Modification of Trauma Care Component of State EMS Plan
Published on AidPage by
IDILOGIC on Jun 24, 2005
Purpose of this program:
To make grants to States and Territories for the purpose of developing, implementing, and monitoring State trauma care systems.
Possible uses and use restrictions...
Funds received under a grant are to be used for the following purposes: (1) State trauma care system planning, coordination, and facilitation of statewide trauma regions; (2) statewide/regional/local assessments and/or evaluations; (3) trauma data collection and usage; (4) developing innovative uses of communications technologies and the use of new communications technology; (5) developing model curricula for training (a) emergency medical services personnel, including first responders, emergency medical technicians, emergency nurses and physicians, and paramedics; (b) trauma managers (State, regional and local levels), trauma nurses, surgeons and trauma center teams in the assessment, stabilization, treatment preparation for transport, and resuscitation of seriously injured patients, with special attention to problems that arise during long transport and to methods of minimizing delays in transport to the appropriate facility; and in the managemcnt of the operation of the trauma carc system; (6) making training for original certification, and continuing education, in the provision and management of trauma services more accessible to medical/surgical personnel in rural areas through telecommunications, home studies, providing teachers and training at Jocations accessible to such personnel, and other methods; (7) developing innovative protocols and agreements to increase access to pre-hospital care and equipment necessary for thc transportation of seriously injured patients to the appropriate facilities; (8) evaluating the effectiveness of protocols with respect to trauma care services and systems; and (9) Public information and education related to trauma prevention, care and statewide services.
Who is eligible to apply...
States and territory offices of trauma system development, EMS or public health.
Credentials/Documentation
Costs will be determined in accordance with the OMB Circular No. A-87 for State and local governments.
Note:This is a brief description of the credentials or documentation required prior to, or along with, an application for assistance.
About this section:
This section indicates who can apply to the Federal government for assistance and the criteria the potential applicant must satisfy.
For example, individuals may be eligible for research grants, and the criteria to be satisfied may be that they have a professional or scientific degree,
3 years of research experience, and be a citizen of the United States. Universities, medical schools, hospitals, or State and local governments may also be eligible.
Where State governments are eligible, the type of State agency will be indicated (State welfare agency or State agency on aging) and the criteria that they
must satisfy.
Certain federal programs (e.g., the Pell Grant program which provides grants to students) involve intermediate levels of application processing, i.e., applications
are transmitted through colleges or universities that are neither the direct applicant nor the ultimate beneficiary. For these programs,
the criteria that the intermediaries must satisfy are also indicated, along with intermediaries who are not eligible.
How to apply...
Application Procedure:
Grantees must use the PHS Form 5161 for submitting applications. Information about obtaining application kits may be found through the program websiteat www.hrsa.gov/trauma.
Note: Each program will indicate whether applications are to be submitted to the Federal headquarters, regional or local office, or to a State or local government office.
Award Procedure:
Applications are reviewed by a committee composed of members of the staff of the Department of Health and Human Services (DHHS) and a multidisciplinary group of nongovernmental representatives. Applications are reviewed for merit, and are recommended for approval or disapproval. Final decisions are made by the Associate Administrator, Special Programs Bureau.
Note: Grant payments may be made by a letter of credit, advance by Treasury check, or reimbursement by Treasury check.
Awards may be made by the headquarters office directly to the applicant, an agency field office, a regional office,
or by an authorized county office. The assistance may pass through the initial applicant for further distribution by
intermediate level applicants to groups or individuals in the private sector.
Deadlines and process...
Deadlines
Contact Headquarters Office listed below for application deadlines.
Note:
When available, this section indicates the deadlines for applications to the funding agency which will
be stated in terms of the date(s) or between what dates the application should be received.
When not available, applicants should contact the funding agency for deadline information.
Range of Approval/Disapproval Time
From 30 to 60 days.
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 in applying for assistance, if it has selected the program for review.
Note:
This section indicates whether any prior coordination or approval is required with governmental or nongovernmental units
prior to the submission of a formal application to the federal funding agency.
Appeals
None.
Note:
In some cases, there are no provisions for appeal. Where applicable, this section discusses appeal procedures or allowable rework time for resubmission
of applications to be processed by the funding agency. Appeal procedures vary with individual programs and are either listed in this section or
applicants are referred to appeal procedures documented in the relevant Code of Federal Regulations (CFR).
Renewals
None.
Note:
In some instances, renewal procedures may be the same as for the application procedure, e.g., for projects of a non-continuing nature renewals will be treated as new, competing applications; for projects of an ongoing nature, renewals may be given annually.
Who can benefit...
Individuals in the State will benefit from this program.
Beneficiaries
About this section:
This section lists the ultimate beneficiaries of a program, the criteria they must satisfy and who specifically is not eligible. The applicant and beneficiary will generally be the same for programs that provide assistance directly from a Federal agency. However, financial assistance that passes through State or local governments will have different applicants and beneficiaries since the assistance is transmitted to private sector beneficiaries who are not obligated to request or apply for the assistance.
What types of assistance...
Project Grants
The funding, for fixed or known periods, of specific projects. Project grants can include fellowships, scholarships, research grants, training grants, traineeships, experimental and demonstration grants, evaluation grants, planning grants, technical assistance grants, survey grants, and construction grants.
How much financial aid...
Range and Average of Financial Assistance
$15,000 to $40,000; $40,000.
Note:
This section lists the representative range (smallest to largest) of the amount of financial assistance available. These figures are based upon funds awarded in the past fiscal year and the current fiscal year to date. Also indicated is an approximate average amount of awards which were made in the past and current fiscal years.
Obligations
(Grants) FY 03 $2,000,000; FY 04 est $2,000,000; and FY 05 est $2,000,000.
Note:
The dollar amounts listed in this section represent obligations for the past fiscal year (PY), estimates for the current fiscal year (CY), and estimates for the budget fiscal year (BY) as reported by the Federal agencies. Obligations for non-financial assistance programs indicate the administrative expenses involved in the operation of a program.
Account Identification
75-0350-0-1-550.
Note:
Note: This 11-digit budget account identification code represents the account which funds a particular program.
This code should be consistent with the code given for the program area as specified in Appendix III of the Budget of the United States Government.
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.
About this section
This section indicates the different types of projects which have been funded in the past. Only projects funded under Project Grants or Direct Payments for Specified Use should be listed here. The examples give potential applicants an idea of the types of projects that may be accepted for funding. The agency should list at least five examples of the most recently funded projects.
Program accomplishments...
Approximately $2,000,000 per year to approximately 50 states/territories for state trauma development.
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.
Assistance considerations...
Length and Time Phasing of Assistance
Awards are made for a 1-year budget and up to a 3-year project period.
Formula and Matching Requirements
This program has no formula. Matching is required in the second and subsequent years.
Note:
A formula may be based on population, per capita income, and other statistical factors. Applicants are informed whether there are any matching requirements to be met when participating in the cost of a project. In general, the matching share represents that portion of the project costs not borne by the Federal government. Attachment F of OMB Circular No. A-102 (Office of Management and Budget) sets forth the criteria and procedures for the evaluation of matching share requirements which may be cash or in-kind contributions made by State and local governments or other agencies, institutions, private organizations, or individuals to satisfy matching requirements of Federal grants or loans.
Cash contributions represent the grantees' cash outlay, including the outlay of money contributed to the grantee by other public agencies, institutions, private organizations, or individuals. When authorized by Federal regulation, Federal funds received from other grants may be considered as the grantees' cash contribution.
In-kind contributions represent the value of noncash contributions provided by the grantee, other public agencies and institutions, private organizations or individuals. In-kind contributions may consist of charges for real property and equipment, and value of goods and services directly benefiting and specifically identifiable to the grant program. When authorized by Federal legislation, property purchased with Federal funds may be considered as grantees' in-kind contribution.
Maintenance of effort (MOE) is a requirement contained in certain legislation, regulations, or administrative policies stating that a grantee must maintain a specified level of financial effort in a specific area in order to receive Federal grant funds, and that the Federal grant funds may be used only to supplement, not supplant, the level of grantee funds.
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.
Note:
This section indicates whether program reports, expenditure reports, cash reports or performance monitoring are required by the Federal funding agency, and specifies at what time intervals (monthly, annually, etc.) this must be accomplished.
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 A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal officials.
Note:
This section discusses audits required by the Federal agency.
The procedures and requirements for State and local governments and nonprofit entities are set forth in OMB Circular No. A-133.
These requirements pertain to awards made within the respective State's fiscal year - not the Federal fiscal year,
as some State and local governments may use the calendar year or other variation of time span designated as the fiscal year period,
rather than that commonly known as the Federal fiscal year (from October 1st through September 30th).
Records
Financial records must be kept available for 3 years after the submission of expenditure reports and 3 years after the final decision of non-expendable property. If questions remain, such as those raised as a result of an audit, records must be retained until the problem is resolved.
Note:
This section indicates the record retention requirements and the type of records the Federal agency may require.
Not included are the normally imposed requirements of the General Accounting Office.
For programs falling under the purview of OMB Circular No. A-102, record retention is set forth in Attachment C.
For other programs, record retention is governed by the funding agency's requirements.
Regulations...
Authorization
Public Health Service Act, Title XII, Sections 1201, 42 USC 300d
Note:
This section lists the legal authority upon which a program is based (acts, amendments to acts, Public Law numbers, titles, sections, Statute Codes, citations to the U.S. Code, Executive Orders, Presidential Reorganization Plans, and Memoranda from an agency head).
Regulations, Guidelines, And Literature
Pertinent information may be obtained by contacting the Headquarters Office listed below. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.