Deadline: 20-Feb-25
The United States Department of Health and Human Services is inviting grant applications to support recipients who will partner with health systems and primary care clinics with low colorectal cancer (CRC) screening prevalence.
Recipients will work with their partners to use evidence-based interventions (EBIs) to increase screening in people aged 45 to 75 years old. The focus is on populations that have low screening prevalence and experience barriers to screening.
This NOFO seeks to increase CRC screening among populations aged 45 to 75 years that have lower colorectal cancer screening prevalence, particularly those served by FQHCs or community health centers. Program recipients will partner with clinics that have patient populations with lower CRC screening prevalence. Program recipients will then work with these clinics to implement EBIs that increase CRC screening and to support clinics by providing technical assistance, implementing activities, and supporting evaluation.
Funding Information
- Expected total program funding over the performance period: $110,000,000
- Expected total program funding per budget period: $22,000,000
- Funding range per applicant per budget period: $350,000 to $900,000
- Expected average award amount per budget period: $500,000
- Expected awards: 38
- Duration: They plan to award projects for five 12-month budget periods for a five-year period of performance.
Strategies and Activities
- Strategy 1: You will establish and enhance partnerships between primary care clinics, supporting partners, and the community, and assess clinic readiness to participate in the program. Activities include:
- Use surveillance and other data to identify geographic areas with relatively high CRC incidence or mortality and low screening prevalence among adults who are 45 to 75 years old.
- Identify and engage supporting partners to provide TA and support to partner clinics.
- Collaborate with supporting partners to assist with screening needs and help partner clinics with program implementation.
- Engage clinic leadership and supporting partner clinics to assess their readiness to implement EBIs and participate in the program.
- Strategy 2: You will support implementation of EBIs to increase colorectal cancer screening in partner clinics by completing the following required activities. Activities include:
- Use EHR systems to develop partner clinics’ capacity to monitor screening prevalence and track screening results and completion (using internal and external supports).
- Implement at least three EBIs. This may include helping partner clinics identify existing EBIs that may benefit from enhancement and new EBIs to support screening.
- Make sure that EBIs are multi-component, focusing on different areas of the clinical environment (such as clinician, patient, and process) to increase both community demand for screening and provider delivery of screening.
- Strategy 3: You will conduct monitoring and evaluation activities that ensure high-quality data are being used to inform activities and assess screening prevalence. Activities include:
- Monitor clinic-level screening prevalence at least quarterly. Submit data to CDC at baseline and annually.
- Make sure EHRs can capture high-quality data for reporting to CDC.
- Collect and report required program data to CDC.
- Develop, implement, review, and revise your program’s evaluation plan.
- Strategy 4: You will support completion of stool tests and colonoscopies, including tracking and follow-up of colonoscopies for positive stool tests. Activities include:
- Improve partner clinics’ ability to capture data on the number of screening tests provided and completed or returned, as well as the number of people with an abnormal test who are referred to, scheduled for, and complete a colonoscopy.
- Facilitate connections to follow-up colonoscopy (for example, through community partnerships or partnerships with endoscopy sites).
- Pay for a limited number of stool-based tests and follow-up colonoscopies for those who have no other source of payment.
Eligibility Criteria
- These types of organizations may apply:
- State governments
- County governments
- City or township governments
- Special district governments
- Independent school districts
- Public and state-controlled institutions of higher education
- Federally Qualified Health Centers
- Community Health Centers
- Native American tribal governments (federally recognized)
- Urban Indian Organizations, as defined by 25 U.S.C. 1603(29)
- Public housing authorities and Indian housing authorities
- Native American tribal organizations, other than federally recognized tribal governments
- Nonprofits having a 501(c)(3) status, other than institutions of higher education
- Nonprofits without 501(c)(3) status, other than institutions of higher education
- Private institutions of higher education
- For-profit organizations other than small businesses
- Small businesses
For more information, visit Grants.gov.