83_FR_26402 83 FR 26293 - Notice of Single Source Award Based on Non-Statutory Earmark to the Delta Region Community Health Systems Development Program

83 FR 26293 - Notice of Single Source Award Based on Non-Statutory Earmark to the Delta Region Community Health Systems Development Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 83, Issue 109 (June 6, 2018)

Page Range26293-26293
FR Document2018-12141

The purpose of the Delta Region Community Health Systems Development Program is to support collaboration with and input from the Delta Regional Authority to develop a pilot program to help underserved rural communities in the Delta region identify and better address their health care needs and to help small rural hospitals improve their financial and operational performance. HRSA received an additional $2,000,000 in FY 2018 to support the Delta Region Community Health Systems Development Program, increasing the total FY 2018 resources from $2,000,000 to $4,000,000. The single award recipient, the Rural Health Resource Center has a need for additional funds to support activities performed within the scope of this program. The center will use a multipronged approach to deliver phased-in technical assistance (TA) to all eight Delta Region communities.

Federal Register, Volume 83 Issue 109 (Wednesday, June 6, 2018)
[Federal Register Volume 83, Number 109 (Wednesday, June 6, 2018)]
[Notices]
[Page 26293]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-12141]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Notice of Single Source Award Based on Non-Statutory Earmark to 
the Delta Region Community Health Systems Development Program

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

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SUMMARY: The purpose of the Delta Region Community Health Systems 
Development Program is to support collaboration with and input from the 
Delta Regional Authority to develop a pilot program to help underserved 
rural communities in the Delta region identify and better address their 
health care needs and to help small rural hospitals improve their 
financial and operational performance. HRSA received an additional 
$2,000,000 in FY 2018 to support the Delta Region Community Health 
Systems Development Program, increasing the total FY 2018 resources 
from $2,000,000 to $4,000,000. The single award recipient, the Rural 
Health Resource Center has a need for additional funds to support 
activities performed within the scope of this program. The center will 
use a multipronged approach to deliver phased-in technical assistance 
(TA) to all eight Delta Region communities.

ADDRESSES: Further information on the Delta Region Community Health 
Systems Development Program is available at: https://www.hrsa.gov/ruralhealth/programopportunities/fundingopportunities/?id=8d869eff-0bca-4703-a821-88a9f0433b73.

FOR FURTHER INFORMATION CONTACT: Rachel Moscato, Program Coordinator, 
Delta Region Community Health Systems Development, Federal Office of 
Rural Health Policy, HRSA, RMoscato@hrsa.gov.

Background

    The Delta Region Community Health Systems Development program is 
authorized by Section 711(b) of the Social Security Act, (42 U.S.C. 912 
(b)), as amended.
    HRSA established the Delta Region Community Health Systems 
Development Program in FY 2017, under announcement HRSA-17-117, 
providing up to $2,000,000 per year to one awardee, the Rural Health 
Resource Center for a three-year project period: September 30, 2017 
through September 29, 2020. The FY 2018 House Report 115-244 and Senate 
Report 115-150 Division H of the Consolidated Appropriations Act of 
2018 (Pub. L. 115-141) provided direction that an additional $2,000,000 
included in the appropriation to be used to support the Delta Program. 
HRSA plans to increase the maximum funding per year for the Delta 
Region Community Health Systems Development Program to $4,000,000 for 
one award recipient in FY 2018, as well as in subsequent budget periods 
within the three-year project period, should funds become available.

Conclusion

    HRSA will provide $2,000,000 in additional resources to the current 
award recipient, the Rural Health Resource Center in FY 2018 to support 
additional activities within the scope of the Delta Region Community 
Health Systems Development Program. The recipient will utilize its 
existing infrastructure and a multipronged approach to deliver 
intensive assistance to all eight Delta Region communities, including 
onsite assessments in financial, operational performance, and quality 
improvement in the areas of population health, social services, 
emergency medical services, and telehealth. Please direct any questions 
or concerns to RMoscato@hrsa.gov.

    Dated: May 31, 2018.
George Sigounas,
Administrator.
[FR Doc. 2018-12141 Filed 6-5-18; 8:45 am]
BILLING CODE 4165-15-P



                                                                             Federal Register / Vol. 83, No. 109 / Wednesday, June 6, 2018 / Notices                                                  26293

                                               3.2.4    Definition of Promising                           • The studies find both favorable and               FOR FURTHER INFORMATION CONTACT:
                                                 HHS intends that for a project to be                  unfavorable impact estimates within the                Rachel Moscato, Program Coordinator,
                                               considered promising, the following                     same domain.                                           Delta Region Community Health
                                                                                                          3.2.8 HHS intends that narrative                    Systems Development, Federal Office of
                                               conditions must be met:
                                                                                                       descriptions of rated projects, narrative              Rural Health Policy, HRSA, RMoscato@
                                                 • One study of a project must meet
                                                                                                       descriptions of approaches, and                        hrsa.gov.
                                               evidence standards.
                                                                                                       information on case studies be provided
                                                 • That study must find only favorable                                                                        Background
                                                                                                       to users of the Clearinghouse to
                                               or null impacts within a given outcome
                                                                                                       facilitate a fuller understanding of the
                                               domain. Thus no studies that meet                                                                                The Delta Region Community Health
                                                                                                       field of welfare-to-work interventions.
                                               evidence standards for an outcome                                                                              Systems Development program is
                                               domain can show an unfavorable impact                   4.0 Submission of Comments                             authorized by Section 711(b) of the
                                               within the domain.                                        Comments may be submitted until                      Social Security Act, (42 U.S.C. 912 (b)),
                                                 Æ If the review examines more than                    August 5, 2018 by email to                             as amended.
                                               one measure to identify impacts on a                    OPREinfocollection@acf.hhs.gov.                          HRSA established the Delta Region
                                               particular domain (e.g., Unemployment
                                               Insurance data and participant survey                   Naomi Goldstein,                                       Community Health Systems
                                               data), as long as one measure (among                    Deputy Assistant Secretary for Planning,               Development Program in FY 2017,
                                               those selected according to 3.2.2.3                     Research, and Evaluation.                              under announcement HRSA–17–117,
                                               above) finds favorable impacts for that                 [FR Doc. 2018–12160 Filed 6–5–18; 8:45 am]             providing up to $2,000,000 per year to
                                               outcome, the intervention can receive a                 BILLING CODE 4184–09–P                                 one awardee, the Rural Health Resource
                                               Promising rating for that outcome.                                                                             Center for a three-year project period:
                                                 • Projects that have both favorable                                                                          September 30, 2017 through September
                                               and unfavorable impacts in a given                      DEPARTMENT OF HEALTH AND                               29, 2020. The FY 2018 House Report
                                               domain will be categorized as mixed.                    HUMAN SERVICES                                         115–244 and Senate Report 115–150
                                                                                                                                                              Division H of the Consolidated
                                               3.2.5    Definition of Ineffective                      Health Resources and Services                          Appropriations Act of 2018 (Pub. L.
                                                  HHS intends that for a project to be                 Administration                                         115–141) provided direction that an
                                               considered ineffective, the following                   Notice of Single Source Award Based                    additional $2,000,000 included in the
                                               conditions must be met:                                 on Non-Statutory Earmark to the Delta                  appropriation to be used to support the
                                                  • One or more studies of a project                   Region Community Health Systems                        Delta Program. HRSA plans to increase
                                               must meet evidence standards.                           Development Program                                    the maximum funding per year for the
                                                  • There must be only findings of                                                                            Delta Region Community Health
                                               unfavorable or null effects in a given                  AGENCY: Health Resources and Services                  Systems Development Program to
                                               domain.                                                 Administration (HRSA), Department of                   $4,000,000 for one award recipient in
                                                  • For studies finding null effect in a               Health and Human Services.
                                                                                                                                                              FY 2018, as well as in subsequent
                                               given domain, the review will include a                 ACTION: Notice.                                        budget periods within the three-year
                                               measure of statistical precision—so that
                                                                                                       SUMMARY:   The purpose of the Delta                    project period, should funds become
                                               small, under-powered studies do not
                                                                                                       Region Community Health Systems                        available.
                                               drive the effectiveness rating. If an
                                               intervention has been evaluated using                   Development Program is to support                      Conclusion
                                               only small studies, a lack of detectable                collaboration with and input from the
                                               effects could reflect either                            Delta Regional Authority to develop a                     HRSA will provide $2,000,000 in
                                               ineffectiveness of the intervention or the              pilot program to help underserved rural                additional resources to the current
                                               lack of statistical power to detect effects.            communities in the Delta region identify               award recipient, the Rural Health
                                               It would be misleading to characterize                  and better address their health care                   Resource Center in FY 2018 to support
                                               this latter scenario as an ineffective                  needs and to help small rural hospitals                additional activities within the scope of
                                               project.                                                improve their financial and operational                the Delta Region Community Health
                                                                                                       performance. HRSA received an                          Systems Development Program. The
                                               3.2.6    Definition of Developmental                    additional $2,000,000 in FY 2018 to                    recipient will utilize its existing
                                                 HHS intends that for a project to be                  support the Delta Region Community                     infrastructure and a multipronged
                                               considered developmental, the                           Health Systems Development Program,
                                                                                                                                                              approach to deliver intensive assistance
                                               following conditions must be met:                       increasing the total FY 2018 resources
                                                                                                                                                              to all eight Delta Region communities,
                                                 • There must be at least one current,                 from $2,000,000 to $4,000,000. The
                                                                                                                                                              including onsite assessments in
                                               ongoing evaluation of the project that                  single award recipient, the Rural Health
                                                                                                       Resource Center has a need for                         financial, operational performance, and
                                               uses a study design that meets evidence                                                                        quality improvement in the areas of
                                               standards but has not yet produced                      additional funds to support activities
                                                                                                       performed within the scope of this                     population health, social services,
                                               impact findings.
                                                                                                       program. The center will use a                         emergency medical services, and
                                               3.2.7 Additional Category of Mixed                      multipronged approach to deliver                       telehealth. Please direct any questions
                                               and Definition of Mixed                                 phased-in technical assistance (TA) to                 or concerns to RMoscato@hrsa.gov.
                                                 HHS intends that there be an                          all eight Delta Region communities.                     Dated: May 31, 2018.
daltland on DSKBBV9HB2PROD with NOTICES




                                               additional category for categorizing                    ADDRESSES: Further information on the                  George Sigounas,
                                               evidence of effectiveness called mixed.                 Delta Region Community Health                          Administrator.
                                               HHS proposes that for a project to be                   Systems Development Program is
                                                                                                                                                              [FR Doc. 2018–12141 Filed 6–5–18; 8:45 am]
                                               considered mixed, the following                         available at: https://www.hrsa.gov/
                                               conditions must be met:                                 ruralhealth/programopportunities/                      BILLING CODE 4165–15–P

                                                 • One or more studies of a project                    fundingopportunities/?id=8d869eff-
                                               must meet evidence standards.                           0bca-4703-a821-88a9f0433b73.


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Document Created: 2018-06-06 00:53:52
Document Modified: 2018-06-06 00:53:52
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.
ContactRachel Moscato, Program Coordinator, Delta Region Community Health Systems Development, Federal Office of Rural Health Policy, HRSA, [email protected]
FR Citation83 FR 26293 

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