Opportunity Information: Apply for CDC RFA CE19 1906
The Emergency Department Surveillance of Nonfatal Suicide-Related Outcomes (ED-SNSRO) opportunity is a CDC cooperative agreement designed to strengthen how the United States tracks and responds to nonfatal self-harm and suicide-related emergency department visits using near real-time data. It is built around the CDC National Syndromic Surveillance Program (NSSP), which has been collecting emergency department (ED) syndromic surveillance data since 2003 and captures roughly 65 percent of all ED visits nationwide. Because these data reflect what is showing up in EDs over the last 24 to 48 hours, they can be used to monitor short-term changes and quickly spot unusual activity, such as sudden spikes or geographic or time-based clusters of self-harm related visits that may signal an emerging public health concern and warrant rapid local or state response.
The grant has two connected goals. First, it supports NSSP itself in building and optimizing the national infrastructure so the system can handle growing volumes of incoming ED data across the country. In practical terms, this is about improving the capacity and performance of a large national surveillance platform so it can process more information reliably, quickly, and consistently. Second, the cooperative agreement funds up to four recipient jurisdictions to conduct active, routine surveillance at the state and/or local level by running quarterly queries on their own NSSP data to identify suspected self-harm cases. Those recipients then share their results with CDC through the NSSP ESSENCE platform (Electronic Surveillance System for the Early Notification of Community Epidemics), which is the tool used to analyze and visualize syndromic surveillance signals.
A major emphasis of ED-SNSRO is turning local and state-level case finding into information that can be used for broader research and situational awareness. By having participating jurisdictions run standardized or comparable queries each quarter and provide the resulting data to CDC, the program supports analyses that look at trends over time and differences across demographics and geography. The opportunity also highlights a specific research use case: pairing and comparing trends in suicide attempt-related ED visits with opioid overdose-related ED visits, including examining where and for whom these outcomes overlap or diverge. This kind of comparison can help public health agencies better understand co-occurring crises, align prevention strategies, and target interventions based on emerging patterns.
Another important feature is that the shared ED surveillance data are intended to strengthen CDC work that incorporates nontraditional data streams, particularly social media surveillance. The solicitation indicates that ED-derived indicators will help enhance CDC efforts to monitor suicide-related signals in social media and to improve an ensemble approach that combines multiple sources of information. In that framework, real-time or near real-time ED data serve as a grounded reference point that can be compared with social media-derived signals, with the goal of improving the ability to anticipate or predict suicide-related outcomes over time by using multiple complementary inputs rather than relying on any single data source.
From an administrative standpoint, this is a discretionary CDC funding opportunity (Funding Opportunity Number CDC RFA CE19 1906) offered as a cooperative agreement, meaning recipients should expect substantial involvement and collaboration with CDC rather than operating in a completely hands-off grant structure. Eligible applicants are governmental entities, including state governments, county governments, city or township governments, and special district governments. The opportunity is listed under CFDA 93.136 and is administered within HHS through the CDC, specifically NCIPC (National Center for Injury Prevention and Control). The posted award ceiling is $200,000, with an anticipated total of 9 awards, and the original application deadline for that cycle was June 14, 2019 (with electronic submissions due by 11:59 p.m. ET on the due date).Apply for CDC RFA CE19 1906
- The Department of Health and Human Services, Centers for Disease Control - NCIPC in the health sector is offering a public funding opportunity titled "Emergency Department Surveillance of Nonfatal Suicide-Related Outcomes (ED-SNSRO)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.136.
- This funding opportunity was created on Apr 30, 2019.
- Applicants must submit their applications by Jun 14, 2019 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $200,000.00 in funding.
- The number of recipients for this funding is limited to 9 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments.
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Frequently Asked Questions (FAQs)
What is the ED-SNSRO funding opportunity?
The Emergency Department Surveillance of Nonfatal Suicide-Related Outcomes (ED-SNSRO) is a CDC cooperative agreement focused on strengthening how the United States tracks and responds to nonfatal self-harm and suicide-related outcomes seen in emergency departments (EDs) using near real-time syndromic surveillance data.
What problem is ED-SNSRO designed to address?
ED-SNSRO is designed to improve timely monitoring and public health response to nonfatal self-harm and suicide-related ED visits by using data that reflect what has appeared in EDs over the last 24 to 48 hours. This enables detection of short-term changes, sudden spikes, and geographic or time-based clusters that may warrant rapid local or state action.
What type of award is this?
This is a CDC cooperative agreement. In a cooperative agreement, recipients should expect substantial involvement and collaboration with CDC rather than operating under a fully hands-off grant model.
What is the Funding Opportunity Number (FON)?
The Funding Opportunity Number is CDC RFA CE19 1906.
What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA 93.136.
Which CDC center administers this opportunity?
The opportunity is administered within HHS through CDC, specifically NCIPC (the National Center for Injury Prevention and Control).
Who is eligible to apply?
Eligible applicants are governmental entities, including state governments, county governments, city or township governments, and special district governments.
How many awards are anticipated?
The opportunity anticipates a total of 9 awards.
What is the maximum award amount (award ceiling)?
The posted award ceiling is $200,000.
What is the role of the National Syndromic Surveillance Program (NSSP) in ED-SNSRO?
ED-SNSRO is built around the CDC National Syndromic Surveillance Program (NSSP). NSSP has collected ED syndromic surveillance data since 2003 and captures roughly 65 percent of all ED visits nationwide. ED-SNSRO supports NSSP in building and optimizing national infrastructure to handle growing volumes of ED data reliably, quickly, and consistently.
How current is the data used for surveillance under this opportunity?
The syndromic surveillance data described in the opportunity reflect what is showing up in emergency departments over the last 24 to 48 hours, supporting near real-time monitoring.
What are the two connected goals of the ED-SNSRO grant?
The opportunity has two connected goals: (1) supporting NSSP in improving and optimizing the national surveillance infrastructure to handle increasing data volume and performance needs, and (2) funding up to four recipient jurisdictions to conduct active, routine surveillance at the state and/or local level by running quarterly queries on their NSSP data to identify suspected self-harm cases and share results with CDC.
How many jurisdictions will be funded to conduct quarterly surveillance and share findings?
The cooperative agreement funds up to four recipient jurisdictions to conduct active, routine surveillance through quarterly queries and to share results with CDC.
What does "active, routine surveillance" mean in this opportunity?
In the context provided, active, routine surveillance refers to recipient jurisdictions running quarterly queries on their NSSP emergency department data to identify suspected self-harm cases and then providing their findings to CDC through the designated platform.
How often are recipients expected to run queries on their NSSP data?
Recipients conducting local/state surveillance are expected to run queries quarterly.
What platform is used to share results with CDC?
Recipients share their results with CDC through the NSSP ESSENCE platform (Electronic Surveillance System for the Early Notification of Community Epidemics), which is used to analyze and visualize syndromic surveillance signals.
Why does the opportunity emphasize standardized or comparable quarterly queries?
By having participating jurisdictions run standardized or comparable queries each quarter and provide resulting data to CDC, the program supports broader analyses of trends over time and differences across demographics and geography, improving situational awareness and research usefulness.
What kinds of public health patterns can near real-time ED data help detect?
The opportunity highlights the ability to spot short-term changes and unusual activity such as sudden spikes in self-harm related visits, as well as geographic or time-based clusters that may signal an emerging concern and warrant rapid response.
What is the research use case mentioned in the opportunity?
A specific research use case described is pairing and comparing trends in suicide attempt-related ED visits with opioid overdose-related ED visits, including examining where and for whom these outcomes overlap or diverge.
Why compare suicide attempt-related ED visits with opioid overdose-related ED visits?
Comparing these trends can help public health agencies better understand co-occurring crises, align prevention strategies, and target interventions based on emerging patterns identified through surveillance.
How does ED-SNSRO relate to social media surveillance?
The opportunity states that ED-derived indicators are intended to strengthen CDC work incorporating nontraditional data streams, particularly social media surveillance. Near real-time ED data can serve as a grounded reference point to compare with social media-derived signals as part of an ensemble approach that combines multiple sources.
What is meant by an "ensemble approach" in this context?
As described, an ensemble approach refers to combining multiple complementary inputs (such as ED syndromic surveillance indicators and social media-derived signals) rather than relying on a single data source, with the goal of improving the ability to anticipate or predict suicide-related outcomes over time.
When was the application deadline for the cycle described?
The original application deadline for that cycle was June 14, 2019.
What time were electronic submissions due on the deadline date?
Electronic submissions were due by 11:59 p.m. ET on the due date.
How much of national ED visits does NSSP capture, according to the opportunity?
The opportunity states that NSSP captures roughly 65 percent of all emergency department visits nationwide.
Since when has NSSP been collecting ED syndromic surveillance data?
The opportunity notes that NSSP has been collecting emergency department syndromic surveillance data since 2003.
What kinds of entities does "governmental entities" include for eligibility purposes?
For this opportunity, governmental entities include state governments, county governments, city or township governments, and special district governments.
What is the practical focus of the infrastructure-related goal?
The infrastructure-related goal focuses on improving the capacity and performance of a large national surveillance platform so it can process larger volumes of incoming ED data reliably, quickly, and consistently.
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