[Federal Register Volume 78, Number 106 (Monday, June 3, 2013)]
[Notices]
[Pages 33099-33101]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-13018]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Substance Abuse and Mental Health Administration


Announcement of Requirements and Registration for ``Continuity of 
Care and Follow-Up App Challenge''

AGENCY: Substance Abuse and Mental Health Administration, HHS.

ACTION: Notice.

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SUMMARY: The ``Continuity of Care and Follow-Up App Challenge'' 
challenges individuals and organizations with the development of an 
application for a mobile handheld device that will provide continuity 
of care and follow-up care linkages for a person at risk for suicide 
who was discharged from an inpatient unit or emergency department. 
Proposed activities can include but are not limited to: live chatting 
via the National Suicide Prevention Lifeline Web site, safety planning, 
SMS [you need to spell this out] functionality, scheduling 
functionality and appointment reminders, and mapping/transportation 
functionality showing locations of health care resources. At a minimum, 
entrants must include safety planning and utilize two resources to 
provide users with access to services through the crisis centers within 
the National Suicide Prevention Lifeline and the SAMHSA treatment 
locator. SAMHSA is not looking for an application that simply connects 
a user to a crisis line via a single button, as functionality is found 
in a number of other suicide prevention applications. Innovation is 
highly encouraged.
    The statutory authority for this challenge competition is Section 
105 of the America COMPETES Reauthorization Act of 2010 (Pub. L. 111-
358), and Title V, Section 501 of the Public Health Service Act (42 
U.S.C. 290aa).

FOR FURTHER INFORMATION CONTACT: James Wright, (240) 276-1854; Richard 
McKeon, (240) 276-1873.

SUPPLEMENTARY INFORMATION:

Subject of Challenge Competition

    The Substance Abuse and Mental Health Services Administration 
(SAMHSA), an operating division of the U.S. Department of Health and 
Human Services (DHHS), is announcing an opportunity for individuals and 
organizations to help solve a critical problem in today's health 
environment: the need for ongoing mental health follow up treatment 
after hospitalization or inpatient services for individuals who were 
suicidal. SAMHSA is seeking the development of a mobile handheld device 
application that will provide linkages for a person at risk for suicide 
who was discharged from an inpatient unit or emergency department.
    Many people who attempt suicide end up in the emergency room. From 
2005-2009 there was a 55 percent increase in emergency department 
visits for drug related suicide attempts by men age 21-34 and a 49 
percent increase by women age 50 and over. While treatment at an 
emergency department is critical, experience and research have shown 
that people are still at risk after discharge. Evidence shows that the 
period following inpatient and emergency department discharge is one of 
heightened risk for suicide, particularly in the following 30 days. 
Approximately 10 percent of individuals who died by suicide had been 
discharged from an emergency department within the previous 60 days and 
8.6 percent of people hospitalized for suicidal tendencies are 
predicted to eventually die by suicide. The problem is the lack of 
coordinated care

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transition, follow-up treatment and continued connection. Evidence 
shows that efforts to maintain this connection with persons at risk 
during a high risk period can help prevent suicidal behavior.
    This challenge aligns with SAMHSA's mission to reduce the impact of 
substance use and mental disorders on America's communities. SAMHSA 
would like this to be a tool that will be utilized to connect health 
care providers/suicide crisis and support organizations to an at-risk 
individual who was recently discharged from an inpatient unit or 
emergency department. Functions of the application may include but are 
not limited to: live chatting, safety planning, SMS functionality, 
scheduling functionality and appointment reminders, and mapping 
functionality showing locations of health care resources. At a minimum, 
entrants must include safety planning and utilize two resources to 
provide contact and/or linkages to: the crisis centers within the 
National Suicide Prevention Lifeline via 1-800-273-TALK (8255) and the 
SAMHSA treatment locator. The SAMHSA treatment locator is found at 
http://findtreatment.samhsa.gov/.

Eligibility Rules for Participating in the Competition

    To be eligible to win a prize under this challenge, an individual 
or entity participating in the competition (``entrant''):
    (1) Shall have registered to participate in the competition under 
the rules promulgated by the Substance Abuse and Mental Health 
Administration;
    (2) Shall have complied with all the requirements under this 
section;
    (3) In the case of a private entity, shall be incorporated in and 
maintain a primary place of business in the United States, and in the 
case of an individual, whether participating singly or in a group, 
shall be a citizen or permanent resident of the United States;
    (4) May not be a Federal entity or Federal employee acting within 
the scope of their employment;
    (5) Shall not be an HHS employee working on their entries or 
submissions during assigned duty hours;
    (6) Shall not be an employee of the Substance Abuse and Mental 
Health Administration;
    (7) Must warrant that the entrant is the sole author and owner of 
the submission, that the submission is wholly original with this 
entrant (or is an improved version of an existing app that the entrant 
has sufficient rights to use--including the substantial improvement of 
existing open-source apps), and that the submission does not infringe 
any copyright or other third-party rights of which the entrant is 
aware;
    (8) Must warrant that the app is free of malware;
    (9) Must demonstrate compliance with Section 508 of the 
Rehabilitation Act (29 U.S.C. 794d);
    (10) Must not use the HHS logo, symbol, or seal, or any SAMHSA 
logo, and must not claim endorsement by HHS or SAMHSA;
    (11) Must submit the object and source code of the app, as well as 
a detailed description of the app, including at least (i) instructions 
on how to install and operate the app, (ii) system requirements for 
running the app, and (iii) a user's manual or guide. Entrants may 
submit additional software documentation, if they believe it provides a 
more complete description of the app, as part of the app submission; 
and
    (12) Must provide SAMHSA with continuous access to the app during 
the judging period defined above.
    An app submission may be disqualified if, in SAMHSA's sole 
judgment, (i) the app fails to function as expressed in the detailed 
description, (ii) the detailed description is significantly inaccurate 
or incomplete, or (iii) malware or other security threats are present. 
Entrants agree that SAMHSA may conduct testing on the app to determine 
whether malware or other security threats may be present such that they 
may damage the equipment or operating environments of the Federal 
Government or those acting on its behalf.
    Federal grantees may not use Federal funds to develop COMPETES Act 
challenge applications unless consistent with the purpose of their 
grant award.
    Federal contractors may not use Federal funds from a contract to 
develop COMPETES Act challenge applications or to fund efforts in 
support of a COMPETES Act challenge submission.
    Registered entrants shall be required to agree to assume any and 
all risks and waive claims against the Federal Government and its 
related entities for any injury, death, damage, or loss of property, 
revenue, or profits, whether direct, indirect, or consequential, 
arising from their participation in a competition, whether the injury, 
death, damage, or loss arises through negligence or otherwise.
    All entrants are required to provide written assurance to comply 
with the challenge rules and abide by SAMHSA's and the judging panel's 
decisions upon or before submitting an entry. Applicable Federal law 
will apply to all disputes arising from this challenge.

DATES:
    Submission Period Begins: June 03, 2013.
    Submission Period Ends: August 09, 2013.
    Judging Period begins: August 12, 2013.
    Judging Period ends: August 23, 2013.

Registration Process for Entrants

    To register for this challenge entrants should:
     Access the www.challenge.gov Web site and search for the 
``Continuity of Care and Follow-Up App Challenge''.
    [cir] A registration link for the challenge can be found on the 
landing page under the challenge description.

Prize

     First Prize: $50,000
     Second Prize: $30,000
     Third Prize: $20,000

Awards may be subject to Federal income taxes and HHS will comply with 
IRS withholding and reporting requirements, where applicable.

Winner Selection and Judging

    Following the deadline for submissions, a panel will judge the 
entries for accuracy of the information presented and compliance with 
the challenge requirements described above. The panel of expert judges 
will choose the top seven entries submitted. The panel will then select 
the top three winners from these seven entries. There will be one grand 
prize award of $50,000 and two additional awards of $30,000 and $20,000 
given to winning entrants. The expert panel of judges, qualified by 
training and experience, will evaluate the submissions on the criteria 
identified below. Judges will be fair and impartial, may not have a 
personal or financial interest in, or be an employee, officer, 
director, or agent of, any entity that is a registered participant in 
the competition, and may not have a familial or financial relationship 
with an individual who is a registered contestant. The panel will 
provide expert advice on the merits of each submission to SAMHSA 
officials responsible for final selections for award. Awardees will be 
notified on or around September 01, 2013.
    Panel:
    (1) James Wright, M.S., LCPC, Public Health Advisor, CMHS, Suicide 
Prevention Branch, SAMHSA.
    (2) Ashley Womble, Online Communications Manager, National Suicide 
Prevention Lifeline.
    (3) Maureen Boyle, Team Lead, Health Information Technology, CSAT,

[[Page 33101]]

Division of State and Community Assistance, SAMHSA.
    The Administrator of SAMHSA will make the final decision based on 
the top seven entries.

Basis Upon Which Winners Will Be Selected

    The judging panel will make selections based upon the following 
criteria (100 points total):
    1. Ease in which a user can navigate different mobile device 
interfaces (20 points).
    2. Ability to initiate and sustain relevant information according 
to user need and location (20 points).
    3. Demonstration of creative and innovative uses of multiple 
platforms over mobile devices (20 points).
    4. Impact on suicide prevention: Each entry will be rated on the 
strength of its perceived potential to help individuals identified at 
risk of suicide during emergency room or psychiatric facility discharge 
link to outpatient treatment or immediate help. Examples of potential 
strengths will include, but are not limited to: the likelihood of 
increased usage of application, use of safety planning to maintain 
safety, and potential for multiple successful connections with mental 
health, substance abuse and Lifeline crisis center services. (40 
points).
    Entrants will be expected to demonstrate in real time the 
functional features of their apps to assist the judging panel's 
evaluations according to the selection criteria. Demonstrations must be 
accomplished remotely during this designated time during the judging 
period.

Additional Information

Intellectual Property Rights

    [squf] All entries are required to be submitted under a Creative 
Commons license that permits adaptations and commercial uses but does 
not require share-alike distribution (e.g., CC Attribution 3.0). 
Details about CreativeCommons licenses can be found at http://creativecommons.org.
    [squf] Each entrant hereby irrevocably grants to the Federal 
Government and those acting on its behalf a nonexclusive, paid-up, 
irrevocable license to practice or have practiced for or on behalf of 
the United States any invention throughout the world that, if patented, 
would cover the app submission or its use.
    [squf] Each entrant hereby acknowledges that SAMHSA has the right 
to distribute the software (source and object code) under the Creative 
Commons license used to transfer the software to SAMSHA and under 
SAMSHA's own trademark or service mark. SAMSHA agrees to include the 
license notice required by the Creative Commons license with each copy.

    Authority: 15 U.S.C. 3719.

Summer King,
Statistician, Substance Abuse and Mental Health Administration.
[FR Doc. 2013-13018 Filed 5-31-13; 8:45 am]
BILLING CODE P