Arra - Emergency Medical Services For Children (93.418)

Program

93.418 Arra - Emergency Medical Services For Children

Federal Agency

Agency: Department of Health and Human Services
Office: Health Resources and Services Administration

Authorization

American Recovery and Reinvestment Act of 2009 (Recovery Act) (PL 111-5)., Public Law 111-5.

Program Number

93.418

Last Known Status

Active

Objectives

To support demonstration projects for the expansion and improvement of emergency medical services for children who need treatment for trauma or critical care, as funded under the American Recovery and Reinvestment Act of 2009 (ARRA).

Types of Assistance

Project Grants

Uses and Use Restrictions

All funds granted should be expended solely for carrying out the approved project in accordance with Section 1910 of the Public Health Service Act.

Eligibility Requirements

Applicant Eligibility

Beneficiary Eligibility

All children will benefit from the project grants administered by this program, including children from minority groups.

Credentials/Documentation

Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. This program is excluded from coverage under OMB Circular No. A-87.

Application and Award Process

Preapplication Coordination

This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. Environmental impact information is not required for this program. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedure

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. HRSA is requiring applicants to apply electronically through Grants.gov (www.grants.gov). All applicants must submit in this manner unless the applicant is granted a written exemption from this requirement in advance by the Director of HRSA�s Division of Grants Policy. Grantees must request an exemption in writing from dgpwaivers@hrsa.gov and provide details as to why they are technologically unable to submit electronically though the Grants.gov portal.

Applicant information found by visiting www.grants.gov. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Maternal and Child Health Bureau (MCHB) has the authority to make final selections for awards.

Award Procedure

Applications are reviewed by a review committee of experts who are generally nongovernmental. Applications are reviewed based on their merit and are ranked according to a point score. Final decisions are made by the Associate Administrator for the Maternal and Child Health Bureau MCHB.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Range of Approval/Disapproval Time

From 90 to 120 days.

Appeals

Not Applicable.

Renewals

Annual basis.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.

Matching requirements are not applicable to this program.

MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

Awards are made annually, in accordance with the project period method of awarding grants. Payments are made through a Letter of Credit or Cash Demand System. Project periods are generally for up to 3 years. See the following for information on how assistance is awarded/released: Notice of Grant Award.

Post Assistance Requirements

Reports

Annual program reports, program service reports, and special reports must be submitted as required. All projects funded with ARRA funds are subject to special quarterly reporting requirements as outlined in Section 1512 of the Recovery Act. Please visit the following Web site for further information on ARRA reporting requirements. http://www.hhs.gov/recovery/grantscontracts/recoverytermsconditions.html. Cash reports are not applicable. Annual program reports, financial status reports, program service reports, and special reports must be submitted as required. All projects funded with ARRA funds are subject to special quarterly reporting requirements as outlined in Section 1512 of the Recovery Act. Please visit the following Web site for further information on ARRA reporting requirements. http://www.hhs.gov/recovery/grantscontracts/recoverytermsconditions.html. Annual program reports, financial status reports, program service reports, and special reports must be submitted as required. All projects funded with ARRA funds are subject to special quarterly reporting requirements as outlined in Section 1512 of the Recovery Act. Please visit the following Web site for further information on ARRA reporting requirements. http://www.hhs.gov/recovery/grantscontracts/recoverytermsconditions.html. Annual program reports, financial status reports, program service reports, and special reports must be submitted as required. All projects funded with ARRA funds are subject to special quarterly reporting requirements as outlined in Section 1512 of the Recovery Act. Please visit the following Web site for further information on ARRA reporting requirements. http://www.hhs.gov/recovery/grantscontracts/recoverytermsconditions.html.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), Audits of States, Local Governments, and Non-Profit Organizations, nonfederal entities that receive financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

Grantees are required to maintain grant accounting records 3 years after the end of a grant period. If any litigation, claim, negotiation, audit or other action involving the record has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Program Accomplishments

Fiscal Year 2008: None. This is ARRA funding for future FY 2010. Fiscal Year 2009: None. This is ARRA funding for future FY 2010. Fiscal Year 2010: It is estimated that 75 grants will be funded.

Financial Information

Account Identification

75-0351-0-1-550.

Obligations

(Project Grants) FY 08 $0; FY 09 est $0; FY 10 est $3,200,000

Range and Average of Financial Assistance

$3,200,000.

Regulations, Guidelines and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations.

Related Programs

20.600 State and Community Highway Safety; 93.110 Maternal and Child Health Federal Consolidated Programs; 93.127 Emergency Medical Services for Children

Information Contacts

Regional or Local Office

See Regional Agency Offices. Daniel Kavanaugh, EMSC Senior Program Manager, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18A-38, 5600 Fishers Lane, Rockville, MD 20857, 301-443-1321.

Headquarters Office

Daniel Kavanaugh Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18A-38, 5600 Fishers Lane, Rockville, MD 20857., Rockville, Maryland 20857 Email: dkavanaugh@hrsa.gov Phone: 301-443-1321

Web Site Address

http://www.hrsa.gov

Examples of Funded Projects

Fiscal Year 2008: State Partnership Grants

The State Partnership grants fund EMS state agencies to focus on the following performance measures:

1.Ensure operational capacity to provide pediatric emergency care by guaranteeing pre-hospital provider agencies have on-line and off-line pediatric medical direction; pre-hospital providers agencies have essential pediatric equipment and supplies; implement a state-wide, territorial, or regional facility recognition program for hospitals that are able to stabilize and/or manage pediatric emergencies; and hospitals have written inter-facility transfer guidelines and agreements that specify alternate sites that have the capabilities to meet the clinical needs of critically ill and injured pediatric patients.
2.Adopt requirements by states/territories for pediatric emergency education for the recertification of paramedics.
3.Establish permanence of EMSC in each state/territory

National EMSC Data Analysis Resource Center

NEDARC provides technical assistance, training workshops, and site visits in order to assist EMSC projects and state EMS offices develop their capabilities to collect, analyze, and utilize EMS data. NEDARC provided the foundation from which the NEMSIS Technical Assistance Center was created and is an example of collaboration between EMSC and the National Highway Traffic Safety Administration (NHTSA)

Targeted Issues Grants
Targeted Issues grants are intended to address specific needs or concerns in the field of pediatric emergency care that transcend state boundaries. Typically the projects result in a new product or resource or the demonstration of the effectiveness of a model system component or service of value to the nation. Types of projects that have been funded within this category include developing model pediatric components for state disaster plans, screening and secondary prevention for psychological sequelae of pediatric injury, basic emergency lifesaving skills in schools, and emergency preparedness for infants with significant heart disease.

Network Development Demonstration Project (NDDP)

Projects are cooperative agreements that demonstrate a system of regional applied pediatric emergency medical services centers designed to expand and improve emergency services for children who need treatment for trauma or critical care. Awardees are linked together in a network to demonstrate a capacity to conduct multi-site studies on issued relating to the management of pediatric events that occur in hospitals as well as in transport. Fiscal Year 2009: State Partnership Grants

The State Partnership grants fund EMS state agencies to focus on the following performance measures:

1.Ensure operational capacity to provide pediatric emergency care by guaranteeing pre-hospital provider agencies have on-line and off-line pediatric medical direction; pre-hospital providers agencies have essential pediatric equipment and supplies; implement a state-wide, territorial, or regional facility recognition program for hospitals that are able to stabilize and/or manage pediatric emergencies; and hospitals have written inter-facility transfer guidelines and agreements that specify alternate sites that have the capabilities to meet the clinical needs of critically ill and injured pediatric patients.
2.Adopt requirements by states/territories for pediatric emergency education for the recertification of paramedics.
3.Establish permanence of EMSC in each state/territory

National EMSC Data Analysis Resource Center

NEDARC provides technical assistance, training workshops, and site visits in order to assist EMSC projects and state EMS offices develop their capabilities to collect, analyze, and utilize EMS data. NEDARC provided the foundation from which the NEMSIS Technical Assistance Center was created and is an example of collaboration between EMSC and the National Highway Traffic Safety Administration (NHTSA)

Targeted Issues Grants
Targeted Issues grants are intended to address specific needs or concerns in the field of pediatric emergency care that transcend state boundaries. Typically the projects result in a new product or resource or the demonstration of the effectiveness of a model system component or service of value to the nation. Types of projects that have been funded within this category include developing model pediatric components for state disaster plans, screening and secondary prevention for psychological sequelae of pediatric injury, basic emergency lifesaving skills in schools, and emergency preparedness for infants with significant heart disease.

Network Development Demonstration Project (NDDP)

Projects are cooperative agreements that demonstrate a system of regional applied pediatric emergency medical services centers designed to expand and improve emergency services for children who need treatment for trauma or critical care. Awardees are linked together in a network to demonstrate a capacity to conduct multi-site studies on issued relating to the management of pediatric events that occur in hospitals as well as in transport. Fiscal Year 2010: State Partnership Grants

The State Partnership grants fund EMS state agencies to focus on the following performance measures:

1.Ensure operational capacity to provide pediatric emergency care by guaranteeing pre-hospital provider agencies have on-line and off-line pediatric medical direction; pre-hospital providers agencies have essential pediatric equipment and supplies; implement a state-wide, territorial, or regional facility recognition program for hospitals that are able to stabilize and/or manage pediatric emergencies; and hospitals have written inter-facility transfer guidelines and agreements that specify alternate sites that have the capabilities to meet the clinical needs of critically ill and injured pediatric patients.
2.Adopt requirements by states/territories for pediatric emergency education for the recertification of paramedics.
3.Establish permanence of EMSC in each state/territory

National EMSC Data Analysis Resource Center

NEDARC provides technical assistance, training workshops, and site visits in order to assist EMSC projects and state EMS offices develop their capabilities to collect, analyze, and utilize EMS data. NEDARC provided the foundation from which the NEMSIS Technical Assistance Center was created and is an example of collaboration between EMSC and the National Highway Traffic Safety Administration (NHTSA)

Targeted Issues Grants
Targeted Issues grants are intended to address specific needs or concerns in the field of pediatric emergency care that transcend state boundaries. Typically the projects result in a new product or resource or the demonstration of the effectiveness of a model system component or service of value to the nation. Types of projects that have been funded within this category include developing model pediatric components for state disaster plans, screening and secondary prevention for psychological sequelae of pediatric injury, basic emergency lifesaving skills in schools, and emergency preparedness for infants with significant heart disease.

Network Development Demonstration Project (NDDP)

Projects are cooperative agreements that demonstrate a system of regional applied pediatric emergency medical services centers designed to expand and improve emergency services for children who need treatment for trauma or critical care. Awardees are linked together in a network to demonstrate a capacity to conduct multi-site studies on issued relating to the management of pediatric events that occur in hospitals as well as in transport.

Criteria for Selecting Proposals

Grant applications will be reviewed and evaluated by a panel of reviewers experienced in the planning, implementation, and monitoring of emergency medical services and pediatric care. The reviewers will recommend a score for applications; recommend any modifications or conditions to the grant if awarded; and recommend any changes to the proposed budget. Recommendations of the review panel are presented to the Associate Administrator, MCHB. Panel recommendations are advisory only, and the Associate Administrator, MCHB will be responsible for final decisions regarding awards. Reviewers will use the criteria and questions described in the section on Categories of Grants: Program Narrative and Review Criteria to evaluate proposals. Applicants are urged to address these criteria as directly as possible in the text of the program narrative.