96-17999. Availability of Funds for Cooperative Agreement to Create a Primary Care Resource Center  

  • [Federal Register Volume 61, Number 137 (Tuesday, July 16, 1996)]
    [Notices]
    [Pages 37074-37075]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-17999]
    
    
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    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Availability of Funds for Cooperative Agreement to Create a 
    Primary Care Resource Center
    
    Agency: Health Resources and Services Administration.
    
    Action: Notice of available funds.
    
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    SUMMARY: The Health Resources and Services Administration (HRSA) 
    announces that applications will be accepted in fiscal year (FY) 1996 
    to create a university-based Primary Care Resource Center. The purpose 
    of the Center is to study the organization, financing, and delivery of 
    primary health care services to underserved and vulnerable populations, 
    in order to develop materials and information which will assist and 
    benefit Community Health Centers (CHCs) in their analysis of the need 
    for primary health services, the development of clinical practices, and 
    the refinement of fiscal and administrative systems. Funding of this 
    activity is authorized under Section 330(f)(1) of the Public Health 
    Service (PHS) Act.
        The PHS is committed to achieving the health promotion and disease 
    prevention objectives of Healthy People 2000, a PHS-led national 
    activity for setting priority areas. HRSA programs, and CHCs in 
    particular, are related to the objectives cited for special 
    populations, particularly minorities, people with low income, and other 
    types of vulnerable populations. Potential applicants may obtain a copy 
    of Healthy People 2000--Full Report (Stock No. 017-001-00474-0) or 
    Healthy People 2000--Summary Report (Stock No. 017-001-00473-1) through 
    the Superintendent of Documents, Government Printing Office, 
    Washington, DC 20402-9325 (telephone 202-783-3238).
        The PHS strongly encourages all grant recipients to provide a 
    smoke-free workplace and promote the non-use of all tobacco products. 
    In addition, Public Law 103-227, the Pro-Children Act of 1994, 
    prohibits smoking in certain facilities (or in some cases, any portion 
    of a facility) in which regular or routine education, day care, health 
    care, or early childhood development services are provided to children.
    
    DUE DATES: Applications are due August 30, 1996. Applications will be 
    considered to have met the deadline if they are: (1) Received on or 
    before the deadline date; or (2) postmarked on or before the 
    established deadline date and received in time for orderly processing. 
    Applicants should request a legibly dated U.S. Postal Service postmark 
    or obtain a legibly dated receipt from a commercial carrier or the U.S. 
    Postal Service. Private metered postmarks are not acceptable as proof 
    of timely mailing. Applications received after the announced deadline 
    will not be considered for funding.
    
    ADDRESSES: Application kits (Form PHS 5161-1) with revised face sheet 
    DHHS Form 424, as approved by the Office of Management and Budget under 
    control number 0937-0189, may be obtained from, and completed 
    applications should be mailed to: BPHC Grants Management Officer, c/o 
    Houston Associates, Inc., 1010 Wayne Avenue, Suite 1200, Silver Spring, 
    MD 20910, Telephone 800/523-2192.
    
    FOR FURTHER INFORMATION CONTACT: For information on programmatic and 
    research issues, contact: Ms. Bonnie Lefkowitz, Associate Bureau 
    Director, Office of Data, Evaluation, Analysis, and Research, Bureau of 
    Primary Health Care, HRSA, 4350 East-West Highway, Bethesda, Maryland 
    20814, Telephone 301/594-4280 (FAX 301/594-4986).
        For information on business management issues, please contact Nancy 
    Benson in the Office of Grants Management, Bureau of Primary Health 
    Care, 301/594-4232.
    
    SUPPLEMENTARY INFORMATION:
    
    Program Requirements
    
        HRSA's Bureau of Primary Health Care (BPHC) is seeking to enter 
    into a cooperative agreement with a university or university-based 
    organization for the purpose of operating a Primary Care Resource 
    Center. The activities to be performed under this cooperative agreement 
    are intended to assure that relevant knowledge about the health care 
    environment and about methods of clinical and management improvement is 
    made available to the health centers and other primary care providers; 
    and that this knowledge is disseminated throughout those programs, and 
    is conveyed to policymakers, program planners and administrators, care 
    providers, and the user populations. Toward that goal, the Primary Care 
    Resource Center will communicate effectively and regularly with these 
    audiences through instruments it develops and disseminates.
        Areas and topics for study will be determined jointly by BPHC and 
    the Center, with emphasis on the ability to respond to changing needs 
    of BPHC programs. The Center will be responsible for:
        1. Producing short-term (e.g., 3-4 weeks turn-around) analytic 
    reports, white papers, and monographs, for dissemination, as 
    appropriate, to the public;
    
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        2. Conducting longer-term (e.g., 6-12 months turn-around), more 
    comprehensive applied policy research studies;
        3. Developing informational and educational materials, including 
    monographs and summary reports, to help link policymakers and the BPHC 
    audiences identified above with sources of information about primary 
    care.
        Subjects of such papers, studies, and reports are expected to 
    include, for example:
         Monitoring the impact of changes in financing and delivery 
    of health care on vulnerable populations;
         Access to care for underserved populations--status of 
    ``safety net'' services;
         The changing role of Federal programs in health care 
    generally, and adaptation to managed care;
         Prevention strategies for underserved and vulnerable 
    populations (e.g., homeless and persons with HIV disease);
         Assessing quality of care and quality of service;
         Approaches to studying performance and health outcomes;
         Design of program evaluations in primary care; and
         Recruitment and retention of primary care providers.
    
    Criteria for Evaluating Applications
    
        Applications for cooperative agreement support will be reviewed 
    based upon the following evaluation criteria:
        a. Extent to which the applicant shows understanding of policy 
    issues that have a significant effect on primary care for underserved 
    populations, particularly in light of the changing health care and 
    government environment;
        b. Extent to which the applicant demonstrates flexibility to 
    provide quick response to requests and inquiries, for example, as 
    indicated in a management plan and personnel table, and in evidence of 
    ongoing relationships with appropriate personnel so as to minimize 
    start-up time;
        c. Appropriateness and adequacy of qualifications and experience of 
    the proposed project staff and consultants;
        d. Extent to which the applicant demonstrates prior evidence of 
    organizational ability to conduct high-quality policy-relevant studies 
    and disseminate materials in an appropriate format in a timely manner, 
    and to appropriate audiences; and
        e. Reasonableness of costs in relation to the value of proposed 
    activities, including how the proportion of the proposed budget for 
    direct production of deliverables has been maximized.
    
    Eligible Applicants
    
        Any public or private university or university-based organization 
    may apply. Less than maximum competition is necessary in order to 
    ensure academic rigor and depth of skills, and to gain optimal access 
    to current information, professional research, and informed opinion 
    regarding the delivery of primary health care for minority and 
    vulnerable populations and those with special health care needs. The 
    experience and attributes of a university or university-based 
    organization are essential to the timely and successful completion of 
    the products required.
    
    Number of Awards
    
        It is anticipated that one award will be made. The cooperative 
    agreement for a Primary Care Resource Center will be awarded for a 
    three-year period, and the initial budget period will be eight months. 
    Funding during FY 1996 will be approximately $200,000; BPHC will 
    consider continutation funding during FY 1997 based on the availability 
    of funds and performance in the first budget period.
    
    Federal Responsibilities Under Cooperative Agreements
    
        Federal responsibilities under the cooperative agreement, in 
    addition to the usual monitoring and technical assistance, will 
    include: (1) Participation in the development and approval of an 
    initial workplan, in accord with changing events in government policies 
    and in the health care environment, and modification thereof, as 
    appropriate; (2) participation in meetings conducted under the 
    cooperative agreement; (3) consultation to and cooperation with the 
    grantee regarding the grantee's preparation and dissemination of 
    materials; and (4) approval of specific studies and projects.
    
    Other Award Information
    
        This program is not subject to review under Executive Order 12372 
    or the Public Health System Reporting Requirements.
    
        Dated: July 10, 1996.
    Ciro V. Sumaya,
    Administrator.
    [FR Doc. 96-17999 Filed 7-15-96; 8:45 am]
    BILLING CODE 4160-15-P