[Federal Register Volume 78, Number 185 (Tuesday, September 24, 2013)]
[Notices]
[Pages 58546-58547]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-23074]


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DEPARTMENT OF HEALTH & HUMAN SERVICES

Health Resources and Services Administration


State System Development Initiative (SSDI) Grant Program; Single-
Case Deviation From Competition Requirements

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Notice of Single-Case Deviation from Competition Requirements 
for the Maternal and Child Health (MCH) Bureau's States System 
Development Initiative (SSDI) Grant.

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SUMMARY: HRSA will be issuing a non-competitive program expansion 
supplement for one State SSDI Grant. Approximately $82,332 in 
supplemental funding will be made available in the form of a grant to 
the Department of Health Care Services, Sacramento, California, Grant 
Number H18MC24474, during the budget period of December 1, 2012, 
through November 30, 2013.
    The SSDI Grant program, CFDA No. 93.110, is authorized by Title V, 
Social Security Act, Section 501(a)(2); as amended (42 U.S.C. 
701(a)(2)).
    The SSDI Grant program was developed to complement the Title V MCH 
Services Block Grant program by assisting state MCH and Children with 
Special Health Care Needs (CSHCN) programs in the building of state 
data capacity and infrastructure that support comprehensive, community-
based systems of care for all children and their families. SSDI grants 
to states are intended to not only advance and strengthen data capacity 
by directing grant resources towards Title V MCH Block Grant program's 
Health Systems Capacity Indicator (HSCI) 09A (i.e., the 
ability of states to assure that the MCH programs and Title V agency 
have access to policy and program relevant information and data), but 
also to move states forward in developing improved capacity for 
reporting standardized and quality data that is timely.

SUPPLEMENTARY INFORMATION: 
    Intended Recipient of the Award: Department of Health Care 
Services, Sacramento, California.
    Amount of the Non-Competitive Award: $82,332.
    CFDA Number: 93.110.
    Current Project Period: 05/01/2012-11/30/2014.
    Period of Supplemental Funding: 12/01/2012-11/30/2013.

    Authority: Title V, Social Security Act, Section 501(a)(2); as 
amended (42 U.S.C. 701).

    Justification: Consistent with its legislative purpose to improve 
the health of all mothers and children, a key objective of the Title V 
MCH Block Grant program is to reduce maternal mortality. Due to small 
numbers for many states, maternal mortality cannot be universally 
tracked whereas severe, life-threatening maternal morbidity is at least 
100 times as common and may be tracked annually for all states. 
Although a severe maternal morbidity index has been developed using 
administrative hospital discharge data, a validation in comparison to 
medical records is needed to determine whether its accuracy is 
sufficient for use as a national performance measure reported at the 
state level.
    The California Title V MCH program has been a leader in assessing 
maternal mortality and conducting maternal mortality reviews. In 
particular, the California Maternal Quality Care Collaborative (CMQCC) 
is the oldest and largest maternity care collaborative in the country 
with a longstanding track record of analyzing maternal health data and 
developing metrics to improve clinical practice and prevent maternal 
death and injury. The promising work that the California Title V 
program is doing stands to benefit not only the state but all state MCH 
programs in promoting a better understanding of the causes of maternal 
mortality/morbidity and in offering potential solutions. Based on their 
prior work, established data networks, and sheer size of their birth 
cohort, the State of California is uniquely qualified to evaluate and 
make recommendations for a state-level severe maternal morbidity 
measure.

FOR FURTHER INFORMATION CONTACT: Scott Snyder, MPH, Division of State 
and Community Health, Maternal and Child Health Bureau, Health 
Resources and Services Administration, 5600 Fishers Lane, Room 18-31, 
Rockville, Maryland 20857; [email protected].

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                                                                                                      FY 2013
                                                                                      FY 2013        estimated
       Grantee/organization name            Grant No.             State             authorized     supplemental
                                                                                  funding  level      funding
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Department of Health Care Services.....      H18MC24474  CA.....................        $100,000         $82,332
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[[Page 58547]]

    Dated: September 17, 2013.
Mary K. Wakefield,
Administrator.
[FR Doc. 2013-23074 Filed 9-23-13; 8:45 am]
BILLING CODE 4165-15-P