Available Funding and Funding Priorities for Nevada

Deadline: Friday, October 6, 2017

Notification of award: October 20, 2017

Grant period: November 06, 2017 - October 31, 2018

Description:

PROPOSAL DEADLINE EXTENDED:
October 6, 2017

The community grants fund for 2017 is approximately $30,000. It is anticipated that 1-3 projects will be funded, with grants ranging from $10,000 to $30,000 each. Proposed projects must aim to improve access to or delivery of care and education to pregnant women/women of childbearing age in the following priority area:
1. Expanding group prenatal care: Group prenatal care reduces rates of preterm birth by combining prenatal care with group education and support services. Proposals specifically using the CenteringPregnancy® model will be prioritized.


2. Increasing education of and use of progesterone for women with a history of prior preterm birth. Weekly injections for at-risk women are proven to reduce preterm births in subsequent pregnancies but this therapy is dramatically underutilized.


3. Increasing use of low-dose aspirin to prevent preeclampsia: Preeclampsia involves high blood pressure and other factors during pregnancy, which can ultimately threaten the life or health of both mother and baby and can only be cured by delivering the infant, regardless of its gestational age. The U.S.Preventive Services Task Force recommends all at-risk women take a daily lowdose aspirin, but few use this therapy.


4. Encouraging women to space pregnancies at least 18 months apart: Fully one third of all pregnancies in the U.S. occur less than 18 months after the birth of a child. Interpregnancy spacing (the time between the end of one pregnancy and the beginning of the next one) of less than 18 months is associated with higher rates of premature birth and maternal complications, with very short pregnancy spacing (<6 months) carrying the highest risk. In fact, there is nearly a 4-fold increase in spontaneous early preterm births among women with very short
pregnancy spacing of < 6 months.¹ Prolonging interpregnancy intervals to greater than 18 months would measurably reduce national preterm birth rates.**Please see examples below for specific intervention ideas ¹Rodrigues T, Barros H. Short interpregnancy interval and risk of spontaneous preterm delivery. Eur J Obstet Gynecol Reprod Biol. 2008;136(2):184-188.


**Of particular interest, funding may be used to address birth spacing through models that focus on pre and interconception health/pregnancy intention screening.
1. One Key Question® is a model that provides primary care health teams,community health workers, and other providers with a simple program to incorporate pregnancy intention screening, “Would you like to become pregnant in the next year?” into routine care and services. Women are then offered essential preconception care and reproductive health services (or referrals) depending on their needs. One Key Question® grant sites can be individual clinics, health centers, community-based programs or agencies, or ideally, several partners within a
community will come together to simultaneously implement – examples of partnerships:
• Clinics and Clinical providers: Ob/Gyn, family practice, primary care, midwifery, oral health care providers, etc
• Community-based organizations/non-clinical providers: promotoras,WIC, home visitors, community health workers, care coordinators, etc
• One agency/clinic/site may function as the coordinator/convener for their community partners (and as the lead grant applicant)

One Key Question® Proposals:
• If your proposal includes One Key Question® implementation, you will be asked to sign an Implementers Letter. The ONE KEY QUESTION® mark and program are exclusively licensed to The National Campaign to Prevent Teen and Unplanned Pregnancy. The Implementers Letters outlines minimum requirements to ensure fidelity of the program.
• In your budget/staffing plan, we suggest considering if time to coordinate planning, implementation and evaluation can be built into
existing staff time or if consultant/coordinator time needs to be included in the grant budget (for staff not already employed full time). Also, in your budget under Operating Expenses, include support consultation, technical assistance and training from The National Campaign. This
amount can vary and be up to $5,000. It is suggested you contact OKQ® at OneKeyQuestion@TheNC.org to assess feasibility at your site and required costs.

Resources:
One Key Question: onekeyquestion.org
ACOG Committee Opinion 654, Reproductive Life Planning to Reduce Unintended Pregnancy: acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Reproductive-Life-Planning-to-Reduce-Unintended-Pregnancy


2. IMPLICIT and the Interconception Care Project. IMPLICIT (Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Technique) is a network founded in 2003 as a collaborative of family medicine residency programs throughout the Northeast United States. Its purpose is to educate faculty and residents about primary prevention of preterm birth. IMPLICIT recognizes that pregnancy outcomes often depend on the health and lifestyle of a woman prior to her first prenatal visit. Thus, health interventions aimed at improving health in the prenatal period alone, often fail to significantly reduce low birth weight and premature births. For this reason,
IMPLICIT has developed an innovative new model for providing maternal care called the Interconception Care (ICC) Project.

 The Interconception Care (ICC) Project focuses on maternal health screenings for four health risks during her child’s well child visits between the ages of 0 and 2 years. These risks are: smoking, depression, contraception use, and multivitamin intake. While new mothers may not establish primary care for themselves, they often accompany their infants to preventative health visits. Utilizing well child visits as an opportunity for screening new mothers for health risks may improve maternal care and future pregnancy outcomes. Interconception Care Project grant sites can be clinics which are part of a family medicine or pediatric residency program, individual clinics, or community based
health care centers.

IMPLICIT Interconception Care Proposals:
• In your budget/staffing plan, we suggest considering if time to coordinate planning, implementation and evaluation can be built into existing staff time. Multivitamins for distribution, patient education materials, EMR restructuring, and funding for contraception for uninsured should also be considered with budget planning.

• More information on the IMPLICIT Toolkit can be found at www.prematurityprevention.org . Partners will need to log in to create an
account and then click on ‘Toolkits & Reports’ in the drop down menu.

Additional Resources
Peer Reviewed Publication

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+Eligibility

In order to be eligible to receive a March of Dimes State grant, the applicant must provide services in Nevada. The applicant organization must be an incorporated notfor-profit 501(c)(3) or for profit organization or government agency. The March of Dimes does not award grants to individuals. Applicants must disclose any conflict of interest due to representation by their organization on the March of Dimes MCH Statewide Committee or the Market Board.

The March of Dimes does not fund billable health care provider services. The March of Dimes community grants also do not fund scientific research projects. For information about research grants funded by the March of Dimes national office, please go to marchofdimes.org/research.


All grantees must (i) certify that they are not presently listed on the Federal Excluded Party List, debarred or suspended from the award of any federal or state contracts, or excluded from participation in any governmental medical reimbursement programs; and must (ii) attest that they /will comply with all laws and regulations (to include federal, state and local laws and regulations). Additionally, March of Dimes grantees may be screened to ensure that they are not debarred or suspended by the Federal Government and/or local State agencies.
 

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+Funding

All chapter community grants are approved for one year only. Applicants may choose to submit a proposal that covers a two or three year project period. However, March of Dimes only awards funds for one year at a time (maximum three consecutive years). Funding for years two and three is not guaranteed and will be based upon March of Dimes review of progress and expenditures and the availability of funds.

Multi-year project proposals must include a budget request and objectives for the two or three year time period under consideration, as well as a copy of the applicant's most recently audited financial statement.

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+Applicant Instructions

Interested applicants must submit a proposal by the date listed above in the “Application Timeline and Funding Period.” Late submissions will not be reviewed.

Proposals must:
• Adhere to the “Proposal Template” listed below 
• Be no longer than 15 pages (excluding optional supplemental materials and W9 form); proposals that exceed 15 pages will not be reviewed
• Use Arial font 
• Have a font size of 11 points or greater
• Use 1.5 line spacing
• Have margins of at least 1 inch on all four sides

Proposal Submission: Applicants must submit one original proposal (with original signatures in appropriate places). Do NOT fax applications.
1. Email your proposal to anussbaum@marchofdimes.org by 5:00pm on October 6, 2017. The electronic copy should be one complete file, either a PDF document (recommended) or a Microsoft Word document.
2. Mail one original proposal (with original signatures in appropriate places) and a completed W-9 form to the address below. The hard copy must be postmarked or shipped byOctober 6, 2017.

Aimee Nussbaum
91 E Edgecombe Drive
Salt Lake City, UT 84103

Late applications will not be accepted. You will receive an email confirming that your application has been received. If you do not receive this email, please call Aimee Nussbaum at (801) 509-3170 to verify that your application was received. The MCH Statewide Committee will review proposals. All applicants will be notified in writing of their application’s status by October 20, 2017.

All grant proposals must address the March of Dimes mission of improving the health of babies by preventing birth defects, premature birth and infant mortality. Priority will be given to projects that meet one or more of the following criteria: a) focused on prematurity prevention; b) evidence-based; c) include measurable outcomes; and d)promote equity in birth outcomes. Projects may focus on consumers and/or health care providers.

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+Proposal Templates

The full proposal template can be found in Appendix D, a separate Microsoft Word document. Applicants should answer all questions and include all components insubmitted proposals. Submitted proposals with incomplete information will not be reviewed.
• Project Overview (2 pages)
• Project Narrative (6-8 pages)
• Project Objectives/Activities/Evaluation Methods/Outcomes Form (3 pages)
• Budget (2 pages)
• Optional Supplemental Information
• Completed W-9 Form

Grantees must also get written approval from March of Dimes Nevada for any changes in project design or implementation, variance from the submitted budget, or changes in staff overseeing the project. If you have questions about completing your proposal, please contact:

Aimee Nussbaum
anussbaum@marchofdimes.org
(801) 509-3170
 

Application Checklist
Refer to the following checklist to ensure that your proposal is complete before submitting. Incomplete proposals will not be reviewed.

  • Project Overview (2 pages)
    • Completely filled out
    • Signed by appropriate person
  • Project Narrative (6-8 pages)
    • Addresses all items listed in that section
    • Includes at least one outcome objective that seeks to change knowledge,behavior or birth outcome
  • Project Objectives/Activities/Evaluation Methods/Outcomes Template (3 pages)
    • Completely filled out
    • Proposal includes at least one outcome objective that seeks to change knowledge, behavior or birth outcome
  • Budget (2 pages)
    • Budget form is completely filled out and signed by appropriate person
    • Grant amount requested falls within the allowable range, and requested line items fall within allowable cost items
    • Budget totals have been checked for accuracy
      • One page written justification is included
      • For multi-year project proposals, a copy of most currently audited financial statement including Statement of Income and Expenditure and Balance Sheet is included (not included in overall 15 page maximum)
  • Optional supplemental information (not included in overall 15 page maximum)
  • Completed W-9 form from your organization/entity that will sign grant agreement/accept grant, if funding awarded
  • Application is no longer than 15 pages (excluding a copy of most currently audited financial statement including Statement of Income and Expenditure and Balance Sheet for multi-year project proposals, W9 and optional supplemental information) 
  • Font size is at least 11 points, using Arial font and 1.5 line spacing
  • Margins are at least 1 inch on all four sides

Appendix A
Appendix A: Additional Information about Project Objectives and Outcomes Project objectives should be specific and measurable. For example:
• One measurable objective of this project is to increase the percentage of pregnant women enrolled who have a prenatal visit in the first trimester of pregnancy from 40% (baseline) to 50% as measured by medical records review.
• One measurable objective of this project is to decrease the percentage of preterm births among women enrolled in the project from 18% (baseline) to 16.5% as measured by medical records review.
Outcomes are benefits to clients from participation in the program, yet are often mistaken with program outputs or units of services such as the number of clients who went through a program.
Outcomes for March of Dimes projects are usually in terms of changes in knowledge, behavior, or birth outcomes. To measure outcomes, baseline data is needed for comparison with data collected during and after project implementation. Below are sample objectives to give ideas for content and wording about outcomes. Please notice the references to baseline data.
• Knowledge Change - By MM/YY, 60% of program participants will demonstrate an increase in the perinatal knowledge test as measured by pre/post-tests. (Baseline will come from pre-test results.)
• Intent to Change Behavior - By MM/YY, 80% of participants will agree to make at least one positive behavior change as a result of attending the prenatal classes as measured by client interviews. (Baseline will come from intake interviews.)
• Behavior Change - By MM/YY, the number of women accessing adequate perinatal care (at least 13 prenatal visits beginning in the first trimester of pregnancy) at XYZ Health Center will increase from 125/year (baseline) to 150/year through the services of a Patient
Navigator as measured by a review of client records.
• Behavior Change - By MM/YY, increase the percentage of pregnant women enrolled in the project who have a prenatal visit in the first trimester of pregnancy from 40% (baseline) to 50%, as measured by medical records review.
• Change in Birth Outcome - By MM/YY, decrease the percentage of preterm births among women enrolled in the project from 18% (baseline) to 16.5% as measured medical records review.
• Health Indicator Change - By MM/YY, 50% of program participants will achieve optimal blood glucose levels, as measured by clinical assessment and medical records review.

March of Dimes General Proposal Template Updated: February 2017 Appendix B: Allowable and Non-allowable Costs
Allowable Costs Include:
• Salary - grant funds may be used to cover salaries for project-related employees, but cannot be used to pay salary costs for employees who are already employed full-time. Exceptions may be made in circumstances where a specified position is supported primarily by grant funds and the applicant can demonstrate that the requested funds would replace existing grant funds.
• Consultant fees.
• Materials and supplies (e.g. office supplies, health-related materials, refreshments, incentives) necessary to accomplish the specific objectives of the proposal that are usually "used up" in the course of the project. Incentives are items used to enable or ensure participants are able to take advantage of services provided by grantees, for example metro or bus cards to assist women in attending prenatal care appointments or educational sessions.
• Printing and travel that are reasonable and necessary for project implementation. March of Dimes funds may NOT be used to pay for first class travel.
• Facilities - rental costs associated with using a physical location for an activity necessary to accomplish the specific objectives of the proposal are permitted.
• Indirect costs are allowable for grants of $25,000 or more only and cannot exceed 10% of total costs.

Non-Allowable Costs Include:
• Salary costs for staff who are already employed full-time by their organization

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+Grantee Requirements

Upon notification of grant award, grantee must sign and return the March of Dimes grant agreement by November 1, 2017. A sample grant agreement is included in Appendix C. Applicants should review the grant agreement prior to submitting the proposal to ensure the grant agreement deadline can be achieved.


For CenteringPregnancy® programs, grantees are required to submit group data through a March of Dimes online reporting system. In addition, March of Dimes CenteringPregnancy® grantees are required to report on project progress and results six months into the grant agreement and at project end. Grantees must also get written approval from March of Dimes Nevada for any changes in project design or implementation, variance from the submitted budget, or changes  in staff overseeing the project.

If you have questions about completing your proposal, please contact:

Aimee Nussbaum
anussbaum@marchofdimes.org
(801) 509-3170
 

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+Primary and secondary purpose categories

Please refer to the March of Dimes Nevada Community Grant RFP 2017 document that can be accessed by clicking “Apply,” above.

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+Additional information about project objectives and outcomes

Project objectives should be specific and measurable. For example:

  • One measurable objective of this project is to increase the percentage of pregnant women enrolled who have a prenatal visit in the first trimester of pregnancy from 40% (baseline) to 50% as measured by medical records review.
  • One measurable objective of this project is to decrease the percentage of preterm births among women enrolled in the project from 18% (baseline) to 16.5% as measured by medical records review.

Outcomes are benefits to clients from participation in the program, yet are often mistaken with program outputs or units of services such as the number of clients who went through a program. Outcomes for March of Dimes projects are usually in terms of changes in knowledge, behavior, or birth outcomes. To measure outcomes, baseline data is needed for comparison with data collected during and after project implementation. Below are sample objectives to give you ideas for content and wording about outcomes. Please notice the references to baseline data. 

  • Knowledge Change - By MM/YY, 60% of program participants will demonstrate an increase in the perinatal knowledge test as measured by pre/post-tests.  (Baseline will come from pre-test results.)
  • Intent to Change Behavior - By MM/YY, 80% of participants will agree to make at least one positive behavior change as a result of attending the prenatal classes as measured by client interviews.  (Baseline will come from intake interviews.)
  • Behavior Change - By MM/YY, the number of women accessing adequate perinatal care (at least 13 prenatal visits beginning in the first trimester of pregnancy) at XYZ Health Center will increase from 125/year (baseline) to 150/year through the services of a Patient Navigator as measured by a review of client records.
  • Change in Birth Outcome - By MM/YY, decrease the percentage of preterm births among women enrolled in the project from 18% (baseline) to 16.5% as measured medical records review.

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+Allowable and non-allowable costs

Allowable Costs Include:

  • Salary - grant funds may be used to cover salaries for project-related employees, but cannot be used to pay salary costs for employees who are already employed full-time. Exceptions may be made in circumstances where a specified position is supported primarily by grant funds and the applicant can demonstrate that the requested funds would replace existing grant funds.
  • Consultant fees.
  • Materials and supplies (e.g. office supplies, health-related materials, refreshments, incentives) necessary to accomplish the specific objectives of the proposal that are usually "used up" in the course of the project. Incentives are items used to enable or ensure participants are able to take advantage of services provided by grantees, for example metro or bus cards to assist women in attending prenatal care appointments or educational sessions.
  • Printing and travel that are reasonable and necessary for project implementation.  March of Dimes funds may NOT be used to pay for first class travel.
  • Facilities - rental costs associated with using a physical location for an activity necessary to accomplish the specific objectives of the proposal are permitted.
  • Indirect costs are allowable for grants of $25,000 or more only and cannot exceed 10% of total costs. 

Non-Allowable Costs Include:

  • Salary costs for staff who are already employed full-time by their organization (see exceptions above).
  • Construction, alteration, maintenance of buildings or building space.
  • Dues for organizational membership in professional societies.
  • Tuition, conference fees or awards for individuals.
  • Cash stipends for individuals
  • Billable services provided by physicians or other providers.
  • Permanent equipment (e.g. computers, video monitors, software printers, furniture) unless essential to project implementation and not available from other sources.
  • Educational materials that do not meet the quality or evidence-based standards provided by March of Dimes
  • Indirect costs for grants under $25,000.
  • Advertising materials and purchase of media time/space: Budget costs relating to these items may not be allowable depending on project specifics. Please consult with the chapter contact listed in this application regarding whether proposed items are allowable.