[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57831-57832]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24395]
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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 its intent to award a program expansion
supplement in the amount of $75,000 for the Bright Futures Pediatric
Implementation (BFPI) cooperative agreement. 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 Guidelines for
Health Supervision of Infants, Children and Adolescents, Third Edition
(Bright Futures). The purpose of this notice is to award supplemental
funds to collect baseline information to measure the improvement of
coordination activities between home visiting and primary care
providers by the American Academy of Pediatrics, the cooperative
agreement awardee who serves as the BFPI, during the budget period of
February 1, 2015, to January 31, 2016. 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 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: $75,000.
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: The HHS Strategic Plan for fiscal years (FYS) 2014
to 2018 includes the goal of strengthening health care by emphasizing
primary and preventive care, linked with community prevention services.
Such integration between primary health care services and public health
efforts can promote efficiency, positively affect individual well-
being, and improve population health. In alignment with this HHS goal,
a goal of the BFPI cooperative agreement is to foster partnerships
between families, health professionals, public health and the broader
community to promote children's health through the effective national
implementation of Bright Futures.
Home visiting within a strong early childhood system is a Bright
Futures-recommended public health effort that could benefit from
improved coordination with primary health care services. Studies have
shown that improving coordination between primary health care services
and home visitors could yield improved adherence to preventative health
services for at risk families, improved compliance and fidelity to
evidence-based home visiting models, and stronger family engagement in
community support services. For BFPI to improve integration between
home visiting and primary care providers, it must first understand the
current state of these partnerships.
The AAP collects data from pediatricians, the primary care medical
providers most likely to encounter families with young children. AAP's
Periodic Survey of Fellows is an established mechanism for surveying
practice delivery among AAP's more than 60,000 pediatrician members,
with response rates ranging from 50 to 55 percent, higher than many
other national surveys of physicians. AAP conducts the survey every 2
years. The proposed program expansion supplement would fund AAP to
collect additional complementary data from pediatricians and provide
such data to MCHB.
The supplemental funds for survey questions would build on AAP's
survey infrastructure to help MCHB understand the system, organization,
and individual-level determinants and challenges that influence
coordination between home visitors and pediatricians. AAP would add
questions focusing on coordination between home visitors and
pediatricians to the Fall 2015 Periodic Survey of Fellows that would be
sent to a national random sample of approximately 1,600 non-retired
United States members of the AAP. The survey would include specific
questions about pediatricians' use of, and communication with, home
visitors and perception of the role of the home visitor and the
pediatrician in addressing several preventive care topics as part of
routine well-child care and home visits. These topics include injury
prevention, infant feeding practices, early reading/literacy
development, developmental screening,
[[Page 57832]]
immunization information, smoking cessation, oral health, as well as
parental depression, domestic violence and substance use counseling.
Pediatricians would be asked about the frequency with which they
inquire about, use formal screening instruments, treat/manage, and
refer patients for various problems/conditions. These various problems/
conditions may include maternal depression, parental alcohol/drug use,
divorce, illiteracy, domestic violence exposure, physical or sexual
abuse, neglectful parenting, and food and housing insecurity. Findings
from the AAP national survey of pediatricians, in conjunction with
findings from other data sources and ongoing surveys of home visitors,
would inform MCHB's understanding of what is needed to best strengthen
the home visitors' and pediatricians' collaborations for at-risk
families to support healthy development and to address the toxic stress
and social determinants that drive health and developmental disparities
for young children.
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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FY 2015
FY 2015 estimated
Grantee/organization name Grant number State authorized supplemental
funding level funding
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The American Academy of Pediatrics. U04MC07853............ IL $1,176,800 $75,000
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Dated: September 21, 2015.
James Macrae,
Acting Administrator.
[FR Doc. 2015-24395 Filed 9-24-15; 8:45 am]
BILLING CODE 4165-15-P