Arra-survey And Certification Ambulatory Surgical Center Healthcare-associated Infection (asc-hai) Prevention Initiative (93.720)

Program

93.720 Arra-survey And Certification Ambulatory Surgical Center Healthcare-associated Infection (asc-hai) Prevention Initiative

Federal Agency

Agency: Department of Health and Human Services
Office: Centers For Medicare And Medicaid Services

Authorization

American Recovery and Reinvestment Act of 2009 (Recovery Act), Section 1864 of the Social Security Act.

Program Number

93.720

Last Known Status

Active

Objectives

(a) Improve State Agency inspection capability and frequency for onsite surveys of Ambulatory Surgical Centers nationwide;
(b) Use a new infection control survey tool developed by the Centers for Disease Control and Prevention and CMS;
(c) Improve the survey process through the use of a CMS tracer methodology; and
(d) Use multi-person teams for ASCs over a certain size or complexity.

Types of Assistance

Formula Grants (Apportionments)

Uses and Use Restrictions

States will use the funding to conduct additional ASC surveys, save and/or create jobs directly within the State Agency; contract with experienced surveyors who will be trained in the new ASC survey process, enlist the services of State physicians or certified infection control specialists who will accompany surveyors on several of their initial surveys conducted under the new survey process. Funding may not be used to support other State Agency work required by CMS and may not be used to offset costs are that funded through CMS� regular survey and certification budget.

Eligibility Requirements

Applicant Eligibility

None

Beneficiary Eligibility

None

Credentials/Documentation

No Credentials or documentation are required. This program is excluded from coverage under OMB Circular No. A-87.

Application and Award Process

Preapplication Coordination

Any questions about the Recovery Act ASC HAI Initiative or the application process should be directed to Angela Mason-Elbert at 410-786-8279. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.

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. Memorandum S&C-09-43 outlined the Recovery Act ASC-HAI initiative application process. States must submit projected plans and costs eligible for Recovery Act funding. The plans must include the following:

� Identifying information
� Staffing plan
� Capability Expansion and Hiring Plan
� Training Plan
� Survey Plan
� Barriers and Prospective Solutions
� Budget Estimate

Award Procedure

All plans must meet the minimum requirements. Plans will be reviewed and grants awarded based on the amount of funding available.

Deadlines

Jun 30, 2009 to Aug 30, 2009 Submission of Plan for FY 2009 funding: June 30, 2009
Selection of States for FY 2009 Implementation: July 2009
Notice to States of FY 2009 Approval & Funding Levels: July 2009
Start Implementation in FY 2009 for Volunteer States: July 2009
Submission of Plan for FY 2010 funding: August 30, 2009
Notice to States of FY 2010 Approval & Funding Levels: September 2009.

Range of Approval/Disapproval Time

Not Applicable.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.

This program has no matching requirements. There is no match requirement for States for the Recovery Act ASC-HAI Initiative. Additionally, cost-sharing does not apply insofar as it pertains to the add-ons to the survey process that are occasioned by the Recovery Act.

MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

** Get information for this section**. Method of awarding/releasing assistance: lump sum.

Post Assistance Requirements

Reports

All State Agencies must be able to track and report ASC-HAI project activities, program participant data, and spending separate from other survey and certification activities. Reporting requirements include quarterly reports, annual reporting, and close-out reporting. State Agencies are responsible for furnishing data on the number of jobs created or saved.

CMS will produce quarterly reports on what work has been completed, including milestones such as training, outreach efforts, and allotments to State Agencies. CMS will also issue an evaluative report on the new ASC survey process. This report will include State Agency input on the value from the enhanced survey infection control tool and other important aspects of the new survey process. No cash reports are required. No progress reports are required. No expenditure reports are required. No performance monitoring is required.

Audits

This program is excluded from coverage under OMB Circular No. A-133. ** Get information for this section**

Records

Recipients must follow the Administrative requirements for record keeping as listed in A-102.

Program Accomplishments

Fiscal Year 2008: No Current Data Available Fiscal Year 2009: This is a new program in FY 2009 and that there are currently no program accomplishments to report. Fiscal Year 2010: No Current Data Available

Financial Information

Account Identification

75-0518-0-1-551.

Obligations

(Formula Grants (Apportionments)) FY 08 $0; FY 09 est $1,000,000; FY 10 est $9,000,000

Range and Average of Financial Assistance

$11,500 - $115,500; $47,688.

Regulations, Guidelines and Literature

Grants Administration policies (45 CFR 74 and 92) and application kits may be obtained from the Office of Acquisition and Grants Management, Centers for Medicare and Medicaid Services, Room C2-21-15, Central Building, 7500 Security Boulevard, Baltimore, MD 21244-1850.

The HHS Grants Policy Statement can be found at:

http://www.hhs.gov/grantsnet/docs/HHSGPS_107.doc

The ARRA Award Terms and Conditions can be found at:

http://www.hhs.gov/recovery/grantscontracts/recoverytermsconditions.html

Related Programs

Not Applicable.

Information Contacts

Regional or Local Office

See Regional Agency Offices. Angela Mason-Elbert, angela.mason-elbert@cms.hhs.gov - 410.786.8279
Marilyn Dahl, Marilyn.dahl@cms.hhs.gov - 410.786.8665
Angela Brice-Smith, angela.brice-smith@cms.hhs.gov - 410.786.4340.

Headquarters Office

Angela Mason-elbert 7500 Security Boulevard
Baltimore, MD 21207, Baltimore, Maryland 21207 Email: angela.mason-elbert@cms.hhs.gov Phone: 4107868279

Web Site Address

http://www.cms.hhs.gov

Examples of Funded Projects

Not Applicable.

Criteria for Selecting Proposals

All acceptable proposals will be funded. To the extent that proposals exceed available funds, the funds will be pro-rated downward, beginning with those States that propose to survey more than 33% of non-deemed ASCs.