[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57830-57831]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24393]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH & HUMAN SERVICES

Health Resources and Services Administration


Bright Futures Pediatric Implementation Cooperative Agreement

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

ACTION: Notice of Single-Case Deviation from Competition Requirement 
for Program Expansion for the Bright Futures Pediatric Implementation 
Cooperative Agreement at the American Academy of Pediatrics, Grant 
Number U04MC07853.

-----------------------------------------------------------------------

SUMMARY: HRSA announces the award of a program expansion supplement in 
the amount of $210,000 for the Bright Futures Pediatric Implementation 
(BFPI) cooperative agreement. The proposed program expansion supplement 
would provide funds to the American Academy of Pediatrics (AAP) to 
support the integration of genetics and genomic medicine into pediatric 
primary care by testing genomic resources and tools to ensure relevance 
to clinical practice and the practicality of implementing them in 
clinical practice and the eventual addition to the Bright Futures Tool 
and Resources Kit.
    The BFPI is authorized by the Social Security Act, Title V, 
Sections 501(a)(2) (42 U.S.C. 701(a)(2)), as amended. The BFPI is a 
national resource to promote integration of the ``Bright Futures 
Guidelines for Health Supervision of Infants, Children and Adolescents, 
Third Edition'' and subsequent editions, through strengthening, 
aligning, and fostering partnerships among families, health 
professionals, public health, and the broader community to promote 
children's health.

SUPPLEMENTARY INFORMATION: Intended Recipient of the Award: The 
American Academy of Pediatrics
    Amount of the Non-Competitive Award: $210,000.
    CFDA Number: 93.110.
    Current Project Period: 02/01/2007--01/31/2017.
    Period of Supplemental Funding: 2/1/2015--1/31/2016.

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

    Justification: Genetic information may be used to diagnose disease, 
predict risk of future disease, inform decision-making, and manage 
patient care. Although the number of evidence-based genomic 
applications relevant to pediatric practice is growing, lack of 
awareness and genetics-related skills among providers often results in 
significant lag time between the generation of evidenced-based findings 
and their integration into pediatric practice.
    From June 1, 2011, to January 30, 2014, HRSA's Maternal and Child 
Health Bureau (MCHB) funded AAP to develop and implement the Genetics 
in Primary Care Institute (GPCI) program that provided models, best 
practices, and dissemination strategies for ensuring optimal 
integration of genetic medicine content and concepts into primary care 
practice.
    Bright Futures Guidelines for Health Supervision of Infants, 
Children and Adolescents, Third Edition (hereafter referred to as 
Bright Futures), is a set of principles, strategies and tools that are 
theory-based, evidence-driven, and systems-oriented, that can be used 
to improve the health and well-being of all children. Bright Futures 
has become the primary source of clinical guidelines and 
recommendations to improve health promotion and preventive practices 
for infants, children, and adolescents, including those with special 
healthcare needs, among pediatric health care providers. Bright Futures 
is an ideal platform for the GPCI tools to integrate the genetic 
guidelines into clinical practice and the addition of genomic tools and 
resources will strengthen and enhance the work of Bright Futures.
    The purpose of the BFPI cooperative agreement, as stated in the 
funding opportunity announcement, is to improve the quality of health 
promotion and preventive services for all infants, children, 
adolescents, and their families, including children with special health 
care needs, through the effective national implementation of Bright 
Futures. To address the need for the integration of genetics and 
genomic medicine into pediatric primary care, AAP, working with MCHB, 
would support the development of the Think Genetics! Initiative using 
the GPCI tool, ``Think Genetics! Daily Use in Pediatric Primary Care: A 
Case Series for the Continuity Clinic.'' This tool focuses on a wide 
range of clinical topics that are encountered in pediatric primary care 
and that require the primary care provider to ``think genetically'' in 
order to think more broadly about genetics/genomics when seeing 
patients in the clinic. The supplemental funds would allow MCHB to 
build on AAP's GPCI outputs, strong relationship with the pediatric 
primary care providers, and Bright Futures platform to help MCHB 
facilitate the integration of genetic guidelines into clinical 
practice.
    As part of the current award, BFPI would recommend updates to 
Bright Futures based upon information from the GPCI to promote the 
importance of collecting a multigenerational family health history, as 
well as the collection of targeted, just-in-time family history 
information. As part of this project, AAP would engage five clinics in 
testing and revise several modules from the genetics case series to 
better understand what supports clinic directors, attending physicians, 
and residents need to implement the provision of genetics and genomic 
medicine in patient visits. In addition, AAP would compare the case 
series content with Bright Futures to determine content alignment as 
well as gaps.
    AAP would partner with residency training programs, the Bright 
Futures Steering Committee, the Association of Pediatric Program 
Directors, and others, respectively, to ensure the development of a 
sound project implementation methodology consistent with the overall 
aims. Resources and tools would be

[[Page 57831]]

developed and/or refined based on results. Further, AAP would plan for 
the resulting tools and resources to be integrated into the Bright 
Futures Tool and Resource Kit (Bright Futures toolkit) or other 
anticipatory guidance resource materials (e.g., tip sheets, 
communication tools, and parent education materials). The information 
obtained from these activities will inform MCHB's understanding of 
additional strategies needed to implement genomics into clinical 
practice.

FOR FURTHER INFORMATION CONTACT: Lynn Van Pelt, DMD, Division of Child, 
Adolescent, and Family Health, Maternal and Child Health Bureau, Health 
Resources and Services Administration, 5600 Fishers Lane, Room 18W13B, 
Rockville, Maryland 20857; [email protected].

----------------------------------------------------------------------------------------------------------------
                                                                                                   Fiscal year
                                                                                 Fiscal year     2015 estimated
     Grantee/organization name            Grant number            State        2015 authorized    supplemental
                                                                                funding level        funding
----------------------------------------------------------------------------------------------------------------
The American Academy of Pediatrics.  U04MC07853............  IL                     $1,176,800          $210,000
----------------------------------------------------------------------------------------------------------------


    Dated: September 21, 2015.
James Macrae,
Acting Administrator.
[FR Doc. 2015-24393 Filed 9-24-15; 8:45 am]
BILLING CODE 4165-15-P