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Catalog of Federal Domestic Assistance

Program Descriptions

93.212:  Chiropractic Demonstration Projects

Objectives:  Grants are awarded to carry out demonstration projects in which chiropractors and physicians collaborate to identify and provide effective treatment for spinal and lower-back conditions. The project requirements include: (1) The project must address the identification and treatment of spinal and/or lower-back conditions; (2) the project must be founded on collaborative efforts between chiropractors and allopathic or osteopathic physicians; (3) each project must include a strong research protocol which will result in a significant expansion of documented research in the area addressed and which is suitable for publication in referred health professions journals, including research oriented publications; (4) the project must include an explicit strategy for case-finding and a strategy for making direct comparisons to other forms of treatment. The results must be generalizable to patients cared for in a clinical practice addressing spinal and/or lower-back conditions; and (5) whenever feasible, minorities and women should be included in study populations so that research findings can be of benefit to all persons at risk of the disease, disorder, or condition under study.

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

93.212 ELIGIBILITY REQUIREMENTS:

Applicant Eligibility:  To be eligible for a Chiropractic Demonstration Project, the applicant shall be: a health professions school, an academic health center, a State or local government, other appropriate public or private nonprofit entity, a private nonprofit school, or a college or University of Chiropractic.

Beneficiary Eligibility:  Health professionals will benefit.

Credentials/Documentation:  Costs will be determined by DHHS Regulations, 45 CFR Part 74, Subpart Q.

93.212 APPLICATION AND AWARD PROCESS:

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

Application Procedure:  Application materials are available on the World Wide Web at address: www.hrsa.gov/bhpr/grants.html. This year BHPr has decided to use Adobe Acrobat to publish the grants documents on the Web page. In order to download, view and print these documents, you will need a copy of Adobe Acrobat Reader. This can be obtained without charge from the Internet by going to the Adobe Web page ("www.adobe.com") and downloading the version of the Adobe Acrobat Reader which is appropriate for your operating system, i.e. Windows, Unix, Macintosh, etc. A set of more detailed instructions oh how to download and use the Adobe Acrobat Reader can be found on the BHPr Grants Web page under "notes on this WWW page."

Award Procedure:  Notification is made in writing by a Notice of Grant Award issued from the 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:  At the end of the initial project period, competing continuation applications may be submitted for up to three 3 years of support.

Criteria for Selecting Proposals:  The major elements to be evaluated in determining the quality of each proposal include the following: (1) The documented strength of the rationale for the project; (2) the quality and clarity of the objectives to be achieved in relation to the stated statutory purposes of the program and the potential of the project for meeting them; (3) the documented strength of the applicant's institutional background in chiropractic research; (4) the documented competency of all personnel, both chiropractic and allopathic or osteopathic medicine, to be involved in the project, including past experience in chiropractic and/or chiropractic research and allopathic or osteopathic research; (5) the proposed research methodology to be used in carrying out the goals and objectives of the project, including those pertaining to the documentation of research outcomes; (6) the documentation and appropriateness of timelines to be used in achieving the project's goals and objectives; (7) the strength of the proposed evaluation methodology to be used in evaluating the accomplishments of the project, including those pertinent to research; (8) the strength of the documentation, including letters of support, of the applicant's institutional commitment to carrying out the project successfully and the institutional commitment of collaborators in the project; (9) the documented suitability and availability of all proposed facilities and resources to be used in carrying out the project; (10) the appropriateness of the proposed budget and fiscal plan for carrying out the project and the administrative and management capability of the applicant to implement the project in a cost-effective manner; and (11) the formal documentation, terms, and specificity of a formal agreement with a institution for its collaboration in carrying out the goals, objectives, and evaluation of the project. All funded projects will be among chiropractors, (1) Two to three chiropractors, (2) one or more allopathic or osteopathic physicians, and (3) other experts determined to be pertinent to the evaluation of proposals for this program.

Examples of Funded Projects:  Funded projects include research projects including multidisciplinary evaluation of treatment outcomes by medical doctors and chiropractors; and assessment of multiple alternative approaches to the treatment of subacute low-back pain; and flexion distraction manipulation.

Range and Average of Financial Assistance:  From $157,355 to $310,126; $246,504.

93.212 RELATED PROGRAMS:

93.212 PROGRAM ACCOMPLISHMENTS:

93.212 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 $739,511; FY 00 est $590,008; and FY 01 est $0.

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

Authorization:  Public Health Service Act, Title VII, Section 755(b)(3), 42 U.S.C. 295, 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.

93.212 INFO CONTACTS:

Regional or Local Office:  None.

Headquarters Office:  Program Contact: Jennifer Hannah, Division of Public Health and Allied Health, Bureau of Health Professions, Health Resources and Services Administration, PHS, Room 8C-02, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-0908. Grants Management Contact: Wilma Johnson, Grants Management Officer, Bureau of Health Professions, Health Resources and Services Administration, PHS, Room 8C-26, Parklawn Bldg., 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 443-6880.

(See Appendix IV for more contact info.)

93.212 ASSISTANCE CONSIDERATIONS:

Formula and Matching Requirements:  None.

Length and Time Phasing of Assistance:  Project periods are for 3 years.

Uses and Use Restrictions:  Grant and contract funds may be used for personnel, equipment, supplies, domestic travel, consultants and guest lecturers, rental of space, renovations, and other costs directly related to the project as described in the approved application. Program funds may not be used for construction of facilities, acquisition of land, foreign travel, or support of students, including fellowships, stipends, tuition, fees, or travel allowances.

93.212 POST ASSISTANCE REQUIREMENTS:

Reports:  A progress report must be submitted for the second or subsequent budget period within the approved project period. Financial status reports are required within 90 days after the end of each budget period. A final progress report and 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.

Records:  Financial records must be kept available for 3 years after the submission of expenditure report, and 3 years after the final disposition of non-expendable property. If questions remain, such as those raised as a result of an audit, records must be retained until the problem is resolved.