Performance Measures
-
What will be the topic areas for metrics? What is the expectation surrounding monitoring of programs?
-
Will there be performance measures associated with this funding?
-
Who will be using the cloud-based data reporting platfor- hospital associations?
-
Will there be a way for receipients to report information on behalf of their sub-recipients?
-
Are we required to submit semi-annual annual reports throughout the five-year program period even if no new funding is released over the next few years?
-
What is the timeline for the performance measures release?
-
Will ASPR provide a standard review or comment form for the American Hospital Association’s Allied Associations Emergency Readiness Group (A2 ERG) to provide feedback/input on the measures?
-
How much flexibility will the American Hospital Association’s Allied Associations Emergency Readiness Group (A2 ERG) have to make actual changes to the measures?
-
Are we only going to use the cloud-based platform to report data, or are we required to report data in other data systems?
Reporting
-
What reporting (i.e., type and timing) is required of our hospital subrecipients beyond providing substantiation of use of funds (i.e., invoice and remittance advice)?
-
Can you provide information on dealing, key required materials for submission and reporting, and how to draw down funds?
-
Can we get a concise checklist for what requirements are needed as support from associations and their subrecipients? (e.g., receipts, time sheets, narratives from each subrecipient)
Funding
-
Are we are allowed to give grant to government run and funded facilities?
-
What are best practices and expectations for how ASPR expects associations to structure and administer distribution of these funds?
-
What are some specific examples of how hospitals can use these cooperative agreement funds?
-
Can recipients use cooperative agreement funds for hospital staff salaries if the salary is not at a rate in excess of $197,300 USD per year?
-
What is ASPR’s expectation of hospital associations for second tranche compared to the first tranche (e.g., PPE and supply purchases)? How much should be set aside for trainings (e.g., national emerging special pathogen trainings)?
-
Is the hospital association cooperative agreement multi-year?
-
Can you explain the single audit?
-
Is there an opportunity to use the funds to help hospitals address behavioral health needs as a result of COVID among first responders and patients?
-
Why did ASPR award funds to hospital associations?
-
Why were 53 hospital associations in all 50 states, the District of Columbia, New York City, and Puerto Rico eligible to apply for funding?
-
How will the hospital associations distribute funds to subrecipients?
-
How much latitude does the hospital association have when distributing the funds?
-
If recipients use a letter of commitment to distribute the funds, what data do they need to request from the subrecipients?
-
May recipients distribute funds to other non-hospital providers, like nursing homes, in their state?
-
In awarding funds to subrecipients, can funding decisions be based on need?
-
Can the hospital association recipients or subrecipients use funds for construction?
-
Do allowable training expenditures include registration fees and travel costs for attending training?
-
Is a funding match required?
-
To distribute funds, are hospitals required to spend their own money first and submit receipts to hospital associations for reimbursement?
-
Do recipients need to establish a five-year budget plan and track activities through the five-year project and budget period? If hospitals spend their allotted funds in year 1 of the 5-year project period, is it sufficient to note that in the first year, or must the hospital association report this each year for the 5-year period?
-
What is the opportunity for carryover of funds?
-
While the process of releasing funds to subrecipients within 30 days is straightforward, it appears there is a great deal of documentation and reporting over the 5-year grant period. Is this really necessary?
-
As a recipient of the ASPR grant, will the hospital associations be subject to federal audits and other requirements of federal grantees?
-
Can recipients modify their plan or criteria for funding distribution?
Technical Assistance
-
Will we be able to use ASPR Regional Project Officers for technical questions and guidance?
-
Will ASPR be providing technical assistance to the hospital associations identified as recipients? If so, who will provide the TA?
Application
-
Are any other entities are eligible to apply for funding? Does the specific non-profit designation of an entity impact its eligibility? Are hospital association foundations able to apply for funding instead of the hospital association itself?
-
Can hospital association recipients collaborate with other hospital associations in neighboring jurisdictions on their proposals? If so, can funding between two or more recipients be pooled to accomplish joint proposal objectives?
-
On the application, how should applicants categorize the distribution of funds to hospitals and other related health care entities (contracts or other)?
-
Can we expect feedback from ASPR on our proposed activities submitted in the project narrative submission due July 15?
Collaboration
-
Can we expect any alignment with existing HPP program capabilities, or should we expect to work with health care coalitions or other community partners?
Performance Measures
-
What will be the topic areas for metrics? What is the expectation surrounding monitoring of programs?
The topics areas for metrics will focus on both assessing the efficacy of the program and measuring preparedness, readiness, and response capabilities. It is ASPR's fiduciary responsibility to ensure this funding is used by recipients in accordance with the intent established by Congress, and the metrics will work to measure this. The metrics will also focus on the accomplishments with funding (e.g., whether the funding has improved surge capacities, whether funding reaches the health care facility and community level). This funding was not intended for testing or other supplies directly in clinical care or research; however, PPE is an appropriate use of funding.
-
Will there be performance measures associated with this funding?
Yes. The Notice of Funding Opportunity (NOFO) includes conceptual performance measures (quantitative and qualitative) that ASPR is currently considering. ASPR will provide recipients with the final performance measures.
- Who will be using the cloud-based data reporting platform— hospital associations or sub-recipients?
Hospital association will access and use the cloud-based data reporting platform. Sub-recipients will report the data to the hospital associations via a web form, and then hospital associations will review this information before submitting to ASPR.
- Will there be a way for recipients to report information on behalf of their sub-recipients?
Yes. ASPR will provide a web form for sub-recipients to report their data to hospital associations. Hospital associations will review, validate, and submit to ASPR all data that sub-recipients submit to them. ASPR is also considering additional options hospital associations may use to collect data from sub-recipients, which would allow the hospital associations to enter data into the platform on behalf of the sub-recipients. Additional information will be forthcoming.
This cooperative agreement has high visibility at many different levels, including the congressional level, and is an attempt to deliver financial assistance to the community via a new funding mechanism. It's important to collect the most accurate and complete data possible, so we can assess whether this is a useful mechanism in ensuring that hospitals and other related health care entities have the resources they need to address health threats like COVID-19.
- Are we required to submit semi-annual annual reports throughout the five-year program period even if no new funding is released over the next few years?
Yes. The cooperative agreement funding is available for use over the five-year project period, and recipients are required to submit a semi-annual and annual report for each twelve-month period of the project period.
ASPR understands that some activities conducted by recipients and sub-recipients (e.g., retroactive compensation for activities back to January 20, 2020) may not go through the full five years. In this case, you are required to report data only for the 12-month budget period during which the cooperative agreement funding was used. Other activities, such as creating an emergency plan and exercising and training that plan, may extend beyond the immediate timeframe and the performance for those activities could be tracked through the five-year project and budget period. In this case, you are required to report data for each 12-month budget period in the five-year project period.
- What is the timeline for the performance measures release?
ASPR will release the performance measures once they are validated by both internal and external reviewers. We anticipate that this will be complete by no later than October 2020, the mid-year of the cooperative agreement.
- Will ASPR provide a standard review or comment form for the American Hospital Association’s Allied Associations Emergency Readiness Group (A2 ERG) to provide feedback/input on the measures?
ASPR will share the draft performance measures to members of the Allied Associations Emergency Readiness Group (A2 ERG) for review and then schedule a meeting to discuss their comments/concerns live.
- How much flexibility will the American Hospital Association’s Allied Associations Emergency Readiness Group (A2 ERG) have to make actual changes to the measures?
How much flexibility will the American Hospital Association’s Allied Associations Emergency Readiness Group (A2 ERG) have to make actual changes to the measures?
- Are we only going to use the cloud-based platform to report data, or are we required to report data in other data systems?
Hospital associations will only need to report performance measure data into the cloud-based system. We understand that state and local health departments have reporting requirements as well, and while these reporting requirements will not be impacted by this cooperative agreement, we will try to reconcile requirements as much as possible.
-Top-
Reporting
-
What reporting (i.e., type and timing) is required of our hospital subrecipients beyond providing substantiation of use of funds (i.e., invoice and remittance advice)?
Applicants funded under this announcement will be required to electronically submit a semi-annual program progress report and Federal Financial Report (FFR) SF-425. In addition, applicants must submit an annual end-of-year program progress report and annual end-of-year Federal Financial Report, both due 90 days after each 12-month budget period ends. Recipients received instructions for both reports with their Notice of Award. Final performance and financial reports are due 90 days after the end of the project period.
-
Can you provide information on dealing, key required materials for submission and reporting, and how to draw down funds?
All 53 hospital association recipients have a Payment Management Systems (PMS) account that is set up, and ASPR sent each new recipient a setup package with instructions.
-
Can we get a concise checklist for what requirements are needed as support from associations and their subrecipients? (e.g., receipts, time sheets, narratives from each subrecipient)?
-
Performance Report: Recipients are required to submit a semi-annual program progress report and annual end-of-year program progress report.
-
Federal Financial Report (FFR): Recipients are required to electronically submit a semi-annual and annual
Federal Financial Report (Standard Form 425) via Payment Management Systems. Semi-Annual Federal Financial Report (SF-425) for Budget Period Year 1 is due six months after award budget period start date. The annual Federal Financial Report (SF-425) is due 90 days after budget period end date. The SF-425 is available via Grants.gov. Please submit the semi-annual and annual SF-425 via Division of Payment Management Systems (PMS). ASPR Grants Management office will contact you about any discrepancies in the semi-annual and annual FFR reports.
-
Federal Disbursement Reporting: The SF-425 will also be used for reporting of expenditure data to meet ASPR’s quarterly financial reporting requirement. All other lines except 10.a through 10.c should be completed.
-
Cash Transaction Reporting: Recipients must report cash transaction data using the Federal Financial Report (FFR), SF-425. Recipients will utilize the SF-425 lines 10.a through 10.c to report cash transaction data to the Division of Payment Management. The FFR SF-425 (lines 10.a through 10.c) is due to the Payment Management System 30 days after the end of each calendar quarter. The FFR SF- 425 electronic submission and dates for the new quarters will be announced through the Payment Management/smartLink Payment system’s bulletin board. Funds will be frozen if the report is not filed on or before the due date.
-
Subaward and Executive Compensation Reporting: Awardees must ensure that they have the necessary processes and systems in place to comply with the sub-award and executive total compensation reporting requirements established under OMB guidance at 2 CFR Part 170, unless they qualify for an exception from the requirements, should they be selected for funding. CFDA number is to be included on all Subawards, including contracts and consultant agreements, so ASPR staff may track compliance.
-
Audit requirements for Federal award recipients: Details can be found in
OMB Circular A-133. Specifically, non-Federal entities that expend a total of $750,000 or more in Federal awards during each Fiscal Year, are required to have an audit completed in accordance with
OMB Circular A-133. The Circular defines Federal awards as Federal financial assistance (grants) and Federal cost-reimbursement (contracts) received both directly from a Federal awarding agency as well as indirectly from a pass-through entity and requires entities submit, to the Federal Audit Clearinghouse (FAC), a completed Data Collection Form (SF-SAC) along with the Audit Report, within the earlier of 30 days after receipt of the report or 9 months after the fiscal year end. The Data Collection Forms and Audit Reports MUST be submitted to the FAC electronically through the
single audit submission portal. For questions and information concerning the submission process, please visit the
FAC website or call the FAC at 1-800-253-0696.
-
7) Reporting of Matters Related to Recipient Integrity and Performance: Please see General Terms and Conditions in the Notice of Award.
-Top-
Funding
-
Are we are allowed to give grant to government run and funded facilities?
No. Federal facilities, e.g., VA, are not eligible to receive this cooperative agreement funding.
-
What are best practices and expectations for how ASPR expects associations to structure and administer distribution of these funds?
ASPR provided funding directly to hospital associations to support the urgent preparedness and response needs of hospitals, health systems, and health care workers on the front lines of this pandemic in order to prepare them to safely and successfully identify, isolate, assess, transport, and treat patients with COVID-19 or persons under investigation (PUI) for COVID-19, and that it is well prepared for future special pathogen disease outbreaks. This funding cannot duplicate assistance that is provided by other HHS or other federal departments or agencies (e.g., Public Health Emergency Preparedness cooperative agreement, Public Health Crisis Response cooperative agreement, Public Health Epidemiology and Infection Control, FEMA public assistance, Provider Relief Fund). This funding should focus on health care activities. It is up to the recipient’s discretion on how to distribute funding.
-
What are some specific examples of how hospitals can use these cooperative agreement funds?
Many examples of how hospitals can use these funds were provided in the NOFO. Some examples include:
- Quickly update and train staff to implement pandemic or emergency preparedness plans at the facility level.
- Update the existing patient transport plan to include an approach that allows for intra- and inter-state transport of potential or confirmed COVID-19 patients, as necessary.
- Procure supplies and equipment in accordance with CDC guidelines.
- Rapidly ramp up infection control and triage training for health care professionals.
- Retrofit separate areas to screen and treat large numbers of persons with suspected COVID-19 infections, including isolation areas in or around hospital emergency departments to assess potentially large numbers of persons under investigation for COVID-19 infection.
- Increase the numbers of patient care beds to provide surge capacity using alternate care sites such as temporary hospitals that are deployed in a pandemic.
- Purchase PPE in accordance with CDC guidelines.
- Provide training of staff, specifically focusing on health care worker safety when caring for a COVID-19 patient (e.g., PPE donning/doffing, rapid identification and isolation of a patient, safe treatment protocols, and the integration of behavioral health support) and early recognition, isolation, and activation of the facility’s updated pandemic or other emergency preparedness plan.
- Examine physical infrastructure needs, which may include minor retrofitting and alteration of inpatient care areas for enhanced infection control (e.g., donning/doffing rooms).
- Reconfigure patient flow in emergency departments to provide isolation capacity for PUIs for COVID-19 and other potentially infectious patients.
- Consider alternative or innovative models to reconfigure patient flow or transition to inpatient care, as necessary, such as leveraging alternative care sites (e.g., ambulatory surgical centers) or telemedicine to ensure all patients reach care.
- Identify alternate care sites (on facility grounds or within close proximity) and additional sites (offsite) for sub-acute care patients to increase capacity.
- Plan and implement expanded telemedicine, telehealth, or other virtual health capabilities to ensure that appropriate care can be provided to individuals in their homes or residential facilities when social distancing measures are used to reduce virus transmission and that specialty care providers can provide consultation remotely.
- Train health care workers on how to leverage telemedicine and telehealth to deliver care or how to incorporate telemedicine into daily workflows.
- Provide training and technical support, as necessary, to EMS agencies and 9-1-1/Public Safety Answering Points on screening 911 callers in order to direct non-acute patients to the appropriate care setting and to implement evolving protocols related to the dispatch of EMS for COVID-19 suspected patients, and EMS response in general.
- Ensure capability to maintain continuity of operations, leveraging alternative or innovative models, such as alternative care sites or telemedicine to support other critical operations.
- Create alternate care sites (e.g., temporary structures, etc.) to provide surge capacity for patient care, or increase the numbers of patient care beds at a facility.
- Consider including a focus on individuals at risk for high morbidity and mortality from COVID-191 in the development and execution of activities described above, including collaborating with health care facilities that directly serve these individuals such as long term residential and home health care.
-
Can recipients use cooperative agreement funds for hospital staff salaries if the salary is not at a rate in excess of $197,300 USD per year?
Funding may be used for hospital staff salaries as long as they are contributing to, conducting, or supporting cooperative agreement activities. As a reminder, using cooperative agreement funds to pay salaries for clinical care is not permitted. As outlined in the NOFO, all recipient salaries are subject to the Congressional set CAP Executive Pay Level II, which is limited to $197,300 as of January 5, 2020.
-
What is ASPR’s expectation of hospital associations for second tranche compared to the first tranche (e.g., PPE and supply purchases)? How much should be set aside for trainings (e.g., national emerging special pathogen trainings)?
ASPR hopes hospital associations can use the additional funding for activities beyond PPE and supply purchases. However, specific use of funding is left up to jurisdictions, with considerations made to how not to use this funding in a way that is not duplicative with other COVID-19 supplemental funding. A description of potential uses for the funding was included in the notice of award document.
-
Is the hospital association cooperative agreement multi-year?
The cooperative agreement budget period and project period is five years.
-
Can you explain the single audit?
Audit requirements for Federal award recipients are detailed in
OMB Circular A-133. Specifically, non-Federal entities that expend a total of $750,000 or more in Federal awards, during each Fiscal Year, are required to have an audit completed in accordance with
OMB Circular A-133. The Circular defines Federal awards as Federal financial assistance (grants) and Federal cost-reimbursement (contracts) received both directly from a Federal awarding agency as well as indirectly from a pass-through entity and requires entities submit, to the Federal Audit Clearinghouse (FAC), a completed Data Collection Form (SF-SAC) along with the Audit Report, within the earlier of 30 days after receipt of the report or 9 months after the fiscal year end. The Data Collection Forms and Audit Reports MUST be submitted to the FAC electronically through the
single audit submission portal. For questions and information concerning the submission process, please visit the
FAC website or call the FAC 1-800-253-0696.
-
Is there an opportunity to use the funds to help hospitals address behavioral health needs as a result of COVID among first responders and patients?
As described in the NOFO, funds can be used to “provide training of staff, specifically focusing on health care worker safety when caring for a COVID-19 patient (e.g., PPE donning/doffing, rapid identification and isolation of a patient, safe treatment protocols, and the integration of behavioral health support) and early recognition, isolation, and activation of the facility’s updated pandemic or other emergency preparedness plan.
-
Why did ASPR award funds to hospital associations?
Hospital associations will serve as the mechanism to distribute funding directly to hospitals and other related health care entities for special pathogen preparedness and response for their states and jurisdictions. These hospital associations will communicate health care situational awareness and response needs to ASPR through close collaboration across the health care systems in their respective states and jurisdictions.
Hospital associations are a new targeted recipient for HPP awards. ASPR believes this new funding mechanism will allow hospital associations to make rapid fund distribution decisions for health care entities rather than through the traditional route of public health departments, who are significantly burdened by their current COVID-19 response activities. This also allows for the number of recipients to be manageable without significant increased federal administrative costs and allows for limited competition. An open competition to directly fund any U.S. health care entity would delay federal obligations, and be difficult and potentially costly to manage at the federal level. ASPR aims to streamline the process by collecting only essential information to limit the amount of burden to the hospital associations.
-
Why were 53 hospital associations in all 50 states, the District of Columbia, New York City, and Puerto Rico eligible to apply for funding?
ASPR worked with its stakeholder partner, the American Hospital Association, to determine where there are hospital associations in the 50 states, the U.S., directly funded cities, territories, and the freely associated states. Puerto Rico is the only territory that has a hospital association and is eligible for the planned hospital association awards. The other territories and freely associated states do not have hospital associations. These jurisdictions will be covered by CDC’s Public Health Emergency Preparedness (PHEP) Program cooperative agreement and the Hospital Preparedness Program cooperative agreement supplement. New York City was the only directly funded city with a hospital association. While Chicago and Los Angeles are HPP recipients, they do not have their own hospital associations and will receive funding through the Illinois and California hospital associations.
-
How will the hospital associations distribute funds to subrecipients?
Hospital associations may distribute funds to hospitals and other health care entities in their state or jurisdiction at their discretion. As part of their streamlined applications, hospital associations were required to include a written description at the time of application of how they plan to distribute funds within 30 days of award to subrecipients (hospitals and related health care entities within their state or jurisdiction), including any criteria or methodology used to distribute the funds.
-
How much latitude does the hospital association have when distributing the funds?
This is fully at the hospital association’s discretion. ASPR only asks that recipients provide a description of the criteria or methodology used to distribute funds as part of the initial, streamlined application.
-
If recipients use a letter of commitment to distribute the funds, what data do they need to request from the subrecipients?
Regardless of how funds are distributed, subrecipients must provide the hospital associations with information on how the funds are spent.
-
May recipients distribute funds to other non-hospital providers, like nursing homes, in their state?
Yes. Funding can be distributed to other non-hospital health care entities.
-
In awarding funds to subrecipients, can funding decisions be based on need?
Hospital associations may distribute funds to hospitals and other health care entities in their state or jurisdiction at their discretion.
-
Can the hospital association recipients or subrecipients use funds for construction?
No. However, funds can be used for minor renovations and alterations. Exact requirements for minor renovations and alterations are specified in the NOFO.
-
Do allowable training expenditures include registration fees and travel costs for attending training?
Yes. Provided the registration fees are part of the training, per diem is allowable for training. Also, recipients must follow the GSA Federal per diem requirements (please reference GSA.gov).
-
Is a funding match required?
There is no match or maintenance of funding required for this cooperative agreement.
-
To distribute funds, are hospitals required to spend their own money first and submit receipts to hospital associations for reimbursement?
No. HPP does not require hospitals to spend their own money first and submit receipts for this emergency supplemental funding for COVID-19. However, for retroactive compensation (paying for activities conducted beginning January 20, 2020), recipients must follow instructions provided in the NOFO. For forward costs, ASPR recommend requesting invoices for auditing purposes; however, this is not required.
-
Do recipients need to establish a five-year budget plan and track activities through the five-year project and budget period? If hospitals spend their allotted funds in year 1 of the 5-year project period, is it sufficient to note that in the first year, or must the hospital association report this each year for the 5-year period?
ASPR understands that some activities done by the recipient (e.g., distributing funds to subrecipients within 30 days) are not intended to go through the full five years. Additionally, some activities conducted by the subrecipients (e.g., retroactive compensation for activities back to Jan 20, 2020) may not go through the full five years. However, some activities, such as creating an emergency plan and exercising and training that plan, may extend beyond the immediate timeframe and the performance for those activities could be tracked through the five-year project and budget period.
-
What is the opportunity for carryover of funds?
It is a 5-year budget period, so recipients will be able to spend the funds at their discretion over those 5 years.
-
While the process of releasing funds to subrecipients within 30 days is straightforward, it appears there is a great deal of documentation and reporting over the 5-year grant period. Is this really necessary?
Financial and progress reporting are required for all federal financial assistance programs.
-
As a recipient of the ASPR grant, will the hospital associations be subject to federal audits and other requirements of federal grantees?
Yes. Please reference
45 CFR 75 Part F Audits.
-
Can recipients modify their plan or criteria for funding distribution?
Yes. Applicants must submit an initial plan for distribution of funding with their streamlined application, but they may make modifications to this plan, including adding more detail, in their subsequent content submission 60 days after receiving the award.
-Top-
Technical Assistance
-
Will we be able to use ASPR Regional Project Officers for technical questions and guidance?
Yes, HPP Field Project Officers (FPO) will provide technical assistance and guidance. Refer to the notice for award for second round for the assigned FPO.
-
Will ASPR be providing technical assistance to the hospital associations identified as recipients? If so, who will provide the TA?
Yes. The HPP Field Project Office will provide technical assistance to recipients.
-Top-
Application
-
Are any other entities are eligible to apply for funding? Does the specific non-profit designation of an entity impact its eligibility? Are hospital association foundations able to apply for funding instead of the hospital association itself?
All 53 hospital associations in all 50 states, the District of Columbia, New York City, and Puerto Rico are eligible, regardless of non-profit designation - 501(c)(6), 501(c)(3), etc. Other hospital associations – for example, children’s hospital associations or public hospital associations that also exist within the state or jurisdiction – are not eligible.
If the foundation will apply on behalf of the hospital association, ASPR would recommend the inclusion of a letter from the hospital association that states that the foundation is the authorized fiscal and administrative agent on behalf of the hospital association, in order to avoid issues during screening for eligibility.
-
Can hospital association recipients collaborate with other hospital associations in neighboring jurisdictions on their proposals? If so, can funding between two or more recipients be pooled to accomplish joint proposal objectives?
Hospital association applicants may collaborate with other hospital association applicants on their workplans and activities; however, each hospital association must submit their own individual application. Funding can only be distributed to hospitals and other health care entities within the hospital association’s state or jurisdiction; however, recipients may collaborate with one another and distribute the funding at their discretion in such a way that would support joint objectives.
-
On the application, how should applicants categorize the distribution of funds to hospitals and other related health care entities (contracts or other)?
If the applicant plans to use a contracting vehicle to distribute funds to subrecipients, they should categorize as a contract. If the applicant plans to use a letter of commitment or another non-contract vehicle to distribute the funds, they should categorize as “other.” It is at the recipient’s discretion to select the vehicle for distributing funds; the most important thing is the recipients provide ASPR with a description to ensure their understanding of how the funds were distributed.
-
Can we expect feedback from ASPR on our proposed activities submitted in the project narrative submission due July 15?
ASPR Field Project Officers (FPO) will review submissions, and if they have questions, they will reach out for more information. FPOs will then provide feedback on the submissions, including strengths and weaknesses. Recipients may be required to submit additional documentation to address significant programmatic and budgetary weaknesses.
-Top-
Collaboration
-
Can we expect any alignment with existing HPP program capabilities, or should we expect to work with health care coalitions or other community partners?
Hospital association recipients are not required to distribute funds to health care coalitions, as funding will be distributed to them through other awards. However, recipients are encouraged to collaborate with health care coalitions or other community partners at their discretion.
-Top-
1. CDC has developed
evolving guidance to define at-risk individuals for high morbidity and mortality from COVID-19.