U.S. Department of Health and Human Services: A Comprehensive Public Health Approach to Asthma Control Through Evidence-Based Interventions
The Comprehensive Public Health Approach to Asthma Control Through Evidence-Based Interventions program (Program) supports progress toward expanding the reach, quality, effectiveness, and sustainability of asthma control services by strengthening leadership and other essential infrastructure components, and expanding the six EXHALE strategies:
- Education on self-management
- eXtinguishing smoking and second-hand smoke
- Home visits for trigger reduction and asthma self-management education
- Achievement of guidelines-based medical management
- Linkages and coordination of care across settings
- Environmental policies or best practices to reduce asthma triggers from indoor and outdoor sources
Applicants are encouraged to implement EXHALE strategies in a coordinated manner and in the same high burden areas or populations to accelerate progress toward their goals, including the CCARE (Controlling Childhood Asthma Reducing Emergencies) goal. The Program contributes to coordinated care, lower health care costs, and reduced morbidity and mortality due to asthma.
Recipients will conduct strategies and activities in two major categories:
- Category A: Enhance Program Infrastructure – Recipients will strengthen their agency leadership and program management, mobilize strategic partners in multiple sectors to coordinate the delivery of asthma control services to priority populations, enhance their asthma surveillance system, conduct appropriate communication activities, and use findings from program evaluations to guide continuous program improvement. These efforts will create a strong foundation needed to implement strategies described in Category B. Recipients may address people with asthma in all age groups, however, an emphasis on children and adolescents (ages 0-17) is required to advance the work of the CCARE initiative to reduce hospitalizations and emergency department visits among children.
- Category B: Leverage Partnerships – Recipients will implement at least one activity in each of the six EXHALE strategies by the end of the second year of the period of performance. By year five, they will implement and expand all EXHALE strategies and activities, taking into consideration the critical social and cultural context of individuals with asthma and their communities. Recipients should prioritize establishing and institutionalizing linkages between partners and across settings, while promoting guidelines-based medical management and expanding asthma self-management education. Although the order of implementation of the strategies will be determined by the recipients and its partners, recipients should also expand access to home visits for asthma trigger reduction and asthma self-management education, support environmental policies and best practices, and make referrals to reduce exposure to indoor and outdoor asthma triggers in order to achieve the greatest public health impact.
Amount: Funding levels are based on population size, as follows:
- 100,000 – 399,999: $300,000
- 400,000 – 699,999: $350,000
- 700,000 – 999,999: $450,000
- 1,000,000 – 1,999,999: $500,000
- 2,000,000 – 2,999,999: $525,000
- 3,000,000 – 3,999,999: $550,000
- 4 ,000,000 – 4,999,999: $575,000
- 5,000,000 – 5,999,999: $600,000
- 6,000,000 – 8,999,999: $625,000
- 9,000,000 – 11,999,999: $650,000
- 12,000,000 – 14,999,999: $675,000
- 15,000,000 – 17,999,999: $700,000
- 18,000,000 – 19,999,999: $750,000
- 20,000,000 – 24,999,999: $775,000
- 25,000,000 and over: $800,000
Eligibility: Unrestricted (i.e., open to any type of entity). Applicants must currently provide services to a population of at least 100,000 people (based on U.S. Census data, 2018 estimates). See solicitation for additional information on eligibility.
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