[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57831-57832]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24395]


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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.

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SUMMARY: HRSA announces its intent to award a program expansion 
supplement in the amount of $75,000 for the Bright Futures Pediatric 
Implementation (BFPI) cooperative agreement. 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 Guidelines for 
Health Supervision of Infants, Children and Adolescents, Third Edition 
(Bright Futures). The purpose of this notice is to award supplemental 
funds to collect baseline information to measure the improvement of 
coordination activities between home visiting and primary care 
providers by the American Academy of Pediatrics, the cooperative 
agreement awardee who serves as the BFPI, during the budget period of 
February 1, 2015, to January 31, 2016. 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 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: $75,000.
    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: The HHS Strategic Plan for fiscal years (FYS) 2014 
to 2018 includes the goal of strengthening health care by emphasizing 
primary and preventive care, linked with community prevention services. 
Such integration between primary health care services and public health 
efforts can promote efficiency, positively affect individual well-
being, and improve population health. In alignment with this HHS goal, 
a goal of the BFPI cooperative agreement is to foster partnerships 
between families, health professionals, public health and the broader 
community to promote children's health through the effective national 
implementation of Bright Futures.
    Home visiting within a strong early childhood system is a Bright 
Futures-recommended public health effort that could benefit from 
improved coordination with primary health care services. Studies have 
shown that improving coordination between primary health care services 
and home visitors could yield improved adherence to preventative health 
services for at risk families, improved compliance and fidelity to 
evidence-based home visiting models, and stronger family engagement in 
community support services. For BFPI to improve integration between 
home visiting and primary care providers, it must first understand the 
current state of these partnerships.
    The AAP collects data from pediatricians, the primary care medical 
providers most likely to encounter families with young children. AAP's 
Periodic Survey of Fellows is an established mechanism for surveying 
practice delivery among AAP's more than 60,000 pediatrician members, 
with response rates ranging from 50 to 55 percent, higher than many 
other national surveys of physicians. AAP conducts the survey every 2 
years. The proposed program expansion supplement would fund AAP to 
collect additional complementary data from pediatricians and provide 
such data to MCHB.
    The supplemental funds for survey questions would build on AAP's 
survey infrastructure to help MCHB understand the system, organization, 
and individual-level determinants and challenges that influence 
coordination between home visitors and pediatricians. AAP would add 
questions focusing on coordination between home visitors and 
pediatricians to the Fall 2015 Periodic Survey of Fellows that would be 
sent to a national random sample of approximately 1,600 non-retired 
United States members of the AAP. The survey would include specific 
questions about pediatricians' use of, and communication with, home 
visitors and perception of the role of the home visitor and the 
pediatrician in addressing several preventive care topics as part of 
routine well-child care and home visits. These topics include injury 
prevention, infant feeding practices, early reading/literacy 
development, developmental screening,

[[Page 57832]]

immunization information, smoking cessation, oral health, as well as 
parental depression, domestic violence and substance use counseling. 
Pediatricians would be asked about the frequency with which they 
inquire about, use formal screening instruments, treat/manage, and 
refer patients for various problems/conditions. These various problems/
conditions may include maternal depression, parental alcohol/drug use, 
divorce, illiteracy, domestic violence exposure, physical or sexual 
abuse, neglectful parenting, and food and housing insecurity. Findings 
from the AAP national survey of pediatricians, in conjunction with 
findings from other data sources and ongoing surveys of home visitors, 
would inform MCHB's understanding of what is needed to best strengthen 
the home visitors' and pediatricians' collaborations for at-risk 
families to support healthy development and to address the toxic stress 
and social determinants that drive health and developmental disparities 
for young children.

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].

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                                                                                                     FY 2015
                                                                                   FY 2015          estimated
     Grantee/organization name            Grant number            State          authorized       supplemental
                                                                                funding level        funding
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The American Academy of Pediatrics.  U04MC07853............  IL                     $1,176,800           $75,000
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    Dated: September 21, 2015.
James Macrae,
Acting Administrator.
[FR Doc. 2015-24395 Filed 9-24-15; 8:45 am]
 BILLING CODE 4165-15-P