This funding opportunity has two goals:
Goal 1: Strengthen integrated state or regional networks that address the social and behavioral determinants of health of older adults and adults with disabilities.
These networks should have:
the capacity to strategically incorporate evidence-based falls prevention programs within a broader integrated health context that includes other programs/services related to the social determinants of health (e.g. nutrition, transportation, care coordination, etc.);
the ability to deliver and embed evidence-based falls prevention programs into an integrated, sustainable program network.
For the purposes of this funding opportunity, an integrated, sustainable program network is a state/regional/tribal-level approach towards providing older adults and adults with disabilities easy access to supports and services that address the social and behavioral determinants of health, including evidence-based programs to reduce falls and falls risk. An integrated, sustainable program network includes:
Formal partnerships with aging and disability network organizations that have the capacity to provide a range of supports and services. This should include state level partnerships (i.e., State Units on Aging, Public Health, etc.) and local level partnerships (i.e., AAAs, Centers for Independent Living, etc.).
Sustainability strategies including, but not limited to, a business plan with clear strategies, contracts, and/or other means to secure and expand sustainable financing (including non-federal funding), infrastructure to receive reimbursement for services, and information technology solution(s) that allows for referral management (including closed loop referrals), participant tracking across interventions, and outcome measurement.
Strategic partnerships with other entities involved in evidence-based falls prevention work (i.e., Falls Prevention Coalitions, CDC grantees, etc.).
Multi-site delivery partners who have the delivery infrastructure/capacity to increase access to falls prevention programs with a defined geographic or population base, and a commitment to embedding these programs into their routine operations and budget.
Coordinated public awareness, education, marketing, and recruitment processes.
Ongoing quality assurance efforts including fidelity monitoring and continuous quality improvement.
Goal 2: Significantly increase the number of older adults and adults with disabilities who participate in evidence-based community programs to reduce falls and falls risk.
All programs proposed to be implemented using ACL funding must be on the list of pre-approved interventions in Appendix A.
Applicants can use the guidelines in the Evidence-Based Falls Prevention Program Risk Continuum Resource to assist them in selecting their proposed falls prevention programs. Applicants must propose to offer at least two programs on the pre-approved list that address different levels of risk on the Continuum.