SDPI Competitive Grant Program Planning Meeting 1 IHS Diabetes Competitive Grant Program: Overview...

SDPI Competitive Grant Program Planning Meeting 1

IHS Diabetes Competitive Grant

Program: Overview and UpdateKelly Acton, MD, MPH, FACP

Director, IHS Division of Diabetes Treatment & Prevention

Albuquerque, New Mexicowww.ihs.gov/medicalprograms/diabetes

The Special Diabetes Program for Indians

Competitive Grant Program

Congratulations!



Purpose of Meeting 1:

Administrative overview of Competitive Grant Program

Start to Planning Year

Opportunities for you to participate in ensuring the success of this initiative



This presentation:

Brief review of history of initiative

Update on planning so far

Plan for the meeting



Background: new SDPI funding for 2004-2008

Congress directed that IHS use the new SDPI funds to implement a competitive grant program in AI/AN communities

Congress directed that this funding be used for:

•Primary prevention of type 2 diabetes

•“Most compelling complication” (Cardiovascular disease risk reduction) in people with diabetes

•Evaluation be conducted on program



Tribal Consultation on Competitive Grant Program

Area Recommendations

Reviewed by the IHS Director

Tribal Leaders Diabetes Committee Recommendations

Eligible entities be SDPI grantees

Selection consider diversity in Area, region, program size, type of program (IHS, tribal)

Strong coordination / evaluation

IHS Director decision



Competitive Grant Program $ 27.4 million

Grants to 60-70 $ 23.3 millionentities

Administration, $ 4.1 millioncoordination, evaluation



“Competitive” - Programs competed for available funding

Demonstration projects – implement activities in one of two areas:

• Primary prevention of type 2 diabetes Implement Diabetes Prevention Program curriculum in

individuals at risk for diabetes

Community prevention activities

• Cardiovascular disease risk reduction Implement a clinical, case management, team approach to

treating risk factors for CVD to specific target levels in people with diabetes

Community awareness activities


Competitive Grant ProgramEvaluation

Comprehensive, multi-component evaluation will be conducted throughout the demonstration project activities

Future funding may be affected by evaluation of this activity – very important

Evaluation will be developed through a collaborative process with grantees

Grantees required to collect and report on specific data

National Diabetes Program and Coordinating Center will analyze and report data



Timeline for Application, Review, SelectionRFA – Request for Applications May 2004

Letter of Intent June 1, 2004

Application due July 1, 2004

Selection – Review groups August 2004

Notice of Grant Award September 2004



Review ResultsTotal Applications 128

Total Number Approved for Funding

DP Group 36

CVD Group 30

Competitive Selection Process



Process upon Approval for Funding

Notification of receipt of fundable score

Acceptance of Scope of Work, Budget Revision

Notice of Grant Award

Instructions for first Planning Meeting logistics

Funding available in PMS



Timeline of Demonstration Projects

FY 2005 Planning Year

FY 2006-2008 Demonstration Project Activities

FY 2009 Dissemination / Training



Overall Structure of ProgramIHS Division of Diabetes Treatment &

Prevention

General oversight, coordination, leadership

IHS Grants Management Branch

General oversight of grant administration, financial audits, monitoring and report

Coordinating Center - UCHSC

Day-to-day coordination and evaluation

Resource Core

Technical Assistance to grantees



Diabetes Prevention (DP) Group Screen for and recruit

people with pre-diabetes

Teach DPP 16-session Curriculum in group sessions

Individual coaching on physical activity, weight loss

Community activities

Cardiovascular Disease Risk Reduction (CVD) Recruit people with

diabetes

Intensive case management

Treat CVD risk factors to target goals

Provide education on CVD risk reduction

Community Activities



Data and Evaluation Requirements Grantee requirements

Grantees required to collect and report on specific data

Sources: Participant data, RPMS data, IHS Diabetes Audit

Data coordinator and RPMS Site Manager locally – responsive to requests for data

Timely submission of reports, data required

Local review of reports, presentations and publications prior to dissemination – must agree to review within 30 days of receipt; failure to respond treated as concurrence



Different way of doing business! Not the same process for non-competitive SDPI

Need to be more structured, rigorous

Importance of initiative

Significant role of evaluation, technical assistance

Absolute need for active participation by all

Need for success



We know “what”

Congress

Science

RFA

We don’t know “how”

Collaborative process

Planning year



Thank you for your cooperation We are partners in this initiative

Thanks for your understanding

We will need your active participation in activities, deadlines, data gathering, evaluation

Continuation of funding may be contingent on your participation



The stakes are high!

Must be successful

Must be able to demonstrate success in evaluation

Likely will impact future of SDPI funding

Everyone is depending on us!



Year 1 – Planning Year

Collaborative process

Grantees required to attend meetings

Travel costs for these required meetings should be included in proposed budgets



Schedule of Meetings – DP

Group November 16-17,2004

January 13-14, 2005

March 15-16,2005

May 26-27, 2005

July 19-20, 2005

September 15-16, 2005

Schedule of Meetings – CVD

Group November 18-19,2004

January 11-12, 2005

March 17-18,2005

May 24-25, 2005

July 21-22, 2005

September 13-14, 2005



Schedule of Meetings – Planning Year

Attendance is required

Specific staff will be invited to each meeting

Targeted activities and Technical Assistance

Videotapes of meetings available

Importance of limiting size of meetings

Ensure collaborative process

Ensure opportunities for individual attention, input



Rest of the meeting

Review Grants Management issues

Introduction of role of Coordinating Center

Overview of each demonstration project

Overview of background, core elements

Homework for next meeting

Collaborative Process - Your initial input

On core elements of demonstration projects

On the evaluation plan

On the Community-Based activities



Questions?

IHS Division of Diabetes Treatment & Prevention

5300 Homestead Rd NEAlbuquerque, New Mexico

[email protected]

www.ihs.gov/medicalprograms/diabetes

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SDPI Competitive Grant Program Planning Meeting 1 IHS Diabetes Competitive Grant Program: Overview...

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