"BRIDGE THE GAP

"
2003
ANNUAL SUMMIT
CHICAGO HILTON
SEPTEMBER 16-17,2003
Final Agenda
Tuesday, September 16 Summit M. C. 's: Senator Walter Dudycz
Mayor Irv Bock
7:15 a.m. — 11:00 a.m. Summit Attendee Registration
8:00 a.m. - 9:30 a.m. Continental Breakfast in Summit Expo Hall
8:00 a.m. - 9:30 a.m. Summit Exhibits Open
9:30 a.m. - 9:50 a.m. Posting of Colors
Summit Welcome
CEO/Founder Carol J. Spizzirri, BSN
SALF Video Presentation
9:50 a.m. - 10:30 a.m. Presentation: R. David Paulison, FF/EMTP
U.S. Fire Administrator and Director,
Preparedness Division of FEMA
As director of the Preparedness Division of FEMA, Mr.
Paulison is responsible for enhancing state and local
emergency preparedness, training federal, state and local
emergency managers, and conducting a nationwide program of
exercises in an effort to reduce injuries and death and to
prevent or reduce damage to public and personal property due
to disasters. As head of the U.S. Fire Administration, Mr.
Paulison also supports state and local fire service programs and
oversees programs to reduce life and economic losses due to
fire and related emergencies in partnership with fire protection
and emergency service communities.
10:30 a.m. - 10:35 a.m. Bank One: Hometown Hero Award
Introduction by Colleen Canny, Senior Vice President and
District Manager, City of Chicago; Presented by Director R.
David Paulison
Revised: 09/09/03 TH 1
10:35 a.m. - 11:00 a.m. Presentation: John Jones, Deputy Director
National Weather Service
11:00 a.m. -11:20 a.m. Presentation: Mrs. Janet Huckabee, First Lady of
Arkansas
11:20 a.m. -11:25 a.m. BREAK IN SUMMIT
11:25 a.m. - 12:25 p.m. Fire/Police/EMS Panel
Panel Discussion: Topics will include personal experiences in
the events of major emergency crisis, search & rescue
procedures, disaster response/recovery/relief procedures,
community involvement, advance training & technology, pre-
EMS role, natural, chemical, nuclear, biological and/or terrorist
disaster management.
Pun clists *
Chief Michael Hansen, EMTP
Lincolnwood Fire Department
William Jaconetti, Officer
Chicago Police Department
Lawrence Matkaitis, FF/EMTP,
Assistant Deputy Commissioner,
Emergency Medical Operations
Chicago Fire Department
Chief Jay Reardon
Northbrook Fire Department, JJL
Gary W. Schenkel, Asst. Deputy
Superintendent, Education and Training
Division, Chicago Police Department
Paula Willoughby, DO, FACOEP, MHPE
EMS Medical Advisor, Chicago Fire
Department
12:25 p.m. -1:40 p.m. Bridge the Gap Luncheon
Guest speaker Jerry Markbreit, former NFL referee, author and
current head trainer for the NFL Referees.
12:25 p.m. -1:40 p.m. Summit Exhibits Open
1:40 p.m. - 2: 30 p.m. Homeland Security Presentation
Carl Hawkinson, Deputy Chief of Staff for Public Safety
State of Illinois, Homeland Security
2:30 p.m. - 3:30 p.m. Emergency Management Panel
Revised: 09/09/03 TH 2
Panel Discussion: Topics will include personal experiences in
the event of major emergency crisis, the physical nature of
natural, chemical, biological, nuclear and/or terrorist disasters,
how to respond/recover, disaster analysis, strategic plans and
mitigation efforts in preventing, responding and recovering
from disasters, community's active role, technological
advancements.
Panelists:
Ernesto A. Pretto, Jr., M.D., MPH,
Professor, ScD, Attending Anesthesiologist
at the University of Pittsburgh Medical
Center
Stephen G. Sharro, Superintendent,
Emergency Management Institute, FEMA
Richard Scott in, MA, M.S.W. Director,
Emergency Preparedness and Violence
Prevention for IL. Cook County Health
Dept.
James T. Opoka, Sr. Specialist of National
Preparedness, FEMA Region 5
3:30 p.m. - 4:25 p.m. Presentation: Emergency Management
By Ernesto A. Pretto, Jr. M.D., MPH, Professor, ScD,
Attending Anesthesiologist at the University of Pittsburgh
Medical Center, & Fmr. Treasurer and Business Manager of
World Health Association of Disaster Management
4:25 p.m. - 4:40p.m. BREAK IN SUMMIT
4:40 p.m. - 5:40p.m. Medical Panel
Panel Discussion: Topics to include medical response
mitigation procedures, biological, chemical, natural, accidental
and/or terrorist disaster response/recovery, community's
involvement, universal life-supporting first aid, health
concerns, de-contamination process, technological
advancements.
Panelists:
Sherlita Amler, M.D., M.S,
Medical Officer, Division of Injury and
Disability Outcomes, Center for Disease
Control and Prevention, Atlanta, GA
Henry Heimlich, M.D., ScD
President, Heimlich Institute, OH
Revised: 09/09/03 TH
3
Steven Orebaugh, M.D.,
University of Pittsburgh,
Dept. of Anesthesiology,
ChairofSALF.PA
Mark Friedman, M.D. FACEP, FACP
Fellow of American College of Emergency
Physicians
5:40 p.m. - 6:05 p.m. Open Discussion
6:05 p.m. -6:15 p.m. Day One Wrap Up
6:15 p.m. - 7:45p.m. Bridge the Gap Reception in Summit Exhibits' Hall
6:15 p.m. - 7:45 p.m. Summit Exhibits Open
Wednesday, September 17 Summit M.C. 's: Senator Walter Dudycz
Mayor Irv Bock
7:15 a.m. — 11:00 a.m. Summit Attendee Registration
7:15 a.m. - 8:30 a.m. Continental Breakfast
8:30 a.m. - 8:45 a.m. Summit Wel come/ ^ ^ .
CEO/Founder Carol J. Spizzirri, BSN1 C^
8:45 a.m. - 9:30 a.m. Presentation: Henry J. Heimlich, M.D., ScD
President, Heimlich Institute, OH
Dr. Heimlich has attained international acclaim for the
Heimlich Maneuver, which saves choking victims and
resuscitates drowning victims. The Maneuver is also used to
prevent or overcome acute asthma attacks.
9:30 a.m. - 10:15 a.m. Presentation: Introduction by Arne Duncan, CEO, Chicago
Public Schools
William Modzeleski, Associate Deputy Under Secretary,
Office of Safe and Drug Free Schools, U.S. Department of
Education
10:15 a.m. - 10:30 a.m. BREAK IN SUMMIT
10:30 a.m. - 11:30 a.m. Education Panel
Panel Discussion: Topics to include school emergency
policies & procedures, disaster prevention, response & relief
programs, school emergency mitigation, evacuations,
technological advancements, emergency drills & inspections,
community's role.
Panelists:
Andres Durbak, Director,
Revised: 09/09/03 TH 4
Bureau of Safety and Security,
Chicago Public Schools
Henry Heimlich, M.D., ScD, President,
Heimlich Institute, OH
Sunny Chico, Fmr. Secretary's
Regional Representative for Region V,
U.S. Dept. of Education
Richard J. Stipher, Asst. Superintendent
DeKalb County Regional Office of
Education
Closing Speaker:
Gery Chico, Esq., Fmr. President,
Chicago Board of Education
11:30 a.m.-11:45 a.m. BREAK IN SUMMIT
11:45 a.m. - 12:45 p.m. Corporate Panel
Panel Discussion: Topics to include corporate emergency
operations/evacuation plans, disaster mitigation, role in
protecting the community, response & relief training, security
protection, correlation with public safety system, mayors,
federal, state and local agencies, community's role.
Panelists:
Raymond P. Beaudry, Director,
Global Emergency Preparedness, Planning,
Training & Response,
DuPont Safety, Health & Environment
Excellence Center
John Donleavy, Vice President,
Energy Delivery Dispatch and Operations,
Exelon
Patrick Dorsey, Director,
Corporate Security and Safety Department,
Health Care Service Corporation (Blue
Cross Blue Shield)
Jeff Gentges, Regional Manager,
Illinois Education and Government
Accounts, Cisco Systems
Martin Heffron, Government Account
Specialist, Nextel
Revised: 09/09/03 TH
5
Presenting:
Interoperability video clip featuring
Rudy Guilianni on Inter Dept.
Communications
Richard B. Johns, Corporate Director,
Risk Management, Motorola, Inc.
Jack Stoller, Director,
Vulnerability and Crisis Management
& Manager, Incident Response Crisis
Management Team, Bank One
12:45 p.m. - 2:15 p.m. SALF Awards Luncheon
SALF's 10th Anniversary Awards Presentation honoring
individuals who have influenced SALF's growth and
development
12:45 p.m. - 2:15 p.m. Summit Exhibits Open
2:15 p.m. 3:00 p.m. Presentation: Citizen Corps
Elizabeth DiGregorio, Director,
Citizen Corps, Liaison to White House
Michelle Hanneken
Homeland Security Program Coordinator
Illinois Emergency Management Agency
Mary I. Lambert, M.N., R.N., C.S., C.N.A.A.
Captain U.S.P.H.S., Office of Surgeon General,
Director of Medical Reserve Corps
Speaker Discussion: The role of community leaders & citizens
in Citizen Corps, development and implementation of Citizen
Corps, resources available, state & federal responsibilities,
government's response to biological chemical, radiological,
natural or accidental disasters.
3:00 p.m.-3:10 p.m. BREAK IN SUMMIT
3:10 p.m.-4:10 p.m. Mayors Panel
Panel Discussion: Topics to include potential hazard zones
within a community and identification, mayor's responsibilities
in preparing for, responding & relieving disasters, personal
disaster crisis, Citizen Corps development, evacuation process,
awareness and incentive programs offered, coordination &
implementation of preparedness plans, security operations,
emergency mitigation process, economical affects.
Revised: 09/09/03 TH 6
Panelists:
Mayor Irv Bock, Hanover Park, IL
Mayor Ralph Conner, Maywood, IL
Mayor Patrick Henry Hays, North Little
Rock, AR
Mayor Rita L. Mullins, Palatine, IL
Mayor George Pradel, Naperville, IL
Mayor Douglas Scott, Rockford, IL
4:10 p.m. - 4:45 p.m. Life Supporting First Aid Training Panel
Panel Discussion: Topics to include effective methodologies
for training and developing bystanders as volunteers equipped
with Life Supporting First Aid Skills to act in emergencies;
training challenges related to developing LSFA skills for
children; and roles for EMS in Emergency Preparedness
Training for Bystanders.
Panelists:
Sid Blustain, FF/EMTP, Chicago
SALF Senior Instructor
Martinez Chapman, FF/EMT, Chicago
SALF Instructor
Michael Hamilton, FF/EMTP
Volunteer Fire Department, Rochester, IL,
and Paramedic America Ambulance
Corporation, Springfield, IL
SALF State Coordinator, IL
Scott Vaughn, FF/EMTP, Lincolnshire and
Riverwood Fire Departments
SALF Senior Instructor
4:45 p.m. - 5:00 p.m. SUMMIT WRAP-UP
Revised: 09/09/03 TH
1
SALF - "Bridge The Gap" Summit 2003
Page 1 of5
The Save A Life Foundation presents
"Bridge The Gap" Summit
September 16 & 17,2003
Hilton Chicago
Chicago, Illinois
www.salf.org
Purpose History, Speakers Panels Agenda Sponsorship,» Register Now! 2002 Summit IML
Summit Purpose
The two-day informational summit will have world-renowned emergency experts, along with
school commissioners, corporate leaders, transit agencies and government officials, who will
discuss and explore all aspects of disasters while revealing some of our nations "best practiced
emergency response strategies that can be incorporated into communities nationwide.
Brief SALF History
Since the early 1990's the SALF has been active in altering the way bystanders view and approach an
emergency scene. With the assistance of prominent doctors such as Dr. Henry Heimlich (Heimhch
Maneuver) and Dr. Peter Safar (father of CPR) SALF has successfully developed the most effective and
efficient age appropriate life-supporting first aid (LSFA) programs including CPR & Heimhch
Maneuver that educates, equips and trains bystanders to assist injured victims prior to EMS arrival.
Disasters occur each year nationwide whether it is natural, accidental or man-made acts of terrorism
each portrays destruction and signifies a great threat to human life. Because the U.S. has only one
firefighter for every 280 people and one police officer for every 385 people, it is essential that all
citizens be prepared to act. Relying solely on first responders to relieve life-threatening situations will
instantly decrease the chances of survival and encourage bereavement.
Utilizing local EMS providers as Instructors, SALF has trained over 700,000 Illinois children and adults
in skills that will not only improve emergency response efforts but also increase the chances of survival
for all citizens.
2003 Summit Speakers and Special Guests
World-renowned emergency experts from municipal governments, schools,
hospitals, fire, police, EMS, corporations and transit agencies will summarize all
the necessary key elements in successfully preparing communities for
emergencies. Various speakers include:
httD://www.salf.ore/summit/
8/18/2003
SALF - "Bridge The Gap" Summit 2003
Page 2 of 5
Clockwise from top left: David Paulison, EMTP (United States Fire Administrator),
Dr Henry Heimlich, M.D., ScD (Father of the Heimlich Maneuver), Chief Jay
Reardon (President ofMABAS; Chief of Northbrook Fire Department; Board
Member - IL Fire Chiefs Association), Rod Paige - Invited guest (United States
Secretary of Education), Richard Carmona, M.D., M.P.H., F.A.C.S. (United States
Surgeon General), Ernesto Pretto, M.D. (Fmr. President oj World Association of
Disaster Emergency Medicine - WADEM; Current Associate Director ofSafar Center
for Resuscitation Research), Janet McCain Huckabee (First Lady of Arkansas)
Other notables include: Elizabeth DiGregorio - FEMA's Citizen Corps Liason to
White House; Carl Hawkinson - Illinois Homeland Security Director; James Opoka
- Senior Specialist with FEMA Region V; Arne Duncan - CEO of Chicago Public
Schools; William Jaconetti - Police Officer, Chicago Police Department;
Featured Luncheon Speaker
Enjoy an exquisite three-course meal from the Hilton Chefs while being entertained by Guest Speaker
Jerry Markbreit, former NFL referee, author, and current head trainer of the NFL Referees.
2003 Summit Panels
Panel topics to be discussed include:
• Emergency Management
• Medical
• Education
• Corporate Emergency Response Partners
• Police/Fire/EMS
• Mayors
• Transportation
• PRE-Emergency Medical Service Panel
Panel Information Packet in PDF format! (141 KB)
2003 Summit Agenda (Tentative)
Tuesday, September 16,2003
• 07:15 - 11:00 AM:Summit Attendee Registration
http://www.salf.org/summit/
8/18/2003
SALF - "Bridge The Gap" Summit 2003
Page 3 of 5
• 08:00 - 09:30 AM Continental Breakfast in Summit Expo Hall
• 08:00-09:30 AM:Summit Expo Open
• 09:30 - 09:50 AM:Summit Welcome: President/Founder Carol Spizzirri
• 09:50 - 10:35 AM:Keynote Speaker: R. David Paulison
• U.S. Fire Administrator and Director, Preparedness Division of FEMA
• 10:35 - 11:10 AM:Keynote Speaker: Janet McCain Huckabee (First Lady of Arkansas)
• 11:10-12:10 PM:Fire/Police/EMS Panel
• 12:10- 01:40 PM:"Bridge The Gap" Luncheon
• 01:40 - 02:30 PM:Emergency Management Presentation
• 02:30 - 03:30 PM:Emergency Management Panel
• 03:30 - 04:20 PM:Homeland Security Presentation
• Carl Hawkinson (Illinois Director of Homeland Security)
. 04:20 - 04:40 PM:BREAK... IN SUMMIT EXPO
. 04:40 - 05:40 PM.Medical Panel
• 06:05-06:15 PM:DAY ONE WRAP UP
• 06:15 - 07:45 PM:"Bridge The Gap" Reception in Summit Expo
• 06:15 - 07:45 PM:Summit Expo Open
Wednesday, September 17,2003
• 07:15 - 11:00 AM:Summit Attendee Registration
• 07:15 -08:30 AM:Continental Breakfast
• 08:30 - 08:45 AM:Summit Welcome: President/Founder Carol Spizzirri
• 08:45 - 09:30 AM:Keynote Speaker: Henry Heimlich, M.D., ScD
• President, Heimlich Institute
• 09:30 - 10:15 AM:Education Presentation: Rod Paige
• U.S. Secretary of Education
• 10:15-10:45 AM:BREAK... IN SUMMIT EXPO
• 10:45 - 11:45 AM:Education Panel
• 11:45 — 12:45 PM:Corporate Panel
• 12:45 - 02:15 PM:SALF Awards Luncheon
• 02:15 - 03:00 PM:Citizen Corps Presentation: Elizabeth DiGregorio
• White House Liaison & Director, Citizen Corps
• 03:00 - 04:00 PM:Mayors Panel
• 04:00 - 04:45 PM:Life Supporting First Aid Education Panel
• 04:45 - 05:00 PM:SUMMIT WRAP-UP
Summit agenda in PDF format! (119 KB)
updated 06-24-03
Summit Sponsors
• Altria
• Associated Fire Fighters of Illinois
• Bank One
• Blue Cross Blue Shield
• Browning-Ferris Industries (BFI)
• CDC
• Cisco Systems
http://www.salf.org/summit/
8/18/2003
SALF - "Bridge The Gap" Summit 2003
Page 4 of5
• ComCast
• ComEd
• Cook County Department of Public Health
• Daily Herald
• Hilton
• Kimball Hill Homes
• KrispyKreme
• Rider Dickerson
• McDonald Corp.
• Storino, Ramello and Durkin Law Firm
• TCFBank
To receive national recognition as a sponsor participant for the 2003 "Bridge The Gap" Summit, please
feel free to view our sponsorship levels.
View the Summit 2003 Sponsorship Levels. (PDF: 162 KB)
Exhibitor Registration
To register for the "Bridge The Gap" Summit 2003, please download the registration form (118 KB), fill
it out, and send it to SALF headquarters immediately! Spots are filling fast, so please register early!
2002 Summit Recap
Click here to view past Summit pictures!
http://www.salf.org/summit/
8/18/2003
SALF - "Bridge The Gap" Summit 2003
Page 5 of 5
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Attendee Registration
To register for the "Bridge The Gap" Summit 2003, please download the registration form (118 KB), fill
it out, and send it to SALF headquarters immediately! Spots are filling fast, so please register early!
httn://www.salf.ore/summit/
8/18/2003
Message
Page 2 of2
—Original Message—
From: Carol [mailto:carol@salf.org]
Sent: Monday, August 18,2003 8:07 PM
To: Talboy, Phillip
Subject: RE: Summit
Tomorrow I will forward information related to SALF's mission, accomplishments, efforts,
growth, etc.. I look forward to meeting Dr. Sherlita Amlei ^ < .at the
Summit.
My heart is EMS, and the need to maintain life until they arrive. Only EMS understands the
full impact of SALF's initiative. At the start I was told children would be unable to deal with,
understand, or act. We proved that after they're trained, they are advocates/teachers to
their own priers and family and have saved lives of same.
Thank you Phil for your encouragement and for discussing SALF with Dr. Amler, whom I
feel will become a very important part of SALF.
Carol
—Original Message
From: Talboy, Phillip [mailto:pmtO@cdc.gov]
Sent: Monday, August 18, 2003 4:15 PM
To: 'Carol'
Cc: Amler, Sherlita
Subject: RE: List # C0066S03 - PA 03012 - Save a Life - DIDOP -$15,000
Carol,
I would like to discuss with you the possibility of meeting with you the morning
following the conference in Chicago. Can you please call me at 770-488-4714 or
/$ «v- (cell) or send me your telephone number and I will call you.
Phil
9/8/2003
Message Page 1 of 2
Amler, Sherlita
From: Talboy, Phillip
Sent: Wednesday, August 27, 2003 10:44 AM
To: 'Carol'
Cc: Amler, Sherlita
Subject: RE: Summit
Carol,
The 18
th
at 8AM sounds great and we look forward to it.
Phil
—Original Message—
From: Carol [mailto:carol@salf.org]
Sent: Tuesday, August 19, 2003 10:28 PM
To: Talboy, Phillip; Sgr6@cdc.gov
Subject: RE: Summit
Dear Phil: On the 18th - the IL Municipal League (State Mayors) conference begins at the same hotel. On
tm
Please advise
Carol
Original Message—
From: Talboy, Phillip [mailto:pmtO@cdc.gov]
Sent: Tuesday, August 19, 2003 8:24 AM
To: 'Carol'
Cc: Amler, Sherlita
Subject: RE: Summit
Carol,
Thanks for the willingness to meet with Dr. Amler and myself following the summit in Chicago to
discuss SALF's mission, accomplishments, activities, etc. If possible and as we discussed, I would
like to meet on September 18
th
from 8-10:30. We have a 1:20 flight out so I am thinking this would
give us enough time to make the flight. Let me know your ideas on where we should meet. We
are both looking forward to learning more about SALF and are enthusiastic about our future
collaborations.
Thanks
Phil
9/8/2003
DEPARTMENT OF HEALTH & HUMAN SERVICES Cent er s ^SSf e C o S
and Prevention (CDC)
Carol Spizzirri, President/Founder
Save-A-Life Foundation, Inc.
9950 West Lawrence Ave Suite 300
Schiller Park, IL 60176-1216
Reference: PA# 04164, Earmark for Save a Life Foundation
Dear Ms. Spizzirri:
The Save-A-Life Foundation has been identified to receive a CDC assistance award for
approximately $1,018,829. The budget period is expected to be from June 1,2004 through
May 31,2005. Although you were funded a grant award under another program
announcement, you will receive a new one-year award under Program Announcement
Number 04164.
The purpose of the earmark funds is to evaluate the effectiveness of the Save-A-Life
training program and to implement and expand state training sites to a national training
capacity. This funding will be used for all costs associated with expansion of training sites
and evaluating the program.
In order to process the award, you must submit an application package. This letter is
designed to provide the guidance required to prepare the application package. Please read
and follow all the instructions below.
The application package must arrive this office no later than April 16,2004. The
application packet should consist of an original plus 2 copies of the following:
• Cover Letter that includes the names of the program director/principal
investigator's (PI) and business official's name, title, complete mailing address,
phone number, and email address. Also, provide a point of contact name of person
who prepared the application package, if different from PI.
PHS Form 5161. To obtain instructions and a fillable copy of this form on line,
visit the following website: http://www.psc.pov/forms/FF99/PHS-5161-l/phs-
5161-l.html. Clearly reference the Piogram Announcement number on the
application. Number all pages including appendices. Print on only one side of each
page. Use single spacing. Do not staple or bind your application
•) O
2
• SF 424. Within the website for the PHS Form 5161 are the SF 424's. Ensure the
amount entered on the SF-424 matches the Budget Narrative and detailed budget.
Important Note: Be sure to include the complete EIN for your organization,
including the two-digit suffix. If you have never applied for assistance and do
not have an EIN, please be sure to note that in your cover letter. Also, you are
required to have a Dun and Bradstreet Data Universal Numbering System (DUNS)
number to apply for a grant or cooperative agreement from the Federal government.
Your DUNS number must be entered on the face page of the application form next
to the EIN. The DUNS number is a nine-digit identification number, which
uniquely identifies business entities. Obtaining a DUNS number is easy and there is
no charge. To obtain a DUNS number, access www.dunandbradstreet.com or call 1-
866-705-5711.
• Program Narrative. The following information is provided to assist you in
preparing your program narrative:
—Program Goals and Objectives. Provide a plan of action that describes the
proposed program objectives and activities for the upcoming budget period. Each
activity should lead to die accomplishment of the proposed objectives. Each
objective must contain a performance or outcome measure that assesses the
effectiveness of the project. The applicant should adequately describe how it would
implement the program activities and disseminate the outcomes of the activities and
services provided. The application should include a detailed timeline for each
accomplishment.
—Program Requirements.
• Detailed budget and justification. Up to $ 1,018,829 is available to fund this
award. Please prepare a budget that does not exceed this amount (including direct
and indirect costs). A sample budget template is located at the following website:
http://www.cdc.gov/od/pgo/fundine/budpetpuide.hrm.
• Indirect Rate Agreement. Enclose a copy of your organization's most current
negotiated Federal indirect cost rate agreement. Note: Unless a cost rate agreement
has been federally approved by the Division of Cost Allocation, all budget items
should be direct costs.
• Other Information:
- Final Progress Report (within 90 days after the end of the project period)
- Final Financial Status Report (within 90 days after the end of the project period)
J /
Applications may not be submitted electronically at this time. Please mail application
packet to the following address:
Angie Turtle, Grants Management Specialist
Acquisition and Assistance Branch A
Centers for Disease Control and Prevention
2920 Brandywine Road, Mailstop K-75
Atlanta, GA 30341-4146
If you need any programmatic guidance, please contact Jacqui Butler by telephone at
(770) 488-1496 or by email at JAButler@cdc.eov. If you need any budget guidance,
please contact me by telephone at (770) 488-2719 or by email at aen4@cdc.gov.
Sincerely,
AjJ^&^z
Angi^NvTuttle
GrantsManagement Specialist
Acquisition and Assistance, Branch A
Procurement and Grants Office
cc: Robin Forbes
National Headquarters
9950 W. Lawrence Ave Ste 300
Schiller Park, Illinois 60176-1216
Ph: (847)928-9683
Fax: (847)928-9684
Toll Free: (888) 892-0606
Websile: www.salf.org
Carol J. Spizzirri
Founder / President
Tuesday. April 13, 2004
Angie Tuttle Grants Management Specialist
CDC Centers For Disease Control & Prevention
Acquisition and Assistance Branch A
2920 Brandywine Rd, Mailstop K
Atlanta, GA 30341-4146
DUN# 08-092-0437
Re: Program Announcement PA #04164 Earmark for Save A Life Foundation
Grant title: Expand The Training Of Basic Life Supporting and Emergency Preparedness Skills
Dear Ms. Tuttle:
Save A Life Foundation is a 501 C (3) organization dedicated to working with the public health
infrastructure to ensure the creation of a safety net for everyday citizens in the their communities. We
train citizens in life supporting first aid skills, with a particular focus on children (K-12) in age appropriate
programs that include i.e., Heimlich Maneuver, CPR. bleed control, blood borne - bio hazardous
precautions, access EMS, deployment of AED's. Since 1997 SALF has trained nearly 1 million children in
Illinois, moving into Wisconsin in 2003 and are about to expand our system of training into even more
emergency and public health departments which SALF establishes its branch sites. Using their local
emergency medical service providers as our instructors we are able to train children K-6th grades our
Save A Life For Kids program (1 hour), and 7th to 12th graders our Bystander Basic program (2 hours)
with remarkable success, both in skills retention and increased willingness by these same students to aid
the injured or ill at a time of an emergency. The proof of this accomplishment is due to our web base
data collection system participated by each student.
GRANT ACTIVITIES
In order for SALF to expand its base site in each targeted state SALF must:
Locate a hospital to home a branch
Find and train an individual with EMS credentials to serve as a Facilitator
Obtain support from a physician to serve as Project Medical Director
Obtain support of local mayors to establish a Citizen Corps Council and apply for funds to
support the school training
Identify EMS providers and train as instructors
Identify local corporations willing to Adopt A School to defer training costs
Identify schools, schedule classes between schools and Instructors
Evaluate class and test students for skills proficiency
Each Instructor receives compensation for their travel and time which aids greatly in supplementing their
meager professional income while off duty.
SALF
Save A Life Foundation
• "w3*OT*22fl
; >
Page 2
Save A Life Foundation
April 13, 2004
Over the years SALF has been embraced by many including being the second affiliate of the U.S.
Homeland Security's Citizen Corps in January 2003, Illinois Homeland Security's Terrorism Task Force,
2001 and alike. Our partners include the U.S. Conference of Mayors, State Municipal Leagues, Chicago
Bar Association, Chicago Public Schools, Global Ronald McDonald's House Charities, and so forth.
My greatest pleasure besides seeing the children's faces as they discover their new ability to save a life,
working with CDC since 2001, is serving with Dr. Peter Safar (Father of CPR) and Dr. Henry Heimlich
(Heimlich Maneuver) SALF's founding Medical Board, to train the critical mass should they faced an
emergency.
Everyone has a emergency role. The "Pre-EMS" role is the most crucial in maintaining life until advance
EMS arrives. SALF feel fortunate that CDC feels the same.
Sincerely,
end.
OMB Approval No. 0348-0043
APPLICATION FOR
FEDERAL ASSISTANCE
1 . TYPE OF SUBMISSION:
Application
p
-
Constructor
P " Non-Construction
Preapplication
| ~" Construction
2. DATE SUBMITTED
A p r i l 1 3 , 2004
3. DATE RECEIVED BY STATE
7 . DATE RECEIVED BY FEDERAL ABt Nt V
Applicant lder».<er
PA# 0 4 1 64
State Application Identifier
Federal Identifier
5. APPLICANT INFORMATION
Legal Name:
Save A Li f e Founda t i on
Address (oive cOy, county, stato. and zip codof.
O'Hare Aerospace Center
9950 West Lawrence Ave. Ste #300
Schiller Park, Illinois 60176
Organizational Unit:
(give area codo)
Carol J. Spizzirri President/Founder
(847) 928-9683
6. EMPLOYER IDENTIFICATION NUMBtH (UHf.
8. TYPE OF APPLICATION:
P? Now f Continuation V" ne«
s l o n
[i Revision, enter appropriate tetterfs) in box(os):
7. TYPE OF APPLICANT: (entor appmpriaw latter in box) I I
A. Increase Award B. Deereaso Award
0. Decrease Duration Other (specify):
C. Increase Duration
1D. CATALOG OF FEDERAL DOMESTIC
ASSISTANCE NUMBER:
m-c
TITLE:
12. AREAS AFFECTED BY PROJECT (dtios. counties, Btttes, ere.^
I L, WI, NC, NY, FL, PA,
A. State
B. County
C. Municipal
D. Township
E. Interstate*
F. Inuurrainidpal
Q. Special District
H. Independent School DisL
I. State Controted Institution ol Higher Learning
J. Private University
K. Indian Tribe
L Individual
M. Profit Orsaniiation
N. Other (SpecHy):
9. NAME OF FEDERAL AGENCY:
Centers For Disease control & Prevention
1 1 . DESCRIPTIVE TITLE OF APPUCANTS PROJt ui :
Expand The Training Of Basic Life
Support and Emergency Preparedness
Skills, especially to children
13. PROPOSED PROJECT:
Start Date
0 6/ 0 1 / 0 4
Ending Date
05/ 31 / 05
14. CONGRESSIONAL DISTRICTS OF:
a. Applicant
Cook Count y, IL - Di s t
1 1 , 1 0 , 1 5 , 1 4 , 19
b. Project
Ear mar k f o r Save A Li f e
Founda t i on
1 5. ESTIMATED FUNDING:
a. Federal
b. Applicant
1, 005, 000
.00
c. State
d. Local
e. Other
f. Program Income
.00
~00
.00
'B. IS APPLICATION SUBJECTTO REVIEW BY STATE EXECUUVE ORDER 1Z37Z K H V ^ .
YES THIS PREAPPUCATtON/APPUCATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE
ORDER 12372 PROCESS FOR REVIEW ON:
DATE
.00
.00
g. TOTAL
.00
1, 005, 000
b. NO. ( V PROGRAM IS NOT COVERED BY E.0.1 2372
| - OR PROGRAM HAS NOT BEEN SELECTED STATE FOR REVIEW
W. IS APPLICATION DELINQUENT ON ANY FEDERAL DEBT?
r
-
YES H "Yes." attach an explanation.
r
BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLT w ■ n =« c. Tel ephone number
a. Typed Name of Authorized Representative
Carol J. Spi zzi r r i
b. Title
P r e s i d e n t / F o u n d e r
c. Telephone number
8 4 7 - 9 2 8 - 9 68 3
e. Date Signed
0 4 / 1 3 / 0 4
Standard Form 424 (Rev. 7-97)
Prescribed by OMB Circular A-102
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
PUBLIC HEALTH SERVICE
GRANT APPLICATION
For use by:
• State and Local Government Applicants
. Nongovernmental Applicants for Health Services Projects
Unable to load image
f i l t e r l i br ar y
St at us: 1157
FORM PHS-5161-1
(Revised 7/00)
GENERAL INFORMATION AND INSTRUCTIONS FOR G-.ANT APPLICATION
(FORM PHS-5161-1, Revised 7/00)
INTRODUCTION
This application form, the PHS 5161-1, is used for a
variety of grant programs administered by the Public
Health Service (PHS). The basic format (Standard Form
424) is prescribed by OMB Circular A-102 for use by
State and local government applicants. The PHS-5161-1
is also intended for use by nongovernmental applicants
seeking support for health services projects.
The application consists of this section, General Infor­
mation and Instructions, followed by six additional sec­
tions which comprise the standard application.
This section contains information about PHS policies
and procedures.
The second section, the SF-424, is the face page of the
application which requests basic information about the
applicant and the project.
The third section, Budget Information (nonconstruction
or construction) requests information on the applicant's
financial plan for carrying out the project or program.
Both the Federal and non-Federal shares are to be
included in the financial plan. The application kit con­
tains budget forms for bom nonconstruction (SF-424A)
and construction (SF-424C) projects or programs. Please
be sure that you use the correct form.
The fourth section, Assurances (nonconstruction or
construction) sets forth certain requirements with which
applicants must certify that they will comply if a grant is
awarded. The application kit includes assurances for
both nonconstruction (SF-424B) and construction
(SF-424D) projects or programs. Please be sure that you
submit the correct assurance form and that the back of
the form is signed by a duly authorized official of the
applicant organization.
The fifth section, Certifications, sets forth certain
requirements for grantees which have been legislatively
implemented since the SF-424 assurances pages were
last revised. This form must also be signed by a duly
authorized official of the applicant organization and
submitted.
The sixth section, Program Narrative, requests the
applicant to describe the objectives of the program and
to relate how those objectives will be attained. For
projects funded beyond the first year, this section is used
to describe the objectives and activities to be undertaken
during the next period of support and also as a progress
or
performance report for activities previously undertaken.
The seventh and last section is the Checklist, which must
be included with all applications.
Before completing the application, it is advisable to refer
to any relevant program guidelines provided with the
application kit. The kit may also contain additional
supplementary instructions pertaining to unique program
requirements set forth in legislation or regulations.
For additional information about, or copies of, material
referred to in this application, contact the grants manage­
ment office which supplied the application kit.
Comments concerning die accuracy of the burden esti­
mates for the Program Narrative and the Checklist and
any suggestions for reducing this burden should be
addressed to:
CDC Reports Clearance Officer
1600 Clifton Road
MS-D-24
Atlanta, GA 30333
Attention: PRA (0920-0428)
NOTE: The grant application which you are
submitting may be subject to the reporting require­
ments of the Public Health System Impact
Statement. Consult the Program Announcement or
the Grants Management Officer for the program to
which you are applying for additional information.
TYPES OF APPLICATIONS
The Form PHS-5161-1 may be used for any of the
following types of applications:
1. New - A new application is a request for financial
assistance for a project or program not currendy
receiving PHS support. If recommended for approval
it must compete with other new applications,
competing continuation applications, and competing
supplemental applications for any available funds in
accordance with Federal awarding office funding
priorities. A complete submission of all information
requested, including budget justification, is required
for all new appli- cations.
PHS-516M C7/00)
Page 2
2. Noncompeting Continuation - A noncompeting
condnuation application is a request for support
beyond the initial budget period within a previously
approved project period". These applications do not
compete with other applications, and the level of
support is determined by the awarding office after
considering the previously recommended level of
support and the progress achieved on the project.
A complete resubmission of the material contained
in the initially approved application is not necessary,
but the continuation application should include: a
detailed justification, as necessary; information on
the qualifying experience of key personnel added
since the previous application; a report of progress
relative to approved objectives; and a narrative
discussing any significant changes to the originally
approved project plan. Refer to Item 6(b) in the
Program Narrative instructions, and to Droeram
3. Competing Continuation - A competing continua­
tion application is a request for the extension of
support for one or more budget periods of a project
which would otherwise expire. These applications
are subject to the same review and analysis as new
applications and they compete for available funds
with other competing continuation applications, new
applications, and competing supplemental appli­
cations. The information requirements applicable to
competing continuation applications are the same as
those that apply to new applications except that
competing continuation applications must also
include a progress report as described under Item
6(b) of the Program Narrative section.
4. Supplemental - A supplemental application is a
request for additional funding within an approved
budget period for program expansion or
administrative increases. Applications for funds to
expand the scope of the project are subject to the
same review procedures as new or competing
continuation applications. Applications for funds to
meet increases in costs incurred during a current
budget period (such as increases in fringe benefits,
salaries, or other project costs not included in the
previous application) are generally noncompeting,
'Budget Period ■ The interval of the time (usually 12 months) into which the project
period is divided for funding and reporting purposes.
'Project Period ■ The total time
for which support of a project has been programmali-
»h»Ho*t nprinds
approval of the awarding office and the availability
of funds.
A supplemental application must justify the need for
the additional funds. It should describe how the
supplemental award, or lack of it, would influence
program results.
On the budget page(s), show only the supplemental
funds requested, and any matching/cost participa­
tion amounts (as appropriate). As part of the budget
justification, include a statement as to whether any
changes have been made or are anticipated in the
allocation of funds among categories for the
PROJECT DEVELOPMENT
All new applicants are urged to discuss their interests
and ideas for developing projects early in the planning
stage with State, regional, and local planning agencies
and/or health departments. Community support should
be assured by providing opportunities for public and
private participation in the planning and development
phases. When applicable, comments must be sought
from State Single Points of Contact in accord with
requirements under Executive Order 12372 as imple­
mented by the Department of Health and Human
Services (DHHS) through regulations at 45 CFR Part
100 (see checklist instructions).
Staff of the administering office from which funds are
being requested are also available to assist applicants.
COMPLETING THE APPLICATION
In preparing the application, use English language and
avoid jargon. Type, using black typewriter ribbon,
single spaced where possible. Instructions for
completing the pages of the form are found either on the
reverse of the forms or on supplemental pages. If more
space is needed than is provided, use a blank sheet of
paper to complete the item, using the identical format.
Clearly identify the continuation page as such, and the
information item(s) contained thereon, and attach the
page after the appropriate page of the application.
Computer generated facsimiles may be substituted for
any of the forms provided in this packet. Such substitute
forms should be printed in black ink and must maintain
the exact wording and format of the government-printed
forms, including all captions and spacing. Any deviation
may be grounds for PHS to reject the entire application.
PHS-5161-1 a/00)
Page 3
ASSEMBLING AMD MAILING
To facilitate review and processing of the application by
the awarding office, all pages should be numbered and
preceded by a table of contents. Assemble the
appUcation with a cover letter on top indicating the
specific program for which you are applying, followed
by a table of contents, the printed forms, the program
narrative, biographical sketches, and any remaining
documents. Completed applications should be signed in
ink by an authorized official of the applicant organi­
zation and duplicated in accord with applicable
requirements. Mail completed applications to the
appropriate grants management office (unless other
instructions have been provided) in time to meet the
deadline date for receipt established by the awarding
office.
ACKNOWLEDGMENT
Applicants will be sent a written acknowledgment of
receipt by PHS administering offices.
LATE APPLICATIONS
New/Competing Continuation
Applications will be considered to be "on time" if they
are (1) received on or before the established deadline
date or (2) sent on or before the established deadline
date and received in time for orderly processing.
Applicants should request a legibly dated U.S. Postal
Service postmark or obtain a legibly dated receipt from a
commercial carrier or the U.S. Postal Service. Private
metered postmarks shall not be acceptable as proof of
timely mailing. Late competing applications not
accepted for processing may either be returned to the
applicant or held for the next regularly scheduled review
cycle.
Noncompeting Continuation
Applications which are not received in time to permit
orderly review, processing, and award issuance on or
before the beginning date of the continuation budget
period, may result in: (1) an extension of the current
budget period without additional Federal funds, and (2)
a delay in the beginning date of the new budget period.
NONCONFORMING APPLICATIONS
Applications which are determined to be non-
conforming shall not be accepted for processing and
shall be returned to the applicant. A grant application
may be classified as nonconforming if it does not meet
the requirements of the program announcement to which
it is responding.
APPLICATION REVD2W
Applications will be evaluated and rated according to
criteria and priorities which are established for the
particular grant program involved and which are
described in program announcements and program
guidelines.
UNSUCCESSFUL APPLICANTS
After a decision has been reached either to disapprove or
not fund a grant appUcation during a given review cycle,
a written notice shall be sent to the unsuccessful
applicant within 30 days after that decision.
PRIVACY ACT
The Privacy Act of 1974 (5 U.S.C. § 552a) gives
individuals the right of access to information con­
cerning themselves and provides a mechanism for
correction or amendment of such records. The Privacy
Act also provides for protection of information
pertaining to an individual, but it does not prevent
disclosure of such information if its release is required
under the Freedom of Information Act. The Privacy Act
requires that a Federal agency must advise each
individual whom it asks to supply the information (1) of
the authority which authorizes the solicitation, (2)
whether disclosure is voluntary or mandatory, (3) the
principal purpose or purposes for which the in­
formation is to be used, (4) the use outside the agency
which may be made of the information, and (5) the
effects on the individual, if any, of not providing all or
any part of the requested information.
PHS is requesting the information called for in this
application pursuant to its statutory authority to award
grants. Provision of the information requested is entirely
voluntary. The collection of this information is for the
purpose of aiding in the review of applications P"orto
grant award decisions and for management of PHS
programs. Insufficient information may hinder PHS
ability to review applications, monitor grantee per­
formance, or perform overall management of grant
programs.
Page 4
PHS-516M a/00)
This information will be used within the Department of
Health and Human Services, and may also be disclosed
outside the Department as permitted by the Privacy Act,
including disclosures to the public as required by the
Freedom of Information Act, to the Congress, the
National Archives, the Bureau of the Census, law
enforcement agencies upon their request, the General
Accounting Office, and pursuant to court order. It may
also be disclosed outside the Department, if necessary,
for the following purposes:
1. To the cognizant audit agency for auditing.
2. To the Department of Justice as required for
litigation.
3. To a congressional office from the record of an
individual in response to an inquiry from the
congressional office made at the request of that
individual.
4. To qualified experts not within the definition of
Department employees as prescribed in the
Department's regulations [45 CFR Part 5(b)(2)] for
their opinions, as part of the application review
process.
5. To a Federal agency in response to its request, in
connection with the letting of a contract, or the
issuance of a license, grant, or other benefit by the
requesting agency, to the extent that the record is
relevant and necessary to the requesting agency's
decision on the matter.
6. To individuals and organizations deemed qualified
by PHS to carry out specific research related to the
review and award processes of PHS.
7. To organizations in the private sector with whom
PHS has contracted for the purpose of collating,
analyzing, aggregating, or otherwise refining
records in a system. Relevant records will be
disclosed to such a contractor. The contractor shall
be required to maintain Privacy Act safeguards
with respect to such records.
8. To the grantee institution relative to performance
or administration under the terms and conditions
FREEDOM OF INFORMATION ACT
The Freedom of Information Act and the associated
Public Information Regulations (45 CFR Part 5) of the
Department of Health and Human Services require the
release of certain information regarding grants requested
by any member of the public. The intended use of the
information will not be a criterion for release. Grant
applications and grant related reports are generally
available for inspection and copying except that
information considered to be an unwarranted invasion of
personal privacy will not be disclosed. For specific
guidance on the availability of information, refer to 45
CFR Part 5.
PHS-516M (7/00)
Page 17
OMB Approval No. 0920-0428
CERTIFICATIONS
1. CERTIFICATION REGARDING DEBARMENT
AND SUSPENSION
The undersigned (authorized official signing for the
applicant organization) certifies to the best of his or
her knowledge and belief, that the applicant, defined
as the primary participant in accordance with 45 LfK
Part 76, and its principals:
(a) are not presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily
excluded from covered transactions by any
Federal Department or agency;
(b) have not within a 3-year period preceding this
proposal been convicted of or had a civil
judgment rendered against them for commission
of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a
public (Federal, State, or local) transaction or
contract under a public transaction; violation of
Federal or State antitrust statutes or commission
of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making
false statements, or receiving stolen property,
(c) are not presently indicted or otherwise criminally
or civilly charged by a governmental entity
(Federal, State, or local) with com- mission of
any of the offenses enumerated in paragraph (b)
of this certification; and
(d) have not within a 3-year period preceding this
application/proposal had one or more public
transactions (Federal, State, or local) terminated
for cause or default
Should the applicant not be able to provide this
certification, an explanation as to why should be
placed after the assurances page in the application
package.
The applicant agrees by submitting this proposal that
it will include, without modification, the clause tided
"Certification Regarding Debarment, Suspension, In
eligibility, and Voluntary Exclusion-Lower Tier
Covered Transactions" in all lower tier covered
transactions (i.e., transactions with sub- grantees
and/or contractors) and in all solicitations for lower
tier covered transactions in accordance with 45 CFR
CERTD7ICATION REGARDING DRUG-FREE
WORKPLACE REQUIREMENTS
The undersigned (authorized official signing for the
applicant organization) certifies that the applicant
will, or will continue to, provide a drug-free work­
place in accordance with 45 CFR Part 76 by:
(a) Publishing a statement notifying employees that
the unlawful manufacture, distribution, dis­
pensing, possession or use of a controlled
substance is prohibited in the grantee's work­
place and specifying the actions that will be
taken against employees for violation of such
prohibition;
(b) Establishing an ongoing drug-free awareness
nrnpram to inform p.rrmlnvfiftR about—
(1)
(2)
(3)
(4)
The dangers of drug abuse in the workplace;
The grantee's policy of maintaining a
drug-free workplace;
Any available drug counseling, rehabil­
itation, and employee assistance programs;
and
The penalties that may be imposed upon
employees for drug abuse violations
occurring in the workplace;
(c) Making it a requirement that each employee to
be engaged in the performance of the grant be
given a copy of the statement required by
paragraph (a) above;
(d) Notifying the employee in the statement re­
quired by paragraph (a), above, that, as a
condition of employment under the grant, the
0)
n
AWdVby~the terms of the statement; and
(2) Notify the employer in writing of his or her
conviction for a violation of a criminal drug
statute occurring in the workplace no later
than five calendar days after such
conviction: . . . .
(e) Notifying the agency in writing within ten
calendar days after receiving notice under
paragraph (d)(2) from an employee or otherwise
receiving actual notice of such conviction.
Employers of convicted employees must provide
notice, including position title, to every grant
officer or other designee on whose grant activity
the convicted employee was working, unless the
Federal agency has designated a central point
PHS-5161-1 (7/00)
Page 18
for the receipt of such notices. Notice shall
include the identification number(s) of each
(f) affected grant; .
Taking one of the following actions, within 3U
calendar days of receiving notice under
paragraph (d) (2), with respect to any employee
^ t e Ta p p r o ' p r i a t e personnel action against
such an employee, up to and including
termination, consistent with the require­
ments of the Rehabilitation Act of 1973, as
amended; or _ .
(2) Requiring such employee to participate
satisfactorily in a drug abuse assistance or
rehabilitation program approved for such
purposes by a Federal, State, or local health,
law enforcement, or other appropriate
(g) Makfl^ni§y;good faith effort to continue to
maintain a drug-free workplace through imple­
mentation of paragraphs (a), (b), (c), (d), (e), and
For pul s e s of paragraph (e) regarding agency noti­
fication of criminal drug convictions, the DHHS has
designated the following central point for receipt of such
notices:
Office of Grants and Acquisition Management
Office of Grants Management
Office of the Assistant Secretary for Management and
Budget
Department of Health and Human Services
200 Independence Avenue, S.W., Room 517-D
Washington, D.C. 20201
3. CERTD7ICATION REGARDING LOBBYING
Tide 31, United States Code, Section 1352, entitled
"Limitation on use of appropriated funds to in­
fluence certain Federal contracting and financia^
transactions," generally prohibits recipients of Federd
grants and cooperative agreements from using Federal
(appropriated) funds for lobbying the Executive or
Legislative Branches of the Federal Government in
connection with a SPECIFIC grant or cooperative
agreement. Section 1352 also requires that each
person who requests or receives a Federal grant or
cooperative agreement must disclose lobbying
undertaken with non-Federal (non-appropnated)
funds. These require- ments apply to grants and
cooperative agreements EXCEEDING $100,000 in
total costs (45 CFR Part 93).
The undersigned (authorized official signing for the
applicant organization) certifies, to the best of his or
^ ^ F ^ e ^ p ^ r i a ^ funds have been paid
or will be paid, by or on behalf of the
to any person for influencing or attempting to
influence an officer or employee of any agency, a
Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress
in connection with the awarding of any Federal
contract, the making of any Federal grant, the
making of any Federal loan, the entering into of any
cooperative agreement, and the extension,
continuation, renewal, amendment, or modification
of any Federal contract, grant, loan, or cooperative
(2) lf^
m
funds other than Federally appropriated funds
have been paid or will be paid to any person for
influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of
a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative
agreement, the undersigned shall complete and
submit Standard Form-LLL, "Disclosure of
Lobbying Activities," in accordance with its
instructions. (If needed, Standard Form-LLL,
"Disclosure of Lobbying Activities," its instructions,
and continuation sheet are included at the end of this
application form.)
(3)
The undersigned shall require that the language of
this certification be included in the award documents
for all subawards at all tiers (including subcontracts,
subgrants, and contracts under grants, loans and
cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact
upon which reliance was placed when this transaction
was made or entered into. Submission of this
certification is a prerequisite for making or entering into
this transaction imposed by Section 1352, U.S. Code.
Any person who fails to file the required certification
shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such
4 CERTIFICATION REGARDING PROGRAM
FRAUD CIVIL REMEDffiS ACT (PFCRA)
The undersigned (authorized official signing for the
applicant organization) certifies that the statements
herein are true, complete, and accurate to the best of
his or her knowledge, and that he or she is aware
that any false, fictitious, or fraudulent statements or
claims may subject him or her to criminal, civil, or
administrative penalties. The undersigned agrees
that the applicant organization will comply with the
Public Health Service terms and conditions of award
if a grant is awarded as a result of this application.
PHS-5161-1 (7/00)
Page 19
5. CERTIFICATION REGARDING
ENVIRONMENTAL TOBACCO SMOKE
Public Law 103-227, also known as the Pro-Children
Act of 1994 (Act), requires that smoking not be
permitted in any portion of any indoor facility owned
or leased or contracted for by an entity and used
routinely or regularly for the provision of health, day
care, early childhood development services, education
or library services to children under the age of 18, if
the services are funded by Federal programs either
directly or through State or local governments, by
Federal grant, contract, loan, or loan guarantee. The
law also applies to children's services that are
provided in indoor facilities that are constructed,
operated, or maintained with such Federal funds. The
law does not apply to children's services provided in
private residence, portions of facilities used for
inpatient drug or alcohol treatment, service providers
whose sole source of applicable Federal funds is
Medicare or Medicaid, or facilities where WIC
coupons are redeemed.
Failure to comply with the provisions of the law
may result in the imposition of a civil monetary
penalty of up to $1,000 for each violation and/or the
imposition of an administrative compliance order on
the responsible entity.
By signing the certification, the undersigned
certifies that the applicant organization will comply
with the requirements of the Act and will not allow
smoking within any portion of any indoor facility
used for the provision of services for children as
defined by the Act.
The applicant organization agrees that it will require
that the language of this certification be included m
any subawards which contain provisions for
children's services and that all subrecipients shall
certify accordingly.
The Public Health Services strongly encourages all
grant recipients to provide a smoke-free workplace
and promote the non-use of tobacco products. This
is consistent with the PHS mission to protect and
advance the physical an mental health of the
American people.
TIFYING OFFICIAL
APPLICANT ORGANIZATION^
oiL^aJl-Lowi
ATE SUBMITTED
13 fa*
PHS-516M (7/00)
Page 21
OMB Approval No. 0920-0428
PROGRAM NARRATIVE
Public Burden Statement: Public reporting burden of
this collection of information is estimated to average 4
hours per response, including the time for reviewing
instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and
reviewing the collection of information. An agency may
not conduct or sponsor, and a person is not required to
respond to a collection of information unless it displays
a currently valid OMB control number. Send comments
regarding this burden estimate or any other aspect of this
collection of information, including suggestions for
reducing this burden to CDC, Project Clearance Officer,
1600 Clifton Road, MS D-24, Atlanta, GA 30333,
ATTN: PRA (0920-0428). Do not send the completed
form to this address.
Prepare the program narrative statement in accordance
with the following instructions for all new and
competing continuation applications. Noncompeting
continuation applications and requests for changes to an
approved project should respond to Item 6(b) only.
Requests for supplemental assistance should respond to
Item 6(c) only.
The Program Narrative provides a major means by
which the application is evaluated and ranked to
compete with other applications for available funds. It
should be concise and complete and should address the
activity for which Federal funds are requested.
Supporting documents should be included where they
can present information clearly and succinctly.
Cross-referencing should be used rather than repetition.
PHS is particularly interested in specific factual
information and statements of measurable goals in
quantitative terms. Narratives are evaluated on the basis
of substance, not length. Extensive exhibits are not
required. (Supporting information concerning activities
which will not be directly funded by the grant or
information which does not directly pertain to an
integral part of the grant-funded activity should be
1. PROJECT DESCRIPTION
Because many and varied programs employ this
application form, it is not possible to provide specific
guidance for developing a project description which
would be appropriate in all cases. One aspect of the
description that is applicable to all proposals,
however, is the requirement that all project
information described in this part relate directly to the
budget information requested. The budget consists of
which the applicant estimates are required to carry
out activities under the proposed project. (A
narrative budget justification must also be provided;
see Budget Narrative, below.)
Applicants must clearly identify the physical,
economic, social, financial, institutional, or other
problem(s) requiring a solution. The need for
assistance must be demonstrated and the principal
and subordinate objectives of the project must be
clearly stated; supporting documentation or other
testimonies from concerned interests other than the
applicant may be included. Any relevant data based
on planning studies should be included or referenced
in footnotes.
In developing the narrative, the applicant may
volunteer or be requested to provide information on
the total range of health programs currently
conducted and supported (or to be initiated), some of
which may be outside the scope of the program
announcement
Applicants are encouraged to provide information on
their organizational structure, staff, related
experience, and other information considered to be
relevant Awarding offices use this and other
information to determine whether the applicant has
the capability and resources necessary to carry out
the proposed project. It is important, therefore, that
this information be included in the application. It is
equally important that the narrative distinguish
between applicant resources which are directly
related to the proposed budget and those which will
2. not be used in support of the specific project for
which funds are requested.
RESULTS OR BENEFITS EXPECTED
Identify results and benefits to be derived. For
example, when applying for a grant to establish a
neighborhood health center, provide a description of
who will occupy the facility, how the facility will be
3. used, and how the facility will benefit the general
(a) Outline a plan of action which describes the
scope and detail of how the proposed work will
be accomplished for each grant program,
function or activity provided in the budget Cite
factors which might accelerate or decelerate the
...~.v onH ctat/» vnnr reason for takings this
Page 22
PHS-5161-1 (7/00)
6. ADDITIONAL INFORMATION
(INCLUDE IF APPLICABLE)
others. Describe any unusual features of the
project such as design or technological
innovations, reductions in cost or time, or
extraordinary social and community
involvement.
(b) .
Provide quantitative monthly or quarterly
projections of the accomplishments to be
achieved for each grant program, function or
activity in such terms as the number of people to
be served and the number of patients to be
treated. When accomplishments cannot be
quantified by activity or function, list them in
chronological order to show the schedule of
accomplishments and their target dates.
Identify the kinds of data to be collected and
maintained.
List organizations, cooperating entities, con­
sultants, or other key individuals who will work
on the project along with a short description of
4. EVALUATION
Provide a narrative addressing how you will
evaluate 1) the results of your project, and 2) the
conduct of your program.
In addressing the evaluation of results, state how
you will determine the extent to which the program
has achieved its stated objectives and the extent to
which the accomplishment of objectives can be
attributed to the program. Discuss the criteria to be
used to evaluate results and successes; explain the
methodology that will be used to determine if the
needs identified and discussed are being met and if
the results and benefits identified in Item 2 (above)
are being achieved.
With respect to the conduct of your program, define
the procedures you will employ to determine
whether the program is being conducted in a manner
consistent with the work plan you presented and
discuss the impact of the program's various activities
upon the program's effectiveness.
5.
GEOGRAPHIC LOCATION
Give the precise location of the project or area to be
served by the proposed project. Maps or other
graphic aids may be attached.
STAFF AND POSITION DATA
Some programs require a biographical sketch for
key personnel appointed and a job description for
a vacant key position; others require both for all
positions. Refer to appropriate program
guidelines for guidance in fulfilling this
requirement. Generally, a biographical sketch is
required for original staff and new members as
appointed. Below are the suggested contents for
the biographical sketch and job description
where not otherwise set forth:
Biographical Sketch:
Existing curricula vitae of project staff members
may be used if they are updated and contain all
items of information requested below. You may
add any information items listed below to
complete existing documents. For development
of new curricula vitae include items below in the
most suitable format:
(1) Name of staff member.
(2) Educational background: school(s), location,
dates attended, degrees earned (specify
year), major field of study.
(3) Professional experience.
(4) Honors received and dates.
(5) Recent relevant publications.
(6) Other sources of support. [Other support is
defined as all funds or resources, whether
Federal, non-Federal, or institutional,
available to the Project Director/Program
Director (and other key personnel named in
the application) in direct support of their
activities through grants, cooperative
agreements, contracts, fellowships, gifts,
prizes, and other means.]
Job Description:
(1) Title of position.
(2) Description of duties and responsibilities.
(3) Qualifications for position.
(4) Supervisory relationships.
(5) Skills and knowledge required.
(6) Prior experience required.
(7) Personal qualities.
(8) Amount of travel and any other special
conditions or requirements.
Salary range.
Hours per day or week.
PHS-5161-1 (7/00)
Page 23
(b) OTHER INFORMATION
Discuss accomplishments to date and list in
chronological order a schedule of accomplishments,
progress or milestones anticipated with the new
funding request If there have been significant
changes in the project objectives, location or
approach, or time delays, explain and justify. For
other requests for changes or amendments, explain
the reason for the change(s). If the scope or
objectives have changed or an extension of time is
necessary, explain the circumstances and justify.
If the total budget has been exceeded, or if
individual budget items have changed more than the
prescribed limits contained in the applicable Office
of Management and Budget Circular (A-102 or
A-110), explain and justify the change and its effect
on the project.
(c) SUPPLEMENTAL REQUESTS
For supplemental assistance requests, explain the
reason for the request and justify the need for
additional funding.
BUDGET NARRATIVE
Provide a narrative budget justification which describes
how the categorical costs are derived. Discuss the
necessity, reasonableness, and allocability' of the pro­
posed costs.
Only the direct costs requested in this application need
to be justified. Do not include any items that are treated
by the applicant organization as indirect costs according
to a Federal rate negotiation agreement except for those
indirect costs included in consortium/ contractual costs.
If funds to be used for Matching/Cost Participation
(whether voluntary or required) are included in the
budget, only funds which will be used for this specific
project should be so identified. If an award is made, all
funds identified as dedicated to this project (including
funds used for cost participation) will be subject to the
applicable cost principles, audit and reporting require­
ments.
For a Supplemental application, you need justify only
those items for which additional funds are requested,
prorating the personnel costs and other appropriate parts
of the detailed budget if the first budget period of the
>»t-,r.1 Nat i on ic l»cc ttmn 10 m/Mithc
Describe the specific functions of the personnel,
consultants, and collaborators. For all years, explain and
justify any unusual items such as major equipment,
foreign travel, alterations and renovations, patient care
costs, and tuition remission. For additional years of
support requested, itemize and justify any significant
increases or decreases in any category over the first 12
month budget period. Identify such significant changes
with asterisks against the appropriate amounts. If a
recurring annual increase or decrease in personnel or
other costs is anticipated, give the percentage. In
addition, for Competing Continuation applications,
justify any significant increases or decreases in any
category over the current level of support.
INDIRECT COSTS
If indirect costs are requested in the budget, submit a
copy of the applicant organization's most current Federal
negotiated indirect cost rate agreement. If your
organization does not have a Federally negotiated rate,
contact the grants management office identified in the
program announcement for information on a contact
point to assist in the development of such a rate.
Page 25
PHS-5161-1 (7/00) . . —— no->ruM5R
CHE CKL I S T OMB Approval No. 092<W>428
Public ,
UDl l c
Burden Statement: ^ T ^ S T t o Z V l ^r^^^T^tr^^A^^&
S S S 5 S U S S ^ A f f f f l W K S ^ , ^
5
® "
ddress
-
existing data sources, gathering and maintaining[the datajneeaeo. APPUCANT: This form must be completed and
Ztf completing and reviewing the collection of m » A submitted withthe original of your application Be sure to compete
agency n£y not conduct or sponsor, andI *.personisnot squired to gu°
m
™«
of
„,,,
form Cn e c
&
me
appropriate toxasand provide
respond to a collection of information unless it £ » P ^ " "j™™V ££ information requested. This form should beiattached as toe last
ff OMB control number. Send com/nentejnoanftng J J ^ S t o ? wg L S the signed original of the applicaUon. This page is reserved
estimate or any other aspect of this
=
co » n »l *rmabon. peg £ e »
including suggestions for reducing this burden to CPI . rrojeci w__ _
—- ■ " Noncompeting ^-Competing _- e
UODl ement a
|
Type of Application: f*NEW T Continuation 1 Continuation 1 Supplemental
1.
Type or App canon: K NEW I oonuiiuauu" ■ ~~
:
■ ...—_ chmi Hed
Z T M Z (Cowing chemi st is provided to assure that proper signatures, assurances, and cenmcations nave
u
* ^ — .
Included Applicable
Proper Signature and Date for Item 18 on SF 424 (FACE PAGE) ^
2 Proper Signature and Date on PHS-5161-1 "Certifications page
3 Proper Signature and Date on appropriate "Assurances page, i.e
SF4MB (Non-Construction Programs) or SF-424D (Construction Programs) PC
4 fyour organization currently has on file with DHHS the following assurances
please identify which have been filed by Indicating the date of such filing on, the hne
provided. (All four have been consolidated into a single form. HHS Form 690)
p7 Civil Rights Assurance (45 CFR 80) '
p7 Assurance Concerning the Handicapped (45 CFR 84) — — — — — — —
& Assurance Concerning Sex Discrimination (45 CFR 86)
pt Assurance Concerning Age Discrimination (45 CFR 90 & ^ ^ ^
AC f*FR Q1\ * *• * * j J
«; Human Subjects Certification; when applicable (45 CFR 46) ^
YES Applicable
1 Has a Public Health System impact Statement for the proposed program/project
p R
2. K ^ l e ^
W
s. s i r S e i r ^ *
4. Have
E
b
?
i og' raphVcai s^chR' w^
b e e n a t t a Che d,
.
V
^! " T *
s H^ - B u d q e T i r i f ^
o r
R
5
- SM24C ( S K S Programs), been completed and included? •• g j -
5- E S S ^ ^ * r
8 FoTal^pieme'ntal ^pncaiion;'doesth^deta^budget address only the additional
r R
been included? .
PART C: .n the spaces provided below, please provide the requested ™°™™*«o:We«
Director/Prineipal l nves l i gat o
r da.gna.ed
to
Business Official to be nolided if an award is to be made. ^ ^
me orooosed Broiecl w Dro
aram.
Name
c a r o l J. S p i z z x m
NamB
Carol J. S p i z z i m _
1:2=12
" ;" '
Tlfl
„ Pr e s i de nt / Founder
me
Pr e s i de nt / Founde r JjUo
Save A Li f e Foundat i on organization
Save A Li f e Foundat i on
0r9anlZa
"
0n
" — —
9
950 West Lawrence Ave Ste #300
9950 West LawenceAve. Ste« 300 ^ ^ Sc hi l l e r Park, IL 60176
Address Sc hi l l e r Park, IL 60176
E-mail Address
e
ti »*!„«« c a r o l @s a l f . o r g
c a r o l @s a l f . o r g E-mail Address
(RAT) 928- 9683 Telephone Number
Telephono Number
v
°^ ' ■
(Ri.7\ 928- 9684 Fax Number
Fax Number ^
a < t
" . — - „ r l A L SECURI TY NUMBER HIGHEST DEGREE
APPUCANT ORGANIZATION' S 12-DIGIT DHHS EIN (If M , « * » • * SOCIAL SECURITY NUKIBSK
(847) 928-9683
(847) 928-96B4
c
' RN BS
Page 26
PHS-5161-1 a/00)
PART D- A private, nonprofit organization must include evidence of its nonprofit status with the ; ■PP«^ | °
n
- * *
of Z following is acceptable evidence. Check the appropriate box or complete the "Previously Filed
section, whichever Is applicable.

r(
c
>
r<
d
>
p(e)
A reference to the organization's listing in the Internal Revenue Service's (IRS) most recent list of
tax-exempt organizations described in section 501 (c)(3) of the IRS Code.
A CQDV of a currently valid Internal Revenue Service Tax exemption certificate.
A sSement Zm a State taxing body. State Attorney General, or other appropriate State official cert.fy.ng
iSSSfSSt organization has anonprofit status and that none of the net earnings accrue to any
private shareholders or individuals. , „i»„iw
A certified copy of the organization's certificate of incorporation or simitar document if it clearly
establishes the nonprofit status of the organization. ► ,««=««»
AnTof the above proof for a State or national parent organization, and a statement signed by the parent
organization that the applicant organization is a local nonprofit affiliate.
If an applicant has evidence of current nonprofit status on file with an agency of PHS. it will not be necessary to
file similar papers again, but the place and date of filing must be ind.cated.
on (Date)
Previously Filed with: (Agency)
H
INVENTIONS
„ this is an application for continued support, inciude: (1) the^report of < ~ ^
terms and conditions of the grant; or (2) a list of inventions already reported, or (3) a negafve cert.ficat.on.
EXECUTIVE ORDER 12372
Effective September 30. 1983. Executive Order 12372 (Inter­
governmental Review of Federal Programs) directed OMB to abolish
OMB Circular A-95 and establish a new process for consulung with
State and local elected officials on proposed Federal financial
assistance. The Department of Health and Human Services
implemented the Executive Order through regulauons at 45 CFR Part
100 (Inter- governmental Review of Department of Health and Human
Services Programs and Activit..*). The objectives of the Executive
Order are to (1) increase Stale flexibility to design a consuluoon
process and select the programs it wishes to review. (2) increase the
ability of State and local elected officials to influence Federal
decisions and (3) compel Federal officials to be respons.ve to State
concerns, or explain the reasons.
The regulations at 45 CFR Part 100 were published in the
Federal Register on June 24. 1983. along with a notice identifying
Department's programs that are subject to the provisions of Execuuve
Order 12372. Information regarding PHS programs subject to
Executive Order 12372 is also available from the appropnate
awarding office.
States participating in this program establish State Single Points of
Contact (SPOCs) to coordinate and manage the review and comment
on proposed Federal financial assistance. Applicants should contact
the Governor's office for infonnation regarding the SPOC, programs
selected for review, and the consultation (review) process designed by
their State.
Applicants are to certify on the face page of the SF-424 (attached)
whether the request is for a program covered under Executive Order
12372 and, where appropriate, whether the State has been given an
opportunity to comment.
STRUCTI ONS FOR THE SF- 424
Public reporting burden for this collection - W ° " « ^ * « j ^ ^
reviewing instructions, searching existing datasources;. Sghj f j I « *
r
S e S e o ? any other aspect of this collection of
BS^.5KM
Bud9e? Papswork Reducti on
Project (0348-0043), Washington, DC 20503.
^^is^^z^^^^^°
emHA0EU£m
^
BUDaE
''
ZEXSZXL L d e C r l d u r e t response ,o Execut e Order ,2372 and have selected ,he program
Z S Z ^ T Z , process, havener , given an opportunity to review the applicant's subm,ss,on.
Item:
Entry:
1. Self-explanatory.
2. Date application submitted to Federal agency {or
State if applicable) & applicant's control number (if
applicable).
3. State use only (if applicable).
4. |f this application is to continue or revise an
existing award, enter present Federal identifier
number. If for a new project, leave blank.
5
- Legal name of applicant, name of primary
organizational unit which will undertake the
assistance activity, complete address of the
applicant, and name and telephone number of the
person to contact on matters related to this
application.
6
' Enter Employer Identification Number (EIN) as
assigned by Internal Revenue Service.
7.
10.
11.
Enter the appropriate letter in the space provided.
Check appropriate box and enter appropriate
letter(s) in the space(s) provided:
"New" means a new assistance award.
"Continuation" means an extension for an
additional funding/budget period for a project
with a projected completion date.
"Revision" means any change in the Federal
Governments financial obligation or
contingent liability from an existing obligation.
Name of Federal agency from which assistance is
being requested with this application.
Use the Catalog of Federal Domestic Assistance
number and title of the program under which
assistance is requested.
Enter a brief descriptive title of the project. If more
than one program is involved, you should append
an explanation on a separate sheet. If appropnate
(e.g., construction or real property projects), attach
a map showing project location. For
nmaoDlications. use a separate sheet to provide a
Item: Entry:
12. List only the largest politicai entities affected (e.g.,
State, counties, cities).
13. Self-explanatory
14. List the applicant's Congressional District and
District(s) affected by the program or project.
15. Amount requested or to be contributed during the
first funding/budget period by each contributor.
Value of in-kind contributions should be included
on appropriate lines as applicable. If the action will
result in a dollar change to an existing award,
indicate only the amount of the change. For
decreases, enclose the amounts in parentheses. If
both basic and supplemental amounts are
included, show breakdown on an attached sheet.
For multiple program funding, use totals and show
breakdown using same categories as item 15.
1 6 -
Applicants should contact the State Single Point of
Contact (SPOC) for Federal Executive Order
12372 to determine whether the application is
subject to the State intergovernmental review
17 process.
This question applies to the applicant organi­
zation, not the person who signs as the authorized
representative. Categories of debt include
18. delinquent audit disallowances, loans and taxes.
To be signed by the authorized representative of
the applicant. A copy of the governing body's
authorization for you to sign this application as
official representative must be on file in the
applicant's office. (Certain Federal agencies may
require that this authorization be submitted as part
of the application.)
INSTRUCTIONS FOR THE SF-424A (Continued)
Line 7 - (continued)
Show under the program narrative statement the nature
and source of income. The estimated amount of
program income may be considered by the Federal
grantor agency in determining the total amount of the
grant.
Section C. Non-Federal Resources
Lines 8 -11 - Enter amounts of non-Federal resources
that will be used on the grant. If in-kind contributions are
included, provide a brief explanation on a separate
sheet.
Column (a) - Enter the program titles identical to
Column (a), Section A. A breakdown by function or
activity is not necessary.
Column (b) - Enter the contribution to be made by the
applicant. .
Column (c) - Enter the amount of the States cash and
in-kind contribution if the applicant is not a State or State
agency. Applicants which are a State or State agencies
should leave this column blank.
Column (d) - Enter the amount of cash and in-kind
contributions to be made from all other sources.
Column (e) - Enter totals of Columns (b), (c), and (d).
Line 12 - Enter the total for each of Columns (b) - (e).
The amount in Column (e) should be equal to the
amount on Line 5, Column (0, Section A.
Section D. Forecasted Cash Needs
Line 13 - Enter the amount of cash needed by quarter
from the grantor agency during the first year.
Line 14 - Enter the amount of cash from all other
sources needed by quarter during the first year.
Line 15 - Enter the totals of amounts on Lines 13 and
14.
Section E. Budget Estimates of Federal Funds
Needed for Balance of the Project
Lines 16 - 19 - Enter in Column (a) the same grant
program titles shown in column (a), Section A. A
breakdown by function or activity is not necessary. For
new applications and continuation grant applications.
enter in the proper columns amounts of Federal funds
which will be needed to complete the program or project
over the succeeding funding periods (usually in years).
This section need not be completed for revisions
(amendments, changes, or supplements) to funds for the
current year of existing grants.
If more than four lines are needed to list the program
titles, submit additional schedules as necessary.
Line 20 - Enter the total for each of the Columns (b) -
(e) When additional schedules are prepared for this
Section, annotate accordingly and show the overall
totals on this line.
Section F. Other Budget Information
Line 21 - Use this space to explain amounts for
individual direct object-class cost categories that may
appear to be out of the ordinary or to explain the details
as required by the Federal grantor agency.
Line 22 - Enter the type of indirect rate (provisional,
predetermined, final or fixed) that will be in effect during
the funding period, the estimated amount of the base to
which the rate is applied, and the total indirect expense.
Line 23 - Provide any other explanations or comments
deemed necessary.
SF-424A (Rev. 7-97) Page 4
OMB Approval No. 0348-0040
ASSURANCES - NON-CONSTRUCTION PROGRAMS
reviewing instructions, searching existing data sources. 9™™"*a .
e g t i ma
^
o r a n y
other aspect o« this collection of
Project (0348-0040). Washington. DC 20503.
additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
5.
6.
Has the legal authority to apply for Federal
assistance, and the institutional, managerial and
financial capability (including funds sufficient to
pay the non-Federal share of project costs) to
ensure proper planning, management and
completion of the project described in this
application.
Will give the awarding agency, the Comptroller
General of the United States, and if appropnate,
the State, through any authorized representative,
access to and the right to examine all records.
books, papers, or documents related to the award;
and will establish a proper accounting system in
accordance with generally accepted accounting
standard or agency directives.
Will establish safeguards to prohibit employees
from using their positions for a purpose that
constitutes or presents the appearance of
personal or organizational conflict of interest, or
personal gain.
Will initiate and complete the work within the
applicable time frame after receipt of approval of
the awarding agency.
Will comply with the Intergovernmental Personnel
Act of 1970 (42 U.S.C. §§4728-4763) relating to
prescribed standards for merit systems for
programs funded under one of the nineteen
statutes or regulations specified in Appendix A o
OPM's Standard for a Merit System of Personnel
Administration (5 C.F.R. 900. Subpart F).
Will comply with all Federal statutes relating to
nondiscrimination. These include but are not
limited to: (a) Title VI of the Civil Rights Act of
1964 (P.L. 88-352) which prohibits discrimination
on the basis of race, color or national origin; (b)
Title IX of the Education Amendments of 1972, as
amended (20 U.S.C. §§1681-1683. and 1685-
1686) which prohibits discrimination on the basis
of sex- (c) Section 504 of the Rehabilitation Act of
1973 as amended (29 U.S.C. §§794). wh.ch
prohibits discrimination on the basis of handicaps;
(6) the Age Discrimination Act of 1975, as
amended (42 U.S.C. §§6101-6107). which
prohibits discrimination on the basis of age;
(e) the Drug Abuse Office and Treatment Act of
1972 (P L 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (f)
the Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of
1970 ( PL 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or
alcoholism; (g) §§523 and 527 of the Pubhc Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and
290 ee-3), as amended, relating to confidentiality ot
alcohol and drug abuse patient records; (h) Title
VIII of the Civil Rights Act of 1968 (42 U.S.C.
§§3601 et seq.), as amended, relating to non-
discrimination in the sale, rental or financing of
housing; (i) any other nondiscrimination provisions
in the specific statute(s) under which application for
Federal assistance is being made; and (j) the
requirements of any other nondiscnmination
statute(s) which may apply to the application.
Will comply, or has already complied, with the
requirements of Title II and III of the Uniform
Relocation Assistance and Real Property Acqui­
sition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons
displaced or whose property is acquired as a result
of Federal or federally assisted programs. These
requirements apply to all interests in real property
acquired for project purposes regardless of Federal
participation in purchases.
Will comply with the provisions of the Hatch Act (5
USC. §§1501-1508 and 7324-7328) which limit
the political activities of employees whose pnncipal
employment activities are funded in whole or in
part with Federal funds.
Will comply, as applicable, with the provisions of
the Davis-Bacon Act (40 U.S.C. §§276a to 2768-7).
the Copeland Act (40 U.S.C. §276c and 18 U.S.C.
6874). and the Contract Work Hours and Safety
Standards Act (40 U.S.C. §§327- 333). regarding
labor standards for federally assisted construction
subagreements.
Standard Form 424B (Rev.7-97)
Prescribed by OMB Circular A-102
Created by. PSC Media Arts (301) 443-2454 XFT
10.
11.
12.
Will comply, if applicable, with flood insurance
purchase requirements of Section 102(a) of the
Rood Disaster Protection Act of 1973 (P.L 93-234)
which requires recipients in a special flood hazard
area to participate in the program and to purchase
flood insurance if the total cost of insurable
construction and acquisition is $10,000 or more.
Will comply with environmental standards which
may be prescribed pursuant to the following: (a)
institution of environmental quality control
measures under the National Environmental Policy
Act of 1969 (P.L 91-190) and Executive Order
(EO) 11514; (b) notification of violating facilities
pursuant to EO 11738; (c) protection of wetland
pursuant to EO 11990; (d) evaluation of flood
hazards in fioodplains in accordance with EO
11988- (e) assurance of project consistency with
the approved State management program
developed under the Costal Zone Management Act
of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity
of Federal actions to State (Clear Air)
Implementation Plans under Section 176(c) of the
Clear Air Act of 1955, as amended (42 U.S.C.
§§7401 et seq.); (g) protection of underground
sources of drinking water under the Safe Dnnking
Water Act of 1974, as amended, (P.L. 93-523); and
(h) protection of endangered species under the
Endangered Species Act of 1973, as amended,
(P.L. 93-205).
Will comply with the Wild and Scenic Rivers Act of
1968 (16 U.S.C. §§1271 et seq.) related to
protecting components or potential components of
the national wild and scenic rivers system.
13. Will assist
14.
15.
16.
the awarding agency in assunng
compliance with Section 106 of the National
Historic Preservation Act of 1966, as amended (16
USC §470), EO 11593 (identification and
protection of historic properties), and
th
®
Archaeological and Historic Preservation Act of
1974 (16 U.S.C. §§ 469a-1 et seq.).
Will comply with P.L. 93-348 regarding the
protection of human subjects involved in research,
development, and related activities supported by
this award of assistance.
Will comply with the Laboratory Animal Welfare Act
of 1966 (P.L. 89-544, as amended, 7 U.S.C.
§§2131 et seq.) pertaining to the care, handling,
and treatment of warm blooded animals held for
research, teaching, or other activities supported by
this award of assistance.
Will comply with the Lead-Based Paint Poisoning
Prevention Act (42 U.S.C. §§4801 et seq.) which
prohibits the use of lead based paint in
construction or rehabilitation of residence
structures.
17 Will cause to be performed the required financial
and compliance audits in accordance with the
Single Audit Act of 1984.
1B
Will comply with all applicable requirements of all
other Federal laws, executive orders, regulations
and policies governing this program.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL
3M9 f\L\feTCMhQKTWk
TITLE
"j^/nrftUKAtA^.
DATE SUBMITTED/
4hH
SF-424B (Rev. 7-97) Back
BUDGET INFORMATION - Non-Construction Programs
OMB Approval No. 0348-0044
SECTION A - BUDGET SUMMARY
Grant Program
Function
or Activity
(a)
1.
2.
3.
4.
5. TOTALS
Catalog of Federal
Domestic Assistance
Number
<b)
PA#04164
Estimated Unobligated Funds
Federal
(c)
$
$
0
Non-Federal
(d)
$
$ 0
New or Revised Budget
Federal
(e)
$
$ 0
Non-Federal
$
$ 0
Total
(g)
$ 0
0
0
0
$
0
SECTION B - BUDGET CATEGORIES
6. Object Class Categories
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Total Direct Charges (sum of 6a - 6h)
j . Indirect Charges
k. TOTALS (sum of 6i and 6j)
GRANT PROGRAM, FUNCTION OR ACTIVITY
(D
S 2 2 7 , 3 3 4
3 2 , 0 0 0
5 9 , 5 0 0
9 8 , 5 0 0
1 6 0 , 0 0 0
6 , 6 7 1
4 2 0 , 9 9 5
1 , 0 0 5 , 0 0 0
$ 1 , 0 0 5 , 0 0 0
(2)
$
0
$ 0
0)
S
0
$ 0
(4)
$
0
$ 0
Total
(5)
$ 2 2 7 , 3 3 4
3 2 , 0 0 0
5 9 , 5 0 0
9 8 , 5 0 0
1 6 0 , 0 0 0
6 , 6 7 1 •
0
4 2 0 , 9 9 5
1 , 0 0 5 , 0 0 0
0
$ 1 , 0 0 5 , 0 0 0
7. Program Income
XFT Created by: PSC Media Arts (301) 443-2454
Standard Form 424A (7-97)
Prescribed by OMB Circular A-1 02
SECTION C - NON-FEDERAL RESOURCES
(a) Grant Program
8.
10.
1 1 .
12. TOTALS (sum of lines 8 and 11)
13. Federal
(b) Applicant (c) State (d) Other Sources (e) TOTALS
SECTION D - FORECASTED CASH NEEDS
14. Non-Federal
15. TOTAL (sum of lines 13 and 14)
Total for 1st Year
$
1st Quarter 2nd Quarter
$
3rd Quarter 4th Quarter
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(a) Grant Program
16.
17.
18.
19.
20. TOTALS (sum of lines 16-19)
FUTURE FUNDING PERIODS (Years)
(b) First (c) Second (d) Third
SECTION F - OTHER BUDGET INFORMATION
(e) Fourth
21 . Direct Charges:
22. Indirect Charges:
23. Remarks
SF424A (Rev. 7-97) Page 2
3.
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
rhis disclosure form shall be completed by the reporting entity, whether subawardee or prime f ^ ^ f "
4
' ^
nitiation or receiDt of a covered Federal action, or a material change to a prev.ous filing, pursuant to title 31 U.S.C. Section
W fhe f Z o a fornT's equ^ed for each payment or agreement to make payment to any lobbying entity fonnfluencing
aLmpti to influence an officer or employee of any agency, a Member of Congress an officer or employee of C o
=
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^ l e ^ S ^ S l S t o n of the reporting entity that designates if it is, or expects to be a, pnw> or
S S ^ i S p t a T l d - r t i i y the tier of the subawardee, e.g., the first - J ^ * * ^
IS
* " .
1St
" ' •
Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
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zip code of the prime Federal recipient. Include Congressional D.stnct, if known.
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9
For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the
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10
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(b)Enter the full names of the individua.(s) performing service., and include full address if different from 10(a). Enter Last
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5.
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information is estimated to average 10 m.nutes per
r e s
r
S
° \ ' " t S l ^ regaling the burden estimate or any other
Project (0348-0046). Washington. DC 20503. '
DISCL URE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activitiespursuant to 31 U.S.C. 1352
(See reverse for public burden disclosure.)
Approved by OMB
0348-0046
1. Type of Federal Action:

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b. initial award
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3. Report Type:

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For Material Change Only:
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date of last report
Name and Address of Reporting Entity:
["" Prime f~" Subawardee
Tier
, if known:
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Congressional District, if known:
6. Federal Department/Agency:
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S. Federal Action Number, if known:
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5. If Reporting Entity In No. 4 is Subawardee, Enter Name and
Address of Prime:
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7. Federal Program Name/Description:
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CFDA Number, if applicable:
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(if individual, last name, first name. Ml):
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11. Information requested through this form Is authorized by title
31 U.S.C. section 1352. This disclosure of lobbying activities
is a material representation of fact upon which reliance was
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disclosure shall be subject to a civil penalty of not less than
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b. Individuals Performing Services (including address of different
from No. 10a.)
(last name, first name, Ml):
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Signature:
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/
A
/
Print Name:
Title:
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Date:
Authorized for Local Reproduction
Standard Form • LLL (Rev. 7-97)
DISCLOSURE OF LOBBYING ACTIVITIES
CONTINUATION SHEET
Approved by OMB
0348-0046
XFT Cit«cdl>i:rSCMiduAiuP0I)«)-2U<
Authorized for Local Reproduction
Standard Form - LLL-A
SAVE A LIFE FOR KIDS
Save a Life For Kids Quiz
School Name/Location Teacher
Student Name
Da t
e Grade Age
(Circle only one Answer that best suits the question)
1. The First things you should do in an emergency are:
a. Yell and run away.
b. Stop bleeding and cry.
c. Make sure the scene is safe, then call for help.
d. Sit down and wait for help.
2. The number to call in an emergency in our town is:
a. 911
b. 555-Help
c. My own phone number
d. Local emergency Number ( )
5. Someone who cannot help you in an emergency would be:
a. An adult
b. A baby
c A storekeeper
d. A kid your age
I. What are good clues to tell someone where you are?
a. A tree
b. Phone number, street signs, house numbers, store or park names.
c. Color of your clothes
d. A truck with large letters on the side
The best way to help someone who is not breathing is:
a. Use a fan to blow a lot of air into their face
b. Pinch their nose closed and perform rescue breathing
c. Run away
d. Cry
The best way to help someone who is choking is to:
a. Perform the Heimlich maneuver until the airway is cleared
b. Pat them gently on the back until the food comes out.
c Tell them they will be OK
d. Cough with them to show them how.
The best way to stop bleeding is to:
a. Lay down and wait for it to stop.
b. Use a tissue and keep wiping the blood off.
c. Run cold water over it
d. Press firmly with a clean cloth over the bleeding area and
lift the part above the heart if possible.
If someone is having chest pains that will not go away after a
few minutes they should:
a. Try to rest and see if it gets worse
b. Drink some ginger ale and go to sleep.
c. Be taken to the nearest hospital and check it out
d. Run around the block to keep the heart going
Do you think you could help other people in an emergency now?
a. Yes
b. No
c. Maybe
d. Don't want to
When you think about helping other people, how do you feel?
a. Scared
b. Embarrassed
c Not important to me
d. I can help them now
KiHsTftstl SrW. m (\nc.
I
NAME.
ORGANIZATION.
GRADE
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KTS5CXL' FCRMNO.F-
. , r <,srj«n»>iC0«P0n*i»"9» P35199-1M-54
12933-SALF juitawTSMSiKvtD
■ .1
r]
BUDGET BREAKDOWN AND JUSTIFICATION
SAVE A LIFE FOUNDATION H28/CCH523764-01
SALARY
PERSONNEL
ANNUAL
SALARY
y~
t>i>
^,
PERCENTAGENO.OF
OF EFFORT
<*
^
MONTHS
12
12
12
12
12
AMOUNT
REOUESTED
$90,000
$30,000
$18,900
$20,000
$36,000
Title, Name (list all personnel)
Principal Investigator, Carol Spizzirri
Program Manager (TBD)
Finance Manager, (TBD)
MIS, Frank Fuller
Dir of Communications Dane Neal
TOTAL SALARY REQUESTED $194,900
FRINGE BENEFITS
Fringe benefits applicable to direct salaries and wages are treated as direct costs. The fringe benefits rate
is 16.7% of salaries and wages.
TOTAL FRINGE BENEFITS REQUESTED
$32,548
CONSULTANT
A consultant is an individual hired to give professional advice or services for a fee but not as an employee
of the hiring party.
Mark Mitchell, DO Medical Director
St. Joseph's Hospital, Milwaukee, Wis.
Provide medical oversight of training
Programs
Au $7,200
George Gurrola FF/EMTP
Senior bilingual Instructor to orient
those qualified individuals with appropriate
Credentials in the implementation and development
of SALF's Branch Sites.
Scott Vaugh FF/EMTP Z
Senior Instructor to orient those qualified
individuals with appropriate credentials in the
Implementation and development of SALF's
Branch Sites.
Z <3fr $18,000
$22,800
Bill Pink FF/EMTP
Educational Specialist (TBD)
EMS Credentials to facilitate the orientation
and monitor all new and existing SALF
Instructional Centers
t /2>c
$52,000
TOTAL FUNDS REQUESTED FOR CONSULTANTS $100,000
• ~)
' " \
Page 2
SAVE A LIFE FOUNDATION...H28/CCH523764-01
CONTRACTUAL
Accounting
> Name of Company: C Q U J J
> Method of selection: previously retained by SALF for auditing and accounting guidance and
policy. U <*a4 "3 is familiar with the programs, policies and procedures of SALF. The
hourly rate of compensation varies subject to the services performed and rages from $90 to
t»*\ per hour.
> Period of Performance: 12 months
> Description of Activities: Outside accounting services as required by grant for suiting and
accounting oversight
SUBTOTAL CONTRACTOR /*></
Legal Services
> Name of company: £ 4 *i J
> Method of selection: This firm is currently on retainer with SALF and experience with SALF
programs and contracts. Compensation at the rate o!Ct6«/7 per hour.
> Period of Performance: 12 months
> Description of Activities: Legal fees are incurred for writing, negotiating, implementing contracts
between expansion branch offices and SALF National Headquarters. Branch office expansion
into other states requires legal advisement for each contract on an individual basis. Legal fees are
expensed to the grant when SALF is invoiced for actual services rendered which pertain to the
national project.
SUBTOTAL CONTRACTOR * y
TOTAL CONTRACTURAL FUNDS REQUESTED >B^
TOTAL EQUIPMENT REQUESTED $0
TRAVEL EXPENSES
Advisory Committee
The committee will meet, review, advise and plan in order to assist/facilitate SALF activities.
7 Individuals
3 Number of trips
$ 18,300 Transportation Costs
$ 6,250 Per Diem
Subtotal $24,550
■ ' •)
Page 3
SAVE A LIFE FOUNDATION...H28/CCH523764-01
Establish and monitor programs
Carol Spizzirri, Principal Investigator and SALF President
Dane Neal Director of Communications
Carol and Dane will travel to program sites (TBA) to establish program offices, and subsequently
monitor activities.
2 Number of Individuals
8 Number of Trips
$16,000 Transportation Costs
$4,000 Per Diem
Subtotal $20,000
Local Travel
Travel is requested to cover necessary activities locally, including statewide SALF program
monitoring, meetings, symposia, and conferences.
TBD
19,125
$7,650
$7,300
Number of Individuals
Number of Miles
Rate per mile $.40
Per Diem
Subtotal $14,950
TOTAL TRAVEL FUNDS REQUESTED $59,500
SUPPLIES
Office Supplies - includes customary supplies necessary to maintain office operations
TOTAL OFFICE SUPPLIES $17,486
OPERATIONS
We have no negotiated indirect cost rate, but request funds for basic office operations as follows:
PERCENTAGE MONTHS AMOUNT
Rent - 12 $67,600
Equipment Rental and Maintenance z? 12 $700
* ) ■ ' " >
Page 4
SAVE A LIFE FOUNDATION...H28/CCH523764-01
Insurance —» 12 $2,700
Postage and Delivery &4 12 $750
Telephone , 12 $3,250
TOTAL OPERATIONS REQUESTED $75,000
PUBLIC INFORMATION & DISEMMINATION
To acquire signage and tabletop displays for exhibiting at 7 tradeshows including the National Safety
Council conference, US Conference of Mayors Conference, National League of Cities Conference, state
Municipal League and school conferences in targeted states for the sum of $ 12,300
To acquire booth space, electrical hookup, shipping and handling of display 5 tradeshows for the cost of
$9,000
To acquire informational handout materials geared toward the audience at these exhibits, which explains
the need and success of SALF's educational programs in their schools and community. $17,095
TOTAL PUBLIC INFORMATION & DISSEMINATION $38,395
PRINTING EXPENSES
75,000 Elementary and Secondary student training books $75,000
20 Branch Operational Manuals $ 2,750
200 Instructor Training and Orientation Manuals $ 19,000
TOTAL PRINTING EXPENSES $99,500
DATA COLLECTION/WEB BASE SYSTEM
To convert programming of SALF Web base data collection system from ASP to HTML $53,000
To administer the various website hosts, maintain website and its security $33,000
To host site, maintenance agreements, computer mainframe, backup system $10,000
Each SALF student completes a Scantron test card after and or before and after class.
Depending on the need, each card is computed to demonstrate child's knowledge and retention
of skills they learned, and needed information related to geographic saturation of training,
teacher evaluation of program, instructor and class acceptance. The expansion and
maintenance of the current system is crucial for the positive results of the project.
. )
Response to Program Announcement FY2004
Program to Train and Educate Basic Life Support
For Children and Adolescents
From
SAVE A LIFE FOUNDATION, INC.
To
EXPAND THE TRAINING OF BASIC LIFE SUPPORTING
AND EMEGENCY PREPAREDNESS SKILLS
Save A Life Foundation' s Mission
"Training and developing "Bystanders", especially children, as volunteers equipped with
Life Supporting First Aid Skills to aid the injured or ill in a time of an emergency to
reduce death and disabling injuries".
BACKGROUND
Save A Life Foundation (SALF) was established in 1992 in the aftermath of a fatal motor
vehicle crash involving Christina Jean Spizzirri. Christina's mother, Carol Spizzirri
founded the organization to prevent this tragedy from happening to anyone else. SALF's
goal is to heighten public awareness of the critical importance of early intervention in
medical emergencies, and the promotion of training individuals in basic life support
techniques to provide them with practical skills necessary to perform these interventions.
Lessons learned early in life establish the behavioral patterns of a lifetime and become a
part of a person's core beliefs and values, thus SALF focuses on teaching young people
K-12, in age appropriate basic life support techniques i.e. the use of an automatic
external defibrillator (AED), clearing an airway obstruction and the Heimlich maneuver,
external hemorrhage control, positioning for shock and unconsciousness (coma), CPR,
infectious disease and biological precautions. The SALF age appropriate programs help
produce more responsible young people by providing them with knowledge, confidence,
and a desire to come to the aid of others in traumatic situations.
Congress has identified the need for a program that will prepare the public, especially
children, to deal with injury prevention and the treatment of injuries until emergency
medical services providers can arrive on the scene of an incident. The Save A Life
Foundation has developed their age appropriate training courses utilizing the NHTSA
:
)
Bystander Care National Standard Curriculum and other national standard curricula
endorsed by emergency medical experts i.e. Peter Safar, M.D. (Father of CPR) and
Henry Heimlich (Heimlich maneuver) who both formed SALF's medical board since its
inception and state and national emergency medicine agency experts in the use of CPR,
first aid and Automatic External Defibrillators.
The following activities have begun to address the need to train individuals injury
prevention and treatment of illness and injuries as identified by Congress:
SALF has:
> Implemented the Illinois and national expansion plans for SALF programs
> Established a state office in Illinois and National office to facilitator other states
> Recognizes the need to research the efficiency of Life Supporting First Aid skills as
defined by Peter Safar M.D. (Father of CPR) and Henry Heimlich (Heimlich
maneuver) to the positive outcome of the injured or ill patient.
PROJECT OBJECTIVE:
PURPOSE: To train and educate basic Life Support skills to children and adolescents
thereby reducing children, adolescent and adult morbidity and mortality sustained by
illness or injury.
GOAL:
a To provide a cadre of sufficiently trained individual with useful skills to respond in
an emergency with prompt aid to the victim until emergency professionals arrive.
Q To develop sustainable SALF sites^to accommodate the demand for training
a To develop a sufficient number of sustainable partnerships to strengthen the
success of the project
a To demonstrate that trained individuals have the ability to understand the skills
and become more willing to aid a victim of a man-made, natural or personal
emergency after learning the skills.
Q To research the efficacy of CPR and the Heimlich maneuver by compiling
existing documented information to demonstrate that deaths currently occur due
to the lack of application.
• ) ")
With the successful completion of this project, we anticipate a significant increased
willingness by the participates to aid a victim in an emergency, feel comfortable in skills
application and utilize the products produced and disseminated by this project i.e. first
aid kits and AEDs.
This objective will be reached by performing the following:
> Collect and analyze data on the implementation of the SALF programs
> Collect and analyze data on the efficiency of various skills
> Collect data on the willingness of the participant in using their new skills
> Explorer the formation of SALF branch sites within county health departments,
hospital emergency departments, fire and police departments and an Illinois state
office to reach a larger statewide Illinois audience and expand into four additional
states.
> Recruiting emergency medical service providers as Instructors
> Develop and strengthening partnerships to reach the appropriate audience including
and not limited to forming a strategic planning group made up of representatives
from federal agencies, national associations, i.e. U.S. Conference of Mayors, U.S.
Homeland Security/Citizen Corps, Medical Reserve Corps, those within emergency
medical service, and other interested parties
PHASE ONE OBJECTIVES - TO BE COMPLETED WITH CDC FUNDING
Explore an individual with expertise in educational evaluation and research and is
familiar with EMS related training to conduct an IH literature search of the efficiency of
CPR and the Heimlich maneuver by June 30. 2004
Explore the identity of a group of experts in the field of emergency medicine, education,
municipal government, corporate, federal, state and local agencies to identify states
and/or communities especially those within Illinois, to target expansion locations and
assist with the implementation by June 15. 2004.
Identify a cadre of potential master instructors from various EMS related or healthcare
agencies for inclusion of SALF Instructors in the expansion process by July 1. 2004.
• ./
Explore the expansion of SALF's existing data collection research system to monitor the
effectiveness of training "Bystanders" to evaluate their positive response of aiding the
injured or ill patient by June 1. 2004.
Explore expansion of partnerships and strengthening partnership with i.e. Office of
Homeland Security - Citizen Corps - Medical Reserve Corps, U.S. Secretary of
Education, U.S. Conference of Mayors and municipal governments, corporations, and
interested agencies July 30. 2004.
Identify potential national and local sponsoring organizations for the national expansion
program in the target states August 30. 2004.
Explore new SALF Branch sites in Illinois and nationally and orientate each new
Facilitator/Coordinator in the implementation of SALF's programs for their targeted
region June 15. 2004.
Explore targeted training locations within sited areas Mav 15. 2004
Explore that expansion of web site to accommodate expansion demand June 15. 2004.
PHASE TWO OBJECTIVES TO BE COMPETED WITH CDC AWARD:
Phase Two will be the expansion of the Save A Life Foundation on a statewide national
level.
Re-develop web site to accommodate expansion demand July 30 2004.
Implement the expansion of SALF's existing data collection research system to monitor
the effectiveness of training "Bystanders" to evaluate their positive response of aiding
the injured or ill patient by August 30. 2004.
Develop group of experts in the field of emergency medicine, education, municipal
government, corporate, federal, state and local agencies to identify states and/or
communities especially those within Illinois, will meet to discuss implementing plan of
action by September 15. 2004.
)
Explore partnerships and strengthen partnerships with agencies from the ranks of i.e.
Office of Homeland Security - Citizen Corps - Medical Reserve Corps, U.S. Secretary of
Education, U.S. Conference of Mayors and municipal governments, corporations, and
others September 15. 2004.
Begin orientations by a cadre of master instructors from various EMS related healthcare
agencies to inclusion of recruited volunteers within EMS at Instructors to begin the
training process by August 30. 2004.
Contracted individual with expertise in educational evaluation and research and is
familiar with EMS related training who conducted a IH literature search of the efficiency
of CPR and the Heimlich maneuver will present report by September 1. 2004
Secure partnerships with agencies that were previously explored i.e. Office of Homeland
Security - Citizen Corps - Medical Reserve Corps, U.S. Secretary of Education, U.S.
Conference of Mayors and municipal governments, corporations, and others September
15.2004.
Begin training students through SALF sites September 30. 2004 until Mav 30. 2005
The identification of community leaders. These leaders will be assisted to support the
introduction of the SALF programs in their communities in the targeted states and/or
communities. Those who have Citizen Corps Councils will be encouraged to bring SALF
in to their school system.
The process for the identification of the target states is already being reviewed. All 50
state and American provinces have received a letter from SALF specifying SALF's
intention to expand nationally. Additionally, several individuals have contacted SALF,
representing a number of national and local sponsoring agencies that are interested in
the expansion of SALF into their state. Letters have been sent to a number of
individuals within national organizations to evaluate that organization's interest in
participating in the formation of the statewide national expansion strategic planning
group.
* '\ - "\
■ - ■ ' ' - . ■ > '
Budget
The costs to identify the target states, form a national implementation strategic planning
committee; identify and train potential master trainers and instructors; support and
monitor the master trainers, instructors and those students they train, and collect data on
each step of the program will amount to $1.05 million. A detailed budget follows. SALF
is prepared to seek outside funds to secure the success of this project that exceeds the
FY2004 target grant award.
PROPOSED GENERAL BUDGET FOR SALF CDC GRANT
ITEM AMOUNT
Program Support Personnel 87,334
Additional personnel required for the administration of this grant. Decisions are pending
on the specific personnel. Anticipate one Education Administrator (1) Full time position
and Financial (1) Full-time. Salaries for both positions total $87,334 with benefits
Education Administrator
Responsible for maintaining existing and developing programs/projects, archives,
schedule training and orientation classes with schools, clients, branch facilitators or
Instructors in a timely manner, achieve yearly training quota's, verify tests, service
sheets, assist in maintaining data charts, insure all paperwork is funneled to appropriate
departments correctly, recruit new instructors from EMS and securing police back
ground check and IDs, order and distribute training materials and equipment, work with
finance clerk for processing paperwork, develop/assist with annual conferences and
special events.
Financial Clerk
Maintains, secures accounting records, contracts, personnel files, develops budgets by
project codes, Prepare and file quarterly grant reports, withdraw grant funds, reviews
invoices against PO's for accuracy, file back-up and prior authorization, processes
payments for signature, Record receipts and deposit monies, Prepare quarterly financial
statements, assist with tax preparations at the end of a quarter/year, prepares payroll
"* )
)
and secures benefit reimbursements, prepares/issues all employment federal/state
forms, reconcile bank statements and submit for review, Retain employee personnel files
in secured office, Maintain record of employees' time off (vacation/sick/personal days)
and daily work hours for payroll records.
Overhead 75,000
This money will be utilized for the reimbursement of rental space, phone/fax, office
machinery and service contracts, utilities, and general office supplies to conduct 50% of
SALF National office business on this project.
Independent Contractors including Instructors 100,000
The Instructor expense of compensation is based upon the current compensation
allotted by SALF for its programs. This amount is considered to be the amount of 480
hourly classes by approximately 45 Instructors to teach nearly 8,000 students, with 25
students per class, in a six-month period of operating existing SALF Branch sites. (All
Instructors must have EMS credentials and obtain, at their own expense, a police
background check before training children). An infant/child/adult set of Mannequins, for
clinical hands on practice of skills and evaluation is essential. Each set of Mannequins
cost $150 with 110 disposable lungs. Ratio, one Mannequin set per 6 students x 27 sets.
The total cost $85,000
The expense of sub-contracting SALF Senior Instructors i.e. George Gurrola FF/EMTP,
Scott Vaugh FF/EMTP, and/or Bill Pink FF/EMTP to orientate, monitor, new SALF
Instructor recruited at various new and existing SALF Branches and at actual training
sites will need the about of 600 hours @ $25 an hour. The total cost $
Marketing 38,395
Research-apply and attend trade/exhibits, make presentations at various events and
social functions, attend special events and social gatherings, seek out, develop new and
maintain relations with individuals (corporations, agencies, community leaders,
businesses) to bring funding opportunities to meet SALF's financial yearly goals,
prepares and presents media events including and not limited to special events, and
develops new.
• ) . 1
The amount allocated for advertising and marketing of the courses offered by the Branch
sites is for a period of 6 months. This allows the Nat'l SALF Office to work with new and
existing Branch sites to develop their in house materials and announce plans for
implementing the program with press coverage, in print in local papers and magazine
articles, and aired on local radio and/or television. Results can be used in advocating
business sponsorship, community response and the like. Being based within an
emergency medical setting, not a stand-alone facility, it is expected that advertising and
marketing costs can be matched with hosting facility, thus strengthening the money
allotted
Travel and Per Diem 59,500
Costs incurred in the expansion of SALF into additional states and statewide in Illinois.
These travel items will also be incurred for the travel of the national implementation
strategic planning group when attending meetings of this group. It is estimated that
there will be two meetings of the strategic planning group in various locations either in
Atlanta GA, Pittsburgh PA and Chicago, IL and/or Washington, DC. The committee is
expected to be made up of at least 14 individuals. The amount figured to cover the
transportation of each individual is $1,000 for a total amount of travel costs of $28,000.
Additional, each individual will be paid a per diem of $250. The Total amount of per
diem paid for the above 2 trips amounts to $7,000. Additional travel will be required by
the national staff to assist in the set-up of the state and or community offices. A
minimum of 10 additional trips for national staff (<1), at $1,000 per trip, has been
included in the amount of travel money budgeted including per diem costs incurred by
national staff, equaling $12,500. General travel and expenses for staff $12,000. Total
travel and per diem = $59,500
Opening State and Branch Offices including training supplies 300,000
Each Branch site will be required to have a Scantron machine and software program
costing $8,500 each. The Scantron machine carries a one-year company maintenance
agreement that is included in the cost; maintenance agreement is $900 yearly.
Research the efficacy of LSFA including CPR 6,671
Decisions are pending on the specific independent contractor with educational
evaluation and research and is familiar with EMS related training to conduct an IH
• ' )
literature search of the efficiency of CPR and the Heimlich maneuver, compile
documents and report findings for future use in publications and testimonials.
Expansion of Data Collection and Web base System 98,500
Each Branch site will be required to have a Scantron machine and software program. A
Scantron machine monitors the data it receives by inserting Scantron test cards, the
trained student has filled out after completing the SALF program. The software allows
the Scantron to process the data and transfer it into SALF's web connect so the training
results can be used for research, monitor program saturation, Instructor performance,
etc. and viewed by each SALF site. A test is given to each student at the end of the
class. The student inserts a mark on the right number bubble consistent to the question
he is answering on the Scantron card. The cards are than collected at the end of each
class and brought back to the Branch site to processing into the Scantron machine to
demonstrate the effectiveness of the program. With SALF's expansion it is will be
necessary to update and expand the programming that connects to SALF's website to
make it user friendly and assure accuracy of data collected. The total cost in developing
and installing new software, that will be connected to SALF's existing web site, and
reprogramming the web site from ASP to HTML to accommodate the new software has
been quoted by an outside vendor at ^Y. . - ' . To maintain system by SALF IT Dept. @
ah hours per week £</ with benefits. This IT Manager position will be responsible
for the orderly administration of the various website hosts, maintain website, know and
utilize graphics programs i.e. Photoshop, Illustrator, Corel Photo Paint, Quark and others
as available, working knowledge program languages i.e. C, C++, HTML, ASP, collateral
duties i.e. overall maintenance of the computers systems and installation of all software,
proof reads text, supports staff sites, data backup and NT server, work with programmer
in designing, updating web base data collection system,. Additional cost to host sites,
maintenance agreements, computer mainframe, backup system, etc., is estimated at
$10,000.
National Project Coordinator & Principal Investigator £,</
National Project Coordinator
This position is required for the general oversight of the entire project. This position will
be under the supervision of the Principal Investigator. This position directs the overall
, • ' )
' )
operation of the project. Responsible for overseeing the implementation of national
expansion of project activities, coordination with other agencies, development of
materials/manuals to effectively accomplish the project, provisions of in-service and
training, conducting meetings including teleconference calls, designs and directs the
gatherings, tabulating and interpreting of required data and reports. Responsible for
overall program evaluation including assisting in the researching and preparation of
supplemental grants and for staff/consultants performance evaluation; and is the
responsible authority of ensuring that necessary reports/documents are submitted to
CDC and SALF headquarters in a timely manner. This position relates to all program
objectives. The salary for this position is l3«V with benefits costing 13V , totally
&f> This is a full time position
Principal Investigator
Position is required as liaison between state, federal, private and public agencies in the
implementation of the project; to monitor the formation of committees and
subcommittees to successfully execute the project; provide technical assistance on
policy issues, review, analysis and recommendation for selection of joint grants and
sponsorships, oversee all afflicted with projects that they are efficient in their duties,
interact and correspond with public, State and Federal agencies, national associations,
university research centers, etc., regarding the role and function of the project and how it
relates to school health/ injury prevention and the Pre-EMS industry; participate in
budget planning, standard and policy development, oversee the creation and
implementation of new and existing programs; evaluate the job performance of each
project/committee director/s, including the National Project Coordinator to insure
progress of work is exemplary and within project guidelines and timelines. The part time
Principal Investigator will allocate a«f of work activities to the Project. The salary for this
part time position is <3 •/ vith benefits costing $ A </ totally /&/
Printing Costs $104,000
Printing costs required for the generation and distribution of SALF training programs i.e.
Master Trainer, Instructor, Branch Development Manuals, per student training books to
accommodate the estimate training of 75,000 students, program informational packets,
10
all baring acknowledgement of sponsoring agent, letterhead and other printed materials
in order to execute this project. Total cost $104,000.
Opening of State Offices and Branch Sites 300,000
Costs incurred in the set-up and administration of 4 new SALF Branch sites within
emergency or public health departments to facilitate and execute the training break
down follows:
BUDGET FOR OPENING A COMMUNITY BRANCH SITES SCHEDULED
ITEM AMOUNT
Cost per child @ $10 includes all training materials and data
Collection 29,320
Rent 3,500
Facilitator/Coordinator (part-time) with EMS credentials 20,000
Instructor Supplies (one time cost) and expense compensation 7,000
Scantron machine (one time purchase), with accessories 9,000
Office machines and supplies 2,700
Advertising and Marketing 1,000
Web connect, programming and yearly fees 3.000
TOTAL $77,320
The above costs are prorated for only a portion of the year with upfront cost contributing
to the greatest share and based on the opening of 4 new Branch sites. The actual start
up cost would reflect a larger number of children trained with a longer time frame and
could exceed $150,000. Once the initiate set-up cost is executed, a great share of
funding will targeted to the distribution of training.
Cost per Child
The amount allocated for this funding is based upon the cost for training children
in the Illinois system that was developed by SALF, identifying the average rate to
j I
train a child is $11.00. This cost includes all training and program materials,
evaluation and Scantron test cards and test process fees. It is estimated that in
the first 6 months of opening of a SALF site, a total of 2,932 children can be
trained by utilizing the SALF programs.
Facilitator/Coordinator
The amount of salary is based on local and regional averages for this job title and
the salary expected to be spent over a period of six months. The salary is based
on 50 percent of the total salary and benefits for those six months. Salary for the
six-month period will be $16,000 with benefits at $4,000 for a total amount of
$20,000.
Instructor Supplies and expense compensation
The Instructor expense compensation is based upon the current compensation
allotted by SALF for its programs. This amount is considered to be the amount of
117.28 hourly classes to teach 2,932 children, at 25 students per class, in a six-
month period of operating a new SALF Branch site. (All Instructors must have
EMS credentials and obtain, at their own expense, a police background check
before training children). An infant/child/adult set of Mannequins, for clinical
hands on practice of skills and evaluation is essential. Each set of Mannequins
cost $150 with 110 disposable lungs. Ratio, one Mannequin set per 6 students x
27 sets. The total cost $7,000 per.
Office machine and supplies
A fax machine is an integral part of any office set up, especially SALF's since
99% of all scheduling is done via fax transition. The fax will be utilized to
communicate data and reports to the national office and state office for
tabulation. It will also be utilized for confirmation of classes that are to be taught
by the stat or community SALF Instructors. It also will be a link with local media
and local representatives of training about to be preformed and/or the success of
a trained child who save a life with their skills.
' " )
The computer and accessories will be utilized for the tabulation of the data from
the classes, correspondence and a mirage of other jobs within the new office.
This is a one-time purchase for the state or community office with appropriate
programs so each Branch site can communicate with other sites frequently.
Balance includes paper, pens, and other necessary supplies to operate a SALF
successful. Total cost $5,700
PHS-5161-1 (7/00) K.J Page 23
(b) OTHER INFORMATION
Discuss accomplishments to date and list in
chronological order a schedule of accomplishments,
progress or milestones anticipated with the new
funding request. If there have been significant
changes in the project objectives, location or
approach, or time delays, explain and justify. For
other requests for changes or amendments, explain
the reason for the change(s). If the scope or
objectives have changed or an extension of time is
necessary, explain the circumstances and justify.
Provide a narrative budget justification which describes
how the categorical costs are derived. Discuss the
necessity, reasonableness, and allocability of the pro­
posed costs.
Only the direct costs requested in this application need
to be justified. Do not include any items that are treated
by the applicant organization as indirect costs according
to a Federal rate negotiation agreement except for those
indirect costs included in consortium/ contractual costs.
If funds to be used for Matching/Cost Participation
(whether voluntary or required) are included in the
budget, only funds which will be used for this specific
project should be so identified. If an award is made, all
funds identified as dedicated to this project (including
funds used for cost participation) will be subject to the
applicable cost principles, audit and reporting require­
ments.
For a Supplemental application, you need justify only
those items for which additional funds are requested,
prorating the personnel costs and other appropriate parts
of the detailed budget if the first budget period of the
If the total budget has been exceeded, or if
individual budget items have changed more than the
prescribed limits contained in the applicable Office
of Management and Budget Circular (A-102 or
A-l 10), explain and justify the change and its effect
on the project.
(c) SUPPLEMENTAL REQUESTS
For supplemental assistance requests, explain the
reason for the request and justify the need for
additional funding.
Describe the specific functions of the personnel,
consultants, and collaborators. For all years, explain and
justify any unusual items such as major equipment,
foreign travel, alterations and renovations, patient care
costs, and tuition remission. For additional years of
support requested, itemize and justify any significant
increases or decreases in any category over the first 12
month budget period. Identify such significant changes
with asterisks against the appropriate amounts. If a
recurring annual increase or decrease in personnel or
other costs is anticipated, give the percentage. In
addition, for Competing Continuation applications,
justify any significant increases or decreases in any
category over the current level of support.
INDIRECT COSTS
If indirect costs are requested in the budget, submit a
copy of the applicant organization's most current Federal
negotiated indirect cost rate agreement. If your
organization does not have a Federally negotiated rate,
contact the grants management office identified in the
program announcement for information on a contact
point to assist in the development of such a rate.
BUDGET NARRATIVE
Qt-mli^otS/Mi »c l^ce fVion 1 9 mnnt hc
)
Budget
The costs to identify the target states, form a national implementation strategic planning
committee; identify and train potential master trainers and instructors; support and
monitor the master trainers, instructors and those students they train, and collect data on
each step of the program will amount tc . *»^ million. A detailed budget follows. SALF
is prepared to seek outside funds to secure the success of this project that exceeds the
FY2004 target grant award.
PROPOSED GENERAL BUDGET FOR SALF CDC GRANT
ITEM AMOUNT
Program Support Personnel
Additional personnel required for the administration of this grant. Decisions are pending
on the specific personnel. Anticipate one Education Administrator (1) Full time position
and Financial (1) Full-time. Salaries for both positions total 6^ with benefits
Education Administrator
Responsible for maintaining existing and developing programs/projects, archives,
schedule training and orientation classes with schools, clients, branch facilitators or
Instructors in a timely manner, achieve yearly training quota's, verify tests, service
sheets, assist in maintaining data charts, insure all paperwork is tunneled to appropriate
departments correctly, recruit new instructors from EMS and securing police back
ground check and IDs, order and distribute training materials and equipment, work with
finance clerk for processing paperwork, develop/assist with annual conferences and
special events.
Financial Clerk
Maintains, secures accounting records, contracts, personnel files, develops budgets by
project codes, Prepare and file quarterly grant reports, withdraw grant funds, reviews
invoices against PO's for accuracy, file back-up and prior authorization, processes
payments for signature, Record receipts and deposit monies, Prepare quarterly financial
statements, assist with tax preparations at the end of a quarter/year, prepares payroll
6
and secures benefit reimbursements, prepares/issues all employment federal/state
forms, reconcile bank statements and submit for review, Retain employee personnel files
in secured office, Maintain record of employees' time off (vacation/sick/personal days)
and daily work hours for payroll records.
Overhead fc j
This money will be utilized for the reimbursement of rental space, phone/fax, office
machinery and service contracts, utilities, and general office supplies to conduct 50% of
SALF National office business on this project.
Independent Contractors including Instructors
The Instructor expense of compensation is based upon the current compensation
allotted by SALF for its programs. This amount is considered to be the amount of $*J
hourly classes by approximately fc* Instructors to teach nearly &%$' students, with 25
students per class, in a six-month period of operating existing SALF Branch sites. (All
Instructors must have EMS credentials and obtain, at their own expense, a police
background check before training children). An infant/child/adult set of Mannequins, for
clinical hands on practice of skills and evaluation is essential. Each set of Mannequins
cost b4 with hi disposable lungs. Ratio, one Mannequin set per 6 students x 27 sets.
The total cost . W
The expense of sub-contracting SALF Senior Instructors i.e. George Gurrola FF/EMTP,
Scott Vaugh FF/EMTP, and/or Bill Pink FF/EMTP to orientate, monitor, new SALF
Instructor recruited at various new and existing SALF Branches and at actual training
sites will need the about o £f houi ft 1 an hour. The total cost $
Marketing £ y
Research-apply and attend trade/exhibits, make presentations at various events and
social functions, attend special events and social gatherings, -seek out, develop new and
maintain relations with individuals (corporations, agencies, community leaders,
businesses) to bring funding opportunities to meet SALF's financial yearly goals,
prepares and presents media events including and not limited to special events, and
develops new.
7
)
The amount allocated for advertising and marketing of the courses offered by the Branch
sites is for a period of 6 months. This allows the Nat'l SALF Office to work with new and
existing Branch sites to develop their in house materials and announce plans for
implementing the program with press coverage, in print in local papers and magazine
articles, and aired on local radio and/or television. Results can be used in advocating
business sponsorship, community response and the like. Being based within an
emergency medical setting, not a stand-alone facility, it is expected that advertising and
marketing costs can be matched with hosting facility, thus strengthening the money
allotted
Travel and Per Diem
Costs incurred in the expansion of SALF into additional states and statewide in Illinois.
These travel items will also be incurred for the travel of the national implementation
strategic planning group when attending meetings of this group. It is estimated that
there will be two meetings of the strategic planning group in various locations either in
Atlanta GA, Pittsburgh PA and Chicago, IL and/or Washington. DC. The committee is
expected to be made up of at least 14 individuals. The amount figured to cover the
transportation of each individual is i £</ for a total amount of travel costs of bV
Additional, each individual will be paid a per diem ot The Total amount of per
diem paid for the above 2 trips amounts to . 6tf . Additional travel will be required by
the national staff to assist in the set-up of the state and or community offices. A
minimum of 10 additional trips for national staff (<1), ai AV per trip, has been
included in the amount of travel money budgeted including per diem costs incurred by
national staff, equaling : fa General travel and expenses for staff $ *, y Total
travel and per diem = h */
Opening State and Branch Offices including training supplies £ y
Each Branch site will be required to have a Scantron machine and software program
costing >»t each. The Scantron machine carries a one-year company maintenance
agreement that is included in the cost; maintenance agreement is bH /early.
Research the efficacy of LSFA including CPR AV
Decisions are pending on the specific independent contractor with educational
evaluation and research and is familiar with EMS related training to conduct an IH
8
literature search of the efficiency of CPR and the Heimlich maneuver, compile
documents and report findings for future use in publications and testimonials.
Expansion of Data Collection and Web base System 98,500
Each Branch site will be required to have a Scantron machine and software program. A
Scantron machine monitors the data it receives by inserting Scantron test cards, the
trained student has filled out after completing the SALF program. The software allows
the Scantron to process the data and transfer it into SALF's web connect so the training
results can be used for research, monitor program saturation, Instructor performance,
etc. and viewed by each SALF site. A test is given to each student at the end of the
class. The student inserts a mark on the right number bubble consistent to the question
he is answering on the Scantron card. The cards are than collected at the end of each
class and brought back to the Branch site to processing into the Scantron machine to
demonstrate the effectiveness of the program. With SALF's expansion it is will be
necessary to update and expand the programming that connects to SALF's website to
make it user friendly and assure accuracy of data collected. The total cost in developing
and installing new software, that will be connected to SALF's existing web site, and
reprogramming the web site from ASP to HTML to accommodate the new software has
been quoted by an outside vendor at A« To maintain system by SALF IT Dept. @
$f. hours per week, 6v with benefits. This IT Manager position will be responsible
for the orderly administration of the various website hosts, maintain website, know and
utilize graphics programs i.e. Photoshop, Illustrator, Corel Photo Paint, Quark and others
as available, working knowledge program languages i.e. C, C++, HTML, ASP, collateral
duties i.e. overall maintenance of the computers systems and installation of all software,
proof reads text, supports staff sites, data backup and NT server, work with programmer
in designing, updating web base data collection system,. Additional cost to host sites,
maintenance agreements, computer mainframe, backup system, etc., is estimated at
$10,000.
National Project Coordinator & Principal Investigator 140,100
9
National Project Coordinator
This position is required for the general oversight of the entire project. This position will
be under the supervision of the Principal Investigator. This position directs the overall
operation of the project. Responsible for overseeing the implementation of national
expansion of project activities, coordination with other agencies, development of
materials/manuals to effectively accomplish the project, provisions of in-service and
training, conducting meetings including teleconference calls, designs and directs the
gatherings, tabulating and interpreting of required data and reports. Responsible for
overall program evaluation including assisting in the researching and preparation of
supplemental grants and for staff/consultants performance evaluation; and is the
responsible authority of ensuring that necessary reports/documents are submitted to
CDC and SALF headquarters in a timely manner. This position relates to all program
objectives. The salary for this position is b f with benefits costing 4 *' . totally
&i This is a full time position
Principal Investigator
Position is required as liaison between state, federal, private and public agencies in the
implementation of the project; to monitor the formation of committees and
subcommittees to successfully execute the project; provide technical assistance on
policy issues, review, analysis and recommendation for selection of joint grants and
sponsorships, oversee all afflicted with projects that they are efficient in their duties,
interact and correspond with public, State and Federal agencies, national associations,
university research centers, etc., regarding the role and function of the project and how it
relates to school health/ injury prevention and the Pre-EMS industry; participate in
budget planning, standard and policy development, oversee the creation and
implementation of new and existing programs; evaluate the job performance of each
project/committee director/s, including the National Project Coordinator to insure
progress of work is exemplary and within project guidelines and timelines. The part time
Principal Investigator will allocate ^ '. of work activities to the Project. The salary for this
part time position is 4f with benefits costing <?V totally 9 V
Printing Costs $99,500
10
Printing costs required for the generation and distribution of SALF training programs i.e.
Master Trainer, Instructor, Branch Development Manuals, per student training books to
accommodate the estimate training of 75,000 students, program informational packets,
all baring acknowledgement of sponsoring agent, letterhead and other printed materials
in order to execute this project. Total cost A*
Opening of State Offices and Branch Sites 4 y
Costs incurred in the set-up and administration of 4 new SALF Branch sites within
emergency or public health departments to facilitate and execute the training break
down follows:
BUDGET FOR OPENING A COMMUNITY BRANCH SITES SCHEDULED
ITEM AMOUNT
Cost per child @ $10 includes all training materials and data
Collection
Rent
Facilitator/Coordinator (part-time) with EMS credentials
Instructor Supplies (one time cost) and expense compensation
Scantron machine (one time purchase), with accessories
Office machines and supplies
Advertising and Marketing
Web connect, programming and yearly fees
TOTAL
The above costs are prorated for only a portion of the year with upfront cost contributing
to the greatest share and based on the opening of 4 new Branch sites. The actual start
up cost would reflect a larger number of children trained with a longer time frame and
could exceed hif Once the initiate set-up cost is executed, a great share of
funding will targeted to the distribution of training.
b<]
11
Cost per Child
The amount allocated for this funding is based upon the cost for training children
in the Illinois system that was developed by SALF, identifying the average rate to
train a child is $11.00. This cost includes all training and program materials,
evaluation and Scantron test cards and test process fees. It is estimated that in
the first 6 months of opening of a SALF site, a total of 2,932 children can be
trained by utilizing the SALF programs.
Facilitator/Coordinator
The amount of salary is based on local and regional averages for this job title and
the salary expected to be spent over a period of six months. The salary is based
on 50 percent of the total salary and benefits for those six months. Salary for the
six-month period will be 6 y with benefits a 4Ly 'or a total amount of
Instructor Supplies and expense compensation
The Instructor expense compensation is based upon the current compensation
allotted by SALF for its programs. This amount is considered to be the amount of
117.28 hourly classes to teach 2,932 children, at 25 students per class, in a six-
month period of operating a new SALF Branch site. (All Instructors must have
EMS credentials and obtain, at their own expense, a police background check
before training children). An infant/child/adult set of Mannequins, for clinical
hands on practice of skills and evaluation is essential. Each set of Mannequins
cost $150 with 110 disposable lungs. Ratio, one Mannequin set per 6 students x
27 sets. The total cost $7,000 per.
Office machine and supplies
12
A fax machine is an integral part of any office set up, especially SALF's since
99% of all scheduling is done via fax transition. The fax will be utilized to
communicate data and reports to the national office and state office for
tabulation. It will also be utilized for confirmation of classes that are to be taught
by the state or community SALF Instructors. It also will be a link with local media
and local representatives of training about to be preformed and/or the success of
a trained child who save a life with their skills.
The computer and accessories will be utilized for the tabulation of the data from
the classes, correspondence and a mirage of other jobs within the new office.
This is a one-time purchase for the state or community office with appropriate
programs so each Branch site can communicate with other sites frequently.
Balance includes paper, pens, and other necessary supplies to operate a SALF
successful. Total cost $5,700
13
^MRVl c^
DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Centers For Disease Control
and Prevention (CDC)
I3JUN I
Carol J. Spizzirri, President / Founder
Save A Life Foundation
O'Hare Aerospace Center
9950 West Lawrence Avenue, Suite 300
Schiller Park, IL 60176
Reference: Award Number H28/CCH523764-01
PA Number 04164, EARMARK funds for Save A Life Foundation
Dear Ms. Spizzirri:
Enclosed is the Notice of Cooperative Agreement Award for Year 01 for the Save a Life
Program under Program Announcement Number 04164. This Notice of Award provides
the total funding approved for the budget period, which starts June 01,2004, and ends
May 31,2005. Please refer to the continuation pages of the Award Notice for pertinent
information regarding the award.
Please note that Angje Turtle is your Grants Management Specialist. If you have any
questions on this matter, please feel free to contact her at telephone number
(770) 488-2719, Fax number (770) 488-2671, or email aen4@cdc.gov.
Sincerely,
Cheryl M^Maddux /
-Grants Management Officer/
Acquisition and Assistance Branch A
Procurement and Grants Office
Attachments
cc: Business Office
Robin Forbes, NCIPC, K-62
Ben Moore, NCIPC, K-62
Jacqui Butler, NCIPC, F-41
06/ 01/ 04
PAGE
X X X X X X X X X X X X X X X X X X X X X X X K X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
xxxxx GRANTS MANAGEMENT INFORMATION SYSTEM GRANT REPORT FORM xxxxx
xxx PUBLIC HEALTH SERVICE AWARD APPROVAL LIST FOR C0021M04 xxx
X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
TRANSACTION
NUMBER
GRANT
NUMBER
CCH523764
INSTITUTION
CODE
H28/CCH523764-01 AA
CITY: SCHILLER PARK '*''
GRANTEE
NAME
BUDGET PERIOD
FROM THROUGH
SAVE A LIFE FOUNDATION
STATE: IL ZIP: 60176
ALLOWANCE
CODE
04-11957
04-11817
CAN
NUMBER
04-92102MA
04-9214072
FA
FA
APPROVED
OBLIGATION
1,005,000
15,000
TOTAL FINANCIAL ASSISTANCE AMOUNT: + 1,020,000
/"•"%
C/I/0 : BREWER KENNETH R
FINANCIAL MANAGEMENT OFFICER: SCOTT JANNIE M
GRANTS MANAGEMENT OFFICER...: MADDUX CHERYL
05/28/2004
05/28/2004
06/01/2004
06/ 01/ 2004
SUPERSEDES .AWARD NOTICE DATED
:EPT THAT ANY ADDITIONS OR RESTRICTIONS
PIOUSLY IHPOSED REHAIN I N EFFECT UNLESS !
GRANT NO.
H28/CCH523764-01
PROJECT PERIOD
06/ 01/ 2004
OH
BUD
8^/II
I
/i004
lOH
93. 136
SPECIFICALLY RESCINDED.
5. ADMI NI STRATI VE CODES
CCH28
05/ 31/ 2005
THROUGH
05/ 31/ 2005
THROUGH
DEPARTMENT OF HEALTH AND HUMAN S t K V l U L S
PUBLI C HEALTH SERVICE
CENTERS Ff ^ ' DI SEASE CONTROL AND PREVENTION
NOTICE OF GRANT AWARD
AUTHORIZATION CLEGISLATION/REGULATIONJ
SECTION 301CA) , 317CK) C2) , 3 9 1 , 392
TITLE OF PROJECT COR PROGRAM}
EARMARK - PROMOTE TRAINING & ED IN BASIC LIFE SUPPORT FOR CHILD/ADOLESCENTS
GRANTEE NAHE AND ADDRESS
SAVE A LIFE FOUNDATION
PRESIDENT AND FOUNDER
9950 WEST LAWRENCE AVENUE, SUITE 300
SCHILLER PARK, IL 60176
APPROVED BUDGET (EXCLUDES PHS DIRECT ASSISTANCE)
PHS GRANT FUNDS ONLY
TOTAL PROJECT COSTS INCLUDING GRANT FUNDS AND ALL OTHER FINANCIAL
PARTICIPATION .
(PLACE NUMERAL OH LINE) I
SALARIES AND WAGES $
FRINGE BENEFITS $
TOTAL PERSONNEL COSTS
CONSULTANT COSTS
EOUIPHENT
SUPPLIES
TRAVEL
PATIEHT CARE-INPATIENT
PATIENT CARE-OUTPATIENT
ALTERATIONS AND RENOVATIONS
OTHER.
CONSORTIUM/CONTRACTUAL COSTS
TRAINEE RELATED EXPENSES
TRAINEE STIPENDS
TRAINEE TUITIOH AHD FEES
TRAINEE TRAVEL
TOTAL DIRECT COSTS S
194,
32,
227,
100,
17,
59,
608,
6,
900
548
448
000
0
486
500
0
0
0
895
671
0
0
0
0
INDIRECT COSTS < 0 . 0 0 *
0 F SSM/ TADC)
TOTAL APPROVED BUDGET.
1 . O2O. 000
1 , 0 2 0 , 0 0 0
0"
FEDERAL SHARE
NON-FEDERAL SHARE.
1 , 0 2 0 , 0 0 0
0
1 0 . DIRECTOR OF PROJECTCPROBRAH DIRECTOR/PRINCIPAL INVESTIGATOR)
CAROL J. SPIZZIRRI
PRESIDENT AND FOUNDET
9950 WEST LAWRENCE AVENUE, SUITE 300
SCHILLER PARK, IL 60176
12. AWARD COMPUTATION FDR FINANCIAL ASSISTANCE
A. AMOUNT OF PHS FINANCIAL ASSISTANCE <FROH l l . U) $
B. LESS UNOBLIGATED BALANCE FRON PRIOR BUDGET PERIODS..t
C. LESS CUMULATIVE PRIOR AWARD(S) THIS BUDGET PERIOD..
O. AMOUNT OF FI NANCI AL ASSI ST. THI S ACTION
1,020,000
0
0_
1,020,000
13. RECOMMENDED FUTURE SUPPORT (SUBJECT TO THE AVAILABILITY
OF FUNDS AND SATISFACTORY PROGRESS OF THE PROJECT)
BUDGET
YEAR
TT
TOTAL DIRECT
COSTS
IT
BUDGET
YEAR
TT
TOTAL DIRECT
C0S7S-
14. APPROVED DIRECT ASSISTANCE BUDGET CIN LIEU OF CASK)
A. AHOUHT OF PHS DIRECT ASSISTANCE 9
B. LESS UNOBLIGATED BALANCE FRON PRIOR BUDGET PERIODS..$
C. LESS CUMULATIVE PRIOR AWARDS FROM THIS BUDGET PERIODS
D. AMOUNT OF DIRECT ASSISTANCE THIS ACTION f»
15. PROGRAM INCOME SUBJECT TO 45 CFR PART 74.SUBPART F.OR «5 CFR 92.25,
SHALL BE USED IN ACCORDANCE WITH ONE OF THE FOLLOWIKG ALTERNATIVES!
(SELECT OHE AND PUT LETTER IN BOX.)
A. DEDUCTION
B. ADDITIONAL COSTS
C. BATCHING
D. OTHER RESEARCHCADD/DEDUCT OPTION)
E. OTHER (SEE REMARKS)
H
THIS AWARD IS BASED OH AH APPLICATION SUBMITTED TO, AHD AS APPROVED BY. THE PHS ON
THE ABOVE TITLED PROJECT AHD IS SUBJECT TO THE TERNS AHD COHDITtOHS INCORPORATED
EITHER DIRECTLY OR BY REFERENCE IH THE FOLLOWING1
A.THE GRANT PROGRAM LEGISLATION CITED ABOVE. B.THE GRAHT PROGRAM REGULATION
CITED ABOVE. C.TKIS AWARD HOTICE INCLUDING TERMS AHD CONDITIONS,IF ANY,NOTED BELOW
UNDER REMARKS. D.PHS GRAHTS POLICY STATEHEHT INCLUDING ADDENDA IH EFFECT AS OF THE
BEGIHHIHG DATE OF THE BUDGET PERIOD. E.45 CFR PART 74 OR 45 CFR PART 92 AS
APPLICABLE. IH THE EVENT THERE ARE CONFLICTING OR OTHERWISE INCONSISTENT POLICIES
APPLICABLE TO THE CRAHT. THE ABOVE ORDER OF PRECEDENCE SHALL PREVAIL. ACCEPTANCE
OF THE GRAHT TERNS AHD CONDITIONS IS ACKNOWLEDGED BY THE GRANTEE WHEN FUNDS ARE
DRAWN OR OTHERWISE OBTAIHED FROH THE GRAHT PAYMENT SYSTEM.
lHAKH.b lUlHlK ILHHil AHU lUWUlUUHg Al lACHlU
SPONSOR: NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL
(NAHE-TYPED/PRINT)
M. MADDUX
CRS.EIN: 64
GRANTS MANAGEMENT OFFICER
CO- 021
1 1 9. LI ST NO.; T*Tjzr
11817 921 4072
DOCUMENT NO.
CCH523764
CCH525764
ADMINISTRATIVE CODE
. CCH28
CCH28
AHT.ACTIOH FIH.ASST
1,005,000
15,000
AHT.ACTIOH DIR.ASST
S-51S2-1 (REV.7/92) (MODIFIED CDC VERSIOH 10/92)
1A\
NOTICE OF GRANT AWARD
(Continuation Pages)
PAGE 2 of 4
DAI J£ ISSUED
GRANT NO. H28/CCH523764-01
Ann# 04164, Earmark SAVE A LIFE Foundation
TERMS AND CONDITIONS OF THIS AWARD
1. INCORPORATION: Program Announcement Number 04164, the application dated
April 13,2004, emails dated May 24,2004, and May 27,2004, are made part of this
award by reference.
2. INDD3ECT COSTS: No indirect costs have been claimed.
3. ADDITIONAL REPORTING REQUIREMENTS:
Annual progress report is due: August 31,2005. Submit an original plus 2 copies,
along with a disk, to the grants management specialist.
Financial Status Report (FSR) is due: August 31,2005. Submit one copy to the grants
management specialist.
4. CORRESPONDENCE: All correspondence (including emails and faxes) regarding this
award must be dated, identified with the award number as shown at the top right of this
page, and include a point of contact (name, phone, fax, and email).
5. PRIOR APPROVAL: ALL requests, which require prior approval must bear the
signature of an authorized official of the business office of the grantee organization as
well as the principal investigator or program or project director. Any requests received
that reflect only one signature will be returned to the grantee unprocessed. Additionally,
any requests involving funding issues must include an itemized budget and a narrative
justification of the request.
6. INVENTIONS: Acceptance of grant funds obligates recipients to comply with the
"standard patent rights" clauses in 37 CFR 401.14.
7. PUBLICATIONS: Publications, journal articles, etc. produced under a CDC grant
support project must bear an acknowledgment and disclaimer, as appropriate, such as:
This publication (journal article, etc.) was Supported by Grant/Cooperative Agreement
Number from (name of awarding agency). Its contents are solely the responsibility
of the authors and do not necessarily represent the official views of (name of awarding
agency).
8. EQUIPMENT AND PRODUCTS: To the greatest extent practicable, all equipment and
products purchased with CDC funds should be American-made.
PHS-51 52-2
• )
NOTICE OF GRANT AWARD
(Continuation Pages)
PAGE 3 of 4 DAr£ ISSUED
JUN v 2 2004
GRANT NO. H28/CCH523764-01
Ann# 04164, Earmark SAVE A LIFE Foundation
9. ACKNOWLEDGMENT OF FEDERAL SUPPORT: When issuing statements, press
releases, requests for proposals, bid solicitations and other documents describing projects
or programs funded in whole or in part with Federal money, all awardees receiving
Federal funds, including and not limited to State and local governments and recipients of
Federal research grants, shall clearly state (1) the percentage of the total costs of the
program or project which will be financed with Federal money, (2) the dollar amount of
Federal funds for the project or program, and (3) percentage and dollar amount of the
total costs of the project or program that will be financed by nongovernmental sources.
10. INSPECTOR GENERAL: For your information, the United States Department of
Health and Human Services Inspector General maintains a toll-free telephone number,
800-447-8477 (1-800-HHS-TIPS), for receiving information concerning fraud, waste or
abuse under grants and cooperative agreements. Such reports are kept confidential, and
callers may decline to give their names if they choose to remain anonymous.
11. PAYMENT INFORMATION
Automatic Drawdown:
Payment under this award will be made available through the Department of Health and
Human Services (HHS) Payment Management System (PMS). PMS is administered by
the Division of Payment Management, Program Support Center, HHS. PMS will forward
the DHHS Manual for Recipients Financed Under the Payment Management System
(PMS). PMS-270 and PMS-272 forms.
A. PMS correspondence, mailed through the U.S. Postal Service, should be addressed as
follows: Division of Payment Management, FMS/PSC/HHS, P.O. Box 6021,
Rockville, MD 20852.
B. If a carrier other than the U.S. Postal Service is used, such as United Parcel Service,
Federal Express, or other commercial service, the correspondence should be
addressed as follows: Division of Payment Management, FMS/PSC/HHS, Rockwall
Building #1, Suite 700, 11400 Rockville Pike, Rockville, MD 20852.
To expedite your first payment from this award, attach a copy of the Notice of
Grant/Cooperative Agreement to your payment request form.
12. PROHIBITION ON USE OF CDC FUNDS FOR CERTAIN GUN CONTROL
ACTIVITIES: The Departments of Labor, Health and Human Services, and Education,
and Related Agencies Appropriations Act, specifies that: "None of the funds made
available for injury prevention and control at the Centers for Disease Control and
Prevention may be used to advocate or promote gun control.
PHS-51 52-2
- o
NOTICE OF GRANT AWARD
(Continuation Pages)
PAGE 4 of 4 DA'i^ISSUED j , ,
GRANT NO. H28/CCH523764-01
Ann# 04164, Earmark SAVE A LIFE Foundation
Anti-Lobbying Act requirements prohibit lobbying Congress with appropriated Federal
monies. Specifically, this Act prohibits the use of Federal funds for direct or indirect
communications intended or designed to influence a Member of Congress with regard to
specific Federal legislation. This prohibition includes the funding and assistance of
public grassroots campaigns intended or designed to influence Members of Congress with
regard to specific legislation or appropriation by Congress.
In addition to the restrictions in the Anti-Lobbying Act, CDC interprets the new language
in the CDC's 1998 Appropriations Act to mean that CDC's funds may not be spent on
political action or other activities designed to affect the passage of specific Federal, State,
or local legislation intended to restrict or control the purchase or use of firearms.
13. CDC CONTACT NAMES:
Business and Grants Policy Contact
Angie Turtle, Grants Management Specialist
Centers for Disease Control and Prevention
Procurement and Grants Office, Branch A, Team 4
2920 Brandywine Road (M/S K-75)
Atlanta, GA 30341-4146
Telephone: (770) 488-2719
Fax: (770)488-2671
Email: AEN4@cdc. gov
Programmatic and Technical Contact
Jacqui Butler, Project Officer
Centers for Disease Control and Prevention
National Center for Injury Prevention and Control
4770 Buford Highway, NE (M/S F-41)
Atlanta, GA 30341-3724
Telephone: (770) 488-4713
Fax: (770)488-4338
Email: JAButler(a>,cdc. gov
PHS-5152-2
**_.. < son
Program Announcement No. 04164
Save-A-Life Foundation
Site Visit
Julvl3.2004
9:00 AM Collaboration
10:00 AM Budget and Timelines
10:45 AM Break
11:00 AM General Questions and Discussion
11:30 AM Next Steps
SALF staff
SALF Staff
CDC Staff
SALF Staff
CDC Staff
SALF Staff
CDC Staff
12:00 PM Adjourn
Response to Program Announcement FY2004
Program to Promote Training and Education in Basic Life Support
For Children and Adolescents
From
SAVE A LIFE FOUNDATION, INC.
To
EXPAND THE TRAINING OF BASIC LIFE SUPPORTING
AND EMEGENCY PREPAREDNESS SKILLS
Save A Life Foundation's Mission
•Training and developing "Bystanders", especially children, as volunteers equipped with
Life Supporting First Aid Skills to aid the injured or ill at a time of an emergency to
reduce death and disabling injuries".
BACKGROUND
Save A Life Foundation was established in 1992 in the aftermath of a fatal motor vehicle
crash involving Christina Jean Spizzirri. Christina's mother, Carol Spizzirri founded the
organization to prevent this tragedy from happening to anyone else. Save A Life
Foundation's (SALF) goal is to heighten public awareness of the critical importance of
early intervention in medical emergencies, and the promotion of training of individuals in
basic life support techniques to provide them with t practical skills necessary to perform
these interventions.
Lessons learned early in life establish the behavioral patterns of a lifetime and become a
part of a person's core beliefs and values. SALF has chosen to focus on teaching young
people basic life support techniques which includes calling for the ambulance (without
abandoning the patient), use of an automatic external defibrillator (AED), clearing a deep
airway obstruction, external hemorrhage control, positioning for shock and
unconsciousness (coma), CPR, infectious disease and biological precautions. The SALF
programs help produce more responsible young people by providing them with
knowledge, confidence, and a desire to come to the aid of others in traumatic situations.
The primary programs offered by SALF are "Save A Life For Kids" and "Bystander
Basics." Save A Life For Kids is a one hour program that teaches elementary school
children (kindergarten through grade eight) age appropriate emergency skills including
1
scene safety, contacting emergency medical services, opening an airway, the Heimlich
maneuver, rescue breathing, bleeding control and early heart attack care in one hour.
The two-hour Bystander Basics program for young adults (ages 13 and older) covers all
of the topics in Save A Life For Kids and adds CPR and introduction to the application of
an AED. All of the SALF programs have been carefully developed to provide age
appropriate learning activities and have been reviewed for accuracy by the SALF
Medical Advisory Board. SALF student educational programs deliver a high quality
product at no cost to the school system or child, with an average skills retention rate of
97 percent (based on testing conducted 90 days after course completion) and a 57
percent increase in desire or willingness to assist in an medical emergency (based upon
comparative testing conducted pre- and post testing).
The adult programs offered by SALF include the Bystander Basics A.E.D. program and
the Bystander Basic Advanced programs. The Bystander Basics A.E.D. program is a
three and a half hour program geared toward adults 17 years and older. The Bystander
Basic Advanced program is designed to be in compliance with the OSHA First Aid
Standard 29 CFR 1920.151 and to meet the "first aid" requirements for daycare
providers.
Congress has identified the need for a program that will prepare the public, especially
children, to deal with injury prevention and the treatment of injuries until emergency
medical services providers can arrive on the scene of an incident. The Save A Life
Foundation has developed its age appropriate training courses utilizing the NHTSA
Bystander Care National Standard Curriculum and other national standard curricula
endorsed by medical groups, national first aid training associations, and providers of
training in first aid and CPR, and Automatic External Defibrillators.
The following activities supported by CDC have begun to address the need for training in
injury prevention and for the treatment of illness and injuries as identified by Congress:
. SALF has taken an aggressive step forward to address emergency preparedness
as a whole by including infectious disease and biological precautions as part of
its Scene Safety module.
2
. SALF programs were used in developing the national education framework for
Basic Emergency Lifesaving Skills (BELS) and validated (Maternal Child Health
Bureau).
. SALF has developed a plan of action to expand SALF programs within hospital
emergency departments, fire and police departments, county public health
departments and major universities throughout the state of Illinois for the purpose
of emergency preparedness saturation.
SALF has also:
> Developed a plan of action to expand the SALF programs in the same manner nation
wide.
> Implemented the Illinois and national expansion plans for SALF programs
> Established its SALF National office to facilitate the Illinois and national expansion of
SALF programs
> Collected data on the implementation of the SALF programs
> Recognizes the need to develop a plan to research the effectiveness of trained
"Bystanders" to the positive outcome of the injured or ill patient.
PROJECT OBJECTIVES:
PURPOSE: To promote training and education in Basic Life Support for children and
adolescents thereby reducing children, adolescent and adult morbidity and mortality
sustained by illness or injury.
GOAL: To significantly decrease mortality and morbidity due to injury or illness and
reduce the astronomical costs to society in caring for injured or ill patients.
With the successful completion of this project, we anticipate that there will be a
significant reduction in the morbidity and mortality from injuries and/or illness, as more
and more children and adults utilize the products produced and disseminated by this
project. This objective will be reached by performing the following:
> Expand the SALF programs statewide in Illinois and at the national level
> Evaluate the pilot national expansion of the SALF programs
> Collect data on the implementation of the SALF programs
3
> Establish SALF branch sites within county health departments, hospital emergency
departments, fire and police departments, and a state office to oversee effectiveness
and saturation
SCOPE OF WORK
Upon award. SALF will form a national implementation strategic planning group made up
of representatives from federal agencies, national associations, including not limited to
U.S. Conference of Mayors, Citizen Corps partners, and those within emergency
medical service, and other interested parties. We will:
> Identify potential national, state and local sponsoring organizations
> Identify potential target audiences - to include children, school systems, healthcare
centers, employers and others.
> Identify community leaders and work with them to support the introduction of the
SALF programs in their communities and incorporate businesses to assist with
funding.
> Identify cadre of potential independent community instructors (ICI) from various EMS
related healthcare organizations and agencies.
> Identify state or communities to be targeted for Illinois and national expansion and
the establishment of new state SALF sites.
> Present periodic master ICI training courses to increase the recruitment of ICIs
> Support and monitor the master trainers as they train ICIs.
> Support and monitor the ICIs as they begin to train the participants
> Collect data on each step of the project and continue with data collection as an
ongoing activity
> Begin to develop a plan to research the effectiveness of trained "Bystanders" to the
positive outcome of the injured or ill patient.
> Improve the data collection system, now in place, to secure ready access of results
to those in need of that data.
4
PHASE THREE
TASKS FOR PHASE THREE - TO BE COMPLETED WITH CDC GRANT FUNDING
T a s k 1 1 ;
Develop a plan to research the effectiveness of trained "Bystanders" to
the positive outcome of the injured or ill patient.
SALF will contract an individual with expertise in educational evaluation and
research and is familiar with EMS related training to conduct this task
SALF will coordinate a group of experts in the field of emergency medicine.
education, municipal government, corporate, federal and state agencies and target
interested communities to conduct a pilot study.
SALF will work with federal and state agencies to secure additional funds in the
development and implementation of this project including the collection of data.
T a s k 1 2 :
Identify states and/or communities, especially those within Illinois, to be
targeted for expansion throughout Illinois and nationally.
SALF will identify states and/or communities for implementation of the expansion of
its programs, i.e. Maryville. IL, DeKalb, IL. Chicago. IL. Hanover Park. IL,
Springfield. I L, Pontiac. IL., Northbrook. IL.. Trenton. I L. Pittsburgh, PA. Miami.
FL, Milwaukee. W , These states and communities will then be assisted in the
establishment of a state or regional office for continued coordination of the SALF
programs.
T a s k 1 3 :
Form a national implementation strategic planning group made up of
representatives from Federal Agencies, national associations, and
interested individuals.
SALF will canvas the EMS community, the educational community, professional
organizations and Federal agencies for interested participants in this process i.e..
Congressman John Porter, retired. DC. Walt Stoy, Ph.D, University of Pittsburgh
Medical Center. Ed Sommers. U.S. Conference of Mayors, DC. Peggy Trimble.
RN, State EMS Director. PA, Suzanne Krohn, Assist.. U.S. HHS. Region V, IL.
5
T a s k 1 4 :
identify potential national and local sponsoring organizations for the
national expansion program in the target states.
SALF will canvas national and local sponsoring organizations in the target states
for interested participants in the expansion process i.e., McDonald's Corporation.
Nextel Communication, Holland and Knight Law Firm
T a s k 1 5 ;
identify community leaders and work with them to support the introduction
of the SALF programs in their communities in the target states and
communities.
SALF will identify the community leaders and work with them to support the
introduction of the SALF programs in the communities chosen for Illinois statewide
and national implementation, i.e. Steve Martin. Ph.D. Director Cook County Public
Health. Elmwood Mayor Peter Silvestri. West Central Municipal Council, Cook
County Councilman Peter Silvestri, Cook County Board of Directors, Bill Jaconetti
Chicago Police, Larry Matkaitis, Assistant Deputy Fire Commissioner, Chicago Fire
Department. Mac Neal Foundation, McDonald's Corporation. Arnie Duncan, CEO,
Chicago Public Schools,.
T a s k 1 6 ;
The establishment of state offices within the targeted states and or
communities.
State offices will be established within the states and/or communities that were
targeted for the expansion of SALF programs as described in Milestones on pg. 13.
T a s k 1 7 :
identify a cadre of potential master instructors from various EMS related
healthcare organizations for inclusion as master trainers in the expansion
process.
SALF will identify potential master instructors from various EMS related healthcare
organizations for inclusion as master trainers in Illinois statewide and national
expansion process i.e. Sid Blumstein, EMTP Chicago Fire Dept. and Ben Abo,
EMTP, Director Center of Emergency Medicine. Pennsylvania.
6
T a s k 1 8 ;
SALF will present a master trainer course to the potential instructors
included in the statewide and national expansion process.
SALF will present a master trainer course to the preciously identified instructors
included in the national and statewide expansion process. SALF will utilize the
previously developed master trainer course.
T a s k 1 9 :
SALF will support each new SALF site established in Illinois and
nationally by orientating each new Facilitator/Coordinator in the
implementation of SALF's programs for their targeted region.
SALF will orientate each new Branch Facilitator/Coordinator in the implementation of
SALF's programs and present each with a SALF Branch Development Manual for
step by step instruction on recruiting and training master trainers and new Instructors
from within their region, the proper method of data and evaluations collections and
how to monitor the saturation of SALF's programs into all schools and the
community.
T a s k
20: Support and monitor each Branch Facilitator/Coordinator and their
monitoring of master trainers and Instructors as they begin to train the
participants within their Region.
SALF will contract an individual with expertise in educational evaluation, familiar
with EMS, demonstrates strong ability to train and has management skills to
conduct this task.
SALF will develop a process for the on-going support and monitoring of the trainers
and Branch Facilitators/Coordinators as they implement SALF programs into their
communities.
T a s
k 21: Support and monitoring master trainers, Instructors, and Branch
Facilitators/Coordinators as they begin to train the participants.
SALF will develop a process for the on-going support and monitoring of the trainers
as they begin training participants in each program by use of a web base data
collection system
7
SALF will re-develop its existing data collection system to accommodate a better
monitoring control for anticipated expansion
Task 22: Collect data on each step of the project and continue with data collection
as an on-going activity with the use of a Scantron card data collection
system.
PHASE ONE AND PHASE TWO: FIELD-TESTING THE PROGRAM
Phase One of this project was completed in 2003. The Save A Life Foundation began
the child, adolescent and adult educational programs in 1995, following the identification
of a need in 1992 and the gradual development of the programs during the years of
1993 to 1998. The decision was made to place these programs in the local schools
systems. The participation of the school systems would insure reaching the greatest
number of children across all race and socio-economical levels. Phase One was
accomplished prior to the request for this grant and included the implementation of the
program in the state of Illinois, most specifically in the Chicago and Cook County
suburban area, centrally and in southern rural area of the State of Illinois.
To date the following has been accomplished by SALF:
Identify a need for basic life supporting training for the public. This need was identified
in 1992 with the establishment of the Save A Life Foundation, Inc., and an established
nationally recognized non-for-profit organization. It also was identified in 1990 by the
National Highway Traffic Safety Administration's "Bystander Care Curriculum" created by
world-renowned emergency medical professionals, i.e., Walt Stoy Ph.D and Dr. Peter
Safar M.D. Professor and Scientist University of Pittsburgh Medical Center.
Identify potential target audience, to include children, school systems, health centers,
employers and others.
Identify potential local sponsoring organizations. This has been a difficult and on-going
process that includes areas of funding for this foundation, since little or no attention has
been placed on "response" by the federal and or state governments, but rather on
"prevention".
8
Developed age appropriate training programs for children, adolescents and adults,
including master trainer and trainer courses for potential independent instructors. These
target audiences were identified in 1997 with the development of SALFs first pilot
training in Chicago with its Save A Life For Kids and the Bystander Basics programs it
developed in 1995.
Identify target group leaders and work with them to support the introduction of the SALF
programs in their communities. This process includes the implementation of a local
branch of SALF within emergency departments of St. John's, Alexian Brothers, St.
James hospitals, fire and police departments including Northbrook Fire Department and
Trenton Police Department in Illinois, and St. Joseph's Hospital in Wisconsin.
Identify a cadre of instructors within the Emergency Medical Service community.
Present a master trainer course in the state of Illinois
Support and monitor the master trainers as they train the trainers in the State of Illinois
and Wisconsin.
Collect data on each step of the project and continue with data collection as an on-going
basis with the States of Illinois and Wisconsin.
Established a partnership with the Office of Homeland Security - Citizen Corps, Medical
Reserve Corps, U.S. Conference of Mayors and municipal governments.
During Phase One and Phase Two the Save A Life Foundation has been able to bring
the educational programs it has developed to nearly one million students since the
inception of the training programs in 1997. Current data collection has shown that
students trained in the SALF programs have a 97 percent skills retention rate after three
months and a 57 percent positive attitude change in the willingness of helping those in
need. If the federal government had funded these important and necessary activities, it
would have cost approximately 3.5 million dollars. The success of this program in the
state of Illinois alone shows that the program is ready for statewide expansion nationally.
Specific accomplishments (Tasks 1-10):
9
Task 1 /Completed): Identify a need for basic life supporting training for the public
SALF identified a need for basic life support training for the public to deal with
injury prevention and the treatment of injuries until emergency medical services
providers can arrive on the scene of an incident.
Task 2 /Completed): Identify potential target audience, to include children, school
systems, health centers, employers and others.
SALF identified the potential target audiences for inclusion in the training programs
developed by SALF. The audiences selected were children and adolescents.
Task 3 /Completed): Identify potential local sponsoring organizations
SALF identified local sponsoring organizations in the target areas for interested
participants in the basic life support training programs.
Task A /Completed): Develop age appropriate training programs for children,
adolescents and adults in basic life supporting techniques.
Includes master trainer and trainer courses for potential
instructors in the State of Illinois and nationally.
SALF developed age appropriate training programs for children and adolescents.
These programs were presented in local school systems throughout the state of
Illinois and have expanded into Wisconsin, Pennsylvania and Florida. The master
trainer course was presented to potential instructors through the state of Illinois for
expansion of these new programs.
Task 5 /Completed): Identify community leaders and work with them to support the
introduction of the SALF programs in the communities chosen
fro the children and adolescents training program.
Task 6 /Completed): Identify a cadre of potential instructors from various EMS related
healthcare organizations.
SALF identified potential instructors from various EMS related healthcare
organizations for inclusion as instructors in these programs.
10
Task 7 (Completed): Present a master trainer course
SALF presented a master trainer course to the potential Instructors, previously
identified for local programs in the state of Illinois and else where.
Ta
*w R .Completed): Support and monitor the master trainers as the train the trainers.
SALF has implemented a process for the on-going support and monitoring of the
master trainers as they implement the trainers in each program in the state of
Illinois and else where.
Task 9 ^Completed): Support and monitor the trainers as they begin to train the
participants throughout the state of Illinois and else where.
SALF has implemented a process for on going support and monitoring of the
trainers as they train participants in each program in the state of Illinois and else
where.
Task 10 (Completed): Collect data on each step of the project and continue with data
collection as an on-going activity.
SALF collected data on each step of the project focusing on the participant's skills
retention rate and the participant's willingness or desire to assist in a medical
emergency upon comparative testing conducted pre- and post- testing.
PHASE THREE (To be accomplished beginning FY04)
Described in Deliverables 11-19, pages 14-15
Phase Three of this program will be the expansion of the Save A Life Foundation on a
statewide national level.
The identification of the states and communities to be targeted, for national expansion
and the establishment of a state office within those targeted states with Branch sites
located within communities.
11
The formation of a national implementation strategic planning group made up of
representatives from Federal agencies, national associations, and interested individuals.
The identification of potential national and local sponsoring organizations for the
expansion of program into those targeted states.
The identification of community leaders. These leaders will be assisted to support the
introduction of the SALF programs in their communities in the targeted states and/or
communities.
The identification of a cadre of potential instructors from carious emergency medical
related facilities, organization for inclusion as master trainers in the expansion process.
The presentation of a master trainer course to the potential instructors included in the
expansion process
The support and monitoring of the master trainers as they train the trainers for the
national expansion process
The support and monitoring of the trainers as they begin to train the participants
The collection of data on each step of the project and a process for the continuation of
data collection as an on-going activity including.
The process for the identification of the target states is already being reviewed. All 50
state and American provinces have received a letter from SALF specifying SALF's
intention to expand nationally. Additionally, several individuals have contacted SALF.
representing a number of national and local sponsoring agencies that are interested in
the expansion of SALF into their state. Letters have been sent to a number of
individuals within national organizations to evaluate that organization's interest in
participating in the formation of the statewide national expansion strategic planning
group. (See Attachments)
12
Test Sites
During Phase Three, the states participating in the national expansion process will be
formally selected. These states will provide a representation of highly urban to very rural
areas and have been identified as Pennsylvania and Illinois.
MILESTONES
DUE DATES
Months from Award Date
Formation of a national implementation strategic planning group
i.e., Congressman John Porter, retired, DC, Walt Stoy, Ph.D,
University of Pittsburgh Medical Center, Ed Sommers, U.S.
Conference of Mayors, DC, Peggy Trimble, RN, State EMS
Director, PA, Suzanne Krohn, Assist., U.S. HHS, Region V, IL
Identification of the target states i.e., Illinois, Pennsylvania,
Wisconsin. North Carolina, Florida,
Identification of the potential national and local sponsoring
organizations for the targeting states i.e., McDonald's Corporation,
Nextel Communication, Holland and Knight Law Firm
Identification of community leaders
2 months
2 months
3 months
4 months
Establishment of Branch sites in the targeted locations i.e.,
Anderson Hospital, Maryville, IL, Northern University, DeKalb, IL,
Cook County Public Health, Chicago, IL, Alexian Brothers Medical
Center, Hanover Park, IL, St. John's Hospital, Springfield, IL.,
St. James Hospital, Pontiac, IL., Northbrook Fire Dept., Northbrook,
IL., Trenton Police Dept., Trenton, IL., Children's Hospital, Chicago,
IL.! Children's Hospital, Pittsburgh, PA, O.E.M. Dade County,
Miami, FL, St. Joseph Medical Center, Milwaukee, Wl., 10 months
Establishment of state offices in the targeted states i.e., Springfield,
IL Center for Emergency Medicine, Pittsburgh, PA, Office of the
Governor, Raleigh, NC, Office of the Miami Mayor, Miami, FL. 8 months
Presentation of a master trainer for future trainers
Support and monitoring - via web base - data collection
6 months
6 months
Develop "Test Sites" in Cook County Public Health, Chicago, IL,
to monitor suburban and urban regions, and Center of Emergency
Medicine, Pittsburgh, PA to monitor rural regions over three years. 7 months
Support and monitoring of the trainers and their students
on-going
13
Collection of data
o n
9
o i n
9
Draft Final Report 16 months
Print Final Report 18 months
In addition, SALF will submit quarterly interim reports throughout the grant period
summarizing activities for that period and listing any problems that might arise.
Deliverables
Task 11: Identify states to be targeted for national expansion.
SALF will submit the names of the states chosen for national expansion i.e.,
Illinois, Pennsylvania, Florida, North Carolina, Wisconsin,
Task 12: Identify communities within Illinois expansion
SALF will submit the names of the municipalities chosen for statewide expansion
within Illinois and else where i.e., Maryville, IL, DeKalb, IL, Chicago, IL, Hanover
Park, IL, Springfield, IL. Pontiac, IL, Northbrook, IL, Trenton, IL.
Task 13: Form a national implementation strategic planning group made up of
representatives from federal agencies, national associations and interested
individuals
SALF will submit the names of the national implementation strategic planning
group notify the state points of contact i.e., Congressman John Porter, retired,
DC Walt Stoy, Ph.D, University of Pittsburgh Medical Center, Ed Summers, U.S.
Conference of'Mayors, DC, Peggy Trimble, RN, State EMS Director, PA,
Suzanne Krohn, Assist. Director, U.S. HHS, Region V, IL.
Task 14: Identify potential national and local sponsoring organizations for the
national expansion program in the target states.
SALF will submit the names of the national and local sponsoring organizations in
the target states i.e. McDonald's Corporation, Holland and Knight Law Firm,
Nextel Communications.
Task 15: Identify target group leaders and work with them to support the
introduction of the SALF programs in the communities chosen for
statewide and national implementation.
14
SALF will submit names of target group leaders i.e., Citizen Corps points of
contact, Council of Government, National Safety Council, Federal Reserve
Corps, Federal Emergency Management points of contact, National Fire Chiefs
Association, Center for Emergency Medicine, U.S. Secretary of Education.
Task 16: The establishment of state offices within the target states.
SALF will submit the names of the states, site and date of establishment of the
office. Additionally, SALF will summit the name and professional vitae of
individuals chosen as State Administrators i.e., Illinois, Mike Hamilton, EMTP
Pennsylvania, Steve Orebaugh, M.D., Wisconsin, Mark Mitchell, M.D.
Task 17: SALF will present a Master Trainer Manual to master trainers to train
potential instructors and a Branch Development Manual to
Facilitators/Coordinators in the national expansion process.
A Branch Development Manual will be given to each new Branch Facilitator
and/or Coordinator, depending on the site's location who will in turn present a
copy of the Master Trainer Manual to each new Master Trainer to train the
potential new Instructors. A copy of each will be included in the final report.
Task 18: Collect data on each step of the project and continue with data collection
on an on-going process.
Data collected during the term of this grant will be included in the final report,
along with a list of successful saves reported by those students we train. Data
will be collect by each student completing a pre-post and retest on a Scantron
card after each training, which will be brought back to Branch site for processing
through their Scantron machine that is connected to SALF's national web base
data collection system. Results can than be reviewed by individual Branch sites
as to the performance of those their instructors have trained and divided up
region, age, economic and social status
15
Task 19: Develop a plan to research the effectiveness of training "Bystanders" to
the positive outcome of the injured or ill patient.
Work with Federal, State, and local agencies to develop a research component,
which will measure the effectiveness of training "Bystanders" verses, non-trained
"Bystanders" in the interacting of the injured or ill patient prior to EMS arrival and
if it demonstrates a positive outcome for the patient.
Budget
The costs to identify the target states, form a national implementation strategic planning
committee; identify and train potential master trainers and instructors; support and
monitor the master trainers, instructors and those students they train, and collect data on
each step of the program will amount to $1.1 million. A detailed budget follows. SALF is
prepared to seek outside funds to secure the success of this project that exceeds the
FY2004 grant award.
PROPOSED GENERAL BUDGET FOR SALF CDC GRANT
ITEM
A M 0 U N T
Program Support Personnel 82,834
Overhead
7 5
-
0 0 0
Independent Contractors including Instructors 105,000
Marketing
5 0
-
4 9 8
Printing
1 3 1
'
3 0 0
Travel and Per Diem 59,500
Opening of State and Branch Offices including training supplies 305,868
Developing a Plan of Action for Research 20,000
Monitoring Data Collection and Redeveloping System 114,900
National Project Coordinator & Principal Investigator 155,100
Subtotal 1.100,000
16
Web Design and Data Collection System
Additional web design support money needed to be included in this grant to further the
marketing of the SALF materials for easy access by potential national and local entities'
interested in the national expansion process. To give exposure of activities existing and
new Branch site activates and to use in monitoring and data collection, through in
interactive Scantron data connection system for these sites. It will also acknowledge
sponsors for this expansion and allow them, and others, to see the progress of their
sponsorship. Total expected cost.' This can be evidenced in Task 14 through
Task 18.
Printing Costs
Printing costs required for the generation and distribution of SALF training programs,
Master Trainer, Instructor, and Branch Development Manuals, promoting the programs
for interested parties with acknowledgement of those who are sponsoring of the
expansion. Total cost . Printing costs can be incurred in Task 11 through Task
18.
Travel and Per Diem
Costs incurred in the expansion of SALF into additional states and statewide in Illinois.
These travel items may also be incurred for the travel of the national implementation
strategic planning group when attending meetings of this group as stated in Task 13. It
is estimated that there will be two meetings of the strategic planning group in various
locations either in Atlanta GA, Pittsburgh PA and Chicago, IL and/or Washington, DC.
The committee is expected to make up of at least 14 individuals. The amount figured to
cover the transportation of each individual is for a total amount of travel costs of
Additional, each individual will be paid a per diem ot The Total amount
of per diem paid for the above 2 trips amounts to . Additional travel will be
required by the national staff to assist in the set-up of the state and or community offices.
A minimum of 10 additional trips for national staff (<1), at per trip, has been
included in the amount of travel money budgeted including per diem costs incurred by
national staff, equaling General travel and expenses for staff . - Total
travel and per diem =
17
Opening of State Offices and Branch Sites
Costs incurred in the set-up and administration of the new state offices as stated in Task
11 through Task 17. The budget break down follows this document on page 19.
National Project Coordinator
This position is required for the general oversight of the entire project. This position will
be under the supervision of the Principal Investigator. A Job Description and curriculum
vitae are attached. The salary for this position is ^
&
with benefits costing £ *
totally This is a full time position.
Principal Investigator
Position required for the total oversight of this grant. A Job Description and curriculum
vitae are attached. This individual will oversee and supervise the entire project. The full
time principal investigator will allocate of work activities to the National Project and
ftfr ->f work to the Illinois state SALF activities. The salary for this position is, &0
with benefits costing #>** totally &<.
Program Support Personnel
Additional personnel required for the administration of this grant. Decisions are pending
on the specific personnel. Anticipate two Education Specialists (1) full-time position and
(1) part-time, and one (1) part time position as Grant Coordinator. Salaries for all three
positions total $82,834 with benefits
Grant Coordinator
This position will coordinate the functional aspects of the grant and assist other
states in obtaining additional grants for support of the new state or community
office while monitoring this grant for accuracy. A Job Description and Curriculum
vitae are attached. This is a part-time position.
Educational Specialists
These positions will provide the evaluation and the comparison document
required by Task 17 through Task 19. Full and part time position are needed.
18
BUDGET FOR OPENING A COMMUNITY BRANCH SITES SCHEDULED
|
TE
M AMOUNT
Cost per child @ $10 includes all training materials and data
Collection
Sf
Rent
Facilitator/Coordinator (part-time) with EMS credentials
Instructor Supplies (one time cost) and expense compensation
Scantron machine (one time purchase), with accessories
Office machines and supplies
Advertising and Marketing
Web connect, programming and yearly fees
TOTAL
The above costs are prorated for only a portion of the year with upfront cost contributing
to the greatest share and based on the opening of 4 new Branch sites. The actual start
up cost would reflect a larger number of children trained with a longer time frame and
could exceed $150,000. Once the initiate set-up cost is executed, a great share of
funding will targeted to the distribution of training.
Cost per Child
The amount allocated for this funding is based upon the cost for training children
in the Illinois system that was developed by SALF, identifying the average rate to
train a child is & *\ This cost includes all training and program materials,
evaluation and Scantron test cards. It is estimated that in the first 6 months of
opening of a SALF site, a total of 2,932 children can be trained by utilizing the
SALF programs.
19
Rent
The amount of rent is estimated on local and regional basis. This money will be
utilized for the reimbursement of rental space being used by the new
community's SALF Branch site.
Facilitator/Coordinator
The amount of salary is based on local and regional averages for this job title
and the salary expected to be spent over a period of six months. The salary is
based on^c >ercent of the total salary and benefits for those six months. Salary
for the six-month period will be K> * vith benefits at £<» for a total amount
of 6t
Instructor Supplies and expense compensation
The Instructor expense compensation is based upon the current compensation
allotted by SALF for its programs. This amount is considered to be the amount of
117.28 hourly classes to teach 2,932 children, at 25 students per class, in a six-
month period of operating a new SALF Branch site. (All Instructors must have
EMS credentials and obtain, at their own expense, a police background check
before training children). An infant/child/adult set of Mannequins, for clinical
hands on practice of skills and evaluation is essential. Each set of Mannequins
cost 3 with ' lisposable lungs. Ratio, one Mannequin set per 6 students x
27 sets. The total cost $
Scantron
Each Branch site will be required to have a Scantron machine and software
program. A Scantron machine monitors the data it receives by inserting Scantron
test cards, the trained student has filled out after completing the SALF program.
The software allows the Scantron to process the data and transfer it into SALF's
web connect so the training results can be used for research, monitoring program
saturation, Instructor performance, etc. and viewed by each SALF site. Each
Scantron machine carries a one-year company maintenance agreement that is
included in the cost. Although the Scantron machine is a one-time purchase, the
20
maintenance agreement f^L yearly. SALF is currently looking into other
avenues to illuminate this machine while obtaining the same proficiency for its
program system. Total cost of Scantron S * »^ -
A test is given to each student at the end of the class. The student inserts a mark
on the right number bubble consistent to the question he is answering on the
Scantron card The cards are than collected at the end of each class and brought
back to the Branch site to processing into the Scantron machine to demonstrate
the effectiveness of the program, evaluate the Instructor, student's response to a
questions, etc.. This system can be easily tailored to accommodate any future
research needed within a target area or audience. Cost per card with processing
is £«/ total cost + i5< Totalin *f~
Office machine and supplies
A fax machine is an integral part of any office set up, especially SALF's since
99% of all scheduling is done via fax transition. The fax will be utilized to
communicate data and reports to the national office and state office for
tabulation. It will also be utilized for confirmation of classes that are to be taught
by the stat or community SALF Instructors. It also will be a link with local media
and local representatives of training about to be preformed and/or the success of
a trained child who save a life with their skills.
The computer and accessories will be utilized for the tabulation of the data from
the classes, correspondence and a mirage of other jobs within the new office.
This is a one-time purchase for the state or community office with appropriate
programs so each Branch site can communicate with other sites frequently.
Balance includes paper, pens, and other necessary supplies to operate a SALF
successful. Total cost 5 h *f
Advertising and Marketing
The amount allocated for advertising and marketing of the courses offered by the
Branch sites is for a period of 6 months. This allows each office to develop their
materials and announce plans for implementing results which can be used in
advocating business sponsors, community response and the like. Being based
21
within an emergency medical setting, not a stand-alone facility, it is expected that
advertising and marketing costs can be matched with hosting facility, thus
strengthening the money allotted.
Web connect and programming
Web connection and programs to conduct emails and virus protection are
required for the operation of Scantron system to SALF's national office to
monitoring data and Instructor collection, linking with other Branch sites for joint
activity support, marketing purposes, acknowledging local sponsors, and help
with the expansion within the region of that Branch. It also will serve in
transmitting text, and support messages via email. Yearly direct connect services
are based upon amounts required by offices currently in use in the State of
Illinois. The money allocated is for a period of 1 year of operation due to required
contract agreements not set by SALF. Total cos' ^
22
SALF/CDC
Schiller Park, IL
NOVEMBER '04 REPORT
1. Executive Summary
2. Program Update
3. Accounting Update
4. Budget
5. Marketing Update
6. Scheduling Update
7. IT Update
8. Web/Scantron Update
9. Branch Updates
a. Hanover Park, IL
b. Chicago, IL
c. Milwaukee. WI
PARTI
EXECUTIVE SUMMARY
Great progress has been made at SALF in the past quarter. SALF has expanded into
Florida, North Carolina and Pennsylvania, and pre-existing programs in Illinois and
Wisconsin have been expanded. SALF is working to create programs in Washington
D.C, Arizona and New York, just to name a few. We have met with the ML, NOAA,
Chicago Bar Association, National Citizens Corp, NASCAR, AHA and USCM. SALF
also met twice in person with CDC- meetings which took place in Chicago in July, and in
Atlanta in August. There will be many events in the coming year- kick-off events at
branches throughout the country, a presentation to the U.S. Conference of Mayor's in
January, and the annual Bridge the Gap Summit in March. In terms of training, we
currently have a total of 49 Instructors actively training, and to date SALF has trained
almost 4,000 students since school began in September. This means that SALF expects
to not only meet the agreed upon contractual number of 8,000 students to be trained, but
to far exceed it, possibly training over 30,000 school children this school year alone.
Additionally, the originally goal for number of Instructors was 45. By the end of the year
SALF expects to have nearly 100 Instructors throughout the country- more than double
the original goal.
A. Major Project Accomplishments/Barriers
• Mini-grants awarded to branches in FL, WI, PA and IL.
• Working on developing a program in Washington D.C. with Mayor Anthony
Williams.
• Awarded grant from Blue Cross / Blue Shield Charities
• Awarded grant from Ronald McDonald House Charities
• Over 3,000 children trained in the Chicagoland area alone since school began in
September.
• Major barrier continues to be growth beyond current operating capability. More
attention must be given to the financial needs of the organization in order to
match the level of interest and potential of SALF. Upgrades are needed in
technology in order to continue to expand. Additional staff is needed to assist in
daily operations at headquarters.
• Another barrier is the lack of available research on issues related to pre-EMS
services. This issue, however, is one that SALF hopes to address by
implementing its own research plan.
B. Personnel Changes (since June '04)
• Donna Achs, Director of Accounting, June '04
• Ryan Marks, Webmaster, August '04
• Josh Roberts, Public Affairs Manager, September '04
• Ciprina Spizzirri, Communications Director, October '04
• Ed Stare, National Director of State Development, June '04
• Mandy Vlasz, National Program Director, July '04
1
PROGRAM UPDATE
Department: Accounting
PARTI
PROGRESS REPORT OF GOALS AND OBJECTIVES
(List
#
1
3
4
and report only the objectives and activities for this report period)
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
USPO - get not for profit status
Research various insurance
companies for Health, Dental,
Life and ADD for more cost
effective rates.
Complete Workers Comp. Audit
for 5/20/03 - 4/25/04 plan period.
Tried to dispute the Class Code
of8868vs. 8810.
Trying to get quotes for current
WC policy.
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Filed correct forms with appropriate documentation
with the USPO.
Received quotes from two brokers and for eight
different plans. Reviewed coverage for most cost
effective results. Current plan company was raising
rate by 34%.
Paperwork completed and faxed to Insurance company.
Spoke with Insur. Company regarding class and they refused
to change to class 8810. Called NCCI to get their opinion on
what our class should be, and they think that class 8868 is
correct
Need to reapply with Liberty Mutual for quote and also
working with agent from Mack and Packer for quotes from
other companies. We need to decide on Class code b/41 can
get rates.
OUTCOMES
Did you accomplish what you set out to accomplish?
objective accomplished? If not, why?
Rec'd "Not for Profit Status"
£
fdr-{)
i t "
Was the
1
6
PART II
ACTION PLAN - Future Activities other than those listed above
(List and report onlv the objectives and activities for this report period)
#
2
3
4
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objectively and its measure.
Research Registration to do
Business Forms in the following
States: FL,NY,DC
Audit for short year ending
6/30/04
Re-evaluate the cost to train per
student.
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Started on FL, but we needed an "Original Certificate
of Existence" from IL to proceed. Certificate was
requested with $5 check 9/13/04- will take 2-3 wks to
get.
Called Denise Urban to set up time to do audit
Started work sheet. Need to review with Carol to see
if I missed any costs.
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
Just received "Original Certificate of Existence" from IL.
Will send in Registration for FL by 10/20/04.
They will be out here Oct 5 to start the audit.
Audit fieldwork completed, waiting for report and tax
returns.
Work sheet was reviewed with Carol, we have agreement
on cost to train.
7
Department: Program Management
PARTH
PROGRESS REPORT OF GOALS AND OBJECTIVES
(List and report only the objectives and activities for this report period)
#
1
2
3
4
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
Oversee mini-grant application,
selection and award process for
each branch
Management of each department
Search for additional revenue
streams
Research
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Collection and maintenance of letters of intent,
distribution of application, provided technical
assistance to each branch as they worked on the
application, submitted applications to board for review
and approval, distribution of letters of award to each
awardee, notification of state/local leaders of award in
region.
Developed system for project delegation and oversight
for each department.
Review weekly any updates/additions to any
federal/state grant notifications received. Write grants
for any applicable grants, both from private funders
and the government
Assisted in creation of long-term research plan.
(attached)
In-house, perform daily research to keep up-to-date on
any new developments relevant to the SALF cause.
Created research documents incorporating public
surveys.
Attended meeting in Atlanta with CDC to discuss
possibilities.
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
As of Oct. 25, awards have been granted to branches in
Miami, Milwaukee, and Pennsylvania. Milwaukee has
already received their first draw down. Miami and PA will
follow shortly.
Two branches in Illinois have submitted letters of intent to
apply for funds through the National Office. Applications
went out late October. Awards to be granted mid to late
Nov.
Ongoing.
Ongoing. Goal is to be able to secure resources to hire
additional staff member to assist in this function.
Currently seeking funding for long-term research project
#
5
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
New Branch Development
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Worked with interested parties in Miami, Phoenix,
Washington D.C., Pittsburgh, Philadelphia, New York,
Santa Barbara, Sacramento, Waco.
3
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
Miami- will be up and running in November.
Phoenix- working with elected officials and medical professionals to
determine best way to establish SALF in the Phoenix area.
Washington D.C.-working with Mayors office to determine best
application of SALF in the DC public schools-
Philadelphia- working to bring the program into the Philadelphia public
school system.
New York- interested hospital identified, working on funding.
Santa Barbara- home of interested elected official. Working to identify
ways to bring the program in over the next year.
Sacramento- interest from the Governor's office- working to have first
lady of California as an advocate.
Waco- identified individual who runs a youth home, may be interested in
offering training to her residents.
PARTIH
ACTION PLAN - Future Activities
(List and report only the objectives and activities for this report period)
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objectively and its measure.
Newsletter
Scantron
Funding
Secure relationship within
government agency- "Chrissy's
Law"
Standardization of all systems
related to expansion of the SALF
program.
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Identified key individuals who will be responsible for
the creation and dissemination of the electronic
newsletter. First issue out early November (Attached)
Identified ways to expand current scantron program to
include potential future needs. Implemented short-
term solution.
Continue to identify additional sources of funding-
additional funds necessary for, but not limited to, the
following:
• hire additional staff
• continue technology upgrades
• expand research capabilities
Exploring/ researching possibilities.
OUTCOMES
Did you accomplish what you set out to accomplish? Was
the objective accomplished? If not, why?
Ongoing
A long-term solution will begin implementation in
December- completely upgraded system ready for use by
summer'05.
Standardization of all materials including contracts,
policies, etc., related to bringing a SALF program into
a community- whether SALF is brought in through a
Mayor's office or through a Hospital Emergency room.
Ongoing
Ongoing.
Ongoing.
4
6
7
8
9
10
11
12
Partnerships
Grants
Miami
American Trauma Society/ PA
Chicago, EL
Milwaukee, WI
Hanover Park, IL
Establishing/Strengthening relationships with groups
such as NOAA, USCM, and NASCAR
Working to write additional grant proposals.
To date, four grant applications have been submitted.
Six more have been identified and are in the process.
Miami will begin training children in mid-November.
Currently getting contract sign off from Mayor's
office, and recruiting a facilitator.
Instructor recruitment will begin early November.
ATS will begin training students by mid-November.
Currently working the contract through their board,
and recruiting Instructors.
Training began in September.
Currently have 15 Instructors, with three more starting
next month.
Training began in October. They have over 500
students scheduled to be trained.
Currently have 21 Instructors.
Training began in July.
Currently have 13 Instructors.
Currently have trained almost 1,000 children.
Will work to create partnership which will include training
program and dissemination of NOAA radios to schools.
Will be presenting to USCM delegation in January.
Continuing partnership on Race for Life- plan to expand
current relationship being drafted.
Goal is to secure additional funds through out the year.
The goal is to have 10 Instructors train 10,500 students
before the end of May.
Goal is to have 10 Instructors by the end of the project
period.
Goal is to train at least 1,500 students during the school
year.
Goal is to have 7 Instructors by the end of the project
period.
YTD over 3,000 students have been trained.
Goal is to train at least 8000 students this school year.
Goal is to have Instructors by the end of the project
period.
Goal is to get program in the Milwaukee Public Schools
much the same way that the program is in the Chicago
Public Schools.
The goal is to have 15 Instructors by the end of the school
year.
The goal is to train 5,000 children.
5
ACCOUNTING
BUDGET
Save A Life Foundation, Inc.
Budget Vs. Actual - NATIONAL 6/2004-5/2005
TOTAL
Ordinary Income/Expense
Income
4000 • Govt Grants
4099 HHS/CDC 2001-2004
Total 4000 ■ Govt Grants
4300 ■ Special Events Income
4600 ■ Course Materials
4650 • Interest Income
Total Income
Gross Profit
Expense
6050 ■ Accounting Services
6120 • Bank & Credit Card Fees
6140 • Branch Development
6240 • Dues & Subscriptions
6750 • Insurance
6800 ■ Legal/Professional Fees
6850 • Llcense/Permit/Flling Fees
7010 • Marketing & Public Relations
7050 • Meetings & Conferences
70B0 ■ Office Supplies & Expenses
7200 • Payroll Expense
7205 • Benefits - Employee
7215 • Taxes W/H - Employee
7220 • Salaries/Wages-Employee
7225 ■ Independent Contractors
7230 • Payroll Service Fee
7200 • Payroll Expense - Other
Total 7200 • Payroll Expense
7310 ■ Postage and Delivery
7450 • Recruitment
7480 • Rent
7510 • Repairs and Maintenance
7700 ■ Telephone
7750 • Training Materials-Free Trng
7800 • Travel/Lodging/Meals
7830 ■ Web Communications
Total Expense
Met Ordinary Income
Jan '04 - May 05
64,957.25
Budget
1.020.000.00
$ Over Budget
(955.042.75)
64,957.25
440.00
0.00
7.10
65,404.35
65.404.35
3.882.48
0.00
25,000.00
0.00
2,106.02
10.004.40
0.00
2,637.11
5,276.46
2,367.96
302.69
14.884.82
142,638.06
10.433.63
1,518.35
0.00
169.777.55
1.517.93
0.00
50.488.00
762.00
6,238.40
42.64
11.456.48
3.752.23
295,309.66
(229,905.31)
1.020.000.00
0.00
0.00
0.00
1.020,000.00
1,020,000.00
3.200.00
0.00
300,000.00
0.00
2.700.00
3,471.00
0.00
29,395.00
9,000.00
17,486.01
44.238.00
0.00
264,900.00
53.319.99
0.00
0.00
362,457.99
750.00
0.00
67,599.96
699.96
3.249.96
99,500.04
59,500.08
60,990.00
1.020.000.00
0.00
(955.042.75)
440.00
0.00
7.10
(954.595.65)
(954.595.65)
682.48
0.00
(275,000.00)
0.00
(593.98)
6.533.40
0.00
(26.757.89)
(3.723.54)
(15.118.05)
(43,935.31) •
14.884.82
(122.261.94)
(42.886.36)
1.518.35
0.00
(192.680.44)
767.93
0.00
(17.111.96)
62.04
2.988.44
(99,457.40)
(48,043.60)
(57.237.77)
(724.690.34)
(229,905.31)
Net Income
(229,905.31) 0.00 (229,905.31)
MARKETING
Department: Marketing
PARTI
ACTION PLAN
(List and report only the objectives and activities for this report period)
PERIOD OBJECTIVES
What did you set out to
accomplish? List each objective
and its measure.
Bridge the Gap Summit
Create and Maintain
updated informational
materials for the SALF
PERI OD ACTI VI TI ES
What activities were performed related to the
objective? Describe level of progress made in
meeting each objective.
Summit will be held in the Spring this year instead of the
fall because of the election.
Major duties will consist of assisting the program
coordinator with all activities leading up to and extending
throughout the duration of the Summit These activities
include;
• Securing financial backing and sponsorships
through hospitals, local businesses and large
corporations, local/regional sports teams,
politicians/legislators, local schools and
leaders and prevalent persons throughout the
community
• Booking all reservations and accommodations
of those planning to attend the event, including
general guests, panelists, talent, staff, special
guest speakers and potential celebrities
• Developing a thorough, yet cost effective
budget that will allow us to utilize all financial
avenues, in turn, maximizing awareness of
LSFA in the local community
• Develop secondary themes that will coincide
with the panelists, special guest speakers and
prevalent issues pertaining to overall safety in
the local community
• Create and distribute pre and post-workshop
questionnaires to track the attitudes of those
attending and to determine the overall
effectiveness of the Summit
OUTCOMES
Did you accomplish what you set out to accomplish?
Was the objective accomplished? If not, why?
In correlation with previously existing marketing
materials, specialized pieces, geared toward specific
targets will be utilized. Included in these efforts will be
specialized pieces for;
• Hospitals
• Local businesses and large corporations
» Local schools
&&) ..£*£
8
PERIOD OBJECTIVES
What did you set out to
accomplish? List each objective
and its measure.
PERIOD ACTIVITIES
What activities were performed related to the
objective? Describe level of progress made in
meeting each objective.
Develop Media
Kits/Help Restructure
the SALF Website and
Newsletter
Assisting SALF
Branches in Developing
Their Own Marketing
Plan
• Media kits will be distributed to all current and
potential sponsors and business associates of
SALF. They will also be posted electronically
via the SALF website (www.salf.org1
• I will be working with Ryan, our web
developer, to help renovate our website. This
process will include exploring sponsorships,
writing and posting relevant articles and
developing marketing and promotion ideas for
the website.
• In connection with working on the website, I
will also be working toward developing a
weekly/monthly newsletter. This newsletter
will go out in tangible form, as well as
electronically, via our website. It will give the
community a general "heads-up" in regard to
what the SALF has had its hands in recently
and what key events and opportunities will be
in the near future.
In addition to promoting ourselves, we will also be
looking toward other media outlets (local newspapers,
magazines mostly, occasional TV spots for emotional
effect) for additional coverage in spreading awareness of
our organization and its life-influencing benefits.
• Branch offices in Pennsylvania, Wisconsin,
Illinois and Florida will require a unique twist
on the way that they market themselves to
their local communities. Due to differences in
climate, political and social attitudes, ethnicity,
recreational interests, etc, many creative
marketing opportunities exist
Whether it be bilingual instruction sessions or a "Day at
the Beach" SALF field trip in the Florida branch, or a
"Day on the Ice" with your favorite hockey player during
an unbearable winter in Pennsylvania, there are many
opportunities for currently existing and newly forming
branch offices to receive some positive, public
recognition
OUTCOMES
Did you accomplish what you set out to accomplish?
Was the objective accomplished? If not, why?
5
6
7
Comcast
U.S. Conference of Mayors
Community Involvement
Working with Comcast to create PSA's-
possibly using NASCAR driver Travis
Geisler.
PSA's will be cut and then taken to the
January US Conference of Mayors meeting-
where each mayor will have the opportunity to
record a personal message to add to each
"donut" to be aired in his or her area.
Will be presenting at the January meeting in
Washington DC
Appeals have gone out to local sports teams to
begin building partnerships.
Ads need to be complete by January- running
shortly thereafter.
Working to have Miami Mayor Manny Diaz
also present at the conference re: Miami
program.
Ongoing project- working to create a model to
be followed by all branches.
10
SCHEDULING
*
Department: Scheduling
PARTI
PROGRESS REPORT OF GOALS AND OBJECTIVES
(List and report only the objectives and activities for this report period)
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
Develop Nat'l Inventory
Management program guidelines
Orientate current and future IL,
PA, & WI Facilitators
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Created process document
Held two day training session (8/30 - 8/31) in Chicago
office for seven (7) Facilitators.
Orientate IL Facilitator
(Collinsville for Anderson
Hospital)
Develop incentive plan for
Corporate sponsorship program.
Conducted on-site training at Anderson Hospital on
Sept 28. Attendees: Eric Brandmeyer (Facilitator);
Mr. Page, Hospital CEO
Created a document listing ideas and methods designed
to incentize corporate America to join SALF in our
mission.
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
Implemented.
Yes. Yes
Yes. Yes
Ongoing
11
IT
i
Department: IT
PARTI
PROGRESS REPORT OF GOALS AND OBJECTIVES
(List and report only the objectives and activities for this report period)
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
Upgrade of Server, Server
operation and Network
Components by purchasing new
equipment and upgrading
operating system and utilities.
Upgrade operating systems and
identify equipment to be replaced
Enhance email system with
server to expand capabilities and
employ nationwide information
sharing
Restructure data collection
system for wider latitude of
usability
Reconfigure Network for
operations with new equipment
and enhanced connection to
website. Identify and replaced
items at end of life or limiting
efficiency of network
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Change in methods for storage and access. Purchase of
new server to support expanded storage and upgrade
components for reliability.
Designed deployment method for system.
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
Redesign access needs and established new company wide
procedures for data storage.
Tested workstations for capability. Identified those not
useable.
Prepare to go live with improved mail collection and
company wide scheduling information.
Identified future needs and abilities
Replaced network switch with enhanced unit to
improve operations and reliability. Replaced Backup
peripherals to handle longer power loss times.
Modifications for collection systems. Expand useage.
Network data traffic throughput improved
12
PART II
ACTION PLAN - Future Activities other than those listed above
(List and report only the objectives and activities for this report period)
#
1
2
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objectively and its measure.
Identify obsolete workstations.
Research usage and methods of
data collection to monitor future
needs and improve efficiency.
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Will begin work with Ryan in December.
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
Ongoing
Ongoing.
13
WEB / SCANTRON
Department: Web/Scantron
PARTI
PROGRESS REPORT OF GOALS AND OBJEC
(List
and report only the objectives and
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
activities for this report period)
www.salf.org Website
Improvements
A professional organization
needs a professional
website. The following
improvements must be
made and constitute a
complete overhaul of the
salf.org website.
PERIOD ACTIVmES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Scantron Data Collection
Planned Improvements:
Website Content Updates - 10% Complete
Website Copyright Audit - 75% Complete
Website Architecture Audit - 100% Complete
Website Architecture Redesign - 90%
Complete
Develop New Graphic Design = 10%
Complete
Develop Templates - 100% Complete
Migrate Content to Templates - 85%
Complete
Website Accessibility Updates - 75%
Complete
Website W3C Standards Updates - 85%
Complete
Website Internet Connection Optimizations -
85% Complete
Website Search Engine Ranking
Optimizations - 50% Complete
Implement content management using
Macromedia Contribute 3 - 95% Complete
Save A Life Foundation uses Scantron testing
equipment to monitor the effectiveness of our
programs. We collect test results from branch offices
using an Online Web Application. The entire
system is composed of Scantron scanning machines,
software to interface with the scanner, and online data
collection and reporting. For the 2004-05 school year
some of our branches required better reporting tools
then what we offer online. In order to provide what
14
/ACTION PLAN
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
The website is a work-in-progress. Due to the
large amount of content, I will be completing
each objective on a page-by-page basis on the
live salf.org website until all pages have had the
improvements applied. A few of the above
improvements, such as Architecture Redesign,
New Graphic Design, and Search Engine
Optimizations, have to be postponed for logistical
reasons until the ouier improvements have been
applied to the entire website.
Long Term Solution - Beginning of project slated for
December 2004. For a long-term solution, we plan to
develop software in-house to streamline data collection,
provide better online reporting tools, and to break our
reliance on third party developers.
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
was needed, we standardized on a new Scantron test
form and now offer a third party software solution. In
order to standardize on the new form, we needed to
update the software that interfaces with the Scantron
machine and update the Web Application.
Short Term Solution
o Develop Documentation - 100%
Complete
o Scantron Scanner Software Solution
- 100% Complete
o Web Application Fixes - 100%
Complete
The Short term solution is complete
and ready to be installed at various
branches.
15
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
BRANCH UPDATES
Hanover Park, IL
Milwaukee, WI
Chicago, IL
Hanover Park, IL
Parti
Executive Summary
Within the month of September, the Save A Life Foundation Hanover Park Branch
developed strong leads within key school districts in their service area. District 46, one
of the largest school districts in Illinois, is very interested in incorporating SALF
programs into their programs within the next month. Also, District 20 also seems very
interested in incorporating the SALF programs into their health education period at the 6
1
grade level. The Dist. 20 administration desires that the SALF program primarily focus
on practical experience, as a result of basic first aid, Heimlich Maneuver and CPR being
taught in their current curriculum. Further meetings will be coordinated to discuss
options with the health teacher and the SALF Facilitator. In regards to corporate
sponsors, a grant has been mailed to the *5 f for review a donation of
£ «f to support the training of 600 in Dist. 46.
Suggestions: Seek grants from large foundation! *&*t
•* V distributing evenly among all SALF
branches.
17
PARTH
PROGRESS REPORT OF GOALS AND OBJECTIVES
Location: Hanover Park. Illinois
[List and report only the objectives and activities for this report period)
Report Period: November 2004
#
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Make contacts with School
Districts in SALF HP's service
area.
Further develop classes at
YMCAs.
Mayor Irv Bock and Megan Caspall presented SALF
to the Superintendents of the following school districts-
12,10,46 and 20.
Mayor Bock has contacted ABHN's insurance contact
person regarding the status of the contracts. Contracts
are still in progress.
Develop relationship with
surrounding corporations.
Mayor Bock, Ed Stare, and Megan Caspall attended
the Illinois Municipal League Conference, providing
several leads for state development Mayor Bock and
Megan Caspall attended the NSACI Conference,
gaining contacts with potential corporate sponsors in N
and NW suburbs of Chicago.
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
Yes, superintendents have passed this information to
principals, district nurses and/or Assistant Superintendents.
Objective was met. Waiting to hear results from schools.
We have made consistent contact with the YMCA verifying
any changes that are needed in request from the YMCA.
Waiting for completed contract to progress further.
Yes, several new leads were provided to the HP Branch,
which the office has followed up on.
18
PARTi n
State:
ACTION PLAN - Future Activities other than those listed above
Hoover Park, Tllinois Report Period: November 2004
(List and report on/jr the objectives and activities for this report period)
#
PERIOD OBJECTIVES
List each objective and its
measure.
Begin classes at Campanelli and
Buehler YMCA.
Begin classes at school districts
15,20, 25,46,54, and 108, along
with parochial schools.
Continue to obtain strong leads
for corporate sponsors for SALF.
PERIOD ACTIVITIES
Describe activities to be performed related to the
objective
Place 2' x 3' poster in YMCA front lobby. Begin
classes Oct. 1,2004. Coordinate instructors for each
training course.
Follow-up with each district from September meetings.
Mayor Irv Bock will continue to contact local
corporations, presenting the option of the Adopt-A-
School Program.
EXPECTED OUTCOMES/EVALUATION
Coordinate consecutive classes every Saturday of each
month. A different course will be offered each Saturday for
one month.
Begin classes within the month of October within several
schools within each district. Minimal outcome - present
SALF information to other key people within district.
Gain sponsorship.
19
Chicago, IL
PARTI
PROGRESS REPORT OF GOALS AND OBJECTIVES
Location: Chicago
Report Period: November 2004
(List and report only the objectives and activities for this report period)
PERIOD OBJECTIVES
What did you set out to accomplish?
List each objective and its measure.
Chicago Instructors
Recruit and Train additional
Instructors.
CPS/RMHC
BC/BS
PERIOD ACTIVITIES
What activities were performed related to the objective?
Describe level of progress made in meeting each objective.
Four training sessions conducted to orientate ICI's on
proper trainiSg methods.
Two instructors identified and interviewed- they
should be training by mid-November.
Training of 7500 Chicago Public School children (per
RMHC grant) began in September- 2,000+ children
trained so far.
Training of 3,500 CPS students (per grant) began in
Sept
OUTCOMES
Did you accomplish what you set out to accomplish? Was the
objective accomplished? If not, why?
Yes. Yes.
Yes. Yes.
Training will continue throughout year.
Training will continue throughout year.
20
SALF-MILWAUKEE
Major Project Accomplishments/Barriers
Conference with Division of Public Health in Appleton Wisconsin. The conference topic were:
Metropolitan Medical Response system/strategic national stock-pile activities, Cross border coordination,
science of anthrax, hospitals, surveillance and pandemic influenza, integrated communication, preparedness
volunteer projects,'protective equipment, roles for non-bioterrorism staff. My role at this conference was to
network and see if mere ways to partner with the health department to be apart of the planning and training
for "preparedness training". It was a learning experience and one that I will be following up with. I have
again called Mayor Barrett and Sheriff David Clarke to reschedule an appointment to discuss the city
citizens corp. group. I also ask Mayor Bock to place a Mayor to Mayor call and see if he can influence the
Milwaukee mayor to see the importance of the SALF. 1 have identified two projects that I want to achieve
coming from this conference.
1) Persuade the city decision makers that SALF is an important element to assist them
in their endeavor of communicating to all citizens the preparedness trained.
2) Work with more corporation, village leaders, and school systems.
On October 16, and 23, 2004 Save A Life Foundation of Milwaukee will be working with the Marketing
department of St. Joseph Regional Medical Center. We will have a community day that will focus on
Emergency medicine and the different project of SALF. This will involve the neighborhood schools of
Sherman elementary, Washington High, Custer High, Milwaukee school of Language, Park Lawn YMCA,
Mary Ryan Boys and Girls and other community organizations. We will be collecting coats for the needy
and giving out information on the programs that are offered here at SJRMC. Perry Medic will be our
celebrity guess.
On October 18,2004 we will start training Sherman Elementary 3rd, and 5th graders in Save A Life for
Kids. The training will be for the school year.
On October 18, 2004 we will start to train students a Custer High School. We are still working out the
schedule.
I have a meeting scheduled at Milwaukee school of Language, French Immersion, Spanish Immersion and
Washington High School for October 7,2004.1 have worked this 3 of theses schools in the past so it will
be just to develop our action plan.
I have called Gwendolyn Moore who is running for congresswomen of Wisconsin to schedule a meeting. I
am just waiting for her office to return the call with a date. Ms. Moore was indorsed by the school board
and I would like to see if she could assist us in some of the funding. I would also like to see if you could
help us get in MPS front door.
Save A Life Foundation of Milwaukee working in conjunction with St. Joseph Regional Medical Center is
doing a group project for employees that will demonstrate the necessity of the following areas: This is an
important partnership for me and Save A Life because we have gained great respect through out the
community and this will be a great opportunity to help the hospital demonstrate how we have achieved this.
• Why focusing on excellence is so important
• How does percent excellent scores tie to customer loyalty
• Why do hospitals sometime struggle to achieve service excellence and why is it
difficult to implement
SALF Milwaukee had an tri-service on September. 10.2004 to go over new policies and the manual ,'
■»' ' r w v
1
> UXi ^ 4 „„"» , ' •t < <( i I (
21
Progress Report of goals and objectives:
Location: Milwaukee Wisconsin
Period Objectives
To train students (3rd and 5th graders) at
Sherman Elementary
To train students at Custer High School.
Work with Community Learning Center
(CLC) and their after school program
Period Activities
We will start on
10/18/04 and end
at close of school
year
The principal is
deciding grade
level
We have worked
with CLC in the
past and we will
do some after
school project
with the MSP
students.
Reoort Period: November
Outcome
In progress
20%
12%
22
SALF Hanover Park Branch Update
June, 2004
Update information:
♦ 06/01/04 - Coordinated training for Yorkville school teachers.
Result:
A minimum of 20 (max. 25) teachers in the school districts surrounding Yorkville
will be trained in Bystander Basics. Date of training is Aug. 2; time not established.
Location of training will be at Yorkville Middle School. Cost is $25/student. Contact
person is Barry Groesch.
♦ 06/03/04 - Summer school training at Conant possibility.
Result:
Received information from Carol and Dane regarding the possibility of HP office
training Bystander Basics to 12 summer school classes at Conant High School in
Schaumburg. Irv is currently looking into getting corporate sponsors to participate in
"Adopt-A-School" for this specific event. Main concern: monies for instructor fees
and books (total $2500).
♦ 06/03/04 - Potential training at Buehler YMCA
Result:
Received information from Carol regarding interest from Palatine YMCA in SALF.
Executives from SALF Corporate and Irv are meeting to further discuss this option.
♦ 06/04/04 - Training at Campanelli YMCA.
Result:
41 summer camp counselors were successfully trained in Bystander Basics. Age
group ranged from 17-24 years of age. Mike Wennekamp is contact for summer
camp counselors. Need to collect monies for training at $25/student ($1025).
♦ 06/04/04 - Meeting with Alex Phetkamphou regarding CD burner and Scantron
assistance
Result:
CD burner downloaded to both computers. Located lost files from Scantron report.
♦ 06/07/04 - Meeting with Jerry Campagna, President of Reflejos Direct Media
Result:
Discussed steps to publicize SALF in the Latino communities through bi-lingual
newspaper. Issues which Jerry addressed are the following:
• Hiring a team of 4-5 Spanish speaking instructors.
• Attending a "Fiesta" (community outreach) to gain visibility within Latino
community to build relationship with individuals. Have bi-lingual instructors
attend such event(s).
SALF Update July 2003
Update information:
• Met with Theresa Mays the director for Child Welfare in the Milwaukee area to discuss the SALF program..
Result:
We talked at length regarding the different programs that are offered with SALF. She will meeting with her
board within the next few weeks and she plans to get back to me to see if they can add our training in a pre­
existing program within her unit.
• Letters are being sent to major companies within the school district.
Result:
The letter are being sent to companies that are within the area of a public or private school asking if they
will adopt the school or target a grade level for SALF training. It also informs them of schools that are at \
present being trained in a SALF program.
• Meeting with Paratech Ambulance marketing division on 7/9/04 to discuss any way that SALF can be aparf
of the Harley fest.
Result: Meeting is scheduled for 7/9/04
• Met with Linda Williams from the SDC organization.
Result:
Ms Williams is the employment specialist for the SDC where she trains adult clients in job readiness and
time management. I discussed SALF and how this program may be very beneficial to her clients. The SDC
organization is a government organization and I think that if we could get into one other will follow. Ms \
Williams gave me the names of the 2 individuals within the organization that I would need to meet with Ms \
Marsha Kopydlowski and Ms Carter. I will follow up them both before end of week.
• In the process of forming a letter that will go out to all schools in early fall that I have worked with in the
past 2 years requesting there help in writing a letter that can be sent to the Mayor, EMS Director and other
officials.
Result:
The letter from the schools and/or students will ask our officials, school superintendent and others to help
train school age students in a SALF program so that they may become first responders.
• Meeting scheduled with Joe Murray, village manager of Greendale.
Result:
My hope is that Mr. Murray will be able to open some avenues that I have not been able to get into. I will
ask him of different business in the Greendale area that would be able to adopt schools offer funding for
their school age children and relate the importance of this program.
• Met with Roger Karimi from Harley Davison
Result:
They work with the American Red Cross and have EMT's on staff however; she will keep our information.
• Called Wendie Janis director of Training with Northwestern Mutual to schedule an appointment. I have met
with her in October 2003 this will be a follow up meeting to see if any thing has changed with the company.
Result:
Waiting.
• Met with Genene Hibbler from Sheriff David Clarke's office to discuss SALF and CERTS
Result:
This was our third meeting. She identified that the Citizen Corps Councils are utilized to fully implement
the CCC in the different communities. Each community will have to determine its geography boundaries
and its own membership. I asked how could SALF become one of the players. I informed her that we are
apart of FEMA and that we should be apart of the city's training. It is still being discussed.
• Have a meeting scheduled with members of the executive board of St. Joseph Regional Medical Center
Foundation.
• Result:
AMERICAN HEART ASSOCIATION
Emergency Cardiovascular Care Committee
POLICY STATEMENT
Mary Fran Hazinski, RN, PhD; David Markenson, MD, EMT-P; Steven Neish, MD; Mike Gerardi, MD;
Janis Hootman, RN, MSN; Graham Nichol, MD, MPH; Howard Taras, MD; Robert Hickey, MD;
Robert O'Connor, MD; Jerry Potts, PhD; Elise van der Jagt, MD, MPH; Stuart Berger, MD;
Steve Schexnayder, MD; Arthur Garson, Jr, MD, MPH; Alidene Doherty, RN; and Suzanne Smith
Response to Cardiac Arrest and Selected Life-Threatening Medical
Emergencies: The Medical Emergency Response Plan for Schools.
A Statement for Healthcare Providers, Policymakers, School
Administrators, and Community Leaders
ABBREVIATIONS. EMS, emergency medical services;CPR, car-
diopulmonary resuscitation;AED, automated external defibrilla-
tor;AHA, American Heart Association;ED
7
, Emergency Infor­
mation Form;OOH, out-of-hospital;VF, ventricular fibrillation;
VT, ventricular tachycardia;NCCSIR, National Center for Cata­
strophic Sports Injury Research.
INTRODUCTION AND PURPOSE
T
his document introduces a public health initia­
tive: the Medical Emergency Response Plan for
Schools. This initiative will help schools pre­
pare to respond to life-threatening medical emergen­
cies in the first minutes before the arrival of emer­
gency medical services (EMS) personnel.
This statement is for healthcare providers, policy­
makers, school personnel, and community leaders. It
summarizes essential information about life-threat­
ening emergencies, including details about sudden
cardiac arrest. This statement describes the compo­
nents of an emergency response plan, the training of
school personnel and students to respond to a life-
threatening emergency, and the equipment required
for this emergency response. Detailed information
about sudden cardiac arrest and cardiopulmonary
resuscitation (CPR) and automated external defibril-
lation (AED) programs is provided to assist schools
in prioritizing and preparing for emergencies to
maximize the number of lives saved.
This statement was approved by the American Heart Association Science
Advisory and Coordinating Committee on November 4, 2003. A single
reprint is available by calling 800-242-8721 (US only) or writing the Amer­
ican Heart Association, Public Information, 7272 Greenville Avenue, Dallas,
TX 75231-4596. Ask for reprint No. 70-0273. To purchase additional reprints:
up to 999 copies, call 8CHW11-6083 (US only) or fax 413-665-2671;1000
or more copies, call 410-528-4426, fax 410-528-4264, or e-mail klbradleS
hvw.com. To make photocopies for personal or educational use, call the
Copyright Clearance Center, 978-750-8400.
PEDIATRICS (ISSN 0031 4005). Copyright ©2004 by the American Heart
Association, published with permission.
Life-threatening emergencies can happen in any
school at any time. These emergencies can be the
result of preexisting health problems, violence, unin­
tentional injuries, natural disasters, and toxins. In
recent years stories in the lay press have documented
tragic premature deaths in schools from sudden car­
diac arrest, blunt trauma to the chest, firearm inju­
ries, asthma, head injuries, drug overdose, allergic
reactions, and heatstroke. School leaders should es­
tablish an emergency response plan to deal with
life-threatening medical emergencies in addition to
the emergency plan for tornados or fires.
This statement has been endorsed by the following
organizations: American Heart Association (AHA)
Emergency Cardiovascular Care Committee, Ameri­
can Academy of Pediatrics, American College of
Emergency Physicians, American National Red
Cross, National Association of School Nurses, Na­
tional Association of State EMS Directors, National
Association of EMS Physicians, National Association
of Emergency Medical Technicians, and the Program
for School Preparedness and Planning, National Cen­
ter for Disaster Preparedness, Columbia University
Mailman School of Public Health. The statement was
also reviewed by the Centers for Disease Control
Division of School and Adolescent Health.
This statement includes all of the recommenda­
tions made in the 2001 Guidelines for Emergency
Medical Care in School published by the American
Academy of Pediatrics.
1
It is consistent with the~po-
sition statement of the AHA on use of AEDs in
children,
2
the National Association of School Nurses'
statement on the use of AEDs in schools,
3
the state­
ment from the National Association of EMS Physi­
cians about the use of AEDs in children,
4
the emer­
gency planning in athletics statement of the National
Athletic Trainers' Association,
5
and the American
Lung Association Asthma Alert for Teachers.
6
PEDIATRICS Vol. 113 No. 1 January 2004 155
































Progress Report and Request for Continuation Funding (PA04164)
From the SAVE A LIFE FOUNDATION, INC
A Program to Train and Educate Children and Adolescents in Basic Life Support
Save A Life Foundation's Mission
"Training and developing "Bystanders", especially children, as volunteers
equipped with Pre-EMS skills to aid the injured or ill in a time of an emergency to
reduce death and disabling injuries".
Section One - Milestone Status:
Terse Summary:
1. Collect and analyze data on the implementation of the SALF program
On going as each student is trained the test results are collected
2. Collect and analyze data on the efficiency of various skills and willingness of
the participant in using their new skills
On going as each student is trained the results are collected and analyzed
3. Explore the formation of SALF sites within health departments, hospital
emergency departments, fire and/or police departments to reach a larger
Illinois and Wisconsin statewide audience and expand into two additional
states.
Task was accomplished and participants awarded
4. Recruit emergency medical service providers as instructors
• Initial projection was accomplished and continues to grow to meet
demands.
5. Develop and strengthen partnerships to reach the appropriate audience
including and not limited to forming a strategic planning group made up of
representatives from federal agencies, national associations, i.e. U.S.
Conference of Mayors, U.S. Homeland Security and its partners, those within
emergency medical service, and other interested parties.
Accomplished targeted group and beyond
Section Two - Progress Report
A. Progress toward objectives
1. Collect and analyze data on the implementation of the SALF program
• With 26,290 trained students reporting -
i. 94% answering test questions correctly
ii. 85% answering an increased willingness to render aid after they
were trained.
2. Explore an individual with expertise in educational evaluation and research
and is familiar with EMS related training to conduct an IH literature search
of the efficiency of CPR and the Heimlich maneuver by September 1.
2004
• Effectiveness of CPR literature review completed (Attachment A).
Note: lack of interest by epidemiologists to pursue study. August 30.
2004
• HI research delay was due to lack of interest by numerous
epidemiologists to review subject matter
• Effectiveness of the Heimlich maneuver inconclusive due to:
o Individuals the Heimlich maneuver was performed on usual
survive and incident was not reported because the victim
continues on with daily activities.
3. Identify a group of experts in the field of emergency medicine, education,
municipal government, corporate, federal, state and local agencies to
identify states and/or communities especially those already served by
SALF, to target expansion locations and assist with the implementation by
September 15. 2004.
• As a result of SALF identifying four medical experts, two municipal
government, two federal agencies, one corporate and three local
agencies, the following SALF new sites were targeted August 30.
2004. Pennsylvania - American Trauma Society; Florida, Office of
Miami Mayor; Illinois, Alexian Bros' Medical Center, Hanover Park;
Anderson Hospital, Maryville, Illinois; Joliet Fire Department, Joliet,
Illinois
4. Identify potential master instructors from various EMS or healthcare
agencies for expansion process by August 30. 2004.
• Each new SALF site has identified, recruited, orientated and completed
police background checks on six new master instructors with
Emergency Medical Service credentials.
5. Re-develop SALF's web site and existing data collection system to monitor
the effectiveness of training by August 30. 2004.
• Database Completion delayed because of added programming to
allow other related data to be inputted and stored with class/score
data. This data was initially stored in separate data collection pools
necessitating manual entry and handling. Data now centralized
allowing future reports to reflect Class scores, teachers opinions, and
relative perceived effectiveness to be closely tied to Schools,
instructors, etc.
• Web Site Completion was delayed due to added programming to
include new features not previously available in Host providers Site
offerings. New Templates and client tracking features available from
Host Provider allow us to display information and track site data more
efficiently.
6. Expand and strengthen partnerships with groups, (i.e. Office of Homeland
Security- Citizen Corps - Medical Reserve Corps, U.S. Secretary of
Education, Office of the U.S. Surgeon General, U.S. Conference of
Mayors and municipal governments, corporations, and interested
agencies) by September 15. 2004.
•Accomplished. SALF partnership activities included:
Office of Homeland Security:
o U.S. Surgeon General directed all Medical Reserve Corps
volunteers to become SALF Instructors and help train local school
children and adults with SALF programs. He further included SALF
in his "Year of the Health Child" initiative.
Illinois Municipal League - assisted the development of two Illinois SALF
sites.
o Anderson Hospital, Maryville, Illinois - agreed number of children to
be trained 3.500 by May 31, 2005
o Alexian Bros' Medical Ctr, Hanover Park, Illinois - agreed number of
children to be trained 12.000 by August 30, 2005
o Joliet Fire Department, Joliet, Illinois - agreed number of children to
be trained 4.000 by July 30, 2005
American Trauma Society in Pennsylvania - helped the development of
one SALF site in Mechanicsburg, PA. In additional Pennsylvania
Department of EMS matched its SALF support - agreed number of
children to be trained 1.200 by August 20, 2005 (IS THAT CORRECT?)
U.S. Conference of Mayor's assisted
o SALF Miami Branch - agreed number to be trained 10.500
o SALF site Green Bay, Wisconsin (under development)
o SALF site Santa Barbara, CA (under development)
o SALF Site, Chicago, IL - within its existing Police and Fire Academy
Ongoing:
> SALF Site Schiller Park, Illinois continues to train Chicago Public
School children- agreed number of children to be trained 20.500
August 15,2005
> SALF Bond County, Illinois continues to train - agreed number of
children 500 by August 20,2005.
> SALF St. Joseph's Medical Center, Milwaukee, Wisconsin agreed
number of children to be trained 12,500 September 10,2005
o Milwaukee Department of Health, Milwaukee Office of Mayor, and
Milwaukee Board of Education adding support September 27.
2005
> Working to develop a relationship with National Emergency Medical
Service Technicians Association in an effort to recruit from its
membership base more SALF Instructors to train our programs
nationally. March 30. 2005
Total number of school students contracted to be trained bv SALF Branch
and/or Satellites = 65.600 exceeding original projections bv 13.3%
7. Identify potential national and local sponsoring organizations for the national
expansion program in the target states August 30.2004.
• Each SALF Branch and/or Satellite agrees to match funds to SALF mini
grant.
• Corporate America and private sponsorships occurred, including
o Global and Illinois Regional Ronald McDonald House Charities
o Chicago Board of Education
o Illinois/New Mexico/Texas Region Blue Cross Blue Shield
o Comcast Communications, all by JuJy_3CL2004.
B. Maior Findings:
Slower than expected interest in Pre-EMS by Corporate America
Contract approvals slower than expected
More interest in Pre-EMS among government entities than private citizens.
Hospital and/or legal councils caused extensive delayed in expansion.
C. Significance of those findings:
• Most funding opportunities focus on injury prevention, few on Pre-EMS
• Because of limited resources SALF had to be creative with site
start-up to accommodate financial needs by those requesting
program
• Local, state and federal representatives have demonstrated more
interest in SALF training because of our invitations to attend classes in
their district, we found that both media and the general public still
demonstrates a limited interest.
General observation:
Children (K-12) continue to welcome the instruction and enjoy the local
emergency medical professional, who often becomes a mentor. Their test
scores continue to demonstrate a stable level of retaining the skills and
increasing their interest in helping others in need.
• 26,290 trained students reporting - out of 39,310 out standing
i. 94% answered test questions correctly
ii. 85% demonstrate an increased willingness to render aid
after they were trained.
D. Proposed work
Funding is requested to sustain SALF's infrastructure, support existing SALF
sites, encourage each site to seek local sponsors to retain and expand their
school training independently, find avenues to promote Pre-EMS principles as an
accepted practice to increase public interest, to continually monitor the
effectiveness and saturation of SALF's training, and to maximize the limited
resources SALF receives to meet the growing demand of training our youth.
E. Publications
N/A
Section 3 - Proposed Milestones. FY05
FY 2005 GOAL:
To sustain the existing program/sites and expand SALF programs into one
additional state.
OBJECTIVES:
• Explore suitable sites within county health departments, hospital
emergency departments, fire and police departments, municipal
offices to reach a larger statewide audience and expand into one
additional state, by September 30.2005.
• Recruit and train additional SALF instructors, by November 15.
2005
• Continue training at selected sites, beginning July 11 2005 and
continuing through the funding period.
• Identify three additional program sponsors, by February 10.2006
• Implement training at the new (expansion) site, by March 30.2006
• Monitor SALF's existing data collection system and use to evaluate
program activities, on-going through May 31.2006
PROPOSED BUDGET
Personnel Total $120.750
Education Administrator hf $21.875
Responsible for maintaining existing and developing programs/projects, archives,
schedule training and orientation classes with schools, branch facilitators or
Instructors in a timely manner, achieve yearly training quota's, verify tests,
service sheets, assist in maintaining data charts, insure all paperwork is funneled
to appropriate departments correctly, recruit new instructors from EMS and
securing police back ground check and IDs, order and distribute training
materials and equipment, work with finance clerk for processing paperwork,
develop/assist with annual conferences and special events. Salary for this
position totals Ly '' with benefits
Financial Clerk
hV $15.750
Maintains, secures accounting records, contracts, personnel files, develops
budgets by project codes, Prepare and file quarterly grant reports, withdraw grant
funds, reviews invoices against PO's for accuracy, file back-up and prior
authorization, processes payments for signature, Record receipts and deposit
monies, Prepare quarterly financial statements, assist with tax preparations at
the end of a quarter/year, prepares payroll and secures benefit reimbursements,
prepares/issues all employment federal/state forms, reconcile bank statements
and submit for review, Retain employee personnel files in secured office,
Maintain record of employees' time off (vacation/sick/personal days) and daily
work hours for payroll records. Salary for this position totals fa ' with
benefits
National Project Coordinators &JL $48.125
This position is required for the general oversight of the entire project. This
position will be under the supervision of the Principal Investigator. This position
directs the overall operation of the project. Responsible for overseeing the
implementation of national expansion of project activities, coordination with other
agencies, development of materials to effectively accomplish the project,
provisions of in-service and training, conducting meetings including
teleconference calls, designs and directs the gatherings, tabulating and
interpreting of required data and reports. Responsible for overall program
evaluation including assisting in the researching and preparation of supplemental
grants and for staff/consultants performance evaluation; and is the responsible
authority of ensuring that necessary reports/documents are submitted to CDC
and SALF headquarters in a timely manner. This position relates to all program
objectives. Salary for this position it J^J with benefits.
Principal Investigator ^ $35.000
Position is required as liaison between state, federal, private and public agencies
in the implementation of the project; to monitor the formation of committees and
subcommittees to successfully execute the project; provide technical assistance
on policy issues, review, analysis and recommendation for selection of joint
grants and sponsorships, oversee all afflicted with projects that they are efficient
in their duties, interact and correspond with public, State and Federal agencies,
national associations, university research centers, etc., regarding the role and
function of the project and how it relates to school health/ injury prevention and
the Pre-EMS industry; participate in budget planning, standard and policy
development, oversee the creation and implementation of new and existing
programs; evaluate the job performance of each project/committee director/s,
including the National Project Coordinator to insure progress of work is
exemplary and within project guidelines and timelines.
Fringe Benefits Total $17.250
Education Administrator c &^ $3.125
Financial Clerk $2.250
National Project Coordinators $6.875
Principal Investigator z $5.000
Other $75.000
This money will be utilized for the reimbursement of rental space, phone/fax,
office machinery and service contracts, utilities, and general office supplies to
conduct 50% of SALF National office business on this project.
Contractual including Instructors $125.257
SALF Instructor expense compensation is based upon the current compensation
allotted by SALF for its programs. This amount is considered to be the amount of
480 hourly classes by approximately 45 Instructors to teach nearly 8,000
students, with 25 students per class, in a six-month period of operating existing
SALF and new sites. (All Instructors must have EMS credentials and obtain, at
their own expense, a police background check before training children). The
expense of sub-contracting SALF Senior Instructors i.e. Jim Barnes FF/EMTP,
Jodie Barnes FF/EMTP to orientate, monitor, new SALF Instructor recruited at
various new and existing SALF Branches and at actual training sites will need the
about of fly an hour. Additional contractual expenses will be for
audits and legal fees. n-i
Supplies $100.000
Printing costs required for the generation and distribution of SALF training
programs i.e. Master Trainer, Instructor, Branch Development Manuals, per
student training books, program informational packets, all baring
acknowledgement of sponsoring agent, letterhead and other printed materials in
order to execute this project. The site will contribute matching funds and or in-
kind serves to offset the actual setup and operating expenses. Additional
expensive ot & t per student will cover test and evaluation expenses.
The above costs are prorated for only a portion of the year with upfront cost
contributing to the greatest share. The actual start up cost would reflect a larger
number of children trained with a longer time frame and could exceec *? y
Once the initiate set-up cost is executed, a great share of funding will targeted to
the distribution of training. Various training and office supplies will be needed to
conduct the training system i.e. disposable lungs, cleaning agents, instructor
uniforms, paper, printer supplies. ($100,000)
Equipment $28.378
In order to provide skills practice by the students with hands-on evaluation, fifty
sets of Adult, Infant and child mannequins will be purchased ,*y . and
provided to instructors. An additional 20 Automatic External Deliberator (AED)
trainers will be purchased for skills practice and student hands-on evaluation at
/^V 10 Scantron machines plus yearly maintenance fees
f)A will be needed to evaluate the student training into our data collection
system. (28,378)
Travel and Per Diem 29.365
Costs incurred to expand SALF into one additional state, sustain and expand in
existing SALF states will demand travel. Travel will also be incurred for the
national implementation strategic planning group when attending meetings of this
group. It is estimated that there will be one meeting of the strategic planning
group in Chicago, Illinois. The amount figured to cover the transportation of each
individual is £/ for a total amount of travel costs of *>y Additional, each
individual will be paid a per diem of h y The total amount of per diem paid for
the above one-trip amounts to b*t Additional travel will be required
by the national staff to assist in the set-up of the state and or community offices.
A minimum of 10 additional trips for national staff (<1), at e w per trip, has
been included in the amount of travel money budgeted including per diem costs
NOTICE OF GRANT AGREEMENT
AWARD (Continuation Sheet)
Page - 1 -
AWARD NO.
DATEISSUED
tfWHTHB
H28/CCH523764-02
TERMS AND CONDITIONS THIS AWARD
NOTE1; INCORPORATION: Program Announcement Number 04164 to implement
and expand State wide training sites, the application dated April 5,2005 and all applicable
regulations and OMB Circulars are made a part of this award by reference.
This continuation award provides funds for the 02 year, June 1,2005 through
May 31,200*.
d
NOTE 2: INDIRECT COST:
No Indirect cost requested
NOTE 3: REPORTING REQUIREMENTS: An ANNUAL Financial Status Report
(FSR) must be submitted within 90 days after the end of the budget period. This report must be
submitted on the Form SF269, and include only those funds authorized and actually expended
during the prior year budget period. Report due date August 31,2006
Annual Progress Report is due: 90 days after the end of the budget period August 31,2006.
Please submit an original plus 2 copies to the grants management office.
NOTE 4: CORRESPONDENCE: All correspondence regarding this award
must be identified with the award number as shown at the top right of this page.
NOTE 5: PRIOR APPROVAL: "ALL" requests that require the prior approval must
bear the signature of an authorized official of the grantee business office as well as that of the
principal investigator or program director. Any request received which reflect only one
signature will be returned to the grantee unprocessed. Additionally, any requests involving
funding issues must include a new proposed budget and a narrative justification of the requested
changes.
NOTE 6: PUBLICATIONS: Publications, journal articles, etc. produced under
a CDC grant support project must bear an acknowledgment and disclaimer, as appropriate, such
as: This publication Ooumal article, etc.) was supported by Grant/Cooperative Agreement
Number H28/CCH523764-02 from The Centers for Disease Control and Prevention. Its
contents are solely the responsibility of the authors and do not necessarily represent the official
views of the Centers for Disease Control and Prevention.
NOTE 7: EQUIPMENT AND PRODUCTS: To the greatest extent practicable,
all equipment and products purchased with CDC funds should be American-made.
NOTE 8: ACKNOWLEDGMENT OF FEDERAL SUPPORT: When issuing
statements, press releases, requests for proposals, bid solicitations and other documents
describing projects or programs funded in whole or in part with Federal money, all awardees
CDC 0.1X36
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NOTICE OF GRANT AGREEMENT
AWARD (Continuation Sheet)
Page - 2
AWARD NO.
DATE ISSUED fJUH 1 4 2W5
H28/CCH523764-02
receiving Federal funds, including and not limited to State and local governments and recipients
of Federal research grants, shall clearly state (1) the percentage of the total costs of
the program or project which will be financed with Federal money, (2) the dollar amount of
Federal funds for the project or program, and (3) percentage and dollar amount of the total costs
of the project or program mat will be financed by non-governmental sources.
NOTE 9: INSPECTOR GENERAL: For your information, the United States
Department of Health and Human Services Inspector General maintains a toll-free telephone
number, 800-368-5779, for receiving information concerning fraud, waste or abuse under grants
and cooperative agreements. Such reports are kept confidential, and callers may decline
to give their names if they choose to remain anonymous.
NOTE 10; PAYMENT INFORMATION Automatic Drawdown:
Payment under this award will be made available through the Department of Health and Human
Services (HHS) Payment Management System (PMS). PMS is administered by the Division of
Payment Management, Program Support Center, HHS. PMS will forward the DBMS Manual
for Recipients Financed Under the Payment Manapement System fPMSVPMS-270 and PMS-
272 forms.
A. PMS correspondence, mailed through the U.S. Postal Service, should
be addressed as follows: Division of Payment Management, FMS/PSC/HHS, P.O.
Box 6021 Rockville, MD 20852.
B. If a carrier other than the U.S. Postal Service is used, such as United
Parcel Service, Federal Express, or other commercial service, the correspondence
should be addressed as follows: Division of Payment Management, FMS/PSC/HHS,
Rockwall Building #1, Suite 700,11400 Rockville Pike, Rockville, MD 20852.
To expedite vour first navment frnm this award, attach a copy of Cooperative Agreement to
vour payment request form.
Note 11- AUDIT FILING COMPLIANCE: An organization that expends $300,000
amjm for fiscal years ending after December 21,2003) or more in a year in Federal awards
shall have a single or program-specific audit conducted for that year m accordance: with.the
provisions of OMB Circular A-133, Audit of States, Local Governments, and Non-Profit
Onanizations. It must be completed and a data collection form, and reporting package shall be
submitted within the earlier of 30 days after receipt of the auditor's report(s) or nine months
after the end of the audit period. The audit report must be sent ^ [ / ^ ^ ^ J ^ T ' *
House, Bureau of the Census, 1201 East 10
th
Street, Jacksonville, IN 47132 Should you
have questions regarding the submission or processing of your Single Audit package,
contact the Federal Audit Clearinghouse at:
(301) 763-1551
(800) 253-0696
CDC 0.1136
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NOTICE OF GRANT AGREEMENT
AWARD (Continuation Sheet)
Page - 3 -
AWARD NO.
DATE ISSUED yUN
l 4
j ^
H28/CCH523764-02
OR email: govs.fac@census.gov
Note 12: PROfflBITTON ON USE OF CDC FUNDS FOR CERTAIN GUN
CONTROL ACTIVITIES: The Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Act, specifies that: "None of the funds made
available for injury prevention and control at the Centers for Disease Control and Prevention
may be used to advocate or promote gun control.
Anti-Lobbying Act requirements prohibit lobbying Congress with appropriated Federal
monies. Specifically, this Act prohibits the use of Federal funds for direct or indirect
communications intended or designed to influence a Member of Congress with regard to
specific Federal legislation. This prohibition includes the funding and assistance of public
grassroots campaigns intended or designed to influence Members of Congress with regard to
specific legislation or appropriation by Congress.
In addition to the restrictions in the Anti-Lobbying Act, CDC interprets the new language in
the CDC's Appropriations Act to mean that CDC's funds may not be spent on political action
or other activities designed to affect the passage of specific Federal, State, or local legislation '
intended to restrict or control the purchase or use of firearms.
Note 13: KEY PERSONNEL: In accordance with 45CFR 92.30 3(d)(3). Whenever there
is a significant change in the level of participation in the approved project by key personnel, as
named on the Notice of Grant Award (NGA) (e.g. inactive continuously for 3 months or when
that individual either withdraws from the project entirely or devotes less effort to the project).
t he grantee should notify the awarding office as soon as the information is known, but no later
than 30 days before expected date of departure or change in participation level. The grantee is
required to notify the awarding office of the proposed alternative plans for conducting the
activity.
Key Personnel:
Executive Director. Carol Spizzirri
Project Director. Carol Spizzirri
Fiscal Manager: Donna Ox
CDC 0.1136
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NOTICE OF GRANT AGREEMENT
AWARD (Continuation Sheet)
Page - 4-
AWARD NO.
DATE ISSUED 5fUN 1 4 2005
H28/CCH523764-02
NOTE 14: CDC CONTACT NAMES:
Grants Management Contact
Brenda Hayes, Grants Management Specialist/Officer
Centers for Disease Control and Prevention (CDC)
Procurement and Grants Office
2920 Brandywine Road E-15
Atlanta, Georgia 30341-4146
Telephone: (770)488-2741
Fax: (770) 488-2670 or 2671
E-mail: bhayes@cdc.gov
Programmatic Contact
Jacqui Butler, Project Officer
Centers for Disease Control and Prevention (CDC)
National Center for Injury Prevention and Control
4770 Buford Highway, NE (M/S F-41)
Atlanta, GA 30333
Telephone: 404-639-2096
Fax:404-639-1950
E-Mail: jabutler@cdc.gov
CDC 0.1136
2-90
Butler, Jacqui A. (CDC/CCEHIP/NCIPC)
From: Carol [carol@salf.org]
Sent: Thursday, February 03, 2005 5:23 PM
To: Talboy, Phillip; Browne, Doug; Butler, Jacqui A.
Cc: mandy@salf.org
Subject: FW: Draft Acute Injury Care Research Agenda Federal Register Notice
Attachments: 05-2041.pdf; FRN Draft Acute Injury 1.20.05.doc
—Original Message— , .
mm
^ „,
A
.
From: NCIPC-CLINSRV - NCIPC [mailto:NCIPC-CLINSRV@LISTSERV.CDC.GOV]On Behalf Of Marr, Angela
Sent: Thursday, February 03, 2005 3:57 PM
To: NCIPC-CLINSRV@LISTSERV.CDC.GOV
Subject: Draft Acute Injury Care Research Agenda Federal Register Notice
The Centers for Disease Control and Prevention (CDC) announces the availability of the Draft Acute Injury Care Research
Agenda for the National Center for Injury Prevention and Control (NCIPC) and solicits comments during the public
comment period of February 3, 2005, through March 3, 2005.
On behalf of Rick Hunt, Director of the CDC's Division of Injury and Disability Outcomes and Programs I am sending you
the link to the CDC/NCIPC Draft Acute Injury Care Research Agenda, which was just published in the federal register and
is now available for public comment. Feel free to share the link with anyone else who may be interested in reviewing the
document.
The notice can be accessed on the internet at: ht t e: / / wvmac^^
Click on the above link, scroll down to CDC. and select the PDF version to view and print the document as it appears in
the Federal Register.
In lieu of viewing via the internet, you can view the attached document (Word or PDF format).
Angela L. Marr, MPH
Public Health Advisor
Centers for Disease Control and Prevention
NCIPC/PDST
Phone: (770) 488-1428
Fax: (770) 488-4338
E-mail: Amarr@cdc.gov
10/30/2006
Butler, Jacqui A. (CDC/CCEHIP/NCIPC)
From: Carol [carol@salf.org]
Sent: Tuesday, February 22,2005 2:02 PM
To: Butler, Jacqui A.
Subject: RE: Research Agenda mtg
Billing Code #4163-18P CDC - Wide Research Agenda Dev't Public Participation Mtgs - Agency for Toxic Substances and
Disease Registry
Is this helpful?
Thanks
Carol
—Original Message—
From: Butler, Jacqui A. [mailto:ZBNl@CDC.GOV]
Sent: Tuesday, February 22, 2005 11:51 AM
To: Carol
Subject: RE: Research Agenda mtg
Hi Carol,
Do you have a copy of the letter of know the name of the Division/Office that sent the
notice to you?
Jacqui
Original Message—
From: Carol [mailto:carol@salf.org]
Sent: Tuesday, February 22, 2005 12:42 PM
To: Butler, Jacqui A.; Talboy, Phillip
Subject: RE: Research Agenda mtg
HI sweets -1 need contact name for the up coming Public Health Research Agenda mtg to be held in
Atlanta March 18th 8:30 to 5pm -1 called 404-756-5740 at the nat'l Ctr for Primary Care at Morehouse
School of Medicine on Westview Dr. and they have no idea what I am talking about.
THanks Carol
—Original Message—
From: Butler, Jacqui A. [mailto:ZBNl@CDC.GOV]
Sent: Tuesday, February 22, 2005 8:58 AM
To: Mandy Vlasz
Cc: Carol
Subject: CDC Grantee's Financial Reference Guide
Hi Mandy,
Attached is a financial reference guide recently published by CDC. I thought
this might be helpful for you guys to reference.
Jacqui
Jacqui Butler. MPA
Public Health Analyst
Division of Injury Disability Outcomes and Programs
10/30/2006
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
4770 Buford Highway N.E. MS F-41
Atlanta. Georgia 30341
(770) 488-1496 (Phone)
(770) 488-4338 (Fax)
JAButler@cdc.gov (E mail)
10/30/2006
DEPARTMENT OF HEALTH & HUMAN SERVICES
Procurement and Grants Office
2920 Brandywtne Road
Suite 3210, Mailstop K-15
Atlanta, 6A 30341
February 28, 2005
CAROL J.SPIZZIRRI
PROJECT DIRECTOR
SAVE A LIFE FOUNDATION
PRESIDENT AND FOUNDET
9950 WEST LAWRENCE AVENUE, SUITE 300
SCHILLER PARK, IL 60176
SUBJECT: CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) PROCUREMENT AND
GRANTS OFFICE (PGO) REORGANIZATION - NEW PGO CONTACT
REFERENCE: PROGRAM ANNOUNCEMENT 04164
AWARD NUMBER: 523764
DEAR CAROL J. SPIZZIRRI:
The Centers for Disease Control and Prevention (CDC) Procurement and Grants Office (PGO) has reorganized to
better service both our internal and external customers. The purpose of this message is to inform you that I will be
handling the business, administrative, fiscal, financial, and general management aspects of your award. I work in
partnership with your CDC Project Officer so you should feel free to continue to communicate directly with them on
programmatic, technical, or scientific aspects of your program.
One of our main priorities has been to reorganize to align PGO with the CDC Futures Initiative. As a result of this
reorganization, PGO will expand its acquisition and assistance branches to focus on CDC's needs as outlined in the
CDC Futures Initiative. This reorganization will allow us to focus more on your specific needs and allow our team
members to provide improved and dedicated customer service.
Effective February 22, 2005, I am your new PGO contact on the above-referenced award. Please contact me via
phone (770-488-2736), facsimile (770-488-4671), e-mail (imasone@cdc.pov) or regular mail at the addrress at the
top of this letter. So that I can better communicate with you, I respectfully request that you send me an e-mail that
includes the following:
• Confirmation that you received this message,
• Your name as Project Director
• Your e-mail address
• The name of your business office official
• The e-mail address of your business office official
Thank you for your understanding and assistance in this critical period. I look forward to working with you.
ec:
Ms. Robin Forbes, NCIPC
JACQUI BUTLER, CDC Project Officer
■» y Public Health Service
Centers for Disease Control
and Prevention (CDC)
ficerely,
iMasrf
jrants Management Officer
Butler, Jacqui A. (CDC/CCEHIP/NCIPC)
From: Carol [carol@salf.org]
Sent : Monday, February 28, 2005 10:42 AM
To: Butler, Jacqui A.
Cc: Talboy, Phillip
Subj ect : RE: Research Agenda mtg
thanks very much Jacqui - Wi ndy City is snowing...
Good you'll be there. C(Q>}£~} *~a
Phil, Is Jim Masone your replacement? or is this a new?
Jacqui T Of f ) C £) 3
Carol
—Or i gi nal Mes s age—
From: Butler, Jacqui A. [mailto:ZBNl@CDC.GOV]
Sent: Monday, February 28, 2005 9:21 AM
To: Carol
Cc: Tal boy, Phillip
Subj ect : RE: Research Agenda mt g
Hi Carol,
I hope all is well in the windy city. I plan to attend the meeting. Please forward an
agenda when you get one. Also you should
be receiving the attached letter from PGO.
Jacqui
—Or i gi nal Mes s age—
From: Carol [mailto:carol@salf.org]
Sent: Monday, February 28, 2005 10:15 AM
To: Tal boy, Phillip; 'Carol'
Cc: Butler, Jacqui A.
Subj ect : RE: Research Agenda mt g
Phone # in correct - Jacqui found another #. Have to wait until March 4th to regis. Will any of you be
there? Carol
Original Mes s age—
From: Tal boy, Phillip [mailto:PMT0@CDC.GOV]
Sent: Monday, February 28, 2005 9:02 AM
To: Carol
Cc: Butler, Jacqui A.
Subj ect : RE: Research Agenda mtg
all the info on this should be on the fax I sent.
Phil
Original Message
From: Carol [mailto:carol@salf.org]
Sent: Tuesday, February 22, 2005 12:42 PM
To: Butler, Jacqui A.; Talboy, Phillip
Subj ect : RE: Research Agenda mtg
HI sweets -1 need contact name for the up comi ng Public Health Research Agenda mtg to be
held in Atlanta March 18th 8:30 to 5pm -1 called 404-756-5740 at the nat'l Ctr for Primary
Care at Morehouse School of Medicine on Westvi ew Dr. and they have no idea what I am
10/30/2006
talking about.
THanks Carol
—Ori gi nal Message—
From: Butler, Jacqui A. [mailto:ZBNl@CDC.GOV]
Sent: Tuesday, February 22, 2005 8:58 AM
To: Mandy Vlasz
Cc: Carol
Subject: CDC Grantee's Financial Reference Guide
Hi Mandy,
Attached is a financial reference guide recently published by
CDC. I thought this might be helpful for you guys to reference.
Jacqui
Jacqui Butler, MPA
Public Health Analyst
Division of Injury Disability Outcomes and Programs
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
4770 Buford Highway N.E. MS F-41
Atlanta, Georgia 30341
(770) 488-1496 (Phone)
(770) 488-4338 (Fax)
JAButler@cdc.gov (E mail)
Butler, Jacqui A. (CDC/CCEHIP/NCIPC)
From: Carol J. Spizzirri [carol@savealifefoundation.org]
Sent: Monday, March 21, 2005 10:36 AM
To: Butler, Jacqui A.
Subject: Dear Jacqui Question
Was that £ 6 _ we met right before I left for airport?
She stated that she has contacts in Chg - Univ of IL. in the health dept
I have so many cards -1 just lost track which on was who.
Thanks
Carol
26
Butler, Jacqui A. (CDC/CCEHIP/NCIPC)
From: Carol J. Spizzirri [carol@savealifefoundation.org]
Sent: Wednesday, March 30,2005 5:03 PM
To: Butler, Jacqui A.
Subject: RE: Healthy Youth - Division of Adolescent and School Health
Thank you - Will look myself now!
Original Message
From: Butler, Jacqui A. [mailto:zbnl@cdc.gov]
Sent: Wednesday, March 30,2005 3:25 PM
To: Carol J. Spizzirri
Subject: Healthy Youth - Division of Adolescent and School Health
Hi Carol,
In taking / (&)(U i suggestion of looking for other places in CDC that might be able to help your program,
I stumbled on this page. There may be some funding opportunities for your program and research. You may
want to have your new national coordinator review for applicability.
Jacqui
http://www.cdc.gov/HealthyYouth/index.htm
22
Butler, Jacqui A. (CDC/CCEHIP/NCIPC)
From: Carol J. Spizzirri [carol@salf.org]
Sent: Thursday, September 15, 2005 11:29 AM
To: Butler, Jacqui A.
Subject: FW: Paulison letter
Importance: High
Attachments: FEMA GRANT OUTLINE.rev 1.06.rtf; USA map fire 4.JPG
FEMA GRANT USA map fire 4JPG
UTUNE.rev 1.06.rt. (61 KB)
Original Message
From: Vince Davis [mailto:vdavis@salf.org]
Sent: Wednesday, September 14, 2005 5:44 PM
To: Carol J. Spizzirri
Cc: Dane Neal
Subject: Paulison letter
Importance: High
here is the complete with map
No virus found in this outgoing message.
Checked by AVG Anti-Virus.
Version: 7.0.344 / Virus Database: 267.10.25/102 - Release Date: 9/14/2005
No virus found in this incoming message.
Checked by AVG Anti-Virus.
Version: 7.0.344 / Virus Database: 267.10.24/101 - Release Date: 9/13/2005
No virus found in this outgoing message.
Checked by AVG Anti-Virus.
Version: 7.0.344 / Virus Database: 267.10.25/102 - Release Date: 9/14/2005
14
Russel, Joseph W. (CDC/CCEHIP/NCIPC)
From: Russel, Joseph W
Sent: Monday, December 12, 2005 9:30 AM
To: 'carol@salf.org'
Cc: Russel, Joseph W
Subject: RE: New Project Officer
Hi Carol, , .
n n
I'm glad to e-meet you as well. Thanks for the update. I look forward to Kim's call
today.
Joe
Original Message
From: Carol J. Spizzirri [mailto:carol@salf.org]
Sent: Friday, December 09, 2005 10:24 PM
To: Russel, Joseph W
Cc: Browne, Doug; kmadison@salf.org; vdavis@salf.org
Subject: FW: New Project Officer
Hi Joe: Congratulations, welcome and glad to meet you.
I'm sure everyone has updated you about SALF and are awareness to CDC's reorganization and
NCIPC.
We've enjoyed working with Jacqui, Phil Talboy and Dr. Hunt for a number of years and look
forward to working with you.
I'd like to introduce Vince Davis, Nat'l State Operations Director who oversees Kim
Madison, Program Manager.
Kim will be your direct contact throughout the balance of our FY05 Earmark.
Kim will "call you Monday, to introduce herself and by the end of the week she'll email you
a pulmonary report.
Please don't hesitate to contact us should you have any concerns or questions.
Thank you,
Carol Spizzirri, Pres/Founder
Save A Life Foundation
O'Hare Aerospace Ctr
9950 W. Lawrence Ave. Ste #3 00
Schiller Park, Illinois 60176
847-928-9683
847-928-9684 (fx)
www.salf.org
Original Message
From: Russel, Joseph W [mailto:nzr4@cdc.gov]
Sent: Friday, December 09, 2005 4:51 PM
To: Carol J. Spizzirri
Cc: Russel, Joseph W
Subject: New Project Officer
Hi Ms. Spizzirri,
Please allow me to introduce myself as the new CDC Project Officer for the Save-a-Life
Foundation project for the Division of Injury Response
(proposed) at NCIPC. Our Division is in the process of reorganizing and I am
transitioning in for your former Project Officer Jacqui Butler. I look forward to working
with you toward the continued success of the Save-a-Life Foundation project . Please
contact me if you have questions or if I can be of technical assistance. My contact
1
information is below:
Thanks,
Joseph W. Russel
Public Health Advisor
Centers for Disease Control
National Center for Injury Prevention and Control "Division of Injury Response (Proposed)"
4770 Buford Highway, NE, MS-F41
Atlanta, Georgia 30341
(770) 488-1042 (office)
(770) 488-4338 (fax)
JRusselOcdc.gov
www.cdc.gov/ncipc
2
Page 1 of 1
Russel, Joseph W. (CDC/CCEHIP/NCIPC)
From: Russel, Joseph W
Sent: Tuesday, December 13, 2005 11:28 AM
To: 'kmadison@salf.org'
Subject: RE: Latest Yearly Progress Report
Thanks Kim :)...have a great day too.
From: Kim Madison [mailto:kmadison@salf.org]
Sent: Tuesday, December 13, 2005 10:40 AM
To: Russel, Joseph W
Subject: RE: Latest Yearly Progress Report
It was a pleasure speaking with you as well Joe. I will get that information sent out to you today. Have a great day!
Kim
—Original Message—
From: Russel, Joseph W [mailto:nzr4@cdc.gov]
Sent: Tuesday, December 13, 2005 8:26 AM
To: kmadison@salf.org
Cc: Russel, Joseph W
Subject: RE: Latest Yearly Progress Report
Hi Kimberly,
Please call me Joe. I enjoyed meeting you via telephone yesterday. I am looking forward to working with you on
the Save A Life Foundation project. I am here as a resource to you. Please call on me for technical assistance.
Thanks for sending an electronic version of the progress report. I look forward to receiving the hard copies that we
discussed.
Thanks,
Joe
From: Kim Madison [mailto:kmadison@salf.org]
Sent: Monday, December 12, 2005 4:30 PM
To: Russel, Joseph W
Subject: Latest Yearly Progress Report
Hello Mr. Russel,
Per our conversation earlier today, I am sending you a copy of our latest progress report. I will mail you a
hard copy of the grant agreement and latest progress report. Listed below is my contact information and if you have
any other questions or further concerns you can contact me at any time. Have a great day!
Kimberly Madison
National Program Manager
SALF HQ
9950 W. Lawrence Ave. Ste-300
Schiller Park, IL 60176
Ph-(847) 928-9683 Fax-(847) 928-9684
10/30/2006
Page 1 of 2
Russel, Joseph W. (CDC/CCEHIP/NCIPC)
From: Russel, Joseph W
Sent: Friday, February 10, 2006 6:14 PM
To: 'carol@salf.org'
Cc: Russel, Joseph W
Subject: FW: Current List of CDC Injury Center's Fiscal Year 2006 Funding Announcements - December 18, 2005
Hi Carol,
I enjoyed conversing with you. Per your request, below is a list of funding announcements at NCIPC for FY "06. I did not
see anything directly related to terrorism preparedness and emergency response however. Also, please check the
website at www.qrants.gov.
I hope this helps.
Please contact me if you have questions.
Thanks,
Joe
From: NCIPC announcements, news and updates, and newsletter [mailto:NCIPC-
ANNOUNCEMENTS@LISTSERV.CDC.GOV] On Behalf Of Bonzo, Sandra E.
Sent: Friday, December 16, 2005 2:25 PM
To: NaPC-ANNOUNCEMENTS@LISTSERV.CDC.GOV
Subject: Current List of CDC Injury Center's Fiscal Year 2006 Funding Announcements - December 18, 2005
Injury and Violence Prevention and Control
^ Research Grants to Prevent Unintentional Injuries. CDC-RFA-CE06-001. Letter of Intent Deadline: Jar
^ » Application Deadline: February 3. 2006.
Dissertation Grant Awards for Violence-Related Injury Prevention Research in Minority Communities. <
^ CE06-002. Letter of Intent Deadline: January 3. 2006. Application Deadline: February 3. 2006. Please
Application Deadline Date and Conference Date Changes.
g ^ Research Grants to Describe Traumatic Brain Injury Consequences. CDC-RFA-CE06-003. Letter of In
w January 3. 2006. Application Deadline: February 1. 2006.
Grants for Violence-Related Iniurv Prevention Research: Youth Violence. Suicidal Behavior. Child Mar
^ Intimate Partner Violence, and Sexual Violence. CDC-RFA-CE06-004. Letter of Intent Deadline: Janus
Application Deadline: February 1. 2006.
^ Research Grants for the Care of the Acutely Injured. CDC-RFA-CE06-005. Letter of Intent Deadline: J
^ 2006. Application Deadline: February 3. 2006.
Evaluation of Community-based approaches to increasing seat belt use among adolescent drivers anc
^ passengers. CDC-RFA-CE06-007. Letter of Intent Deadline: January 3. 2006. Application Deadline: Ft
2006.
£ ^ Programs for the Prevention of Fire-Related Injuries. CDC-RFA-CE06-601. Letter of Intent Deadline: N
^ 2005. Application Deadline: January 3. 2006.
« K Building and Enhancing Community Alliances United for Safety and Empowerment (BECAUSE) Kids (
"*» RFA-CE06-603. Application Deadline: February 6. 2006.
g^ Coordinating Center for National Academic Centers of Excellence on Youth Violence Prevention [CDC
^ 602] Application Deadline: February 14. 2006.
Enhancing State Capacity to Address Child and Adolescent Health Through Violence Prevention [CDC
10/26/2006
Page 2 of2
6041 LOI Deadline: December 30. 2005: Application Deadline: February 14. 2006.
A current list of CDC Injury Center's Fiscal Year 2006 Funding Announcements can also be found at
http://www.cdc.qov/od/pao/fundinq/arantmain.htm.
You may leave the list at any time by sending an e-mail that says "SIGNOFF NCIPC-ANNOUNCEMENTS" to
the e-mail address l_ISTSERV@LISTSERV.CDC.GOV.
10/26/2006
;}
•r^
SALF
Save A Life Foundation
Carol J. Spizzirri
Founder / President
May 2,2006
National Headquarters
9950 W Lawrence Ave Sic 300
Schiller Pork, Illinois 60176-1216
Ph: (847)928-9683
Fax: (847)928-9684
Website: www.salf.org
Brenda Hayes
Grants Management Specialist
Procurement and Grants Office
Centers for Disease Control and Prevention
2920 Brandywine Road, Mailstop E-15
Atlanta, GA 30341-4146
CD
CO
en
Dear Ms Hayes:
Please see attached hard copy of the Progress Report and Request for No Cost Extension
(H28/CCH523764-02) with the original signature from Carol Spizzirri and myself. This
is a follow up to the email that was sent on May 1, 2006.
If any further assistance is needed, please feel free to contact me atflS47)0?fi OSfil'
Sincerely,
Robert Barnes
Director of Finance and Administration
Cc: Joseph W. Russel
Jim Mason
Doug Browne
•<$^gp>228
^ 4
Progress Report and Request for No Cost Extension (H28/CCH523764-02))
From the SAVE A LIFE FOUNDATION, INC
A Program to Train and Educate Children and Adolescents in Basic Life Support
Save A Life Foundation's Mission
Training and developing "Bystanders", especially children, as volunteers equipped with Pre-EMS
skills to aid in a time of an emergency to reduce death and disabling injuries".
Section One - Milestone Status:
Summary:
1. Collect and analyze data on the implementation of the SALF program.
On going, as each student is trained in life sustaining first aid skills
2. Collect and analyze data on the efficiency of various skills and willingness
of the participant in using their new skills.
On going as each student is trained the results are collected and analyzed
3. Explore the formation of SALF sites within health departments, hospital emergency departments, fire
and/or police departments to reach a larger Illinois, Wisconsin and Pennsylvania statewide audience
and expand into two additional states.
o Task was accomplished and participants awarded
4. Recruit emergency medical service providers as instructors
o Initial projection was accomplished and continues to grow to meet demands.
5. Develop and strengthen partnerships to reach the appropriate audience including and not limited to
forming a strategic planning group made up of representatives from federal agencies, national
associations, i.e. U.S. Conference of Mayors, U.S. Homeland Security and its partners, those
within emergency medical service, and other interested parties.
Accomplished targeted group and beyond
1
Section Two - Progress Report
A. Progress toward objectives
1. Collect and analyze data on the implementation of the SALF program
o With training goals of 77,550 students, 40,983 were trained reporting -
i. 94% answering test questions correctly
ii. 85% answering an increased willingness to render aid in an emergency
2. Establish relations with a medical institute familiar with the needs of EMS to conduct
research with SALF's LSFA data, to demonstrate the benefits of Life Sustaining First Aid
including CPR and the Heimlich maneuver. Auqust 30, 2005
• Note: lack of interest by epidemiologists to pursue the study and review subject matter
caused extensive delay. Not until January 15, 2006 when SALF secured interest by
the New York Medical College.
• Interest increased shortly after Louisiana's Katrina Disaster, including the "Illinois
Lincoln Challenge," U.S. Coast Guard Challenge Program. National Civil Air Patrol.
and Jr. ROTC, to conduct controlled research study.
3. Identify a group of experts in the field of emergency medicine, education, municipal
government, corporate, federal, state and local agencies to identify states and/or
communities especially those already served by SALF, to target expansion locations and
assist with the implementation by September 15, 2005
• SALF identified four medical experts, two municipalities, two federal agencies, one
corporate and three local agencies. The following SALF new sites were targeted by
December 30. 2005
Peoria Illinois Fire Department, Illinois
Illinois Lincoln Challenge, Rantoul Illinois
Chicago Fire Department 9-1-1 Center, Illinois
Bloomington Hospital, Bloomington, Illinois,
Rutland County Hospital, Vermont
New York Medical College, Valhalla, NY
Illinois Midway Civil Air Patrol, Chicago, IL
Kankakee Hospital, Illinois
U.S. Department of Defense
U.S. Homeland Security
VELCO (Vermont Electric Power Company, Inc.)
4. Identify potential master instructors from various EMS or healthcare agencies for expansion
p r o c e s s b v
August 30. 2005
• Five new SALF sites were identified, EMS recruited and oriented as SALF Instructors and
police background checks were secured on six new master instructors.
■ Note: Extensive delays occurred due to the Katrina disaster relief efforts by
many municipal emergency management units, causing Instructors to
postpone their training deadlines until November. 2007
5. Re-develop SALFs web site and existing data collection system to monitor the effectiveness of
t r a i n i n
9
b v
August 30. 2005
• Database Completion: In the past SALF maintained its data collection processing
through its National Headquarters in Schiller Park, Illinois. Both is mainframe servers and
web connect base were centralized within the National Headquarters. These reports
reflected class scores, teacher opinions, relative perceived course effectiveness, school
student and instructor. Due to SALF's statewide Illinois expansion, it was necessary to
establish a centralized processing center for Illinois data only in Springfield Illinois. The
purchase of additional data collection equipment, web connects and phone ware and
licenses was needed.
• This reconstruction was completed on time but due to recent interest by the NY Medical
College to use SALF's data in conducting surveys and research, it was necessary to
critique our original plan to fulfill the institute's requirements in obtaining data that still is
being considered by institute. This greatly jeopardized SALF another six months and
made it necessary to secure outside resources from the private sector.
• Web Site Completion was delayed due to added programming creating new features not
previously available by host providers. New templates and client tracking features are now
available from host provider allow us to display information and track site data more
efficiently. The death of SALF's Webmaster/MIS of ten years additionally delayed
progress, as SALF continues to search for his replacement.
6. Expand and strengthen partnerships with groups, (i.e. Office of Homeland Security - Citizen
Corps - Medical Reserve Corps, U.S. Secretary of Education,- Office of the U.S. Surgeon
General, U.S. Conference of Mayors; and municipal governments, corporations, and
interested agencies) by September 15. 2005
•Accomplished within timeline. SALF partnership activities included:
3
Office of Homeland Security:
o U.S. Surgeon General directed all Medical Reserve Corps volunteers to become
SALF Instructors and help train local school children and adults with SALF programs.
He further included SALF in his "Year of the Health Child" initiative.
Illinois Municipal League - assisted in the development of new SALF sites.
o Illinois Lincoln Challenge, Rantoul, Illinois
o Peoria Fire Department, Peoria, Illinois
o Marion Hospital, Illinois
o Kankakee Hospital, Illinois
o Bloomington Hospital, Illinois
VELCO - Vermont Electric Power Company, Inc. sponsored the creation of SALF site at
Rutland Medical Center, Vermont •
American Trauma Society in Pennsylvania - SALF site in Mechanicsburg, PA. In addition
Pennsylvania Department of EMS matched SALF's support - agreed number of children to be
trained 1.200 by Aoril 2007
U.S. Conference of Mayor's assisted:
o SALF site, Green Bay, Wisconsin
o SALF site, Santa Barbara, CA
o SALF site, Burnsville, MN
U.S. Citizen Corps
o SALF site, Phoenix, AZ
New Partners
U.S. Coast Guard's Challenge program
National Civil Air Patrol
December 2006
January 2006
Ongoing:
> SALF's new site at Illinois Midway Airport. SALF developed a relationship with the
National Civil Air Patrol to establish a SALF sites nationally at each of their 1,700 sites
and train 175,000 CAP cadets (14-19 years).
> SALF's new site at Rantoul, Illinois, (Lincoln's ChalleNge), developed a relationship to
include a SALF site at 33 ChalleNge sites nationally.
Number of students contracted to be trained by SALF sites = 77.550. exceeding original
projections by 23.3%
7. Identify potential and on going national and local sponsoring organizations for the national
expansion program in the targeted states. August 30.2005
• Each SALF Site agreed to match funds to SALF's mini grant with in-kind services.
• Corporate America and private sponsorships occurred include:
o Ronald McDonald House Global, Illinois Regional and Vermont Regional Charities
o Chicago Board of Education
o Illinois/New Mexico/Texas Region Blue Cross Blue Shield
o CCF Bank Illinois and Minnesota
o Comcast Communications May. 2007
Maior Findings:
• A slight increased interest in Pre-EMS training by corporate America after Louisiana
Hurricane Katrina's disaster but still very slow.
• More interest in Pre-EMS, among government entities, than by private citizens. Public still
assumes that it's the duty of public servants to be trained and perform and not theirs.
• Hospital or EMS site legal council caused extensive delayed in expanding due to liability
concerns.
• Recent discovery by corporate interest to support SALF because of its direct affiliations
with U.S. Homeland Security
Significance of those findings:
• Many funding opportunities still focus on injury prevention rather than on Pre-EMS issues
• Because of limited resources SALF had to be creative with site start-up to accommodate
financial needs by those requesting our program
• Local, state and federal political representatives demonstrate more interest in the need for
SALF training after witnessing classes in their district. Although there was a significant
~) -IS)
increase by the public and corporate America to support Pre-EMS after Louisiana's
Katrina Disaster it dropped sharply soon after media coverage stopped. The strongest
advocate still remains municipal leaders (mayors).
General program observation:
Children (K-12) continue to welcome SALF instruction and enjoy the local emergency medical
professional who often becomes their mentor. Their test scores continue to demonstrate a stable
level of skills retention and increased interest in helping others in need. Two reported lives were
by SALF trained students shortly after they received their training.
o 40,983 reported trained students - out of 77,550 of which 36,567 is still out standing
i. 94% answered test questions correctly
ii. 85% demonstrate an increased willingness to render aid after they were
trained.
Proposed work
Funding extension requested to sustain SALF's infrastructure, encourage each site to seek local
sponsors to retain and expand their school training independently, find avenues to promote Pre-EMS
principles as an accepted practice, increase public interest, monitor the effectiveness and saturation of
SALF's training, and to maximize the limited resources SALF receives to meet the growing demand of
training our youth.
Publications
Attached - SALF training saves life of classmate
Section 3 - Proposed Milestones. FY07
EXTENSION GOAL:
To sustain SALF existing sites, and complete tasks that were delayed by numerous causes, including
a national disaster.
Objectives:
o Continue training at selected sites throughout the funding period
o Identify three additional program sponsors, bv February. 2007
o Use available data to evaluate program activities
6
' )
■ ~ )
PROPOSED BUDGET Total $258.000
Education Administrator V?^ $16.160
Responsible for maintaining existing and developing programs/projects, archives, schedule training
and orientation classes with schools, branch facilitators or Instructors in a timely manner, achieve
yearly training quota's, verify tests, service sheets, assist in maintaining data charts, insure all
paperwork is funneled to appropriate departments correctly, recruit new instructors from EMS, order
and distribute training materials and equipment, work with finance clerk for processing paperwork,
develop/assist with annual conferences and special events. Salary for this position totals $30,000 with
benefits.
Financial Clerk i l $13,080
Maintains and secures accounting records, contracts, personnel files, develops budgets by project
codes, prepares and files quarterly reports, withdraws grant funds, reviews invoices against PO's for
accuracy, file back-up and prior authorization, processes payments for signature, records receipts and
deposit monies, prepares financial statements, assists with tax preparations at the end of a
quarter/year, prepares payroll and secures benefit reimbursements, prepares/issues all employment
federal/state forms, reconciles bank statements and submits for review, retains employee personnel
files in secured office, maintains record of employees' time off (vacation/sick/personal days) and daily
work hours for payroll records. Salary for this position totals $45,000 with benefits
National Project Coordinator &+ $30.000
This position is required for the general oversight of the entire project. This position will be under the
supervision of the Principal Investigator. This position directs the overall operation of the project.
Responsible for overseeing the implementation of national expansion of project activities, coordination
with other agencies, development of materials to effectively accomplish the project, provisions of in-
service and training, conducting meetings including teleconference calls, designs and directs the
gatherings, tabulating and interpreting of required data and reports. Responsible for overall program
evaluation including assisting in the researching and preparation of supplemental grants and for
staff/consultants performance evaluation; and is the responsible authqrity of ensuring that necessary
reports/documents are submitted to CDC and SALF headquarters in a timely manner. This position
relates to all program objectives. Salary for this position b<4 " vith benefits.
7
Principal Investigator $11,897
Position is required as liaison between state, federal, private and public agencies in the
implementation of the project; to monitor the formation of committees and subcommittees to
successfully execute the project; provide technical assistance on policy issues, review, analysis and
recommendation for selection of joint grants and sponsorships, oversee all projects ensuring that they
are efficient in their duties, interact and correspond with public, state and federal agencies, national
associations, university research centers, etc., regarding the role and function of the project and how it
relates to school health/ injury prevention and the Pre-EMS industry; participate in budget planning,
standards and policy development, oversee existing programs; evaluate the job performance of each
project/committee director/s, including the National Project Coordinator to insure progress of work is
exemplary and within project guidelines and timelines. Salary for this position is
Other ^ ^ 2 3
These funds will be utilized for the cost of generating and distributing required SALF training program
materials, 15 Master Branch Manuals at. ^V 179 Instructor training mannequins at
^ 36,567 student course books at $2 ea. * "^
v
" 20 Master Instructor Manuals
at ^ u . program informational packets, letterhead and other printed materials. /,v __
phone/fax, office machinery maintenance agreements = i fe-/ -niscellaneous supplies i y
utilities h-j postage i £y s needed to conduct the operations of SALF to execute this project.
Contractual $65,280
SALF Instructor expense compensation is based upon the current compensation allotted by SALF for
its programs. Amount to conduct £,y' >ne hour classes SALF will to contract 45 Instructors at £ ^ a
class. (2512401
Expense for contracting SALF Senior Instructors Saauan Gholar. FF/EMTP. Scott Vaughn, FF/EMTP
to orient and monitor 45 SALF Instructors require B V ($7,500)
Legal and Auditing Fees - Storino, Ramello & Durkin and Ahlbeck & Company ($6.540)
Travel and Per Diem . _ $1 1 ,1 50
Costs to sustain existing SALF sites will require 5 trips times 3 stafi _ SALF
Advisory Committee travel X 2 >PV
Total - $258.000
8
'"' 1 &
Section 4 Programmatic Changes
> The increased demand for SALF by federal student programs, Civil Air Patrol, U.S. National
Guard Challenge program, Jr. ROTC, has made us re-evaluate the terms and conditions of
applicants in hopes we can assist them in finding their own resources.
> Increased research interest for the benefits of Pre-EMS by the New York Medical Collage has
taken on data collection challenges and forced SALF to restructure its web based data collect
system to accommodate NYMC needs.
9
Attachment A
Public Survey Hot Sheet
(last updated 11/19/05 MV)
Training and equipping volunteers to provide early deflbrillation with an AED (in public places) doubled the number of
survivors to hospital discharge after cut-of-hospltal cardiac arrest"
•••Hallstrom AP, Omato JP, Weisfeldt M, et al: "Public-access deflbrillation and survival after out-of-hospital cardiac arrest. New
England Journal of Medicine. 351:637-646,2004).
■ Bystanders performing CPR and using automated external defibrillators save as many cardiac-arrest victims as highly
trained paramedics-and send more of them home with normal brain function."
"•Robert Davis. USA Today Aug. 12 "CPR, defibrillators as effective as paramedics, studies say."
, . . . . . « « » . * . . . . . » * • . . • * . • * » • * • • ♦ • • • • • • * • • • • * * • • * • • * ♦ • • • • ♦ • • * * » * * • * • • • ♦ * • * * * * * * * * * * • * * • * * • * * • * * * * • * * * * * •
• A survey was distributed to teachers in an urban public school district, elementary, middle and high schools found that 83%
believed a patient would survive if CPR.
• 92.6% believed a patient would survive if CPR and AED use occurred until an ambulance arrived.
. Those who had ever been trained were much more likely to attempt CPR than those not trained (71% *£• ^ * £
< w < #
. While knowledge of services is strong, there is a gap in knowledge about who operates and/or funds ambulance services.
• A full three in 10 simply do not know which level of government is involved.
. 61% of general public feel there should be an increase in the percent of the total funding provided by government.
• 11% said there should be an increase in the percent of die total provided by individual user fees.
• Fully 88% of patients surveyed lived in homes with total incomes under $50,000 per year.
• While there was some difference between those with and without first aid and CPR training (83% vs. 78%), and whether the
person was known to them or a stranger (97% vs. 89%). the majority (at least 78%) said that they would intervene in a medical
emergency.
•••NORTHSTAR Research Partners conducted telephone interviews with 450 Toronto residents who were selected at random.
•••They also interviewed 200 patients who had recently used emergency medical services. 200 people who had called 911 and 100 facility
staff who had booked non-emergency transfer services. , , , „
•••The margin of error for the survey results (at the 95% confidence level) ranges from +/- 4.6 for the general population survey to +/- 6.9
for ambulance patients and 911 callers and +/- 9.8 for facility staff.
Public attitude survey in Toronto. .
n« °« « ^« »»
e
»« « « . . . **. »». ,„....„.« ..........♦ ♦ .•» „..»*,♦ ♦ .. . . . . . . . . . . .
• A study conducted by researchers at The University of Texas School of Public Health at Houston suggests black men
and women are often left out of programs that teach life-saving techniques such as cardiopulmonary resuscitation
(CPR) and automated external defibrillation training, even though recent reports show the highest rate of sudden
cardiac deaths in black communities.
• The inquiry also found only 18 percent of men and 28 percent of women In the study had ever taken a CPR class.
Most of the men were In their mld-thlrties when they participated in CPR training, while women had been trained In
their mid-forties.
• Only 30 percent of all of the participants knew whom to contact to get CPR training.
The American Heart Association funded the study.
.....~ «.««.»..«...««««*«««««««««««*""""'"***""**"*"********""""**""**"*"******""""****"*"**"*"*
• 80% of schools felt that CPR training is best provided in school settings.
• To increase CPR training, the single best strategies suggested were: increase funding, provide time in the curriculum, have more
certified instructors, and make CPR student training a requirement.
•••Sponsored by School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA and Department of
Pediatrics, University of Washington School of Medicine, and Children's Hospital and Regional Medical Center, Seattle, WA, USA.
•••Statewide survey of all 310 public high schools in Washington State.
Have you ever had training on CPR?
65% YES
36% NO
How confident are you that you could perform CPR successfully in a medical emergency?
43% Very confident
45% somewhat confident
8% not too confident
3% not at all confident
•••Survey by CNN, USA Today, conducted by Gallup Organization, Feb. 24-26,2003, and based on telephone interviews with a national
adult sample of 1,003
05/22/2006 9?,-4 36
f
SUPERSEDES AWARD NOTICE DATED
E P l T HAI ANV A D D I T I O NS ORRE S T RI C T I O NS
VI O U S i r I MPOSED RE H A I N I N EFFECT UNLESS S P E C I F I C A L L Y RE S C I ND E D .
06/14/2005
GRANT NO.
H28/CCH523764-02-1
PROJECT PERIOD
06/01/2004
OH
wo
&i/tmQQ5
5. ADMINISTRATIVE CODES
CCH28
THROUGH
05/31/2007
DEPARTMENT OF HEAL T H AND HUMAN S E RVI C E S ^
• ^ ^ PUBLIC HEALTH SERVICE
CENTERS ,i DISEASE CONTROL AND PREVENTION
NOTICE OF GRANT AWARD
A U T H O RI ZA T I O N ( L E GI S L A T I O N/ RE GU L A T I O N)
SECTION 3 0 1 ( A) , 3 1 7 ( K > ( 2 ) , 3 91 , 392
05/31/2007
TITLE OF PROJECT (OR PROGRA M)
EARMARK - PROMOTE TRAINING & ED IN BASIC LIFE SUPPORT FOR CHILD/ADOLESCENTS
GRANTEE NAHE AND ADDRESS
SAVE A LIFE FOUNDATION
PRESIDENT AND FOUNDER
9950 WEST LAWRENCE A VENUE, SUITE 300
SCHILLER PARK, IL 60176
APPROVED BUDGET (EXCLUDES PHS DI RECT AS S I S T ANCE )
PHS CRANT FUNDS ONLY
TOTAL PROJECT COSTS INCLUD1NC GRANT FUNDS AND ALL OTHER FINANCIAL
PARTICIPATION
(PLACE HUMERAL ON LINE)
SALARIES AND UACES t
FRINGE BENEFITS t
TOTAL PERSONNEL COSTS S
CONSUL TAMT COSTS
EOUIPHEHI
SUPPLIES
TRAVEL
PATIENT CARE-1HPATIEHT
PATIENT CARC-OUTPATIEHT
ALTERATIONS AND RENOVATIONS
OTHER
CONSORT ION/CONTRACTUAL COSTS
TRAINEE RELATED EXPENSES
TRAINEE STIPENDS
TRAINEE TUITION AND FEES
TRAINEE TRAVEL J
TOTAL DIRECT COSTS
120,750
17,250
138,000
0
28,378
100,000
29,365
0
0
0
75,000
125,257
0
0
0
0
10. DIRECTOR OF PROJECTCPROCRAN DIRECTOR/PRINCIPAL INVESTIGATO!) -^ .
CAROL J. SPIZZIRRI csA***^*"*
0
^
PRESIDENT AND FOUNDER ' ^
9950 WEST LAWRENCE A VENUE, SUITE 300
SCHILLER PA RK, IL 60176
12. AWARD COMPUTATION FOR FINANCIAL ASSISTANCE
A . ANOUNT OF PHS F I NA NC I A L AS S I S T ANCE (FROM I I . U ) t
B. LESS UNOBLI GATED BALANCE FROH P RI OR BUDGET P E RI O D S , t
C . LESS CUMULATI VE PRI OR AWARDCS) T H I S BUDGET P E RI OD . (
D .
AMOUNT OF F I NA NC I A L A S S I S T . T H I S ACTI ON
496,000
0
496,000
13. RECOMMENDED FUTURE SUPPORT (SUBJECT TO THE AVAILABILITY
OF FUNDS AND SATISFACTORY PROGRESS OF THE PROJECT)
BUDGET
YEAR
t r
TOTAL DIRECT
COSTS
TT
" 0"
BUDGET
YEAR
E.
TT
t r
TT
TOTAL DIRECT
COSTS
T
TT
TT
INDIRECT COSTS ( 0 . 0 0 *
0 F
S*
U
/
IADC
>
TOTAL APPROVED BUDGET.
496.000
496,000
LT
FEDERAL SHARE »
NON - FEDERAL SHARE 8
496,000
0
It,. APPROVED DIRECT ASSISTANCE BUDGET (IN LIEU OF CA SH)
A. AHOUNT OF PHS DIRECT ASSISTANCE 1
B. LESS UNOBLIGATED BALANCE FROH PRIOR BUDGET PERIODS S
C. LESS CUMULATIVE PRIOR AWARDS FROH THIS BUDGET PERIOD*
D. AMOUNT OF DIRECT ASSISTANCE THIS ACTIONfs
0
0
0
15. PROGRAH IHCOHE SUBJECT TO «S CFR PART TA.SUBPART F.OR <.S CFR 92.25.
SHALL BE USED IN ACCORDANCE WITH ONE OF THE FOLLOWING ALTERNATIVES!
CSELECT ONE AND PUT LETTER IN BOX.)
A. DEDUCTION
B. ADDITIONAL COSTS
C. HATCHING
D. OTHER RESEARCH<ADD/DEDUCT OPTION)
E. OTHER (SEE REnARKS)
B
THIS AWARD IS BASED OH AH APPLICATION SUBNITTED TO, AHD AS APPROVED BY. THE PHS OH
THE ABOVE TITLED PROJECT AND IS SUBJECT TO THE TERMS AND CONDITIONS IHCORPORATED
EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWINCi
A.THE CRAHT PROGRAM LEGISLATION CITED ABOVE. B.THE GRANT PROGRAH REGULATI0H
CITED ABOVE. C.THIS AWARD NOTICE INCLUDING TERNS AND CONDITIONS.IF ANY.NOTED BELOW
UNDER RENARKS. D.PHS GRANTS POLICY STATEMENT INCLUDING ADDENDA IN EFFECT AS OF THE
BEGINNING DATE OF THE BUDGET PERIOD. E.«5 CFR PART 7« OR «5 CFR PART 92 AS
APPLICABLE. IH THE EVENT THERE ARE CONFLICTING OR OTHERWISE INCONSISTENT POLICIES
APPLICABLE TO THE GRANT. THE ABOVE ORDER OF PRECEDENCE SHALL PREVAIL. ACCEPTANCE
OF THE GRANT TERNS AND CONDITIONS IS ACIHOWLEDCED BY THE GRANTEE WHEN FUNDS ARE
DRAWN OR OTHERWISE OBTAIHED FROH THE CRAHT PAYNEHT SYSTEM.
kHJWIki. m m i U ILMHii AMU LUWUIIIUML A IIA LHIU
X- ""'
SPONSOR: NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL
f. OBJT /CLASS.
-IS ftftANTS^HANAGEHENT^FyiCEft : (SIGNATURE) INAME-TYPED/PRINT)
JIM MASONE
118. CRS.E1N: O. T
iTf7E CO
i A c c 54A <rj 1
DOCUMENT NO.
A D M I NI S T RA T I VE CODE
( T I T L E )
GRANTS MANAGEMENT OFFICER
CM-21B-G06
19. LIST NO.
AHT.ACTION FIN.ASST ANT.ACTION DIR.ASST
S-S152-I (REV.T/9?) (NODIFIED CDC VERSION 10/92)
NOTICE OF AWARD Page 2 of 2 DATE ISSUED:
(Continuation Sheet) AWARD NO. H28/CCH523764-02-1
NOTE 1: This revised Notice of Award authorizes a one-year aejj8ostd»ctfiasion
budget and project periods. The Budget Period Ending date ana ffieProjexrPeri
Ending date are hereby changed as follows:
ioRjoftbe
34
From:
May 31,2006
To:
May 31,2007
NOTE 2: Reporting due dates are as follows:
Interim Financial Status Report
Final Financial Status Report
Interim Progress Report
Final Report
August 31,2006
August 31, 2007
August 31, 2006
August 31,2007
The FSR should not report costs cumulatively across budget periods.
NOTE 3: All other terms and conditions of the award remain unchanged and in full
effect.
PHS-S152-2
Rev. 6/82
Russel, Joseph W. (CDC/CCEHIP/NCIPC)
From: Russel, Joseph W. (CDC/NCIPC/DIR)
Sent: Wednesday, May 24, 2006 4:27 PM
To: 'Carol Spizzinf
Cc: Masone, James (CDC/OCOO/PGO); Russel, Joseph W. (CDC/NCIPC/DIR)
Subject: FW: 523764-02-1 No Cost Extension
Importance: High
Attachments: 523764-0.pdf
ipjfc
523764-0.pdf (81
KB)
Reference: Request for a no-cost extension on Grant Number H28/CCHS23764-02-1.
Dear Ms. Spizzirri:
This letter is in response to your request for a no-cost extension (attached). Your
request has been approved for the period May 31, 2006 to May 31, 2007.
If you have any questions or need assistance in any business matters relating to this
grant award, please contact James Masone, Grants Management Officer (PGO) at 770-488-2736
or via e-mail at jmasone@cdc.gov. Also, please send Mr. Masone your contact information,
telephone number, e-mail address, etc.
In addition, if you have any programmatic questions relating to the grant, please contact
your project officer Joseph Russel at (770) 488-1042.
Thanks,
Joseph Russel
Mr. Joe Russel, CDC Project Officer
Original Message
From: Masone, James (CDC/OCOO/PGO)
Sent: Monday, May 22, 2006 2:41 PM
To: Russel, Joseph W. (CDC/NCIPC/DIR)
Cc. Masone, James (CDC/OCOO/PGO)
Subject: 523764-02-1 No Cost Extension
Joe:
Would you please forward this to the grantee? I have neither a working phone number nor
an e-mail address.
Thank you!
Dear Mr. Barnes:
Please note that an original will not be forthcoming. Please contact me (jmasone@cdc.gov)
with a working phone number and e-mail addresses for both you and the Project Director.
Thank you!
Jim Masone
Grants Management Officer
CDC
1
Russel, Joseph W. (CDC/CCEHIP/NC1PC)
From: Russel, Joseph W. (CDC/NCIPC/DIR)
Sent: Thursday. May 25, 2006 11:02 AM
To: 'Carol Spizzirri'
Subject: RE: 523764-02-1 No Cost Extension
You're welcome. I look forward to meeting you too.
Original Message
From: Carol Spizzirri [mailto:cspizzirri@salf.org]
Sent: Wednesday, May 24, 2006 9:42 PM
To: Russel, Joseph W. (CDC/NCIPC/DIR)
Cc: nbaltz@salf.org; Robert R. Barnes
Subject: FW: 523764-02-1 No Cost Extension
Importance: High
Dear Joe: Thank you very much for your help and concideration...I've forward to our
Finance Dir and Neil Baltz Program Manager. Looking forward to meeting you next time we're
in Atlanta which could be soon.
Carol
Original Message
From: Russel, Joseph W. (CDC/NCIPC/DIR) [mailto:nzr4@cdc.gov]
Sent: Wednesday, May 24, 2006 3:27 PM
To: Carol Spizzirri
Cc: Masone, James (CDC/0C00/PG0); Russel, Joseph W. (CDC/NCIPC/DIR)
Subject: FW: 523764-02-1 No Cost Extension
Importance: High
Reference: Request for a no-cost extension on Grant Number
H28/CCH523764-02-1.
Dear Ms. Spizzirri:
This letter is in response to your request for a no-cost extension (attached). Your
request has been approved for the period May 31, 2006 to May 31, 2007.
If you have any questions or need assistance in any business matters relating to this
grant award, please contact James Masone, Grants Management Officer (PGO) at 770-488-2736
or via e-mail at jmasone@cdc.gov. Also, please send Mr. Masone your contact information,
telephone number, e-mail address, etc.
In addition, if you have any programmatic questions relating to the grant, please contact
your project officer Joseph Russel at (770) 4B8-1042.
Thanks,
Joseph Russel
Mr. Joe Russel, CDC Project Officer
Original Message
From: Masone, James (CDC/0COO/PGO)
Sent: Monday, May 22, 2006 2:41 PM
To: Russel, Joseph W. (CDC/NCIPC/DIR)
Cc: Masone, James (CDC/0C00/PG0)
Subject: 523764-02-1 No Cost Extension
Joe:
Would you please forward this to the grantee? I have neither a working phone number nor
an e-mail address.
1
Thank you!
Dear Mr. Barnes:
Please note that an original will not be forthcoming. Please contact me
(jmasone@cdc.gov) with a working phone number and e-mail addresses for both you and the
Project Director.
Thank you!
Jim Masone
Grants Management Officer
CDC
2
1 Cft/l ft AUI ' I \J~X | _SC~ l> .y« _»WX
SAVE A UFE FOUNDATION
9950 WEST LAWRENCE AVE
SCHILLER PARK, IL 60176
Phone: 647-926-8563
Fax: 647-92B-36B4
' ~)
/ * ■•* ,
;i;..)
Fax
To: James Masone Prom:
Fax: (770)488-2670 Datei
Phone: Panes:
Jeff Schroeder 847 928 9683
August 31.2006
8
Res August 31.2006 Interim Progress Report CC:
and Interim Financial Status Report .
D Urgent 0 For Review D Please Comment O Please Reply O Please Recycle
V
A
r CLX i run • on t 7i.o 7001 «>#% > . ». * .
SAlJ
Save A Life Foundation
Carol J. Spi22lrri
Founder / President
August 31,2006
James Masone
Grants Management Specialist
Procurement and Grants Office
Centers for Disease Control and Prevention
2920 Brandywine Road, Mailstop E-15
Atlanta, GA 30341-4146
National Headquarters
W50 W. Lawrence Avc 5% ic MO
Schilta Porte, llliiioii COI7M2I6
Ph: (Ml) 9I8.MfcK3
lax: i847)92IMM84
Webwc: vww.sair.orB
S
&
\
&
Dear Mr. Masone:
Attached are the Progress Report dated August 31,2006 and tlie Financial Status Report
(FS 269) for H28/CCH523764-02 as required. I will mail the originals to you.
Please contact me if you have any questions.
Sincere!
y^JJhxJl
Jeffrey M. Schroeder
Director of Finance and Administration
"«®5»"
tt
O O J X « V» X J • <J A oV 5J "
•3
FINANCIAL STATUS REPORT
(Long Pom)
(FpUo* trtsfrwfons on Ifta OBCKJ
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8. Fiattngnro nr, Period fSea inuo idfeni)
Front (Menffi, Day. Year) l l a: (Momh, Day. Year)
07/01/2005 | 06/30/2007
1 0. TiantaeaarK
a. Total o tsay i
b- Ro unds, rebates. otc.
e. PcDjraraiao amautrtin»cco Rlan»»rtnUiaaeriumo neto mat«a
d Maio rtay «fL'n»o ,ft>tt<»etumo ft>iaiasiiddl
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a. TWtd party r«Hunfl>eo f**«to >»
t. Crtt»tF«d*rai awards o uthcrtM to be wo dm ma t * i n^o ^r d
9* PTOjrom incorno bifid In ac&onlanco twtti Cfto matcatfls or cost
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a To ialFacto mlluno twilniaBdlo rihltivntfjtgpwJDd
p. Unabba^d b a r o n Btfo daniltvftat f l aw o ntaius ana rtj
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1 1 . inalajet
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Fran; (Menta, Day. Year)
07/01/2005
1
Previously Reported
90.00
$0.00
$0.00
1
TMgPariad
$240,000.00
52 *0.000.00
$0. 00
$240,000.00
T. Bosn
Dc * » h 0Ao eruel
To : (Month. Oay. Your)
0 8 / 3 0 0 0 0 8
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$0. 00
SOW
$0.00
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$240,000.00
$240,000.00
$498,000.00
$2 56,000. 00
$0. 00
«. Ty pcstREtaJPhaa^tnao pnipriataaair}
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a. Rate a Ba*a d Total Amount
$0.00 .
0. FodatBl 6Atn>
1 2 . Ao ao i t e^Oadi tnyertsiamtiani daem40r ma»»y errftfamafmn monrna by Fadbro/spontonap; agency w ae/Bp&a/tco KIO>
camming rOcIsiallBn-
1 3. Contfiaauan: 1 eerttty la iho boat of my tutawto aja and bettor lhat this repo rt If cano tl and co mpute and t hi t i l l o utlay * end
unQaiiiaitad acHnattam ana fo rlh» aurnaam set fosth In lire award decwno ala.
Ty pta or Pfrtna N«m» « M Tt o j ^ , s p j ^ j , , , Pr eei dem and Fo under
SiOWtu^^Aimrrflaaa Can JVino Osteal .
Telephone <Arae so da, number and o «tar*en)
(647) 928-9663
Oolo Report Suornptad
06/31/2006
Praviava Edtten Uaaofa.
NSN 764M1 -01 M2 S!
26B.104
ZOCMfta P.O. 13S (Foso)
Smndaifl Faim 2 99 (Rev. 7-B7)
Prascrtaad by OM8 Clftsitai A-1 03 end A-1 1 0
Progress Report August 31 , 2006 (H28/CCH623764-02)
SAVE A LIFE FOUNDATION, INC.
A. Progress toward objectives
1. Collect and analyze data on the implementation of the SALF program
o With training-goalB of 77,550 students, 40,983 were trained reporting -
i. •£4% answering test questions correctly
li. 85% answering an Increased willingness to render aid in an emergency
2. Establish relations with a medical institute famDIar with the needs of EMS to conduct
research with SALPs LSFA data, to demonstrate the benefits of Life Sustaining First Aid
including CPR and the Helmllch maneuver. August 30.2005
• Note: lack of interest by epidemiologists to pursue the study and review subject matter
caused extensive delay. Not until January 15,2006 when SALF secured interest by
fha New York Medical College.
• Interest increased shortly after Louisiana's Katrine Disaster, including the "Illinois
Lincoln Challenge," U.S. Coast Guard Challenge Program. National Civil Air Patrol.
and Jr. ROTC, to conduct controlled research study.
3. Identify a group of experts In the field of emergency medicine, education, municipal
government, corporate, federal, state and local agencies to identify states and/or
communities especially those already served by SALF, to target expansion locations and
assist with the implementation by September 15.2005
• SALF identified four medical experts, two municipalities, two federal, agencies, one
corporate and three local agencies. The following SALF new sites were targeted by
December 30.200$
Peorla Illinois' Fire Department, Illinois
Illinois Lincoln Challenge, Rantoul Illinois
Chicago Fire Department 9-1-1 Center, Illinois
Bloomington Hospital, Bloomlngton, Illinois,
Rutland County Hospital, Vermont
New York Medical College, ValhaOa, NY
Illinois Midway CMI Air Patrol, Chicago, IL
Kankakee Hospital. Illinois
U.S. Department of Defense
U.S. Homeland Security
VELCO (Vermont Electric Powa- Company, Inc.)
Office of Homeland Security:
o U.S. Surgeon General directed all Medical Reserve Corps volunteers to become
' SALF Instructors and help train local school children and adults with SALF programs.
He further Included SALF in his "Year of the Health Child" initiative.
Illinois Municipal League - assisted in the development of new SALF sites.
o Illinois Lincoln Challenge, Rantoul, Illinois
o Peorla Fire Department, Peoria, Illinois
o Marion Hospital, Illinois
o Kankakee Hospital. Illinois
o Bloomlngton Hospital, Illinois
VELCO - Vermont Electric Power Company, Inc. sponsored the creation of SALF site at
Rutland Medical Center, Vermont
American Trauma Society in Pennsylvania - SALF site In Mechanlcsburg, PA. In addition
Pennsylvania Department of EMS matched SALFs support - agreed number of children to be
trained 1 200 by April 2007
U.S. Conference of Mayor's assisted:
o SALF site, Green Bay, Wisconsin
b SALF site, Santa Barbara,'CA
o SALF site, Bumsville, MN
U.S. Citizen Corps
o SALF site, Phoenix, AZ
New Partners
U.S. Coast Guard's Challenge program December flMfi
National Civil Air Patrol January 2QQfi
»
Ongoing:
> SALFs new site at Illinois Midway Airport SALF developed a relationship with the
National Civil Air Patrol to establish a SALF sites nationally at each of their 1,700 sites
and train 175,000 CAP cadets (14-19 years).
> SALFs new site at Rantoul, Illinois, (Lincoln's ChaileNge), developed a relationship to
include a SALF site at 33 ChaileNge sttes nationally.
Number of students contracted to be trained by SALF sites * 77.550. exceeding original
projections bv23 3%
7. Identify potential and on going national and local sponsoring organizations for the national
expansion program in the targeted states. August 30. 2005
• Each SALF Site agreed to match funds to SALFs mini grant with in-kind services.
• Corporate America and private sponsorships occurred include:
o Ronald McDonald House Global, Illinois Regional and Vermont Regional Charities
a Chicago Board of Education
o Illinois/New MexJco/Taxaa Region Blue Cross Blue Shield
o CCF Bank Illinois and Minnesota
a Comcast Communications Mav
r
2007
Major Findings:
• A slight increased interest In Pre-EMS training by corporate America after Louisiana
Hurricane Katrina's disaster but still vary slow.
• More interest In Pre-EMS, among government entities, than by private citizens. Public still
assumes that it's the duty of public servants to be trained and perform and not theirs.
• Hospital or EMS site legal council caused extensive delayed in expanding due to liability
concerns.
• Recent discovery by corporate interest to support SALF because of its direct affiliations
with U.S. Homeland Security
Significance of those findings:
• Many funding opportunities still focus on Injury prevention rather than on Pre-EMS issues
• Because of limited resources SALF had to be creative with site start-up to accommodate
financial needs by those requesting our program
• Local, state and federal political representatives demonstrate more interest in the need for
SALF training after witnessing classes In their district Although there was a significant
I QA It-UN • %Jtt -t£*\J ^ UUI
1
u u J i " U O 1 3 . J 1 r g ,
men rease by the public and corporate America to support Pre-SWS after Louisiana's
Katrine Disaster It dropped sharply soon after media coverage stopped. The strongest
advocate still remains municipal leaders (mayors).
General program obserwaflqn; ..
Children (K-12) continue to welcome SALF Instruction and enjoy the local emergency medical
professional who often becomes theirmentor. Their test scores continue to demonstrate a stable
level of skins retention and increased Interest In helping others in need. Two reported lives were
by SALF trained students shortly after they received their training.
o 40,983 reported trained students- out cf77,SSd of which 36,567 is still out standing
i. 94%. answered test questions correcfr/
il S5% demonstrate an increased willingness to render aid afterthey were
trained.
Funding extension requested to sustain SALFs infrastructure, encourage each site to seek local
.sponsors to retain and expend their school training independently, find avenues to promote Prelaws
principles as an accepted practice, increase public Interest, monitor the effectiveness and saturation of
SALFs training, and to maximize the ttmlted resources SALF receives to meet the growing demand of
training our youth.-
Date.
Carol Spizarri
President and Founds^
Save A Life Foundation, Inc.
3
Masone, James (CDC/OCOO/PGO)
From:
Sent:
To:
Cc:
Subject:
Attachments:
Masone, James (CDC/OCOO/PGO)
Thursday, September 07,2006 1:14 PM
Russel, Joseph W. (CDC/CCEH IP/NCI PC)
Masone, James (CDC/OCOO/PGO)
523764-03 Interim Progress Report
523764-0.pdf
523764-0.pd
f (196 KB)
J oe:
At t ached pl eas e f i nd s ubj ect r e p o r t .
Hope i t i s hel pf ul .
Jim
1