Emergency Medical Services for Children (93.127)

 

Program

93.127 Emergency Medical Services for Children

 

Federal Agency

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

 

Authorization

Public Health Service Act, Section 1910.

 

Program Number

93.127

 

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.

 

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

State Partnerships.

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. OMB Circular No. A-87 applies to this program.

 

Application and Award Process

Preapplication Coordination

Preapplication coordination is required. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.

Application Procedure

OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.

All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Award Procedure

Notification is made in writing by a Notice of Grant Award.

Deadlines

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

Range of Approval/Disapproval Time

Final decisions are made about 4 months after receipt of applications.

Appeals

Applicants may reapply for support by submitting a revised application.

Renewals

Renewal applications will be accepted.

 

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula.

This program has no matching requirements.

This program does not have MOE requirements.

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: Grantees drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

 

Post Assistance Requirements

Reports

Annual program reports. No cash reports are required. Annual Financial Reports. No expenditure reports are required. No performance monitoring is required.

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.

Records

All records must be maintained until expiration of 3 years from the date of submission of the fGrantees are required to maintain grant accounting records for 3 years after the date they submit the FSR. If any litigation, claim, negotiation, audit, or other action involving the award 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: FY 08, 75 grants were funded. Fiscal Year 2009: FY 09 it is estimated that 75 grants will be funded. Fiscal Year 2010: FY 10, it is estimated that 75 grants will be funded.

 

Financial Information

Account Identification

75-0350-0-1-550.

Obligations

(Project Grants) FY 08 $19,454,000; FY 09 est $20,000,000; FY 10 est $20,000,000

Range and Average of Financial Assistance

$115,000 to $ 2,000,000; $232,000.

 

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, as applicable.

 

Related Programs

20.600 State and Community Highway Safety; 93.110 Maternal and Child Health Federal Consolidated Programs

 

Information Contacts

Regional or Local Office

See Regional Agency Offices. 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.

Headquarters Office

EMSC Senior Program Manager 5600 Fishers Lane, Room 18-A36, Rockville, Maryland 20857 Phone: (301) 443-2170

Web Site Address

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: No Current Data Available Fiscal Year 2010: No Current Data Available

 

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 for MCH. Panel recommendations are advisory only, and the Associate Administrator for MCH 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.

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