81 FR 27145 - Providing Support for the Collaborative Improvement and Innovation Network (CoIIN) To Reduce Infant Mortality
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 81, Issue 87 (May 5, 2016)
Health Resources and Services Administration
Federal Register Volume 81, Issue 87 (May 5, 2016)
| Page Range | 27145-27146 | |
| FR Document | 2016-10514 |
[Federal Register Volume 81, Number 87 (Thursday, May 5, 2016)] [Notices] [Pages 27145-27146] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-10514] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Providing Support for the Collaborative Improvement and Innovation Network (CoIIN) To Reduce Infant Mortality AGENCY: Health Resources and Services Administration, HHS. ACTION: Notice of a single-award deviation from competition requirements for providing support for the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality. ----------------------------------------------------------------------- SUMMARY: HRSA announces the award of an extension in the amount of $3,000,000 for the Providing Support for the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality cooperative agreement. The purpose of the CoIIN is to develop and disseminate evidence-based interventions to reduce infant mortality across states in Regions I, II, III, VII, VIII, IX, and X by planning, implementing, and managing regional CoIINs; providing technical assistance to CoIIN teams to improve approaches to address infant mortality in their respective regions through the understanding of [[Page 27146]] quality improvement concepts, tools, and techniques; and assisting regional CoIIN participants and stakeholders in understanding the process for sustaining and continuing project strategies after the Federal period of support. The extension will permit the National Institute for Children's Health Quality, Inc. (NICHQ), the cooperative agreement awardee, during the budget period of 9/30/2016-9/29/2017, to complete activities. SUPPLEMENTARY INFORMATION: Intended Recipient of the Award: National Institute for Children's Health Quality, Inc. Amount of Non-Competitive Awards: $3,000,000. Period of Supplemental Funding: 9/30/2016-9/29/2017. CFDA Number: 93.110. Authority: Special Projects of Regional and National Significance (SPRANS); Social Security Act, Title V, Sec. 501(a)(2- 3); 42 U.S.C. 701 (a)(2-3). Justification: The National Institute for Children's Health Quality, Inc. (NICHQ), as part of the cooperative agreement, oriented and trained CoIIN participants on quality improvement processes and related principles and practices; planned and conducted regularly scheduled learning sessions and monthly action period calls for each strategy team; provided technical assistance to state strategy teams on how to track progress of chosen quality improvement aims through the use of real-time data; and provided an internet-based collaborative workspace for monthly/quarterly/annual reporting of qualitative and quantitative topic-specific and common measures of progress. In project year 2, NICHQ received approval to add Regions IV, V, and VI to the scope of work. As such, NICHQ has developed a CoIIN to reduce infant mortality that includes all 59 states and jurisdictions and focuses on six common state-driven strategies (safe sleep, smoking cessation, preconception and interconception care, perinatal regionalization, prevention of pre/early term birth, and social determinants of health). NICHQ provides ongoing technical assistance to these six strategy teams dedicated to improving infant mortality by focusing on the strategy topics and to state personnel to implement CoIIN strategies. NICHQ has used the Institute for Healthcare Improvement's (IHI) Breakthrough Series Model for Improvement where strategy teams commit to working over a period of 12-18 months, alternating between learning sessions and action periods. During the entire collaborative cycle, teams are connected through a virtual, on-line community and are expected to upload and share their results (i.e., data submission/reporting) as well as encouraged to conduct peer-to-peer sharing/mentoring. The recipient continues to make significant progress. However, the project experienced significant delays due to factors beyond the grantee's control. Startup delays included developing state personnel and systems capacity to monitor and implement activities to improve infant mortality. Also, orientation to the CoIIN methodology/approach took longer than anticipated as states and jurisdictions reported competing priorities. Further, states needed additional technical assistance and capacity building related to data collection and submission as there were several state and/or local level barriers to obtaining the data needed for activity and outcome measures which required resolution at the state level. Though some states were able to begin collecting data in August 2015, some activity and/or outcome measures are unavailable until at least 6-8 weeks after the end of the data collection period due to state policies/procedures. MCHB found similar delays in its CoIIN pilot that concluded one year after this CoIIN cooperative agreement began. An analysis of the pilot data showed that applying the IHI method to state public health systems rather than clinical settings required an additional 6-8 months to meet the quality improvement aims and show measurable improvements in infant mortality and birth outcomes. NICHQ must continue activities beyond the original project period (9/30/2013-9/29/2016) to achieve the additional months of state action and learning sessions with accompanying data submissions. FOR FURTHER INFORMATION CONTACT: Vanessa Lee, MPH, Division of Healthy Start and Perinatal Services, Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 18N84, Rockville, MD 20852, Phone: (301) 443-9992, Fax: (301) 594-0878, Email: [email protected]. Dated: April 29, 2016. James Macrae, Acting Administrator. [FR Doc. 2016-10514 Filed 5-4-16; 8:45 am] BILLING CODE 4165-15-P
![Federal Register / Vol. 81, No. 87 / Thursday, May 5, 2016 / Notices 27145
ambulatory care setting specified in the medical care HPSAs with scores of 17 proposed for withdrawal, will be
Practice Agreement, providing patient and above are authorized for the removed from the priority listing.
care in the CAH’s skilled nursing assignment of NHSC scholars who are
Additional Information
facility or swing bed unit, or performing primary care physicians, family nurse
clinical-related administrative activities. practitioners, physician assistants or Entities wishing to provide additional
Teaching and clinical-related certified nurse midwives; (2) mental data and information in support of their
administrative activities shall not health HPSAs with scores of 17 and inclusion on the proposed list of entities
exceed 4 hours of the minimum 20 above are authorized for the assignment that would receive priority in
hours per week. Half-time clinical of NHSC scholars who are psychiatrists assignment of NHSC Scholars, or in
practice is not an option for scholars or mental health nurse practitioners; support of a higher priority
serving their obligation through the and (3) dental HPSAs with scores of 17 determination, must do so in writing no
Private Practice Option. and above are authorized for the later than June 6, 2016. This information
In addition to utilizing NHSC scholars assignment of NHSC scholars who are should be submitted to: Beth Dillon,
in accordance with their full-time or dentists. The NHSC has determined that Director, Division of Regional
half-time service obligation (as defined a minimum HPSA score of 17 for all Operations, Bureau of Health
above), NHSC service sites are expected service-ready NHSC scholars will enable Workforce, 1961 Stout Street, Denver,
to (1) report to the NHSC all absences it to meet its statutory obligation to Colorado 80294. This information will
through clinician in-service identify a number of entities eligible for be considered in preparing the final list
verifications every six months, NHSC scholar placement that is at least of entities that are receiving priority for
including those in excess of the equal to, but not greater than, twice the the assignment of scholarship-obligated
authorized number of days (up to 35 number of NHSC scholars available to Corps personnel.
full-time days per service year in the serve in the 2016–2017 placement cycle. The program is not subject to the
case of full-time service and up to 35 The number of new NHSC placements provisions of Executive Order 12372,
half-time days per service year in the through the Scholarship Program Intergovernmental Review of Federal
case of half-time service); (2) report to allowed at any one site is limited to one Programs (as implemented through 45
the NHSC any change in the status of an (1) of the following provider types: CFR part 100).
NHSC clinician at the site; (3) provide Physician (MD/DO), nurse practitioner, Dated: April 28, 2016.
the time and leave records, schedules, physician assistant, certified nurse
James Macrae,
and any related personnel documents midwife, or dentist. The NHSC will
for NHSC scholars (including consider requests for up to two (2) Acting Administrator.
documentation, if applicable, of the scholar placements at any one site on a [FR Doc. 2016–10527 Filed 5–4–16; 8:45 am]
reason(s) for the termination of an case-by-case basis. Factors that are taken BILLING CODE 4165–15–P
NHSC clinician’s employment at the site into consideration include community
prior to his or her obligated service end need, as measured by demand for
date); and (4) submit the NHSC Site services, patient outcomes and other DEPARTMENT OF HEALTH AND
Data Tables, which replace the former similar factors. Sites wishing to request HUMAN SERVICES
Uniform Data System (UDS)/Site Survey an additional scholar must complete an
Health Resources and Services
reporting tool. The NHSC collects the Additional Scholar Request form
Administration
Site Data Tables from sites at the time available at http://nhsc.hrsa.gov/
of application, recertification, and downloads/additionalrequestform.pdf. Providing Support for the
NHSC site visits. Providers fulfilling NHSC-approved sites that do not meet Collaborative Improvement and
NHSC commitments are approved to the authorized threshold HPSA score of Innovation Network (CoIIN) To Reduce
serve at a specific site or, in some cases, 17 may post job openings on the NHSC Infant Mortality
more than one site. Jobs Center; however, scholars seeking
placement between October 1, 2016, and AGENCY: Health Resources and Services
Evaluation and Selection Process September 30, 2017, will be advised that Administration, HHS.
In order for a site to be eligible for they can only compete for open ACTION: Notice of a single-award
placement of NHSC scholars, it must be positions at sites that meet the threshold deviation from competition
approved by the NHSC following the placement HPSA score of 17. While not requirements for providing support for
site’s submission of a Site Application. eligible for scholar placements in the the Collaborative Improvement and
Processing of site applications from solo 2016–2017 cycle, vacancies in HPSAs Innovation Network (CoIIN) to Reduce
or group practices will involve scoring less than 17 will be used by the Infant Mortality.
additional screening, including a site NHSC in evaluating the HPSA threshold
visit by NHSC representatives. The Site score for the next scholarship placement SUMMARY: HRSA announces the award
Application approval is good for a cycle. of an extension in the amount of
period of 3 years from the date of $3,000,000 for the Providing Support for
approval. Application Requests, Dates and the Collaborative Improvement and
In approving applications for the Address Innovation Network (CoIIN) to Reduce
assignment of Corps members, the The list of HPSAs and entities that are Infant Mortality cooperative agreement.
Secretary shall give priority to any such eligible to receive priority for the The purpose of the CoIIN is to develop
application that is made regarding the placement of NHSC scholars may be and disseminate evidence-based
provision of primary health services in updated periodically. New entities may interventions to reduce infant mortality
mstockstill on DSK3G9T082PROD with NOTICES
a HPSA with the greatest shortage. For be added to the NHSC Jobs Center across states in Regions I, II, III, VII, VIII,
the program year October 1, 2016, during a Site Application competition. IX, and X by planning, implementing,
through September 30, 2017, HPSAs of Likewise, entities that no longer meet and managing regional CoIINs;
greatest shortage for determination of eligibility criteria, including those sites providing technical assistance to CoIIN
priority for assignment of NHSC whose 3-year approval as an NHSC teams to improve approaches to address
scholarship-obligated Corps personnel service site has lapsed or whose HPSA infant mortality in their respective
will be defined as follows: (1) Primary designation has been withdrawn or regions through the understanding of
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![27146 Federal Register / Vol. 81, No. 87 / Thursday, May 5, 2016 / Notices
quality improvement concepts, tools, virtual, on-line community and are DEPARTMENT OF HEALTH AND
and techniques; and assisting regional expected to upload and share their HUMAN SERVICES
CoIIN participants and stakeholders in results (i.e., data submission/reporting)
understanding the process for sustaining as well as encouraged to conduct peer- Health Resources and Service
and continuing project strategies after to-peer sharing/mentoring. Administration
the Federal period of support. The
The recipient continues to make Advisory Committee on
extension will permit the National
Institute for Children’s Health Quality, significant progress. However, the Interdisciplinary, Community-Based
Inc. (NICHQ), the cooperative agreement project experienced significant delays Linkages: Notice of Meeting
awardee, during the budget period of 9/ due to factors beyond the grantee’s
In accordance with section 10(a)(2) of
30/2016–9/29/2017, to complete control. Startup delays included
the Federal Advisory Committee Act
activities. developing state personnel and systems (Pub. L. 92–463), notice is hereby given
capacity to monitor and implement of the following meeting:
SUPPLEMENTARY INFORMATION:
Intended Recipient of the Award: activities to improve infant mortality.
NAME: Advisory Committee on
National Institute for Children’s Health Also, orientation to the CoIIN Interdisciplinary, Community-Based
Quality, Inc. methodology/approach took longer than Linkages (ACICBL).
Amount of Non-Competitive Awards: anticipated as states and jurisdictions
DATES AND TIMES:
$3,000,000. reported competing priorities. Further, May 25, 2016 (Day 1—8:30 a.m.–5:00
Period of Supplemental Funding: states needed additional technical p.m., EST)
9/30/2016–9/29/2017. assistance and capacity building related May 26, 2016 (Day 2—8:30 a.m.–3:00
CFDA Number: 93.110. to data collection and submission as p.m., EST)
Authority: Special Projects of Regional there were several state and/or local PLACE: In-Person Meeting with Webinar/
and National Significance (SPRANS); Social level barriers to obtaining the data Conference Call Component.
Security Act, Title V, § 501(a)(2–3); 42 U.S.C. needed for activity and outcome STATUS: The meeting will be open to the
701 (a)(2–3). measures which required resolution at public.
Justification: The National Institute the state level. Though some states were Purpose: The ACICBL provides advice
for Children’s Health Quality, Inc. able to begin collecting data in August and recommendations to the Secretary
(NICHQ), as part of the cooperative 2015, some activity and/or outcome of the Department of Health and Human
agreement, oriented and trained CoIIN measures are unavailable until at least Services (Secretary) concerning policy,
participants on quality improvement 6–8 weeks after the end of the data program development, and other
processes and related principles and collection period due to state policies/ matters of significance related to
practices; planned and conducted procedures. interdisciplinary, community-based
regularly scheduled learning sessions training grant programs authorized
and monthly action period calls for each MCHB found similar delays in its under sections 750–759, Title VII, Part
strategy team; provided technical CoIIN pilot that concluded one year D of the Public Health Service Act, as
assistance to state strategy teams on how after this CoIIN cooperative agreement amended by the Affordable Care Act.
to track progress of chosen quality began. An analysis of the pilot data The purpose of the ACICBL meeting is
improvement aims through the use of showed that applying the IHI method to to continue discussions on the next
real-time data; and provided an internet- state public health systems rather than report on enhancing community-based
based collaborative workspace for clinical settings required an additional clinical training. The Advisory
monthly/quarterly/annual reporting of 6–8 months to meet the quality Committee focuses on the targeted
qualitative and quantitative topic- improvement aims and show program areas and/or disciplines for
specific and common measures of measurable improvements in infant Area Health Education Centers,
progress. In project year 2, NICHQ mortality and birth outcomes. NICHQ geriatrics, allied health, chiropractic,
received approval to add Regions IV, V, must continue activities beyond the podiatric medicine, social work,
and VI to the scope of work. As such, original project period (9/30/2013–9/29/ graduate psychology, and rural health.
NICHQ has developed a CoIIN to reduce 2016) to achieve the additional months Agenda: The ACICBL agenda will be
infant mortality that includes all 59 of state action and learning sessions available 2 days prior to the meeting on
states and jurisdictions and focuses on with accompanying data submissions. the HRSA Web site at http://
six common state-driven strategies (safe www.hrsa.gov/advisorycommittees/
sleep, smoking cessation, preconception FOR FURTHER INFORMATION CONTACT: bhpradvisory/acicbl/index.html
and interconception care, perinatal Vanessa Lee, MPH, Division of Healthy SUPPLEMENTARY INFORMATION: Requests
regionalization, prevention of pre/early Start and Perinatal Services, Maternal to make oral comments or provide
term birth, and social determinants of and Child Health Bureau, Health written comments to the ACICBL should
health). NICHQ provides ongoing Resources and Services Administration, be sent to Dr. Joan Weiss, Designated
technical assistance to these six strategy 5600 Fishers Lane, Room 18N84, Federal Official, using the address and
teams dedicated to improving infant Rockville, MD 20852, Phone: (301) 443– phone number below. Individuals who
mortality by focusing on the strategy 9992, Fax: (301) 594–0878, Email: plan to participate on the conference
topics and to state personnel to VLee1@hrsa.gov. call and webinar should notify Dr.
implement CoIIN strategies. NICHQ has Dated: April 29, 2016.
Weiss at least 3 days prior to the
used the Institute for Healthcare meeting, using the address and phone
mstockstill on DSK3G9T082PROD with NOTICES
Improvement’s (IHI) Breakthrough James Macrae, number below. Members of the public
Series Model for Improvement where Acting Administrator. will have the opportunity to provide
strategy teams commit to working over [FR Doc. 2016–10514 Filed 5–4–16; 8:45 am] comments. Interested parties should
a period of 12–18 months, alternating BILLING CODE 4165–15–P refer to the meeting subject as the HRSA
between learning sessions and action Advisory Committee on
periods. During the entire collaborative Interdisciplinary, Community-Based
cycle, teams are connected through a Linkages.
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Document Created: 2016-05-05 01:15:29
Document Modified: 2016-05-05 01:15:29
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice of a single-award deviation from competition requirements for providing support for the Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality. | |
| Contact | Vanessa Lee, MPH, Division of Healthy Start and Perinatal Services, Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 18N84, Rockville, MD 20852, Phone: (301) 443-9992, Fax: (301) 594-0878, Email: [email protected] | |
| FR Citation | 81 FR 27145 |
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