Home Visiting Collaborative Improvement and Innovation Network

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The synopsis for this grant opportunity is detailed below, following this paragraph. This synopsis contains all of the updates to this document that have been posted as of 07/12/2013 . If updates have been made to the opportunity synopsis, update information is provided below the synopsis.

If you would like to receive notifications of changes to the grant opportunity click send me change notification emails . The only thing you need to provide for this service is your email address. No other information is requested.

Any inconsistency between the original printed document and the disk or electronic document shall be resolved by giving precedence to the printed document.

Document Type:	Grants Notice
Funding Opportunity Number:	HRSA-13-284
Opportunity Category:	Discretionary
Posted Date:	Jul 12, 2013
Creation Date:	Jul 12, 2013
Original Closing Date for Applications:	Aug 12, 2013 ??
Current Closing Date for Applications:	Aug 12, 2013 ??
Archive Date:	Oct 11, 2013
Funding Instrument Type:	Cooperative Agreement
Category of Funding Activity:	Health
Category Explanation:
Expected Number of Awards:	1
Estimated Total Program Funding:
Award Ceiling:	$400,000
Award Floor:	$400,000
CFDA Number(s):	93.110 ?--? Maternal and Child Health Federal Consolidated Programs
Cost Sharing or Matching Requirement:	No

Eligible Applicants

State governments
County governments
City or township governments
Special district governments
Independent school districts
Public and State controlled institutions of higher education
Native American tribal organizations (other than Federally recognized tribal governments)
Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education
Private institutions of higher education
Others (see text field entitled "Additional Information on Eligibility" for clarification)
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Additional Information on Eligibility:

As cited in 42 CFR Part 51a.3(a), any public or private entity (such as non-profit organizations, states, colleges and universities) and including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b) is eligible.

Agency Name

Health Resources & Services Administration

Description

This announcement solicits applications to develop a Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) to provide support for the delivery of maternal and early childhood services, including (but not limited to) home visiting services provided under the Maternal, Infant, and Early Childhood Home Visiting program (MIECHV), which was authorized by section 2951 of the Affordable Care Act. ?MIECHV seeks to identify families with children ages 0 to 5 years and pregnant women who reside in at-risk communities and provide comprehensive services to improve outcomes for these families. The purpose of the HV CoIIN is to facilitate the delivery and accelerate the improvement of home visiting and other early childhood services, both globally and as provided by MIECHV grantees, so as to obtain good results faster for low-income and other at-risk families served. ?More specifically, in partnership with the Maternal and Child Health Bureau?s (MCHB) Division of Home Visiting and Early Childhood Systems (DHVECS), the successful applicant will plan and implement a HV CoIIN to facilitate the dissemination of methods and tools on continuous quality improvement (CQI) to up to forty (40) home visiting local implementing agency (LIA) pilot teams in partnership with other early childhood service agencies that operate within up to 12 MIECHV grantee states. Ultimately, the purpose of the HV CoIIN is to produce faster and more consistent health and development results benefiting families served by MIECHV program agencies and other early childhood service agencies in at-risk communities across the country. ?Concrete examples of the contemplated results are parental smoking cessation, reduction of adult depression or child developmental delays or child maltreatment, and attaining family economic self-sufficiency. These results are achievable through dissemination of proven practices and the building of leadership and technical mastery of CQI methods at the state and LIA sites. If successful, lessons learned in this project could be in turn further spread to other states and localities. A CoIIN has been described as a group of self-motivated people with a collective vision, enabled by the Web to collaborate in achieving a common goal by sharing ideas, information, and work.[[]1] ?The CoIIN provides a platform for collaborative learning and quality improvement toward common goals and benchmarks using rapid cycles of change. Key features include collaborative learning, common benchmarks, coordinated strategies, rapid test cycles, and real-time data to drive real-time improvement. Applicants should adapt the structure and process of an established collaborative model to their proposed HV CoIIN project.[[]2] In collaboration with HRSA, the successful applicant will plan and implement the HV CoIIN by engaging willing and able MIECHV state grantees and their LIAs. These participating organizations will collaborate and learn from each other and from an expert home visiting faculty to advance the common aim of improving the quality of home visiting services to improve specific outcomes for families who reside in at-risk communities. The awardee will engage up to 12 MIECHV state grantees and support the provision of intensive technical assistance to up to 40 LIA pilot teams within those states to make system-level changes that will lead to accelerated improvements in outcomes for the at-risk families served by spreading and adapting best practices across these multiple settings. Specifically, teams from local home visiting service agencies will seek improvement in 4-8 topics to be selected by MCHB, in consultation with subject matter experts outside the scope of this funding opportunity announcement, based on their relevance to clients and on the availability of evidence- or experience-based practices likely to yield favorable results for the families served.? Selected topics may include some of the goals within the legislatively specified benchmark areas (e.g., maternal and newborn health, child development, family economic self-sufficiency, etc.) of the MIECHV program in order to take advantage of the extensive data collection required and the wide variety of process and outcome measures already in place. However, the topics ultimately selected need not be restricted to these MIECHV constructs. Other topics could be found ?ripe? for inclusion in the HV CoIIN such as, for example, family or staff program retention or early childhood service system integration. ?? The awardee shall plan activities that bring home visiting and other early childhood service agency teams together to learn about the selected topics and CQI methods and later on to share results and solutions to challenging issues.? Beyond coordinating structured learning sessions, the awardee shall support teams to remain engaged in HV CoIIN activities in their own front-line organizations and communities. The awardee will work in partnership with MCHB?s DHVECS staff (constituting the planning or management team) and expert faculty to coach participants in applying and mastering CQI methods. ?Such coaching and learning will take place during action periods in which LIA teams will test and customize recommended changes in their home environments utilizing ?Plan/Do/Study/Act? (PDSA) cycles among other QI tools.? During the entire collaborative project, the awardee shall ensure that teams have access to an Internet-based platform(s) to share data and other information with the faculty, their peers and the HV CoIIN management team. ?The awardee should also maintain an Internet-based ?data dashboard? with the capability of aggregating data at the local agency, state and overall collaborative levels and displaying these data graphically utilizing primarily run charts but also other graphs useful for quality improvement purposes (e.g., scatter plots, frequency plots, Pareto charts, Shewhart charts).[[]3] Teams are expected to share their progress reports monthly with peers, faculty and management team to participate in peer-to-peer mentoring and sharing of ideas and insights via periodic conference calls and other forms of communication. This sharing of experience and the production of real-time, periodic and graphically displayed data (primarily as run charts) for the LIA teams will help make the powerful technology of qualitative and quantitative data-driven CQI available to the home visitors and other staff at the front line implementing agencies. ?Eventually HRSA expects that CQI skills will become a core competency for the home visiting workforce. Under a contract and separate from this FOA, the DHVECS staff will reach out to experts including home visiting model developers and subject-matter experts to narrow down the selection of programmatic topics for improvement that will establish the technical content for the HV CoIIN. ?This will likely include a preliminary charter, measurement system and a set of strategies or best practices associated with the 4-8 goals for the HV CoIIN (or Change Package). ?The successful applicant shall review any previously developed material for the HV CoIIN and, in collaboration with HRSA, revise and update such technical content as needed as the HV CoIIN is formally launched.? The following is an illustrative set of activities under the HV CoIIN: A core group of (4-6) experts constitutes the faculty of the HV CoIIN learning collaborative who remain engaged with participating teams, grantees and the planning group (involving awardee and DHVECS staff) for the duration of the HV CoIIN. Individual grantees and the selected LIAs commit to a working period of 18-24 months. Each LIA or pilot site constitutes a continuous quality improvement (CQI) team. The HV CoIIN platform and the Model for Improvement are introduced to grantee and LIA teams during the initial phase of the project. ? Team members learn quality improvement methods and tools in structured virtual or in-person sessions. Local teams then apply these CQI techniques to test, innovate and customize the recommended changes in their agencies throughout the project with the support of the expert faculty, the awardee staff and the DHVECS staff (which constitute the collaborative management or planning team). Teams have access to a common Internet-based platform to post periodic progress reports, run charts, and to share lessons learned across settings via conference calls and other forms of communications in between planned technical assistance virtual or in-person activities. [[]1]? Gloor P. Swarm Creativity: Competitive Advantage through Collaborative Innovation Networks. New York, NY: Oxford University Press, 2005. [[]2] For instance, the HV CoIIN could follow the publicly available Breakthrough Series (BTS) Learning Collaborative model pioneered by the Institute for Healthcare Improvement (IHI), which is a time-limited technical assistance platform involving learning and improvement activities for participating organizations. The Breakthrough Series: IHI?s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement; 2003. [[]3] G Langley, R Moen et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd edition. Jossey Bass. 2009.

Link to Additional Information

https://grants.hrsa.gov/webExternal/SFO.asp?ID=ddd632a5-c38f-4a15-9f1b-4e9a7e2423fd

If you have difficulty accessing the full announcement electronically, please contact:

CallCenter@HRSA.GOV
CallCenter@HRSA.GOV
Contact HRSA Call Center at 877-Go4-HRSA/877-464-4772 or email CallCenter@HRSA.GOV

Synopsis Modification History

There are currently no modifications for this opportunity.

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Source: http://www.grants.gov/search/search.do?mode=VIEW&oppId=237573

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Package Tracking Platform AfterShip Marks Its Public Launch With A New Track Button Plugin And Pricing

AfterShip, the package tracking platform for small e-commerce merchants that we profiled back in January, is leaving beta mode today and launching to the public. The Hong Kong-based startup also debuted an easy-to-use Track Button widget for vendors that don't want to deal with an API. By inserting a simple short code (like the one for Facebook Like button plugins), an AfterShip Track button will appear next to tracking numbers on an e-commerce site and allow customers to view delivery information without leaving the page.

Source: http://feedproxy.google.com/~r/Techcrunch/~3/MStw0uN5agY/

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PFT: NFLPA isn't one of Jay-Z's problems

Getty Images

We?re rolling out our own list of the Top 100 players in the NFL this month, with the first 25 names unveiled today.

Although this wasn?t our intention (the list is ordered solely based on the way our panel of NFL media members cast their votes), the first name we?re unveiling, at No. 76, happens to be a player whose presence on the list will be the subject of a great deal of debate. We?re sure plenty of you will agree, plenty will disagree, and you?ll have a lot to say in the comments.

The Bottom 25 of PFT?s Top 100 are below.

76 Tony Romo, quarterback, Cowboys

77 Doug Martin, running back, Buccaneers

78 Frank Gore, running back, 49ers

79 Carl Nicks, guard, Buccaneers

80 Maurice Jones-Drew, running back, Jaguars

81 Vernon Davis, tight end, 49ers

82 Evan Mathis, guard, Eagles

83 Alfred Morris, running back, Redskins

84 Joe Haden, cornerback, Browns

85 C.J. Spiller, running back, Bills

86 Calais Campbell, defensive end, Cardinals

87 Matthew Stafford, quarterback, Lions

88 Antonio Cromartie, cornerback, Jets

89 Jason Peters, offensive tackle, Eagles

90 Jordan Gross, offensive tackle, Panthers

91 Mike Pouncey, center, Dolphins

92 Mike Wallace, receiver, Dolphins

93 Reggie Wayne, receiver, Colts

94 Ed Reed, safety, Texans

95 Henry Melton, defensive tackle, Bears

96 Lance Briggs, linebacker, Bears

97 Steve Smith, receiver, Panthers

98 Antoine Winfield, cornerback, Seahawks

99 Max Unger, center, Seahawks

100 Matt Forte, running back, Bears

Source: http://profootballtalk.nbcsports.com/2013/07/01/jay-z-isnt-sweating-nflpa-investigation/related/

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L.A. voters mostly upbeat as new mayor Eric Garcetti starts his job

Los Angeles voters are upbeat about the city's quality of life as Eric Garcetti prepares to take over as mayor ? even if they remain frustrated by traffic jams, substandard schools, costly housing and the backlog of unrepaired streets, according to a new USC Price/Los Angeles Times poll .

Those long-standing gripes aside, solid majorities said they were satisfied with the city's police, parks, libraries, public transportation, emergency services and healthcare system.

Most were also optimistic that after four years with Garcetti as mayor, Los Angeles will be better off than it is today. The councilman from Silver Lake will hold an inaugural ceremony at City Hall on Sunday and start work as mayor Monday.

Garcetti opens his term with a positive, if undefined, public image: 53% of voters viewed him favorably, 17% unfavorably. The rest offered no opinion.

"Garcetti's still a blank slate with most voters," said pollster Jeff Harrelson of M4 Strategies, the Republican firm on the bipartisan team that conducted the survey for the USC Sol Price School of Public Policy and the Los Angeles Times.

Many know little about the incoming mayor, he said, but "they're willing to give him a chance."

Indeed, at least two-thirds of voters said they were confident in Garcetti's ability to handle crime and transportation. Most also had faith in his capacity to improve schools and create jobs.

Overall, the poll results suggested a significant mood shift from the deep pessimism that took hold statewide and nationally after the 2008 economic crisis. Today's voters were split evenly on whether things in Los Angeles were moving in the right direction or off on the wrong track, but even that represented improvement over state and national poll findings in recent years.

In Los Angeles, the recovery has been slow; the unemployment rate still exceeds 10%. Yet tellingly, job creation ranked not first, but second on voters' priority list for the mayor and City Council over the next few years, just behind improving the school system.

"There is definitely a sense nationwide that things are trending in the right direction, and the worst is behind us," said Amy Levin of Benenson Strategy Group, the Democratic firm on the polling team.

On a quality-of-life scale of 1 to 9, the higher the better, nearly half of the city's voters gave Los Angeles a grade of 7, 8 or 9.

The reasons cited most often were jobs, proximity to family and friends, diversity of the population, entertainment, arts, culture, beaches, parks and the outdoors.

"Angelenos aren't completely satisfied with life in their city, but by and large they're very optimistic and very happy," said poll director Dan Schnur.

Not surprisingly, traffic congestion jumped out as the biggest negative effect on the quality of life, followed by the high cost of housing. Traffic was most irksome to white voters and residents of the Westside, where bumper-to-bumper jams on the 405 Freeway epitomize the downside of life in Los Angeles.

Poll respondent John Jackson, a librarian who lives in Westchester, said in a follow-up interview that he was "very happy" with the quality of life in L.A., especially its cultural attractions. But Jackson, a 31-year-old Democrat, has learned to plan ahead for extra drive time to cope with the chronic slowdowns.

"I've just come to expect traffic is going to be bad," he said.

Voter opinions on other aspects of L.A. life also varied by region and ethnicity. In an era of new rail lines opening across Los Angeles, nearly two-thirds of voters citywide were satisfied with the public transit system. Nearly three-quarters of Latinos were happy with it.

But white voters and Westside residents were less satisfied than others, another sign of their dependence on automobiles and their exasperation over traffic.

The poll showed signs of happiness among voters with the steady drop in crime since the 1990s. Citywide, crime reduction scored low on voters' priority list for the mayor and council members. The poll found that 55% of voters were satisfied with the city's police and crime prevention efforts. But Latinos, African Americans and South L.A. residents, traditionally more vulnerable to crime, were less satisfied than whites.

One source of deep dissatisfaction was street repairs, with two-thirds of voters dissatisfied with the city's performance. White voters were unhappiest about the condition of city streets, while Latinos were less concerned about it. In his campaign advertising, Garcetti promised to "do the basics better, like answering phones, filling potholes and picking up trash."

The high cost of housing was a concern for nearly two-thirds of voters. Black voters were especially unhappy with the availability of affordable housing. On the question of access to hospitals and emergency care, voters citywide were satisfied, but Latinos and African Americans were less so.

By and large, however, Latino voters were more content than others with the quality of life, reflecting an optimism that surfaces regularly in polls. Just over half of Latinos said things in the city were going in the right direction.

For Garcetti, a top challenge will be to get the city's spending in line with its tax and fee collections after years of budget shortfalls. Although most voters were confident in his ability to handle fiscal matters, they had more faith in his capacity to meet crime and transportation challenges, among others.

Given a menu of potential spending cuts, voters' top choice was to reduce city worker salaries and administrative costs, followed by cuts to their health and retirement benefits.

"We're going to go the way of Detroit," said poll respondent Rodrick Su, 43, a computer system administrator who lives in Woodland Hills. The salary and pension obligations approved by city leaders are unrealistic, he said.

"Let's be honest," said Su, a Republican. "And hey ? I'm paying for it. It's been going on for quite a while."

The poll found an ethnic divide on slashing the health and retirement benefits of city workers. Only 7% of Latino voters favored that option, but 29% of whites supported the idea. The least favored choice for all voters was to cut the number of police officers, firefighters or emergency dispatchers.

The USC Price/L.A. Times poll of 500 registered voters was taken Monday through Wednesday. The margin of sampling error for the telephone survey was 4.4 percentage points in either direction for the full sample and wider for subgroups.

michael.finnegan@latimes.com

Source: http://www.latimes.com/news/local/politics/la-me-poll-los-angeles-20130630,0,771567.story?track=rss

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Polygamy groups ?thankful? for gay marriage decisions, likely to follow efforts in Canada seeking equal rights

The movement to legalize multi-partner marriage got a huge boost with this week?s ruling by the U.S. Supreme Court that the federal government must give benefits to same-sex married partners, according to advocates of polygamy.

?We polyamorists are grateful to our brothers and sisters for blazing the marriage equality trail,? Anita Wagner Illig told U.S. News and World Report.

Polygamy logo by Akrabbim via wikimedia commons

She works as an educator, activist and writer of a blog called Practical Polyamory.

?I would absolutely want to seek multi-partner marriage ? it would eliminate a common challenge polyamorists face when two are legally married and others in their group relationships aren?t part of that marriage,? she said.

She, like many critics of gay marriage, argued it?s a matter of equality ? the concept cited by the U.S. court in its decision.

?A favorable outcome for marriage equality is a favorable outcome for multi-partner marriage, because the opposition cannot argue lack of precedent for legalizing marriage for other forms of non-traditional relationships,? she said.

?If it was decriminalized, and you gave women and men the choice, you would create a much more healthy environment for both the community itself but also for the people living it,? Elisa Wall told FOX 13. ?Because people could come in and out if they chose to. More than anything, my personal belief is that creating that foundation for a healthy polygamous lifestyle is the only way we?re going to impact the youth. It?s the only way we?re going to protect them.?

Wall spoke in the interview discussing the movement that some of those who still live ? and believe ? in the principle of plural marriage insist decriminalization would allow people to freely report potential abuse without fear of the entire family being prosecuted.

Polyamorists in Canada, which is ahead of the United States by several years in expanding the definition of marriage, are demanding formal recognition.

The Canadian Polyamory Advocacy Association said this month it wants to see polyamoras relationships treated on the same legal footing as others.

From Chicago Now:

If polygamy were once again declared legal, think of the extended family support that it would provide to single women and children who cannot find either a member of the opposite sex or same sex to enter into a loving union with them.

Here are 5 good reasons to reinstate polygamy:

1. Provide food and shelter by private means

2. Allow the terminally single, men and women, to have some sort of lasting ?and legal union with benefits, no matter if not complete and whole.

3. To provide for the care of children, which can supplement the government?s burden.

4. To form close-knit and protective communities.

5. To provide for the sexual variety that many psychologists ?claim necessary to keep a marriage alive.

Fair is fair, and the time is now.

?

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About the Author

Brandon Jones - Writer and Co-Founder of The Global Dispatch, Brandon has been covering news for Examiner, starting and writing for several different websites including the diverse blognews site Desk of Brian. To Contact Brandon email [email?protected] ATTN: BRANDON

Source: http://www.theglobaldispatch.com/polygamy-groups-thankful-for-gay-marriage-decisions-likely-to-follow-efforts-in-canada-seeking-equal-rights-29828/

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This Ax Is Really Scary And Then You Realize It Has A Slingshot Inside

This week Joerg invited some students from the Technical University of Munich to create general mayhem with him via a steel axe. But an axe by itself isn't menacing/relevant enough. It obviously has to double as a slingshot. And it does! The handle of the axe is hollow . . .

The device houses four aluminum tubes, a magnesium firestarter and three steel tipped bolts. Because the axe is meant to be a survival tool (by the way the axe is meant to be a survival tool) one of the bolts has an active carbon water filter and can be used as a straw for drinking unpurified water. The bolts fire through the center barrel of the slingshot, and are pretty accurate, partly because they're forward weighted. Not that you were going to, but never trust an axe-wielding engineering student again. [Slingshot Channel]

Source: http://gizmodo.com/this-ax-is-really-scary-and-then-you-realize-it-has-a-s-628811330

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'Dexter' needs more Masuka and detective skills

TV

Drusilla Moorhouse TODAY contributor

3 hours ago

Showtime

The cast of "Dexter" -- from left C.S. Lee as Vince Masuka, David Zayas as Angel Batista, Michael C. Hall as Dexter Morgan, Jennifer Carpenter as Debra Morgan, James Remar as Harry Morgan and Desmond Harrington as Joey Quinn -- is back for the final season, but will everyone make it out alive?

For seven seasons, "Dexter's" titular avenging angel has been getting away with murder. But Dex (Michael C. Hall) is about to take his final bow as Showtime's award-winning drama launches its final season Sunday.

Will Miami's most prolific serial killer (a high honor, considering how many predators seem to be drawn to the Magic City) survive the season? Will he finally be arrested -- caught by his own colleagues or exposed by his guilt-ridden sister? Or could Dexter actually escape?

We can't predict Dexter's ultimate fate, but here are six things we'd like to see (or in some cases, not see) before we bid farewell to the blood-spatter -- and blood-spattering -- expert.

1. Hannah returns: Dexter and his femme fatale have wicked chemistry, and it would be tragic if she didn't return to water his plants. Actually, Yvonne Strahovski's return as Hannah in season eight has already been confirmed, but the circumstances remain a mystery. If she's wearing handcuffs, we hope it involves a tryst with Dexter instead of another arrest.

2. More Masuka: Miami's lead forensics investigator (C.S. Lee) is vulgar, perverted sexist, awkward and tactless, but his quotable quips always provide much-needed comic relief during the most horrific crime scenes. And his signature snicker -- heh, heh, heh -- always draws a laugh from us (if not his irritated colleagues).

3. Less Harry Morgan: The expiration date on Dexter's interfering dead dad (James Remar) is waaay overdue. To the tune of about seven seasons. Can't this grating ghost find another killer to carpool with? (P.S.: If we see LaGuerta's spirit, we might cancel our Showtime subscription.)

4. Miami Metro's Keystone Kops learn some detective skills: Dexter has been taking advantage of these blind buffoons for years, spotting or stealing evidence while his colleagues nurse hangovers or stare blankly at the empty thought bubbles above their heads. Batista, Quinn & Co. will never be Miami's Finest, but even fine would make Dexter's deductions less laughable. (Masuka obviously gets a pass here because he's awesome.)

5. Deb commits suicide: Debra Morgan's (Jennifer Carpenter) complicity in her brother's crimes was hard enough for the lifetime law enforcer to live with. Murdering her own boss at the end of last season will probably completely break her already fragile psyche this year -- and the result may not be a terrible thing. (We won't even mention the incest story line. Yeah, yeah, yeah, he's adopted, but it's still too gross to contemplate.)

6. Dexter escapes: As exciting as it would be to see our protagonist go out in a blaze of glory, it's also a fairly predictable end. A more shocking and gratifying conclusion would be to see his colleagues, friends and family react to the terrible truth -- while Dex feeds Hannah a juicy bite of steak (holler to the opening credits!) under an Argentinian sunset.

However Dexter's journey ends, we are prepared to say goodbye -- on one condition: that the finale feature an homage to every single one of his kills over the years. It's the only fitting tribute to the killer, his victims ... and miles of duct tape and plastic wrap, and the countless olive-green henleys.

Source: http://www.today.com/entertainment/what-final-season-dexter-needs-more-masuka-detective-skills-6C10486978

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