Geriatric Training for Physicians, Dentists and Behavioral/Mental Health Professionals (93.156)

Program

93.156 Geriatric Training for Physicians, Dentists and Behavioral/Mental Health Professionals

Federal Agency

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

Authorization

Title VII of the Public Health Service (PHS) Act, as amended by the Health Professions Education Partnerships Act of 1998, P.L. 105-392, Section 753(b).

Program Number

93.156

Last Known Status

Active

Objectives

Grants are given for faculty training projects in geriatric medicine, dentistry, and behavioral or mental health. The purpose of this grant program is to provide support, including fellowships, for geriatric training projects to train physicians, dentists and behavioral or mental health professionals who plan to teach geriatric medicine, geriatric dentistry or geriatric behavioral or mental health.

Types of Assistance

PROJECT GRANTS

Uses and Use Restrictions

A grant may be made to meet the cost of a project which will propose: (1) a 1-year retraining program in geriatrics for: (a) physicians who are faculty in departments of internal medicine, family medicine (including osteopathic general practice), gynecology, geriatrics, and behavioral or mental health at schools of medicine and osteopathic medicine; (b) dentists who are faculty members at schools of dentistry or at hospital departments or dentistry; and (c) behavioral or mental health professionals who are faculty members in departments of behavioral or mental health; and/or (2) a 2-year internal medicine or family medicine fellowship program providing emphasis in geriatrics which shall be designed to provide training in clinical geriatrics and geriatrics research for: (a) physicians who have completed graduate medical education programs in internal medicine, family medicine (including osteopathic general practice), behavioral or mental health, neurology, gynecology, or rehabilitation medicine; (b) dentists who have demonstrated a commitment to an academic career and who have completed postdoctoral dental training, including postdoctoral dental education programs or who have relevant advanced training or experience; and (c) behavioral or mental health professionals who have completed graduate medical education programs in behavioral or mental health. Each project for which a grant is made must: (1) be staffed by full-time teaching physicians who have experience or training in geriatric medicine or geriatric behavioral or mental health; (2) be staffed, or enter into an agreement with an institution staffed by full-time or part-time teaching dentists who have experience or training in geriatric dentistry; (3) be staffed , or enter into an agreement with an institution staffed by full-time or part-time teaching behavioral or mental health professionals who have experience or training in geriatric behavioral or mental health; (4) be based in a graduate medical education program in internal medicine or family medicine or in a department of geriatrics or behavioral or mental health; (5) provide training in geriatrics and are exposed to the physical and mental disabilities of elderly individuals through a variety of service rotations, such as geriatric consultation services, acute care services, dental services, geriatric behavioral or mental health units, day and home care programs, rehabilitation services, extended care facilities, geriatric ambulatory care and comprehensive evaluation units, and community care programs for elderly mentally retarded individuals, and (6) provide training in geriatrics through one or both of the two training options.

Eligibility Requirements

Applicant Eligibility

Grants may be made to accredited public or private nonprofit schools of medicine, schools of osteopathic medicine, teaching hospitals, or graduate medical education programs.

Beneficiary Eligibility

Grants may be made to accredited public or private nonprofit schools of medicine, schools of osteopathic medicine, teaching hospitals, or graduate medical education programs.

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

From 4 to 6 months after receipt of applications.

Appeals

Not Applicable.

Renewals

Competitive continuations may be submitted during the final budget year of the approved project.

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

Project periods are for 5 years. See the following for information on how assistance is awarded/released: Grantee 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

A Uniform Progress Report must be submitted annually. No cash reports are required. A financial status report must be submitted within 90 days after the end of each budget period. Final progress and financial reports must be submitted within 90 days after the end of the project period. 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

Grantees are required to maintain grant accounting records 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: In FY 08 a total of $6.7 million was awarded to 11 grantees. Fiscal Year 2009: In FY 09 a total of 6.9 million was awarded to 11 total grants. Fiscal Year 2010: No Current Data Available

Financial Information

Account Identification

75-0350-0-1-550.

Obligations

(Project Grants) FY 08 $6,870,000; FY 09 est $7,152,000; FY 10 est $9,000,000

Range and Average of Financial Assistance

$400,000 to $600,000 per year, depending on the number of fellows participating in the program.

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

Not Applicable.

Information Contacts

Regional or Local Office

See Regional Agency Offices. CAPT Young Song, Senior Program Management Consultant or Marcia Starbecker, Chief, Geriatrics & Public Health Branch, Division of Diversity and Interdisciplinary Education, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services, Parklawn Building, 5600 Fishers Lane, Room 9-36, Rockville, MD 20857. Telephone: 301-443-3353; 301-443-6867.

Headquarters Office

Young Song 5600 Fishers Lane, Room 9-36, Rockville, Maryland 20857 Phone: (301) 443-3353

Web Site Address

www.hrsa.gov .

Examples of Funded Projects

Fiscal Year 2008: All projects are funded to meet the objectives as stated above. The Geriatric Training for Physicians, Dentists and Behavioral and Mental Health Professionals Program was authorized in 1998 to address the health care needs of the aging population. The grants support fellowships and other training efforts that assist physicians, dentists, and behavioral and mental health professionals who teach or plan to teach geriatric medicine, geriatric dentistry, or geriatric behavioral and mental health. The program enables health professionals who plan to teach geriatrics to care for elderly people at different levels of wellness and functioning and from a range of socioeconomic and racial and ethnic backgrounds by offering service rotations, such as geriatric consultation, acute care, dental care, psychiatry, day and home care, rehabilitation, extended care, ambulatory care and community care for older people with mental retardation. Funded programs emphasize the principles of primary care as demonstrated through continuity, ambulatory, preventive, and psychosocial aspects of the practice of geriatric medicine, geriatric dentistry, and geriatric behavioral and mental health. Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available

Criteria for Selecting Proposals

All applications will be evaluated by peer reviewers to determine the extent to which the applicant documents the following criteria: 1. Need (Maximum Value = 5 points): Evaluation of the described need for the proposed project including: (a) the need for the project in the geographic area to be served; (b) the national and/or local need for the proposed project and the gaps the project is intended to fill; (c) the relationship of the specific objectives of the project to the potential of the project to meet the statutory purposes of the grant program; (d) how the applicant�s plan for carrying out the project is consistent with at least one Federal, State or regional plan to assure a competent healthcare workforce; and (e) the degree to which the proposed project adequately addresses the purpose of the Geriatric Training for Physicians, Dentists and Behavioral and Mental Health Professionals Program; 2. Response (Maximum Value = 20 points) Evaluation of both objectives for the overall program and objectives which specify what the fellows and trainees will be able to do when the training program is completed. Description of how the objectives for the proposed project support BHPr�s National Goals (see section on �Administrative and National Policy Requirements� for description). Description of how the objectives for the proposed project support HRSA�s Cultural and Linguistic Competence Related Objectives. The extent to which the approaches and activities described are likely to meet the goals of the training program. Evaluation of the following:
ohow, when, where, and by whom project activities will be conducted
olinkages with relevant educational and health care entities
ohow well the proposed project relates to the intent and focus of this program and program guidelines.
ohow the project improves the applicant�s present situation in terms of geriatric training; 3. Evaluative Measures (Maximum Value = 10 points):
Evaluation of the potential effectiveness of the evaluation strategy to measure the project objectives and proposed performance standards. Description of the data to be collected, the methods of data collection, and the manner in which data will be analyzed and reported; 4. Impact (Maximum Value = 45 points): Curriculum/Proposed Training (Maximum Value = 30 points): Evaluation of the quality of the training components including clinical, research, administrative, and teaching skill components. The skills and competencies that trainees and/or fellows will gain by participating in this program; Recruitment Plan (Maximum Value = 15 points): The potential effectiveness of the plan to recruit fellows and trainees from the disciplines and in the numbers proposed in the project.; 5. Resources/Capabilities (Maximum Value = 15 points): Evaluation of the proposed administrative structure, governance, relationships of the participants, and resources available to conduct the proposed project, including:
othe administrative and organizational relationships among the academic institution(s), the health care facility(ies), and providers.
odocumentation of relevant affiliation agreements and efforts to foster communication and commitment.
oproject faculty and staff and their qualifications and responsibilities; and
otraining sites to be used and patients served; 6.Support Requested (Maximum Value = 5 points): The fiscal plan (budget) for assuring effective use of grant funds including resources to carry out the project and a plan for self-sufficiency.