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Community Cancer Prevention in Action (CPiA)

Grants to New York Nonprofits and Agencies to
Prevent and Reduce the Incidence of Cancer

Agency Type:

State

Funding Source:

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New York State Department of Health (DOH), Center for Community Health/Division of Chronic Disease Prevention, Bureau of Cancer Prevention and Control

Conf. Date:

02/09/18

LOI Date:

02/15/18

Deadline Date:

03/19/18 4:00 PM

Description:

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Grants to New York nonprofit organizations and municipal agencies for the prevention and reduction of cancer throughout the state, excluding New York City. Applicants are strongly encouraged to submit a Letter of Intent by February 15. Please note that nonprofit applicants must prequalify in the online grants system prior to applying.

Purpose/Intent:

The New York State Department of Health (Department) Bureau of Cancer Prevention and Control (BCPC) seeks applications from organizations that will work in New York State (NYS) communities to prevent and reduce cancer using a policy, systems, and environmental (PSE) change approach with both organizations and municipalities.

Organizations receiving Community Cancer Prevention in Action awards as a result of this Request for Applications (RFA) will conduct work that supports priority areas within the Department’s Prevention Agenda 2013-2018: New York State’s Health Improvement Plan and the NYS Comprehensive Cancer Control Plan (Cancer Plan).

Successful applicants will employ the following strategies; 1) engage community members and local stakeholders, 2) leverage community resources, 3) educate community leaders and the public, and 4) mobilize community members and organizations, all of which will establish and strengthen PSE change interventions (both organizational and municipal) to prevent and reduce cancer in awardee communities. Contractors will implement these strategies to lead to the following cancer prevention and control outcomes:

-Decrease exposure to ultraviolet (UV) radiation to reduce the risk of skin cancer among priority populations (such as youth, minors, employees in outdoor occupational settings, etc.) through implementation of evidence based, recommended interventions; and,

-Increase cancer screening rates for colorectal, breast and cervical cancers through worksite (employer) paid time off policies.

Contractors will also conduct education to promote other key cancer prevention, early detection and control priorities identified in the NYS Comprehensive Cancer Control Plan, as needed and directed by the Department. This will include education and promotion about the need for human papillomavirus (HPV) vaccine as a key strategy to prevent HPV-related cancers (oropharynx, anus, cervix, vagina, vulva, penis). Education activities may be targeted to the general public, health care providers, and/or targeted priority populations, depending on the priority topic.

Outcomes may be modified or other priority cancer prevention-related outcomes may be added over the life of the five-year contract term to align with changes in the local and statewide policy environment and/or evidence-based regarding high burden, preventable cancers and cancer risk factors.

Background:

The Bureau of Cancer Prevention and Control oversees Department programs whose collective mission is to reduce the burden of cancer for all New Yorkers through the coordination and implementation of population-based and evidence-based or evidence-informed strategies across the cancer care continuum – from prevention and risk reduction, to early detection, diagnosis, and treatment, through survivorship. Department programs raise awareness about and support cancer prevention and risk reduction efforts such as tobacco control, reductions to exposure to harmful ultraviolet radiation, increased uptake of cancer prevention vaccines and improved access to healthy foods and opportunities for physical activity to address obesity as a risk for cancers. The Department also supports many initiatives that address common barriers to obtaining potentially life-saving early detection services, such as mobile mammography vans, community-based breast and prostate cancer peer education and outreach programs, patient navigation services in New York’s National Accreditation Program for Breast Centers, and the Cancer Services Program contractors whom promote and provide access to breast, cervical and colorectal cancer screening and diagnostic services for the un and underinsured and facilitate enrollment in the NYS Medicaid Cancer Treatment Program which provides full Medicaid coverage for the duration of the treatment period for eligible individuals diagnosed with breast, cervical, colorectal or prostate cancer. Other Department programs address the public health needs of breast cancer survivors through provision of education and wellness services.

Since 2002, the Department has managed the State’s Comprehensive Cancer Control Program (CCCP) which coordinates the Department’s efforts to build strong partnerships with state and local cancer coalitions, assess the burden of cancer and monitor changes in population-based measures, mobilize support for comprehensive cancer control activities, participate in development of the Cancer Plan and effect PSE changes to address cancer burden among New Yorkers. The Department is an active member in the State’s Cancer Consortium (Consortium), the statewide coalition of organizations and individuals that develop, implement and track progress towards objectives of the Cancer Plan. The Consortium strives to address the cancer burden by implementing goals and strategies listed in the Cancer Plan. Ranging from prevention to end-of-life care, early detection and public policy, the Cancer Plan identifies concerns and issues throughout the cancer continuum. It offers a collective, statewide vision to advance, accelerate and focus on the State’s cancer burden.

The Department supports statewide cancer prevention and control efforts by providing data on the nature and extent of the cancer problem in NYS, implementing evidence-based or evidence-informed programs and evaluating the efficacy of cancer control efforts. As an active member of the Consortium, the Department’s efforts support the Consortium’s health promotion and early detection goals, which are to ensure that, “All New Yorkers will have current and evidence-based information, resources and opportunities necessary to adopt and maintain health-promoting behaviors to reduce the risk of cancer and will receive age-appropriate, evidence-based, guideline-driven screening services for the early detection of cancer”, respectively.

The work of the organizations awarded contracts through this RFA supports the Department’s efforts to prevent high burden cancers, to detect cancers early, when they may be prevented or may be more easily treated, and to conduct education and promotion about cancer burden, risk and prevention strategies.

Problem/Issue Resolution:

Cancer is the second leading overall cause of death in NYS. Approximately 109,000 cases of cancer are diagnosed each year, with more than 95 New Yorkers dying each day from cancer. In 2014, the age-adjusted cancer incidence rate was 466.2 cases per 100,000 New Yorkers, the fifth highest cancer incidence rate in the United States (U.S.) and above the national average of 429.3 cases per 100,000 people (CDC WONDER).

Medical care for many cancers is improving, and early diagnosis and screening procedures, as well as prevention approaches, have given cancer patients better chances of survival. Despite these advances, the cancer burden continues to weigh heavily on individuals and their families and on the community, public health and health care organizations that work to reduce the cancer burden.

Age-appropriate cancer screening, proper diet, physical activity, sun safety, breastfeeding for the first year of life, receipt of certain vaccines and reducing or preventing tobacco use are all known to reduce the incidence of cancer. Although such factors are typically measured at the level of the individual, effective PSE change interventions can be implemented at the level of the community. For example, increasing access to nutritious foods and decreasing barriers to obtainment of cancer screenings offer important opportunities for cancer prevention and early detection. Investments in strategies such as these can result in a return on investment in annual healthcare costs. A multilevel approach can address individual behaviors and include population-based activities to support and reinforce healthy behaviors and reduce cancer risk. PSE change interventions can have a large impact by changing the context in which an individual makes health decisions. Such approaches, recommended and commonly utilized in the areas of tobacco control and healthy communities, shift whole populations to a lower level of risk.

1. Ultraviolet (UV) Radiation

Nearly five million people are treated for skin cancer in the United States (U.S.), costing approximately $8.1 billion each year. Annually, about $3.3 billion of skin cancer treatment costs are attributable to melanoma. The incidence of and mortality from invasive melanoma, the deadliest form of skin cancer, in the U.S. has risen steadily for at least the past two decades. Melanoma rates overall are highest among older adults, and in NYS, it is the fourth most common cancer in young adults (aged 20–34 years) (www.health.ny.gov/statistics/cancer/registry/). Although being fair-skinned or having a family history of skin cancer contributes to a person’s risk for melanoma, as many as 90% of melanomas are estimated to be caused by UV radiation from the sun and artificial sources such as indoor tanning. One out of every three U.S. adults has been sunburned in the past year, and most do not take recommended actions to protect themselves from the sun. People who work outdoors are the most likely of all workers to suffer health damage from exposure to UV radiation.

By reducing intentional UV exposure and increasing sun protection, many skin cancers, including melanoma, can be prevented. Indoor tanning rates are high among some groups, such as young, non- Hispanic white females. Local communities have the authority to increase the age restriction to ban the use of indoor tanning devices by individuals under 18 years of age. Per a recent study published in the Journal of the American Academy of Dermatology, restricting indoor tanning among minors younger than 18 years was estimated to prevent 61,839 melanoma cases, prevent 6,735 melanoma deaths, and save $342.9 million in treatment costs over the lifetime of the 61.2 million youth age 14 years or younger in the U.S. Currently, NYS restricts youth ages 16 and under from indoor tanning and requires that 17-year-olds obtain parental permission. Community organizations have the authority to implement sun safety policies to increase opportunities for shade in outdoor and recreational settings such as playgrounds, parks and worksites.

The Surgeon General’s Call to Action to Prevent Skin Cancer notes that skin cancer is the most commonly diagnosed cancer in the U.S., yet most cases are preventable. The Call to Action promotes evidence-based effective PSE population-based strategies that can be implemented at the local and state levels. These interventions align with the NYS Cancer Plan and are supported by results of an annual, random digit-dial phone survey of NYS adults ages 18 and older which found that 82% of the adults surveyed were in support of the current NYS tanning regulations that prohibit tanning in minors under 17 and 76% support increasing the age limit on NYS tanning regulations to minors under 18 years of age.

Successful RFA contractors will implement PSE change interventions regarding sun safety and/or access and use of tanning devices in their communities, as recommended in The Surgeon General’s Call to Action to Prevent Skin Cancer. PSE change interventions may include working with colleges, childcare facilities, outdoor recreation/tourism settings, or outdoor occupational settings to educate about the harms of UV radiation and implement new programs, policies, and/or environmental changes regarding sun safety and working with municipalities to restrict the use of tanning devices by individuals under 18 years of age. Once organizational policies and/or municipal laws are implemented, awardee activities will promote, educate and support the new regulations.

2. Paid Leave in support of Cancer Screenings

Early detection of breast, colorectal and cervical cancer dramatically improves treatment outcomes. Routine cervical and colorectal cancer screening can prevent these cancers from occurring altogether by finding abnormal cells and removing them before they become cancerous. Paid leave for cancer screenings that is not charged against other sick or vacation time may specifically encourage employees to obtain age-appropriate screenings. Each cancer diagnosis is estimated to annually cost a business over $1,500 in lost productivity. Community Cancer Prevention in Action contractors will educate employers about the important role they can play promoting access to age-appropriate cancer screening and work with employers to develop, implement and promote policies that allow their employees to use paid leave to obtain cancer screenings. This intervention also aligns with the Cancer Plan and is supported by the results of an annual, random digit-dial phone survey of NYS adults ages 18 and older that found nearly 90% of the adults surveyed in support of requiring employers to offer all employees paid leave for health screenings such as cancer screenings and 78% in support of requiring employers to offer flex time options for health screenings.

3. HPV Vaccine Promotion and Education

HPV is the most common sexually transmitted infection (STI). About 14 million people, including teens, become infected with HPV each year. The (CDC estimates that more than 90% and 80%, respectively, of sexually active men and women will be infected with at least one type of HPV at some point in their lives. HPV exposure can occur with any type of intimate sexual contact. Each year, thousands of men and women in the U.S. are diagnosed with cancers (cervical, oropharyngeal, anal, penile, vulvar, and vaginal) caused by HPV. In the U.S., HPV causes about 17,000 cancers in women and about 9,000 cancers in men each year. Many of these cancers could be prevented with the HPV vaccine, which has been recommended by the Advisory Committee on Immunization Practices (ACIP) since 2006 for female adolescents and 2011 for male adolescents. Despite research showing the benefits of the vaccine and recommendations from the ACIP and other prominent medical organizations, immunization rates both nationally and in NYS remain low and continue to lag significantly behind immunization rates of other adolescent vaccines. Community Cancer Prevention in Action contractors will conduct education to promote the benefits of HPV vaccination for cancer prevention.

GrantWatch ID#:

GrantWatch ID#: 183046

Estimated Total Program Funding:

$4,500,000

Number of Grants:

It is the Department’s intent to make one award to the four highest scoring applications serving distinct geographic service areas without overlap such that there will not be multiple awards serving the same geographic area.

Estimated Size of Grant:

Anticipated funding for each of the awards will be valued up to $225,000 annually and $1,125,000 over the five-year period for each awardee.

Term of Contract:

The Department anticipates contracts for a five-year period, from October 1, 2018 to September 30, 2023.

Additional Eligibility Criteria:

Eligible applicants for this RFA are as follows:

Minimum Eligibility - Eligible applicants are:

1. Nonprofit organizations and municipal agencies in NYS, including, but not limited to: local government and public health agencies, health care systems, primary care networks, academic institutions, community-based organizations, volunteer associations and professional associations.

2. Applying for a geographic service area that does not include the boroughs of New York City (Bronx, New York, Queens, Kings, and Richmond counties). Interventions and five-year objectives in this opportunity are targeted at municipal level policy changes. Because policy changes in the New York City area do not occur at the municipal level, applications to implement those interventions in this geographic area are not eligible.

3. In Document Vault Prequalified status or exempt from Document Vault Prequalification at the time of application submission within the New York State Grants Gateway. See IV Administrative Requirements, M. Vendor Prequalification for Not-for-Profits for additional information.

Applications will only be accepted from organizations that meet the minimum eligibility criteria. Eligible applicants may submit applications for more than one distinct geographic service area but must submit separate applications for each distinct geographic service area.

Preferred Eligibility:

Preference will be given to applicants that demonstrate the following:

1. Experience conducting policy work, community advocacy, community planning, and community organizing, including public communication campaigns, that result in the adoption of community PSE change interventions supporting cancer or other chronic disease prevention and control.

2. At least two years of experience with administrative, fiscal, and programmatic oversight of
government contracts, including timely and accurate submission of fiscal and program reports.

Pre-proposal Conference:

The conference will be held via webinar on on February 9, 2018, 10:00 AM.

The Department requests that potential applicants register for this conference no later than February 9, 2018 by 9:30 AM to ensure that adequate accommodations be made for the number of prospective attendees.

Failure to attend the applicant conference will not preclude the submission of an application.

Pre-Application Information:

Prospective applicants are strongly encouraged to complete and submit a Letter of Interest. Prospective applicants may also use the letter of interest to receive notification when updates/modifications are posted; including responses to written questions. The Department will publish a list of all prospective applicants that submit a letter of interest, along with their proposed geographic region. The purpose of publishing the list of proposed applicants and corresponding geographic regions is to facilitate planning among local prospective grantees to ensure that proposed geographic areas do not overlap.

Submission of a letter of intent/interest is not a requirement or obligation upon the applicant to submit an application in response to this RFA. However, applicants are strongly encouraged to submit letters of intent/interest which will include the proposed distinct geographic service region. The proposed regions to be served will be posted with the RFA Updates, Questions and Answers so that potential applicants may identify duplicate service regions and proposed distinct ones.

Not-for-profit applicants must be prequalified in the Grants Gateway prior to the application due date.

Applications may be submitted without first having submitted a letter of interest.

Timeline:
-Release Date: January 26, 2018
-Applicant Conference Registration Deadline: February 9, 2018 by 9:30 AM
-Applicant Conference: February 9, 2018 at 10:00 AM
-Letter of Interest/Intent Due: February 15, 2018
-Questions Due: February 15, 2018
-Questions, Answers and Updates Posted (on or about): March 1, 2018
-Applications Due: March 19, 2018 by 4:00 PM

View this opportunity on the Grants Gateway:
https://grantsgateway.ny.gov/Intelligrants_NYSGG/module/nysgg/gggrantmodule.aspx

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Register for the February 9 conference here:
https://meetny.webex.com/meetny/k2/j.php?MTID=tbfea712a5129af9861e3ccb54baab582

Wendy Gould
canserv@health.ny.gov

Bureau of Cancer Prevention and Control
150 Broadway, Room 350
Albany, NY 12204

Funding or Pin Number:

RFA # 17683 / Grants Gateway # DOH01-CPIA1-2018

URL for Full Text (RFP):

Geographic Focus:

USA: New York