Improving EMS/Trauma Care in Rural Areas


To administer grants to States and Territories for the purpose of developing, implementing, and improving Statewide trauma care systems.

General information about this opportunity
Last Known Status
Deleted 10/11/2010 (Archived.)
Program Number
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
Successful OMB PART Trauma-EMS Systems Program Evaluation during FY 2005 for FY 2007 budget. Initiated October 2005 meeting of Program's National Trauma-EMS National Stakeholder Group comprised of affiliated representatives from professional organizations. Development and release of FY 2001 through FY 2005 Program Report. Administration of grants to 41 States and Territories. Development of cumulative grant funding profiles for each State/Territory Development of individualized technical assistance plans for each State/Territory along with the provision of resources to each applicant specific to their approved goals/objectives. Operation of a $650,000/year contracted Technical Assistance Center assuring quality technical assistance to the States/Territories through a variety of venues. Successful continuation of both a State Trauma System Manager Interactive Listserv as well as a State Trauma System Manger Mentoring Program. Ensuring programmatic quality by monitoring and evaluating program performance. Initiated February 2006 2 1/2 day State Trauma Leadership meeting (130 attendees). Initiated July 2005 annual Federal Partner Meeting to coordinate Federal efforts (40 attendees). Successfully published 3 journal articles: (a) Trauma System Structure and Viability in the Current Healthcare Environment: A State-By-State Assessment. J Trauma, 2005 (b) Public Health Preparedness for Mass Causality Events: A State-By-State Assessment. Prehospital Disaster Med, 2004 (c) The Capacity and Comparability of Statewide Trauma Registries: Potential For A National Trauma Dataset, J Trauma, 2005 Released legislatively required document Model Trauma Systems Planning and Evaluation along with a State and Regional Self-Evaluation Tool ( Released nationally standardized trauma data dictionary with the American College of Surgeons National Trauma Data Bank. (
Public Health Service Act, Title XII, Sections 1201, 42 U.S.C. 300d.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
The State lead agency that has been designated to manage and coordinate the State's trauma system program, or the designee of such agency, are the only eligible applicants for this grant funding. If a lead agency has not been designated, then the agency having responsibility for State emergency medical services may apply.
Beneficiary Eligibility
Individuals in the State will benefit from this program.
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.
What is the process for applying and being award this assistance?
Pre-Application Procedure
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
Grant applications and required forms for this program can be obtained from Please visit the Web site at to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Healthcare Systems Bureau. The Associate Administrator has the authority to make final selections for awards.
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.
Contact Headquarters Office listed below for application deadlines.
Approval/Disapproval Decision Time
How are proposals selected?
(1) Adequacy of the description of the gap in EMS/Trauma system components and of data presented in the needs assessment to support that the applicant is among those States that have the greatest need to develop, implement, and monitor trauma care systems. (2) Adequacy of documentation to support that the applicant is among those States that demonstrate the greatest commitment to establishing and maintaining such systems. (3) Completeness of the current State emergency medical services plan and of anticipated modifications to ensure adequate availability of complementary components necessary to support the trauma care plan. (4) Adequacy of the rationale that the modifications proposed for development, implementation, or monitoring follow a rational sequence of EMS and trauma care planning activities, support the commitment to a continuum of care, and will improve quality of trauma care provided. (5) Appropriateness and adequacy of the work plan, methodologies, and schedule for organizing and completing the project within the timeframe. (6) Preparation of application and proposed activities and workplan demonstrate coordination and consultation with, and commitment of, the medical, surgical, and nursing specialty groups, hospital associations, State and local emergency medical services directors, concerned advocates and other interested parties. (7) Reasonableness of the proposed budget and the cost efficiency of the project relative to service versus administrative costs. (8) Proposal demonstrates an understanding of the obstacles to completion and proposes effective measures to overcome these problems.
How may assistance be used?
The intention of this grant opportunity is to, at the State level, facilitate and coordinate efforts toward the (1) Development of State and Territorial trauma system infrastructure which coordinates regional trauma systems to administer quality, cost effective care at the local level, (2) Completion of an OMB approved national assessment of trauma systems, EMS resources, and disaster readiness, (3) Exposure of key individuals within each State and Territory to the new HRSA Model Trauma Systems Planning and Evaluation document and State self assessment tool, and (4) State trauma care data evaluation.
What are the requirements after being awarded this opportunity?
A progress report and closeout report is required. In addition, a final financial status report is to be submitted 90 days after the close of the project period. Please see annual grant guidance.
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), Audits of States, Local Governments, and Nonprofit 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.
All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.
Other Assistance Considerations
Formula and Matching Requirements
There is no formula. Cash or in-kind matching is required in the second and subsequent years.
Length and Time Phasing of Assistance
Awards are made for a 1-year budget and up to a 3-year project period.
Who do I contact about this opportunity?
Regional or Local Office
Headquarters Office
Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch: (301) 443-2385; Research and Training Branch: (301) 443-3099; Government and Special Focus Branch: (301) 443-3288.
Website Address
Financial Information
Account Identification
(Grants) FY 07 est not available; FY 08 est not available; and FY 09 est not available.
Range and Average of Financial Assistance
FY 05 States: $40,000; (one exception was that NH only applied for and received $35,703), Guam: $15,000.
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.
Examples of Funded Projects
Development of statewide trauma systems, state trauma plans, public information/education campaigns, educational services to trauma care providers, and performance improvement initiatives.


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