WEBVTT 00:01.687 --> 00:03.625 Okay, so we'll go to the next slide. 00:06.250 --> 00:08.937 So here's our overview of our agenda for today. 00:08.937 --> 00:13.187 Our team is going to provide a high level summary of the notice of funding 00:13.187 --> 00:19.062 opportunity, provide a program overview, we'll review important dates and key 00:19.062 --> 00:23.062 components and strategies, and then we'll conclude with our with 00:23.062 --> 00:26.004 resources and questions. And so 00:26.000 --> 00:30.437 just wanting to remind folks that you can raise your hand if you have questions, 00:30.437 --> 00:36.875 but we'll also unmute your mic when you are calling on for your question. 00:36.875 --> 00:41.233 But please feel free to put questions in the chat as well. 00:41.233 --> 00:41.875 Next slide. 00:44.062 --> 00:48.437 So this NOFO is designed to strengthen our nation's ability to prevent, detect, 00:48.437 --> 00:53.500 and respond to infectious disease threats by leveraging strong partnerships, 00:53.500 --> 00:58.937 workforce development, health messaging, and emergency response capabilities. 00:59.500 --> 01:01.945 Furthermore, this NOFO intends to 01:01.933 --> 01:05.558 expand training for infection prevention and control, 01:05.558 --> 01:10.366 combating antimicrobial resistance, enhanced engagement of frontline health 01:10.366 --> 01:15.500 care and public health workers, improved health care facility resilience, 01:15.495 --> 01:20.370 improved coordination and search staffing during public health responses. 01:20.370 --> 01:22.475 Ultimately, this NOFO 01:22.458 --> 01:27.129 seeks to build and sustain national partnerships that will enhance 01:27.129 --> 01:29.904 preparedness, strengthen health care safety 01:29.904 --> 01:35.525 infrastructure, improve our ability, improve our collective ability to respond 01:35.533 --> 01:39.466 effectively to current and emerging infectious disease threats. 01:39.466 --> 01:40.066 Next slide. 01:42.533 --> 01:47.375 This NOFO is structured as a multi-component NOFO. With that in mind, 01:47.375 --> 01:52.516 let's take a closer look at how the program and how organizations can 01:52.516 --> 01:55.166 participate. So I'll begin with the overview of the 01:55.166 --> 02:00.237 multi-component framework that serves as the foundation of this funding opportunity. 02:00.233 --> 02:05.587 Applicants may submit a single integrated application that includes work plans and 02:05.587 --> 02:10.000 budgets for multiple components. Component 1 is required for all 02:10.000 --> 02:15.116 applicants and serves as the foundational infrastructure component that supports 02:15.100 --> 02:19.033 successful implementation of program activities. 02:19.029 --> 02:23.062 This structure is designed to strengthen accountability and promote coordinated 02:23.062 --> 02:27.079 implementation. It also helps to sustain essential 02:27.079 --> 02:31.529 personnel, administrative, and operational functions during funding 02:31.529 --> 02:35.904 disruptions or delays. By supporting a shared infrastructure, 02:35.904 --> 02:39.912 this approach helps reduce the need for individual projects to absorb 02:39.904 --> 02:43.370 these costs, allowing more resources to be directed 02:43.370 --> 02:48.666 towards programmatic activities and public health impact. 02:48.666 --> 02:49.300 Next slide. 02:51.591 --> 02:55.233 The component structure is one of the most important aspects of this funding 02:55.233 --> 03:00.633 opportunity because it determines how applicants will organize their proposed 03:00.645 --> 03:05.308 work. As we move into the next section, we'll review each component, 03:05.308 --> 03:09.445 the activities associated with it, and how the components work together to 03:09.445 --> 03:13.429 support a coordinated and comprehensive public health approach. 03:13.433 --> 03:14.066 Next slide. 03:15.691 --> 03:19.500 So now let's turn our attention to the four program components that make up this 03:19.500 --> 03:23.133 funding opportunity. Together, these components provide the framework 03:23.133 --> 03:27.400 for strengthening infectious disease prevention, detection, preparedness, 03:27.400 --> 03:32.033 and response capabilities. First, Component 1 is the required 03:32.045 --> 03:36.458 infrastructure component. It supports that foundational staffing, 03:36.466 --> 03:41.120 systems and operational capacity needed to successfully manage and implement 03:41.120 --> 03:44.300 program activities. It is important to remember that 03:44.300 --> 03:48.333 Component 1 is required for all applicants. 03:48.345 --> 03:52.829 Component 2 focuses on emerging and re-emerging pathogens and supports 03:52.829 --> 03:56.404 efforts to strengthen national disease prevention 03:56.400 --> 03:59.733 detection, preparedness, and response capabilities. 03:59.733 --> 04:04.929 Component 3 focuses on antimicrobial resistance and healthcare associated 04:04.929 --> 04:09.354 infections through education, communication, implementation, 04:09.354 --> 04:13.441 and adoption of evidence-based prevention strategies. Lastly, 04:13.441 --> 04:18.100 Component 4 supports outbreak and emergency response activities and 04:18.100 --> 04:20.900 provides the flexibility to rapidly address 04:20.883 --> 04:25.641 emerging public health threats when needed. Components 2, 3, 04:25.641 --> 04:30.587 and 4 allow organizations to align their expertise and propose activities with 04:30.600 --> 04:32.900 specific public health priorities. 04:34.433 --> 04:35.466 Next slide. 04:35.466 --> 04:38.837 So now I'll turn it over to Sue Visser to 04:38.833 --> 04:42.466 provide a quick introduction 04:42.454 --> 04:44.375 of our EZID organization. 04:45.333 --> 04:48.333 Thank you so much. Hello, my name is Sue Visser, 04:48.333 --> 04:52.566 and I am the Deputy Director for Policy and Extramural Program here in the 04:52.566 --> 04:56.466 Division of Vector-Borne Diseases. And I am pleased to share with you that 04:56.466 --> 04:59.600 this Notice of Funding Opportunity announcement is brought to you by the 04:59.600 --> 05:02.966 National Center for Emerging and Zoonotic Infectious Diseases, 05:02.966 --> 05:05.700 one of the infectious disease centers here at CDC. 05:06.433 --> 05:09.966 So NCEZID is made up of seven divisions and three 05:09.966 --> 05:13.066 offices that work with partners throughout the United States and around 05:13.066 --> 05:17.466 the world to prevent illness, disability, and death caused by a wide range of 05:17.466 --> 05:21.633 infectious diseases. The diverse workforces of these divisions 05:21.633 --> 05:25.300 support our ability to identify and respond to emerging and re-emerging 05:25.300 --> 05:30.666 infectious diseases with your partnership. DHQP and DVBD are very proud to be 05:30.666 --> 05:34.933 administratively supporting the direction and management of this cooperative agreement 05:34.933 --> 05:39.066 but work might be funded on the SNOFO from any of the center's divisions. 05:39.066 --> 05:40.100 Next slide, please. 05:41.966 --> 05:46.066 So staff in the Division of Vector-Borne Diseases will administratively support 05:46.066 --> 05:50.866 all Component 2 applicants and the activities funded therein. 05:50.866 --> 05:54.766 Anything funded related to the prevention and control of emerging and re-emerging 05:54.766 --> 05:58.800 infectious diseases in that component. This may include vector-borne diseases, 05:58.800 --> 06:02.933 but it need not. Target applicants for this component. 06:02.933 --> 06:07.166 will include what you see on this slide, applicants who can strengthen national 06:07.166 --> 06:10.800 disease prevention, detection, and response capabilities for emerging 06:10.800 --> 06:14.833 and reemerging public health threats, and again, including, but not limited to, 06:14.833 --> 06:18.533 vector or disease threats. Professional organizations with clinical 06:18.533 --> 06:21.833 public health and entomological membership are really preferred in terms 06:21.833 --> 06:24.133 of their demonstrated capacity. 06:24.133 --> 06:28.266 For our funding priorities, we'd like to prioritize that you 06:28.266 --> 06:31.766 disseminate and support adoption of guidance, clinical guidelines, 06:31.766 --> 06:34.733 best practices, and messages to prevent infections, 06:34.733 --> 06:38.266 also to inform and support CDC in developing those guidance tools, 06:38.266 --> 06:42.233 best practices, and messages, engaging frontline workers, which is a 06:42.233 --> 06:46.400 a broad term across the full public health system to increase knowledge and 06:46.400 --> 06:49.333 implementation of CDC best practices, and finally, 06:49.333 --> 06:52.700 improve the public health system's ability to plan for and be ready to 06:52.700 --> 06:57.966 respond to outbreaks and or public health emergencies. And with that, 06:57.966 --> 07:01.666 I'd like to transition the webinar to our colleagues in DHQP to discuss 07:01.666 --> 07:03.766 Component 3, Michael. 07:05.100 --> 07:08.433 Thanks, Sue. I'm Michael Craig. I'm the Director of the AR Coordination 07:08.433 --> 07:11.333 and the Strategy Unit, as well as the Deputy Division Director 07:11.333 --> 07:13.633 for the Division of Healthcare Quality Promotion. 07:16.666 --> 07:21.166 I'm going to talk about Component 3. This one covers AR and healthcare 07:21.166 --> 07:24.700 associated infections. Building on DHQP's missions and the 07:24.700 --> 07:28.733 capabilities we're seeking in applicants, we're going to talk about the broader 07:28.733 --> 07:33.933 impact of this funding and what it's designed to achieve. So at its core, 07:33.933 --> 07:38.033 the NOFO is intended to strengthen the nation's healthcare safety infrastructure 07:38.033 --> 07:39.600 through innovation, collaboration, 07:39.600 --> 07:43.100 and implementation of evidence-based practices that reduce infectious disease 07:43.100 --> 07:46.900 threats while improving patient outcomes. To advance these goals, 07:46.900 --> 07:51.033 DHQP has identified several funding priorities that represent critical areas 07:51.033 --> 07:55.400 of need for our opportunity. Just also would note from the slide, 07:55.400 --> 07:58.600 the targeted applicants, as you can see, that we are looking at. 07:58.600 --> 08:00.700 And I would just note for a couple of these things, 08:00.700 --> 08:04.900 for antimicrobial resistance threats, we're talking about both bacterial as 08:04.900 --> 08:10.566 well as fungal disease threats. And we're interested in things that cross 08:10.566 --> 08:14.000 and go into areas on the funding priorities below. 08:14.000 --> 08:18.400 So that includes AR and the microbiome, healthcare associated infections, 08:18.400 --> 08:21.400 and then oral infection prevention and control. 08:21.400 --> 08:26.933 We have some DHQP SMEs that are going to speak to our year one program priorities. 08:26.933 --> 08:29.733 And we're going to start that off with Dr. Cliff McDonald, 08:29.733 --> 08:32.966 who will give an overview of AR and microbiome health. 08:32.966 --> 08:37.566 And then Lauri Hicks will follow to talk about some other aspects of that related 08:37.566 --> 08:42.133 to antibiotic stewardship. Cliff. So one of our areas of interest is the 08:42.133 --> 08:43.200 dietary guidance 08:43.200 --> 08:43.233 to support microbiome recovery after healthcare associated dysbiosis. 08:43.233 --> 08:48.266 to support microbiome recovery after healthcare associated dysbiosis. 08:48.266 --> 08:52.666 Why this project is needed is that the human microbiome plays a critical role in 08:52.666 --> 08:57.133 maintaining health and protecting against infection, both fungal and bacterial. 08:57.133 --> 08:59.900 Disruptions of the microbiome, known as dysbiosis, 08:59.900 --> 09:03.833 can occur following common healthcare exposures such as antibiotics, 09:03.833 --> 09:03.866 surgery, severe illness, and other medical treatments. 09:03.866 --> 09:07.333 surgery, severe illness, and other medical treatments. 09:07.333 --> 09:11.466 Diet is one of the strongest factors influencing microbiome composition and 09:11.466 --> 09:14.233 function. Yet there is limited clinically focused 09:14.233 --> 09:19.000 guidance on how patients can use nutrition to support microbiome recovery 09:19.000 --> 09:21.766 after these healthcare-related disruptions. 09:21.766 --> 09:26.366 Healthcare providers and patients need practical, evidence-based recommendations 09:26.366 --> 09:30.566 that translate emerging microbiome science into actual dietary guidance 09:30.566 --> 09:34.800 tailored to specific patient populations. The funded partner would develop 09:34.800 --> 09:39.233 evidence-based dietary recommendations that promote microbiome recovery 09:39.233 --> 09:42.200 following dysbiosis-inducing healthcare exposures, 09:42.200 --> 09:47.566 synthesize existing scientific evidence, conduct systematic reviews where needed, 09:47.566 --> 09:52.066 and apply transparent methods to evaluate evidence quality and recommendation 09:52.066 --> 09:55.100 strength, produce clinically relevant guidance that 09:55.100 --> 09:59.066 can be adapted for patients with food sensitivities, intolerances, 09:59.066 --> 10:01.666 or other dietary considerations, and finally, 10:01.666 --> 10:05.800 engage professional societies and clinical stakeholders to review 10:05.800 --> 10:07.800 recommendations for feasibility 10:07.800 --> 10:11.400 relevance and uptake. The capabilities in this applicant would 10:11.400 --> 10:16.100 include strong expertise in nutrition science, microbiome research, 10:16.100 --> 10:21.300 and evidence-based guideline development experience, conducting systematic reviews, 10:21.300 --> 10:24.200 and applying evidence grading methodologies. 10:24.200 --> 10:27.966 The ability to convene multidisciplinary experts and collaborate with professional 10:27.966 --> 10:29.300 medical organizations 10:29.300 --> 10:32.566 And finally, proven capacity to develop and 10:32.566 --> 10:36.133 disseminate non-government clinical guidance products for healthcare 10:36.133 --> 10:42.433 audiences. So that's one project area. The other is standards and best practices 10:42.433 --> 10:46.233 for microbiome laboratory testing and diagnostics. 10:47.133 --> 10:51.733 As microbiome-based therapeutics and interventions, 10:51.733 --> 10:55.300 continue to advance, there is growing need for reliable ways 10:55.300 --> 10:59.166 to measure, monitor, and interpret microbiome health. 10:59.166 --> 11:03.266 Standardized approaches are needed to determine when microbiome-directed 11:03.266 --> 11:07.100 interventions may be appropriate, evaluate treatment success, 11:07.100 --> 11:11.366 and support broader infection prevention and public health efforts. 11:11.366 --> 11:14.033 Currently, there's a lot of variability in sampling 11:14.033 --> 11:17.766 methods, laboratory practices, test interpretation, 11:17.766 --> 11:21.733 and validation approaches, which is limiting the consistency and 11:21.733 --> 11:26.800 comparability across settings. What the funded partner would do would be 11:26.800 --> 11:31.100 to convene scientific, clinical, laboratory, and regulatory experts 11:31.100 --> 11:35.666 to develop consensus-based standards for microbiome sampling, quality control, 11:35.666 --> 11:40.366 and clinical interpretation, identify best practices for analytic 11:40.366 --> 11:45.466 validation, clinical validation, and implementation of microbiome-based 11:45.466 --> 11:50.033 diagnostics, develop open access resources, standards, 11:50.033 --> 11:55.333 and publications that can guide public health clinical laboratory practice and 11:55.333 --> 12:00.800 ensure recommendations align with relevant regulatory accreditation and 12:00.800 --> 12:06.333 quality frameworks such as FDA, CLIA, CAP, and CMS requirements. 12:06.333 --> 12:09.266 Capabilities include demonstrated expertise, 12:09.266 --> 12:13.466 in clinical laboratory science, microbiome measurement technologies, 12:13.466 --> 12:17.066 and diagnostic development, strong experience leading expert 12:17.066 --> 12:20.633 consensus processes, and developing standards of practice 12:20.633 --> 12:26.166 guidelines, core practice guidelines, ability to engage diverse stakeholders, 12:26.166 --> 12:29.733 including laboratorians, clinicians, researchers, 12:29.733 --> 12:34.400 regulators and accreditation bodies, and finally experience publishing and 12:34.400 --> 12:39.766 disseminating scientific and technical resources that support adoption across 12:39.766 --> 12:42.133 healthcare and public health systems. 12:45.933 --> 12:49.500 Hi, everyone. This is Laurie Hicks. I'm the Branch Chief for Medical Product 12:49.500 --> 12:53.266 Safety. I'm going to build a little bit on what 12:53.266 --> 12:56.700 Cliff shared. We have some interest in work related to 12:56.700 --> 13:02.600 microbiome and cancer patients as well. I think most folks know that people with 13:02.600 --> 13:06.633 cancer are often immunocompromised, and that makes them more susceptible to 13:06.633 --> 13:07.966 infections. 13:07.966 --> 13:12.700 So infection prevention is critical to protect cancer patients from healthcare 13:12.700 --> 13:16.100 associated infections, which are often resistant to 13:16.100 --> 13:19.500 antimicrobials. We also know that preserving the 13:19.500 --> 13:24.966 effectiveness of antibiotics is essential to enable cancer care. 13:24.966 --> 13:28.133 And as cancer care and therapy has 13:28.133 --> 13:32.233 evolved, the immune system is increasingly being 13:32.233 --> 13:36.166 leveraged to fight cancer with modern immunotherapies. 13:36.166 --> 13:41.866 And we know that antibiotics can disrupt and may actually reduce the effectiveness 13:41.866 --> 13:46.766 of these immunotherapies. We are seeking expertise and capabilities 13:46.766 --> 13:52.333 related to implementation of effective infection prevention and control, 13:52.333 --> 13:57.566 diagnostic stewardship, and antimicrobial stewardship to improve 13:57.566 --> 14:04.166 the quality of care for cancer patients. Some example deliverables include 14:04.166 --> 14:09.600 training and education related to infection prevention and control and or 14:09.600 --> 14:12.733 appropriate antibiotic use as part of cancer care. 14:12.733 --> 14:16.433 for healthcare professionals and patients and their families, 14:16.433 --> 14:21.233 dissemination of messages to healthcare professionals and the public about the 14:21.233 --> 14:26.766 connection between the health of the human microbiome and cancer treatment and 14:26.766 --> 14:30.766 care. We're also interested in antimicrobial 14:30.766 --> 14:35.700 stewardship capabilities that are independent of the cancer microbiome work, 14:35.700 --> 14:40.333 that include expertise in developing scalable electronic health record 14:40.333 --> 14:45.200 clinical pathways for improving antibiotic use in outpatient settings. 14:45.200 --> 14:49.133 Sometimes this is referred to as clinical decision support. 14:49.133 --> 14:53.766 We also are looking for subject matter expertise in academic detailing and 14:53.766 --> 14:58.000 capability to develop training for clinicians to optimize antibiotic 14:58.000 --> 15:00.433 prescribing for hospitalized patients. 15:02.166 --> 15:05.466 Thanks, Lauri and Cliff. We're going to go on to the next priority 15:05.466 --> 15:08.366 under healthcare associated infections. And I'm going to turn it over to Maggie 15:08.366 --> 15:12.466 Dudek to talk about a project related to NHSN. Hi, everyone. 15:12.466 --> 15:16.066 My name is Maggie Dudek, and I'm going to talk about a project for 15:16.066 --> 15:20.900 expanding participation in the National Healthcare Safety Network's Digital 15:20.900 --> 15:22.833 Quality Measures. 15:22.833 --> 15:28.233 NHSN is transforming healthcare surveillance by using Fast Healthcare 15:28.233 --> 15:34.566 Interoperability Resources, or FHIR, to identify and track serious adverse 15:34.566 --> 15:40.066 events in hospitalized patients, accelerate improvements in patient safety, 15:40.066 --> 15:42.033 and reduce harms and death. 15:43.166 --> 15:47.200 FHIR application programming interfaces, APIs, 15:47.200 --> 15:53.666 will be used to submit as a single bundle to detect new multiple digital quality 15:53.666 --> 15:58.066 measures or DQMs. These include, but are not limited to, 15:58.066 --> 16:02.400 hospital onset bacteremia and fungemia, or HOB, 16:02.400 --> 16:07.766 adult community onset sepsis standardized mortality ratio, 16:07.766 --> 16:14.166 and healthcare associated antibiotic treated C. difficile infection or HTCDI. 16:15.900 --> 16:20.000 To date, NHSN has collaborated with 19 sites to 16:20.000 --> 16:24.066 pilot, implement, and validate DQMs through our CoLab 16:24.066 --> 16:27.100 program, and we are prepared to expand this 16:27.100 --> 16:34.366 reporting to U.S. hospitals nationwide. The funded partner will be expected to 16:34.366 --> 16:38.500 partner with healthcare systems, hospital executives and administrators, 16:38.500 --> 16:39.533 and hospital 16:39.533 --> 16:44.833 information technology personnel to complete successful education and 16:44.833 --> 16:51.233 onboarding of hospitals to NHSN DQMs. We define hospital onboarding as 16:51.233 --> 16:57.066 completing all required permissions for the hospital to connect their FHIR API 16:57.066 --> 16:59.000 with NHSN Link. 17:00.100 --> 17:07.533 Their data complies with the CDC NHSN DQM content package IG. 17:07.533 --> 17:13.700 The hospital passes all NHSN verification and validation steps to ensure complete 17:13.700 --> 17:17.300 and accurate data, and their submission of at least one 17:17.300 --> 17:23.433 month of 1 DQM that confirms end-to-end connection. 17:23.433 --> 17:26.800 In close collaboration with and under guidance of NHSN, 17:26.800 --> 17:30.033 the funded partner would have the capabilities to support onboarding 17:30.033 --> 17:33.266 activities, such as convene onboarding work groups 17:33.266 --> 17:38.166 and cohorts of hospitals for peer-to-peer learning and support, 17:38.166 --> 17:42.866 develop education and onboarding materials, train a DQM 17:42.866 --> 17:46.700 implementation coordinator for each hospital, 17:46.700 --> 17:53.766 and facilitate successful connection of the DQM FHIR API to NHSN for at least one 17:53.766 --> 17:58.833 DQM. Our goals at NHSN are by the end of 2027, 17:58.833 --> 18:04.733 we would have complete onboarding of up to 2,000 US hospitals 18:04.733 --> 18:09.300 to within five years have all US hospitals participating in one or more 18:09.300 --> 18:10.333 DQMs. 18:12.033 --> 18:14.066 Thank you, Maggie. I'm going to turn it over now to Amy 18:14.066 --> 18:17.600 Colwaite to talk about projects related to Project Firstline. Great. Thanks, 18:17.600 --> 18:20.900 Michael. Hi, everyone. I'm Amy Colwaite, Chief of the Health System Strengthening 18:20.900 --> 18:24.000 and Resilience Branch, which includes Project Firstline. 18:24.000 --> 18:27.866 Project Firstline is CDC's national infection prevention and control training 18:27.866 --> 18:31.566 and education collaborative for frontline health care workers. 18:31.566 --> 18:34.733 The aim of Project First Line is to provide accessible, practical, 18:34.733 --> 18:39.900 and culturally appropriate infection prevention and control or IPC resources 18:39.900 --> 18:43.233 tailored to diverse learning preferences. We place particular emphasis on 18:43.233 --> 18:48.033 environmental services workers and allied health professionals, for example, 18:48.033 --> 18:50.333 certified nurse assistants or CNAs, 18:50.333 --> 18:53.966 dental assistants, respiratory therapists, and EMS staff, 18:53.966 --> 18:57.133 both while they are training to enter the profession and when they reach the 18:57.133 --> 19:00.133 workplace. This work overlaps with our priority 19:00.133 --> 19:03.233 populations portfolio, which is focused on strengthening 19:03.233 --> 19:07.366 infection prevention and control in historically under-resourced settings. 19:07.366 --> 19:10.333 This includes rural and critical access hospitals, 19:10.333 --> 19:13.666 federally qualified health centers, Indian health services and tribal 19:13.666 --> 19:16.166 facilities, including urban Indian clinics, and the 19:16.166 --> 19:20.033 U.S. affiliated Pacific Islands. Project Firstline also aligns with our 19:20.033 --> 19:23.266 health care systems resilience efforts, which focus on the science and 19:23.266 --> 19:27.666 implementation of building health care systems resilient to infectious disease 19:27.666 --> 19:31.333 threats and other disruptions to save quality care. 19:31.333 --> 19:34.466 Through this mechanism, we look forward to working with partners 19:34.466 --> 19:39.200 to deliver culturally appropriate, innovative IPC training targeting allied 19:39.200 --> 19:42.900 health workers with consideration for historically under-resourced healthcare 19:42.900 --> 19:47.133 settings. Identify IPC gaps across identified roles 19:47.133 --> 19:49.900 in healthcare settings and translate findings into practical, 19:49.900 --> 19:52.533 culturally tailored IPC resources. 19:52.533 --> 19:55.266 This includes understanding and addressing needs related to cultural 19:55.266 --> 19:58.966 practices such as traditional healers in healthcare settings. 19:58.966 --> 20:02.500 Strengthen IPC through workforce readiness tools and rapid onboarding 20:02.500 --> 20:06.500 resources for high turnover roles, as well as the integration of career 20:06.500 --> 20:12.166 pipelines and other classroom to career strategies to fill critical allied health roles. 20:12.166 --> 20:16.333 Producing engaging evidence-based multimedia education and support national 20:16.333 --> 20:19.866 dissemination, whether through broadcast, webinars, or toolkits, 20:19.866 --> 20:24.933 to scale IPC uptake. Monitor, evaluate, and apply continuous quality improvement 20:24.933 --> 20:29.133 to measure training effectiveness by workforce role and refine resources, 20:29.133 --> 20:33.900 linking training impact to IPC practice change and ultimately patient outcomes. 20:33.900 --> 20:35.566 And finally, to build more resilient healthcare 20:35.566 --> 20:40.100 systems that provide support for IPC processes to safely adapt during times of 20:40.100 --> 20:45.666 crises, shocks, or other stressors. Approaches or features we would like to 20:45.666 --> 20:50.133 see in proposals include both low burden, role-specific methods for training, 20:50.133 --> 20:53.433 as well as more innovative ways to reach adult learners. 20:53.433 --> 20:56.633 Methods for integrating IPC teaching in formal education settings, 20:56.633 --> 21:00.733 including community colleges, mixed methods scoping and needs 21:00.733 --> 21:05.133 assessments tailored to allied health perspectives and diverse care settings, 21:05.133 --> 21:08.933 culturally co-created resources that respect local practices and community 21:08.933 --> 21:12.700 norms, integration of onboarding, competency checklists, 21:12.700 --> 21:17.500 and train-the-trainer models to address turnover and scale local teaching capacity. 21:17.500 --> 21:20.600 Multimedia instructional design, such as interactive scenarios, 21:20.600 --> 21:23.666 short animations, or spot the risk activities, 21:23.666 --> 21:27.500 which could be suitable as a standalone or supplemental content, 21:27.500 --> 21:31.300 and the ability for national dissemination via established platforms, 21:31.300 --> 21:36.866 as well as clear plans for reaching frontline allied health audiences. 21:36.866 --> 21:41.033 We'd like to see evaluation priorities around workforce disaggregated metrics to 21:41.033 --> 21:45.400 track competency gains and sustain practice change across cadres. Again, 21:45.400 --> 21:49.100 this includes EVS, CNAs, dental assistants, respiratory therapists, 21:49.100 --> 21:52.433 to name just a few. Assessment of which training modalities 21:52.433 --> 21:55.933 are most effective for different workforce cadres and settings. 21:55.933 --> 21:59.300 Measures that link training to IPC practice change and where feasible to 21:59.300 --> 22:03.266 patient safety outcomes, and continuous QI cycles using evaluation 22:03.266 --> 22:07.100 findings to refine curricula and resources for greater impact. 22:07.100 --> 22:10.466 Key capacities applicants should demonstrate would be proven experience 22:10.466 --> 22:13.466 designing and delivering innovative, culturally appropriate, 22:13.466 --> 22:15.200 competency-based training 22:15.200 --> 22:18.833 that aligns with the core principles of adult learning and education, 22:18.833 --> 22:22.233 including a track record of co-creating culturally appropriate resources for 22:22.233 --> 22:25.966 underserved healthcare settings. Establish networks with healthcare 22:25.966 --> 22:30.033 settings and frontline healthcare cadres for pilot and scale-up activities, 22:30.033 --> 22:34.400 or establish networks between healthcare settings and formal education settings. 22:34.400 --> 22:37.766 Skills and mixed methods scoping needs assessments that capture allied health 22:37.766 --> 22:40.433 perspectives as it relates to infection control. 22:40.433 --> 22:44.500 Experience in adult learning and educational best practice and multimedia 22:44.500 --> 22:47.900 production capability for short videos, interactive cases, 22:47.900 --> 22:51.833 and other novel methods tailored to our targeted healthcare cadres. 22:51.833 --> 22:56.366 Experience supporting broadcast platforms and webinars for national dissemination. 22:56.366 --> 22:59.100 Experience in developing and disseminating practical workforce 22:59.100 --> 23:03.266 retention and onboarding tools for allied health. For example, quick start guides, 23:03.266 --> 23:05.933 competency checklists, train the trainer models, 23:05.933 --> 23:09.366 or workforce development partnerships with community colleges for on-the-job 23:09.366 --> 23:12.400 training. And finally, robust monitoring, evaluation, 23:12.400 --> 23:15.666 and QI methods with workforce disaggregated metrics and clear plans to 23:15.666 --> 23:17.766 share lessons learned. 23:17.766 --> 23:22.400 Thanks, thanks, Amy. All right, and for the last one in the healthcare 23:22.400 --> 23:25.733 associated infection section related to state and local leadership engagement, 23:25.733 --> 23:28.900 I'm going to turn it over to Wendy Vance. 23:28.900 --> 23:32.433 Great. Thank you, Michael. Hi, everyone. I'm Wendy Vance, 23:32.433 --> 23:35.900 and I'm a public health analyst in the Division of Health Care Quality Promotion 23:35.900 --> 23:39.766 and one of the technical monitors for this funding opportunity. Today, 23:39.766 --> 23:44.433 I'm going to talk about the state and local leadership engagement component. 23:44.433 --> 23:48.133 We recognize that state, territorial, and local public health leaders play a 23:48.133 --> 23:50.366 critical role in advancing 23:50.366 --> 23:55.566 healthcare safety and quality, including HAIs, antimicrobial resistance, 23:55.566 --> 24:00.666 sepsis, healthcare resilience, and outbreak preparedness efforts. 24:00.666 --> 24:04.566 Through this NOFO, DHQP is interested in supporting national 24:04.566 --> 24:08.466 partners that have established relationships with state, territorial, 24:08.466 --> 24:10.300 and local public health leadership. 24:10.300 --> 24:15.000 and can serve as trusted conveners between CDC and the field. 24:15.000 --> 24:18.700 We are looking for applicants that can facilitate meaningful leadership 24:18.700 --> 24:25.200 engagement opportunities between CDC, DHQP leadership and senior leadership of 24:25.200 --> 24:29.766 national partnership organizations that represent and support state 24:29.766 --> 24:32.966 territorial, and local public health agencies. 24:32.966 --> 24:37.366 These engagement activities should help identify emerging issues, 24:37.366 --> 24:40.266 share priorities, implementation challenges, 24:40.266 --> 24:45.333 and opportunities for strategic alignment across jurisdictions. 24:45.333 --> 24:48.733 We are particularly interested in activities that strengthen collaboration, 24:48.733 --> 24:51.066 support information sharing, 24:51.066 --> 24:56.300 and create mechanisms for elevating state and local perspectives to inform DHQP 24:56.300 --> 25:01.866 priorities and programmatic activities. Applicants should demonstrate how they 25:01.866 --> 25:07.000 will sustain momentum between leadership convenings through ongoing engagement, 25:07.000 --> 25:11.366 strategic coordination, follow up on agreed upon actions, 25:11.366 --> 25:15.766 elevation of emerging issues, and continuous identification of 25:15.766 --> 25:20.766 opportunities to advance shared priorities related to healthcare safety 25:20.766 --> 25:25.566 and quality, including HAI, antimicrobial resistance, sepsis, 25:25.566 --> 25:28.166 healthcare resilience, outbreak preparedness, 25:28.166 --> 25:31.166 and public health systems strengthening. 25:31.166 --> 25:36.333 The technical expertise needed, expertise in HAI, 25:36.333 --> 25:40.833 antimicrobial resistance, infection prevention and control, sepsis, 25:40.833 --> 25:44.833 healthcare resilience, and outbreak preparedness and response. 25:44.833 --> 25:47.833 We also need experience working with state, territorial, 25:47.833 --> 25:51.800 and local public health agencies and understanding the challenges. 25:51.800 --> 25:57.133 and opportunities that are faced here. Expertise in public health infrastructure, 25:57.133 --> 26:02.166 workforce development, data modernization, healthcare quality improvement, 26:02.166 --> 26:06.733 and emergency preparedness is highly valuable as well. 26:06.733 --> 26:11.200 Experience translating technical and scientific information into actionable 26:11.200 --> 26:14.866 strategies for public health leadership audiences. 26:14.866 --> 26:19.533 The collaboration would be DHQP is interested in partnership that fosters 26:19.533 --> 26:22.966 collaboration among federal, state, territorial, 26:22.966 --> 26:27.400 and local public health partners. Successful applicants should demonstrate 26:27.400 --> 26:32.400 the ability to convene leadership, facilitate strategic discussions, 26:32.400 --> 26:34.866 identify shared priorities, 26:34.866 --> 26:37.766 and promote coordinated approaches to addressing public health 26:37.766 --> 26:41.333 challenges. Applicants should describe how they will 26:41.333 --> 26:46.166 support information exchange, identify opportunities for synergy, 26:46.166 --> 26:50.666 and strengthen alignment between DHQP priorities and public health partner 26:50.666 --> 26:54.000 needs. Collaboration efforts should support 26:54.000 --> 26:55.433 coordination around HAI 26:55.433 --> 27:00.400 antimicrobial-resistant sepsis, healthcare resilience, 27:00.400 --> 27:03.333 outbreak preparedness, public health infrastructure, 27:03.333 --> 27:08.100 and emerging public health threats. The capability is needed to accomplish 27:08.100 --> 27:13.066 the work over the next five years. The ability to convene and engage public 27:13.066 --> 27:15.500 health leaders on a national scale. 27:15.500 --> 27:20.900 The ability to facilitate leadership forums, strategic planning discussions, 27:20.900 --> 27:23.433 policy discussions, communities of practice, 27:23.433 --> 27:28.200 and other engagement opportunities. The capacity to identify and elevate 27:28.200 --> 27:33.633 emerging issues, system level changes, and opportunities for improvement. 27:33.633 --> 27:36.900 The ability to disseminate CDC guidance, tools, 27:36.900 --> 27:39.600 and resources broadly and effectively. 27:39.600 --> 27:45.566 Expertise supporting HAI and AR prevention activities, sepsis initiatives, 27:45.566 --> 27:49.333 preparedness, response coordination, healthcare resilience, 27:49.333 --> 27:52.433 and public health system strengthening. And lastly, 27:52.433 --> 27:56.600 the ability to collect and synthesize information from the field and provide 27:56.600 --> 27:58.766 actionable recommendations 27:58.766 --> 28:04.366 that inform future public health priorities and activities. Thank you. 28:04.366 --> 28:06.933 Thanks, Wendy. And then for the last section under 28:06.933 --> 28:09.266 funding priorities, we're going to cover oral infection 28:09.266 --> 28:11.533 prevention and control. And I'm going to turn that over to 28:11.533 --> 28:12.800 Liz Wilkins first. 28:13.966 --> 28:19.233 So we'd like to work with a partner on CDC's infection prevention and control 28:19.233 --> 28:22.800 activities and settings providing dental services. 28:22.800 --> 28:27.433 This includes dental services provided in outpatient clinics, acute care hospitals, 28:27.433 --> 28:31.000 long-term care facilities, and other community-based settings and 28:31.000 --> 28:34.766 mobile or portable settings. Our funding priorities would be for 28:34.766 --> 28:38.566 activities focused in four key areas. One, updating 28:38.566 --> 28:42.966 the existing CDC dental infection control guidance for priority topics and 28:42.966 --> 28:47.566 facilitating dissemination and adoption within the dental community. Two, 28:47.566 --> 28:52.366 updating and or developing new infection control training materials and resources 28:52.366 --> 28:57.166 for dental health care personnel. Three, providing technical expertise on 28:57.166 --> 29:00.766 specialized dental topics such as dental instruments, equipment, 29:00.766 --> 29:02.633 oral surgical procedures. 29:02.633 --> 29:06.566 to support other CDC response and prevention focused activities, 29:06.566 --> 29:10.500 and facilitating partnership and capacity building for infection prevention and 29:10.500 --> 29:13.133 control among dental health care personnel, 29:13.133 --> 29:16.166 dental professional associations, public health agencies, 29:16.166 --> 29:20.066 regulatory agencies, and other relevant organizations. 29:20.066 --> 29:21.500 Thanks Liz. And then 29:21.500 --> 29:23.666 last but not least, I'm going to turn it actually back to 29:23.666 --> 29:28.633 Lauri Hicks to talk about some other work related to oral health. 29:28.633 --> 29:30.000 Great. Thank you, Michael. 29:30.000 --> 29:34.666 I'm going to speak just briefly. We have known for a long time that over 29:34.666 --> 29:40.200 10% of all antibiotics used in humans are prescribed by dentists and infrastructure 29:40.200 --> 29:44.600 to improve antibiotic use in dentistry is quite limited. 29:44.600 --> 29:49.733 We are seeking capabilities and expertise at the intersection of dentistry and 29:49.733 --> 29:54.333 antibiotic stewardship. Example deliverables may include dental 29:54.333 --> 29:59.000 antibiotic prescribing guidelines, dental quality measure development and 29:59.000 --> 30:00.500 performance improvement, 30:00.500 --> 30:05.133 for management of common conditions that lead to antibiotic use in dentistry, 30:05.133 --> 30:10.000 and health informatics and electronic health record-based approaches for 30:10.000 --> 30:14.166 antibiotic use tracking and quality measurement in dental settings. 30:14.166 --> 30:20.733 Another area of public health importance is the safety of human tissue transplantation. 30:20.733 --> 30:25.233 Use of human bone material is increasing rapidly in dentistry, 30:25.233 --> 30:29.566 and there have been serious infectious outbreaks like tuberculosis linked to 30:29.566 --> 30:33.766 human tissue use. We are looking for capabilities at the 30:33.766 --> 30:38.600 intersection of human tissue use, quality improvement, and dentistry. 30:38.600 --> 30:42.333 And one example of a potential deliverable 30:42.333 --> 30:46.466 includes training which offers continuing education for dental 30:46.466 --> 30:52.200 professionals to increase understanding of risks for infections with human tissue 30:52.200 --> 30:57.300 and the importance of informed consent for patients. Thank you, Lauri. 30:57.300 --> 31:01.133 And that concludes the overview for Component 3. 31:01.133 --> 31:02.966 Next, we'll turn it over to Liz McClune for an 31:02.966 --> 31:06.666 overview of the targeted applicants and funding priorities for Component 4. 31:08.266 --> 31:13.266 Thanks, Michael. And I want to focus on Component 4 for a 31:13.266 --> 31:16.333 second because it's a bit unique amongst the components. 31:16.333 --> 31:21.033 So Component 4 exists to support outbreaks and emergency responses. 31:21.033 --> 31:24.833 As you can imagine, that is a could touch many of our 31:24.833 --> 31:28.233 different programs, including the broader infectious disease 31:28.233 --> 31:30.866 portfolio that you heard about in Component 2, 31:30.866 --> 31:35.500 the more targeted HAI AR one that you've heard about in Component 3 and others. 31:35.500 --> 31:39.433 And I do want to note that unlike some of the other components, 31:39.433 --> 31:45.100 applicants to Component 4 may be placed on an approved but unfunded status 31:45.100 --> 31:49.800 initially for this component, depending on the needs of public health 31:49.800 --> 31:53.033 for emergency responses, which would then be leveraged on the 31:53.033 --> 31:55.133 specific public health needs 31:55.133 --> 32:00.266 that either currently arise or may arise in the near future. I do want to note, 32:00.266 --> 32:01.833 too, that for applicants interested in 32:01.833 --> 32:06.900 supporting emergency responses now or in the future, please, 32:06.900 --> 32:10.233 we are strongly encouraged to apply to Component 4, of course, 32:10.233 --> 32:15.033 in addition to Component 1, which is required to be considered for 32:15.033 --> 32:17.100 those emergency response scaling 32:17.100 --> 32:20.100 activities. As far as the targeted applicants, 32:20.100 --> 32:24.033 you'll see that they map very clearly to what you saw in the broader portfolio of 32:24.033 --> 32:30.933 Component 2, which is infectious disease. And the focus is the ability to enhance 32:30.933 --> 32:35.500 outbreaks and public health emergencies. So the ability to increase or accelerate 32:35.500 --> 32:37.433 programming quickly is 32:37.433 --> 32:41.533 really important here. In the next section, next slide, 32:41.533 --> 32:44.733 we'll take a closer look at how the program strategies align with the 32:44.733 --> 32:49.733 components we've discussed and the activities that applicants may propose 32:49.733 --> 32:52.166 under each area. And again, they're meant to be very broad. 32:52.166 --> 32:57.000 We want to get a broad swath of applications and your ideas as well. 32:57.000 --> 32:58.366 So next slide, please. 33:00.200 --> 33:03.066 So again, we've discussed the program components 33:03.066 --> 33:07.866 and we are going to focus on the strategies and activities that are meant 33:07.866 --> 33:12.766 to support implementations. The strategies provide a framework for 33:12.766 --> 33:16.933 how recipients will achieve the goals of each component and will translate the 33:16.933 --> 33:20.100 objectives into action. 33:20.100 --> 33:24.300 As you develop your application, it's really important to align your 33:24.300 --> 33:28.666 proposed activities with the strategies associated with the component or 33:28.666 --> 33:31.533 components you're applying for. So as you can see, 33:31.533 --> 33:34.300 and as you'll see throughout the narrative of the NOFO, 33:34.300 --> 33:38.600 not every strategy applies to every component. So please 33:38.600 --> 33:43.766 focus only on the strategies linked to your selected component. Of course, 33:43.766 --> 33:46.766 can't emphasize this enough, knowing that Component 1, Strategy 1, 33:46.766 --> 33:53.300 is required. The next slide, we can go through how they align. 33:53.300 --> 33:57.833 So I'm going to break them down now. So before I hand it off to my colleagues. 33:57.833 --> 33:59.333 So Component 1, 33:59.333 --> 34:05.333 Strategy 1 is implement and monitor. So that is the foundational strategy and 34:05.333 --> 34:07.833 component. Invest in and maintain the people who are 34:07.833 --> 34:12.033 critical and necessary to implement and fiscally manage the activities. 34:12.033 --> 34:14.633 So regardless of what the specific activities are, 34:14.633 --> 34:18.833 this is your foundational management budget, 34:18.833 --> 34:23.833 program management work that you need to prevent the spread of infectious disease. 34:23.833 --> 34:25.000 Next slide, please. 34:27.433 --> 34:31.500 And then number Strategy 2, which you can find in 34:31.500 --> 34:32.800 Component 2 and 3, 34:32.800 --> 34:37.766 is disseminate and adopt. And as noted by Dr. Visser earlier, 34:37.766 --> 34:42.033 we're supporting CDC in disseminating and adopting guidance, guidelines, 34:42.033 --> 34:45.133 best practices, and messaging related to either, again, 34:45.133 --> 34:48.500 the broader disease prevention and control for emerging and re-emerging 34:48.500 --> 34:50.466 pathogens, which is Component 2, 34:50.466 --> 34:56.133 or the more specific AMR HAI infections, which is Component 3. 34:56.133 --> 35:00.833 So I think Strategy 3 is being handled by my fabulous colleague, Trisia. 35:00.833 --> 35:02.866 So I will hand it off to her. 35:06.566 --> 35:09.500 Good afternoon, everyone. My name is Tristia Shannon. 35:09.500 --> 35:12.766 I am the Deputy Program Management Official in ARX, 35:12.766 --> 35:16.600 the Antimicrobial Resistance Strategy and Coordination Unit. 35:16.600 --> 35:20.400 I'll be handling the next couple of slides to continue to review the 35:20.400 --> 35:25.000 strategies. So Liz just went over Strategy 2, 35:25.000 --> 35:28.500 so I will transition right into Strategy 3. 35:28.500 --> 35:35.633 Strategy 3 is inform and adopt. Strategy 3 focuses on helping programs 35:35.633 --> 35:39.933 understand how resources can be refined and adapted to meet the needs of health 35:39.933 --> 35:46.066 care and public health communities they're intended to support. 35:46.066 --> 35:49.633 Through this strategy, potential applicants will support CDC by 35:49.633 --> 35:52.766 gathering input from SMEs, professional communities, 35:52.766 --> 35:56.666 healthcare providers, clinicians, and other key stakeholders. 35:56.666 --> 36:00.633 This feedback will help CDC better understand needs, challenges, 36:00.633 --> 36:04.933 and perspectives of different patient populations, clinical specialties, 36:04.933 --> 36:08.666 and industry sectors. The goal is to use those insights to 36:08.666 --> 36:13.200 inform, develop, refine, and adapt guidance tools and practices 36:13.200 --> 36:15.000 and communication resources 36:15.000 --> 36:19.333 so they can be more effectively implemented in real world settings. 36:19.333 --> 36:20.766 Next slide, please. 36:25.666 --> 36:29.100 The next strategy I will talk about is under Components 2 and 3 is 36:29.100 --> 36:32.533 strategy 4. Strategy 4 is educate and train. 36:32.533 --> 36:37.333 This strategy recognizes that guidance and best practices are most effective 36:37.333 --> 36:42.266 when the workforce has knowledge, skills, and resources needed to implement them. 36:42.266 --> 36:45.266 Through this strategy, potential applicants will engage 36:45.266 --> 36:48.100 frontline health care and public health professionals 36:48.100 --> 36:53.400 to increase awareness, understanding, and adoption of CDC recommended practices. 36:53.400 --> 36:57.500 This strategy may include developing educational resources, 36:57.500 --> 37:00.800 delivering training programs, supporting professional development 37:00.800 --> 37:03.800 opportunities, and leveraging existing networks to reach 37:03.800 --> 37:06.833 key audiences. Our goal is to strengthen the workforce 37:06.833 --> 37:11.400 capacity and ensure that evidence-based practices are effectively implemented 37:11.400 --> 37:15.400 across healthcare and public health settings. Next slide, please. 37:17.300 --> 37:20.700 The next strategy under Components 2 and 3 is strategy 5, 37:20.700 --> 37:24.733 which is ready and prepare. The goal of this strategy is to 37:24.733 --> 37:30.000 strengthen the public health system's ability to anticipate, prepare for, 37:30.000 --> 37:33.366 and respond to infectious disease threats. Through this strategy, 37:33.366 --> 37:36.633 recipients may support activities that improve planning, preparedness, 37:36.633 --> 37:39.433 coordination, and response readiness across healthcare 37:39.433 --> 37:41.300 and public health systems. 37:41.300 --> 37:44.500 Organizations should consider their expertise, partnerships, 37:44.500 --> 37:49.700 and networks can support preparedness efforts and improve the ability of health 37:49.700 --> 37:55.700 care and public health systems to respond effectively when challenges arise. 37:55.700 --> 37:58.200 Ultimately, strategy 5 is about ensuring that systems 37:58.200 --> 38:01.866 are not only prepared to respond to threats, but are positioned to do so 38:01.866 --> 38:05.933 quickly, effectively, in a coordinated manner. 38:05.933 --> 38:10.166 The next strategy is strategy 6. This is a unique strategy because it's 38:10.166 --> 38:15.766 only unique to Component 3. It is build and strengthen. 38:15.766 --> 38:20.033 Strategy 6 focuses on improving the systems and environments where care is 38:20.033 --> 38:24.500 delivered. Through this strategy, potential applicants will support efforts 38:24.500 --> 38:26.766 to strengthen healthcare resiliency 38:26.766 --> 38:31.600 by identifying and addressing system level factors that influence consistent 38:31.600 --> 38:35.433 delivery of safe care. This may include activities that help 38:35.433 --> 38:38.333 health care organizations improve processes, 38:38.333 --> 38:42.600 strengthen infection prevention practices, or address barriers that contribute to 38:42.600 --> 38:47.500 healthcare-associated infections or antimicrobial resistance. 38:47.500 --> 38:51.300 The goal is to create stronger, more resilient healthcare systems that 38:51.300 --> 38:53.766 can better prevent infections, improve patient safety, 38:53.766 --> 38:57.833 and reduce the impact of antimicrobial pathogens. 38:57.833 --> 39:03.166 And the last strategy that we will discuss is strategy 7 under Component 4. 39:03.166 --> 39:07.433 Strategy 7 is only associated with Component 4 and focuses on outbreak 39:07.433 --> 39:09.100 and emergency response. 39:09.100 --> 39:13.600 It's designed to support rapid action when public health emergency occurs. 39:13.600 --> 39:17.933 Through this strategy, potential applicants may help enhance the 39:17.933 --> 39:21.966 public health system's response to outbreaks and emerging threats by 39:21.966 --> 39:26.500 expanding or accelerating existing activities, programs, or services. 39:26.500 --> 39:28.633 This could include increasing 39:28.633 --> 39:31.433 capacity, expanding public health infrastructure, 39:31.433 --> 39:34.766 scaling up communication and outreach efforts, 39:34.766 --> 39:39.766 and or providing additional support needed to address an urgent public health 39:39.766 --> 39:43.200 response. Our goal is to ensure that our partners 39:43.200 --> 39:48.166 have flexibility and capacity to respond quickly and effectively when new threats 39:48.166 --> 39:49.700 emerge. 39:49.700 --> 39:54.966 As a reminder, to follow on what Liz said, Component 4 applications may be approved, 39:54.966 --> 39:59.400 but initially unfunded. And you must apply for Component 4 to be 39:59.400 --> 40:03.833 considered for future awards if determined that response support is 40:03.833 --> 40:06.033 needed. And now I will turn it over to my 40:06.033 --> 40:10.400 colleague, Raven Bradley, to discuss application tips and reminders. 40:10.400 --> 40:11.033 Thank you. 40:12.833 --> 40:17.833 Good morning, everyone. I'm Raven Bradley. I'm a public health analyst in the 40:17.833 --> 40:22.633 Antimicrobial Resistance Coordination and Strategy Unit. 40:22.633 --> 40:28.733 I want to go over a couple of important application requirements and reminders 40:28.733 --> 40:33.466 from our presentation today. All applicants must apply for 40:33.466 --> 40:37.833 Component 1, which is the required infrastructure component, 40:37.833 --> 40:41.433 along with at least one additional component. 40:41.433 --> 40:46.733 Applicants must also propose activities that support at least one strategy 40:46.733 --> 40:51.333 associated with each component included in their application. 40:51.333 --> 40:55.200 Proposed activities should clearly align with the strategy 40:55.200 --> 40:59.433 or strategies identified under that component. 40:59.433 --> 41:05.066 It is also important to note that Component 2 and Component 3 are separate 41:05.066 --> 41:09.100 scopes of work. Applicants may choose to apply for either 41:09.100 --> 41:15.866 component individually or for both components, depending on their expertise, 41:15.866 --> 41:19.200 capacity, and proposed activities. 41:19.200 --> 41:24.600 If applying for multiple components, applicants should submit a separate work 41:24.600 --> 41:29.300 plan and budget for each component. This helps ensure that proposed 41:29.300 --> 41:34.133 activities, deliverables, and resources are clearly aligned with 41:34.133 --> 41:39.733 the appropriate component requirements. Organizations must apply 41:39.733 --> 41:45.233 for Component 4 to be considered for future activation during an outbreak or 41:45.233 --> 41:51.866 public health emergency response. Finally, all applicants must maintain an active 41:51.866 --> 41:57.400 Sam.gov registration. We strongly encourage organizations to 41:57.400 --> 41:59.366 verify their registration 41:59.366 --> 42:05.066 status early to avoid delays or submission issues. Next slide, please. 42:07.333 --> 42:14.500 Here are some key dates to remember. Applications are due July 1st, 2026. 42:14.500 --> 42:20.100 CDC anticipates making awards by August 31st, 2026, 42:20.100 --> 42:25.133 with a projected start date of September 30th, 2026. 42:25.133 --> 42:28.733 We encourage applicants to begin preparing early 42:28.733 --> 42:33.666 and ensure that all required registrations, including sam.gov 42:33.666 --> 42:38.533 and grants.gov, are active and current well before the 42:38.533 --> 42:41.033 application deadline. 42:41.033 --> 42:42.066 Next slide, please. 42:44.333 --> 42:47.833 If you have programmatic questions about the NOFO, 42:47.833 --> 42:53.866 please contact the program team using the email address listed on this slide. 42:53.866 --> 42:57.366 Additionally, if you would like to have access to the 42:57.366 --> 43:01.333 recording of this webinar, please send your email address to the 43:01.333 --> 43:04.266 program mailbox listed on this slide. 43:04.266 --> 43:10.566 idpartnerships@cdc.gov. For grants management or budget related 43:10.566 --> 43:13.466 questions, please contact the grants management 43:13.466 --> 43:15.366 specialist listed here. 43:16.500 --> 43:17.500 Next slide, please. 43:19.200 --> 43:23.900 For system support, applicants should use grants.gov 43:23.900 --> 43:29.866 and sam.gov support resources when needed and to verify registrations 43:29.866 --> 43:36.966 early to avoid systems submission delays. The help desk contact information for 43:36.966 --> 43:40.366 both systems can be found on this slide. 43:40.366 --> 43:41.666 Next slide, please. 43:43.400 --> 43:48.466 We also included several websites that may be useful as you prepare your 43:48.466 --> 43:52.866 application. These resources provide information on 43:52.866 --> 43:57.533 CDC grants, federal requirements, application guidance, 43:57.533 --> 44:02.233 and applicable regulations. We encourage applicants to review 44:02.233 --> 44:03.566 these resources 44:03.566 --> 44:09.500 and use them as references throughout the application process. Next slide, please. 44:12.300 --> 44:15.700 We have now come to the end of the webinar. 44:15.700 --> 44:20.666 Thank you for your attention and interest in partnering with CDC to strengthen 44:20.666 --> 44:26.000 prevention, detection, and response to emerging and re-emerging 44:26.000 --> 44:32.400 infectious disease threats. I will now transition to my colleagues, 44:32.400 --> 44:36.566 Trisia and Liz, and open the floor for questions. 44:36.566 --> 44:37.466 Thank you. 44:44.933 --> 44:48.033 So, Trisia, I will field the first question first and 44:48.033 --> 44:50.733 then maybe go to you, if that makes sense? 44:52.066 --> 44:53.600 Sounds good. We can go back and forth. Okay. 44:53.600 --> 44:56.533 So I see a lot of questions in the chat 44:56.533 --> 45:01.666 about eligible organizations. Again, want to refer you to the NOFO. 45:01.666 --> 45:06.766 Sometimes the slides are shortened in the full list because of time and space, 45:06.766 --> 45:10.600 but the full eligible recipients are on page 8 of the NOFO. 45:10.600 --> 45:12.600 You'll see it's a long list. 45:13.800 --> 45:18.833 So please feel free to look at that. And if you are an eligible organization, 45:18.833 --> 45:23.166 you are allowed to and encouraged to apply to any and all the components that 45:23.166 --> 45:27.233 you wish. Again, just want to reiterate, though, 45:27.233 --> 45:30.533 if you are also funded through any other mechanism, 45:30.533 --> 45:31.766 we want to make sure that the work 45:31.766 --> 45:35.900 itself doesn't duplicate. So that is just something to 45:35.900 --> 45:40.033 keep in mind as you apply for this opportunity to make sure it's not the 45:40.033 --> 45:44.133 same as something you're already being funded for through another opportunity. 45:44.133 --> 45:45.033 Trisia? 45:46.433 --> 45:50.266 So Liz, I think I will hit the question about the 45:50.266 --> 45:56.133 funding amounts. I'm sorry, I want to go to the specific question. 45:58.500 --> 46:09.033 So the funding is listed in the estimated amounts, and they are 46:12.033 --> 46:15.100 Sorry, Trisia, you are breaking up my dear. 46:15.100 --> 46:20.100 Your connection isn't super fantastic, but I think I caught what you were saying. 46:20.100 --> 46:23.900 And these are just estimated amounts. So you should not take these as ceilings 46:23.900 --> 46:30.066 or floors. For the first Component 1, we did want to make sure that there was a 46:30.066 --> 46:32.400 bare minimum that is estimated 46:32.400 --> 46:36.866 every year of the cooperative agreement. So that one you can consider more of a 46:36.866 --> 46:39.666 floor, but there is no, that's estimated and you don't have to 46:39.666 --> 46:45.633 use those, any of those amounts as specific confines 46:45.633 --> 46:46.800 for your proposal. 46:48.366 --> 46:49.566 Back over to you, Liz. 46:54.066 --> 46:57.500 Sure, thank you, Sue. So I think another question we're getting 46:57.500 --> 47:02.933 is for Component 4. So noting that, of course, you may be approved, 47:02.933 --> 47:06.633 but unfunded, and we don't know the exact, you know, 47:06.633 --> 47:11.766 emergency response or outbreak that you'll be dealing with. In general, 47:11.766 --> 47:14.333 and our grants management folks, if I misspoke, 47:14.333 --> 47:16.866 please come off mute and correct me. But 47:16.866 --> 47:22.100 your budget should reflect the activities and strategies that you propose that you 47:22.100 --> 47:24.833 would think to do the work. So, and obviously, 47:24.833 --> 47:28.966 there's Component 1 and that budget and then the Component 4 piece as well. 47:28.966 --> 47:33.266 So there are different ways you could go about it. 47:33.266 --> 47:37.366 But that would be what I would request so that we have an idea, 47:37.366 --> 47:38.700 you need to have a budget. 47:38.700 --> 47:42.466 I also am seeing that there is confusion. I think there was accidentally put in the 47:42.466 --> 47:48.933 chat about the intent of the NOFO and that is being misconstrued as the 47:48.933 --> 47:53.100 eligibility list. The eligibility list is on page 8 of the 47:53.100 --> 47:55.800 NOFO. Please refer to that as opposed to the 47:55.800 --> 47:59.066 broader intent language, which is not an eligibility list. 47:59.066 --> 48:00.200 So thank you guys. 48:02.200 --> 48:04.333 I don't know who else is is Trisia. 48:04.500 --> 48:08.433 Yes, I can try. Can you guys hear me now? I came off her camera. 48:10.733 --> 48:11.200 We can. 48:12.066 --> 48:12.533 Yes. 48:13.700 --> 48:15.800 Okay, so I will go to the question about 48:15.800 --> 48:18.266 Component 1. There were questions about the funding 48:18.266 --> 48:21.000 amount. I think that is similar to the previous 48:21.000 --> 48:23.833 question that we asked. Those are not intended to be, 48:23.833 --> 48:29.266 the 20K is not anticipated to be the ceiling. It is an estimated amount. 48:29.266 --> 48:32.133 But just noting that when you're applying for Component 1, 48:32.133 --> 48:34.366 it's an infrastructure component. 48:34.366 --> 48:38.700 And you must apply for another component with that. 48:38.700 --> 48:43.566 So you must apply for Component 1 and or Component 2, 48:43.566 --> 48:45.233 3 and 4. Or 4. 48:46.366 --> 48:47.666 Liz, I'll hand it back over to you. 48:50.733 --> 48:53.200 Absolutely, and there's many a question. 48:53.200 --> 48:56.733 So let me see if I can pick as many. 48:57.733 --> 48:59.533 There's a question. Yeah, go ahead. 48:59.533 --> 49:02.500 There’s a question that I’ve noticed that's been repeated a couple of times 49:02.500 --> 49:04.700 about a discrepancy in the project 49:04.700 --> 49:08.066 narrative page limit. One page is saying the limit is 20, 49:08.066 --> 49:12.200 one page is saying 15. So they just want you to clarify that. 49:12.200 --> 49:13.966 Is it 20 or 15? 49:13.966 --> 49:16.333 I may turn that over to Raven and Trisia. 49:18.700 --> 49:21.666 Hey everyone, I hope you guys can hear me. The page limit will be 20. 49:21.666 --> 49:25.966 And that question will also be answered in the FAQ if you need something to go 49:25.966 --> 49:26.566 back to. 49:28.166 --> 49:32.366 Yes, and as far as, again, you should submit a budget or work 49:32.366 --> 49:35.800 and work plan for component 4. You may be unapproved but unfunded, 49:35.800 --> 49:40.200 but you may not. Again, the point of Component 4 is to have 49:40.200 --> 49:45.300 a roster of eligible applicants that can be utilized in an emergency response. 49:45.300 --> 49:46.366 We certainly have 49:46.366 --> 49:48.933 three going on now in addition to many outbreaks, 49:48.933 --> 49:53.733 and we may have some in the future. So I certainly would encourage you to 49:53.733 --> 50:00.666 have a work plan and a budget that can be leveraged if needed now or in the future. 50:06.400 --> 50:07.333 Over to you, Trisia. 50:13.233 --> 50:15.466 Andrew, is there another reoccurring question? 50:17.466 --> 50:21.966 Let's see. That was the most one that I saw. 50:21.966 --> 50:28.100 There was one that stood out about, would multiple applications from a single 50:28.100 --> 50:32.600 state be considered? So for example, if a state level health department and a 50:32.600 --> 50:37.433 local health department both apply, or is there a preference for a single 50:37.433 --> 50:39.200 application per state? 50:40.866 --> 50:46.066 So based off of the requirements in the NOFO, 50:46.066 --> 50:50.633 organizations can only apply under one UEI. If that is not applicable, 50:50.633 --> 50:51.800 then you can apply. 50:55.366 --> 50:58.233 I'll turn it over to Liz or... 50:58.233 --> 51:01.300 Sure. And I know we're running short on time. 51:01.300 --> 51:04.900 So I do want to note that, yes, the questions in the chat will be 51:04.900 --> 51:09.800 included in the FAQ. There will be, this is being recorded. 51:09.800 --> 51:15.100 And so that will be posted as well for you or your colleagues to refer to as you 51:15.100 --> 51:16.833 develop your applications. 51:17.566 --> 51:19.500 Trisia, others from you? 51:22.166 --> 51:25.500 We have someone, well I thought we had someone whose hand 51:25.500 --> 51:30.600 was up. Give me one sec. Okay, so there was a question about extending 51:30.600 --> 51:34.066 the application deadline and there seems to be a lot of comments. Unfortunately, 51:34.066 --> 51:38.400 this is beyond our control and there will not be an extension for the deadline. 51:38.400 --> 51:40.333 So all applications are due 51:40.333 --> 51:44.400 July 1st, 2026 at 11:59 P.M. 51:46.466 --> 51:49.966 Trisia, there's another question about the slides 51:49.966 --> 51:54.566 being shared in the transcripts as well. So just to confirm that the transcripts 51:54.566 --> 51:56.966 will be shared as well as the slides. 51:58.533 --> 52:00.533 Liz, I'll turn it over to you. 52:03.733 --> 52:10.733 Sure, I believe the slides can be shared. I don't think we will have a transcript 52:10.733 --> 52:15.466 that is just transcribable in the time we need to get it out and up to you guys 52:15.466 --> 52:18.666 but because you'll have the actual recording, 52:18.666 --> 52:25.300 you should have access to the words in addition to the slides themselves. 52:25.300 --> 52:29.866 And I do see a question related to the resumes of whether you need to do a 52:29.866 --> 52:35.700 resume for anyone and everyone. It's for the basic piece of Component 1, 52:35.700 --> 52:39.366 which is your foundational piece. And there is a note in the NOFO that if 52:39.366 --> 52:44.966 you haven't hired that person yet, you can put a to be determined. So if, 52:44.966 --> 52:47.400 yeah, you know, if there's someone in your organization 52:47.400 --> 52:50.966 that obviously you would hire, assuming there was funding, 52:50.966 --> 52:54.500 that is responsive as well, according to the NOFO. 53:00.933 --> 53:07.633 I think I see a hand up, so maybe Jeffrey, we can go to you and then we may have 53:07.633 --> 53:13.300 time depending on the answer for one more question during the time of the webinar. 53:13.300 --> 53:16.800 Yes, thank you very much. Jeff Skinner from NACCHO. 53:16.800 --> 53:21.000 I just want to have a confirming question. Regarding attachments, 53:21.000 --> 53:29.566 we are to take all of our attachments and combine them into one PDF and submit it 53:29.566 --> 53:33.700 titled other attachments. So that will be table of contents, 53:33.700 --> 53:38.900 resumes, the entire list, org chart, 53:38.900 --> 53:46.266 all of that information combined into one, because my experience, 53:46.266 --> 53:53.400 I'm accustomed to uploading the attachments individually under 53:53.400 --> 53:54.766 other attachments. 53:57.833 --> 54:00.233 You're correct. This will be in the FAQ also, 54:00.233 --> 54:04.633 but all the attachments should be added into one single other attachments form, 54:04.633 --> 54:07.966 and that will include what I put in chat, table of contents, 54:07.966 --> 54:11.566 your indirect cost agreement, resumes and job descriptions, 54:11.566 --> 54:15.366 organizational chart, your implementing partner list, 54:15.366 --> 54:19.100 administrative requirement capability letter, data management plan, report of 54:19.100 --> 54:23.733 overlap if applicable, hopefully none, and then your bona fide agent 54:23.733 --> 54:27.566 documentation if applicable. And then you can do an other required 54:27.566 --> 54:35.500 forms. So your SF424, 424A, SF triple L, those are separate, 54:35.500 --> 54:37.633 but all the rest of that, and I put that in the chat, 54:37.633 --> 54:39.100 the list of attachments. 54:39.100 --> 54:43.266 all go into one other attachments form. So thanks for the question. 54:43.266 --> 54:44.900 Okay, thank you for the confirming. 54:44.900 --> 54:46.100 Thank you for the answer. Of course. 54:48.766 --> 54:51.400 And I'm going to answer one question I'm seeing in the chat before we, 54:51.400 --> 54:56.166 I think we have time for one more. So if you're, I think Colin, you're my #2. 54:56.166 --> 54:58.766 So put your question in the chat. I want to make sure you get your question 54:58.766 --> 55:01.800 answered through the FAQ process. But for the administrative capability 55:01.800 --> 55:04.733 letter, if you don't have a president or CEO, 55:04.733 --> 55:08.466 because that is not the structure or title of your organization, 55:08.466 --> 55:12.233 whoever is at a high enough level of leadership in your organization that can 55:12.233 --> 55:17.100 attest to the existing capacity and capability for rapid procurement, hiring, 55:17.100 --> 55:20.966 and contracting. So whoever that is within your 55:20.966 --> 55:25.333 organization, whatever title that is, that would be the appropriate person 55:25.333 --> 55:29.433 if there isn't a president or CEO in your specific organization. 55:29.433 --> 55:33.033 And I see, hold on, I'm trying to get the names right, 55:33.033 --> 55:35.566 but if you are in the number one hand raise, 55:35.566 --> 55:40.233 you're going to be our final question. Eli or Ellie, I'm sorry. 55:49.866 --> 55:53.166 I can't hear you if you're talking, so we're gonna go with Colin. 55:54.433 --> 55:56.966 Liz, we needed to unmute Eli. 55:56.966 --> 55:59.400 Oh, that's on me. That sorry, that's on me. Go ahead. 55:59.400 --> 56:03.700 Yeah, hey, hi. So understanding the difference between 56:03.700 --> 56:06.933 eligible and intended, I know that that's an outer list. 56:06.933 --> 56:09.033 That's a very standard list of eligible applicants, 56:09.033 --> 56:12.033 but to save a lot of us from wasting our time, 56:12.033 --> 56:14.800 could you please expand on who you really intend here, 56:14.800 --> 56:19.200 just because that business around national organizations that work with 56:19.200 --> 56:23.333 state and local would be very helpful before a lot of us spin our wheels. 56:23.333 --> 56:25.566 That's totally fair. I'm going to be frank. 56:25.566 --> 56:30.033 I think that that is, I would disregard the intent. 56:30.033 --> 56:33.300 If the application addresses the strategies and activities, 56:33.300 --> 56:35.566 then that is what we're looking for. 56:35.566 --> 56:37.433 Thank you very much. 56:40.133 --> 56:43.933 Okay, we are over time, so I'm going to turn it over to Trisia to 56:43.933 --> 56:46.900 wrap up, or Tiffany or others. 56:50.166 --> 56:54.466 I think Tiffany may have dropped off. I just wanted to come on camera and say 56:54.466 --> 56:59.466 thank you guys for your attention this afternoon and thank you for your patience. 56:59.466 --> 57:03.200 I have received the questions. I am, unfortunately, 57:03.200 --> 57:06.400 I cannot respond individually, but we are working to make sure that we 57:06.400 --> 57:12.300 include each question in the FAQs. And we are also working for the FAQs and 57:12.300 --> 57:13.833 the webinar to be posted. 57:13.833 --> 57:17.566 Once that information has been posted, you guys will receive a note, 57:17.566 --> 57:21.366 as long as you have subscribed to the NOFO and on grants.gov, 57:21.366 --> 57:25.433 you should receive a modification comment that tells you where both documents, 57:25.433 --> 57:29.666 where both the webinar and the FAQs has been posted. 57:29.666 --> 57:32.766 Thank you again for your time. We really appreciate it and we look 57:32.766 --> 57:34.566 forward to reviewing your applications.