This CDC grant is for improving acute stroke care and addressing health disparities. Stroke is a major cause of death and disability, disproportionately impacting communities of color due to factors like high blood pressure and systemic inequities in care. While 80% of strokes are preventable, significant gaps in quality and access persist. This program will implement state-wide registries and evidence-based strategies to measure, track, and improve care for high-risk individuals and stroke patients, from onset through recovery. A primary aim is to accurately identify and effectively address health inequities and biases in care delivery, ensuring equitable outcomes, especially for high-burden populations. This initiative builds on prior accomplishments to enhance overall stroke prevention and treatment nationwide.
Opportunity ID: 327722
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | CDC-RFA-DP21-2102 |
| Funding Opportunity Title: | Paul Coverdell National Acute Stroke Program |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | – |
| Expected Number of Awards: | 13 |
| Assistance Listings: | 93.810 — Paul Coverdell National Acute Stroke Program National Center for Chronic Disease Prevention and Health Promotion |
| Cost Sharing or Matching Requirement: | No |
| Version: | Synopsis 1 |
| Posted Date: | Jan 05, 2021 |
| Last Updated Date: | Jan 05, 2021 |
| Original Closing Date for Applications: | Mar 18, 2021 Electronically submitted applications must be submitted no later than 11:59 p.m., ET, on the listed application due date. |
| Current Closing Date for Applications: | Mar 18, 2021 Electronically submitted applications must be submitted no later than 11:59 p.m., ET, on the listed application due date. |
| Archive Date: | Apr 17, 2021 |
| Estimated Total Program Funding: | $23,100,000 |
| Award Ceiling: | $650,000 |
| Award Floor: | $500,000 |
Eligibility
| Eligible Applicants: | Independent school districts Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled “Additional Information on Eligibility” State governments Special district governments Public housing authorities/Indian housing authorities Public and State controlled institutions of higher education Native American tribal governments (Federally recognized) Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education Small businesses Native American tribal organizations (other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Private institutions of higher education County governments City or township governments For profit organizations other than small businesses |
| Additional Information on Eligibility: | N/A |
Additional Information
| Agency Name: | Centers for Disease Control – NCCDPHP |
| Description: | Heart disease is the leading cause of death in the United States. Cardiovascular Disease (CVD), including heart disease, stroke, and other vascular diseases, accounts for >800,000, or about 1 in 3, deaths/year, and around 1 in 5 who die from CVD are younger than 65 years. CVD is costly, with an estimated 15%, or 1 in 7 health care dollars spent on CVD. Stroke is the 5th leading cause of death and is a major cause of disability. After decades of decline, progress has slowed in preventing stroke deaths. About 795,000 people have a stroke each year. Someone in the United States has a stroke every 40 seconds and every 4 minutes, someone dies of stroke. About 610,000 of these are first or new stroke events and about 185,000 strokes—nearly 1 of 4—are in people who have had a previous stroke. Stroke costs the United States an estimated $34 billion each year, with this figure representing the cost of health care services, medicines to treat stroke, and missed days of work. The risk of having a stroke varies with race and ethnicity, but it is clear the risk of having a first stroke is nearly twice as high for Black individuals as their White counterparts, and Black persons have the highest rate of death due to stroke among all races/ethnicities. Stroke death rates among Hispanic individuals increased by 6% each year from 2013 to 2015. Stroke deaths also increased in southern states, where high burden populations, specifically communities of color, exist. High blood pressure (hypertension) is the single most important treatable risk factor for stroke and less than half of those with hypertension are controlled. High blood pressure is more common in non-Hispanic Black adults (54%) than in non-Hispanic White adults (46%), non-Hispanic Asian adults (39%), or Hispanic adults (36%). High blood cholesterol, smoking, obesity, and diabetes also significantly contribute to stroke risk and have a huge impact on high burden populations. These data are disturbing because about 80% of strokes are preventable. These data also highlight the critical need to improve access to and quality of care for those at highest risk for stroke events and stroke patients along the continuum of care, particularly among high burden populations. People of color experience disparities in access to health care, the quality of care received, and health outcomes. Analyses of data collected under previous cycles of this cooperative agreement found that women and African Americans were less likely to be treated with alteplase within 60 minutes. Other analyses determined that ischemic stroke patients who were women and Medicaid or Medicare recipients had lower odds of receiving defect-free care. A robust body of research supports the assertion that biases, both unconscious and implicit by clinical providers, can significantly impact health care delivery, clinical decision-making, patient-provider interactions, treatment decisions, treatment adherence, and the resulting patient health outcomes. This NOFO will build upon accomplishments, outcomes achieved, and lessons learned through CDC-RFA-DP15-1514 by focusing efforts on implementing a state-wide registry, along with evidence-based strategies to measure, track, and improve access to and quality of care for those individuals at highest risk for stroke events and for stroke patients from onset of stroke symptoms through rehabilitation and recovery. These efforts must accurately identify disparities and then effectively address the relevant inequities including identification, assessment, and treatment across the continuum of care for those at highest risk for stroke events and for stroke patients. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Rebekah Buckley
Coverdell2102Comms@cdc.gov Email:Coverdell2102Comms@cdc.gov |
Version History
| Version | Modification Description | Updated Date |
|---|---|---|
Related Documents
Folder 327722 Full Announcement-FULL_ANNOUNCEMENT -> CDC-RFA-DP21-2102.pdf
Packages
| Agency Contact Information: | Rebekah Buckley Coverdell2102Comms@cdc.gov Email: Coverdell2102Comms@cdc.gov |
| Who Can Apply: | Organization Applicants |
| Assistance Listing Number | Competition ID | Competition Title | Opportunity Package ID | Opening Date | Closing Date | Actions |
|---|---|---|---|---|---|---|
| 93.810 | CDC-RFA-DP21-2102 | Paul Coverdell National Acute Stroke Program | PKG00264758 | Jan 05, 2021 | Mar 18, 2021 | View |
Package 1
Mandatory forms
327722 SF424_2_1-2.1.pdf
327722 Project_AbstractSummary_2_0-2.0.pdf
327722 SFLLL_1_2-1.2.pdf
327722 SF424A-1.0.pdf
327722 BudgetNarrativeAttachments_1_2-1.2.pdf
327722 ProjectNarrativeAttachments_1_2-1.2.pdf
327722 HHS_CheckList_2_1-2.1.pdf
Optional forms
327722 OtherNarrativeAttachments_1_2-1.2.pdf