Trauma Care Systems Planning and Development

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

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.


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

www.hrsa.gov



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 (www.hrsa.gov/trauma/model.htm) Released nationally standardized trauma data dictionary with the American College of Surgeons National Trauma Data Bank. (www.facs.org/trauma/ntdb/datadictionary).

Uses and Use Restrictions

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.



Eligibility Requirements

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.

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.

Aplication and Award Process

Preapplication Coordination

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 Procedures

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 Healthcare Systems Bureau. The Associate Administrator has the authority to make final selections for awards.

Award Procedures

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.

Deadlines

Contact Headquarters Office listed below for application deadlines.

Authorization

Public Health Service Act, Title XII, Sections 1201, 42 U.S.C. 300d.

Range of Approval/Disapproval Time

None.

Appeals

None.

Renewals

None.

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.

Post Assistance Requirements

Reports

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.

Audits

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.

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.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(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.

Information Contacts

Regional or Local Office

None.

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.

Criteria for Selecting Proposals

(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.



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