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Catalog of Federal Domestic Assistance

Program Descriptions

93.192:  Quentin N. Burdick Programs for Rural Interdisciplinary Training

Popular Name:  Interdisciplinary Training for Health Care for Rural Areas

Objectives:  The goal of this program is to provide or improve access to health care in rural areas. Specifically, projects funded under this authority shall be designed to: (a) Use new and innovative methods to train health care practitioners to provide services in rural areas; (b) demonstrate and evaluate innovative interdisciplinary methods and models designed to provide access to cost-effective comprehensive health care; (c) deliver health care services to individuals residing in rural areas; (d) enhance the amount of relevant research conducted concerning health care issues in rural areas; and (e) increase the recruitment and retention of health care practitioners from rural areas and make rural practice a more attractive career choice for health care practitioners.

PROGRAM AND AWARD	FINANCIAL AND INFORMATION CONTACTS
ELIGIBILITY REQUIREMENTS	FINANCIAL AND ADMINISTRATIVE INFO.
APPLICATION AND AWARD PROCESS	INFORMATION CONTACTS
RELATED PROGRAMS	ASSISTANCE CONSIDERATIONS
PROGRAM ACCOMPLISHMENTS	POST ASSISTANCE REQUIREMENTS

93.192 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  Applications will be accepted from health professions schools, academic health centers, State or local governments or other appropriate public or private nonprofit entities for funding and participation in health professions and nursing training activities. Applications shall be jointly submitted by at least two eligible entities with the express purpose of assisting individuals in academic institutions in establishing long-term collaborative relationships with health care providers in rural areas. Applicants must designate a rural health care agency or agencies for clinical treatment or training hospitals, community health centers, migrant health centers, rural health clinics, community behavioral and mental health centers, long-term care facilities, Native Hawaiian health centers or facilities operated by the Indian Health Service or an Indian Tribe organization or Indian organization under a contract with the Indian Health Service under the Indian Self Determination Act.

Beneficiary Eligibility:  The beneficiaries of this program are health professions students and faculty, health care practitioners already working in rural areas, and underserved rural communities seeking to recruit and retain health care providers. Not more than 10 percent of the individuals receiving training shall be trained as doctors of medicine or osteopathic medicine.

Credentials/Documentation:  Institutional applicants must document their staff, curriculum, facilities, rural clinical training affiliates, and other pertinent resources per application guidelines. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments. For other grantees, costs will be determined by DHHS Regulations 45 CFR 74, Subpart Q.

93.192 APPLICATION AND AWARD PROCESS:

Preapplication Coordination:  This program is excluded from coverage under E.O. 12372.

Application Procedure:  Consultation is available from Headquarters Office staff. Submit applications in accordance with instructions specified. Application materials are available on the World Wide Web at address: www.hrsa.gov/bhpr/grants.html. Click on the file name you want to download to your computer. It will be saved as a self-extracting WordPerfect 5.1 file. Once the file is downloaded to the applicant's PC, it will still be in a compressed state. To decompress the file, go to the directory where the file has been downloaded and type in the file name followed by a return. The file will expand into a WordPerfect 5.1 file. Applicants are strongly encouraged to obtain application materials from the World Wide Web via the Internet. You will need a copy of the Adobe Acrobat Reader that can be obtained from The Internet on the Adobe Web page www.adobe.com.

Award Procedure:  Notification in writing. A Notice of Grant Award will be issued from Headquarters Office.

Deadlines:  Application deadlines are available on the World Wide Web at address: www.hrsa.gov/bhpr/grants.html.

Range of Approval/Disapproval Time:  From 5 to 6 months from receipt of application.

Appeals:  Appeals are available only to grantees.

Renewals:  Progress reports must be submitted each year beginning with the second year of support, Competitive continuations may be submitted during the terminal year of support.

Criteria for Selecting Proposals:  The major elements in evaluating proposals include: (1) Performance outcome measures for interdisciplinary training and clinical training of health professionals to practice in rural areas; (2) commitment to establishment and maintenance of long term collaborative relationships between academic institutions and health care providers in rural areas; and (3) qualifications of proposed faculty, staff and rural clinical training resources.

Examples of Funded Projects:  Funded programs were jointly sponsored, usually by academic and rural health care entities; several programs had health department sponsors. There was no preference as to whether academia took the lead and worked with rural health care entity or vice versa. Funded programs involved three or more of the eligible health care disciplines. Emphasis was on opportunities for providing clinical services in rural areas and efforts to promote rural practice options.

Range and Average of Financial Assistance:  From $148,194 to $240,902; $192,154.

93.192 RELATED PROGRAMS:

93.192 PROGRAM ACCOMPLISHMENTS:

93.192 FINANCIAL AND ADMINISTRATIVE INFO:

Federal Agency:  HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

Type of Assistance:  Project Grants.

Obligations:  (Grants) FY 99 $4,379,800; FY 00 est $5,132,000; and FY 01 est $4,720,000.

Budget Account Number:  75-0350-0-1-550.

Authorization:  Public Health Service Act, Title VII, Section 754, 42 U.S.C. 294p, as amended; Health Professions Education Partnerships Act of 1998, Public Law 105-392.

Regulations, Guidelines, and Literature:  Pertinent information may be obtained by contacting the Bureau of Health Professions Grants Office, Grants Management Branch, Room 8C-26, 5600 Fishers Lane, Rockville, MD. Phone number (301) 443-6880.

93.192 INFO CONTACTS:

Regional or Local Office:  Not applicable.

Headquarters Office:  Program Contact: Ms. Judith E. Arndt, CDR US Public Health Service, Interdisciplinary, Geriatrics and Allied Health Branch, Division of Associated, Dental and Public Health Professions, Bureau of Health Professions, Health Resources and Services Administration, Public Health Service, Room 8C02, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-6867. Grants Management Contact: Ms. Wilma Johnson, Grants Management Officer, Bureau of Health Professions, Health Resources and Services Administration, Public Health Service, Room 8C26, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-6880. Use the same numbers for FTS.

(See Appendix IV for more contact info.)

93.192 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  This program has no statutory formula or matching requirements.

Length and Time Phasing of Assistance:  Institutional training grants may be awarded for project periods up to 3 years. Awards are made on an annual basis and it is expected that funds will be expended within each budget period awarded. After awards are issued, funds are released in accordance with the payment procedure established by the grantee with DHHS, which may be an Electronic Transfer System or a Monthly Cash Request System.

Uses and Use Restrictions:  Grant funds are awarded to eligible applicants to carry out their interdisciplinary training projects using various methods, including student stipends, post-doctoral fellowships, faculty training, and the purchase or rental of (transportation) and (telecommunication) equipment where appropriate to the rural area.

93.192 POST ASSISTANCE REQUIREMENTS:

Reports:  Progress reports must be submitted annually. Financial status reports are required within 90 days after the end of each budget period. A final progress report and final financial status report must be submitted within 90 days after the end of the project period.

Audits:  In accordance with the provisions of OMB Circular No. A-133 "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that receive financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants are subject to inspection and audits by DHHS and other Federal officials.

Records:  Financial records must be kept available for 3 years after submission of financial status report and 3 years after final disposition of nonexpendable property. If questions remain, such as those raised as a result of an audit, record must be retained until the resolution of audit findings.