
Review criteria are used to review and rank applications. The Bioterrorism Training and
Curriculum Development Program has 7 review criteria. Review criteria must not be
confused with program and eligibility criteria which are addressed before an application is
accepted for review. The review criteria have been revised for this funding cycle.
Applicants should pay strict attention to addressing the seven review criteria, as they
are the basis upon which the reviewers will evaluate their application.
The following review criteria will apply to the BTCDP, Section 319F(g) of the PHS Act, as
amended, applications. Each application will have a potential maximum score of 100 points;
the review criteria and the potential number of points assigned to each are presented below.
Criterion 1: NEED (0-10 points)
The extent to which the application describes the problem and associated contributing
factors to the problem, including:
The level of preparedness among the current or anticipated health workforce to
respond to bioterrorism and other public health emergencies in the target area (e.g., the
state);
o A brief review of existing curricula addressing bioterrorism and other public
heath emergencies; also, a review of curricula on emergency treatment for
chemical exposure, and emergency treatment for acute radiation exposure;
o A brief review of health care professionals that are trained and prepared to
respond to bioterrorism or other public health emergencies;
How the program will fill or address the identified health personnel training
gaps/needs in a state;
How the program will improve the health workforce, practice and education;
How the program will affect the state or region’s (target area) bioterrorism and other
public health emergency preparation and response;
The extent to which the program identifies the competencies for bioterrorism
preparedness already developed for the specific professions proposed to be trained;
Evidence of an enrollee/program participant pool, which may include
underrepresented minorities/disadvantaged;
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How the project identifies the geographical area that will be covered, as illustrated by a
map to be included in the Appendices.
Criterion 2: RESPONSE (0-25 points)
The extent to which the proposed project responds to the “Need” included in the program
description. The clarity of the proposed goals and objectives and their relationship to the
identified project. The extent to which the activities (scientific or other) described in the
application address the problem and are focused on attaining the project objectives. This
criterion also includes the following:
The purpose is consistent with the legislative purpose and is clearly described;
Rationale for how the proposed project contributes to meeting the documented
needs;
The project plan is clearly articulated and describes activities that will facilitate
providers’ acquisition of the knowledge, skills, abilities and competencies to meet the
four goals of this program:
a. recognize indications of a terrorist event;
b. meet the acute care needs of patients, including pediatric and other
vulnerable populations, in a safe and appropriate manner;
c. participate in a coordinated, multidisciplinary response to terrorist events
and other public health emergencies; and
d. rapidly and effectively alert the public health system of such an event at
the community, state, and national level.
The extent to which the project addresses existing discipline-specific competencies on
bioterrorism preparedness;
Specification of measurable outcome objectives that are attainable within the stated
time frame;
The degree to which the estimated number of trainees by discipline is sufficient;
Specification of activities to carry out each objective within the stated time frame. The
applicant:
o Describes the steps or processes that will be used to achieve each program
activity
o Describes the roles and responsibilities of project personnel responsible for
each activity, taking into consideration the cultural and linguistic competence
necessary by the activity;
o Describes the nature and structure of academic health center partnerships and
other partnerships/linkages that will be developed within the project; and
o Describes electronic distance learning methodologies if applicable.
Criterion 3: EVALUATIVE MEASURES (0-15 points)
The effectiveness of the method proposed to monitor and evaluate the project results.
Evaluative measures must be able to assess: 1) to what extent the program objectives have
been met, and 2) to what extent these can be attributed to the project. This also includes the
following:
Strength of the applicant’s plans for evaluation of the program, which includes
identified project outcomes and plans for continuous quality improvement;
The extent to which the project utilizes existing discipline-specific competencies on
bioterrorism preparedness to measure and evaluate the objectives and outcomes;
Description of the methods that will be used to measure the outcomes of each objective
34
and evaluation of the trainees, training program courses, and drills/exercises;
description of degree to which proposed drills/exercises will be NIMS compliant.
Specification of what data will be collected, the method for collection and the manner
in which data will be analyzed and reported;
Description of the responsibilities of key personnel and the amount of time and effort
required to perform the evaluation activities;
Realistic and attainable timeline is provided; and
Potential effectiveness as evidenced by the outcomes objectives and activities in
relationship to the needs of the professions or populations to be trained.
Criterion 4: IMPACT (0-10 points)
The extent and effectiveness of plans for dissemination of project results and/or the extent to
which project results may be national in scope and/or degree to which the project activities
are replicable, the potential effectiveness and usefulness of the data-sharing plan, and/or the
sustainability of the program beyond the Federal funding. This also includes:
Provision of a plan for dissemination of information and results of the project;
The potential effectiveness of the proposed project in carrying out the educational
purposes of the BTCDP including:
o The number of students, by discipline, proposed to be trained;
o The number of providers, by discipline, proposed to be trained.
Criterion 5: RESOURCES/CAPABILITIES (0-10 points)
The extent to which project personnel are qualified by training and/or experience to
implement and carry out the projects. The capabilities of the applicant organization, and
quality and availability of facilities and personnel to fulfill the needs and requirements of the
proposed project. For competing continuations, past performance will also be considered.
This criterion includes:
A demonstrated ability to coordinate complex programs, e.g., statewide programs
Institutional support and community involvement;
Identified activities and outcomes that are related to the outcome objectives given the
proposed level of staff, resources available, length of the project period and
institutional eligibility;
For Continuing Education: a well qualified staff, well experienced in providing
continuing education for multiple professions;
For Curriculum Development: a well qualified faculty, or a clear plan for faculty
development.
Criterion 6: SUPPORT REQUESTED (0-10 points)
The reasonableness of the proposed budget in relation to the objectives, the complexity of
the activities, and the anticipated results. This also includes the following:
Effective use of funds and resources to carry out the project;
A reasonable budget aligned with the objectives and the scope of the project and
numbers of disciplines and trainees involved;
Specific information that describes the extent and means by which the project plans to
become self-sufficient including other sources of income, the nature of income, future
funding initiatives and strategies.
Criterion 7: SPECIFIC PROGRAM CRITERIA (0-20 points)
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The degree to which the applicant describes a comprehensive, coordinated
multidisciplinary approach to the training of health professionals.
For Continuing Education and Curriculum Development: the degree to which the
applicant describes how the proposed BTCDP curricula/courses relate to the Department
of Homeland Security (DHS) National Response Plan December 2004, specifically the
following Homeland Security Presidential Directives (HSPDs):
a. HSPD-5: National Incident Management System (NIMS)
b. HSPD-8: National Domestic All-Hazards Preparedness Goal
c. HSPD-10: Comprehensive Framework for the Nation’s Biodefense
For Continuing Education: the degree to which the applicant describes how the
proposed BTCDP drills or exercises will be coordinated, where possible, with DHS
drills/exercises or with other Federal, state or local preparedness drills/exercises; the
degree to which strategies for improved trainee performance as a result of the
drills/exercises are built into future trainings offered; and also, the degree to which the
applicant describes proposed drills/exercises that are NIMS compliant.
For Continuing Education: the degree to which the applicant has established working
relationships with HRSA National Bioterrorism Hospital Preparedness Program awardees
and CDC Public Health Preparedness and Response for Bioterrorism Program awardees,
and with other entities that provide emergency preparedness and response training
including, but not limited to, the State Designated Agency for Emergency Preparedness,
the National Health Service Corps, Indian Health Service Centers, Community and
Migrant Health Centers, Public Health Training Centers (PHTCs) and Area Health
Education Centers (AHECs).
For Continuing Education: the applicant adequately describes plans to collaborate
with the Joint Advisory Committee for CDC and HRSA Cooperative Agreements; and
also describes a program advisory board, if one is going to be established;
For Continuing Education: the applicant adequately describes at least three
targeted disciplines/providers, and their interests in preparedness learning activities;
For Curriculum Development: the degree to which the proposal identifies the key
discipline and at least two (2) other disciplines that will be participating in the
curriculum development effort, and the degree to which the curriculum or core
component of the curriculum to be implemented by one school is described. If not a
health professions school, applicants must include in their application the participation
(i.e., through letters of agreement) of such a school to implement the enhanced or
newly developed curriculum. A support letter from the Dean of the school at which
the curriculum for the key discipline will be implemented is required.
For Curriculum Development: the applicant adequately describes the targeted
disciplines interest and institutional support for the curricular change. The degree to
which applicant includes a review of existing curricula on emergency treatment for
chemical exposure and emergency treatment for acute radiation exposure.
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2. Review and Selection Process
The Division of Independent Review is responsible for managing objective reviews within
HRSA. Applications competing for federal funds receive an objective and independent review
performed by a committee of experts qualified by training and experience in particular fields
or disciplines related to the program being reviewed. In selecting review committee members,
other factors in addition to training and experience may be considered to improve the balance
of the committee, e.g., geographic distribution, race/ethnicity, and gender. Each reviewer is
screened to avoid conflicts of interest and is responsible for providing an objective, unbiased
evaluation based on the review criteria noted above. The committee provides expert advice on
the merits of each application to program officials responsible for final selections for award.
3. Anticipated Announcement and Award Dates
The anticipated announcement of the FY 2005 Bioterrorism Training and Curriculum
Development Program awardees will be no later than September 1, 2005.
VI. Award Administration Information
1. Award Notices
Each applicant will receive written notification of the outcome of the objective review
process, including a summary of the expert committee’s assessment of the application’s merits
and weaknesses, and whether the application was selected for funding. Applicants who are
selected for funding may be required to respond in a satisfactory manner to Conditions placed
on their application before funding can proceed. Letters of notification do not provide
authorization to begin performance. The Notice of Grant Award, which is signed by the
Grants Management Officer and is sent to the applicant agency’s Authorized Representative,
is the authorizing document. It will be sent prior to the projected start date of September 1,
2005.
2. Administrative and National Policy Requirements
Successful applicants must comply with the administrative requirements outlined in 45 CFR
Part 74 or 45 CFR Part 92, as appropriate.
HEALTHY PEOPLE 2010
Healthy People 2010 is a national initiative led by HHS that sets priorities for all HRSA
programs. The initiative has two major goals: (1) to increase the quality and years of a
healthy life; and (2) eliminate the nation’s health disparities. The program consists of 28
focus areas and 467 objectives. HRSA has actively participated in the work groups of all the
focus areas, and is committed to the achievement of the Healthy People 2010 goals.
Applicants must summarize the relationship of their projects and identify which of their
programs objectives and/or sub-objectives relate to the goals of the Healthy People 2010
initiative.
37
Copies of the Healthy People 2010 may be obtained from the Superintendent of Documents
or downloaded at the Healthy People 2010 website:
http://www.health.gov/healthypeople/document/.
3. Reporting
The successful applicant under this guidance must:
1. Comply with audit requirements of Office of Management and
Budget (OMB) Circular A-133. Information on the scope,
frequency, and other aspects of the audits can be found on the
Internet at www.whitehouse.gov/omb/circulars;
2. Submit a Payment Management System Quarterly Report. The
reports identify cash expenditures against the authorized funds for
the grant. Failure to submit the report may result in the inability to
access grant funds. Submit report to the:
Division of Payment Management
DPM/FMS/PSC/ASAM/HHS
PO Box 6021
Rockville, MD 20852
Telephone: (301) 443-1660;
3. Submit a Financial Status Report. A financial status report is
required within 90 days of the end of each grant year. The report is
an accounting of expenditures under the project that year;
4. Submit a Progress Report. Grantees must submit an annual
Uniform Progress Report to describe progress in meeting the
objectives stated in the application. To assure accurate data
collection and reporting, the applicant must describe in the
application the methods that will be used to collect and report
performance data. When the infrastructure for data collection is not
in place, the applicant must include a plan with milestones and
target dates to implement a systematic method for collecting,
analyzing and reporting performance information data. The annual
Uniform Progress Reports will enable BHPr to collect and analyze
the data to identify problems, to plan technical assistance, and to
make decisions concerning grant continuation. Reports for grants
and cooperative agreements receiving funds after October 1, 2003
will be submitted on-line. BHPr grantees will access and complete
their reports on the internet using a web-based data entry tool. The
BHPr’s web page address is www.bhpr.hrsa.gov/grants. Once on the
web page, click on Grantee Reports. Due dates for the reports will
be posted on this web page as soon as they are available. Uniform
Progress Reports from new grantees, which cover less than 12
38
months of grant-funded activity, will be used to evaluate progress in
relation to first year milestones stated in the original application.
When current grantees apply for continuation of the grant, they must
submit performance information for the most recent budget period.
VII. Agency Contacts
Applicants may obtain additional information regarding business, administrative, or fiscal
issues related to this grant announcement by contacting:
Attn.: Jamie King
Division of Grants Management Operations
Health Resources and Services Administration
5600 Fishers Lane, Room 11-11
Rockville, MD 20857
Telephone: (301) 443-6686
Email: jking@hrsa.gov
Technical assistance regarding this funding announcement may be obtained by contacting:
Lynn Wegman
Director, DSCPH
BHPr, HRSA
Telephone: (301) 443-1648
Email: lwegman@hrsa.gov
Lou Coccodrilli
Chief, AHEC Branch
DSCPH, BHPr, HRSA
Telephone: (301) 443-1648
Email: lcoccodrilli@hrsa.gov
Marion Aldrich
Program Officer for CT, DC, FL, IN, MD, ME, PR, RI, VA, WI
BHPr, HRSA
Telephone: (301) 443-1118
Email: maldrich@hrsa.gov
Susan Goodman
Program Officer for AZ, CA, KY, MA, MN, NJ, NC, NY, TN, UT
BHPr, HRSA
Telephone: (301) 443-6951
Email: sgoodman@hrsa.gov
David Hanny
Program Officer for AL, DE, GA, KS, MS, OH, OK, PA, SD, TX
BHPr, HRSA
Telephone: (301) 443-0024
39
Email: dhanny@hrsa.gov
Armando Pollack
Program Officer for AR, CO, HI, IL, MO, NH, ND, OR, VT, WV
BHPr, HRSA
Telephone: (301) 443-2981
Email: apollack@hrsa.gov
Barry Stern
Program Officer for AK, ID, IA, LA, MI, MT, NE, NM, NV, SC, WA, WY
BHPr, HRSA
Telephone: (301) 443-6758
Email: bstern@hrsa.gov
VIII. Other Information
A. Technical Assistance Workshops
Technical Assistance Workshops are tentatively planned at the following locations:
Chicago, Illinois; Phoenix, Arizona; Miami, Florida; and Rockville, Maryland.
Additional details, including the specific dates and sites for the workshops, may be obtained
via the web at http://bhpr.hrsa.gov/grants/default.htm. Attendance at the workshops is
optional and at the expense of the participant.
B. Definitions
The following definitions shall apply to the Bioterrorism Training and Curriculum
Development Program for the FY 2005 competing application cycle:
“Academic Health Center” means an institution that includes a school of medicine, a
teaching hospital, and at least one additional health education school (e.g. nursing) which is
owned and/or affiliated with clinical agencies providing for the delivery of patient services.
Each entity generally maintains a separate identity and autonomy.
“Admitted” means the numbers of trainees who have applied and are accepted to the
program.
“Applicant” means the institutional entity for which the grant funds are requested.
“Bioterrorism” and other public health emergencies in this context means those
occurrences, both deliberate and not, that result in human suffering and damage
resulting from exposure to biological, chemical, nuclear, incendiary or explosive
agents.
“Competency” a complex combination of knowledge, skills and abilities
demonstrated by organization members that are critical to the effective and efficient
function of the organization (Nelson, Essien, Latoff, & Wiesner, 1997).
40
Also, a broad composite statement detailing a complex, yet observable, set of
behaviors reflecting components of knowledge, skills and attitudes.
“Competency-based education” is focused on the application of knowledge into
observable outcomes or behaviors and is characterized by greater workplace
relevance.
“Core Competency” The individual skills desirable for the delivery of Essential
Public Health Services. Intended levels of mastery, and therefore learning objectives
for workers within each competency, will differ depending upon their backgrounds
and job duties (Council on Linkages between Academic and Public Health Practice,
2001).
“Cultural Competence” is defined as a set of attitudes, skills, behaviors, and policies that
enable organizations and staff to work effectively in cross-cultural situations. It reflects the
ability to acquire and use knowledge of the health-related beliefs, attitudes, practices and
communication patterns of clients and their families to improve services, strengthen programs,
increase community participation, and close the gaps in health status among diverse
population groups (HRSA/BPHC). Cultural competence also focuses its attention on
population-specific issues including health-related beliefs and cultural values (the
socioeconomic perspective), disease prevalence (the epidemiologic perspective), and
treatment efficacy (the outcomes perspective). Cultural competence can also mean services,
supports, or other assistance that are conducted or provided in a manner that is responsive to
the beliefs, interpersonal styles, attitudes, language and behaviors of individuals who are
receiving services, and in a manner that has the greatest likelihood of ensuring their maximum
participation in the program. (1994 Amendments to P.L. 103-230)
“Disadvantaged” means an individual who: (1) comes from an environment that has
inhibited the individual from obtaining the knowledge, skills, and abilities required to enroll in
and graduate from a health professions school, or from a program providing education or
training in an allied health profession; or (2) comes from a family with an annual income
below a level based on low income thresholds according to family size published by the U.S.
Bureau of the Census, adjusted annually for changes in the Consumer Price index, and
adjusted by the U.S. Bureau of the Census, and adjusted by the Secretary for use in all health
professions programs. (42 CFR 57.1804 I).
“Distance Learning Methodologies” means a continuum of audiovisual media for presenting
educational content. The interaction continuum ranges from television with full-motion video
and audio interaction to interaction with either visual or audio media. The midpoint of this
continuum is the use of computers as an interactive medium for learning.
“Enrollees” mean individuals who have been accepted and actually attend any program.
“Faculty” means those members of the instructional staff employed full-time or part-time or
who volunteer and who provide the curriculum to develop cognitive, psychomotor, and
affective skills inherent in practice to a level of professional competency and, in graduate
education, the development of research capability.
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“Graduates” mean individuals who have successfully completed all educational requirements
for a specified academic program of study or have met the eligibility requirements for full
certification/degree in a designated health profession.
“Health Professional” means an individual who has received a certificate, an associate
degree, a bachelor’s degree, a master’s degree, a doctoral degree, or post-baccalaureate
training, in a field relating to health care, and who shares in the responsibility for the delivery
of health care services or related services.
“Health Professions Schools” means programs that provide education in nursing, community
behavioral and mental health practice, optometry, public health, dentistry, osteopathic
medicine, physicians assistants, pharmacy, podiatric medicine, allopathic medicine,
chiropractic, and allied health professions that leads to an advanced degree which is accredited
by a recognized body or bodies approved for such purposes by the Secretary of Education, or
which provides to the Secretary satisfactory assurance by such accrediting body or bodies that
reasonable progress is being made toward accreditation.
“Multidisciplinary Training” means a planned and coordinated program of education or
training aimed at the preparation of functioning teams of two or more health care practitioners
from across a range of health professions who will coordinate their activities to provide
services to a client or group of clients.
“Local Government” means a local unit of government, including specifically a county,
municipality, city, town, township, local public authority, school district, special district, intra-
State district, council of governments (whether or not incorporated as a nonprofit corporation
under State law), any other regional or interstate entity, or any agency or instrumentality of
local government.
“Medically Underserved Community” as defined in section 799B(6) of the Public Health
Service Act, means an urban or rural area or population that:
(1) is eligible for designations under section 332 of the Public Health Service Act
as a health professional shortage area;
(2) is eligible to be served by a migrant health center (MHC), a community health
center (CHC), a grantee relating to homeless individuals, or a grantee relating
to residents of public housing under section 330 of the PHS Act;
(3) has a shortage of personal health services, as determined under criteria issued
by the Secretary under section 1861(aa)(2) of the Social Security Act (relating
to rural health clinics); or
(4) is designated by a State governor (in consultation with the medical community)
as a shortage area or medically underserved community.
In keeping with the Congressional intent that eligible entities should not be limited to formally
designated Health Professional Shortage Areas (HPSAs) and populations served by CHCs,
MHCs, or homeless health centers, the list of types of practice sites that can be claimed under
this provision has been expanded to include the following:
Mental Health Shortage Areas
Community Health Centers (CHC)
42
Migrant Health Centers (MHC)
Health Care for the Homeless Grantees
Public Housing Primary Care Grantees
Rural Health Clinics, federally designated
National Health Service Corps (NHSC) Sites, freestanding
Indian Health Services (IHS) Sites
Federally Qualified Health Centers
Primary Medical Care Health Professional Shortage Areas (HPSAs) for primary care
physicians and other health personnel except dentists and nurses
Dental HPSAs (facilities and geographic) for dentist only
State or Local Health Departments (regardless of sponsor – for example, local health
departments which are funded by the State would qualify)
Ambulatory practice sites designated by State Governors as serving medically
underserved communities
Note: Information on Community Health Centers, Migrant Health Centers, Health Care for the
Homeless Grantees, Public Housing Primary Care Grantees, National Health Service Corps
Sites, and Health Professional Shortage Areas is available on HRSA’s Web Site under BPHC
Databases on the Internet at http://bphc.hrsa.gov/bphc/INDEX_1.HTM.
“Minority” means an individual whose race/ethnicity is classified as American Indian or
Alaska Native, Asian, Black or African American, Hispanic or Latino, Native Hawaiian or
Pacific Islander.
American Indian or Alaska Native means a person having origins in any of the
original Peoples of North and South America (including Central America), and who
maintains Tribal affiliation or community attachment.
Asian means a person having origin in any of the original peoples of the Far East,
Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China,
India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Asian Subpopulation means any Asian population other than Chinese, Filipino,
Japanese, Korean, Asian Indian, or Thai.
Black or African American means a person having origins in any of the black racial
groups of Africa.
Hispanic or Latino means a person of Cuban, Mexican Puerto Rican, South or Central
American or other Spanish culture or origin regardless of race. The term “Spanish
origin,” can be used in addition to “Hispanic or Latino.”
Native Hawaiian or Other Pacific Islander means a person having origins in any of
the original peoples of Hawaii, Guam, Samoa or other Pacific Islands.
White means a person having origins in any of the original peoples of Europe, the
Middle East, or North Africa.
43
“National of the United States” means an individual who, though not a citizen of the United
States, owes permanent allegiance to the United States, as defined in section 101(a)(22) of the
Immigration and Nationality Act (8 U.S.C. 110 (a)(22)).
“National Incident Management System” (NIMS) is a system mandated by Homeland
Security Presidential Directive (HSPD) 5 that provides a consistent nationwide approach for
federal, state, local and tribal governments; the private-sector and nongovernmental
organizations to work effectively and efficiently together to prepare for, respond to, and
recover from domestic incidents, regardless of cause, size or complexity. To provide for
interoperability and compatibility among federal, state, local and tribal capabilities, the NIMS
includes a core set of concepts, principles, and terminology. HSPD-5 identifies these as the
ICS; multiagency coordination systems; training; identification and management of resources
(including systems for classifying types of resources); qualification and certification; and the
collection, tracking, and reporting of incident information and incident resources. All
drills/exercises in which BTCDP awardees participate shall be NIMS compliant.
“National Response Plan” (NRP) establishes a unified and standardized approach within the
United States for protecting citizens and managing homeland security incidents. The Plan
uses the National Incident Management System (NIMS) to establish standardized training,
organization, and communications procedures for multi-jurisdictional interaction and clearly
identifies authority and leadership responsibilities. The Plan also provides a comprehensive
framework for private and non-profit institutions to plan and integrate their own preparedness
and response activities, nationally and within their own communities.
“Nonprofit” means any school, agency, organization or institution which is a corporation or
association, or is owned and operated by one or more corporations or associations, no part of
the net earnings of which inures, or may lawfully inure to the benefit of any private
shareholder or individual, as defined in Section 801(7) of the PHS Act.
“Organizational Competence” is the collective demonstration of knowledge, skills, and
abilities which optimize individual contribution of professional, technical, and specialized
expertise. It requires communication, coordination, and collaboration within and between all
levels of public health organization. (from The Public Health Competency Handbook,
NAACHO).
“Other Public Health Emergencies” means those occurrences, both intentionally initiated
and not, that result in human morbidity or mortality, resulting from exposure to biological,
chemical, nuclear, incendiary or explosive agents.
“Primary Care” means the provision of integrated, accessible health care services by
clinicians who are accountable for addressing a large majority of personal health care needs,
developing a sustained partnership with patients, and practicing in the context of family and
community.
“Program” means a combination of identified courses and other educational or training
experiences at a specified academic level, the sum of which provides the required
competence(ies) to practice.
44
“Program Completers” mean individuals who have met the didactic and/or clinical
requirements of a structured educational program which does not confer a degree (e.g.,
continuing education, residency, fellowship) designed to improve their knowledge and skills.
Program completers are grouped together by the length of the program completed.
“Project” means all proposed activities, including educational programs, specified or
described in a grant application as approved for funding.
“Recruited” means the individuals that have completed applications to the program of the
applicant.
“Rural” means geographic areas that are located outside of the standard metropolitan
statistical areas.
“State Government” means the government of any of the several States of the United States,
the District of Columbia, the Commonwealth of Puerto Rico, and any territory or possession
of the United States, or any agency or instrumentality of a State exclusive of local
governments. For purposes of PHS grants, federally recognized Indian Tribes are treated the
same way as State governments. State institutions of higher education and State hospitals are
considered non-governmental organizations for purposes of this program.
“Supplant” means to replace or exchange.
“Underrepresented Minority” means with respect to a health profession, racial and ethnic
populations that are underrepresented in the health profession relative to the number of
individuals who are members of the population involved, to include Blacks or African
Americans, American Indians or Alaska Natives, Native Hawaiians or Other Pacific Islanders,
Hispanics or Latinos, and certain Asian subpopulations other than Chinese, Filipino, Japanese,
Korean, Asian Indian or Thai.
“Underserved Areas” means any geographic area and/or population served by any of the
following practice sites:
Community Health Centers (CHCs) (section 330)
Migrant Health Centers (MHCs) (section 330)
Health Care for the Homeless Grantees (section 330)
Public Housing Primary Care Grantees (section 330)
Rural Health Clinics, federally designated (section 1861(aa)(2) of the Social Security
Act)
National Health Service Corps (NHSC) Sites, freestanding (section 333)
Indian Health Service (IHS) Sites (Pub. L. 93-638 for tribal operated sites and Pub. L.
94-437 for IHS operated sites)
Federally Qualified Health Centers (FQHCs) (section 1905(a) and (l) of the Social
Security Act)
Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas
(HPSAs) (designated under section 332)
State or Local Health Departments (regardless of sponsor – for example, local health
departments who are funded by the State would qualify)
45
Ambulatory practice sites designated by State Governors as serving medically
underserved communities
Note: Information on Community Health Centers, Migrant Health Centers, Health Care for
the Homeless Grantees, Public Housing Primary Care Grantees, National Health Service
Corps Sites, and Health Professional Shortage Areas is available on HRSA’s Web Site
under BPHC Databases on the Internet http://www.bphc.hrsa.gov/dsd/.
C. Resource Materials
1. Professional Competencies/Proficiencies Resources
Council on Linkages Between Academia and Public Health Practice (May, 2001). Core
competencies for public health professionals. Available at:
http://www.trainingfinder.org/competencies
Bioterrorism and Emergency Readiness Competencies for ALL Public Health Workers:
Assuring that the nation’s public health workforce is ready to respond to emergencies has been
a key focus of action and research for the past several years. Emergency preparedness training
of public health is being designed to assure that all workers have competencies for effective
response. http://cpmcnet.columbia.edu/dept/nursing/institute-centers/chphsr/btcomps.html
Association of American Medical Colleges: AAMC Issues New Report on Bioterrorism
Education for Medical Students:
http://www.aamc.org/newsroom/bioterrorism/bioterrorismrec.pdf
Developing Objectives, Content, and Competencies for the Training of Emergency
Medical Technicians, Emergency Physicians, and Emergency Nurses to are for
Casualties Resulting From Nuclear, Biological or Chemical (NBC) Incidents: Final
Report. (April 23, 2001) The DHHS Office of Emergency Preparedness entered into a
contract (282-98-0037) with the American College of Emergency Physicians to develop
strategies to prepare Emergency Medical Personnel, specifically EMS providers, Emergency
Physicians and Emergency Nurses to respond to nuclear, biological or chemical incident.
Performance objectives were created by the task force members including representatives of
each target audience and subject matter experts and were extensively reviewed. The objectives
represent the knowledge and skills required for effective incident response. The report in its
entirety can be obtained at: http://www.acep.org/library/pdf/NBCreport2.pdf
Educational Competencies for Registered Nurses Responding to Mass Casualty Incidents
(August 2003) The International Nursing Coalition for Mass Casualty Education with support
from the American Association of Colleges of Nursing developed and validated the mass
casualty nursing competencies. The report can be viewed at:
http://www.aacn.nche.edu/Education/INCMCECompetencies.pdf
Emergency Preparedness and Response for Hospital Workers (July 2003) The Center for
Public Health Preparedness, Mailman School of Public Health, Columbia University with
collaboration from the Greater New York Hospital Association and support from the
Commonwealth Fund have produced a set of Emergency Preparedness competencies for the
46
hospital based worker. http://cpmcnet.columbia.edu/dept/nursing/institute-
centers/chphsr/hospcomps.pdf
2. Healthcare Workforce Resources
National Center for Health Workforce Analysis (NHCWA) assesses the Nation’s supply of
and requirements for health professionals and paraprofessionals and how they are affected by
internal and external changes in the health care system and looks at the trends, issues and
supply and demand projections for 30 health professions. You can find their resources at:
http://bhpr.hrsa.gov/healthworkforce. and http://bhpr.hrsa.gov/healthworkforce/reports
HRSA National Bioterrorism Hospital Preparedness Program Awardees, by State and
CDC Public Health Preparedness and Response for Bioterrorism Program Awardees, by
State
State CDC Bioterrorism Coordinator BT Hospital Preparedness Coordinator
Alabama Ray Sherer Virginia Johns
Director of Operations Hospital Preparedness Coordinator
Center for Emergency Preparedness Center for Emergency Preparedness
Alabama Department of Public Health Alabama Department of Public Health
P.O. Box 303017 P.O. Box 303017
Montgomery, AL 36130-3017 Montgomery, AL 36130-3017
Phone: (334) 206-3394 Phone: (334) 206-3394
Email: rsherer@adph.state.al.us Email: vjohns@adph.state.al.us
Alaska Lisa Harlamert Megan Mayron
BT Coordinator Project Director, Disaster Preparedness
Alaska Department of Health and Social ASHNHA (Alaska State Hospital &
Services Nursing Home Association)
350 Main Street # 503 426 Main Street
P.O. Box 110610 Juneau, AK 99801
Juneau, AK 99811-01610 Phone: (907) 586-1790
Phone : (907) 465-8425 Email: megan@ashnha.com
Email : Lisa_harlamert@health.state.ak.us
Arizona David M. Engelthaler Jane L. Wixted, MSN, MHSA, ANP
Public Health Emergency Office Chief
Preparedness and Response Office Hospital and Community Preparedness and
Arizona Department of Health Services Response
150 N. 18th Ave, Suite 150 Arizona Department of Health Services
Phoenix, Arizona 85007-3237 Division of Public Health Services
Phone: (602) 364-3289 150 N. 18th Avenue
Email: dengelt@hs.state.az.us Suite 150
Phoenix, Arizona 85007-3237
Phone: (602) 364-2472
jwixted@hs.state.az.us
Arkansas Donnie Smith, MED Mr. Donnie Smith
Team Leader Hospital Bioterrorism Coordinator
Bioterrorism Preparedness and Response Arkansas Department of Health
47
Arkansas Department of Health 4815 West Markham, Slot 61
4815 West Markham, Slot 61 Little Rock, AR 72205
Little Rock, AR 72205 Phone: (501) 661-2199
Phone (501) 661-2186 Email: donsmith@HealthyArkansas.com
Email: donsmith@HealthyArkansas.com
California Michael Hughes Jean Iacino
Acting Chief, Emergency Preparedness HRSA Cooperative Agreement Coordinator
Office California Department of Health Services
California Department of Health Services P. O. Box 997413, MS 0002
P. O. Box 997413, MS 7002 Sacramento, CA 95899-7413
Sacramento, CA 95899-7413 Phone: (916) 440-7400
Phone: (916) 650-6416 Email: jiacino@dhs.ca.gov
Email: mhughes@dhs.ca.gov
California – Sharon Grigsby, MBA Kay Fruhwirth
Los Angeles Executive Director Chief of Disaster Management
Bioterrorism Preparedness Program 5555 Ferguson Drive, Suite 220
Los Angeles County Public Health Commerce, CA 90022
241 No. Figueroa, Rm. 208 Phone: (323) 890-7583
Los Angeles, California 90012 kfruwirth@dhs.co.la.ca.us
Phone: (213) 240-8121
Email: sgrigsby@dhs.co.la.ca.us
Colorado Mark D. Estock, MPH Robin K. Koons, PhD
Epidemic Response Coordinator Director, Hospital Preparedness Program
Colorado Department of Public Health Colorado Department of Public Health and
and Environment Environment
4300 Cherry Creek Drive South 4300 Cherry Creek Drive South
Denver, CO 80246-1530 Denver, CO 80246-1530
Phone: (303) 692-2039 Phone: (303) 692-2719
Email:mark.estock@state.co.us Email: robin.koons@state.co.us
Connecticut Mario Garcia MD, MPH Leonard H. Guercia, Jr., EMT-P
Director Director, Office of Emergency Medical
Connecticut Department of Public Health Services
410 Capitol Avenue Department of Public Health
P. O. Box 340308, MS#13COM 410 Capitol Avenue, MS12PHP
Hartford, CT 06134 P.O. Box 340308
Phone: (860) 509-7101 Hartford, CT 06134-0308
Email: mario.garcia@po.state.ct.us Phone : (860) 509-8100
Fax : (860) 509-7987
Email : leonard.guercia@po.state.ct.us
D.C. Thyra Lowe, MCRP Major General Donna Barbisch
Deputy Administrator, BT Coordinator BT Hospital Preparedness Coordinator
Emergency Health and Medical Services DC Department of Health
Administration (EMSA) 825 North Capitol Street NE Room 2115
DC Department of Health Washington, DC 20003
64 New York Avenue, NE, Suite 5000 Phone: (202) 535-1028
Washington, DC 20001 Email: dbarbisch@dchealth.com
Phone: (202) 671-0481
48
Email: tlowe@dchealth.com
Delaware Emily P. Falone, MS Emily P. Falone, MS
Section Chief Section Chief
Public Health Preparedness Section Public Health Preparedness Section
Delaware Division of Public Health Delaware Division of Public Health
Blue Hen Corporate Center, Suite 4-G Blue Hen Corporate Center, Suite 4-G
655 South Bay Road 655 South Bay Road
Dover, DE 19901 Dover, DE 19901
Phone : (302) 744-5450 Phone : (302) 744-5450
Email : Emily.falone@state.de.us Email : Emily.falone@state.de.us
Florida Mark Green Reid Jaffe
Bioterrorism Coordinator Public Health Preparedness Coordinator
Office of Public Health Preparedness Office of Public Health Preparedness
Florida Department of Health Florida Department of Health
4052 Bald Cypress Way Bin A23 4052 Bald Cypress Way Bin A23
Tallahassee, FL 32399-1748 Tallahassee, FL 32399-1748
Phone: (850) 245-4444 x 3217 Phone: (850) 245-4444 x 3393
Email: Mark_green@doh.state.fl.us Email: Reid_Jaffe@doh.state.fl.us
Georgia Lee Smith Dennis Jones
State Emergency Preparedness HCO Preparedness Coordinator
Coordinator Division of Public Health
Division of Public Health Georgia Department of Human Resources
Georgia Department of Human Resources 2 Peachtree Street, 13th Floor
2 Peachtree Street, 13th Floor Atlanta, GA 30303
Atlanta, GA 30303 Phone: (404) 463-0432
Phone: (404) 463-2743 Email: dljones1@dhr.state.ga.us
Email: leesmith@dhr.state.ga.us
Hawaii Bart Aronoff, MPH Donna Maiava, RN
Chief, Bioterrorism Preparedness Branch Emergency Medical Services System
Hawaii State Department of Health Program Manager
1132 Bishop Street, Ste. 1900 Hawaii Department of Health
Honolulu, HI 96813 3627 Kilauea Avenue, Rm 102
Phone: (808) 587-6597 Honolulu, HI 96816-2317
Cell: (808) 368-3350 Phone: (808) 733-9210
Email: baronoff@health.state.hi.us Email :
dmmaiava@camhmis.health.state.hi.us
Idaho Angela Wickham, MPA Jane S. Smith, RN
Health Policy Supervisor Executive Director
Health Preparedness Program Public Health Preparedness Program
Bureau of Health Policy and Vital Idaho Department of Health and Welfare
Statistics 450 West State Street
450 W. State Street, First Floor P.O. Box 83720-0036
PO Box 83720 Boise, Idaho 83720
Boise, Idaho 83720-0036 Phone : (208) 334-5932
Phone: (208) 334-6553 Email : smithj2@idhw.state.id.us
Email: wickhama@idhw.state.id.us
Illinois Donald Kauerauf Leslee Stein-Spencer
49
Chief, Division of Emergency Chief, Division of Emergency Medical
Preparedness and Response Services
Office of Public Health and Emergency Office of Public Health and Emergency
Preparedness Preparedness
Illinois Department of Public Health Illinois Department of Public Health
535 West Jefferson Street, 5th Floor 525 West Jefferson Street, 3rd Floor
Springfield, IL 62761 Springfield, IL 62761
Phone: (217) 782-9224 Phone: (217) 782-3984
24-hour: (217) 782-7860 Email: lstein@idph.state.il.us
Email: dkauerau@idph.state.il.us
Illinois – Pamela Diaz, MD Dawn Anthony
Chicago Medical Director
Chicago Department of Public Health Chicago Department of Public Health
West Side Center for Disease Control DePaul Center
333 S State Street, Room 200 333 South State Street, Room 200
Chicago, IL 60604 Chicago, IL 60604
Phone: (312) 746-4682 Phone: (312) 747-9385
Email: Diaz_Pamela@cdph.org Email: anthony_dawn@cdph.org
Indiana Roland Gamache, PhD, MBA John A. Braeckel, MS
Director, Public Health Preparedness and Director, Hospital Preparedness Planning
Emergency Response Indiana State Indiana State Department of Health
Department of Health Two North Two North Meridian Street, Section 6-F
Meridian Street, Section 6-F Indianapolis, Indianapolis, IN 46204-3006
IN 46204-3006 Phone: (317) 233-7365
Phone : (317) 234-1335 Fax: (317) 234-2814
Fax : (317) 233-7873 Email: jbraecke@isdh.state.in.us
Email : rgamache@isdh.state.in.us
Iowa Jami Haberl Mary J. Jones, PS
Management Officer Director
Office of Disease Epidemiology & Division of Epidemiology, EMS and
Disaster Disaster Operations
Iowa Department of Public Health Iowa Dept. of Public Health
321 E. 12th St., Lucas Bldg, 6th Floor 321 E. 12th Street
Des Moines, IA 50319-0075 Lucas State Office Bldg.
Phone : (515) 242-6376 Des Moines, IA 50319-0075
Email : jhaberl@idph.state.ia.us Phone: (515) 281-4355
mjones@idph.state.ia.us
Kansas Ms. Mindee Reece Dan Leong
Bioterrorism Program Director Project Director, Emergency Preparedness
Kansas Department of Health and 215 Southeast 8th Avenue
Environment P.O. Box 2308
Division of Health Topeka, Kansas 66601-2308
1000 SW Jackson, Suite 210 Phone: (785) 233-7438
Topeka, KS 66612-1274 Email: dleong@kha-net.org
Phone: (785) 296-0201
Email: mreece@kdhe.state.ks.us
Kentucky Charles Kendell, Manager Charles Kendell, Manager
50
BT Coordinator BT Coordinator
Division of Epidemiology Division of Epidemiology
Department for Public Health Department for Public Health
275 East Main MS HS 1EB 275 East Main MS HS 1EB
Frankfort, KY 40601 Frankfort, KY 40601
Phone: (502) 564-9592 ext. 3538 Phone: (502) 564-9592 ext. 3538
Email: charles.kendell@ky.gov Email: charles.kendell@ky.gov
Louisiana Nancy Bourgeois Rosanne Prats, MHA
Director, BT Preparedness and Director, Emergency Preparedness
Emergency Response Louisiana Department of Health and
Louisiana Department of Health and Hospitals
Hospitals 1201 Capitol Access Road, Bin 2
Office of Public Health Baton Rouge, LA 70821
8919 World Ministry Avenue Phone: (225) 342-3417
Baton Rouge, LA 70821 Email: rprats@dhh.la.gov
Mailing: 6867 Bluebonnet Blvd.
Baton Rouge, LA 70810
Phone: (225) 763-3535
Email: nbourgeo@dhh.la.gov
Maine Paul Kuehnert, RN, MPH Thomas Patenaude
Director, Division of Disease Control Director, Division of Disease Control
Interim Director of Public Health Interim Director of Public Health
Preparedness Preparedness
Maine Bureau of Health Maine Bureau of Health
Key Plaza 9th Floor, 11 State House Key Plaza 9th Floor, 11 State House Station
Station Augusta, ME 04333-0011
Augusta, ME 04333-0011 Phone: 207-287-3288
Phone: (207) 287-5179 Email: thomas.patenaude@state.me.us
Email: paul.kuehnert@state.me.us
Marshall Justina Langidrik, MPH
Islands Secretary, Department of Health
P.O. Box 16
Majuro, MH 96960
Phone: (692) 625-3432
Email: jusmohe@ntamar.com
Email: rmimohe@ntamar.com
Maryland Julie Ann P. Casani, MD, MPH Julie Ann P. Casani, MD, MPH
Director of Office Preparedness and Director of Office Preparedness and
Response Response
Maryland Department of Health and Maryland Department of Health and
Mental Hygiene Mental Hygiene
Room 321 B DHMH Room 321 B DHMH
201 West Preston 201 West Preston
Baltimore, MD 21201 Baltimore, MD 21201
Phone: (410) 767-6682 Phone: (410) 767-6682
Email: jcasani@dhmh.state.md.us Email: jcasani@dhmh.state.md.us
Massachusetts Pejman Talebian Nancy Ridley, MS
51
Acting Director, Division of Assistant Commissioner
Epidemiology and Immunization Department of Public Health
Bureau of Communicable Disease Control Bureau of Health Quality Management
Massachusetts Dept. of Public Health 250 Washington Street, 2nd Floor
305 South Street, Rm 557 & 203C Boston, MA 02108
Jamaica Plain, MA 02130 Phone : (617) 624-5280
Phone: (617) 983-6800 Email : nancy.ridley@state.ma.us
Email: pejman.talebian@state.ma.us
Michigan Karen MacMaster, MPA Linda Scott, RN, BSN, CIC
Program Administrator Bioterrorism Hospital Coordinator
Michigan Department of Community Michigan Department of Community
Health Health
Office of Public Health Preparedness Office of Public Health Preparedness
3423 N. Martin Luther King, Jr Blvd. 3423 N. Martin Luther King, Jr. Blvd
P.O. Box 30195 P.O. Box 30195
Lansing, MI 48909 Lansing, MI 48909
Phone: (517) 335-8150 Phone: (517) 335-8284
Pager : (517) 309-0299 Email: scottlin@michigan.gov
Email : macmasterkar@michigan.gov
Minnesota Robert Einweck Robert Einweck
Director, Office of Emergency Director, Office of Emergency
Preparedness Preparedness
Minnesota Department of Health Minnesota Department of Health
85 East Seventh Place, Suite 300 85 East Seventh Place, Suite 300
P.O. Box 64882 P.O. Box 64882
St. Paul, MN 55164-0882 St. Paul, MN 55164-0882
Office Phone: (651) 281-9963 Office Phone: (651) 281-9963
Fax: (651) 215-8895 Fax: (651) 215-8895
Email: robert.einweck@health.state.mn.us email: robert.einweck@health.state.mn.us
Mississippi Jim Craig Joyce Pearson, RN, MSN
Director, Office of Health Protection Program Manager for Bioterrorism
Mississippi State Department of Health Preparedness
570 East Woodrow Wilson Mississippi Hospital Association
Jackson, MS 39216 P.O. Box 16444
Phone: (601) 576-7680 6425 Lakeover Drive 39213
Email: jcraig@msdh.state.ms.us Jackson, MS 39236
Phone: (601) 368-3228
Email: jpearson@mhanet.org
Missouri Pamela Rice Walker, MPA Cathy Hedlock
Director, Center for Emergency Response Hospital Preparedness Coordinator
and Terrorism Missouri Department of Health and Senior
Missouri Department of Health and Senior Services
Services 912 Wildwood
912 Wildwood Jefferson City, MO 65109
Jefferson City, MO 65109 Phone: (573) 526-4768
Phone: (573) 526-4768 Email : hadlock@dhss.mo.us
Email : walkep@dhss.state.mo.us
Montana Sally Johnson, J.D. Dayle Perrin, M.D.
52
Emergency Preparedness Manager for the Hospital Bioterrorism Coordinator
Montana Department of Public Health and Emergency Preparedness Section
Human Services Montana Department of Public Health &
Montana Department of Public Health & Human Services
Human Services 1400 Broadway, Room C-216
1400 Broadway, Room C-216 Helena, MT 59620
Helena, MT 59620 Phone: (406) 444-3898
Phone: (406) 444-4016 Email: dperrin@state.mt.us
Email: sajohnson@state.mt.us
Nebraska Joann Schaefer, MD John L. Roberts
Deputy Chief Medical Officer Coordinator, Nebraska Hospital
Nebraska Department of Health and Preparedness Program
Human Services 3453 Cape Charles Rd West
301 Centennial Mall South, P.O. Box Lincoln, NE 68516
95007 Phone: (402) 421-2356
Lincoln, NE 68509-5007 Email: Jroberts@mwhc-inc.com
Phone : (402) 471-8566
Email : joann.schaefer@hhss.state.ne.us
Nevada Cherrill Cristman, Coordinator Christopher Lake
Public Health Preparedness Program BT Hospital Preparedness Coordinator
Nevada State Health Division Nevada Hospital Association
505 E. King Street #201 5250 Neil Road, Suite 302
Carson City, NV 89701 Reno, NV 89502
Phone: (775) 684-4212 Phone: (775) 827-0184
Email: ccristman@nvhd.state.nv.us Email: chris@nvha.net
New Hampshire Jennifer Harper Curtis Metzger
Chief, Health and Medical Section Hospital Emergency Preparedness Planner
NH Department of Safety NH Department of Safety
Bureau of Emergency Management Bureau of Emergency Management
33 Hazen Drive 33 Hazen Drive
Concord, NH 03305 Concord, NH 03305
Phone: (603) 271-2231 Phone: (603) 271-2231
Email : jharper@nhoem.state.nh.us Email : cmetzger@nhoem.state.nh.us
New Jersey Mark A. Guarino Carol Ann Genese
Executive Director Coordinator, BT Surveillance & Epidemiologic
Office of Public Health Preparedness Response
NJ Department of Health and Senior Services New Jersey Department of Health and Senior
P.O. Box 360 Services
Trenton, NJ 08625-0360 Division of Epidemiology, Environmental and
Phone: (609) 984-5652 Occupational Health Services
Email: mark.guarino@doh.state.nj.us e. Quakerbridge Road, P.O.
Box 369
Trenton, NJ 08625
Phone : (609) 588-7500
Email : carol.genese@doh.state.nj.us
New Mexico Stuart Castle, MPH Jim Pettyjohn, RN
Program Manager Injury Prevention and State Trauma Resource
Public Health Emergency Preparedness Unit Nurse and
Office of Epidemiology, Public Health Health Systems Emergency Preparedness and
Division Response Planning Program Coordinator
53
New Mexico Department of Health Injury Prevention and EMS Bureau
2500 Cerrillos Rd. Public Health Division
Santa Fe, NM 87505 New Mexico Department of Health
Phone: (505) 827-0083 2500 Cerrillos Rd.
24 hr. Emergency Number: (505) 827-0006 Santa Fe, NM 87505
Email : stuartc@doh.state.nm.us Phone: (505) 476-7714
24 hr. Emergency Number: (505) 827-0006
Email : jpettyjohn@doh.state.nm.us
New York Robert L. Burhans Judy Faust
Director, Public Health Preparedness and BT Hospital Preparedness Coordinator
Response New York State Department of Health
New York State Department of Health Hedley Building, First Floor
Tower Building, ESP, Room 557 433 River Street, Troy, New York 12180-2299
Albany, New York 12237 Phone : (518) 408-5163
Phone : (518) 474-2893 Email : JAF15@health.state.ny.us
Email : rlb04@health.state.ny.us
New York – Karen K. Tsai Dr. Debra Berg
New York City Preparedness Grant Program Manager Phone: (212) 442-8438
Bureau of Emergency Management Email: dberg@health.nyc.gov
NYC Department of Health & Mental
Hygiene
Phone:
Cell: (347) 672-4794
North Carolina James W. Kirkpatrick, MD, MPH Holi Hoffman
Bioterrorism Coordinator BT Hospital Preparedness Coordinator
North Carolina Department of Health and North Carolina Department of Health and
Human Services Human Services
Office of Public Health Preparedness and Office of Emergency Medical Services
Response Division of Facilities Services
Division of Public Health 2707 Mail Service Center
1902 Mail Service Center Raleigh, NC 27699-2707
Raleigh, NC 27699-1902 Phone: (919) 855-3938
Phone: (919) 715-6734 OR (919) 715-0919 Email:
Email: jim.kirkpatrick@ncmail.net
North Dakota Tim Wiedrich, MS Brenda Vossler
Division of BT Preparedness and Response 600 East Boulevard Avenue
600 East Boulevard Avenue Bismarck, ND 58505-0200
Bismarck, ND 58505-0200 Phone: 701-328-2748
Phone: (701) 328-2270 Email: bvossler@state.nd.us
Email: twiedric@state.nd.us
Ohio Steve Wagner, MPH, JD Steve Wagner, MPH, JD
Chief of the Bureau of Environmental Health Chief of the Bureau of Environmental Health
Division of Prevention Division of Prevention
Ohio Department of Health Ohio Department of Health
246 N High Street, Columbus, Ohio 43215 246 N High Street, Columbus, Ohio 43215
P.O. Box 118 P.O. Box 118
Columbus, OH 43215 Columbus, OH 43215
Phone: (614) 466-0281 Phone: (614) 466-0281
Email: swagner@gw.odh.state.oh.us Email: swagner@gw.odh.state.oh.us
Oklahoma Shawna McWaters-Khalousi, MS Julie Cox-Kain
Director, Bioterrorism Preparedness Division ????
Acute Disease Service Acute Disease Service
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Oklahoma State Department of Health Oklahoma State Department of Health
1000 N.E.10th Street OSDH Building Room 605
Oklahoma City, OK 73117 1000 NE 10th Street
Phone: (405) 271-4060 Oklahoma City, OK 73117-1299
Email: ShawnaM@health.state.ok.us Phone: (405) 271-3272
Email: juliek@health.state.ok.us
Oregon Michael McGuire, Section Manager Harvey R. Crowder
Public Health Preparedness Program ????
Office of the State Public Health Officer Oregon Department of Human Services, Health
Department of Human Services Services
800 N.E. Oregon St., Suite 930 Office of Health Planning and Community
Portland, OR 97232 Relations
Telephone: (503) 872-6756 Public Health Preparedness Section
Email: michael.r.mcguire@state.or.us 800 NE Oregon Street, Suite 360
Portland, OR 97232
Phone: (503) 731-4002
Email: harvey.crowder@state.or.us
Pennsylvania Michael Huff, RN Martin Singer, MPH
Director, Bureau of Community Health Coordinator, Hospital Bioterrorism
Systems Preparedness
Acting Director, Office of Public Health Office of Public Health Preparedness
Preparedenss Pennsylvania Department of Health
Pennsylvania Department of Health P.O. Box 90
P.O. Box 90 Harrisburg, PA 17108
Harrisburg, PA 17108 Phone: (717) 346-0640
(717) 787-4366 Email: marsinger@state.pa.us
mhuff@state.pa.us
Puerto Rico Dennis Lopez Rosaria Angeles Rodriguez (email bounced
Director back)
Calle Casia #2 Phone: (787) 274-3338
Bo. Monacillo Email: anrodriguez@salud.gov.pr
San Juan, Puerto Rico 00921
Phone: (787) 773-0600
Email: dlopez@salud.gov.pr
Rhode Island Gregory Banner Donald Williams
Emergency Planner Associate Director, Health Services
Rhode Island Department of Health Regulations
3 Capitol Hill, Room 209 Rhode Island Department of Health
Providence, RI 02908 3 Capitol Hill, Room 401
Phone: (401) 222-6868 Providence, RI 02908
Email: gregoryb@doh.state.ri.us Phone: (401) 222-6015
Email: donw@doh.state.ri.us
South Carolina Dan Drociuk, MT(ASCP), MSPH G. Thomas Fabian, M.D.
Director, Bioterrorism Surveillance and HRSA Hospital Preparedness Coordinator
Response Program South Carolina Hospital Association
South Carolina Department of Health and 1751 Calhoun Street, Columbia, SC 29201
Environmental Control Mills Building, P.O. Box 10106
Bureau of Disease Control West Columbia, SC 29211
Division of Acute Disease Epidemiology Phone: (803) 898-0861
1751 Calhoun Street, Columbia, SC 29201 Email: fabiangt@dhec.sc.gov
Mills Building, P.O. Box 10106
West Columbia, SC 29211
Phone: (803) 898-0861
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Email: drociukd@dhec.sc.gov
South Dakota Bill Chalcraft LaJean Volmer
South Dakota Department of Health South Dakota Department of Health
Division of Health Systems Development and Division of Health Systems Development and
Regulation Regulation
Office of Public Health Preparedness and Office of Public Health Preparedness and
Response Response
600 East Capitol Avenue 600 East Capitol Pierre, SD 57501
Pierre, SD 57501 Phone: (605) 773-7593
Phone: (605) 773-3907 Email : lajean.volmer@state.sd.us
Email : bill.chalcraft@state.sd.us
Tennessee Robb L. Garman, MPH Kenneth Palmer
Tennessee Department of Health Program Director
Communicable and Environmental Disease Hospital Bioterrorism Preparedness
Services Tennessee Department of Health
425 5th Ave North Bureau of Health Services
4th Floor, Cordell Hull Bldg. 425 5th Avenue North
Nashville, TN 37247-4911 5th Floor, Cordell Hull Bldg.
Phone : (615) 532-8507 Nashville, TN 37247-4911
Email : robb.garman@state.tn.us Phone : (615) 741-1915
Email : kenneth.palmer@state.tn.us
Texas Julie Rawlings Ron Hilliard, RN, LP
Deputy State Epidemiologist Manager, Bioterrorism Hospital Preparedness
Center for Public Health Preparedness and Program
Response Center for Public Health Preparedness and
Texas Department of Health Response
1100 West 49th Street Texas Department of Health
Austin, TX 78756 1100 West 49th Street
Phone: (512) 458-7228 Austin, Texas 78756-3199
Email: julie.rawlings@tdh.state.tx.us Phone: (512) 458-7111 x6790
Email: ron.hilliard@tdh.state.tx.us
Utah Brian Garrett Lloyd Baker
Director of Bioterrorism Planning and Bioterrorism Program Manager-HRSA
Response Bureau of Emergency Medical Services
Utah Department of Health 288 North 1460 West
288 N 1460 W P.O. Box 142004
Salt Lake City, Utah 84116 Salt Lake City, Utah 84114-2004
Phone: (801) 538-6471 Phone: (801) 538-6807
Cell: (801) 550-0398 Email: lloydbaker@utah.gov
Email: bgarrett@utah.gov
Vermont Lynne Dapice, MS, RN Ellen B. Thompson
Bioterrorism Grant Coordinator Public Health Planning Chief
Vermont Department of Health Vermont Department of Health
108 Cherry St, P.O. Box 70 Division of Health Improvement
Burlington, VT 05402-0070 108 Cherry Street, P.O. Box 70
Phone: (802) 865-7708 Burlington, VT 05402
Email: ldapice@vdh.state.vt.us Phone: (802) 863-7606
Email: ethomps@vdh.state.vt.us
Virginia Robert Mauskapf, MPA Richard Niedermayer
Colonel, USMC (ret) Business Manager
State Emergency Planning Coordinator Virginia Department of Health
Virginia Department of Health 1500 East Main Street, Room 218
1500 East Main Street, Room 218 Richmond, VA 23219
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Richmond, VA 23219 Phone: (804) 371-4049
Phone: (804) 225-2318 Email: rniedermayer@vdh.state.va.us
Cell: (804) 840-6129
Email: rmauskapf@vdh.state.va.us
Washington John Erickson, Director Norman Fjosee, Coordinator
Public Health and Hospital Emergency Hospital Emergency Preparedness and
Preparedness and Response Program Response Program
Washington State Department of Health Public Health and Hospital Emergency
P.O. Box 47890 Preparedness and Response Program
Olympia, WA 98504-7890 Washington State Department of Health
Phone: (360) 236-4033 P.O. Box 47890
Email: john.erickson@doh.wa.gov Olympia, WA 98504-7890
Phone: (360) 236-4624
Email: norm.fjosee@doh.wa.gov
West Virginia Ms. Terry Shorr Mark E King
West Virginia Bureau for Public Health Director, Office of Emergency Medical
Office of the Commissioner Services
350 Capitol St. Room 125 West Virginia Bureau for Public Health
Charleston, WV 25301 350 Capitol St., Room 515
Phone: (304) 558-2971 Charleston, WV 25301-3716
Email: terryschorr@wvdhhr.org Phone: (304) 558-3956
Email: markking@wvdhhr.org
Wisconsin Steven A. Marshall, MS Dennis Tomczyk
Bioterrorism Coordinator Hospital Preparedness Coordinator
Wisconsin Department of Health and Family Wisconsin Department of Health and Family
Services Services
Division of Public Health Division of Public Health
1 West Wilson Street, Room 250 1 West Wilson Street, Room 318
Madison, WI 53701 Madison, WI 53071
Phone: (608) 266-9783 Phone: (608) 266-3128
Email: marshs@dhfs.state.wi.us Email: tomczdj@dhfs.state.wi.us
Wyoming James McCameron James D. McKinna
Bioterrorism Program Manager BT Hospital Preparedness Coordinator
State of Wyoming Wyoming Department of Health
Department of Health Preventive Health and Safety Division
Hathaway Building 2300 Capitol Avenue
2300 Capitol Avenue Cheyenne, WY 82002
Cheyenne, WY 82002-0480 Phone: (307) 631-3113
Phone : (307) 777-5778 Email: jmckin1@state.wy.us
Email : JMCCAM@state.wy.us
3. Guidelines
Office of Domestic Preparedness – at the Department of Justice has issued “EMERGENCY
RESPONDER GUIDELINES,” which includes EMS personnel. Available at:
http://www.ojp.usdoj.gov/odp/docs/EmergencyRespGuidelinesRevB.pdf.
Centers for Public Health Preparedness, Disease Control and Prevention – “Bioterrorism
and Emergency Readiness: Competencies for all Public Health Workers” These
competencies build on the core emergency preparedness competencies developed by
the Center for Health Policy in 2000 and have been used by the Mailman School of
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Public Health Center for Public Health Preparedness and other preparedness centers in
their training activities. Available at: http://www.nursing.hs.columbia.edu/institute-
centers/chphsr/btcomps.pdf.
4. Bioterrorism and Other Disaster Training Centers
Clara Barton Center for Domestic Preparedness – A center of the American Red Cross
Noble Training Center – Noble Army Hospital at Fr. McClellan, Alabama
Trains doctors, nurses, paramedics and emergency Medical technicians to recognize and
treat patients with chemical exposures and other public health emergencies. A training
program has been developed for pharmacists working with distribution of the National
Pharmaceutical Stockpile.
5. Training Courses/Curriculum
FEMA – Integrated Emergency Management Course (IEMC). CDC and FEMA have been
working to expand the scope of FEMA’s Integrated Emergency Management Course
(IEMC) which will serve as a vehicle to integrate the emergency management and
health community response efforts in a way that has not been possible in the past. The
website for further information is: http://training.fema.gov/emiweb/ntc/.
NDMS Response Team Training Program – The goal of this program is to ensure that all
National Disaster Medical System team members will have appropriate orientation
and training for optimal in-field performance. This on-line training program allows
team members to receive training as their schedule permits from any computer that
has Internet access. Content has been developed by a functional working group of
response team members under the guidance of the DHHS Office of Emergency
Preparedness. This group has identified subject matter experts who contribute to
course development. Assessment tools verify competency and completion of each
module. http://ndms.dhhs.gov/.
Association of State and Territorial Directors of Health Promotion and Public Health
Education – http://www.astdhpphe.org Model Emergency Response
Communications Planning for Infectious Disease Outbreaks and Bioterrorist Events.
2nd Ed. October 2001. This second edition is intended for a diverse group of state and
local public health and emergency response officials whose efforts must be
coordinated on short notice to contain a deliberately planned or naturally occurring
infectious disease outbreak. The model provides a framework for communications
among public health officials, between health officials and other emergency response
players, and directly with the public and the media. The model addresses several
important areas including situation and assumptions, operational guidelines, and
organizations and assignment of responsibilities. $29.95
American Hospital Association –
http://www.aha.org/aha/key_issues/disaster_readiness/index.html. Information on
dealing with various aspects of mass casualty terrorism, including readiness resources,
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education and training, and relevant government, academic, and private and
professional organizations links.
American Medical Association - “Disaster preparedness and medical response.”
http://www.ama-assn.org/ama/pub/category/6206.html Frequently updated site that
provides resources on disaster preparedness and medical response including news,
physician resources, national and state resources, psychosocial resources, and an
index of bioterrorism resources. Also has link to 10-part series of web-based
educational programs on the clinical, psychosocial, and disaster preparedness issues
raised by acts of terrorism.
Centers for Disease Control and Prevention, National Pharmaceutical Stockpile –
“Receiving, Distributing, and Dispensing the National Pharmaceutical
Stockpile(NPS): A Guide for Planners.” Version 9-Draft, April 2002. This training
resource was written primarily for state and local planners so they can understand the
NPS Program and create detailed local plans for distributing the NPS resources as
needed to hospitals to treat the sick – and to other locations to protect the well. It is
anticipated that it will also be useful to senior federal, state, and local leadership to
help them understand what their plans for distributing the NPS must contain so they
can determine what they need to do to prepare for a future event. For further
information, contact Stephan G. Reissman, PhD, CEM, at (404) 639-0459 or
smr8@cdc.gov.
Centers for Disease Control and Prevention – “Public health emergency preparedness and
response.” http://www.bt.cdc.gov This site on public health emergency preparedness
and response to biological, chemical or radiological terrorism is organized by type of
agents and threats as well as by such site topics as preparation and planning,
emergency response, laboratory information, surveillance, and training. In addition, it
provides links to related resources both inside and outside the CDC.
Center for the Study of Bioterrorism and Emerging Infections – Saint Louis University.
Center for the Study of Bioterrorism - Saint Louis University, School of Public
Health. Links to various activities and publications of the Center, whose mission is to
provide public health and healthcare facilities with the tools needed for preparedness,
response, recovery, and mitigation of intentional or naturally occurring outbreaks.
Includes fact sheets, current news, congressional testimony, case studies,
bibliographies, and links to relevant resources.
Department of Defense, U.S. Army Soldier and Biological Chemical Command.
Homeland Defense – http://hld.sbccom.army.mil/ Dec. 2001. The Homeland Defense
Program integrates the critical elements of WMD Installation Preparedness,
[Bioterrorism] Improved Response, and Technical Assistance upon the solidly proven
foundation of the Domestic Preparedness Program. Using the “Site Map,” select
Improved Response Program under Products & Services. Toward the bottom of that
page, you will find the link to Biological Weapons Improved Response Program. In
addition to these training resources, “Reports,” this organization provides fee-for-
service training to enhance the capabilities of federal, state, and local emergency
responders.
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Federal Emergency Management Agency – Guide for all-hazard emergency operations
planning. State and Local Guide (SLG) 101. Sep. 1996 & updates.
http://www.fema.gov/. This guide provides emergency managers and other
emergency services personnel with information on FEMA’s concept for development
risk-based, all-hazard emergency operations plans. It includes a May 11, 2001,
attachment on terrorism to aid state and local emergency planners in developing and
maintaining a Terrorist Incident Appendix to an Emergency Operations Plan for
incidents involving terrorist-initiated weapons of mass destruction.
HazMat/Decon Task Force (Sacramento, CA) – “Hazmat for healthcare.”
http://www.hazmatforhealthcare.org . Program is designed for hospitals and related
organizations to create and/or improve their hazardous materials emergency response
programs for both internal spills and managing contaminated patients. Modules on
awareness, operation’s foundation, personal protective equipment, and
decontamination can be downloaded free of charge.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) – Emergency
preparedness consultation and custom education. http://www.jcaho.org/. The Joint
Commission Resources of JCAHO offers consultation and custom education services
on emergency preparedness and bioterrorism.
Johns Hopkins University. Center for Civilian Biodefense Strategies –
http://www.hopkins-biodefense.org A comprehensive website dedicated to informing
policy decisions and promoting practices that help prevent the development and use of
biological weapons and should prevention fail, lessen the death and suffering that
would result. Current information including educational and policy resources.
National Academies Press. Responding First to Bioterrorism – http://www.nap.edu/.
Expertly-selected web resources for First Responders on bioterrorism and public
safety. Includes 18 Training Programs; three online training sites; and one database of
National Emergency Managers Association Listing of Training Programs, a state-by-
state catalog of training programs for emergency response to terrorism. The online
courses include the American Board of Quality Assurance and Utilization Review
Physician’s “Online Course” in bioterrorism for doctors and nurses.
Public Health Foundation – http://trainingfinder.org Clearinghouse of distance learning
courses on a variety of topics, including 92 courses on bioterrorism/emergency
preparedness. One central website provides public health professionals of all
disciplines with a comprehensive database of distance learning opportunities. The site
provides information to assess and meet the development needs of the public health
workforce, while further advancing state-of-the-art training and utilization of public
health competencies. Prices vary.
Public Health Grand Rounds – “Bioterrorism: implications for public health.”
http://www.publichealthgrandrounds.unc.edu/. Nov. 15, 2001. Provides links to a
variety of bioterrorism resources, including viewable webcasts, online books, and
selected CDC resources.
60
The Maryland Institute for Emergency Medical Services Systems (MIEMSS) –
http://miemss.umaryland.edu/. The WMD Response Plan includes best practices for
health care organizations (hospitals, public health, emergency medical services, and
health care providers) and specific tasks and preparation actions that these and other
health care system partners should implement in Maryland and are applicable in other
states and territories.
American Medical Association – Bioterrorism Resources for the Physician. The Center
for Disaster Preparedness and Emergency Response offers information on
Bioterrorism, Anthrax, Smallpox, and other bioterrorism agents on their web site and
in the AMA’s Bioterrorism Agents Quick Reference Guide. Frequently updated site
that provides resources on disaster preparedness and medical response including
news, physician resources, national and state resources, psychosocial resources, and
an index of bioterrorism resources. Also has link to 10-part series of web-based
educational programs on the clinical, psychosocial, and disaster preparedness issues
raised by acts of terrorism. In partnership with four major medical centers, the AMA
established the National Disaster Life Support (NDLS) training program to better
prepare health care professionals and emergency response personnel for mass casualty
events.
American Red Cross – “American Red Cross materials dealing with terrorism and
unexpected events.” http://www.redcross.org/pubs/dspubs/terrormat.html
Information on how to prepare for disasters, as well as how to cope with the
emotional and physical reactions to disasters.
Primary Care Physicians – Diagnosis of smallpox, anthrax and other Bioterrorism-
Related Infections. The Bioterrorism and Emerging Infection Education web site is
sponsored by the Agency for Health Research and Quality (AHRQ) of the Department
of Health and Human Services. It is directed toward the estimated 265,000 primary
care physicians across the country to enhance their ability to diagnose and treat rare
infections and exposures to bioterrorism agents, such as smallpox and anthrax. The
site was prepared by the University of Alabama at Birmingham under a contract from
AHRQ. It offers five online courses for hospital emergency department physicians,
nurses, radiologists, pathologists and infection control practitioners. Courses cover
identification of potential bioterrorism agents, including smallpox and anthrax and
commonly associated syndromes.
U.S. Army. Medical Research Institute of Infectious Diseases – USAMRIID's Medical
Management Of Biological Casualties Handbook Fifth Edition, August 2004.
Intended for the health care provider on the front lines, this resource provides basic
summary and treatment information in the prophylaxis and management of biological
casualties. It includes effective countermeasures available against many of the
bacteria, viruses, and toxins which might be used as biological weapons.
U.S. Army Medical Research Institute of Infectious Diseases – Department of Defense.
U.S. Army Courses on medical management of biological agents. As the Department
of Defense’s lead laboratory for medical aspects of biological warfare defense, the
U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) conducts
research to develop vaccines, drugs and diagnostics for laboratory and field use. In
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addition to developing medical countermeasures, USAMRIID formulates strategies,
information, procedures, and training programs for medical defense against biological
threats. USAMRIID’s Medical Management Of Biological Casualties Handbook Fifth
Edition, August 2004, is intended for the health care provider on the front lines. This
resource provides basic summary and treatment information in the prophylaxis and
management of biological casualties. It includes effective countermeasures available
against many of the bacteria, viruses, and toxins which might be used as biological
weapons.
Agency for Toxic Substance and Disease Registry: www.atsdr.cdc.gov
The American Society of Professional Emergency Planners –
http://www.iprimus.ca/tmhealth/index.htm Bioterrorism Learning Center
http://bioterrorism.digiscript.com
Centers for Disease Control and Prevention – public health emergency preparedness and
response site www.bt.cdc.go
Food and Drug Administration Bioterrorism –
http://www.fda.gov/oc/opacom/hottopics/bioterrorism.html
U.S. Public Health Service, Office of Emergency Preparedness
Web-Based Training Modules: CCRF
http://ccrf.umbc.edu/
http://oep.osophs.dhhs.gov/ccrf/training.htm
http://www.training.fema.gov/
http://oep.osophs.dhhs.gov/ccrf/training.htm
http://oepweb.ynhhs-oeplearning.org/sign_in_em102.asp
6. CD-ROM Bioterrorism Educational Resources
Headquarters Air Force Civil Engineer Support Agency and Air Force Combat Support
Systems, 139 Barnes Drive, Suite 1, Tyndall AFB, FL 32403-5319.
CDCHelp@tyndall.af.mil. These resources are FREE.
Emergency Response to Terrorism: Basic Concepts. Train-The-Trainer Support Material.
January 2002. The primary target audience includes fire personnel, EMS
responders, and HazMat responders. It will benefit public health workers; public
works management; law enforcement personnel; disaster response agencies;
emergency management personnel; emergency communications personnel; and the
Armed Forces, Reserves, and National Guard. Includes Lesson Plans, Student Study
Guide, Appropriate Appendices, Presentation Slides, Glossary of Terms, and a
Bibliography.
Emergency Response to Terrorism: Self-Study. Train-the-Trainer Support Material. The
target audience includes firefighters, emergency medical personnel, and HazMat
emergency responders. It will benefit public health workers; public works
management; law enforcement personnel; disaster response agencies; emergency
62
management personnel; emergency communications personnel; law enforcement
personnel, jurisdictional emergency coordinators, and the Armed Forces, Reserves,
and National Guard.
Emergency Response to Terrorism. For Emergency Responders. This course is designed
to raise the emergency responder’s level of awareness and better prepare them for
responding to a potential criminal or terrorist event. The target audience included
police/security forces, firefighters, EMS and HazMat responders, and EOD
personnel.
7. National Response Plan (NRP)
The National Response Plan (NRP) December 2004 was released January 6, 2005 by the
Department of Homeland Security (DHS), and is available at: www.dhs.gov/nationalresponse
plan. The NRP includes several Homeland Security Presidential Directives (HSPDs)
including HSPD-5 which is intended to enhance the ability of the United States to manage
domestic incidents by establishing a single, comprehensive national incident management
system (NIMS). Along with providing a template upon which the NRP is built, the NIMS
provides a nationwide framework enabling Federal, State, local, and tribal governments and
private sector and nongovernmental organizations to work together effectively and efficiently
to prevent, prepare for, respond to, and recover from domestic incidents regardless of cause,
size, or complexity. Together, the NRP and the NIMS integrate the capabilities and resources
of various governmental jurisdictions, incident management and emergency response
disciplines, nongovernmental organizations (NGOs), and the private sector into a cohesive,
coordinated, and seamless national framework for domestic incident management. The NRP
incorporates relevant portions of and supersedes the Initial National Response Plan, the
Federal Response Plan, the U.S. Government Interagency Domestic Terrorism Concept of
Operations Plan, and the Federal Radiological Emergency Response Plan.
Under HSPD-5, the President designates the Secretary of Homeland Security as the Principal
Federal Officer (PFO) for domestic incident management and empowers the Secretary to
coordinate Federal resources used in response to or recovery from terrorist attacks, major
disasters, or other emergencies in specific cases. The directive assigns specific responsibilities
to the Attorney General, Secretary of Defense, Secretary of State, and the Assistants to the
President for Homeland Security and National Security Affairs, and directs the heads of all
Federal departments and agencies to cooperate and provide resources and support.
Along with statutes and Executive Orders, the Presidential Directives (HSPDs) guide the
structure, development, and implementation of the NRP. HSPD-8, National Preparedness,
establishes policies to strengthen the preparedness of the United States to prevent and respond
to threatened or actual domestic terrorist attacks, major disasters, and other emergencies by
requiring a national domestic all-hazards preparedness goal, establishing mechanisms for
improved delivery of Federal preparedness assistance to State and local governments, and
outlining actions to strengthen preparedness capabilities of Federal, States, and local entities.
HSPD-10, Biodefense for the 21st Century, provides a comprehensive framework for the
Nation’s biodefense and, among other things, delineates the roles and responsibilities of
Federal agencies and departments in continuing their work in this area.
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D. Paperwork Reduction Act
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, an
agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number. The OMB control
number for this project is 0915-0060. The time required to complete this information
collection is estimated to average 56.25 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to HRSA Reports Clearance Officer, 5600 Fishers Lane, 16C-17,
Rockville, Maryland, 20857.
IX. Tips for Writing a Strong Application
Include DUNS Number. You must include a DUNS Number to have your application
reviewed. Applications will not be reviewed without a DUNS number. To obtain a DUNS
number, access www.dunandbradstreet.com or call 1-866-705-5711. Please include the
DUNS number next to the OMB Approval Number on the application face page.
Keep your audience in mind. Reviewers will use only the information contained in the
application to assess the application. Be sure the application and responses to the program
requirements and expectations are complete and clearly written. Do not assume that reviewers
are familiar with the applicant organization. Keep the review criteria in mind when writing
the application.
Start preparing the application early. Allow plenty of time to gather required information
from various sources.
Follow the instructions in this guidance carefully. Place all information in the order
requested in the guidance. If the information is not placed in the requested order, you may
receive a lower score.
Be brief, concise, and clear. Make your points understandable. Provide accurate and honest
information, including candid accounts of problems and realistic plans to address them. If any
required information or data is omitted, explain why. Make sure the information provided in
each table, chart, attachment, etc., is consistent with the proposal narrative and information in
other tables.
Be organized and logical. Many applications fail to receive a high score because the
reviewers cannot follow the thought process of the applicant or because parts of the
application do not fit together.
Be careful in the use of appendices. Do not use the appendices for information that is
required in the body of the application. Be sure to cross-reference all tables and attachments
located in the appendices to the appropriate text in the application.
64
Carefully proofread the application. Misspellings and grammatical errors will impede
reviewers in understanding the application. Be sure pages are numbered (including
appendices) and that page limits are followed. Limit the use of abbreviations and acronyms,
and define each one at its first use and periodically throughout application.
65
X. HRSA Training Grant Application Forms
66
FACE PAGE
OMB Approval No. 0915-0060 Expiration Date: 08/31/2006
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Date Received Grant Number
Grant Application: Bioterrorism Training and Curriculum CFDA No. 93.996 DUNS No.
Development Program CE □ or CD □
1. Title of Grant Program (not to exceed 56 spaces)
2a. Project Director, Name (last, first, middle initial & position title) 2b. Highest Degree 2c. Social Security No.
2d. Mailing Address (organization, street, city, state, zip code) 2e. E-Mail Address
2f. Department
2g. School or College
2h. Telephone (area code, number, extension) 2i. Fax (area code, number)
i. Dates of entire proposed project period (This ii. Applicant Organization (name and address)
application)
From To
5. Congressional District of Applicant Other Districts that Benefit Financially from this Application
______________________________________ __________________________________________________
iii. Official in business office to be contacted 6a. Single point of contact if different from 6
concerning
application (name, title, address and telephone number)
6b. E-Mail address of single point of contact
7. Entity identification no. 8. Official signing for applicant organization (name, title and telephone number)
9. Type of organization (see instructions)
Private Nonprofit
Public (Specify Federal, State, Local) ________________________________
10. Project Director Assurance: 11. Signature of person named in item 2a. “PER” signature not
acceptable.
I agree to accept responsibility for the conduct of the project and to
provide the required progress reports if a grant is awarded as a result of
this application. _________________________________________ Date ________________
12. Certification and acceptance 13. Signature of person named in item 8.
“PER” signature not acceptable.
I certify that the statements herein are true and complete to the best of my
knowledge and accept the obligation to comply with the DHHS terms and
conditions if a grant is awarded as a result of this application. A willfully false __________________________________________Date ________________
certification is a criminal offense (U.S. Code, Title 18, Section 1001).
HRSA-6025-1 (Revised 6/00) Created in Microsoft Word
67
OMB Approval NO. 0915-0060
Expiration Date: 08/31/2006
DETAILED BUDGET
Program Area: Discipline:
Direct Costs Only
A. Non-trainee Expenses
Personnel (Do not list trainees) Time/Effort Dollar Amount Requested
(Omit Cents)
Name Title of Position % Hours Salary Fringe Total
per Benefits
week
Subtotals
Consultant Costs
Equipment (Itemize)
Contracts
Supplies (Itemize by category)
Staff Travel
Other Expenses (Itemize by category)
Subtotals (Section A)
B. Trainee Expenses
Predoctoral Stipends No. requested: N/A
Postdoctoral Stipends No. requested: N/A
Other (Specify) No. requested: N/A
Total Stipends N/A
Tuition and Fees N/A
Trainee Travel (Describe)
Subtotal (Section B)
C. Total Direct Costs (Add Subtotals of Sections A and B)
HRSA-6025-2 (Formerly PHS-6025-2) (revised 06/2000)
68
CONSOLIDATED BUDGET
Direct Costs First Budget Period Second Budget Period Third Budget Period Total
FY 2005 FY 2006 FY 2007
Program Area(s) A* B* A* B* A* B* A* B*
Discipline(s) A1* A2* B1* B2* A1* A2* B1* B2* A1* A2* B1* B2* A1* A2* B1* B2*
A. Non-Trainee Expenses
Personnel
Consultant Costs
Equipment
Contracts
Supplies
Staff Travel
Other Expenses
Subtotal Section A
B. Trainee Expenses
Stipends N/A
Tuition & Fees N/A
Trainee Travel
Subtotal Section B
Total Direct Costs (Add
Subtotals of Sections A & B)
Indirect Cost Requested? ___Yes ___No If “Yes,” at ___% rate.
NOTE: Replace A* and B* with involved program area(s) and replace A1*, A2*, B1*, and B2* with the involved discipline(s). If more than 2
disciplines are involved in one program area in a combined application, the applicant may add another column as appropriate. If more
program areas are involved, more columns may be added, or the table may be duplicated.
HRSA-6025-3 Page 1 (Formerly PHS-6025-3)
(Revised 06/2000)
69
OMB Approval NO. 0915-0060
Expiration Date: 08/31/2006
CONSOLIDATED BUDGET (Cont.)
C. Estimated Funding First Budget Period Second Budget Period Third Budget Period Total
FY 2005 FY 2006 FY 2007
Program Area(s) A* B* A* B* A* B* A* B*
Discipline(s) A1* A2* B1* B2* A1* A2* B1* B2* A1* A2* B1* B2* A1* A2* B1* B2*
Federal (Requested in this
Application)
Other Federal
Applicant Institution
State, Local/Other
Program Income
Total
NOTE: Replace A* and B* with involved program area(s) and replace A1*, A2*, B1*, and B2* with the involved discipline(s). If more than 2
disciplines are involved in one program area in a combined application, the applicant may add another column as appropriate. If more program
areas are involved, more columns may be added, or the table may be duplicated.
HRSA-6025-3 Page 2 (Formerly PHS-6025-3)
(Revised 06/2000)
70
Assurances and Certifications (Application Checklist)
For assurances, certifications and other requirements required for the receipt of Federal funds,
please see the following instructions for the Application Checklist:
If the applicant has met the requirements of each of the following assurances, certifications and
other requirements, please check the YES space on the Checklist. If one or more of the
following assurances, certifications and other requirements are not met, check “No” and explain.
If you need assistance, please call the Grants Management Office at (301) 443-6960.
Yes No (If “No,” attach explanation.)
A. Civil Rights: Before an award is made, the applicant organization must have submitted, and
had accepted by the DHHS Office for Civil Rights, an Assurance of Compliance Form HHS
690 in accordance with Title VI of the Civil Rights Act of 1964, P.L. 88-352. Pertinent
DHHS regulations are found in 45 CFR Part 80. This provides that no person in the United
States shall on the ground of race, color, or national origin, be excluded from participation in,
be denied the benefits of, or be otherwise subjected to discrimination under any program or
activity receiving Federal financial assistance from DHHS.
B. Handicapped Individuals: Before an award is made, the applicant organization must have
submitted, and had accepted by the DHHS Office for Civil Rights, an Assurance of
Compliance Form HHS 690, in accordance with Sec. 504 of the Rehabilitation Act of 1973,
P.L. 93-112, as amended (29 USC 794). This provides that no handicapped individual shall,
solely by reason of the handicap, be excluded from participation in, be denied the benefits of,
or be subject to discrimination under any program or activity receiving Federal financial
assistance. Pertinent DHHS regulations are found in 45 CFR Part 84.
C. Age Discrimination: In accordance with Title III of the Age Discrimination Act of 1975, as
amended, P.L. 94-135, 45 CFR Part 91, attention is called to the general rule that no person
in the United States shall, on the basis of age, be excluded from participation in, be denied
the benefit of, or be subjected to, discrimination under any program or activity receiving
Federal financial assistance. The required assurance (Form HHS-690) must be on file with
the Office for Civil Rights, Office of the Secretary, HHS, before a grant may be made.
D. Sex Discrimination: Before an award is made, the applicant educational organization must
have submitted and had accepted by the DHHS Office for Civil Rights an Assurance of
Compliance Form HHS 690 in accordance with Sec. 901 of Title IX of the Education
Amendments of 1972, P.L. 92-318, as amended, which provides that no person shall, on the
basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to
discrimination under any education program or activity receiving Federal financial
assistance. Pertinent DHHS regulations are found in 45 CFR Part 86.
Specific provisions in Titles VII and VIII of the PHS Act (currently numbered Secs. 794 and
810) prohibit the Secretary, DHHS, from making any grant, contract, loan guarantee, or
71
interest subsidy payment under Title VII or VIII to an entity which does not furnish
assurances satisfactory to the Secretary that the entity will not discriminate on the basis of
sex in the admission of individuals to its training programs.
In accordance with 45 CFR Part 83 of DHHS regulations, no grant, contract, loan guarantee
or interest subsidy payment under Titles VII and VIII of the PHS Act shall be made to or for
the benefit of any entity unless the entity furnishes assurances satisfactory to the Director,
Office for Civil Rights, that the entity will not discriminate on the basis of sex in the
admission of individuals to its training programs.
Other Discrimination: Attention is called to the requirements of Sec. 401 of the Health
Programs Extension Act of 1973, P.L. 93-45, as amended (42 USC 300a-7), which provides that
no entity which receives any grant, contract, loan, loan guarantee, or interest subsidy under the
PHS Act may deny admission or otherwise discriminate against any applicant (including
applicants for internships and residencies) for training or study because of the applicants
reluctance or willingness to counsel, suggest, recommend, assist, or in any way participate in the
performance of abortions or sterilizations contrary to, or consistent with, the applicant’s religious
beliefs or moral convictions.
E. Drug Free Workplace Act of 1988, Title V, Subtitle D of P.L. 100-690: The applicant
institution must comply with the requirements of 45 CFR Part 76, Subpart F, which require
certification that grantees will provide and maintain a drug-free workplace.
F. Certification Regarding Lobbying and Disclosure of Lobbying Activities: Each person
shall file a certification, and a disclosure form, if required, with each submission that initiates
agency consideration of such person for award of a Federal contract, grant, or cooperative
agreement award action exceeding $100,000. Government-wide guidance for restrictions on
lobbying was published by the Office of Management and Budget in the Federal Register, 54
FR 52306, December 20, 1989. Pertinent DHHS regulations are found in 45 CFR Part 93.
See also authority under Sec. 319, P.L. 101-121, as amended (31 USC 1352).
G. Misconduct in Science: Each institution which applies for or receives assistance under a
research, research-training, or research-related grant or cooperative agreement under the PHS
Act must submit an annual assurance (Form PHS 6349) certifying that the institution has
established administrative policies as required by the Final Rule (42 CFR Part 50, Subpart
A), and that it will comply with those policies and the requirements of the Final Rule as
published in the Federal Register at 54 FR 32449, August 8, 1989.
As of January 1, 1990, Notice of Grant awards for grants and cooperative agreements involving
research may be issued only to institutions that have filed with the Office of Research Integrity
(ORI), acceptable assurances for dealing with and reporting possible misconduct in science. The
respective Grants Management Offices will determine the status of an institution by contracting
ORI.
H. Debarment and Suspension: The applicant organization must certify, among other things,
that neither it nor its principals are presently debarred, suspended, proposed for debarment,
72
declared ineligible, or voluntarily excluded from covered transactions by any Federal
department or agency. Sub-awardees, that is, other corporations, partnerships, or other legal
entities (called “lower tier” participants), must make the same certification to the applicant
organization concerning their covered transactions. Pertinent DHHS regulations are found in
45 CFR Part 76 and refer to Executive Order 12549 which provides that, to the extent
permitted by law, executive departments and agencies shall participate in a government-wide
system for non-procurement debarment and suspension.
I. Statement of Non-Delinquency on Federal Debt: The question applies only to the person
or institution requesting financial assistance, and does not apply to the person who signs an
application form as the authorized representative of an institution or on behalf of another
person who actually receives the funds.
Examples of Federal Debt include delinquent taxes, audit disallowances, guaranteed or
direct student loans, FHA loans, and other miscellaneous administrative debts. For
purposes of this statement, the following definitions apply:
For direct loans, a debt more than 31 days past due on a scheduled payment.
iv. For agents, recipients of a “Notice of Grants Cost Disallowance” who
have not repaid
the disallowed amount or who have not resolved the disallowance.
2. For guaranteed and insured loans, recipients of a loan guaranteed by the Federal
Government that the Federal Government has repurchased from a lender because the
borrower breached the loan agreement and is in default.
J. Drug-Free Schools and Campuses: The Drug-Free Schools and Communities Act
Amendments of 1989, P.L. 101-226, Sec. 22, which added Sec. 1213 to the Higher
Education Act, require that any public or private institution of higher education (including
independent hospitals conducting training programs for health care personnel), State
educational agency, or local educational agency receiving Federal financial assistance must
certify to the Secretary of Education, as a condition for funding, that it has adopted and
implemented a drug prevention program as described in regulations at 34 CFR Part 86, (55
FR 33581), August 16, 1990, as amended at 61 FR 66225, December 17, 1996. The
provisions of the regulations also apply to sub-grantees which received Federal funds from
any Federal grantee regardless of whether or not the primary grantee is an institution of
higher education, State educational agency, or local educational agency.
K. Bloodborne Diseases: Sec. 308 of Title III of P.L. 102-408, the Health Professions
Education Extension Amendments of 1992, requires that with respect to awards of grants or
contracts under Title VII or VIII of the PHS Act, the Secretary of HHS may make such an
award for the provision of traineeships only if the applicant for the award provides
assurances satisfactory to the Secretary that all trainees will, as appropriate, receive
instruction in the utilization of universal precautions and infection control procedures for the
prevention of the transmission of bloodborne diseases.
73
L. Smoke-Free Workplace: The Public Health Service strongly encourages all grant and
cooperative agreement recipients to provide a smoke-free workplace and promote the non-
use of all tobacco products. Title X, Part C of P.L. 103-227, the Pro-Children Act of 1994,
prohibits smoking in certain facilities that receive Federal funds in which education, library,
day care, health care, and early childhood development services are provided to children.
74
XI. Program Specific Forms
75
APPLICATION CHECKLIST
Please check the appropriate boxes and provide the information requested.
TYPE OF APPLICATION
___ New BTCDP CE (This application is being submitted to DHHS for an application or
program not currently receiving support.)
___ New BTCDP CD (This application is being submitted to DHHS for an application or
program not currently receiving support.)
__ Competing Continuation BTCDP CE application of grant number:
__ Competing Continuation BTCDP CD application of grant number:
DISTANCE LEARNING
______ Yes ______ Page
______ No
DATA UNIVERSAL NUMBERING SYSTEM (DUNS)
___ DUNS number has been completed on the face page.
76
Application Detail Page
Letters of Support
Because of the 80-page limit, individual letters of support are not required; however, letters of
support shall be dated, signed and retained by the applicant. Applicants are required to
complete and submit a list of the letters of support received from entities that indicate a
commitment to the proposed BTCDP project.
For Continuing Education applicants, the list of letters of support should identify letters
received by the applicant from the following entities:
the awardee of the HRSA National Bioterrorism Hospital Preparedness Program (NBHPP; the
awardee of the Centers for Disease Control and Prevention (CDC) Public Health Preparedness
and Response for Bioterrorism (PHPRB) Program; letters from other HRSA programs and state
or community training partners, including letters from potential contractors.
For Curriculum Development applicants, if not a health professions school, applicant must
provide a letter of agreement from a health professions school to apply for funding for the
Curriculum Development program. This letter of agreement must describe the roles of the
applicant and collaborating health professions school to develop and implement the new or
enhanced/revised curriculum.
77
Biographical Sketch format
Name: (Last, first, middle initial)
Title:
Education:
Institution and Location Degree Year Field of
Conferred Study
Professional Experience:
Copies of biographical sketches for any key employed personnel that will be assigned to work on
the proposed project must be included. Each biographical sketch must be limited to one page
including publications. Include all degrees and certificates. When listing publications, list
authors in the same order as they appear on the paper, the full tile of the article and complete
reference as it is cited in a journal. List all relevant and most recent community-based
partnerships development/educational experiences and activities. The sketches should be
arranged in alphabetical order after the project director’s sketch in a section at end of application
indicated as Appendix A. Because of the 80-page application limit, two biographical sketches
per page are permitted.
78
Program (State and Institution): _______________________________________________________________
Please fill out the following two tables. The tables will provide a clear picture of the health care professionals targeted for training in Project Year 1 and Project Year 2.
Some of the columns have already been labeled; fill out only the columns that relate to your project. Add additional health care professionals as appropriate for your
program. Remember to check either Curriculum Development (CD) or Continuing Education (CE).
BTCDP Health Care Professionals (Project Year 1)
Note: This table has not been approved by OMB and is to be used for organizational purposes only.
CD OR CE AH DDS EMS MD MH NP PA RN Rx Other Other Other
Total Number of Licensed
Professionals in project
area
A. Number of Face-to-Face
Courses
B. Number of Course
Contact Hours (all hrs in A)
C. Number of Providers
Targeted to Participate in
Face-to-Face Courses*
D. Number of Distance
Learning (DL) Courses
E. Number of DL Course
Contact Hours (all hrs in D)
F. Number of Providers
Targeted to Participate in
DL Courses*
Total Providers (C + F)*
*For Curriculum Development applicants, insert numbers for Student
79
BTCDP Health Care Professionals (Project Year 2)
Note: This table has not been approved by OMB and is to be used for organizational purposes only.
CD OR CE AH DDS EMS MD MH NP PA RN Rx Other Other Other
Total Number of Licensed
Professionals in project
area
A. Number of Face-to-Face
Courses
B. Number of Course
Contact Hours (all hrs in A)
C. Number of Providers
Targeted to Participate in
Face-to-Face Courses*
D. Number of Distance
Learning (DL) Courses
E. Number of DL Course
Contact Hours (all hrs in D)
F. Number of Providers
Targeted to Participate in
DL Courses*
Total Providers (C + F)*
* For Curriculum Development applicants, insert numbers for Students
80
BTCDP Health Care Professionals (Project Year 3)
Note: This table has not been approved by OMB and is to be used for organizational purposes only.
CD OR CE AH DDS EMS MD MH NP PA RN Rx Other Other Other
Total Number of Licensed
Professionals in project
area
A. Number of Face-to-Face
Courses
B. Number of Course
Contact Hours (all hrs in A)
C. Number of Providers
Targeted to Participate in
Face-to-Face Courses*
D. Number of Distance
Learning (DL) Courses
E. Number of DL Course
Contact Hours (all hrs in D)
F. Number of Providers
Targeted to Participate in
DL Courses*
Total Providers (C + F)*
* For Curriculum Development applicants, insert numbers for Students
81