Preventive Medicine and Public Health Residency Training Program, Integrative Medicine Program, and National Coordinating Center for Integrative Medicine

 

Grants are intended to promote postgraduate medical education in the specialty of preventive medicine and to enhance preventive medicine education through incorporation of evidence-based integrative medicine curricula into such programs. A cooperative agreement established a national coordinating center for integrative medicine (NccIM) to provide technical assistance to Integrative Medicine program (IMP) grantees, collect data, and evaluate the program. A cooperative agreement established a Center for Integrative Medicine in Primary Care (CIMPC) to incorporate evidence-based Integrative Medicine (IM) curricula into existing primary care residency and other health professions training programs; provide faculty development to improve clinical teaching in IM; deliver continuing education to current primary care and other health professionals to increase competency in IM; and provide technical assistance to primary care residency programs and other accredited and licensed health professions education programs on the integration of IM into the established primary care curricula and training.


The Preventive Medicine Residency with Integrative Health Care Training Program combined the purposes of the preventive medicine residency and integrative medicine programs into one to build on the previous achievements of the integrative medicine grantees. The broad goal of the program is to improve the health of communities by increasing the number and quality of preventive medicine physicians who can address public health needs, advance preventive medicine practices, increase access to integrative health care, and increase the integration of these two fields into preventive medicine training and practice.

Preventive Medicine is the specialty of medical practice which focuses on the health of individuals and defined populations in order to protect, promote, and maintain health and well-being and prevent disease, disability and premature death. It is one of the 145 medical sub-specialties recognized by the American Board of Medical Specialties. Preventive Medicine encompasses three areas of specialization: (1) General Preventive Medicine and Public Health, (2) Occupational Medicine, and (3) Aerospace Medicine. As articulated by the Institute of Medicine, integrative medicine can be described as orienting the health care process to create a seamless engagement by patients and caregivers of the full range of physical, psychological, social, preventive, and therapeutic factors known to be effective and necessary for the achievement of optimal health throughout the life span.

General information about this opportunity
Last Known Status
Active
Program Number
93.117
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Health Resources and Services Administration
Type(s) of Assistance Offered
Project Grants
Program Accomplishments
Not Applicable.
Authorization
Public Health Service Act, Title VII, Sec. 765, 42 U.S.C. 295 and Sec 768, 42 U.S.C. 295c, as amended by the Patient Protection and Affordable Care Act (Pub. L 111-148).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible applicants are: (1) an accredited school of public health or school of medicine or osteopathic medicine; (2) an accredited public or private nonprofit hospital; (3) a State, local, or tribal health department; or (4) a consortium of 2 or more entities described in (1) through (3).

Eligible applicants for the NccIM are (1) a health professions school, including an accredited school or program of public health, health administration, preventive medicine, or dental public health or a school providing health management programs; (2) an academic health center; (3) a State or local government; or (4) any other appropriate public or private nonprofit entity that has the capacity to provide national technical assistance for IMP grantees and to the broader audience of preventive medicine and primary care residency programs. The applicant must demonstrate expertise in the field of evidence-based complementary an d alternative medicine (CAM) treatment modalities for health professions disciplines or be an Integrative Medicine Center.

Eligible applicants for the CIMPC are (1) a health professions school, including an accredited school or program of public health, health administration, preventive medicine, or dental public health or a school providing health management programs; (2) an academic health center; (3) a State or local government; (4) any other appropriate public or private nonprofit entity; or (5) a consortium of eligible entities.

Refer to the relevant funding opportunity announcement for more specific information regarding eligibility and specialized experience. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
Beneficiary Eligibility
For Preventive Medicine and Public Health Residency program grants, each trainee receiving stipend support must: (a) be a citizen of the United States, a non-citizen U.S. national, or a foreign national having in his or her possession a visa permitting permanent residence in the United States; (b) be a physician who has graduated from an accredited school of medicine or osteopathic medicine in the United States; or if a graduate from a foreign school, meet the criteria of the Educational Commission for Foreign Medical Graduates, for entry into the program supported by this grant; and (c) plan to complete the grant-supported program and engage in the practice and/or teaching of preventive medicine, especially in positions which meet the needs of medically underserved populations.
Credentials/Documentation
Applicants should review the individual HRSA funding opportunity announcement issued under this CFDA program for any required proof or certifications which must be submitted with an application package. The preventive medicine residency must provide documentation of current accreditation from ACGME or AOA or documentation from ACGME related to submission of an application for accreditation. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov.

All eligible, 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 (electronic) by a Notice of Award.
Deadlines
Contact the headquarters or regional office, as appropriate, for application deadlines.
Approval/Disapproval Decision Time
From 120 to 180 days.
Appeals
Not Applicable.
Renewals
Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.
How are proposals selected?
Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation.

Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent funding opportunity announcement at www.grants.gov for detailed review criteria.
How may assistance be used?
Awards are intended to assist in meeting the costs of planning and developing new preventive medicine programs; maintaining or improving existing residency training programs in preventive medicine; incorporating competency-based integrative medicine curricula in graduate medical education including preventive medicine residency and primary care programs; and providing financial assistance to medical residents enrolled in such programs. The NccIM cooperative agreement is intended to assist in providing technical assistance to IMP grantees related to faculty development, trainee support, and planning, developing, and operating training programs; collecting data and evaluating the IMP training program; providing support for the coordination and evaluation of faculty development programs established by the IMP grantees; and disseminating best practices and lessons learned through establishing a national coordinating center for integrative medicine. The CIMPC cooperative agreement is expected to contribute to the evidence-base for IM, and identify and disseminate promising practices related to the integration of IM into primary care and interprofessional practice, including the activities listed under Objectives above. The Preventive Medicine Residency with Integrative Health Care requires recipients to increase the number of preventive medicine residents and/or improve training for these residents. The applicants are required to 1) propose a plan for evaluating any improvements in the educational program, such as the effect of the interventions on the knowledge, skills, and practices of the residents; 2) incorporate evidence-based integrative health care curricula into accredited preventive medicine residency programs; AND 3) provide interprofessional training of their preventive medicine residents including training in preventive medicine and integrative health care for other primary care or community-based health care trainees or providers in addition to preventive medicine residents.


Indirect costs under training awards to organizations other than State, local or American Indian tribal governments will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. Integrative medicine grants may not be used to support trainee costs. Grants may not be used for construction or for the provision of direct patient services.
What are the requirements after being awarded this opportunity?
Reporting
Program reports are required. The recipient will be required to submit semi-annual performance and annual progress reports. Cash reports are not applicable. A Federal Financial Report (SF-425) is required according to the schedule in HRSA’s Application Guide. A final report is due within 90 days after the project period ends. If applicable, the recipient must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends. New awards (“Type 1”) issued under this funding opportunity announcement are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub. L. 109–282), as amended by section 6202 of Public Law 110–252, and implemented by 2 CFR Part 170. Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient’s and subrecipient’s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at http://www.hrsa.gov/grants/ffata.html). Competing continuation recipients, etc. may be subject to this requirement and will be so notified in the Notice of Award. Expenditure reports are not applicable. Performance monitoring is not applicable.
Auditing
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.
Records
Grantees are required to maintain grant accounting records three years from the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the three 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 three year period, whichever is later.
Other 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 up to 5 years for the Preventive Medicine Program. The current project periods for the Integrative Medicine Program and the National coordinating center for Integrative Medicine are for two years, with a single budget period. The Center for Integrative Medicine in Primary Care has a three-year budget/project period. The project period for the Preventive Medicine Residency with Integrative Health Care grantees is for 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.
Who do I contact about this opportunity?
Regional or Local Office
None. Juliette Jenkins, Deputy Director, Division of Medicine and Dentistry, Bureau of Health Workforce 5600 Fishers Lane, Room 12C-26,, Rockville, Maryland 20857 Email: jjenkins@hrsa.gov Phone: 301-443-6190.
Headquarters Office
Irene Sandvold, Project Officer, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 12-C-05,, rockville , Maryland 20857 Email: isandvold@hrsa.gov Phone: 3014436950
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0353-0-1-552.
Obligations
(Cooperative Agreements) FY 14 $1,699,998; FY 15 est $0; and FY 16 est $0 - Center for Integrative Medicine in Primary Care Program. (Cooperative Agreements) FY 14 $0; FY 15 est $5,369,762; and FY 16 est $0 - Preventive Medicine Residency with Integrative Health Care. (Project Grants) FY 14 $4,064,983; FY 15 est $4,466,553; and FY 16 est $0 - Preventive Medicine and Public Health Residency Project Grants. (Project Grants) FY 14 $4,064,983; FY 15 est $4,466,553; and FY 16 est $7,136,000 - Preventive Medicine Residency:.
Range and Average of Financial Assistance
Preventive Medicine Residency
FY 2014 actual: $230,000-$562,000 (range), $410,400 (average)
FY 2015 est $340,000-$610,000, $450,000 (average)
FY 2016 est $340,000-$610,000, $450,000 (average)

Center for Integrative Medicine in Primary Care Program
FY14 act. $1,699,998 (one award made)
FY 15 est $0
FY 16 est $0

Preventive Medicine Residency with Integrative Health Care
FY 14 act $0; FY 15 est $150,000 - $400,000; FY 16 est $0.
Regulations, Guidelines and Literature
All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75.

HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.


Examples of Funded Projects
Not Applicable.

 



Federal Grants Resources