[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57830-57831]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24393]
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Health Resources and Services Administration
Bright Futures Pediatric Implementation Cooperative Agreement
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services (HHS).
ACTION: Notice of Single-Case Deviation from Competition Requirement
for Program Expansion for the Bright Futures Pediatric Implementation
Cooperative Agreement at the American Academy of Pediatrics, Grant
Number U04MC07853.
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SUMMARY: HRSA announces the award of a program expansion supplement in
the amount of $210,000 for the Bright Futures Pediatric Implementation
(BFPI) cooperative agreement. The proposed program expansion supplement
would provide funds to the American Academy of Pediatrics (AAP) to
support the integration of genetics and genomic medicine into pediatric
primary care by testing genomic resources and tools to ensure relevance
to clinical practice and the practicality of implementing them in
clinical practice and the eventual addition to the Bright Futures Tool
and Resources Kit.
The BFPI is authorized by the Social Security Act, Title V,
Sections 501(a)(2) (42 U.S.C. 701(a)(2)), as amended. The BFPI is a
national resource to promote integration of the ``Bright Futures
Guidelines for Health Supervision of Infants, Children and Adolescents,
Third Edition'' and subsequent editions, through strengthening,
aligning, and fostering partnerships among families, health
professionals, public health, and the broader community to promote
children's health.
SUPPLEMENTARY INFORMATION: Intended Recipient of the Award: The
American Academy of Pediatrics
Amount of the Non-Competitive Award: $210,000.
CFDA Number: 93.110.
Current Project Period: 02/01/2007--01/31/2017.
Period of Supplemental Funding: 2/1/2015--1/31/2016.
Authority: Social Security Act, Title V, Sections 501(a)(2) (42
U.S.C. 701(a)(2)), as amended.
Justification: Genetic information may be used to diagnose disease,
predict risk of future disease, inform decision-making, and manage
patient care. Although the number of evidence-based genomic
applications relevant to pediatric practice is growing, lack of
awareness and genetics-related skills among providers often results in
significant lag time between the generation of evidenced-based findings
and their integration into pediatric practice.
From June 1, 2011, to January 30, 2014, HRSA's Maternal and Child
Health Bureau (MCHB) funded AAP to develop and implement the Genetics
in Primary Care Institute (GPCI) program that provided models, best
practices, and dissemination strategies for ensuring optimal
integration of genetic medicine content and concepts into primary care
practice.
Bright Futures Guidelines for Health Supervision of Infants,
Children and Adolescents, Third Edition (hereafter referred to as
Bright Futures), is a set of principles, strategies and tools that are
theory-based, evidence-driven, and systems-oriented, that can be used
to improve the health and well-being of all children. Bright Futures
has become the primary source of clinical guidelines and
recommendations to improve health promotion and preventive practices
for infants, children, and adolescents, including those with special
healthcare needs, among pediatric health care providers. Bright Futures
is an ideal platform for the GPCI tools to integrate the genetic
guidelines into clinical practice and the addition of genomic tools and
resources will strengthen and enhance the work of Bright Futures.
The purpose of the BFPI cooperative agreement, as stated in the
funding opportunity announcement, is to improve the quality of health
promotion and preventive services for all infants, children,
adolescents, and their families, including children with special health
care needs, through the effective national implementation of Bright
Futures. To address the need for the integration of genetics and
genomic medicine into pediatric primary care, AAP, working with MCHB,
would support the development of the Think Genetics! Initiative using
the GPCI tool, ``Think Genetics! Daily Use in Pediatric Primary Care: A
Case Series for the Continuity Clinic.'' This tool focuses on a wide
range of clinical topics that are encountered in pediatric primary care
and that require the primary care provider to ``think genetically'' in
order to think more broadly about genetics/genomics when seeing
patients in the clinic. The supplemental funds would allow MCHB to
build on AAP's GPCI outputs, strong relationship with the pediatric
primary care providers, and Bright Futures platform to help MCHB
facilitate the integration of genetic guidelines into clinical
practice.
As part of the current award, BFPI would recommend updates to
Bright Futures based upon information from the GPCI to promote the
importance of collecting a multigenerational family health history, as
well as the collection of targeted, just-in-time family history
information. As part of this project, AAP would engage five clinics in
testing and revise several modules from the genetics case series to
better understand what supports clinic directors, attending physicians,
and residents need to implement the provision of genetics and genomic
medicine in patient visits. In addition, AAP would compare the case
series content with Bright Futures to determine content alignment as
well as gaps.
AAP would partner with residency training programs, the Bright
Futures Steering Committee, the Association of Pediatric Program
Directors, and others, respectively, to ensure the development of a
sound project implementation methodology consistent with the overall
aims. Resources and tools would be
[[Page 57831]]
developed and/or refined based on results. Further, AAP would plan for
the resulting tools and resources to be integrated into the Bright
Futures Tool and Resource Kit (Bright Futures toolkit) or other
anticipatory guidance resource materials (e.g., tip sheets,
communication tools, and parent education materials). The information
obtained from these activities will inform MCHB's understanding of
additional strategies needed to implement genomics into clinical
practice.
FOR FURTHER INFORMATION CONTACT: Lynn Van Pelt, DMD, Division of Child,
Adolescent, and Family Health, Maternal and Child Health Bureau, Health
Resources and Services Administration, 5600 Fishers Lane, Room 18W13B,
Rockville, Maryland 20857; [email protected].
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Fiscal year
Fiscal year 2015 estimated
Grantee/organization name Grant number State 2015 authorized supplemental
funding level funding
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The American Academy of Pediatrics. U04MC07853............ IL $1,176,800 $210,000
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Dated: September 21, 2015.
James Macrae,
Acting Administrator.
[FR Doc. 2015-24393 Filed 9-24-15; 8:45 am]
BILLING CODE 4165-15-P