[Federal Register Volume 78, Number 153 (Thursday, August 8, 2013)]
[Notices]
[Pages 48441-48454]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-19113]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Office of Urban Indian Health Programs Proposed Single Source
Grant With Native American Lifelines, Inc.
Funding Announcement Number: HHS-2013-IHS-UIHP-0002.
Catalogue of Federal Domestic Assistance Number: 93.193.
Key Dates
Application Deadline Date: August 26, 2013.
Review Period: August 28, 2013.
Earliest Anticipated Start Date: September 1, 2013.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS), Office of Urban Indian Health
Programs (OUIHP), announces the FY 2013 single source competing grant
for operation support for the 4-in-1 Title V grant to make health care
services more accessible for American Indians and Alaska Natives (AI/
AN) residing in the Boston metropolitan area. This program is
authorized under the authority of the Snyder Act, 25 U.S.C. 13, and the
Indian Health Care Improvement Act (IHCIA), as amended, 25 U.S.C. 1652,
1653, 1660a. This program is described at 93.193 in the Catalog of
Federal Domestic Assistance (CFDA).
Purpose
Under this grant opportunity, the IHS proposes to award a single
source grant to Native American Lifelines, Inc., which is an urban
Indian organization that has an existing IHS contract, in accordance
with 25 U.S.C. 1653(c)-(f), 1660a, in the Boston metropolitan area.
This grant announcement seeks to ensure the highest possible health
status for urban Indians. Funding will be used to establish the urban
Indian organization's successful implementation of the priorities of
the Department of Health and Human Services (HHS), Strategic Plan
Fiscal Years 2010-2015, Healthy People 2020, and the IHS Strategic Plan
2006-2011. Additionally, funding will be utilized to meet objectives
for Government Performance Rating Act (GPRA) reporting, collaborative
activities with the Veterans Health Administration (VA), and four
health programs that make health services more accessible to urban
Indians. The four health services programs are: (1) Health Promotion/
Disease Prevention (HP/DP) services, (2) Immunizations, (3) Behavioral
Health Services consisting of Alcohol/Substance Abuse services, and (4)
Mental Health Prevention and Treatment services. These programs are
integral components of the IHS improvement in patient care initiative
and the strategic objectives focused on improving safety, quality,
affordability, and accessibility of health care.
Single Source Justification
Native American Lifelines, Inc. is identified as the single source
for this award, based on the following criteria:
1. As required by law, the grants authorized by 25 U.S.C. 1653(c)-
(f), 1660a may only be awarded to those urban Indian organizations that
have a current contract with the IHS to provide health care to urban
Indians, in the urban center identified in the contract.
2. Native American Lifelines is the urban Indian organization IHS
currently contracts with to provide health care and referral services
to urban Indians residing in the Boston area.
Native American Lifelines, Inc. is uniquely qualified to receive
this award and provide the identified program activities based on their
history with the urban Indian health programs, and their knowledge of
urban Indian health and the Boston target population. The program is
licensed by the state as a behavioral health provider; all of the staff
operating at the facility are licensed and credential in their
respective fields (specifically behavioral health); and they use
evidence-based behavioral health assessment and treatment strategies
with success. The program successfully uses targeted outreach and
comprehensive case management services for clients in the community.
Through this outreach and case management, the program has expanded
offering to include on-site dental service and transportation. Also,
the program has been successful in entering into collaborative
agreements with community health resources for the provision of quality
and comprehensive health care for clients. In support of these
successful activities, the Board of Directors is active in the program
and committed to bringing quality health care to the urban Indians of
the Boston metropolitan area.
II. Award Information
Type of Awards
Grant.
Estimated Funds Available
The total amount of funding identified for the current fiscal year
(FY) 2013 is $153,126. Any awards issued under this announcement are
subject to the availability of funds. In the absence of funding, the
Agency is under no obligation to make awards funded under this
announcement.
Anticipated Number of Awards
One single source award will be issued under this program
announcement.
[[Page 48442]]
Project Period
The project periods for this award will be as follows:
Year One: Six Months Budget Period from September 1, 2013 to March
31, 2014.
Year Two: Twelve Months Budget Period from--April 1, 2014 to March
31, 2015.
Year Three: Twelve Months Budget Period from--April 1, 2015 to
March 31, 2016.
IIII. Application and Submission Information
1. Obtaining Application Materials
The application package and detailed instructions for this
announcement can be found at http://www.Grants.gov or https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_funding. Questions regarding
the electronic application process may be directed to Mr. Paul Gettys
at (301) 443-2114.
2. Content and Form Application Submission
The applicant must include the project narrative as an attachment
to the application package. Mandatory documents for all applicants
include:
Table of contents.
Abstract (one page) summarizing the project.
Application forms:
[cir] SF-424, Application for Federal Assistance.
[cir] SF-424A, Budget Information--Non-Construction Programs.
[cir] SF-424B, Assurances--Non-Construction Programs.
Budget Justification and Narrative (must be single-spaced and
not exceed five pages).
Project Narrative (must be single spaced and not exceed ten
pages).
[cir] Background information on the organization.
[cir] Proposed scope of work, objectives, and activities that
provide a description of what will be accomplished, including a one-
page Timeframe Chart.
501(c)(3) Certificate.
Disclosure of Lobbying Activities (SF-LLL).
Certification Regarding Lobbying (GG-Lobbying Form).
Copy of current Negotiated Indirect Cost rate (IDC) agreement
(required) in order to receive IDC.
Documentation of current OMB A-133 required Financial Audit
(if applicable).
Acceptable forms of documentation include:
[cir] Email confirmation from Federal Audit Clearinghouse (FAC)
that audits were submitted; or
[cir] Face sheets from audit reports. These can be found on the FAC
Web site: http://harvester.census.gov/sac/dissem/accessoptions.html?submit=Go+To+Database.
Public Policy Requirements
All Federal-wide public policies apply to IHS grants with exception
of the Discrimination policy.
Requirements for Project and Budget Narratives
A. Project Narrative: This narrative should be a separate Word
document that is no longer than ten pages and must: be single-spaced,
be typewritten, have consecutively numbered pages, use black type not
smaller than 12 characters per one inch, and be printed on one side
only of standard size 8\1/2\'' x 11'' paper. These narratives will
assist the Objective Review Committee (ORC) in becoming more familiar
with the grantee's activities and accomplishments prior to this
possible grant award. If the narrative exceeds the page limit, only the
first ten pages will be reviewed. The 10-page limit for the narrative
does not include the work plan, standard forms, table of contents,
budget, budget justifications, narratives, and/or other appendix items.
B. Budget Narrative: This narrative must describe the budget
requested and match the scope of work described in the project
narrative. The budget narrative should not exceed five pages.
3. Submission Dates and Times
Applications must be submitted electronically through Grants.gov by
12:00 a.m., midnight Eastern Daylight Time (EDT) on the Application
Deadline Date listed in the Key Dates section on page one of this
announcement. Any application received after the application deadline
will not be accepted for processing, nor will it be given further
consideration for funding. The applicant will be notified by the
Division of Grants Management (DGM) via email of this decision.
If technical challenges arise and assistance is required with the
electronic application process, contact Grants.gov Customer Support via
email to [email protected] or at (800) 518-4726. Customer Support is
available to address questions 24 hours a day, 7 days a week (except on
Federal holidays). If problems persist, contact Mr. Paul Gettys, DGM
([email protected]) at (301) 443-2114. Please be sure to contact Mr.
Gettys at least ten days prior to the application deadline. Please do
not contact the DGM until you have received a Grants.gov tracking
number. In the event you are not able to obtain a tracking number, call
the DGM as soon as possible.
If the applicant needs to submit a paper application instead of
submitting electronically via Grants.gov, prior approval must be
requested and obtained (see Section IV.6 below for additional
information). The waiver must be documented in writing (emails are
acceptable), before submitting a paper application. A copy of the
written approval must be submitted with the hardcopy that is mailed to
the DGM. Once the waiver request has been approved, the applicant will
receive a confirmation of approval and the mailing address to submit
the application. Paper applications that are submitted without a waiver
from the Acting Director of DGM will not be reviewed or considered
further for funding. The applicant will be notified via email of this
decision by the Grants Management Officer of DGM. Paper applications
must be received by the DGM no later than 5:00 p.m., EST, on the
Application Deadline Date listed in the Key Dates section on page one
of this announcement. Late applications will not be accepted for
processing or considered for funding.
4. Intergovernmental Review
Executive Order 12372 requiring intergovernmental review is not
applicable to this program.
5. Funding Restrictions
Pre-award costs are not allowable.
The available funds are inclusive of direct and
appropriate indirect costs.
IHS will not acknowledge receipt of applications.
6. Electronic Submission Requirements
All applications must be submitted electronically. Please use the
http://www.Grants.gov Web site to submit an application electronically
and select the ``Find Grant Opportunities'' link on the homepage.
Download a copy of the application package, complete it offline, and
then upload and submit the completed application via the http://www.Grants.gov Web site. Electronic copies of the application may not
be submitted as attachments to email messages addressed to IHS
employees or offices.
If the applicant receives a waiver to submit paper application
documents, the applicant must follow the rules and timelines that are
noted below. The applicant must seek assistance at least ten days prior
to the Application Deadline Date listed in the Key Dates
[[Page 48443]]
section on page one of this announcement.
Applicants that do not adhere to the timelines for System for Award
Management (SAM) and/or http://www.Grants.gov registration or that fail
to request timely assistance with technical issues will not be
considered for a waiver to submit a paper application.
Please be aware of the following:
Please search for the application package in http://www.Grants.gov by entering the CFDA number or the Funding Opportunity
Number. Both numbers are located in the header of this announcement.
If technical challenges are experienced while submitting
the application electronically, please contact Grants.gov Support
directly at: [email protected] or (800) 518-4726. Customer Support is
available to address questions 24 hours a day, 7 days a week (except on
Federal holidays).
Upon contacting Grants.gov, obtain a tracking number as
proof of contact. The tracking number is helpful if there are technical
issues that cannot be resolved and waiver from the agency must be
obtained.
If it is determined that a waiver is needed, the applicant
must submit a request in writing (emails are acceptable) to
[email protected] with a copy to [email protected]. Please
include a clear justification for the need to deviate from the standard
electronic submission process.
If the waiver is approved, the application should be sent
directly to the DGM by the Application Deadline Date listed in the Key
Dates section on page one of this announcement.
An applicant is strongly encouraged not to wait until the
deadline date to begin the application process through Grants.gov as
the registration process for SAM and Grants.gov could take up to
fifteen working days.
Please use the optional attachment feature in Grants.gov
to attach additional documentation that may be requested by the DGM.
An applicant must comply with any page limitation
requirements described in this Funding Announcement.
After electronically submitting the application, the
applicant will receive an automatic acknowledgment from Grants.gov that
contains a Grants.gov tracking number. The DGM will download the
application from Grants.gov and provide necessary copies to the
appropriate agency officials. Neither the DGM nor the OCPS will notify
the applicant that the application has been received.
Email applications will not be accepted under this
announcement.
Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS)
All IHS applicants and grantee organizations are required to obtain
a DUNS number and maintain an active registration in the SAM database.
The DUNS number is a unique 9-digit identification number provided by
D&B which uniquely identifies each entity. The DUNS number is site
specific; therefore, each distinct performance site may be assigned a
DUNS number. Obtaining a DUNS number is easy, and there is no charge.
To obtain a DUNS number, please access it through http://fedgov.dnb.com/webform, or to expedite the process, call (866) 705-
5711.
All HHS recipients are required by the Federal Funding
Accountability and Transparency Act of 2006, as amended (``Transparency
Act''), to report information on subawards. Accordingly, all IHS
grantees must notify potential first-tier subrecipients that no entity
may receive a first-tier subaward unless the entity has provided its
DUNS number to the prime grantee organization. This requirement ensures
the use of a universal identifier to enhance the quality of information
available to the public pursuant to the ``Transparency Act.''
System for Award Management (SAM)
Organizations that were not registered with Central Contractor
Registration (CCR) and have not registered with SAM will need to obtain
a DUNS number first and then access the SAM online registration through
the SAM home page at https://www.sam.gov (U.S. organizations will also
need to provide an Employer Identification Number from the Internal
Revenue Service that may take an additional 2-5 weeks to become
active). Completing and submitting the registration takes approximately
one hour to complete and SAM registration will take 3-5 business days
to process. Registration with the SAM is free of charge. Applicants may
register online at https://www.sam.gov.
Additional information on implementing the ``Transparency Act,''
including the specific requirements for DUNS and SAM, can be found on
the IHS Grants Management, Grants Policy Web site: https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_policy_topics.
IV. Application Review Information
The instructions for preparing the application narrative also
constitute the evaluation criteria for reviewing and scoring the
application. Weights assigned to each section are noted in parentheses.
The 10-page narrative should include only the first year of activities;
information for multi-year projects should be included as an appendix.
See ``Multi-year Project Requirements'' at the end of this section for
more information. The narrative section should be written in a manner
that is clear to outside reviewers unfamiliar with prior related
activities of the applicant. It should be well organized, succinct, and
contain all information necessary for reviewers to understand the
project fully. Points will be assigned to each evaluation criteria
adding up to a total of 100 points. A minimum score of 75 points is
required for approval and funding. Points are assigned as follows:
1. Criteria
The instructions for preparing the application narrative also
constitute the evaluation criteria for reviewing the application.
The narrative should address program progress for the seven months
budget period activities, September 1, 2013 through March 31, 2014.
The narrative should be written in a manner that is clear to
outside reviewers unfamiliar with prior related activities of the urban
Indian health programs (UIHP). It should be well organized, succinct,
and contain all information necessary for reviewers to fully understand
the project.
Points assigned for the criteria are as follows:
UNDERSTANDING OF THE NEED AND NECESSARY CAPACITY (30 Points)
WORK PLANS (40 Points)
PROJECT EVALUATION (15 Points)
ORGANIZATIONAL CAPABILITIES AND QUALIFICATIONS (10 Points)
CATEGORICAL BUDGET AND BUDGET JUSTIFICATION (5 Points)
A. PROJECT NARRATIVE: UNDERSTANDING OF THE NEED AND NECESSARY CAPACITY
(30 points)
1. Facility Capability:
The UIHPs provide health care services within the context of the
HHS Strategic Plan, Fiscal Years 2010-2015; the IHS Strategic Plan
2006-2011, and four IHS priorities.
Describe the UIHP: Define activities planned for the 2013 budget
period September 1, 2013--March 31, 2014 budget period in each of the
following areas:
(a) IHS Priorities for American Indian/Alaska Native Health Care
Current governmental trends and environmental
[[Page 48444]]
issues impact urban Indians and require clear and consistent support by
the IHS funded UIHP. The IHS Web site is http://www.ihs.gov.
(1) Renew and Strengthen Partnerships with Tribes and the UIHPs:
The UIHPs have a hybrid relationship with the IHS. With the passage of
Public Law 111-148, the Indian Health Care Improvement Act was made
permanent.
Identify what the UIHP is doing to strengthen its
partnerships with Tribes and other UIHPs.
(a) September 1, 2013--March 31, 2014 activities planned, including
information on how results are shared with the community.
(b) List the top ten Tribes whose members are seen by the program.
2. Bring Health Care Reform to the UIHPs: In order to support
health care reform, it must be demonstrated there is a willingness to
change and improve, i.e., in human resources and business practices.
Describe activities the UIHP is taking to ensure health
care reform is being implemented.
(a) September 1, 2013--March 31, 2014 activities planned.
3. Improve the Quality of and Access to Care: Customer service is
the key to quality care. Treating patients well is the first step to
improving quality and access. This area also incorporates Best
Practices in customer service.
Identify activities that demonstrate the UIHP is improving
quality of and access to care.
(a) September 1, 2013--March 31, 2014 activities planned.
4. Ensure all UIHP work is Transparent, Accountable, Fair, and
Inclusive: Quality health care needs to be transparent, with all
parties held accountable for that care. Accountability for services is
emphasized.
Describe activities that demonstrate how this is
implemented in the UIHP program.
(a) September 1, 2013--March 31, 2014 activities planned.
5. HHS Priorities for Health Care:
Current governmental trends and environmental issues impact urban
Indians and require clear and consistent support by the IHS funded
UIHP.
(a) Health Care Value Incentives: The growth of health care costs
is restrained because consumers know the comparative costs and quality
of their health care--and they have a financial incentive to care.
Identify what the UIHP is doing to help its consumers gain
control of their health care and have the knowledge to make informed
health care decisions.
(1) September 1, 2013--March 31, 2014 activities planned, including
information on how clinical quality data is shared with consumers and
the community.
6. Health Information Technology: Secure interoperable electronic
records are available to patients and their doctors anytime, anywhere.
Describe Resource Patient Management Systems (RPMS)/
Electronic Health Record (EHR) or non-RPMS activities the UIHP is
taking to ensure immediate access to accurate information to reduce
dangerous medical errors and help control health care costs.
(a) September 1, 2013-March 31, 2014 activities planned.
7. Medicare Rx: Every senior has access to affordable prescription
drugs. Consumers will inspire plans to provide better benefits at lower
costs. Medicare Part D is streamlined and improved to better connect
people with their benefits. Pay for Performance methodologies act to
increase health care quality.
Identify activities the UIHP is taking to implement
Medicare Rx.
(a) September 1, 2013--March 31, 2014 activities planned.
8. Personalized Health Care: Health care is tailored to the
individual. Prevention and wellness is emphasized. Propensities for
disease are identified and addressed through preemptive intervention.
Describe activities that demonstrate how this is
implemented in the UIHP program.
(a) September 1, 2013--March 31, 2014 activities planned.
9. Obesity Prevention: The risk of many diseases and health
conditions are reduced through actions that prevent obesity. A culture
of wellness deters or diminishes debilitating and costly health events.
Individual health care is built on a foundation of responsibility for
personal wellness.
Describe activities that demonstrate how the UIHP program
is implementing this priority.
(a) September 1, 2013--December 31, 2014 activities planned.
10. Tobacco Cessation: The only proven strategies to reduce the
risks of tobacco-caused disease are preventing initiation, facilitating
cessation, and eliminating exposure to secondhand smoke.
Describe activities that demonstrate how the UIHP is
implementing this priority.
(a) September 1, 2013--March 31, 2014 activities planned.
11. Pandemic Preparedness: The United States is better prepared for
an influenza pandemic. Rapid vaccine production capacity is increased,
national stockpiles and distribution systems are in place, disease
monitoring and communication systems are expanded and local
preparedness encompasses all levels of government and society.
Describe activities that demonstrate how the UIHP is
prepared and identify changes, if any, made to the UIHP pandemic
preparedness plan.
12. Emergency Response: We have learned from the past and are
better prepared for the future. There is an ethic of preparedness at
the urban program and throughout the Nation.
Describe activities that demonstrate how the UIHP is
prepared and identify changes, if any, made to the UIHP emergency
preparedness plan.
13. Hours of Operation Ensure Access to Care:
Identify the urban program hours of operation and provide
assurance that services are available and accessible at times that
meets the needs of the urban Indian population, including arrangements
that assure access to care when the UIHP is closed.
14. UIHP Collaboration with the Veteran's Health Administration
(VA)
In 2007, the UIHPs contacted their local VA Veterans Integrated
Services Network and established agreements to collaborate at the local
level to expand opportunities to enhance access to health services and
improve the quality of health care of urban Indian veterans.
(a) Describe plan of action to develop a partnership with the local
VA and plans to establish a Memorandum of Understanding for serving
urban Indian veterans.
(b) Identify areas of collaboration and activities that will be
conducted between your UIHP and your local area VA for budget period
September 1, 2013-March 31, 2014.
15. GPRA Reporting:
All UIHPs report on IHS GPRA/Government Performance Rating Act
Modernization Act (GPRAMA) clinical performance measures. This is
required using the Resource and Patient Management System (RPMS). RPMS
users must use the Clinical Reporting System (CRS) for reporting.
Questions related to GPRA reporting may be directed to the IHS Area
Office GPRA Coordinator, or the OUIHP on (301) 443-4680.
The 2014 GPRA Reporting Period is July 1, 2013 through June 30,
2014. The GPRA measures to report for 2014 include 25 clinical
measures. The 2014 measure targets are attached.
(a) The following GPRA measures are priority focus areas for target
achievement: Good Glycemic Control, Childhood Immunizations and
[[Page 48445]]
Depression Screening. Briefly describe the steps/activities you will
take to ensure your program meets the 2014 target rates for these
measures.
(b) Describe at least two actions you will complete to meet the
2014 desired performance outcomes/results. For programs using RPMS, a
Performance Improvement Toolbox is available on the CRS Web site at
http://www.ihs.gov/cio/crs_performance_improvementtoolbox.asp.
(c) GPRA Behavioral Health performance measures include Alcohol
Screening (to prevent Fetal Alcohol Syndrome (FAS)), Domestic (Intimate
Partner) Violence Screening and Depression Screening. Describe actions
you will take to improve 2013-2014 desired behavioral health
performance outcomes/results.
(d) Document your ability to collect and report on the required
performance measures to meet GPRA requirements. Include information
about your health information technology system.
FY 2014 GPRA MEASURES
1. Diabetes DX Ever (not a GPRA measure, used for context only).
2. Documented A1c (not a GPRA measure, used for context only).
3. Diabetes: Good Glycemic Control.
4. Diabetes: Controlled Blood Pressure.
5. Diabetes: Dyslipidemia (LDL) Assessment.
6. Diabetes: Nephropathy Assessment.
7. Diabetes: Retinopathy Assessment.
8. Influenza Immunization 65+.
9. Pneumovax Immunization 65+.
10. Childhood Immunizations.
11. Pap Screening Rates.
12. Mammography Screening Rates.
13. Colorectal Cancer Screening Rates.
14. Cardiovascular Disease (CVD Screening Rates).
15. Tobacco Cessation.
16. Alcohol Screening (FAS Prevention).
17. Domestic Violence/Intimate Partner Violence Screening.
18. Depression Screening.
19. Prenatal Human Immunodeficiency Virus (HIV) Screening.
20. Childhood Weight Control.
21. Breast Feeding Rates.
22. Topical Fluorides.
23. Dental Assessment.
24. Dental Sealants.
25. Suicide Surveillance.
16. Schedule of Charges and Maximization of Third Party Payments.
(a) Describe the UIHP established schedule of charges and
consistency with local prevailing rates.
(1) If the UIHP is not currently billing for billable services,
describe the process the UIHP will take to begin third party billing to
maximize collections.
(2) Describe how reimbursement is maximized from Medicare,
Medicaid, State Children's Health Insurance Program, private insurance,
etc.
(b) Describe how the UIHP achieves cost effectiveness in its
billing operations with a brief description of the following:
(1) Establishes appropriate eligibility determination.
(2) Reviews/updates and implements up-to-date billing and
collection practices.
(3) Updates insurance at every visit.
(4) Maintains procedures to evaluate necessity of services.
(5) Identifies and describes financial information systems used to
track, analyze and report on the program's financial status by revenue
generation, by source, aged accounts receivable, provider productivity,
and encounters by payor category.
(6) Indicate the date the UIHP last reviewed and updated its
Billing Policies and Procedures.
B. PROGRAM PLANNING: WORK PLANS (40 Points)
A program narrative and a program specific work plan are required
for each health services program: (1) Health Promotion/Disease
Prevention, (2) Immunizations, (3) Alcohol/Substance Abuse, and (4)
Mental Health. The IHCIA, Public Law 111-148, as amended, identified
eligibility for health services as follows.
The grantee shall provide health care services to eligible urban
Indians living within the urban center. An ``Urban Indian'' eligible
for services, as codified at 25 U.S.C. 1603(13), (27), (28), includes
any individual who:
1. Resides in an urban center, which is any community that has a
sufficient urban Indian population with unmet health needs to warrant
assistance under subchapter IV of the IHCIA, as determined by the
Secretary, HHS; and who
2. Meets one or more of the following criteria:
(a) Irrespective of whether he or she lives on or near a
reservation, is a member of a Tribe, band, or other organized group of
Indians, including: (i) Those Tribes, bands, or groups terminated since
1940, and (ii) those recognized now or in the future by the State in
which they reside; or
(b) Is a descendant, in the first or second degree, of any such
member described in (A); or
(c) Is an Eskimo or Aleut or other Alaska Native; or
(d) Is a California Indian; \1\
(e) Is considered by the Secretary of the Department of the
Interior to be an Indian for any purpose; or
(f) Is determined to be an Indian under regulations pertaining to
the Urban Indian Health Program that are promulgated by the Secretary,
HHS.
\1\ Eligibility of California Indians may be demonstrated by
documentation that the individual:
(1) Is a descendent of an Indian who was residing in California on
June 1, 1852; or
(2) Holds trust interests in public domain, national forest, or
Indian reservation allotments in California; or
(2) Is listed on the plans for distribution of assets of California
Rancherias and reservations under the Act of August 18, 1958 (72 Stat.
619), or is the descendant of such an individual.
The grantee is responsible for taking reasonable steps to confirm
that the individual is eligible for IHS services as an urban Indian.
PROGRAM NARRATIVES AND WORKPLANS
1. HP/DP
Program Narrative and Work Plan
Contact your IHS Area Office HP/DP Coordinator to discuss and
identify effective and innovative strategies to promote health and
enhance prevention efforts to address chronic diseases and conditions.
Identify one or more of the strategies you will conduct during budget
period September 1, 2013--March 31, 2014.
(a) Applicants are encouraged to use evidence-based and promising
strategies which can be found at the IHS best practice database at
http://www.ihs.gov/hpdp/and the National Registry for Effective
Programs at http://modelprograms.samhsa.gov/.
(b) Program Narrative. Provide a brief description of the
collaboration activities that: (1) Will be planned and will be
conducted between the UIHP and the IHS Area Office HP/DP Coordinator
during the budget period September 1, 2013 through March 31, 2014.
(c) An example of an HP/DP work plan is provided on the following
pages. Develop and attach a copy of the UIHP HP/DP Work Plan for
September 1, 2013 through March 31, 2014.
[[Page 48446]]
Sample 2013 HP/DP Work Plan
[Goal: To address physical inactivity and consumption of unhealthy food among youth who are in the 4th to 6th
grade in the Watson, Kennedy, Blackwood, and Rocky Hill Elementary schools.]
----------------------------------------------------------------------------------------------------------------
Objectives Activities/time line Person responsible Evaluation
----------------------------------------------------------------------------------------------------------------
1. Develop school policies to address 1. Schedule a meeting Program Coordinator Progress report on
physical inactivity and consumption with the school health School Administrator. status of policy and
of unhealthy foods in the first year board in the first documentation of
of the funding year. quarter of the project. number of participants
2. Establish a parent in parent advisory
advisory committee to committee, and number
assist with the of meetings held.
development of the
policy in 2nd quarter.
2. Implement a classroom nutrition 1. Design pre/post test Program Coordinator IHS Pre/post knowledge,
curriculum to increase awareness survey and pilot test Nutritionist. attitude, and behavior
about the importance of healthier with group of students survey.
foods. by 2nd quarter.
2. Schedule a meeting
with the School
Principal to discuss
dates of program
implementation by 3rd
quarter.
3. Implement the
``Healthy Eating''
curriculum, a 6 week
program in the 2nd
quarter.
4. Collect pre/post
survey at beginning
and end of the program
to assess changes.
3. Implement physical activity in at 1. Contract with SPARK Program Coordinator 1. Training evaluation
least four schools for grades 4th to PE to train classroom School Counselor and and number of
6th in first year of the funding. teachers to implement PE teacher. participants.
SPARK PE in the school
by 3rd Quarter.
2. Train volunteers to 2. Pre/post FITNESSGRAM
administer FITNESSGRAM Data.
to collect baseline
data and post data to
assess changes.
----------------------------------------------------------------------------------------------------------------
Sample 2013 HP/DP Work Plan
[Goal: To reduce tobacco use among residents of community X and Y.]
----------------------------------------------------------------------------------------------------------------
Objectives Activities/time line Person responsible Evaluation
----------------------------------------------------------------------------------------------------------------
1. Establish a tobacco-free policy in 1. Schedule a meeting Tobacco Coordinator.... Documentation of the
the schools and Tribal buildings by with the Tribal number of
year one. Council and school participants.
board to increase
awareness of the
health effects of
tobacco by June 2010.
2. Schedule and conduct Tobacco Coordinator Documentation of the
tobacco awareness Health Educator. number of
education in the participants.
community, schools,
and worksites by July
2010 through September
2010.
3. Draft a policy and Documentation of
present to the Tribal whether the policy was
Council for approval established.
by January 2011.
2. Coordinate and establish tobacco 1. Partner with the Tobacco Coordinator Progress toward
cessation programs with the local American Cancer Health Educator timeline.
hospitals and clinics. Association and the Pharmacist.
Tribal Health
Education Coordinators
to establish 8-week
tobacco cessation
programs by July 2010.
[[Page 48447]]
2. Meet with the Tobacco Coordinator Progress report
hospital/clinic Health Educator. indicating timeline is
administrators and being met.
pharmacist to discuss
and develop a behavior-
based tobacco
cessation program.
3. Design and Tobacco Coordinator.... of brochures
disseminate brochures distributed.
and flyers of tobacco
cessation program that
are available in the
community and clinic.
4. Meet with nursing Health Educator, RPMS data--baseline
and medical provider Tobacco Coordinator. of
staff to increase referrals,
patient referral to of participants who
tobacco cessation completed program,
program. who quit
tobacco.
5. Implement the 8-week Tobacco Coordinator....
tobacco cessation
program at the
community X and Y
clinic.
----------------------------------------------------------------------------------------------------------------
2. IMMUNIZATION SERVICES
Program Narrative and Work Plan
(a) Program Management Required Activities
(1) Provide assurance that your facility is participating in the
Vaccines for Children program.
(2) Provide assurance that your facility has look up capability
with State/regional immunization registry (where applicable). Please
contact Amy Groom, Immunization Program Manager at amy.groom@ihsgov or
(505) 248-4374 for more information.
(b) Service Delivery Required Activities--For Sites using RPMS
(1) Provide trainings to providers and data entry clerks on the
RPMS Immunization package.
(2) Establish process for immunization data entry into RPMS (e.g.,
point of service or through regular data entry).
(3) Utilize RPMS Immunization package to identify 3-27 month old
children who are not up to date and generate reminder/recall letters.
(c) Immunization Coverage Assessment Required Activities
(1) Submit quarterly immunization reports to Area Immunization
Coordinator for the 3-27 month old, Two year old and Adolescent,
Influenza and Adult reports. Sites not using the RPMS Immunization
package should submit a Two Year old immunization coverage report--an
excel spreadsheet with the required data elements that can be found
under the ``Report Forms for non-RPMS sites'' section at: http://www.ihs.gov/Epi/index.cfm?module=epi_vaccine_reports.
(d) Program Evaluation Required Activities
(1) Report coverage with the 4313314 \**\ vaccine series for
children 19-35 months old.
---------------------------------------------------------------------------
\*\ The 4:3:1:3:3:1:4 vaccine series is defined as: 4 doses
diphtheria and tetanus toxoids and pertussis vaccine, diphtheria and
tetanus toxoids, or diphtheria and tetanus toxoids and any pertussis
vaccine, 3 doses of oral or inactivated polio vaccine, 1 dose of
measles, mumps, and rubella vaccine, 3 doses of Haemophilus
influenzae type b vaccine, 3 doses of hepatitis B vaccine, 1 dose of
varicella vaccine, and 4 doses of pneumococcal conjugate
vaccine(PCV).
---------------------------------------------------------------------------
(2) Report coverage with influenza vaccine for adults 65 years and
older.
(3) Report coverage with at least one dose of pneumococcal vaccine
for adults 65 years and older.
(4) Report coverage for patients (6 months and older) who received
at least one dose of seasonal flu vaccine during flu season.
(5) Establish baseline coverage on adult vaccines, specifically: 1
dose of Tdap for adults 19 yrs and older; 1 dose of Human
Papillomavirus (HPV) for females 19-26 years old; 3 doses HPV for
females 19-26 yrs; 1 dose of HPV for males 19-21 years old; 3 doses HPV
for males 19-21 years; and 1 dose of Zoster for patients 60+ years.
Sample Urban Grant FY 2013 Work Plan Immunization
--------------------------------------------------------------------------------------------------------------------------------------------------------
Primary prevention objective Service or program Target population Process measure Outcome measures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Protect children and communities Immunization Program.. Children < 3 years.... On a quarterly basis: As of June 30th, 2012:
from vaccine preventable diseases. of children 3-27
months old.
of children 3-27 % of 19-35 month olds up to date with
months old who are the 431331 and 4313314 vaccine
children up to date with series.
age appropriate
vaccinations.
% of 3-27 month old
children up to date with
age appropriate
vaccinations.
of children 19-35
months old.
[[Page 48448]]
of children 19-35 months
old who received the 431331 and
4313314 vaccine series
% of children 19-35 months
old who received the
431331 and 4313314 vaccine
series.
Protect adolescents and communities Immunization Program.. Adolescents 13-17 On a quarterly basis:...... As of June 30th, 2012:
from vaccine preventable diseases. years. of adolescents 13-
17 years old.
of adolescents 13- % of adolescents 13-17 years old who
17 years old who are up to are up to date with Tdap.
date with Tdap, Tdap/Td,
Meningococcal, and 1, 2
and 3 dose of HPV (females
only).
% of adolescents 13-17 % of adolescents 13-17 years old who
years old who are up to are up to date with Tdap, females
date with Tdap, Tdap/Td, only.
Meningococcal, and 1, 2
and 3 dose of HPV (females
only).
of adolescents 13-17 years
old who are up to date with
Meningococcal vaccine.
of adolescents 13-17 years
old who are up to date with 1, 2 and
3 dose of HPV (females only).
Protect adults and communities from Immunization Program.. All Ages.............. On a quarterly basis during As of June 30th, 2012:
influenza. flu season (e.g., Sept-
June).
of patients (all of patients who received a
ages). seasonal flu shot during the flu
season.
of patients who
received a seasonal flu
shot during the flu season.
% of patients who received % of patients who received a seasonal
a seasonal flu shot during flu shot during flu season.
flu season.
Protect adults and communities from Immunization Program.. Adults > 65 years..... On a quarterly basis: As of June 30th, 2012:
influenza & Pneumovax. of adults 65+
years.
of adults 65+ % of adults 65+ years who received an
years who received an influenza shot Sept. 1, 2010-June
influenza shot during flu 30, 2011.
season.
of adults 65+ % of adults 65+ years who received a
years who received a pneumovax shot ever
pneumovax shot.
% of adults 65+ years who
received an influenza shot
during flu season.
% of adults 65+ years who
received a pneumovax shot.
--------------------------------------------------------------------------------------------------------------------------------------------------------
3. ALCOHOL/SUBSTANCE ABUSE
Program Narrative and Work Plan
(a) Narrative Description of Program Services for September 1, 2013-
March 31, 2014 Budget Period
(1) Program Objectives
(a) Clearly state the outcomes of the health service.
(b) Define needs related outcomes of the program health care
service.
(c) Define who is going to do what, when, how much, and how you
will measure it.
(d) Define the population to be served and provide specific numbers
regarding the number of eligible clients for whom services will be
provided.
(e) State the time by which the objectives will be met.
(f) Describe objectives in numerical terms--specify the number of
clients that will receive services.
(g) Describe how achievement of the goals will produce meaningful
and relevant results (e.g., increase access, availability, prevention,
outreach, pre-services, treatment, and/or intervention).
(h) Provide a one-year work plan that will include the primary
objectives, services or program, target population, process measures,
outcome measures, and data source for measures (see work plan sample in
Appendix 2).
[[Page 48449]]
(i) Identify Services Provided: Primary Residential; Detox; Halfway
House; Counseling; Outreach and Referral; and Other (Specify)
(ii) Number of beds: Residential ----, Detox----; or Half way House
----.
(iii) Average monthly utilization for the past year.
(iv) Identify Program Type: Integrated Behavioral Health; Alcohol
and Substance Abuse only; Stand Alone; or part of a health center or
medical establishment.
(i) Address methamphetamine-related contacts:
(i) Estimate the number patient contacts during the budget period,
September 1, 2013--March 31, 2014.
(ii) Describe your formal methamphetamine prevention and education
program efforts to reduce the prevalence of methamphetamine abuse
related problems through increased outreach, education, prevention and
treatment of methamphetamine-related issues.
(iii) Describe collaborative programming with other agencies to
coordinate medical, social, educational, and legal efforts.
(2) Program Activities
(a) Clearly describe the program activities or steps that will be
taken to achieve the desired outcomes/results. Describe who will
provide (program, staff) what services (modality, type, intensity,
duration), to whom (individual characteristics), and in what context
(system, community).
(b) State reasons for selection of activities.
(c) Describe sequence of activities.
(d) Describe program staffing in relation to number of clients to
be served.
(e) Identify number of Full Time Equivalents (FTEs) proposed and
adequacy of this number:
(i) Percentage of FTEs funded by IHS grant funding; and
(ii) Describe clients and client selection.
(f) Address the comprehensive nature of services offered in this
program service area.
(g) Describe and support any unusual features of the program
services, or extraordinary social and community involvement.
(h) Present a reasonable scope of activities that can be
accomplished within the time allotted for program and program
resources.
(3) Accreditation and Practice Model
(a) Name of Program Accreditation.
(b) Type of evidence-based practice.
(c) Type of practice-based model.
(4) Attach the Alcohol/Substance Abuse Work Plan.
IHS Urban Grant FY 2013 Work Plan
[Alcohol/Substance Abuse Program Sample Work Plan]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Data source for
Objectives Service or program Target population Process measure Outcome measures measures
--------------------------------------------------------------------------------------------------------------------------------------------------------
What are you trying to What type of program do Who do you hope to What information will you What information Where will you find
accomplish? you propose? serve in your collect about the will you collect to the information
program? program activities? find out the you collect?
results of your
program?
--------------------------------------------------------------------------------------------------------------------------------------------------------
To prevent substance abuse among Community-based substance American Indian of youth Incidence/prevalence Medical records,
urban American Indian youth. abuse prevention youth ages 5-18 completing the of substance abuse/ RPMS behavioral
curriculum. years old. curriculum, of dependence. health package,
sessions conducted, National Youth
of staff Survey.
trained.
To prevent substance abuse and After school, summer, and American Indian of youth Incidence of Charts, RPMS
related problems. weekend activities (e.g. youth ages 5-14 completing community- substance abuse, behavioral health
outdoor experiential years old. based sessions, of parents completing negative and Youth Survey.
classroom based problem community-based positive attitudes
solving activities). sessions, of and behaviors,
community-based sessions. incidence of peer
drug use.
[[Page 48450]]
Reduce drug use and increase Matrix model for American Indian of clients Incidence of drug Medical records,
treatment retention. outpatient treatment. adult completing program, use, increase or RPMS behavioral
methamphetamine of relapse decrease in health package,
clients. prevention sessions, treatment Addiction Severity
of family and retention, positive Index, results of
group therapies, of drug education samples.
sessions, of
self-help groups, of urine tests.
--------------------------------------------------------------------------------------------------------------------------------------------------------
4. MENTAL HEALTH SERVICES
Program Narrative and Work Plan
Use the alcohol/substance abuse program narrative description
template to develop the Mental Health Services program narrative.
Attach the UIHP Mental Health Services Work Plan.
IHS Urban Grant FY 2013 Work Plan
[Mental Health Program Sample Work Plan]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Data source for
Objectives Service or program Target population Process measure Outcome measures measures
--------------------------------------------------------------------------------------------------------------------------------------------------------
What are you trying to What type of program do Who do you hope to What information will you What information Where will you find
accomplish? you propose? serve in your collect about the will you collect to the information
program? program activities? find out the you collect?
results of your
program?
--------------------------------------------------------------------------------------------------------------------------------------------------------
To promote mental health......... American Indian Life American Indian of youth Feelings of Medical records,
Skills Development youth ages 13-17 completing the hopelessness, RPMS behavioral
curriculum. years old. curriculum, of problem solving health package,
sessions conducted, skills. Beck Hopelessness
of teachers Scale, problem
trained, number of solving skills.
community resource
leaders trained.
Improve the mental health of Home-based, community- American Indian of individual, Reduced child Medical records,
American Indian children and based, and office-based children and their couples, group, and involvement in RPMS behavioral
their families. mental health counseling. families needing family counseling juvenile justice health package
services from our sessions, of and child welfare, coping skill
community-based home, community, and improved coping measure, report
program. office-based visits. skills, improved cards, attendance
school attendance records.
and grades.
[[Page 48451]]
Reduce symptoms related to trauma Mental health counseling American Indian of individual, Incidence of Post- Self-report PTSD,
with cognitive adults. couples, group, and Traumatic Stress Beck Depression
behavioral therapy family counseling Disorder (PTSD) Inventory, coping
intervention and sessions, of symptoms, incidence skills measure,
historical trauma historical trauma of depression, peer and family
intervention. groups, of increased coping support measure,
adults counseled. skills, increased medical records,
peer and family RPMS behavioral
support. health package.
--------------------------------------------------------------------------------------------------------------------------------------------------------
RPMS Suicide Reporting Form
Instructions for Completing
This form is intended as a data collection tool only. It does not
replace documentation of clinical care in the medical record and it is
not a referral form. HRN, Date of Act and Provider Name are required
fields. If the information requested is not known or not listed as an
option, choose ``Unknown'' or ``Other'' (with specification) as
appropriate. The form can be partially completed, saved and completed
at a later time if needed.
LOCAL CASE NUMBER:
Indicate internal tracking number if used, not required.
DATE FORM COMPLETED:
Indicate the date the Suicide Reporting Form was completed.
PROVIDER NAME:
Record the name of Provider completing the form.
DATE OF ACT:
Record Date of Act as mm/dd/yy. If exact day is unknown, use the
month, 1st day of the month (or another default day), year. If exact
date of act is unknown, all providers should use the same default day
of the month.
HEALTH RECORD NUMBER:
Record the patient's health record number.
DOB/AGE:
Record Date of Birth as mm/dd/yy and patient's age.
SEX:
Indicate Male or Female.
COMMUNITY WHERE ACT OCCURRED:
Record the community code or the name, county and state of the
community where the act occurred.
EMPLOYMENT STATUS:
Indicate patient's employment status, choose one.
RELATIONSHIP STATUS:
Indicate patient's relationship status, choose one.
EDUCATION:
Select the highest level of education attained and if less than a
High School graduate, record the highest grade completed. Choose one.
SUICIDAL BEHAVIOR:
Identify the self-destructive act, choose one. Generally, the
threshold for reporting should be ideation with intent and plan, or
other acts with higher severity, either attempted or completed.
LOCATION OF ACT:
Indicate location of act, choose one.
PREVIOUS ATTEMPTS:
Indicate number of previous suicide attempts, choose one.
METHOD:
Indicate method used. Multiple entries are allowed, check all that
apply. Describe methods not listed.
SUBSTANCE USE INVOLVED:
If known, indicate which substances the patient was under the
influence of at the time of the act. Multiple entries allowed, check
all that apply. List drugs not shown.
CONTRIBUTING FACTORS:
Multiple entries allowed, check all that apply. List contributing
factors not shown.
DISPOSITION:
Indicate the type of follow-up planned, if known.
NARRATIVE:
Record any other relevant clinical information not included above.
Last Updated 10/25/12
BILLING CODE 3510-22-P
[[Page 48452]]
[GRAPHIC] [TIFF OMITTED] TN08AU13.003
[[Page 48453]]
[GRAPHIC] [TIFF OMITTED] TN08AU13.004
BILLING CODE 3510-22-C
C. PROJECT EVALUATION (15 Points)
1. Describe your evaluation plan. Provide a plan to determine the
degree to which objectives are met and methods are followed.
2. Describe how you will link program performance/services to
budget expenditures. Include a discussion of Uniform Data System (UDS)
and GPRA Report Measures here.
3. Include the following program specific information:
(a) Describe the expected feasibility and reasonable outcomes
(e.g., decreased drug use in those patients receiving services) and the
means by which you determined these targets or results.
(b) Identify dates of reviews by the internal staff to assess
efficacy:
(1) Assessment of staff adequacy.
(2) Assessment of current position descriptions.
(3) Assessment of impact on local community.
(4) Involvement of local community.
(5) Adequacy of community/governance board.
(6) Ability to leverage IHS funding to obtain additional funding.
(7) Additional IHS grants obtained.
(8) New initiatives planned for funding year.
(9) Customer satisfaction evaluations.
4. Quality Improvement Committee (QIC).
The UIHP QIC, a planned, organization-wide, interdisciplinary team,
systematically improves program performance as a result of its findings
regarding clinical, administrative and cost-of-care performance issues,
and actual patient care outcomes including the FY 2012 GPRA report and
2011 UDS report (results of care including safety of patients).
(a) Identify the QIC membership, roles, functions, and frequency of
meetings. Frequency of meetings shall be at least quarterly.
(b) Describe how the results of the QIC reviews provide regular
feedback to the program and community/governance board to improve
services.
(1) September 1, 2013-March 31, 2014 activities planned.
(c) Describe how your facility is integrating the improving patient
care model into your health delivery structure:
(1) Identify specific measures you are tracking as part of the
Improvements in Patient Care (IPC) work.
(2) Identify community members that are part of your IPC team.
(3) Describe progress meeting your program's goals for the use of
the IPC model within your healthcare delivery model.
D. PROGRESS REPORT: ORGANIZATIONAL CAPABILITIES AND QUALIFICATIONS (10
Points)
This section outlines the broader capacity of the organization to
complete the project outlined in the application and program specific
work plans. This section includes the identification of personnel
responsible for completing tasks and the chain of responsibility for
successful completion of the project outlined in the work plans.
1. Describe the organizational structure with a current approved
one page organizational chart that shows the board of directors, key
personnel, and staffing. Key personnel positions include the Chief
Executive Officer or Executive Director, Chief Financial Officer,
Medical Director, and Information Officer.
2. Describe the board of directors that is fully and legally
responsible for operation and performance of the 501(c)(3) non-profit
urban Indian organization:
(a) List all current board members by name, sex, and Tribe or race/
ethnicity.
(b) Indicate their board office held.
(c) Indicate their occupation or area of expertise.
(d) Indicate if the board member uses the UIHP services.
(e) Indicate if the board member lives in the health service area.
(f) Indicate the number of years of continuous service.
(g) Indicate number of hours of Board of Directors training
provided, training dates and attach a copy of the Board of Directors
training curriculum.
3. List key personnel who will work on the project.
(a) Identify existing key personnel and new program staff to be
hired.
(b) For all new key personnel only include position descriptions
and resumes in the appendix. Position descriptions should clearly
describe each position and duties indicating desired qualifications,
experience, and requirements related to the proposed project and how
they will be supervised. Resumes must indicate that the proposed staff
member is qualified to carry out the proposed project activities and
who will determine if the work of a contractor is acceptable.
(c) Identify who will be writing the progress reports.
(d) Indicate the percentage of time to be allocated to this project
and identify the resources used to fund the remainder of the
individual's salary if personnel are to be only partially funded by
this grant.
E. CATEGORICAL BUDGET AND BUDGET JUSTIFICATION (5 Points)
This section should provide a clear estimate of the project program
costs and justification for expenses for the
[[Page 48454]]
budget period September 1, 2013-March 31, 2014. The budget and budget
justification should be consistent with the tasks identified in the
work plan.
1. Categorical Budget (Form SF 424A, Budget Information Non-
Construction Programs).
(a) Provide a narrative justification for all costs, explaining why
each line item is necessary or relevant to the proposed project.
Include sufficient details to facilitate the determination of cost
allowability.
(b) If indirect costs are claimed, indicate and apply the current
negotiated rate to the budget. Include a copy of the current rate
agreement in the appendix.
V. Award Administration Information
Reporting Requirements
Failure to submit required reports within the time allowed may
result in suspension or termination of an active agreement, withholding
of additional awards for the project, or other enforcement actions such
as withholding of payments or converting to the reimbursement method of
payment. Continued failure to submit required reports may result in one
or both of the following: (1) The imposition of special award
provisions; and (2) the non-funding or non-award of other eligible
projects or activities. This requirement applies whether the
delinquency is attributable to the failure of the organization or the
individual responsible for preparation of the reports.
The reporting requirements for this program are noted below:
A. Program Progress Report
Program progress reports are required quarterly. These reports will
include a brief comparison of actual program accomplishments to the
goals established for the period, reasons for slippage (if applicable),
and other pertinent information as required. A final program report
must be submitted within 90 days of expiration of the budget/project
period.
B. Financial Report
Federal Financial Report, (FFR-SF-425), Cash Transaction Reports
are due every calendar quarter to the Division of Payment Management,
Payment Management Branch, HHS at: http://www.dpm.psc.gov. Failure to
submit timely reports may cause a disruption in timely payments to your
organization.
Grantees are responsible and accountable for accurate information
being reported on all required reports; the Progress Reports, and
Federal Financial Report.
C. Federal Subaward Reporting System (FSRS)
This award may be subject to the Transparency Act subaward and
executive compensation reporting requirements of 2 CFR part 170.
The Transparency Act requires the Office of Management and Budget
(OMB) to establish a single searchable database, accessible to the
public, with information on financial assistance awards made by Federal
agencies. The Transparency Act also includes a requirement for
recipients of Federal grants to report information about first-tier
subawards and executive compensation under Federal assistance awards.
IHS has implemented a Term of Award into all IHS Standard Terms and
Conditions, NoAs and funding announcements regarding the FSRS reporting
requirement. This IHS Term of Award is applicable to all IHS grant and
cooperative agreements issued on or after October 1, 2010, with a
$25,000 subaward obligation dollar threshold met for any specific
reporting period. Additionally, all new (discretionary) IHS awards
(where the project period is made up of more than one budget period)
and where: (1) The project period start date was October 1, 2010 or
after and (2) the primary awardee will have a $25,000 subaward
obligation dollar threshold during any specific reporting period will
be required to address the FSRS reporting. For the full IHS award term
implementing this requirement and additional award applicability
information, visit the Grants Management Grants Policy Web site at:
https://www.ihs.gov/dgm/index.cfm?module=dsp_dgm_policy_topics.
D. Annual Audit Report
In accordance with 25 U.S.C. 1657, the reports and records of the
urban Indian organization with respect to a contract or grant under
subchapter IV, shall be subject to audit by the Secretary, Department
of Health and Human Services and the Comptroller General of the United
States.
The Secretary shall allow as a cost to any contract or grant
entered into under section 1653 of this title the cost of an annual
private audit conducted by a certified public accountant.
E. GPRA Report
GPRA reports are required quarterly. These reports are submitted to
the IHS Area GPRA Coordinator. RPMS users must use CRS for reporting.
Non-RPMS users must use the interface system to transfer data from
their current data system to RPMS for CRS reporting.
F. Quarterly Immunization Report
Immunization reports are required quarterly. These reports are
submitted to the IHS Area Immunization Coordinator.
G. Unmet Needs Report
An unmet needs report is required quarterly. These reports will
include information gathered to: (1) Identify gaps between unmet health
needs of urban Indians and the resources available to meet such needs;
and (2) make recommendations to the Secretary and Federal, State,
local, and other resource agencies on methods of improving health
service programs to meet the needs of urban Indians.
VI. Agency Contacts
1. Questions on the programmatic issues may be directed to: Phyllis
Wolfe, Director, Office of Urban Indian Health Programs, 801 Thompson
Avenue, Suite 200, Rockville, MD 20852, 301-443-1631,
[email protected].
2. Questions on grants management and fiscal matters may be
directed to: Pallop Chareonvootitam, Grants Management Specialist, 801
Thompson Avenue, Suite 100, Rockville, MD 20852, 301-443-2195,
[email protected].
3. Questions on systems matters may be directed to: Paul Gettys,
Grant Systems Coordinator, 801 Thompson Avenue, TMP Suite 360,
Rockville, MD 20852, Phone: 301-443-2114; or the DGM main line 301-443-
5204, Fax: 301-443-9602, Email: [email protected].
VII. Other Information
The Public Health Service strongly encourages all grant and
contract recipients to provide a smoke-free workplace and promote 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 the facility) in which regular or routine
education, library, day care, health care, or early childhood
development services are provided to children. This is consistent with
the HHS mission to protect and advance the physical and mental health
of the American people.
Date: July 31, 2013.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2013-19113 Filed 8-7-13; 8:45 am]
BILLING CODE 4165-16-P