WEBVTT

1
00:00:05.490 --> 00:00:06.810
1210****493: Can everyone hear me okay

2
00:00:07.680 --> 00:00:08.760
1210****493: We can hear you, Michelle.

3
00:00:09.630 --> 00:00:10.019
Okay.

4
00:00:12.150 --> 00:00:29.850
1210****493: Give me one second. I'm going to close this box so I can see. All right. This call is being hosted by the Division of Violence Prevention and the National Center for injury prevention and control and the Office of grant Services here at CDC.

5
00:00:46.440 --> 00:00:50.010
1210****493: Sorry, I got a little delay here. Hold on one second.

6
00:00:57.270 --> 00:01:04.020
1210****493: Alright, so my name is Michelle landed. I'm one of the public health advisors with the Division of Violence Prevention surveillance branch.

7
00:01:04.500 --> 00:01:12.600
1210****493: On the violence surveillance coordination team on today's call. We also have Kristen Holland and Marissa, the wall.

8
00:01:13.080 --> 00:01:19.620
1210****493: Who are the sciences from the morbidity and behavioral surveillance team and are assigned to this no phone

9
00:01:20.280 --> 00:01:31.530
1210****493: We also have with us. Karen's eye on the grants management specialist for this project. Kristen and Marissa will be able to answer any scientific questions you might have.

10
00:01:32.220 --> 00:01:38.730
1210****493: And can lie on can answer specific funding questions you might have. At the end of today's call.

11
00:01:39.660 --> 00:01:56.700
1210****493: Also we have with us today are surveillance from our surveillance branch, the lead for the violence for banners coordination team tomorrow bond as well as our deputy branch to Leroy Frazier and branch chief Kathleen David terrorism.

12
00:02:03.840 --> 00:02:17.490
1210****493: The purpose of today's call is to provide a brief overview of the fashion Novo and to answer any clarifying questions you may have about this Novo we will cover topics in the following order.

13
00:02:18.510 --> 00:02:28.890
1210****493: Background Information purpose of the no photo award information and applicants eligibility know full description and expected outcome.

14
00:02:30.150 --> 00:02:32.100
1210****493: Application reviewing criteria.

15
00:02:33.450 --> 00:02:37.080
1210****493: Submission procedures and key days and contacts.

16
00:02:51.960 --> 00:02:54.570
1210****493: And I will change everything over to places.

17
00:02:58.020 --> 00:03:14.040
Kristin Holland: Hi everyone, my name is Kristen Holland. I am the team lead of the morbidity and behavioral surveillance team and the Division of Violence Prevention's surveillance branch. And I just want to echo Marissa and Michelle's

18
00:03:15.090 --> 00:03:26.130
Kristin Holland: Sentiments and welcome you all to the call today I'm thrilled to see such a good turnout and I see some familiar names which makes me happy and

19
00:03:26.880 --> 00:03:30.390
Kristin Holland: I will just provide a brief background here and then

20
00:03:31.770 --> 00:03:32.130
Kristin Holland: I'll

21
00:03:32.250 --> 00:03:34.170
Kristin Holland: turn the floor over to Marissa

22
00:03:35.070 --> 00:03:40.710
Kristin Holland: Who will talk more about some of the new requirements. And then again, Michelle will talk

23
00:03:41.160 --> 00:03:48.600
Kristin Holland: About submission of your application. So thanks again for Michelle for getting us started.

24
00:03:49.080 --> 00:03:56.910
Kristin Holland: And I am going to jump right into some of the statistics on firearm deaths and injuries.

25
00:03:57.210 --> 00:04:04.290
Kristin Holland: You all are on the call. I'm sure certainly because you know that firearm deaths and injuries or a serious public health.

26
00:04:04.290 --> 00:04:06.390
Kristin Holland: Problem in the US, more than

27
00:04:07.350 --> 00:04:11.610
Kristin Holland: Almost 40,000 people died as a result of a firearm related injury and

28
00:04:13.230 --> 00:04:21.360
Kristin Holland: And many more people suffer from non fatal firearm related injuries and people are hospitalized with non fatal gunshot wounds.

29
00:04:22.590 --> 00:04:35.070
Kristin Holland: And they often experience long term consequences because of those injuries including things like physical disabilities and chronic mental health problems from conditions such as press post traumatic.

30
00:04:36.090 --> 00:04:41.400
Kristin Holland: Stress disorder. So these injuries have long lasting consequences.

31
00:04:43.410 --> 00:04:44.520
Kristin Holland: Next slide please.

32
00:04:53.520 --> 00:05:00.870
Kristin Holland: With new legislation that appropriated funds for firearm injury related research to the CDC.

33
00:05:01.620 --> 00:05:14.520
Kristin Holland: This. Notice of Funding Opportunity aims to do several things. First of all, we'd like to help improve the timeliness of surveillance of emergency department visits for non fatal firearm injuries.

34
00:05:15.180 --> 00:05:25.350
Kristin Holland: Secondly, we would like this this initiative to serve as a pilot to demonstrate the feasibility of monitoring non fatal firearm injuries using syndrome surveillance data.

35
00:05:26.010 --> 00:05:40.200
Kristin Holland: And additionally, this collaborative Novo will result in tools and methods that can be used by state and local health departments across the nation to rapidly track and respond to firearm injuries.

36
00:05:43.410 --> 00:05:50.280
Kristin Holland: Next slide please. You specifically we are asking recipients to do a number of things.

37
00:05:51.000 --> 00:06:02.310
Kristin Holland: We mainly we'd like them to increase the timeliness of aggregate reporting of emergency department visits for non fatal firearm injuries and we'll describe this in more detail later.

38
00:06:02.790 --> 00:06:11.850
Kristin Holland: And also we want to be able to disseminate the surveillance findings to key stakeholders who are working to prevent and respond to these injuries.

39
00:06:18.870 --> 00:06:20.190
Kristin Holland: Next slide please.

40
00:06:40.560 --> 00:06:42.480
Kristin Holland: Alright, so this is a three year

41
00:06:43.740 --> 00:06:44.910
Kristin Holland: Funding opportunity.

42
00:06:45.390 --> 00:06:47.610
Kristin Holland: It is projected in around September.

43
00:06:47.670 --> 00:06:49.170
Kristin Holland: 2020 and

44
00:06:49.200 --> 00:06:57.270
Kristin Holland: continued support beyond year one will be subject to availability of funds. The estimated total funding amount

45
00:06:57.300 --> 00:06:59.670
Kristin Holland: Is $3.2 million

46
00:06:59.700 --> 00:07:01.320
Kristin Holland: For this three year period.

47
00:07:01.380 --> 00:07:03.060
Kristin Holland: Which is expected to fund.

48
00:07:03.090 --> 00:07:05.010
1210****493: Up to seven recipients

49
00:07:05.640 --> 00:07:10.110
Kristin Holland: The average one year funding amount be 120 $5,000

50
00:07:10.170 --> 00:07:15.600
Kristin Holland: The floor amount is 100,000 and the ceiling amount is 150,000

51
00:07:22.860 --> 00:07:24.570
Kristin Holland: Eligible applicants.

52
00:07:25.050 --> 00:07:30.660
Kristin Holland: Eligible applicants are include are those entities included here in

53
00:07:30.990 --> 00:07:32.700
1210****493: keene state governments are there.

54
00:07:32.700 --> 00:07:34.920
Kristin Holland: bonafide agents, including the district of

55
00:07:34.920 --> 00:07:39.000
Kristin Holland: Columbia local governments are there bonafide agents.

56
00:07:39.240 --> 00:07:40.680
Kristin Holland: territorial governments.

57
00:07:40.830 --> 00:07:45.270
Kristin Holland: Are there bonafide agents in the Commonwealth of Puerto Rico the Virgin Islands.

58
00:07:45.660 --> 00:07:46.440
Kristin Holland: Commonwealth of

59
00:07:46.860 --> 00:07:51.300
Kristin Holland: The Northern Mariana Islands American Samoa long

60
00:07:51.390 --> 00:07:56.820
Kristin Holland: The Federated States of Micronesia, the Republic of the Marshall Islands and the

61
00:07:56.820 --> 00:07:57.480
1210****493: Republic of

62
00:07:57.600 --> 00:07:58.200
1210****493: LAO.

63
00:07:58.890 --> 00:08:08.310
Kristin Holland: If you guys need more information about this, about applicant eligibility. You can see page 23 of the Nova that's been posted online.

64
00:08:26.640 --> 00:08:40.320
Kristin Holland: And so there's a little bit additional information about applicant eligibility data sharing through the National syndrome surveillance program or NSP essence platform is

65
00:08:40.350 --> 00:08:43.680
Kristin Holland: Required to facilitate sharing patient and calendar data.

66
00:08:43.680 --> 00:08:52.560
Kristin Holland: From emergency departments in addition to CDC syndrome definitions for firearm injuries for this Novo therefore

67
00:08:53.610 --> 00:08:54.870
Kristin Holland: Eligible applicants.

68
00:08:54.930 --> 00:08:57.720
Kristin Holland: must submit a letter of support or an

69
00:08:57.780 --> 00:08:59.280
Kristin Holland: Mo you a memorandum of

70
00:08:59.280 --> 00:09:02.370
Kristin Holland: Understanding from there in SSP

71
00:09:02.460 --> 00:09:09.060
Kristin Holland: Principal Investigator or the staffing that manages the authorization process for users to

72
00:09:09.120 --> 00:09:10.170
1210****493: Access the

73
00:09:10.620 --> 00:09:12.300
Kristin Holland: Data and

74
00:09:12.960 --> 00:09:15.390
Kristin Holland: That letter of support should include

75
00:09:16.320 --> 00:09:17.100
Kristin Holland: A couple

76
00:09:18.090 --> 00:09:19.290
Kristin Holland: Points of information.

77
00:09:19.710 --> 00:09:22.020
Kristin Holland: For one, it should demonstrate the use

78
00:09:22.110 --> 00:09:22.590
Kristin Holland: Of

79
00:09:22.680 --> 00:09:25.620
Kristin Holland: The National essence platform or

80
00:09:26.070 --> 00:09:28.500
Kristin Holland: Their syndrome surveillance data management.

81
00:09:28.620 --> 00:09:31.290
Kristin Holland: on or before the application due date.

82
00:09:33.210 --> 00:09:35.280
Kristin Holland: It should also indicate

83
00:09:36.150 --> 00:09:50.610
Kristin Holland: That the that this group collects and accesses data on a minimum of 75% of emergency department visits that occur within the state at the time of application and that

84
00:09:51.210 --> 00:10:08.370
Kristin Holland: That 70 included within that 75% is should be visits from a minimum of 90% of level 123 trauma centers. This is because we know that those trauma centers are primarily the place where gunshot wounds are likely to be treated.

85
00:10:10.410 --> 00:10:29.310
Kristin Holland: And the percentage of all emergency department visits in level 123 trauma centers in the state collected by the surveillance system should be described. So for instance, currently 75% of all emergency department visits in the state are reported into in SS essence.

86
00:10:30.330 --> 00:10:40.140
Kristin Holland: And the letter of support should also confirm required access to an SSP essence data and should indicate that the state.

87
00:10:41.280 --> 00:10:49.740
Kristin Holland: Syndrome surveillance program staff will manage the authorization process for future CDC users because we'll all be users of this data as well.

88
00:10:50.820 --> 00:11:04.950
Kristin Holland: applications that do not meet these criteria, unfortunately, will be considered non responsive and will not move forward for review. So please see page 24 of the nofollow. For more information about this eligibility criteria.

89
00:11:05.430 --> 00:11:18.750
Kristin Holland: If you have any questions, you can certainly submit those to us through the chat box today or or to Michelle directly and her contact information will be provided. Later in the

90
00:11:20.220 --> 00:11:30.480
Kristin Holland: In the presentation and I will now turn it over to Maria says wild who will provide a description of Novo and it's expected outcomes.

91
00:11:31.800 --> 00:11:33.180
Marissa Zwald: Alright, thank you. Kristen.

92
00:11:34.500 --> 00:11:41.010
Marissa Zwald: Good afternoon, everyone. I also just want to communicate, just a warm welcome and thanks for joining the informational call today.

93
00:11:41.280 --> 00:11:50.610
Marissa Zwald: As Kristen mentioned I'll describe the nofollow a little bit further. It's expected outcomes and potential Novo collaborators before I jump in. I do want to just

94
00:11:51.090 --> 00:12:00.120
Marissa Zwald: Provide a few housekeeping items to those that joined a little bit late, as a heads up the call is being recorded so if you don't wish to be recorded.

95
00:12:00.750 --> 00:12:10.590
Marissa Zwald: Visually in your on video, we'll just go ahead and ask you and encourage you to disable that video feature by clicking the stop video button at the bottom left of your screen.

96
00:12:11.610 --> 00:12:25.350
Marissa Zwald: And then as you all have already noticed you're all muted, we will have a Q AMP, a portion at the end of the call. So go ahead and type those questions as Kristen mentioned in into the chat box which is at the bottom center of your zoom screen.

97
00:12:26.100 --> 00:12:30.540
Marissa Zwald: Just wanted to give a heads up to those that were on video that you were being recorded.

98
00:12:31.500 --> 00:12:41.220
Marissa Zwald: Alright, so as Kristen mentioned earlier strategy. One of the nofollow is to increase the timeliness of aggregate reporting of ED visits for firearm injuries.

99
00:12:41.550 --> 00:12:47.070
Marissa Zwald: And under this strategy recipients will be expected to support the the activities that are listed on this slide.

100
00:12:47.670 --> 00:12:58.560
Marissa Zwald: So the first of them being sharing real time case levels and remix surveillance data with CDC, as well as access to historical data at the state and county levels, dating back to 2016

101
00:12:59.100 --> 00:13:05.940
Marissa Zwald: This will allow CDC to validate trend data and to also track the following indicators using this emergency department data.

102
00:13:06.840 --> 00:13:16.050
Marissa Zwald: Total firearm injuries intentional self directed firearm injuries unintentional firearm injuries and then also assault related firearm injuries.

103
00:13:16.800 --> 00:13:22.620
Marissa Zwald: The second activity is to create validate and monitor the quality of indicator syndrome definitions.

104
00:13:23.130 --> 00:13:29.010
Marissa Zwald: The third is to verify state and county aggregate quarterly reports that are stratified by month

105
00:13:29.430 --> 00:13:46.830
Marissa Zwald: And these are generated by CDC and they'll occur from July 2020 to June 2023 within three months of the emergency department visit date and the last activity here is to share the methodology for calculating indicators and aggregated reports with CDC.

106
00:13:47.880 --> 00:13:48.960
Marissa Zwald: Next slide please.

107
00:13:51.630 --> 00:14:02.820
Marissa Zwald: Strategy to have or the dissemination of surveillance findings to key stakeholders working to prevent or respond to fire it arm injuries include the activities, the three that are listed here.

108
00:14:03.330 --> 00:14:21.900
Marissa Zwald: The first is to create a dissemination plan by the end of year one funding to build and strengthen relationships with key stakeholders and three implement strategies most suited to the needs of state of the state and its key stakeholders. Next slide please.

109
00:14:24.750 --> 00:14:31.020
Marissa Zwald: So you can see all of this displayed in the bold text in the logic model contained in the no photo.

110
00:14:31.440 --> 00:14:37.650
Marissa Zwald: But the key outcomes that we hope from this that will occur from this work include increased use of the following

111
00:14:38.160 --> 00:14:47.790
Marissa Zwald: Their sub bullets that are listed there by state and local stakeholders timely information about trends and ED visits for non fatal firearm injuries.

112
00:14:48.390 --> 00:15:04.620
Marissa Zwald: Geographically specific information about trends in ED visits for non fatal firearm injuries and then some dramatic data syndromes surveillance data to develop plans for focusing prevention and response strategies on populations that greatest risk of non fatal firearm injuries.

113
00:15:05.700 --> 00:15:13.380
Marissa Zwald: And the last here is just firearm injury prevention, the firearm injury prevention field has access to best practices and success stories.

114
00:15:15.390 --> 00:15:16.410
Marissa Zwald: Next slide please.

115
00:15:17.880 --> 00:15:25.740
Marissa Zwald: So I'll now go ahead and jump into some collaborations applicants are encouraged, but not required to collaborate with the following entities.

116
00:15:26.370 --> 00:15:33.120
Marissa Zwald: States with emergency department surveillance of non fatal suicide related outcomes or ED sensor funding.

117
00:15:34.020 --> 00:15:44.160
Marissa Zwald: State programs with the national violent death reporting system or envy DRS funding states with overdose to action or OD to a funding.

118
00:15:45.150 --> 00:16:03.690
Marissa Zwald: States with CORE STATE VIOLENCE and injury prevention program or estimate funding and then also CDC injury control research centers CDC is National Centers of Excellence and youth violence prevention and CDC Essentials for Childhood of funding recipients

119
00:16:05.160 --> 00:16:12.840
Marissa Zwald: applicants are encouraged to describe any strategic partnerships and collaborations with these optional entities that will make this work stronger.

120
00:16:13.170 --> 00:16:24.570
Marissa Zwald: And more impactful or may have a role in achieving the outcomes and proposed activities in this funding opportunity and applicants may provide any materials like mo use but are not required to do so.

121
00:16:26.190 --> 00:16:27.240
Marissa Zwald: Next slide please.

122
00:16:30.540 --> 00:16:40.140
Marissa Zwald: So applicants must demonstrate support from other key authorities involved in their work and these can include federal other federal, state, or local government agencies.

123
00:16:40.500 --> 00:16:50.070
Marissa Zwald: hospitals and health systems state boards of medicine and medical organizations, among others. Applicants must provide a letter of support for each key partner.

124
00:16:50.550 --> 00:17:01.470
Marissa Zwald: And the letter of support must demonstrate the authority support agreement to regular meetings and also an explanation of how the state authority will facilitate the proposed activities.

125
00:17:05.820 --> 00:17:15.300
Marissa Zwald: Okay, and I will go ahead and pass it back to Michelle, who will describe the application and also the submission information.

126
00:17:34.530 --> 00:17:46.260
1210****493: Okay applications must be submitted electronically through grants.gov please review page 39 of the no photo for information on papers that mission.

127
00:17:47.580 --> 00:18:13.500
1210****493: Some key dates related to this no photo include letters of intent were do last Friday, May 20 seconds. However, these are optional. So you didn't have to submit one to be eligible to apply for the funding finally applications must be submitted by 11:59pm EASTERN TIME ON JULY 8 2020

128
00:18:14.820 --> 00:18:29.310
1210****493: Technical difficulties are if you should encounter any technical difficulties@www.grants.gov applicants should contact customer service@www.grants.gov

129
00:18:30.210 --> 00:18:41.610
1210****493: The grants that gov contact center is available 24 hours a day, seven days a week, except for federal holidays, the contact center is available by phone.

130
00:18:42.300 --> 00:19:07.710
1210****493: At 1-800-518-4726 or by email at support@grants.gov application submission this by email or text or on CDs or thumb drives will not be accepted. Please note that www.grants.gov is managed by HHS.

131
00:19:19.830 --> 00:19:23.790
1210****493: The application you submit will be reviewed in three phases.

132
00:19:24.930 --> 00:19:40.830
1210****493: This information begins on page 37 of the Novo phase one review in phase one all applications will be initially reviewed for eligibility and completeness by CDC Office of Grants services.

133
00:19:41.760 --> 00:19:48.360
1210****493: Complete applications will be reviewed responsiveness by the grants management officials and program officials.

134
00:19:49.140 --> 00:20:02.040
1210****493: Non responsive applications will not advance to phase two review applicants will be notified that their applications did not meet eligibility and or published submission requirements.

135
00:20:03.510 --> 00:20:15.210
1210****493: In phase two of the review and objective review panels will evaluate complete eligible applications in accordance with the evaluation criteria listed in the nofollow.

136
00:20:16.290 --> 00:20:26.580
1210****493: And finally in Phase three applications will be reviewed to and to ensure they adheres to the narrative format guidelines of the nofollow.

137
00:20:27.240 --> 00:20:42.330
1210****493: If applicants do not follow the narrative format, ie line spacing page numbers specifications page margin specifications, there will be a 10% reduction to the overall evaluation score of the application.

138
00:20:43.080 --> 00:20:56.880
1210****493: recipients will be funded in order by score and rank determined by the review panel, only one award will be given per state to avoid duplication of data submission efforts.

139
00:21:04.920 --> 00:21:14.700
1210****493: In phase two, an objective review panel will evaluate complete eligible applications in accordance with the following criteria.

140
00:21:15.900 --> 00:21:22.290
1210****493: Approach 50 points evaluation and performance measurement 25 points.

141
00:21:24.210 --> 00:21:29.040
1210****493: Applicants organizational capacity to implement the approach 25 points.

142
00:21:30.330 --> 00:21:33.360
1210****493: And the budget is reviewed, but not scored

143
00:21:34.740 --> 00:21:52.290
1210****493: For approach CDC will evaluate the extent to which the applicants described and effective in feasible approach for increasing timeliness of aggregate reporting describes and effective and feasible approach for disseminating data to key stakeholders.

144
00:21:53.940 --> 00:21:57.930
1210****493: Demonstrates non fatal fire arm injury burden.

145
00:21:59.400 --> 00:22:14.400
1210****493: For evaluation and performance measurements BBC will consider the extent to which the applicant outlines and effective and feasible plan to continually monitor and improve the communism and quality of data.

146
00:22:15.330 --> 00:22:30.030
1210****493: Proposes performance measures align with proposed activities strategies and outcomes present and effective and feasible plans to track dissemination and impact.

147
00:22:30.960 --> 00:22:45.840
1210****493: On surveillance findings to key stakeholders. Lastly, for organizational capacity CDC will consider the applicant experience and staffing capacity.

148
00:22:50.610 --> 00:22:54.360
1210****493: Applicants must submit an itemized budget narrative.

149
00:22:56.040 --> 00:23:15.510
1210****493: Which must include the islands listed on the slide and in the no phone the applicants budget must include travel for at least two staff to attend a two day meeting at CDC National Center for Injury Prevention and Control in Atlanta, Georgia. You're in the first year of the project.

150
00:23:16.620 --> 00:23:29.970
1210****493: All applicants will attend this meeting for the project, second and third years the budget should include annual reverse site visits for to program staff to visit Lanza and meet with CDC staff.

151
00:23:31.980 --> 00:23:41.010
1210****493: The applicants budget must also include evidence of direct support up in collaboration with the staffing muted collecting the rapid Ed data.

152
00:23:41.430 --> 00:23:54.840
1210****493: By budgeting, at least $75,000 to the staffing unit collecting rapid Ed data to support efforts to maintain and enhance collection of rapid Ed data for this program.

153
00:23:55.680 --> 00:24:10.020
1210****493: This funding allocation is designed to assure that sufficient is provided to the staffing unit collecting the data funds must be used to select staff. I'm sorry to support staff or infrastructure.

154
00:24:16.050 --> 00:24:31.350
1210****493: Each applicant will receive a summary of strengths and weaknesses of the application. The notice of award is sent to the applicants authorized organization representative and Principal Investigator prior to the award start date.

155
00:24:46.230 --> 00:24:59.160
1210****493: Applicants can improve their submission by reading the Novo carefully, ensuring that they thoroughly address each and every requirement outlined in the know phone

156
00:25:00.120 --> 00:25:10.470
1210****493: double checking the application prior to submission to assure all required application content has been included including letters of support.

157
00:25:11.490 --> 00:25:16.470
1210****493: Following the narrative format described on page 30 under project narratives

158
00:25:17.880 --> 00:25:29.640
1210****493: And asking someone who is not involved in preparing the application to review the application. This can help identify a consistencies missing information and things that may be confusing.

159
00:25:38.670 --> 00:25:53.940
1210****493: And this is my contact information. The shell. The land Project Officer faster novo@cdc.gov and my phone numbers there and then also for financial award management or budget assistance.

160
00:25:54.450 --> 00:26:03.990
1210****493: You may contact our grants management specialist Karen Zion and her contact information is also listed there on the slide as well as in the notes.

161
00:26:12.930 --> 00:26:25.230
Marissa Zwald: Thank you, Michelle. This is Morris's walled again from CDC. Thank you all for your attention during that presentation and Michelle, why don't you go ahead and just leave that contact information slide up to just so that way.

162
00:26:25.830 --> 00:26:28.830
Marissa Zwald: If there are any additional questions following this call.

163
00:26:30.420 --> 00:26:41.010
Marissa Zwald: participants know how to how to reach you, or Karen. We did have a few questions roll into the chat box and I'll go ahead and start facilitating and actually responding to the first

164
00:26:41.490 --> 00:26:50.940
Marissa Zwald: Batch of these and my colleagues, Michelle and Kristen, can also weigh in as I things maybe aren't aren't complete there.

165
00:26:51.540 --> 00:27:03.150
Marissa Zwald: The first is from Rhonda Byock Lee, who asks, if we did not submit a letter of interest or intent on May 22. Can we still submit an application.

166
00:27:03.660 --> 00:27:16.620
Marissa Zwald: And so letters of intent are not required but applicants can still submit a letter of intent, if they are late if they wish. But again, they're not required to submit an application.

167
00:27:20.250 --> 00:27:31.950
Marissa Zwald: The next question is from Logan, who asks, Can both a city jurisdiction in a state and the state itself apply separately so

168
00:27:33.210 --> 00:27:44.970
Marissa Zwald: Only one award will be given per state to avoid any duplication of data submission efforts and I'm going to find the page number Logan on where you can find this in the nofollow. So on page 25

169
00:27:45.990 --> 00:27:48.240
Marissa Zwald: So only one word will be given per state.

170
00:27:49.260 --> 00:27:57.630
Marissa Zwald: States are encouraged to collaborate with local health departments within their state to increase their syndrome it surveillance coverage at the time of the application.

171
00:27:58.470 --> 00:28:09.510
Marissa Zwald: If we do receive more than one application per state the application with the highest score will be funded if their score rigs among the highest most highly ranked applicants.

172
00:28:12.030 --> 00:28:17.340
Marissa Zwald: OK, the next question is from our er Gos

173
00:28:19.200 --> 00:28:30.210
Marissa Zwald: His data is full data sharing via an SSP essence required for this grant which sharing limited visit level data and or sharing by other means be acceptable.

174
00:28:31.980 --> 00:28:41.370
Marissa Zwald: So in response to that because CDC will be running the queries through essence and also generating the reports in house for states to invalidate

175
00:28:42.090 --> 00:28:55.500
Marissa Zwald: So will be returning them back to the applicants for that validation process full access to state syndrome surveillance data through essence is required as opposed to the limited access that you you'd asked about

176
00:28:58.320 --> 00:28:59.250
Marissa Zwald: Okay and I'm going to

177
00:29:00.390 --> 00:29:19.170
Marissa Zwald: Just read these questions allowed. And again, if my CDC colleagues want to chime into any of these, please let me know. So from Valerie. She asks, Is the goal to have multi center multi state applications or single center slash single cent single state applications.

178
00:29:21.240 --> 00:29:21.750
Marissa Zwald: Kristin.

179
00:29:22.320 --> 00:29:22.620
Yep.

180
00:29:23.850 --> 00:29:35.550
Kristin Holland: Um, this is Crispin. And so, in fairness to that question. I think that I'm understanding it correctly. And I think this relates to what you indicated earlier, Murcia that

181
00:29:36.030 --> 00:29:43.260
Kristin Holland: Only one award will be provided per state. However, we greatly encourage the

182
00:29:43.290 --> 00:29:46.560
Kristin Holland: Applicant to collaborate

183
00:29:46.620 --> 00:29:49.320
Kristin Holland: With others within their state. So, for instance,

184
00:29:49.680 --> 00:29:53.640
Kristin Holland: If the overarching applicant is the state health department we highly

185
00:29:53.640 --> 00:29:55.320
Kristin Holland: Encourage them to

186
00:29:56.160 --> 00:30:12.180
Kristin Holland: To collaborate with local health departments academics within the state so that they can put together the strongest application possible. Our goal is to have a multi state database that allows us to

187
00:30:12.570 --> 00:30:16.110
Kristin Holland: Pull together data on non fatal firearm injuries.

188
00:30:16.110 --> 00:30:19.020
Kristin Holland: For up to seven states.

189
00:30:20.640 --> 00:30:22.230
Marissa Zwald: Great, thank you. Kristen.

190
00:30:23.460 --> 00:30:35.790
Marissa Zwald: So there is another question from another participant saying for states that are already pushing MS data into syndrome surveillance, does the CDC have a meaningful way to consume this data.

191
00:30:36.210 --> 00:30:45.210
Marissa Zwald: Or should we rely exclusively exclusively on Ed data for this project. Kristen, I can start to tackle this. And please fill in any gaps. I've made my mess but

192
00:30:45.450 --> 00:30:46.320
Marissa Zwald: For this project.

193
00:30:47.070 --> 00:30:59.250
Marissa Zwald: The requirements are really around the emergency department data. I think there will be opportunity for the project to do some validation efforts. If you have MS data with the emergency department data.

194
00:31:00.660 --> 00:31:01.620
Marissa Zwald: But we don't

195
00:31:02.160 --> 00:31:03.870
Marissa Zwald: For this specific project.

196
00:31:03.930 --> 00:31:05.910
Marissa Zwald: For faster, the

197
00:31:05.940 --> 00:31:09.660
Marissa Zwald: Kind of requirements that are outlined in the nofollow are speaking to specifically to

198
00:31:09.690 --> 00:31:10.530
Marissa Zwald: Ed data.

199
00:31:11.580 --> 00:31:13.380
Marissa Zwald: Kristen. Do you want to add anything there.

200
00:31:13.890 --> 00:31:15.510
1210****493: Now you covered that perfectly

201
00:31:15.750 --> 00:31:16.110
Kristin Holland: Thank you.

202
00:31:16.590 --> 00:31:17.250
Okay, great.

203
00:31:18.270 --> 00:31:28.920
Marissa Zwald: Gerardo asked 150,000 his ceiling for funding with indirect rate included question mark. What is the ice are in the funding mechanism.

204
00:31:29.940 --> 00:31:31.590
Kristin Holland: That is correct.

205
00:31:31.680 --> 00:31:39.420
Kristin Holland: $100,000 is the feeling with the indirect cost rate included, and I believe that the IC are

206
00:31:39.990 --> 00:31:46.830
Kristin Holland: varies by state whether, for instance, your health department applying or an

207
00:31:46.920 --> 00:31:53.760
Kristin Holland: academic institution applying as the bonafide agent of of the state, so I'm

208
00:31:53.910 --> 00:31:56.250
Kristin Holland: So that cost rate is

209
00:31:56.340 --> 00:31:57.480
Various

210
00:31:58.590 --> 00:32:01.230
Kristin Holland: Michelle can correct me if I'm

211
00:32:01.230 --> 00:32:02.160
1210****493: Incorrect there.

212
00:32:04.590 --> 00:32:05.820
1210****493: Hey, can you guys hear me.

213
00:32:07.560 --> 00:32:07.830
Kristin Holland: Yes.

214
00:32:07.860 --> 00:32:08.310
Yes.

215
00:32:09.750 --> 00:32:12.180
1210****493: Yeah, Kristen, you are correct. Thank you.

216
00:32:14.040 --> 00:32:24.240
Kristin Holland: The next question, it looks like is will you share this presentation. Yes, we are. We are recording the presentation today and it will be posted on our website. For those of you

217
00:32:24.660 --> 00:32:34.110
Kristin Holland: Who are not aware, our amazing communications team and the Division of Violence Prevention has put together a great website to where we can

218
00:32:35.400 --> 00:32:43.080
Kristin Holland: Facilitate sharing of information related to this Novo so please visit the Division of Violence Prevention and

219
00:32:43.560 --> 00:32:49.290
Kristin Holland: You can probably Google faster or firearms surveillance through emergency rooms and

220
00:32:49.290 --> 00:32:50.370
Kristin Holland: Find that website.

221
00:32:51.960 --> 00:32:53.430
Marissa Zwald: Awesome. Thanks, Kristen.

222
00:32:54.720 --> 00:33:10.950
Marissa Zwald: And then grow it asks, who is a bona fide agent of the state or local government can have university be considered a bona fide agent and apply along with a governmental entity and so I'll start this and then Michelle or Kristin, feel free to again.

223
00:33:12.150 --> 00:33:13.020
Marissa Zwald: But bonafide

224
00:33:13.830 --> 00:33:19.260
1210****493: Oh, go ahead. Sorry to interrupt, can you unmute Karen Zion.

225
00:33:19.590 --> 00:33:20.130
Sure.

226
00:33:22.350 --> 00:33:23.370
Sorry, Karen.

227
00:33:25.410 --> 00:33:27.330
wvf8: Hi Hi this is karen

228
00:33:28.440 --> 00:33:30.180
Marissa Zwald: Yes, Karen. Yep.

229
00:33:30.540 --> 00:33:36.630
wvf8: Yeah so bonafide agents are sometimes known as like fiscal intermediaries and

230
00:33:38.190 --> 00:33:39.300
wvf8: So you need to be

231
00:33:39.330 --> 00:33:41.040
wvf8: Like a recognized bonafide

232
00:33:41.070 --> 00:33:49.920
wvf8: Agent of the state or local government health department, you would have to submit documentation that verifies the validity of your status.

233
00:33:51.840 --> 00:33:54.960
wvf8: And this is usually something you would already have in place.

234
00:33:55.020 --> 00:33:58.380
wvf8: Because it has to be in place by the time of application.

235
00:33:59.280 --> 00:34:06.600
wvf8: So if you don't have it. Now, I think, unfortunately, it would be unlikely that you could get it in place and in time.

236
00:34:08.940 --> 00:34:09.810
Marissa Zwald: Thanks, Karen.

237
00:34:10.950 --> 00:34:15.000
Marissa Zwald: Okay, so we're keeping track of all these questions, but the next one here.

238
00:34:15.030 --> 00:34:17.670
Marissa Zwald: How can you detect clusters with NSP data.

239
00:34:18.030 --> 00:34:26.130
Marissa Zwald: There's no location info for the incident only patient zip is available, which is not granular enough, especially for urban areas.

240
00:34:26.760 --> 00:34:34.890
Marissa Zwald: So thank you for this question. We do know that this is a limitation of NSP data with in certain states only having access to zip code data.

241
00:34:35.310 --> 00:34:50.040
Marissa Zwald: We do know that in collaborations with other states that we've been able to also look at like the facility location, for example, but this is definitely something that will explore further through the project and not just look at

242
00:34:50.100 --> 00:34:52.350
Marissa Zwald: You know, geographic clusters, but also

243
00:34:52.980 --> 00:34:58.080
Marissa Zwald: Spikes by some of the demographic characteristics that were outlined in the no photo.

244
00:34:59.610 --> 00:35:01.650
Marissa Zwald: Kristin, do you have anything else to add to that.

245
00:35:02.940 --> 00:35:04.320
Kristin Holland: No I do not.

246
00:35:04.470 --> 00:35:05.190
Kristin Holland: This time

247
00:35:05.490 --> 00:35:19.770
Marissa Zwald: Okay, I also missed Valerie's question right above that related to can funding the US to staff emergency department research assistants that can collect the data, Kristen. Do you want to respond to that one.

248
00:35:20.490 --> 00:35:22.950
Kristin Holland: Sure. So if I understand this.

249
00:35:23.700 --> 00:35:30.720
Kristin Holland: question correctly, I am thinking that the response to this is actually that this funding is not to support

250
00:35:31.020 --> 00:35:39.990
Kristin Holland: primary data collection, but rather to support the use of data that are already flowing into syndrome surveillance systems.

251
00:35:40.350 --> 00:35:51.690
Kristin Holland: And so these are EMR data electronic medical record data that have already been set up to flow into the system. So, I believe that the answer to this question is no.

252
00:35:52.860 --> 00:36:01.620
Kristin Holland: However, we will circle back to that question and make sure that is correct. And we will we will also be posting the

253
00:36:02.880 --> 00:36:13.200
Kristin Holland: Answers that have come in today onto the website that I mentioned earlier. So we will just confirm that response and make sure that the correct answer is posted online.

254
00:36:14.910 --> 00:36:26.820
Marissa Zwald: Awesome. Thanks, Kristen. We have another question related to collaborations. So for key partners can we cross state lines to include health systems for multiple states in a single application.

255
00:36:27.330 --> 00:36:35.280
Marissa Zwald: So I think this is I'll just chime into kind of like the utility of essence and an SSP data is this ability to share data.

256
00:36:35.970 --> 00:36:48.720
Marissa Zwald: You know across jurisdictions and with other states to look at regional trends to but in terms of for kind of this this no photo Kristen, can you speak to whether they can

257
00:36:49.590 --> 00:36:51.960
Kristin Holland: Sure. Yeah, I think.

258
00:36:58.830 --> 00:37:07.260
Kristin Holland: I think this is a great question. When there. It looks like there are two different parts to this question, actually the key partner piece. I think that it is

259
00:37:07.890 --> 00:37:09.690
Kristin Holland: It would be wonderful to include key.

260
00:37:09.690 --> 00:37:13.080
Kristin Holland: partners across state lines. There are

261
00:37:13.140 --> 00:37:18.030
Kristin Holland: There are some areas for instance where somebody might

262
00:37:18.450 --> 00:37:19.230
Kristin Holland: Somebody in

263
00:37:20.430 --> 00:37:27.420
Kristin Holland: In Georgia might visit Alabama emergency department. That's the closest emergency department to their

264
00:37:28.350 --> 00:37:31.980
Kristin Holland: To their home. And so for that reason, I absolutely think

265
00:37:32.040 --> 00:37:35.610
Kristin Holland: That it is it is worthwhile to include key.

266
00:37:36.150 --> 00:37:38.370
Kristin Holland: key partners across state lines.

267
00:37:38.640 --> 00:37:40.860
Kristin Holland: However, for the purpose of

268
00:37:41.250 --> 00:37:49.860
Kristin Holland: data submission, we will be looking at data by state and so we will be including only

269
00:37:50.070 --> 00:37:50.820
The data.

270
00:37:52.740 --> 00:37:56.550
Kristin Holland: So the some dramatic surveillance system should be set up so that we

271
00:37:56.940 --> 00:38:00.840
Kristin Holland: Know exactly which state. The data are coming in from

272
00:38:01.980 --> 00:38:02.850
Kristin Holland: hope that's clear.

273
00:38:05.430 --> 00:38:06.750
Marissa Zwald: Yes, thank you. Christian

274
00:38:08.670 --> 00:38:09.660
Marissa Zwald: Okay, so

275
00:38:10.860 --> 00:38:26.430
Marissa Zwald: I'm going to read the more we'll get to two other questions that we have here. First, I'll jump to Natasha's will we be required to use a specific syndrome definition does it exist already. If so, will there be an opportunity to provide feedback on that definition as

276
00:38:26.460 --> 00:38:27.690
Marissa Zwald: Part of the activity.

277
00:38:28.560 --> 00:38:37.980
Marissa Zwald: Natasha. This is a great question. So there is an existing CDC firearm injury definition already embedded into NSP essence.

278
00:38:38.910 --> 00:38:44.310
Marissa Zwald: It's a version one definition and that captures kind of total initial firearm injuries and that will be

279
00:38:44.820 --> 00:38:54.420
Marissa Zwald: One of the data elements that will be kind of collected through this project and then the others related and stratified by intent. So

280
00:38:54.930 --> 00:39:00.420
Marissa Zwald: The intentional self directed the assault related one and the unintentional one are in development.

281
00:39:00.780 --> 00:39:12.690
Marissa Zwald: And those will be finalized by the fall and the start of the project, but those will also be the kind of indicators that CDC developed that will guide kind of the quarterly reports that are outlined in the no photo.

282
00:39:13.740 --> 00:39:25.710
Marissa Zwald: Related to your, your second question. Will there be an opportunity to provide feedback on that definition is part of this project. Absolutely. So we do envision kind of similar to the ED sensor project at CDC and also

283
00:39:27.570 --> 00:39:42.870
Marissa Zwald: These syndrome definitions are very much iterative. So we anticipate, you know, having a collaborative relationship relationships with the recipients to help seek help you help us receive feedback on improving these definitions.

284
00:39:43.950 --> 00:39:44.910
Marissa Zwald: So, thank you.

285
00:39:46.320 --> 00:39:53.160
Marissa Zwald: The last question I see here in the chat box. And again, we still have plenty of time. So if there are other questions that you all have, feel free to type in

286
00:39:54.570 --> 00:40:01.620
Marissa Zwald: The. Do you know the information resource to help us identify the facilities which are level 123 trauma centers.

287
00:40:03.030 --> 00:40:05.280
Marissa Zwald: Kristen. Do you want to respond to that one.

288
00:40:05.730 --> 00:40:14.490
Kristin Holland: Sure, I'm happy to. So I think that there are a number of resources that you can access that might help you to identify this information.

289
00:40:14.910 --> 00:40:19.020
Kristin Holland: The first is the American College of Surgeons, I believe that they have

290
00:40:19.740 --> 00:40:39.390
Kristin Holland: Some information about verified trauma centers and also the American Hospital Association may also have information about trauma centers, and I believe the HA. The American Hospital Association Association has state level entities that should have that information available as well.

291
00:40:41.700 --> 00:40:59.580
Marissa Zwald: Great. And then another question. Somewhat related to the trauma center data piece, but the last question here is, I'm getting the impression that the most attractive applications will come from states and large cities. It sounds like medium sized cities would not fit certain criteria.

292
00:41:03.750 --> 00:41:20.490
Kristin Holland: And so, so again, our I think this this relates to the eligibility criteria, where we have indicated that a certain percentage of all emergency department visits.

293
00:41:20.880 --> 00:41:36.780
Kristin Holland: Within the state should be covered in the submission. And the reason for that is because, you know, we want to have as great amount of coverage as possible with this funding initiative, the more data we have, the better we are

294
00:41:37.800 --> 00:42:04.500
Kristin Holland: Able to respond to understand trends and firearm and non fatal firearm injuries and so that's why that eligibility eligibility criteria exists. The as I mentioned earlier, the reason why the level 123 trauma center data criterion exists is because, quite simply, the

295
00:42:05.760 --> 00:42:17.880
Kristin Holland: Most non fatal firearm injuries are likely to be treated and trauma centers. So, it is, it would be ideal to make sure that we are including data on these

296
00:42:18.510 --> 00:42:28.140
Kristin Holland: On these injuries in the initiative that is designed to be able to monitor the injuries. So for those medium sized cities that are interested

297
00:42:28.560 --> 00:42:44.610
Kristin Holland: In applying for this application. I certainly would not say that you guys are excluded or that you would not that you would not score highly. In fact, I think that there is likely to be great amount of opportunity for you to collaborate with

298
00:42:45.750 --> 00:42:55.620
Kristin Holland: state health departments or other local jurisdictions within the state to ensure that you meet the criteria that have been outlined today.

299
00:42:57.150 --> 00:42:58.440
Marissa Zwald: Awesome. Thanks, Kristen.

300
00:42:59.580 --> 00:43:07.890
Marissa Zwald: We got another question related to the trauma hospitals from Natasha again and I can, I can tackle this one Christian and let me know if there's anything I missed

301
00:43:08.460 --> 00:43:17.100
Marissa Zwald: One of our trauma hospitals is a do D facility. Do we need to count this in our denominator of trauma centers. So this came up in the first

302
00:43:17.580 --> 00:43:29.520
Marissa Zwald: Informational call. And so this will be published with the FAQs that come out from this call as well. But the 90% criteria for those ED visits from the level 123 trauma centers.

303
00:43:30.690 --> 00:43:41.910
Marissa Zwald: That are interested in the civilian hospitals that are those should be covered by the applicant syndrome surveillance system. So the middle military hospitals don't need to be included in those calculations.

304
00:43:43.260 --> 00:43:45.720
Marissa Zwald: Kristin. Did I miss anything there. Did you want to add any

305
00:43:46.680 --> 00:43:48.330
Kristin Holland: No, that's perfect. Thank you.

306
00:43:48.600 --> 00:43:49.320
Marissa Zwald: Okay, great.

307
00:43:50.850 --> 00:43:58.080
Marissa Zwald: So we do have about 15 minutes left for the call. I don't see any other questions, but I'll go ahead and pause and

308
00:43:59.370 --> 00:44:01.050
Marissa Zwald: See if any others come in.

309
00:44:14.190 --> 00:44:18.390
Marissa Zwald: And if any of my CDC colleagues want to offer kind of any other

310
00:44:19.830 --> 00:44:20.970
Marissa Zwald: Responses or circle.

311
00:44:21.000 --> 00:44:22.950
Marissa Zwald: Circle back to any of the questions.

312
00:44:22.950 --> 00:44:23.760
Marissa Zwald: Please go ahead and

313
00:44:23.790 --> 00:44:24.600
Marissa Zwald: Do so now

314
00:44:28.800 --> 00:44:31.350
Marissa Zwald: We have a question from Judy Pollock.

315
00:44:31.650 --> 00:44:37.740
Marissa Zwald: I had to step out for a moment, the hundred and 50,000 ceiling does or does not include the overhead.

316
00:44:39.240 --> 00:44:45.030
Kristin Holland: And to answer that question, the hundred thousand dollar ceiling that does include the overhead.

317
00:44:47.550 --> 00:44:48.360
Marissa Zwald: Thanks, Kristen.

318
00:44:52.230 --> 00:45:06.810
Kristin Holland: I will. I'll just take this moment to reiterate that if you if you are so inclined, and would like to submit a letter of intent to apply for this funding, but you were not able to meet the may 22 deadline.

319
00:45:07.290 --> 00:45:15.210
Kristin Holland: Please still feel free to submit that letter, and I believe the recipient of that letter should be Michelle lowland her

320
00:45:16.170 --> 00:45:33.300
Kristin Holland: Contact information is included here that letter can be sent to faster novo@cdc.gov. And I also want to reiterate that the the letter is not required, but if you would like to submit a letter that helps us to prepare for the review process.

321
00:45:34.650 --> 00:45:35.040
Great.

322
00:45:36.180 --> 00:45:45.630
Marissa Zwald: Thanks, Kristen David Z. Just wanted to circle back if we answered Natasha is question regarding the syndrome definition. Yes, David.

323
00:45:46.170 --> 00:45:57.780
Marissa Zwald: Just to reiterate the syndrome definitions will be provided by CDC. So there is one total firearm injury definition already embedded into essence.

324
00:45:58.440 --> 00:46:08.670
Marissa Zwald: It's called CDC firearm injury version one and so that will be the one one definition that will be using to pull the quarterly reports. And then we're also

325
00:46:09.510 --> 00:46:19.950
Marissa Zwald: In the works and in development with the other three firearm injury definitions. So the self directed intentional self directed unintentional and assault related ones.

326
00:46:20.490 --> 00:46:33.090
Marissa Zwald: Those will also be hopefully embedded into essence right before the project launch, but we're hoping to work with recipients to further refine and improve those definitions through the duration of the project.

327
00:46:34.590 --> 00:46:48.180
Marissa Zwald: There was another question that also rolled in from Pat Smith related to. Can you talk a bit more about the $75,000 requirement to fund the organization or division that collects the syndrome of data.

328
00:46:49.590 --> 00:46:51.840
Marissa Zwald: Kristen. Do you want to take that start that one.

329
00:46:52.590 --> 00:47:08.220
Kristin Holland: Sure, I will. Um, so thank you for the question that this really the way that this was designed is that we were wanting to ensure that there's at least one full time epidemiologist dedicated to this work.

330
00:47:08.700 --> 00:47:24.330
Kristin Holland: And so, so really, that's where that $75,000 estimate comes from for providing support to the syndrome IQ surveillance group that is collecting the data and maintaining the data. However, we have had

331
00:47:25.380 --> 00:47:36.690
Kristin Holland: You know, we started the EDC cancer initiative last fiscal year. And we had this question come up with respect to that initiative as well. And we had several applicants who submitted.

332
00:47:37.050 --> 00:47:46.680
Kristin Holland: A letter of support from the organization or the division that collects and maintains the syndrome of surveillance data indicating that they did not need to

333
00:47:47.580 --> 00:47:58.110
Kristin Holland: To accept that $75,000 but that they would be happy to support the the initiative that they would provide the data access required

334
00:47:58.470 --> 00:48:06.300
Kristin Holland: And all of those, those kind of requirements that were listed in the in the letter of support that I mentioned earlier on the call.

335
00:48:06.720 --> 00:48:24.960
Kristin Holland: So if that is is something that your specific syndrome surveillance data group is is willing to do if they are kind of turning that $75,000 back over to the applicant that that is allowable.

336
00:48:26.820 --> 00:48:27.570
Okay, great.

337
00:48:29.280 --> 00:48:37.470
Marissa Zwald: There was a question from Lauren that came in, um, can you talk about the requirements of data that need to be shared from the state to CDC.

338
00:48:37.740 --> 00:48:49.380
Marissa Zwald: specifically as it relates to identifying information and other fields that would be required to share. So, Lauren. I'll definitely direct you to the appendix of the nofollow so Appendix one

339
00:48:50.010 --> 00:49:02.010
Marissa Zwald: outlines the data sharing agreement. And so what you can expect kind of will be shared between a state or recipient and CDC would be that visit level emergency department data.

340
00:49:03.330 --> 00:49:12.840
Marissa Zwald: From sorry, excuse me, visit level emergency department data through essence and each quarter CDC would generate a kind of a report.

341
00:49:13.650 --> 00:49:21.060
Marissa Zwald: With pulling data related to emergency department visits for total non fatal firearm injuries and then by intent.

342
00:49:21.570 --> 00:49:40.740
Marissa Zwald: And we would also be pulling that data by specific demographic information. So, sex, age group race, ethnicity, if it's available in your in your state or jurisdiction and then the disposition variables as well. So all of that is again outlined in Appendix one of the Novo

343
00:49:44.400 --> 00:49:44.880
Marissa Zwald: Okay.

344
00:49:47.910 --> 00:49:50.700
Marissa Zwald: I don't see any other questions.

345
00:49:54.270 --> 00:50:08.400
Marissa Zwald: There's definitely an opportunity if there are other questions. Oh, got one if there are other questions that come in after this call, just please utilize the the email inbox that's listed on the slide, shown here faster novo@cdc.gov

346
00:50:09.810 --> 00:50:20.910
Marissa Zwald: But I'll jump into pat Smith question. Who says the epidemiologic epidemiologist position, that would be working on this project would sit in the same Bureau, but a different section.

347
00:50:21.660 --> 00:50:38.220
Marissa Zwald: Parents a specific at the section then this in remix surveillance program. I'm just making sure I understand that it would be okay for the $75,000 to go to the EPI section if this dramatic program says it agrees to that in their letter of support Kristin. That's correct. Right.

348
00:50:38.250 --> 00:50:40.230
Kristin Holland: Yes. Yes, that is correct.

349
00:50:42.060 --> 00:50:42.450
Marissa Zwald: Great.

350
00:50:47.970 --> 00:50:48.690
Okay.

351
00:50:52.200 --> 00:50:59.730
Marissa Zwald: Well, I see the participant numbers starting to dwindle so I will go ahead and pass it back to

352
00:51:00.960 --> 00:51:01.830
Marissa Zwald: Michelle.

353
00:51:02.730 --> 00:51:05.850
Marissa Zwald: Michelle, did you have any final remarks for the call.

354
00:51:07.650 --> 00:51:25.290
1210****493: Thanks, Melissa. No, I don't. Just as you see, and then we pointed to the contact slide on the screen you have any programmatic questions or any other type of questions, feel free to send them to fashion elbow@cdc.gov and I will work to get the response to you.

355
00:51:27.330 --> 00:51:31.530
1210****493: And that will be all thanks everyone for jumping on the call. We appreciate your interest.

356
00:51:33.030 --> 00:51:34.200
Kristin Holland: Yes, thank you.

357
00:51:34.440 --> 00:51:35.460
Marissa Zwald: Thank you everyone.