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About 2017-18 Million Hearts® in Municipalities


The National Association of County and City Health Officials (NACCHO) is the voice of nearly 3,000 local health departments (LHDs) across the country. NACCHO provides resources to help LHD leaders develop public health policies and programs to ensure that communities have access to the vital programs and services people need to keep them protected from disease and disaster.

NACCHO supports community-level efforts to address chronic conditions that critically impact the community’s health and well-being. Every year, more than 1.5 million people in the U.S. suffer from heart attacks and strokes and more than 800,000 deaths occur from cardiovascular (CV) disease. CV disease costs the U.S. hundreds of billions of dollars annually and is the greatest contributor to racial disparities in life expectancy.  In 2012, the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services—alongside 120 official public and private sector partners and 20 federal agencies— successfully aligned national CV disease prevention efforts around a select set of evidence-based public health and clinical goals and strategies. As a result, significant progress was made toward the audacious aim to prevent a million CV events in five years. Million Hearts® 2022 (MH® 2022) was launched in 2017 to enhance progress and continue the achievements in reducing the burden of CVD in the United States. MH® 2022 provides a platform to promote high-impact, sustainable evidence-based strategies and serves to cultivate collaborations, identify community strengths and align synergies among diverse partners and stakeholders. For more information on the MH® 2022 initiative go to

Availability of Funds

The CDC and NACCHO are offering funding for local, state, tribal, and territorial public health departments, or their designee, to enhance efforts to prevent CV disease and implement MH® 2022 strategies in their community. CDC and NACCHO have developed a Million Hearts® Toolkit for Municipalities, which translates the national MH® 2022 framework, priorities, and evidence-based strategies to local and state contexts. Program materials, on-going technical assistance and communication, and subject matter expertise will also be provided. In addition, there may be opportunities to collaborate and leverage efforts from MH® national partners. 

NACCHO will make at least four (4) awards, of up to $25,000 each, available to municipal public health departments, or their designee. Online applications must be submitted through NACCHO’s application website at no later than November 28, 2017 at 11:59 pm E.T.

NACCHO will host one (1) optional webinar on November 9, 2017 at 3:30 pm E.T. to discuss this funding opportunity and respond to any questions. View the webinar recording here. Please note that no new information will be shared during the webinar and the recording will be posted to the NACCHO website. Questions regarding this announcement should be directed to


Separate from this funding opportunity, NACCHO and CDC is developing a MH® in Municipalities Collaborative to support community efforts to increase knowledge and capacity for implementing MH® strategies.  Municipalities participating in this collaborative will be able to share their CV disease achievements and engage in the broader MH®2022 initiative. Through the collaborative, participants will learn about learn about webinars, resources, and technical assistance to support implementation MH® strategies. Participants will also be able to connect with MH® partners and other municipalities. If you would like more information and/or are interested in being involved, email  

Technical Assistance, Selection, Eligibility & Expectations

Technical Assistance (TA)

NACCHO and CDC will serve as a resource to grantees to ensure achievement of project goals by fulfilling the following responsibilities:

  • Provide background information, including access to reports, data, and other resources necessary to complete the project goals; 
  • Provide direct TA, including MH® subject matter expertise, webinars and phone or e-mail consultations.
  • Develop and support an online community of practice for information sharing.
  • Provide tools, guidance, and assistance for to collecting and reporting project data, evaluating project activities, and fiscal/contract monitoring.

NACCHO will reimburse the selected the grantees, bi-monthly, upon receipt of deliverables (e.g. reports/evaluation) and invoices outlining project expenses.

Selection Process

Applications will be reviewed by both NACCHO and CDC. Please note:

  • Applications not submitted by the deadline or incomplete will be considered non-responsive under this announcement.
  • Multiple applications from an organization are not allowable. However, organizations or agencies have the ability to submit joint applications for this funding opportunity.
  • Selected applicants will be provided with letter outlining NACCHO’s contract terms and plans for payment.
  • Applications will be reviewed and scored based on the following criteria:
    • Community Need: high rates of CVD or significant disparities in CVD rates among MH® 2022 priority populations.
    • Organization Capacity:  existing resources, including partner support, and capacity to address CVD, but need support to align programs and services with the MH® 2022 initiative.
    • Organization Collaborations: history of multi-sector collaborations and partnerships to support efforts. 
    • Readiness to Implement: ready to implement a selected MH® strategy in their community to improve CV health.

Municipalities most ready to implement a MH® strategy will be funded under this award. Successful applicants will identify what they are doing well and why the work should be expanded, improved and/or initiated to support CV disease prevention. NACCHO reserves the right to select grantees based on strategy selection, geographic preference or random selection in the event that there are a high volume of applicants.


This RFA is open to local, state, tribal and territorial public health departments, or their designee.


Grantees will be funded to enhance current efforts to prevent CV disease and implement MH® 2022 strategies listed here. Grantees will be expected to comply with the following prescribed activities during the project period, as follows:

  • Implement one or more of the evidence-based MH® 2022 strategies that align with the following priorities
    • Keeping people healthy;
    • Optimizing care; and /or
    • Improve outcomes for priority populations
  • Attend one virtual kick-off meeting, with other selected grantees.
  • Participate in four webinars (dates TBD) with other grantees to:
  • Discuss and share knowledge/experience implementing MH® strategies (e.g., barriers, facilitators and process outcomes).
  • Share feedback on utility of MH® Toolkit modules.
  • Participate in all project-related evaluation activities (e.g., pre-post assessments, progress/process reporting, and evaluation of TA activities.
  • Provide final report on the implementation process, barriers, facilitators and outcomes of implementing MH® 2022 strategies.

Applicants must also be able to adhere to NACCHO’s standard contract language and be able to sign and return a contract to NACCHO within 30 days of receiving it. No modifications to the terms or contract language will be made. Agencies that cannot agree to NACCHO’s contract language should not apply for this initiative. As part of the proposal, the agency will be asked to verify that it has read NACCHO’s standard contract language, can accept the terms of the contract, and process within 30 days of receipt.

The Award Process


Application Process Opens


Informational webinar will be held from 3:30 pm - 4:30 pm E.T. 

View the webinar recording. 


Application Period Closes at 11:59 pm E.T.


Award Notification


Anticipated Project Start Date


Virtual Grantee Kick-Off Meeting (times TBD)


Project End Date