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| 93.127 EMERGENCY MEDICAL SERVICES FOR CHILDREN |
| (EMS for Children) |
| FEDERAL AGENCY |
| HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| AUTHORIZATION |
| Public Health Service Act, Section 1910, as amended, Public Law 102-410. |
| 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. |
| Applicant Eligibility |
| States and accredited schools of medicine. |
| 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. |
| Preapplication Coordination |
| This program is eligible for coverage under E.O. 12372, ¿Intergovernmental Review of Federal Programs.¿ An applicant should consult the office of the official designated as the single point of contact in his or her State for more 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 Grants.gov. Please visit the Grants.gov Web site at www.grants.gov 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 Bureau of Maternal and Child Health. The Associate Administrator has the authority to make final selections for awards. |
| Award Procedure |
| Applications are reviewed by a review committee of experts who are generally nongovernmental. Applications are reviewed based on their merit and are ranked according to a point score. Final decisions are made by the Associate Administrator for Maternal and Child Health. |
| Deadlines |
| www.hrsa.gov. |
| 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. |
| Formula and Matching Requirements |
| This program has no statutory formula or matching 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. |
| Reports |
| Annual program reports, financial status reports, program service reports, and special reports must be submitted as 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 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. |
| Account Identification |
| 75-0350-0-1-550. |
| Obligations |
| (Grants) FY 07 $15,418,994; FY 08 est $17,398,487; and FY 09 est $0. |
| Range and Average of Financial Assistance |
| $89,397 to $1,200,000; $192,737. |
| PROGRAM ACCOMPLISHMENTS |
| For FY 07, 81 grants were funded and for FY 08, it is estimated that 75 grants will be funded. |
| 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. |
| Regional or Local Office |
| 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 |
| 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. |
| Web Site Address |
| www.hrsa.gov |
| RELATED PROGRAMS |
| 20.600, State and Community Highway Safety; 93.110, Maternal and Child Health Federal Consolidated Programs. |
| EXAMPLES OF FUNDED PROJECTS |
| 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. |
| 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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General Services Administration Office of Chief Acquisition Officer Regulatory and Federal Assistance Division (VIR) |
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