80_FR_58016 80 FR 57830 - Bright Futures Pediatric Implementation Cooperative Agreement

80 FR 57830 - Bright Futures Pediatric Implementation Cooperative Agreement

DEPARTMENT OF HEALTH & HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 80, Issue 186 (September 25, 2015)

Page Range57830-57831
FR Document2015-24393

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.

Federal Register, Volume 80 Issue 186 (Friday, September 25, 2015) 
[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57830-57831]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-24393]


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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 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; lvanpelt@hrsa.gov.

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

57830 Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices sampled group of 1,250 NFCSP Academy of Pediatrics (AAP) to support and recommendations to improve health caregivers at three points in time the integration of genetics and genomic promotion and preventive practices for (baseline, six months later, and twelve medicine into pediatric primary care by infants, children, and adolescents, months later), as well as to a testing genomic resources and tools to including those with special healthcare comparison group of 1,250 caregivers ensure relevance to clinical practice and needs, among pediatric health care not receiving NFCSP services at the the practicality of implementing them in providers. Bright Futures is an ideal same three points in time (baseline, six clinical practice and the eventual platform for the GPCI tools to integrate months later, and twelve months later), addition to the Bright Futures Tool and the genetic guidelines into clinical who will be identified through their Resources Kit. practice and the addition of genomic care recipients who are receiving other The BFPI is authorized by the Social tools and resources will strengthen and OAA services. Additionally, the care Security Act, Title V, Sections 501(a)(2) enhance the work of Bright Futures. recipients of each group of caregivers (42 U.S.C. 701(a)(2)), as amended. The The purpose of the BFPI cooperative will be contacted, as feasible, and asked BFPI is a national resource to promote agreement, as stated in the funding seven short questions at two points in integration of the ‘‘Bright Futures opportunity announcement, is to time (baseline and twelve months later). Guidelines for Health Supervision of improve the quality of health promotion ACL estimates the burden of this Infants, Children and Adolescents, and preventive services for all infants, collection of information as follows: Third Edition’’ and subsequent editions, children, adolescents, and their 2,513 hours for caregivers receiving through strengthening, aligning, and families, including children with NFCSP services, 2,186 hours for fostering partnerships among families, special health care needs, through the caregivers who are not receiving NFCSP health professionals, public health, and effective national implementation of services, 400 hours for the NFCSP the broader community to promote Bright Futures. To address the need for caregivers’ care recipients, and 400 children’s health. the integration of genetics and genomic hours for the non-NFCSP caregivers’ SUPPLEMENTARY INFORMATION: Intended medicine into pediatric primary care, care recipients, in addition to Recipient of the Award: The American AAP, working with MCHB, would approximately 63 hours for the local Academy of Pediatrics support the development of the Think Area Agencies on Aging (AAAs) to help Amount of the Non-Competitive Genetics! Initiative using the GPCI tool, with the respondent selection process, Award: $210,000. ‘‘Think Genetics! Daily Use in Pediatric for a Total Burden for Study of 5,562 CFDA Number: 93.110. Primary Care: A Case Series for the hours. Current Project Period: 02/01/2007— Continuity Clinic.’’ This tool focuses on The proposed data collection tools 01/31/2017. a wide range of clinical topics that are may be found on the ACL Web site at Period of Supplemental Funding: 2/1/ encountered in pediatric primary care http://www.aoa.gov/Program_Results/ 2015—1/31/2016. and that require the primary care Outcome_Evaluation_Survey.aspx. Authority: Social Security Act, Title V, provider to ‘‘think genetically’’ in order Sections 501(a)(2) (42 U.S.C. 701(a)(2)), as to think more broadly about genetics/ Dated: September 21, 2015. genomics when seeing patients in the amended. Kathy Greenlee, clinic. The supplemental funds would Administrator and Assistant Secretary for Justification: Genetic information may allow MCHB to build on AAP’s GPCI Aging. be used to diagnose disease, predict risk outputs, strong relationship with the [FR Doc. 2015–24444 Filed 9–24–15; 8:45 am] of future disease, inform decision- pediatric primary care providers, and BILLING CODE 4154–01–P making, and manage patient care. Bright Futures platform to help MCHB Although the number of evidence-based facilitate the integration of genetic genomic applications relevant to guidelines into clinical practice. DEPARTMENT OF HEALTH & HUMAN pediatric practice is growing, lack of As part of the current award, BFPI SERVICES awareness and genetics-related skills would recommend updates to Bright among providers often results in Futures based upon information from Health Resources and Services significant lag time between the the GPCI to promote the importance of Administration generation of evidenced-based findings collecting a multigenerational family and their integration into pediatric health history, as well as the collection Bright Futures Pediatric practice. of targeted, just-in-time family history Implementation Cooperative From June 1, 2011, to January 30, information. As part of this project, AAP Agreement 2014, HRSA’s Maternal and Child would engage five clinics in testing and AGENCY: Health Resources and Services Health Bureau (MCHB) funded AAP to revise several modules from the genetics Administration (HRSA), Department of develop and implement the Genetics in case series to better understand what Health and Human Services (HHS). Primary Care Institute (GPCI) program supports clinic directors, attending ACTION: Notice of Single-Case Deviation that provided models, best practices, physicians, and residents need to from Competition Requirement for and dissemination strategies for implement the provision of genetics and Program Expansion for the Bright ensuring optimal integration of genetic genomic medicine in patient visits. In Futures Pediatric Implementation medicine content and concepts into addition, AAP would compare the case Cooperative Agreement at the American primary care practice. series content with Bright Futures to Academy of Pediatrics, Grant Number Bright Futures Guidelines for Health determine content alignment as well as U04MC07853. Supervision of Infants, Children and gaps. mstockstill on DSK4VPTVN1PROD with NOTICES Adolescents, Third Edition (hereafter AAP would partner with residency SUMMARY: HRSA announces the award referred to as Bright Futures), is a set of training programs, the Bright Futures of a program expansion supplement in principles, strategies and tools that are Steering Committee, the Association of the amount of $210,000 for the Bright theory-based, evidence-driven, and Pediatric Program Directors, and others, Futures Pediatric Implementation (BFPI) systems-oriented, that can be used to respectively, to ensure the development cooperative agreement. The proposed improve the health and well-being of all of a sound project implementation program expansion supplement would children. Bright Futures has become the methodology consistent with the overall provide funds to the American primary source of clinical guidelines aims. Resources and tools would be VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 E:\FR\FM\25SEN1.SGM 25SEN1

Federal Register / Vol. 80, No. 186 / Friday, September 25, 2015 / Notices 57831 developed and/or refined based on education materials). The information FOR FURTHER INFORMATION CONTACT: results. Further, AAP would plan for the obtained from these activities will Lynn Van Pelt, DMD, Division of Child, resulting tools and resources to be inform MCHB’s understanding of Adolescent, and Family Health, integrated into the Bright Futures Tool additional strategies needed to Maternal and Child Health Bureau, and Resource Kit (Bright Futures toolkit) implement genomics into clinical Health Resources and Services or other anticipatory guidance resource practice. Administration, 5600 Fishers Lane, materials (e.g., tip sheets, Room 18W13B, Rockville, Maryland communication tools, and parent 20857; lvanpelt@hrsa.gov. 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. the budget period of February 1, 2015, visitors could yield improved adherence James Macrae, to January 31, 2016. The BFPI is to preventative health services for at risk Acting Administrator. authorized by the Social Security Act, families, improved compliance and [FR Doc. 2015–24393 Filed 9–24–15; 8:45 am] Title V, Sections 501(a)(2) (42 U.S.C. fidelity to evidence-based home visiting BILLING CODE 4165–15–P 701(a)(2)), as amended. models, and stronger family engagement The BFPI is a national resource to in community support services. For promote integration of the Bright BFPI to improve integration between DEPARTMENT OF HEALTH & HUMAN Futures through strengthening, aligning, home visiting and primary care SERVICES and fostering partnerships among providers, it must first understand the families, health professionals, public current state of these partnerships. Health Resources and Services health, and the broader community to The AAP collects data from Administration promote children’s health. pediatricians, the primary care medical SUPPLEMENTARY INFORMATION: Intended providers most likely to encounter Bright Futures Pediatric families with young children. AAP’s Recipient of the Award: The American Implementation Cooperative Periodic Survey of Fellows is an Academy of Pediatrics. Agreement established mechanism for surveying Amount of the Non-Competitive AGENCY: Health Resources and Services Award: $75,000. practice delivery among AAP’s more Administration (HRSA), Department of CFDA Number: 93.110. than 60,000 pediatrician members, with Health and Human Services (HHS). Current Project Period: 02/01/2007– response rates ranging from 50 to 55 ACTION: Notice of Single-Case Deviation 01/31/2017. percent, higher than many other from Competition Requirement for Period of Supplemental Funding: 2/1/ national surveys of physicians. AAP Program Expansion for the Bright 2015–1/31/2016. conducts the survey every 2 years. The Futures Pediatric Implementation Authority: Social Security Act, Title V, proposed program expansion Cooperative Agreement at the American Sections 501(a)(2) (42 U.S.C. 701(a)(2)), as supplement would fund AAP to collect Academy of Pediatrics, Grant Number amended. additional complementary data from U04MC07853. pediatricians and provide such data to Justification: The HHS Strategic Plan MCHB. SUMMARY: HRSA announces its intent to for fiscal years (FYS) 2014 to 2018 The supplemental funds for survey award a program expansion supplement includes the goal of strengthening questions would build on AAP’s survey in the amount of $75,000 for the Bright health care by emphasizing primary and infrastructure to help MCHB understand Futures Pediatric Implementation (BFPI) preventive care, linked with community the system, organization, and cooperative agreement. The purpose of prevention services. Such integration individual-level determinants and the BFPI cooperative agreement, as between primary health care services challenges that influence coordination stated in the funding opportunity and public health efforts can promote between home visitors and announcement, is to improve the quality efficiency, positively affect individual pediatricians. AAP would add questions of health promotion and preventive well-being, and improve population focusing on coordination between home services for all infants, children, health. In alignment with this HHS goal, visitors and pediatricians to the Fall adolescents, and their families, a goal of the BFPI cooperative agreement 2015 Periodic Survey of Fellows that including children with special health is to foster partnerships between would be sent to a national random care needs, through the effective families, health professionals, public sample of approximately 1,600 non- national implementation of Bright health and the broader community to retired United States members of the Futures Guidelines for Health promote children’s health through the AAP. The survey would include specific Supervision of Infants, Children and effective national implementation of questions about pediatricians’ use of, Adolescents, Third Edition (Bright Bright Futures. and communication with, home visitors mstockstill on DSK4VPTVN1PROD with NOTICES Futures). The purpose of this notice is Home visiting within a strong early and perception of the role of the home to award supplemental funds to collect childhood system is a Bright Futures- visitor and the pediatrician in baseline information to measure the recommended public health effort that addressing several preventive care improvement of coordination activities could benefit from improved topics as part of routine well-child care between home visiting and primary care coordination with primary health care and home visits. These topics include providers by the American Academy of services. Studies have shown that injury prevention, infant feeding Pediatrics, the cooperative agreement improving coordination between practices, early reading/literacy awardee who serves as the BFPI, during primary health care services and home development, developmental screening, VerDate Sep<11>2014 19:58 Sep 24, 2015 Jkt 235001 PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 E:\FR\FM\25SEN1.SGM 25SEN1


Document Created: 2018-02-26 10:19:38
Document Modified: 2018-02-26 10:19:38
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice 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.
ContactLynn 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]
FR Citation80 FR 57830 
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