Cancer, Cardiovascular Disease and Pulmonary Disease Competitive Grants Program
C ompetitive R enewal A pplication
2010-2011 Application Guidelines
For currently-funded projects including projects ending in June, 2010 Application Deadline: February 1, 2010
Competitive Renewal Guidelines Contents
History
Compeitive Renewal Guidelines- p1
In 2005, the Colorado General Assembly enacted legislation (Colorado Revised Statute 25-20.5-301 et. seq.) that allocated revenue generated from passage of an increase in the excise tax on tobacco products for a competitive grants program for prevention, early detection and treatment of cancer, cardiovascular disease, and pulmonary disease. The Cancer, Cardiovascular Disease, and Pulmonary Disease (CCPD) Competitive Grants Program is intended to assist in the implementation of the state’s strategic plans for cancer, cardiovascular disease and pulmonary disease. These plans call for specific actions to implement strategies for prevention, early detection, screening, patient and professional education, clinical management systems, and disease treatment.
CCPD Core Programs- p2 How to Apply- p4 Application Checklist- p5 Application Timeline- p5 Application Review- p6 Technical Assistance- p7 Definitions- p8 Post Award Requirements- p9
A 16-member Review Committee appointed by the Colorado Board of Health, the Executive Director of the Colorado Department of Public Health and Environment (CDPHE), the President of the Senate, and the Speaker of the House is responsible for ensuring compliance with the legislation. The Review Committee also oversees the review of the applications and makes recommendations for funding to the Colorado Board of Health. The decision of the Colorado Board of Health is final. The Review Committee Membership roster is available at: http://www.cdphe.state.co.us/pp/ccpd/ reviewcommittee/index.html.
Eligibility Vision That residents of Colorado enjoy healthier and longer lives by being more aware of risk factors and preventive factors for cancer, cardiovascular disease, and pulmonary disease and by improved access to prevention, screening, and treatment services.
This is a competitive continuation grant cycle. Only those agencies currently funded by the Cancer, Cardiovascular Disease, and Pulmonary Disease Grant Program (including projects ending in June 2010) may apply to implement projects for the Core Program (see page 2) in which they are currently working. Applicants may collaborate with other agencies that are currently funded and may submit a multi-agency application so long as one agency is designated as the lead agency and assumes responsibility for program administration, implementation and outcomes. Partnerships must be clearly identified and letters of collaboration from partnering agencies must verify their intent to participate as a subcontractor and state their specific responsibilities. Coordination of services and collaboration with local public health agencies in the proposed project area are strongly encouraged.
Funding Availablility The Cancer, Cardiovascular Disease, and Pulmonary Disease Competitive Grants Program Review Committee expects to award approximately $8 Million for the period July 1, 2010 through June 30, 2011 to existing grantees through a competitive renewal process. Applicants may apply for an amount up to, but not to exceed, their current annualized FY09/10 reduced budget amount. Applications will be reviewed through a competitive process. Actual award amount may vary from the requested amount depending upon Work Plan content and recommendations made during the review process. Applications and awards are limited to one year of funding. Funding for the Cancer, Cardiovascular Disease, and Pulmonary Disease Competitive Grants Program is contingent upon the plan to balance the budget for the State of Colorado. Updated information will be posted to the grant program website (http:// www.cdphe.state.co.us/pp/ccpd/) periodically.
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CCPD Core Programs In light of the recent significant reductions to the CCPD grants program, the Review Committee has determined that it is important to maintain a core chronic disease grants program that prioritizes activities and focuses resources by implementing evidence based interventions to address those conditions that contribute most to the current burden of disease in Colorado. The core chronic disease program is based on the following criteria: •
The interventions address those conditions that contribute most to the current burden of disease in Colorado.
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A strong body of evidence of the effectiveness exists in the scientific literature or in reviews of ‘best practices’.
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Indicators are available or can be developed that will measure their impact.
Based on these criteria, competitive renewal applications are requested for projects addressing the following core programs. Currently funded grantees may only apply in the core area in which they are currently working. This may include revisions to existing projects in order to align the work more closely with the CCPD core programs as defined below. For example, only agencies currently providing colorectal cancer screening may apply to continue their work in this core area. Applicants who are currently funded for cardiovascular disease screening projects must apply to continue their projects in that core area. Applications for new projects or projects outside the core areas will not be considered.
Cancer Cancer Priority: Prevention and early detection of colorectal cancer (CRC) through direct endoscopic screening. •
Core Cancer Program: Programs for colorectal screening and treatment that promote national standards for screening Coloradans and focus special attention on uninsured and underinsured residents. Statewide and regional programs are preferred. Applicants should identify cost-efficient ways to recruit, screen, and follow-up with adults through the entire process of screening, diagnosis, and treatment when needed. Funds may be used for treatment of colorectal cancers identified in the screening program if no other source of funding for clinical care is available.
Cardiovascular Disease Cardiovascular Disease Priority #1: Control of High Blood Pressure (BP) & High Blood Cholesterol through programs that utilize evidence based screening to identify at-risk individuals, and integrate individuals identified at risk into appropriate treatment and lifestyle programs. At-risk individuals include those found to be at moderate to high risk of cardiovascular events and those with uncontrolled risk factors as determined by national guidelines. Cardiovascular Disease Priority#2: Quality improvement in emergency medical services and dispatch services, community health centers, work sites, and hospitals and rehabilitation facilities that incorporate evidence based guidelines for secondary prevention of heart disease, stroke and heart failure readmissions. •
Core Cardiovascular Disease Program 1: Programs to control High Blood Pressure (BP) & High Blood Cholesterol that include all of the following components: 1. Risk Assessment for Blood Pressure and Cholesterol (potentially including glucose screening and diabetes as risk factors for heart disease). 2. Referral as necessary for medical follow-up (medical home) and evidence-based lifestyle intervention to reduce risk for those who are prehypertensive. 3. Case management and follow-up for medical intervention and for those who are making lifestyle changes. Successful applicants will be required to collect basic demographic information and minimum data elements (MDE’s) that will assist CCPD in evaluating the effects of the program. The MDE’s include demographic information, health status and history, screening information, alert values, case management and lifestyle interventions. For additional guidance and a list of the MDE’s, please see Application Part II, page seven (7).
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CCPD Core Programs (continued) •
Core Cardiovascular Disease Program 2: Programs that integrate cardiovascular risk factor screening and intervention activities following the Center for Disease Control’s WISEWOMAN model (referred to as SmartWoman in Colorado) with existing breast and cervical cancer screening programs provided through the Women’s Wellness Connection at the state health department, and have the ability to enter and track data related to the program into the e-CAST system. Successful applicants will be required to collect minimum data elements (MDE’s) that will assist CCPD in evaluating the program. These MDE’s will be recorded in eCast, which will be modified to include these data and will be ready for implementation on July 1, 2010. The MDE’s include information related to demographics, health status and history, screening information, alert values, case management and lifestyle interventions. For additional guidance and a list of the MDE’s, please see Application Part II, page seven (7).
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Core Cardiovascular Disease Program 3: Programs focused on pre-hospital, inpatient, outpatient and posthospital services that focus on quality improvement in emergency medical services and dispatch services, community health centers, work sites, and hospitals and rehabilitation facilities that incorporate evidence based guidelines for treatment and secondary prevention of heart disease, stroke and heart failure readmissions.
Pulmonary Disease Pulmonary Disease Priority: Asthma self-management education for adults and children. •
Core Pulmonary Disease Program: Programs that include self-management education for asthmatic adults and/or children and their parents or caregivers. This includes training providers to give appropriate instructions on medication usage and materials, such as written asthma action plans, to parents/caregivers. Priority populations include children, African Americans, Latinos, adults >65 and rural communities with high hospitalization rates.
Crosscutting Crosscutting Priority: Implementation of the Stanford Chronic Disease Self Management Model. •
Core Crosscutting Program: Programs that implement the Stanford University’s Chronic Disease Self Management Training known as Living Well with Chronic Conditions (also known in Colorado as the Healthier Living Program: Managing Ongoing Health Conditions) in communities throughout Colorado. Please see the Colorado Action Plan for Older Adult Wellness: A Public Health Strategy for additional information on evidencebased programming for older adults. Applicants must be able to demonstrate ongoing fidelity to the evidencebased Stanford curriculum.
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How to Apply Application Deadline: 3:00 PM February 1, 2010 Contact Us:
cdphe.psccpd@state.co.us
All competitive continuation applications must be received by the Colorado Department of Public Health and Environment by 3:00 p.m. on Monday, February 1, 2010. Late applications or those submitted via facsimile will not be accepted. Send applications to: Attn: Sherryl Garcia Cancer, Cardiovascular Disease and Pulmonary Disease Competitive Grants Program [PSD-CCPD-A5] Colorado Department of Public Health & Environment 4300 Cherry Creek Drive South Denver, CO 80246-1530 cdphe.psccpd@state.co.us Or deliver applications in person by 3:00 p.m. on Monday, February 1, 2010 to: The Colorado Department of Public Health & Environment 4300 Cherry Creek Drive South, Building A Denver, CO 80246 Please check in at the security desk on the first floor of Building A. Staff will be available in the Snow Room to receive your application. The Snow Room is located on the frst floor of Building A next to the security desk. Please submit one (1) original hard copy application and four (4) photocopies. You must also submit one (1) electronic copy via email to cdphe.psccpd@state.co.us. Electronic copies must be sent as a ZIP file containing all necessary sections of the application. Signatures and letters of support are not required for the electronic copy. Please label the ZIP file with your agency name and “CCPD FY11.” Use the Application Checklist on page 5 to ensure both your hard copy and electronic submission are complete and in the required format. Please do not submit Letters of Collaboration separate from your application. For information and instructions on creating ZIP files, please see page 7.
Formatting Guidelines Include a cover page for each section of the application (Part I; Part II; etc). Cover pages do NOT count toward the page limit. You may use the cover pages that are included in the application documents on the website. Spell out acronyms the first time they are used with the abbreviated version in parentheses after the spelled-out phrase (this applies to all documents). For example, ATP III Guidelines should read Adult Treatment Panel III (ATP III) Guidelines. •
Application must be written in 12 point font.
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Pages must be single-spaced.
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Pages must be typed on 8 ½ x 11 in. paper with one inch margins (top, bottom, left, and right).
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Pages must be one-sided.
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Each part of the application must include page numbers in the lower right hand corner of the page.
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Applications must be binder clipped only. No rubber bands, folders, staples, paper clips, or three-ring binders will be accepted. No additional material or appendices other than the required attachments are allowed.
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Application Checklist The following application forms can be downloaded from the CCPD website, www.cdphe.state.co.us/pp/ccpd. An application that is missing any of the items listed below will be considered incomplete. The forms and templates provided on the website are required. Applications will not be accepted in any other format. A complete application will contain the following documents in this order: •
Cover letter signed by Executive Director or Authorized Official of the Applicant Agency
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Part I: Applicant Information Form (click for instructions) •
Application Part I must be completed online at https://fs8.formsite.com/cohealth/CCPD_AppPart_I/form_ login.html. The applicant is responsible for printing the completed form and including it with the hard copy application.
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Part II: Project Narrative, Work Plan and Evaluation Plan with cover page (up to 30 pages)
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Part III: Budget and Budget Justification with cover page
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Appendices and attachments with cover page (up to 5 pages)
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Letters of Support (Up to four letters are permited. Letters of support are not included in page limits or as appendices.)
Applicants are required to submit: •
One (1) original hardcopy and four (4) photocopies of the complete application (binder clipped only).
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Application Part I online at https://fs8.formsite.com/cohealth/CCPD_AppPart_I/form_login.html.
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One (1) electronic copy submited in a ZIP file format to cdphe.psccpd@state.co.us. Please label the file with your agency name and “CCPD FY11”. Signatures and letters of support are not required for the electronic copy.
Application Timeline December 1, 2009
Release of Request for Applications
December 1-31, 2009
Questions via email will be accepted
December 9, 2009
Applicants’ Conference (see page 7 for details)
December 18, 2009
Responses to all questions received before Dec. 11th will be posted on the CCPD Website
January 8, 2010
Responses to questions received after Dec. 11th will be posted on the CCPD Website
January 14, 2010
CCPD Q2 Reach and Implementation Reports are due (instructions will be provided)
February 1, 2010
Applications Due
February 2-March 5, 2010
Review of Applications
March 11-April 8, 2010
CDPHE Executive Director and Department of Local Affairs review recommendations
April 21, 2010
Presentation of Funding Recommendations to the Colorado Board of Health
April 22, 2010
Funding Recommendations will be posted on CCPD Website
May through June
Contract Award Process
July 1, 2010
Award Start Date
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Application Review Process Applications will be reviewed by members of the Cancer, Cardiovascular Disease, and Pulmonary Disease Competitive Grants Program Review Committee. Funding recommendations will be based on a numerical score, the collective assessment of the merits of each application and a comparison of the budget request to the proposed work plan. In addition, past performance (particularly with respect to demonstration of previous effectiveness and contract compliance) will be considered for all projects requesting continuation funds. Applications will be scored on a five-point scale. One of the five points will reflect an assessment of the applicant’s past performance and history of compliance with CCPD contract requirements. The remaining four points will be allocated by the Review Committee pending their assessment of the project narrative, proposed work plan, evaluation plan and budget/justification. Review Committee members will be assigned to subgroups to review applications. Each application will be reviewed by a minimum of two Review Committee members. Review subgroups will present their reviews, and the preliminary score, to the entire committee for discussion. All members of the Review Committee (except those who have a conflict of interest with the application) will then score the proposal. All scores will then be averaged to produce a single final score. All applicants will receive feedback from the Review Committee. The Review Committee Conflict of Interest Policies and Procedures can be viewed at: www.cdphe.state.co.us/pp/ ccpd/reviewcommittee/index.html. The Review Committee will present recommendations for funding to the Colorado Board of Health for final approval in April, 2010. Award decisions by the Board of Health are not subject to appeal.
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Technical Assistance Applicants’ Meeting There will be an Applicants’ Meeting on December 9, 2009 at the American Cancer Society (2255 S. Oneida St. Denver, CO 80224). Questions related to this competitive renewal application will be addressed at that time. Applicants unable to attend the meeting in person may join the meeting via teleconference. Answers to questions posed during this meeting will be posted on the program website at www.cdphe.state.co.us/pp/ccpd on December 18, 2009. Participation in this meeting is optional and is open only to current CCPD grantees. To obtain a tentative agenda and teleconference information, please RSVP by December 7, 2009 to CCPD program staff at http://spreadsheets.google.com/viewf orm?formkey=dDJDZ2F0dmlaM1lnQ3JQbnlGNUlSU0E6 MA.
Questions Via E-mail Applicants may submit questions related to the RFA in writing to cdphe.psccpd@state.co.us from December 1-31, 2009. Responses to questions received via email before December 8th will be addressed at the Applicants’ Meeting. Questions received by December 11th will be posted on the Cancer, Cardiovascular Disease, and Pulmonary Disease program website on December 18, 2009 for all applicants to view. Questions submitted from December 11-31 will be posted on the CCPD website on January 8, 2010. Applicants are encouraged to read the questions and responses.
State Strategic Plans Applicants should refer to strategic plans for reducing chronic diseases throughout the State of Colorado that have been developed. State Plan for Cancer: www.coloradocancercoalition.org/cancer/cancer_ download.aspx State Plan for Cardiovascular Disease: http://www.cdphe.state.co.us/pp/cvd/ CardiovascularDiseaseandStrokeStatePlan.pdf State Plan for Asthma: www.cdphe.state.co.us/ps/asthma/documents/CO_ state_asthma_plan.pdf State Plan for Chronic Obstructive Pulmonary Disease: www.alacolo.org/COPD_Coalition.htm
Recommendations from the Stroke Advisory Board: www.cdphe.state.co.us/pp/cvd/Stroke_Rpt.pdf State Plan for Diabetes: www.cdphe.state.co.us/pp/diabetes/reports/CO_ Action_Plan.pdf Colorado Physical Activity and Nutrition Plan: www.cdphe.state.co.us/pp/COPAN/2004stateplan.pdf Best Practices for Prevention & Intervention Services for Children & Youth: www.colorado.gov/bestpractices/
Additional Resources For more information about Chronic Disease in Colorado, see Moving Mountains: Reversing Trends in Colorado’s Health and Health Care Spending Through Investments in Chronic Disease Prevention, published by the Colorado Department of Public Health and Environment: http://www.cdphe.state.co.us/pp/chronicdisease/ ColoradoChronicDiseaseSummaryReport.pdf. For listings of local public health agencies and links to other local resources, see the Colorado Department of Public Health and Environment Office of Local Liaison website: http://www.cdphe.state.co.us/oll/locallist.html. The Colorado Health Information Dataset (CoHID) allows access to local-level health data compiled by the Colorado Department of Public Health and Environment to help users determine the health status of a neighborhood, community, county, or region in Colorado: http://www. cdphe.state.co.us/cohid/.
ZIP File Instructions Windows has basic built-in zip capability so that you can compress files by using the Compressed (zipped) Folder feature. The easiest way to prepare a ZIP file for your application is to create a folder on your computer that will house all of your final application documents (Sections II-III and your budget/narrative). When all of the documents are in final form and ready to be sent to CCPD, right click on the folder and point to “Send To” on the shortcut menu, and then click Compressed (zipped) Folder. Include the ZIP folder as an email attachment and send. You can also send a compressed folder in an e-mail by clicking “E-mail this file” in the File and Folder Tasks pane. For additional information and instructions on ZIP files, go to http://office.microsoft.com/en-us/ help/ha011276901033.aspx.
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Definitions Chronic disease refers to cancer, cardiovascular disease, including diabetes or other precursors, and chronic pulmonary disease. Community means a specific group of people, often living in a defined geographic area, who share a common culture, values and norms and who are arranged in a social structure according to relationships the community has developed over a period of time. Community-based program: A planned, coordinated, ongoing effort operated by a community that characteristically includes multiple interventions intended to improve the health status of members of the community. Community settings include workplaces, schools, public health agencies, community-based organizations, faithbased organizations, and character-based organizations. Cultural competence is the willingness and ability of a system to value the importance of culture in the delivery of services to all segments of the population. It is the use of a systems perspective which values differences and is responsive to diversity at all levels of an organization, i.e., policy, governance, administrative, workforce, provider, and consumer/client. Evidence based: Evidence based interventions are based on peer- reviewed research studies that demonstrate effectiveness and have been published in national recognized journals or adopted as national guidelines. Health disparities refers to differences in health status by race, ethnicity, gender, sexual orientation, place of residence, or socioeconomic status. Linguistic competency means possessing skills for communicating effectively in the native language or dialect of the targeted population, taking into account general educational levels, literacy, and language preferences.
Primary prevention: Health care services, medical tests, counseling, and health education and other actions designed to prevent the onset of a targeted condition. Routine immunization of healthy individuals is an example of primary prevention. Racial and ethnic minorities means Blacks/ African Americans, American Indians/Native Americans, Asian Americans/ Pacific Islanders, and Hispanics/Latinos. Rural reach means services are available in counties outside of Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Elbert, Jefferson, Larimer, Mesa, Pueblo, and Weld counties. Secondary prevention means measures such as health care services designed to identify or treat individuals who have a disease or risk factors for a disease but who are not yet experiencing symptoms of the disease. Pap tests and high blood pressure screening are examples of secondary prevention. Statewide reach means programs that are able to provide services in each county of the state. Tertiary prevention includes preventive health care measures or services that are part of the treatment or management of persons with clinical illnesses. Examples of tertiary prevention include cholesterol reduction in patients with coronary heart disease and insulin therapy to prevent complications of diabetes.
Literacy means assuring that printed materials are appropriate to the reading comprehension level of the target population. Medically under-served means those who have limited access to clinical preventive or treatment services due to socioeconomic, geographic and/or other barriers to services which adversely affect access.
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Post Award Requirements All material submitted as part of the grant application becomes the property of the State of Colorado and is subject to the terms of Colorado Revised Statutes 24-72-201 through 24-72-206, Colorado Open Records Act. It is the responsibility of the applicant to identify proprietary or confidential information and request that the information be treated as such. Any additional restrictions on the use or inspection of material contained within the proposal shall be clearly stated in the proposal itself. If recommended for funding, all applicant awards will be subject to the following:
Data Collection Unless otherwise provided for, all data collected, or produced or derived exclusively from the contractor’s or subcontractor’s work under a contract shall remain the sole property of CDPHE, whether in individual, aggregate, identified or de-identified form or any other form required by the funding Program. To facilitate follow-up, research, surveillance and evaluation, any such data collected, used or acquired shall be made available in any form required by the Program, to the Program, and to any other contractor designated by the Program. The contractor and its subcontractors agree not to release, divulge, publish, transfer, sell, or otherwise make known any such data to unauthorized persons without the expressed prior written consent of the Program, or as otherwise required by law. This includes a prior written request by the contractor to the Program for submission of abstracts or reports or conference presentations, which utilize data collected under a contract. Notwithstanding the aforementioned, the contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under a contract, and in accordance with professional standards.
Insurance Requirements Successful applicants will be asked to comply with the State’s insurance requirements to protect State employees, State property, and the vendor or contractor from any damages or loss. The contractor must submit certificates of insurance showing coverage required by the State as outlined below. The certificate must include the State of Colorado as an additional insured on the Commercial General Liability and Automobile Liability Insurance policies. * Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: I. $1,000,000 each occurrence; II. $1,000,000 general aggregate; III. $1,000,000 products and completed operations aggregate; IV. and $50,000 any one fire. * Automobile Liability Insurance covering any auto (including owned, hired and non-owned autos) with a minimum limit as follows: $1,000,000 each accident combined single limit.
Lobbying Restrictions The legislation explicitly prohibits the use of these funds for lobbying activities as currently defined in the state statute. As defined, lobbying means communicating directly, or soliciting others to communicate, with a covered official for the purpose of aiding in or influencing the drafting, introduction, sponsorship, consideration, debate, amendment, passage, defeat, approval, or veto by any covered official on: (A) Any bill, resolution, amendment, nomination, appointment, or report, whether or not in writing, pending or proposed for consideration by either house of the general assembly or committee thereof, whether or not the general assembly
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Post Award Requirements is in session; (B) Any other matter pending or proposed in writing by any covered official for consideration by either house of the general assembly or a committee thereof, whether or not the general assembly is in session.
Media The Cancer, Cardiovascular Disease, and Pulmonary Disease Competitive Grants Program has contracted with a media vendor to coordinate all marketing and communications regarding chronic disease in the State of Colorado. All proposed media, including but not limited to any brochure, flyer, presentation, billboard, radio spot, website, banner advertisement, printed materials, graphic representations, educational materials, or audio-visual products, should be coordinated with and approved by CDPHE staff. The State reserves the right to require the appropriate logos, or other wording on any material, representation, product or other media form created under a contract. The State reserves the right to deny approval of any marketing materials.
Reimbursement This grant is cost reimbursable only. Project expenses will be reimbursed on a monthly basis for approved expenses incurred in the prior month. Allocable project expenses will be reimbursed monthly upon receipt and approval of invoice submitted. Invoice submission will be required within 60 days of month-end. All expenditures must be reasonable and necessary for the performance of the grant, and must comply with the State of Colorado fiscal rules (http://www.colorado.gov/dpa/dfp/sco/FiscalRules/10-01-07/rules%2010-01-07.htm). The State will not reimburse any costs incurred by the applicant prior to the issuance of a legally executed contract, task order, purchase order or other authorizing legal document. The State will not reimburse any expenses incurred by the applicant that were not included in the budget and budget justification sections of the application.
Reporting Contractors will be required to report progress quarterly and provide an annual report. The Contractor shall participate in state-level evaluation efforts as requested by the State to include but not limited to: quarterly reports on the implementation and accomplishments of the approved work plan. Calendar quarters will be Q1 (July 1-September 30), Q2 (October 1-December 31), Q3 (January 1-March 31) and Q4 (April 1-June 30) as applicable.
Restrictions on Public Benefits House Bill 06S-1023, Restrictions on Public Benefits, went into effect on August 1, 2006 (Colorado Revised Statutes (C.R.S.) Section 24-76.5-103 et.seq). Following assessment by state and health department legal counsel, grant projects could be required to comply The legislation requires that grantees “shall verify the lawful presence in the United States of each applicant eighteen years of age or older for federal public benefits or state or local public benefits,” (Colorado Revised Statutes (C.R.S.) Section 24-76.5-103(4)) and states that an applicant’s “affidavit may be presumed to be proof of lawful presence for purposes of this section” (C.R.S. Section 24-76.5-103(7)). Verification is not required for emergency services. Funded grantees will receive additional information related to compliance as a part of the contract.
Training Successful applicants will be required to participate in meetings, conferences and/or trainings provided regionally and in the Denver Metropolitan Area by the Cancer, Cardiovascular Disease, and Pulmonary Disease Competitive Grants Program.
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