Preventive Medicine and Public Health Residency Training Program, Integrative Medicine Program, and National Center for Integrative Primary Healthcare

Grants are intended to promote postgraduate medical education in the specialty of preventive medicine and to enhance preventive medicine education through incorporation of evidence-based integrative medicine curricula into such programs.

A cooperative agreement established a National Center for

credit:
Integrative Primary Healthcare (NCIPH) to incorporate evidence-based Integrative Medicine (IM) curricula into existing primary care residency and other health professions training programs; provide faculty development to improve clinical teaching in IM; deliver continuing education to current primary care and other health professionals to increase competency in IM; and provide technical assistance to primary care residency programs and other accredited and licensed health professions education programs on the integration of IM into the established primary care curricula and training.

The Preventive Medicine Residency with Integrative Health Care Training Program combined the purposes of the preventive medicine residency and integrative medicine programs into one to build on the previous achievements of the integrative medicine grantees.

The broad goal of the program is to improve the health of communities by increasing the number and quality of preventive medicine physicians who can address public health needs, advance preventive medicine practices, increase access to integrative health care, and increase the integration of these two fields into preventive medicine training and practice.

Preventive Medicine is the specialty of medical practice which focuses on the health of individuals and defined populations in order to protect, promote, and maintain health and well-being and prevent disease, disability and premature death.

It is one of the 145 medical sub-specialties recognized by the American Board of Medical Specialties.

Preventive Medicine encompasses three areas of specialization: (1) General Preventive Medicine and Public Health, (2) Occupational Medicine, and (3) Aerospace Medicine.

As articulated by the Institute of Medicine, integrative medicine can be described as orienting the health care process to create a seamless engagement by patients and caregivers of the full range of physical, psychological, social, preventive, and therapeutic factors known to be effective and necessary for the achievement of optimal health throughout the life span.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

http://www.hrsa.gov


Relevant Nonprofit Program Categories





Selected Recipients for this Program


RecipientAmount Start DateEnd Date
University Of California, San Diego $ 399,478   2018-05-012023-04-30
Public Health, California Department Of $ 390,966   2018-05-012023-04-30
Morehouse School Of Medicine, Inc., The $ 400,000   2018-05-012023-04-30
Trustees Of The University Of Pennsylvania, The $ 398,773   2018-05-012023-04-30
Regents Of The University Of California, San Francisco, The $ 400,000   2018-05-012023-04-30
Univeristy Of Mississippi Medical Center $ 398,974   2018-05-012023-04-30
Griffin Hospital Inc, The $ 399,997   2018-05-012023-04-30
Research Foundation For The State University Of New York, The $ 400,000   2018-05-012023-04-30
University Of New Mexico $ 399,988   2018-05-012023-04-30
University Of California, Los Angeles $ 399,828   2018-05-012023-04-30



Program Accomplishments

Fiscal Year 2016: In Academic Year 2015-2016, the Preventive Medicine Residency program supported 115 residents, most of whom were completing residencies in either Preventive Medicine/Occupational Medicine or Preventive Medicine/Public Health. Grantees partnered with 214 sites (e.g., local and state health departments, community-based organizations) to provide clinical training experiences for residents of which over 41.6% were in medically underserved communities. Of the 37 residents who completed their residency training programs in the past academic year, 91.9% received clinical training in a primary care setting, 70.3% received training in medically underserved communities and 10.8% received training in a rural setting. Sixty-nine percent of those who completed their residency intend to pursue employment or further training in primary care. Follow-up employment status collected from residents who completed training programs in AY 2014-15, of the 17 residents who graduated the prior year, 41.2% entered practice in either medically-underserved communities and/or in primary care settings. Funds supported a variety of infrastructure activities including curriculum development and faculty development. A total of 128 unique courses and training activities were developed, enhanced, and implemented during the academic year, providing training on emerging topics in preventive medicine for 1,426 students and advanced trainees; and supported 67 different faculty development programs and activities reaching 648 faculty members during the academic year. Fiscal Year 2017: Fiscal Year 2017: No Current Data Available. Fiscal Year 2018: Fiscal Year 2018: No Current Data Available.

Uses and Use Restrictions

Awards are intended to assist in meeting the costs of planning and developing new preventive medicine programs; maintaining or improving existing residency training programs in preventive medicine; incorporating competency-based integrative medicine curricula in graduate medical education including preventive medicine residency and primary care programs; and providing financial assistance to medical residents enrolled in such programs.

The NCIPH cooperative agreement is expected to contribute to the evidence-base for IM, and identify and disseminate promising practices related to the integration of IM into primary care and interprofessional practice, including the activities listed under Objectives above.

The Preventive Medicine Residency with Integrative Health Care requires recipients to increase the number of preventive medicine residents and/or improve training for these residents.

The applicants are required to 1) propose a plan for evaluating any improvements in the educational program, such as the effect of the interventions on the knowledge, skills, and practices of the residents; 2) incorporate evidence-based integrative health care curricula into accredited preventive medicine residency programs; and 3) provide interprofessional training of their preventive medicine residents including training in preventive medicine and integrative health care for other primary care or community-based health care trainees or providers in addition to preventive medicine residents. Indirect costs under training awards to organizations other than State, local or American Indian tribal governments will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

Grants may not be used for construction or for the provision of direct patient services.

Eligibility Requirements

Applicant Eligibility

Eligible Preventive Medicine and Public Health Residency program grants, and those enhancing their programs with integrative health care applicants are: (1) an accredited school of public health or school of medicine or osteopathic medicine; (2) an accredited public or private nonprofit hospital; (3) a State, local, or tribal health department; or (4) a consortium of 2 or more entities described in (1) through (3).

Eligible applicants for the NCIPH are (1) a health professions school, including an accredited school or program of public health, health administration, preventive medicine, or dental public health or a school providing health management programs; (2) an academic health center; (3) a State or local government; (4) any other appropriate public or private nonprofit entity. Refer to the relevant Notice of Funding Opportunity more specific information regarding eligibility and specialized experience.

Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.

Beneficiary Eligibility

For Preventive Medicine and Public Health Residency program grants, and for those enhancing their programs with integrative health care, each trainee receiving stipend support must: (a) be a citizen of the United States, a non-citizen U.S. national, or a foreign national having in his or her possession a visa permitting permanent residence in the United States; (b) be a physician who has graduated from an accredited school of medicine or osteopathic medicine in the United States; or if a graduate from a foreign school, meet the criteria of the Educational Commission for Foreign Medical Graduates, for entry into the program supported by this grant; and (c) plan to complete the grant-supported program and engage in the practice and/or teaching of preventive medicine, especially in positions which meet the needs of medically underserved populations.

Credentials/Documentation

Applicants should review the individual HRSA Notice of Funding Opportunity issued under this CFDA program for any required proof or certifications which must be submitted with an application package. The preventive medicine residency must provide documentation of current accreditation from ACGME or AOA or documentation from ACGME related to submission of an application for accreditation. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All eligible, qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Award Procedures

Notification is made in writing through a Notice of Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Sections 765 and 758 of the Public Health Service Act (42 U.S.C. 295 and 42 U.S.C. 295c).

Range of Approval/Disapproval Time

Approximately 120 to 180 days after receipt of applications.

Appeals

Not Applicable.

Renewals

Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. This program has MOE requirements, see funding agency for further details. The recipient must agree to maintain non-federal funding for grant activities at a level which is not less than expenditures for such activities during the fiscal year prior to receiving the award.

Length and Time Phasing of Assistance

The funding opportunity provides support for a 5-year project period. Receipts draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based system for HHS awards. The National Center for Integrative Primary Healthcare was fully funded for a three-year project period in FY2014. The project period for the Preventive Medicine Residency with Integrative Health Care program is for 3 years. See the following for information on how assistance is awarded/released: Recipients drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Both program and financial reports are required.

The recipient will be required to submit annual performance and progress reports.

Cash reports are not applicable.

A Federal Financial Report (SF-425) is required according to the schedule in HRSA?s Application Guide.

A final report is due within 90 days after the project period ends.

If applicable, the recipient must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.

L.

109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at http://www.hrsa.gov/grants/ffata.html).

Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award.

Expenditure reports are not applicable.

Performance monitoring is not applicable.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.

Records

Recipients are required to maintain grant accounting records 3 years from the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0353-0-1-552.

Obigations

(Cooperative Agreements) FY 16 $0; FY 17 est $0; and FY 18 est $0 - National Center for Integrative Primary Health Care. (Project Grants) FY 16 $5,928,992; FY 17 est $2,000,654; and FY 18 est $0 - Preventive Medicine Residency with Integrative Healthcare. (Project Grants) FY 16 $4,623,648; FY 17 est $4,485,666; and FY 18 est $0 - Preventive Medicine Residency Grants.

Range and Average of Financial Assistance

Preventive Medicine Residency FY 2015 Range: $340,000 to $610,161; Average award: $446,655 FY 2016 Range: $340,000 to $618,445; Average award: $462,364 FY 2017 Range: $340,000 to $500,847; Average award: $448,566 Preventive Medicine Residency with Integrative Healthcare FY 2015 Range: $149,605 to $$400,000; Average award: $340,756 FY 2016 Range: $353,724 to $400,000; Average award: $395,266 FY 2017 Range $120,484 to $135,253; Average Award: $133,376 National Center for Integrative Primary HealthCare FY 2015 Range: $329,413; Average award: $329,413 (fully funded for 3 years) FY 2016 Range: $0; Average award: $0 FY 2017 Range: $0; Average award: $0.

Regulations, Guidelines, and Literature

All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants/hhsgrantspolicy.pdf.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Irene Sandvold, Project Officer, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 15N-152, Rockville , Maryland 20857 Email: isandvold@hrsa.gov Phone: 301-443-2295

Criteria for Selecting Proposals

Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by nonfederal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria.



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