Improving EMS/Trauma Care in Rural Areas (93.952)
Program
93.952 Improving EMS/Trauma Care in Rural Areas
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Public Health Service Act, Title XII, Section 1202, as amended, Public Law 103-183, 42 U.S.C. 300d.
Program Number
93.952
Last Known Status
Active
Objectives
To make grants to public and private nonprofit entities for the purpose of carrying out research and demonstration projects with respect to improving the availability and quality of emergency medical services in rural areas.
Types of Assistance
Project Grants.
Uses and Use Restrictions
Funds received under a grant are to be used for the following purposes: (1) Developing innovative uses of communications technologies and the use of new communications technology; (2) developing model curricula for training emergency medical services personnel, including first responders, emergency medical technicians, emergency nurses and physicians, and paramedics; (a) In the assessment, stabilization, treatment preparation for transport, and resuscitation of seriously injured patients, with special attention to problems that arise during long transport and to methods of minimizing delays in transport to the appropriate facility; and (b) in the management of the operation of the emergency medical services system; (3) making training for original certification, and continuing education, in the provision and management of emergency medical services more accessible to emergency medical personnel in rural areas through telecommunications, home studies, providing teachers and training at locations accessible to such personnel, and other methods; (4) developing innovative protocols and agreements to increase access to pre-hospital care and equipment necessary for the transportation of seriously injured patients to the appropriate facilities; and (5) evaluating the effectiveness of protocols with respect to emergency medical services and systems.
Eligibility Requirements
Applicant Eligibility
Any public or private nonprofit entity which has as its primary objective improving the availability and quality of emergency medical services in rural areas.
Beneficiary Eligibility
Individuals in the State will benefit from this program.
Credentials/Documentation
Costs will be determined in accordance with the OMB Circular No. A-87 for State and local governments. For other grantees, costs will be determined in accordance with 45 CFR 74, Subpart Q.
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 or official designated as the single point of contact in the State for 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
Grantees must use the PHS Form 5161 for submitting applications. Application kits may be obtained by writing to the Grants Management Officer, Maternal and Child Health Bureau, Health Resources and Services Administration, Parklawn Building, Room 18-12, 5600 Fishers Lane, Rockville, MD 20857. This program is subject to the provisions of 45 CFR 74 for institutions of higher education, hospitals and other nonprofit organizations and 45 CFR 92 for State and local governments.
Award Procedure
Applications are reviewed by a committee composed of members of the staff of the Department of Health and Human Services (DHHS) and nongovernmental representatives. Applications are reviewed for merit, and are recommended for approval or disapproval. Final decisions are made by the Associate Administrator, Maternal and Child Health Bureau.
Deadlines
Contact Headquarters Office listed below for application deadlines.
Range of Approval/Disapproval Time
Appeals
None.
Renewals
None.
Assistance Considerations
Formula and Matching Requirements
This program has no statutory formula or matching requirements.
Length and Time Phasing of Assistance
Awards are made for a 1-year budget period and project periods of up to 2 years.
Post Assistance Requirements
Reports
A progress report is required on a quarterly basis. A final progress report is required 90 days after the end of the project period. In addition, a final financial status report is to be submitted 90 days after the close of the project period.
Audits
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24,1997), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal officials.
Records
Financial records must be kept available for 3 years after the submission of expenditure reports and 3 years after the final decision of non-expendable property. If questions remain, such as those raised as a result of an audit, records must be retained until the problem is resolved.
Program Accomplishments
There were 53 grants awarded funds during fiscal year 2001. It is anticipated that no grants will be awarded in fiscal years 2002 or 2003.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 02 $2,197,124; FY 03 est $0; and FY 04 est $0.
Range and Average of Financial Assistance
From $50,000 to $150,000. Average: $100,000.
Regulations, Guidelines and Literature
Pertinent information may be obtained by contacting the Headquarters Office listed below. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.
Related Programs
93.953, Modification of Trauma Care Component of State EMS Plan.
Information Contacts
Regional or Local Office
None.
Headquarters Office
Richard J. Smith III, M.S., Chief, Injury/EMS Branch, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Parklawn Building, Room 18A-38, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-0324. Grants Management Contact: Grants Management Branch, Maternal and Child Health Bureau, Health Resources and Services Administration, Public Health Service, Department of Health and Human Services, Parklawn Building, Room 18-12, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-1440.
Web Site Address
Examples of Funded Projects
For fiscal year 2001, existing Emergency Medical Services for Children grants were supplemented with these funds.
Criteria for Selecting Proposals
(1) Applicant's demonstrated experience and qualifications to complete the project proposed and to function as the lead agency in performing research and demonstration projects related to improving availability and quality of EMS in rural areas. (2) Adequacy of documentation in support of the need and justification for the research and demonstration project, including innovative and creative proposals. (3) Appropriateness and adequacy of the work plan, methodologies, and schedule for organizing and completing the project within the given timeframe, including adequate rural participation and commitment if applicant is not located in a rural area. (4) Extent to which the proposed project would be capable of replication in rural areas with similar needs and characteristics, including cost-effectiveness. (5) Coordination with the State EMS Office and the extent to which the proposed project demonstrates coordination.
