1.01Introduction and Program Description
The Department of Health and Social Services (DHSS or Department), Division of Public Health (DPH), is requesting proposals from eligible applicants to provide Tobacco Prevention and Control services for the State of Alaska in FY2019 through FY2021. Program Services are authorized under 7 AAC 78 Grant Programs. Additional governing statutes are AS 44.29.020; AS 47.05.010. State of Alaska statutes and regulations are accessible at http://www.law.state.ak.us/doclibrary/doclib.html or through the contact person identified on the cover page of this Request for Proposals (RFP).
The TPC program is located within the Department of Health and Social Services, Division of Public Health, in the Section of Chronic Disease Prevention and Health Promotion (CDPHP). The TPC program addresses the burden of tobacco use in Alaska by following the five components of a comprehensive tobacco control program outlined by the Centers for Disease Control and Prevention (CDC):
- State and Community Interventions
- Mass-Reach Health Communication Interventions
- Cessation Interventions
- Surveillance and Evaluation
- Infrastructure, Administration, and Management
Tobacco use is the leading preventable cause of morbidity and mortality in Alaska. Every year in Alaska, cigarette smoking is responsible for approximately 680 deaths and $833 million in direct medical costs and lost productivity due to smoking-related deaths.
Major TPC program accomplishments include decreased adult smoking and decrease in high school student smoking since 1996. Despite these successes, we face barriers in achieving a tobacco-free Alaska. The state continues to experience significant tobacco related disparities among Alaska Native People; young adults (18-29); people experiencing substance use disorders and/or mental illness; Lesbian, Gay, Bisexual and Transgender people; and between the six Public Health Regions. Alaskans are not yet protected by a 100% smokefree workplace law and youth use of e-cigarettes has increased. Further, there have been few gains in the prevalence of smokeless tobacco (SLT) use, for both adults and high school students.
To build on previous accomplishments and address ongoing challenges, the TPC program intends to fund community-based grants in the six Public Health Regions (see Alaska Public Health Region Map in the list of Attachments to this RFP).
Please review the Application Groups listed on the solicitation carefully, as responding to the incorrect solicitation may result in not being funded. It is up to the applicant to submit a proposal to the correct Application Group as described below as applicant may only apply for one (1) application group:
- Application Group A. Organizations serving a priority population (e.g. Alaska Native people, young adults 18-29, low Socioeconomic Status (SES), Lesbian Gay Bisexual Trans-gender, pregnant women, people experiencing mental illness and/or substance abuse disorders). Individual awards for this application group shall not exceed $100,000.00 per fiscal year.
OR
- Application Group B. Organizations serving local or regional communities. Application budgets are not to exceed $350,000.00.
The Tobacco Prevention and Control program is distributing funds to organizations or communities to address the burden of tobacco use. During this three year grant cycle, grantees will assess their community for readiness to engage in effective approaches to address tobacco use. This process is envisioned as a collaborative approach requiring the applicant to actively involve the community or priority population while developing their proposal.
1.02Program Goals and Anticipated Outcomes
The proposed project must demonstrate a thorough understanding and support of the grant program goals and outcomes anticipated by the Department. Projects must meet or exceed anticipated minimum outcomes described in this RFP.
The TPC program follows the model outlined in the CDC’s 2014 Best Practices for Comprehensive Tobacco Prevention and Control Programs. The model, drawing on the tobacco prevention and control literature and outcomes in states across the country, has four primary goals:
Goal 1. Prevent youth from starting tobacco use.
Goal 2. Protect the public from exposure to secondhand smoke (SHS).
Goal 3. Promote cessation of tobacco use among youth and adults.
Goal 4. Identify and eliminate tobacco-related disparities and achieve health equity.
To support comprehensive tobacco prevention and control efforts in the above goal areas, the TPC program intends to fund local and regional organizations (e.g. community-based organizations, healthcare systems and schools) to implement comprehensive, evidence-based tobacco prevention and control strategies that change community rules, norms, attitudes and practices around tobacco use.
In Year 1, grantees will be required to finalize strategies after they have conducted a community assessment of needs, resources and readiness for strategies. This information will inform grantees as they develop an annual work plan and project evaluation plan. The following deliverables must be approved by the TPC program no later than June 30, 2019:
(1) Community or organizational assessment report
(2) Annual work plan
(3) Project evaluation plan (including baseline data)
While the specific goals and strategies selected will vary by region or at the statewide level, all funded grantees must adopt the following approaches to their prevention efforts. More information about these approaches can be found in the Workbook located in Criteria 4.04.
Preventing Secondhand Smoke Exposure
The TPC program provides education on evidence-based population-level strategies to address exposure to secondhand smoke. As such, this RFP does not provide funding for intensive individual-level cessation interventions. Specific activities undertaken in these strategies should contribute to changes in environments.
Partnerships and Collaboration
Applicants must submit a proposal that is reflective of comprehensive tobacco prevention and control programming within their Public Health Region. Funded grantees may need to organize partners in their communities to achieve their goals, so proposals should describe anticipated collaborations with partners, including other grantees, community coalitions, TPC contractors, stakeholders and TPC program staff.
In order to ensure that local and regional efforts are coordinated with those at the statewide level, funded applicants will be required to participate in one or more TPC workgroups.
Data driven planning
The TPC program supports “data-driven” programming, which means that strategy and intervention decisions should be based on data that describes tobacco use and local needs. Funded grantees will be expected to use current data in all aspects of planning and implementing their work. As such, a community assessment will be required in the first year of the funding cycle and will be used to prioritize strategies.
For examples of data tools, see the Workbook included as an attachment to this RFP.
Evidence-based Practices
In order to utilize program funds efficiently and effectively, funded grantees will be required to implement evidence-based practices for tobacco prevention and control in their regions and communities. All strategies are subject to program review and approval.
1.03Program Services/Activities
Applicants must upload an Action Plan (See Criterion 4.04) for the initiation of services and project activities.
Applicant proposals must describe the ways in which the project aligns with program intent. The submitted Action Plan will identify agency resources available to the project; describe project activities; and clearly state the project’s anticipated goals, outputs, and outcomes.
Grantees must comply with the following additional program requirements and service standards.
Develop an annual work plan. [Years 1, 2, & 3] In coordination with the TPC program, grantees will develop a work plan that clearly outlines activities and partners for each year of the grant cycle. Work plans are used for quarterly reporting purposes.
Complete an Assessment. [Year 1] In year one, both grantee categories will work with the TPC program and state contractors to conduct an assessment of population needs, resources, and readiness for tobacco prevention and control efforts in a culturally responsive manner. Through this collaborative process, grantees will have a more complete understanding of tobacco use among different populations, readiness strategies, barriers for cessation programs, and current prevention efforts (i.e. “who, what, where, when, why and how” of tobacco use). Grantees must engage representative members of their community and target population to assist in the assessment process.
Grantees in both Application Groups will be expected to conduct activities that support smoke free organization and events, and will promote cessation resources throughout the grant cycle. These activities will begin upon notice of award and are expected to be a component of required deliverables (assessment, work plans and evaluation).
Participate in at least one work group. [Years 1, 2 & 3] The TPC program and contractors will facilitate training and technical assistance through topic-specific work groups. Each year, grantees will be required to participate in at least one work group annually.
Implement evidence-based strategies. [Years 1, 2 & 3] After completing the assessment, grantees will identify which evidence-based strategies are most appropriate for their project. Previously funded grantees may continue implementing approved strategies while conducting the organization or community assessment. Below is a list of the approved strategy types and the TPC goals they are associated with:
Goal 1. Prevent youth from starting tobacco.
Support community price increase campaigns
Support tobacco-free K-12 schools
Work to restrict minor access to tobacco products
Goal 2. Protect the public from second-hand smoke.
Community Smokefree Air
Tribal Smokefree Air
Statewide Smokefree Air
Tobacco-free multi-disciplinary health-care campuses and facilities
Tobacco-free educational systems
Smokefree multi-unit housing
Tobacco-free organizations/events
Goal 3. Promote cessation of tobacco use among youth and adults.
Conduct public education awareness campaigns to promote cessation resources
Health-care systems change
Employer and work-site-based cessation support
Goal 4. Identify and eliminate tobacco-related disparities and achieve health equity.
Adapt evidence-based strategies to meet needs of one of the following priority populations:
- Alaska Native People
- Low SES population
- Young Adults (18-29 years)
- People experiencing mental illness and/or substance use disorders
- Lesbian, Gay, Bisexual, Transgender (LGBT) Community
- Pregnant Women
In the Action Plan, applicants must identify the goal(s) they propose to address through their project, as well as outcomes, and clearly identify the ways in which they will be achieved. Although the needs assessment will direct grant activities, applicants should discuss previous experience or anticipated strategies.
Evaluate Project Impact. [Years 2 & 3] All grantees will need to continually evaluate the effectiveness of their project. The TPC program will provide training and technical assistance, to assist grantees in developing an evaluation plan and collecting baseline data within the first year of funding. The evaluation plan will be used in years 2 and 3 to monitor and modify prevention activities.
1.04Program Evaluation Requirements and Reporting
Results Based Budgeting Framework
Results based budgeting provides a framework in which allocated resources support, and are justified by, a set of outputs and expected results. Within this framework, actual performance and achieved outcomes are measured by objective performance measures.
Projects are required to align with program objectives expressing Department priorities and core services. Projects will use performance measures to evaluate progress toward meaningful outcomes, and to initiate data collection and reporting consistent with Department priorities.
The Department Priorities, Core Services, Objectives, and Performance Measures of Effectiveness and Efficiency for this program are:
Department Priorities
- 1 Health & Wellness Across the Life Span
Department Core Services
- 1.1 Protect and Promote the Health of Alaskans
Objective:
- Decrease substance abuse and dependency.
Performance Measures:
- Number of Community Outreach Events, Presentations, & Media Impressions
- Average Cost Per Community Outreach Event, Presentation, & Media Impression
The applicant’s proposed action plan must incorporate the performance measures of effectiveness and efficiency identified above. Applicants can propose additional performance measures for evaluating the project’s progress in achieving results supportive of program goals and outcomes. (The applicant's action plan must include indicators and data gathering strategies that will be used.)
Grant Reporting
Required reporting will include:
- Cumulative Fiscal Reports recording overall grant and match expenditures by budget line; and
- Program Reports in the format prescribed by the program;
- Additional documentation may be required quarterly and is up to the discretion of the program.
1.05Target Population and Service Area
Applicants must clearly describe the population targeted by the project, including the area or communities that will be served. Proposals will be evaluated for compatibility with the program’s intended target population identified in this solicitation.
Target Population: The target population for the solicited services is Statewide and specific to Application Groups defined in this RFP.
Proposals will be evaluated for compatibility with the target population described and the narrative must include the following information:
- A description of the geographic area to be served
- A description of the population size and demographic characteristics of the population(s) to be served
- A description of the political authorities in the region (municipalities, tribal authorities, etc.) as well as which areas are unincorporated
- A description of the historical, political, economic and socio-cultural influences of the community as they relate to tobacco use
- A description of the burden of tobacco use within the population, community, region or proposed service area. This should include tobacco prevalence rates and the identification of disparate populations for tobacco control. Include information on tobacco-related disease and disability
- A description of the community infrastructure including health-care centers, large employers, community or health organizations and health or wellness coalitions
This RFP is intended to cover every region of Alaska. The Regional Profiles are a resource for regional tobacco data and information and can be found at http://dhss.alaska.gov/dph/Chronic/Pages/Tobacco/default.aspx. Additional regional data resources include Informed Alaskans – Alaska Health Profiles, which can be found at http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/maps.aspx.
Service Areas and Communities: The service areas and communities requested for the services solicited are statewide.
1.06Program Funding
Funds available for this program are anticipated to total Anticipated Tobacco Cessation funding is $3,000,000 per fiscal year; $9,000,000 total.
Proposed Budget: The applicant must submit a budget proposal for the first fiscal year of the project. The proposed budget detail and narrative will support the program’s results based service delivery and staffing requirements stated in this RFP. Note: grant funds will not be used to fund out-of-state conferences, trainings or events.
Proposed budget should include the following:
- Minimum staffing of 0.5 FTE (Tobacco Control Coordinator) for the grant funded project
- Travel for a minimum of 2 people to Anchorage for the annual TPC training (usually in November)
- Travel for participation in one work group training offered by the TPC program
- Anticipated funds to support work-plan activities with partner organizations
The proposed budget will be fully compliant with the limitations described in this RFP, and those detailed in 7 AAC 78.160 (Costs). Regulations are provided under the GEMS Documents tab.
Resources specific to budgeting are also available under the GEMS Documents tab. DHSS Grant Budget Preparation Guidelines provide information and guidance about budget lines, cost detail groupings, and narrative requirements. Grantee User Manual Part I provides detailed instructions for entering a budget proposal in the chapter "Responding to a Solicitation."
Other Agency Funding: Prior to submitting a proposal, applicants are required to list all other agency funding received and applied for. This task must be completed by an Agency Power User in the Other Funding section of the Agency Administration tab.
Indirect Costs: If the proposed budget includes indirect costs, 7 AAC 78.160(p) requires a copy of the agency’s current federally approved Indirect Cost Rate Agreement. The agreement is to be uploaded in the Agency Administration tab. Lapsed agreements can be used if uploaded with the negotiating federal agency’s written approval to continue using the rate until a new agreement is negotiated.
Payment for Services/Grant Income: If applicable to the services proposed in response to this solicitation, awarded grantees will have a Medicaid Provider Number or apply to obtain one, and will make reasonable effort to bill all eligible services to Medicaid and any other available sources of payment before seeking grant support for delivery of the proposed services. DHSS funds are the payer of last resort.
In the applicant’s proposed budget, anticipated receipts and expenditures for all grant income must be evident in the detail and narrative. Fiscal reports for awarded income generating projects will include the receipts and expenditure of all grant income.
Subcontracts: This grant program will not permit the use of subcontracts to carryout prevention activities. Applicants should assess internal capacity to provide services with the proposed budget and plan accordingly. The prohibition of subcontracts does not include sharing small amounts of funding for community building purposes. The TPC Program Staff and statewide contractors will work with grantees to identify and fill service gaps as needed.