MZ FOA 7-22.22.docx

U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response Office of Emergency Management and Medical Operations National Disaster Medical System

Funding Opportunity Announcement and Grant Application Instructions

Funding Opportunity Title: Military- Civilian Partnership for Trauma Readiness Grant Program/Mission Zero Act

(CFDA # 93.078)

Funding Opportunity Number: EP-HIT-22-003

Dates: All applications must be submitted by: August 31, 2022 at 11:59pm ET

Table of Contents

I. FUNDING OPPORTUNITY DESCRIPTION

II. AWARD INFORMATION

III. ELIGIBILITY INFORMATION

IV. APPLICATION AND SUBMISSION INFORMATION

V. APPLICATION REVIEW INFORMATION

VI. AWARD ADMINISTRATION INFORMATION

VII. AGENCY CONTACTS

VIII. OTHER INFORMATION

I. FUNDING OPPORTUNITY DESCRIPTION

Executive Summary and Background Executive Summary Section 1291 of the Public Health Service (PHS) Act (42 U.S.C. 300d-91), as amended by the section 204 of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, authorizes the award of grants to:

· No more than 20 eligible high-acuity trauma centers to enable military trauma teams to provide, on a full-time basis, trauma care and related acute care at such trauma centers

· Eligible trauma centers to enable military trauma care providers to provide trauma care and related acute care at such trauma centers

Also known as the “Mission Zero Act (MZA)” provision, the goal is to build military-civilian partnerships (MCPs) that will improve the nation's response to public health & medical emergencies. The Secretary of the Department of Health and Human Services (HHS), acting through the Assistant Secretary for Preparedness and Response and in consultation with the Secretary of Defense (SECDEF), awards the grants subject to the availability of funds.

Background The Office of the Assistant Secretary for Preparedness and Response (ASPR) is a staff division within the Office of the Secretary, HHS. ASPR leads the nation’s efforts to prevent, protect against, mitigate, respond to and recover from the adverse health effects of public health incidents. ASPR focuses on preparedness planning and response; federal emergency medical operational capabilities; medical countermeasures research, advance development, and procurement; and grants to strengthen the capabilities of hospitals and health care systems to prepare for, respond to, and recover from disasters and other public health emergencies [hereinafter referred to as “disasters”].

Statutory Authority Section 1291 of the PHS Act (42 U.S.C. 300d-91), as amended.

Purpose The purpose of this Notice of Funding Opportunity (NOFO) is to fund:

Grants to eligible high-acuity trauma centers for military trauma teams:

· For a period of at least 3 years and not more than 5 years (which may be renewed at the end of such period)

· In an amount that does not exceed $1,000,000 per year per eligible high-acuity trauma center

Grants to eligible trauma centers for military trauma care providers:

· For a period of at least 1 year and not more than 3 years (and may be renewed at the end of such period)

· In an amount that does not exceed in a given year:

· $100,000 for each military trauma care provider that is a physician at such eligible trauma center; and

· $50,000 for each other military trauma care provider at such eligible trauma center

Key Definitions

· The term ‘eligible high-acuity trauma center’ means an American College of Surgeons (ACS) verified or State/Regional Authority designated Level I trauma center that satisfies each of the following:

· Such trauma center has an agreement with the SECDEF to enable military trauma teams/care providers to provide trauma care and related acute care at such trauma center.

· At least 20 percent of patients treated at such trauma center in the most recent 3-month period for which data are available are treated for a major trauma, defined as an Injury Severity Score of 15 or greater (PK), at such trauma center.

· Such trauma center utilizes a risk-adjusted benchmarking system and metrics to measure performance, quality, and patient outcomes.

· Such trauma center is an academic training center

· affiliated with a medical school;

· that maintains residency programs and fellowships in critical trauma specialties and subspecialties, and provides education and supervision of military trauma team members according to those specialties and subspecialties; and

· that undertakes research in the prevention and treatment of traumatic injury.

· Such trauma center serves as a medical and public health preparedness and response leader for its community, such as by participating in a partnership for state and regional hospital preparedness established under section 319C-2 or 319C-3 of the PHS Act.

· Term “military trauma team” means a complete military trauma team consisting of military trauma care providers as designated in the DoD Combat Casualty Care Team.

· The term ‘eligible trauma center’ means an ACS verified or State/Regional Authority designated Level I, II, or III trauma center that satisfies each of the following:

· Such trauma center has an agreement with the SECDEF to enable military trauma care providers to provide trauma care and related acute care at such trauma center;

· Such trauma center utilizes a risk-adjusted benchmarking system and metrics to measure performance, quality, and patient outcomes; and

· Such trauma center demonstrates a need for integrated military trauma care providers to maintain or improve the trauma clinical capability of such trauma center.

· Term “military trauma care provider” means a member of the Armed Forces who furnishes emergency, critical care, and other trauma acute care services (including a physician, surgeon, physician assistant, nurse, nurse practitioner, respiratory therapist, flight paramedic, combat medic/corpsmen, or enlisted medical technician) or other military trauma care provider as the Secretary determines appropriate.

· Term “major trauma” means an injury that is greater than or equal to 15 on the injury severity score.

Implementation

Grants awarded under this section to an eligible trauma center may be used to train and incorporate military trauma care providers into such trauma center, including incorporation into operational exercises and training drills related to public health emergencies, expenditures for malpractice insurance, office space, information technology, specialty education and supervision, trauma programs, research, and applicable license fees for such military trauma care providers.

Additional Requirements Deployment and Public Health Emergencies

· As a condition of receipt of a grant under this section, a grant recipient shall agree to allow military trauma care providers providing care pursuant to such grant to

· be deployed by the SECDEF for military operations, for training, or for response to a mass casualty incident; and

· be deployed by the SECDEF, in consultation with the Secretary of HHS, for response to a public health emergency pursuant to section 319.

Reporting Requirements

· Each eligible trauma center or eligible high-acuity trauma center awarded a grant under subsection (a) or (b) for a year shall submit to the HHS Secretary and the Secretary of Defense a report for such year that includes information on:

· Number and types of trauma cases managed by military trauma teams or military trauma care providers pursuant to such grants during the year;

· The ability to maintain the integration of the military trauma providers or teams of providers as part of the trauma center, including the financial effect of such grants on the trauma center;

· The educational effect on resident trainees in centers where military trauma teams are assigned;

· Any research conducted during such year supported by such grants; and

· Any other information required by the Secretary of HHS and SECDEF for the purpose of evaluating the effect of such grants.

Evaluation and Performance Measurement

· Performance of trauma center in maintaining military trauma care providers’ readiness and ability to respond to and treat battlefield injuries by reporting clinical workloads of participating military trauma care providers in accordance with DoD medical Joint Knowledge, Skills, and Abilities (Med-JKSA) program (Appendix 1).

Eligibility and Funding Strategy Each complete application will be evaluated by a technical review panel.

Total availability of funds: $2 million dollars fiscal year (FY) 2022

Approximate number of awards given for FY 2022: 2-20 depending on type of application provided for number of trauma care providers and teams

Approximate award:

36 months for trauma centers for military trauma care providers 60 months for high-acuity trauma centers for military trauma teams

Collaborations (if applicable) Collaboration on this grant will be with the Department of Defense (DoD):

· Must have agreement with DoD

· Reporting requirements

· Providers allowed to deploy with DoD

II. AWARD INFORMATION

FOA Title Military-Civilian Partnership for Trauma Readiness Grant Program/Mission Zero Act

Type of Award: Grant

Fiscal Year Funds: 2022

Approximate Total Funding: $2,000,000.00 USD This amount is subject to availability of funds. Includes direct and indirect costs.

Approximate Number of Awards: 2-20 awards

Approximate Average Award: $50,000-1,000,000 USD

Floor of Individual Award Range: $$1 - $1,000,000 award dependent

Ceiling of Individual Award Range: $50,000 - $1,000,000 USD award dependent

Anticipated Award Date: September 30, 2022

Budget Period Length: 12 months; September 30, 2022 – September 29, 2023

Project Period Length:

September 30, 2022-September 29, 2025 for high-acuity trauma centers for military trauma September 30, 2022-September 29, 2025 for trauma centers for military trauma care providers

III. ELIGIBILITY INFORMATION

Eligible Applicants

Eligible high-risk trauma centers and eligible trauma centers.

An eligible high-risk trauma center is defined as an American College of Surgeons (ACS) verified or State/Regional Authority designated Level I trauma center that satisfies each of the following:

· Such trauma center has an agreement with the SECDEF to enable military trauma teams/care providers to provide trauma care and related acute care at such trauma center.

· At least 20 percent of patients treated at such trauma center in the most recent 3-month period for which data are available are treated for a major trauma, defined as an Injury Severity Score of 15 or greater (PK), at such trauma center.

· Such trauma center utilizes a risk-adjusted benchmarking system and metrics to measure performance, quality, and patient outcomes.

· Such trauma center is an academic training center

· affiliated with a medical school;

· that maintains residency programs and fellowships in critical trauma specialties and subspecialties, and provides education and supervision of military trauma team members according to those specialties and subspecialties; and

· that undertakes research in the prevention and treatment of traumatic injury.

· Such trauma center serves as a medical and public health preparedness and response leader for its community, such as by participating in a partnership for state and regional hospital preparedness established under section 319C-2 or 319C-3 of the PHS Act.

An eligible trauma center is defined as ACS verified or State/Regional Authority designated Level I, II, or III trauma center that satisfies each of the following:

· Such trauma center has an agreement with the SECDEF to enable military trauma care providers to provide trauma care and related acute care at such trauma center;

· Such trauma center utilizes a risk-adjusted benchmarking system and metrics to measure performance, quality, and patient outcomes; and

· Such trauma center demonstrates a need for integrated military trauma care providers to maintain or improve the trauma clinical capability of such trauma center.

Additional Information:

Grant recipients will agree to allow military trauma care providers providing care pursuant to the grant to:

· Be deployed by the SECDEF for military operations, for training, or for response to a mass casualty incident; and

· Be deployed by the SECDEF, in consultation with the Secretary of Health and Human Services, for response to a public health emergency

Cost Sharing/Match and/or Maintenance of Effort/Funding There is no cost sharing or match requirement for this project. Maintenance of effort/funding is not required for this program.

Special Requirements

Required Letters of Support The applicant will:

· Submit letters of support from one of the following agencies/organizations with the application package:

· One (1) from a high level Administrator at the facility (Dean, CEO), Chair of Surgery or the Host Civilian Champion

· State Department of Health or State/Regional designating authority acknowledging the facility is applying for this grant and they are in good standing All letters should have a point of contact listed, as ASPR may conduct random reference verifications. In addition, letters should emphasize any past performance of coordinating with the respective organization.

Required Documentation The applicant will:

· Submit documentation of current and active agreement with the SECDEF to enable military trauma teams to provide trauma care and related acute care at such trauma center. Such agreement can be contingent upon the award of funds.

· Include in LOI documentation of institutional commitment to maintaining active agreement with the SECDEF to enable military trauma teams/providers to deliver trauma care and related acute care at such trauma center during the period project length.

Optional Letters of Support The applicant will:

· Submit optional letters of support if interested:

· American College of Surgeons

· Trauma Centers Association of America Optional letters should have a point of contact listed, as ASPR may conduct random reference verifications. In addition, letters should emphasize any past performance of coordinating with the respective organization.

IV. APPLICATION AND SUBMISSION INFORMATION

Address to Request Application Package Application materials can be obtained from http://www.grants.gov.

Contact person regarding this FOA is:

Leslie Beck Program Specialist 202-205-5929 Leslie.beck@hhs.gov

Letter of intents (LOIs) and full proposals for this funding opportunity may be submitted by extramural US trauma centers as defined below. All LOIs should be emailed to Leslie Beck at Leslie.Beck@hhs.gov by August 31, 2022.

Applicants must download the application package associated with this funding opportunity from grants.gov. If the applicant encounters technical difficulties with grants.gov, the applicant should contact grants.gov customer service. The grants.gov contact center is available 24 hours a day, 7 days a week, with the exception of all federal holidays. The contact center provides customer service to the applicant community. The extended hours will provide applicants support around the clock, ensuring the best possible customer service is received any time it is needed. You can reach the grants.gov support center at 1-800-518-4726 or by email at support@grants.gov. Submissions sent by email, fax, CDs, or thumb drives of applications will not be accepted.

Applicants are encouraged to submit their application prior to the due date.

Required Registrations Applicants must register with the System for Award Management (SAM) and Grants.gov (see below for all registration requirements).

1. GET REGISTERED

You are required to complete three (3) registration processes:

1. The unique entity identifier (UEI) used in SAM.gov

2. System for Award Management (SAM); and

3. Grants.gov

If this is your first time submitting an application, you must complete all three registration processes. If you have already completed registrations for UEI and SAM, you need to ensure that your accounts are still active, and then register in Grants.gov. If your organization is not registered by the deadline, the application will not be accepted.

The organization must maintain an active and up-to-date SAM and UEI registrations in order for ASPR to make an award.

1.1 Unique Entity Identifier

1. The unique entity identifier used in SAM.gov has changed.

a. On April 4, 2022, the unique entity identifier used across the federal government changed from the DUNS Number to the Unique Entity ID (generated by SAM.gov).

b. The Unique Entity ID is a 12-character alphanumeric ID assigned to an entity by SAM.gov.

c. As part of this transition, the DUNS Number has been removed from SAM.gov.

d. Entity registration, searching, and data entry in SAM.gov now require use of the new Unique Entity ID.

e. Existing registered entities can find their Unique Entity ID by following the steps here.

f. New entities can get their Unique Entity ID at SAM.gov and, if required, complete an entity registration.

1.2 System for Award Management (SAM) Registration

You must also register with the System for Award Management (SAM) and continue to maintain active SAM registration with current information during the period of time your organization has an active federal award or an application under consideration by an agency. To create a SAM user account, Register/Update your account, and/or Search Records, go to https://www.sam.gov.

It is also highly recommended that you renew your account prior to the expiration date. SAM information must be active and up-to-date, and should be updated at least every 12 months to remain active (for both recipients and sub-recipients). Once you update your record in SAM, it will take 48 to 72 hours to complete the validation processes. Grants.gov rejects electronic submissions from applicants with expired registrations.

1.3 Grants.gov Registration

Grants.gov is an online portal for submitting federal grant applications. It requires a one-time registration in order to submit applications. While Grants.gov registration is a one-time only registration process, it consists of multiple sub-registration processes (i.e., UEI number and SAM registrations) before you can submit your application.

You can register to obtain a Grants.gov username and password at http://www.grants.gov/web/grants/register.html.

If this is your first time submitting an application through Grants.gov, registration information can be found at the Grants.gov “Applicants” tab.

The person submitting your application must be properly registered with Grants.gov as the Authorized Organization Representative (AOR) for the specific UEI number cited on the SF-424 (first page). See the Organization Registration User Guide for details at the following Grants.gov link: http://www.grants.gov/web/grants/applicants/organization-registration.html.

All entities must register and/or renew registration with grants.gov prior to submitting an application. Grantees previously registered must assure that the registration is still valid and up-to-date. Registration and re-registration take up to 10 working days to process. Failure to submit the application on time due to late registration will result in ASPR not accepting the application.

Application Screening Criteria Applications must be submitted electronically via http://www.grants.gov by August 31, 2022 at 11:59 pm ET.

Content and Form of Application Submission The following required documents and sections must be included in the application package in order to be considered for funding. Please note, applicants must submit a discrete project abstract and project narrative for each project for which they are applying. Please also ensure that the budget request associated with various activities is clearly delineated.

Cover Letter (optional) Cover letters should be addressed to the following:

Virginia Simmons Chief Grants Management Officer Acquisition Management Contracts and Grants Office of the Assistant Secretary for Preparedness and Response U.S. Department of Health and Human Services 200 Independence Ave. S.W.

Washington, DC 20201 Telephone: (202) 260-0400 E-mail: asprgrants@hhs.gov

Project Abstract A project abstract must be completed in the grants.gov application forms. The project abstract must contain a summary of the proposed activity suitable for dissemination to the public. It should be a self-contained description of the project and should contain a statement of objectives and methods to be employed. It should be informative to other persons working in the same or related fields and insofar as possible understandable to a technically literate lay reader. This abstract must not include any proprietary or confidential information.

Project Narrative A project narrative must be submitted with the application forms. The project narrative must be uploaded in a PDF file format when submitting via grants.gov. The narrative should address activities to be conducted over the entire project period, with a more detailed work plan for the first year (when applicable). Each of these project narratives should be succinct, self-explanatory, and in the order outlined in this section.

The narrative must be submitted in the following format:

The project narrative must be double-spaced, on 8 ½” x 11” paper with 1” margins on both sides, and a font size of not less than 11. You may use smaller font sizes to fill in the Standard Forms and Sample Formats. Forms do not need to be double spaced.

The components of the project narrative counted as part of the 20 page limit include:

· Background

· Current capacity

· Approach and work plan

· Administrative preparedness plan execution

· Budget narrative and justification

· Performance measurement and evaluation strategy

Any other relevant additional information that does not count toward the 20 page limit including:

· Curricula vitae for key project personnel

· Letters of commitment

· Copy of the applicant’s most recent indirect cost agreement, if requesting indirect costs

· Other documents, as needed

The project narrative is the most important part of the application, since it is the primary basis on which ASPR determines whether or not a project meets the minimum requirements for grants under Public Health Service Act, Section 1291 (42 U.S.C. section 300d-91). The project narrative should provide a clear and concise description of the project. The following is a brief description of each required component:

Background Applicants must describe the core background information.

Current Capacity For each Part applied for, address the jurisdiction's current capacity to successfully implement the proposed project and associated activities, including describing staff and other infrastructure already in place in which to build upon, to meet project period outcomes.

Approach and Work Plan Applicants must clearly identify the outcomes they expect to achieve by the end of the project period and provide a clear and concise description of the strategies and activities they used to achieve the project’s outcomes. Briefly introduce the activity(ies) being proposed and describe what the expected outputs (e.g., milestones) will be over the first 12-months of the project and a higher-level description for each subsequent year.

Budget Narrative and Justification A detailed budget with supporting justification must be provided and be related to recipient activities that are stated in awardees’ work plans. Awardees must note the following budget-related issues:

· If indirect costs are requested, it will be necessary to include a copy of the organization’s current negotiated Federal Indirect Cost Rate Agreement or a Cost Allocation Plan for those awardees under such a plan.

· Travel for program implementation should be justified and related to implementation activities.

· Budgets that include costs for equipment (e.g., laboratory or waste management equipment) must be detailed in the budget narrative and justification.

The budget narrative or justification should be provided using the instructions included in Attachment A (Instructions for Completing Required Forms) of this FOA. Applicants are encouraged to pay particular attention to Attachment B (Budget Narrative/Justification Sample Format), which provides an example of the level of detail sought.

Performance Measurement and Evaluation Strategy Awardees will be required to report on a small set of ASPR-defined performance measures that will demonstrate, or show progress toward, the accomplishment of program outcomes.

As part of this application, awardees should describe in a brief narrative a plan to affirm and acknowledge the awardee’s ability to collect and respond to required ASPR-defined performance measures. For example, awardees may describe who will be monitoring and responding to required performance measures, potential data sources, and anticipated barriers and challenges and how this will be resolved. Awardees may also describe how evaluation data will be shared with key stakeholders and used by the awardee to improve program quality and demonstrate the value of this funding.

Additional Information Additional information may be included in the application appendices. The appendices must be uploaded to the "Other Attachments Form" of application package in grants.gov. Note: appendices will not be counted toward the narrative page limit.

Submission Deadline Dates and Times The deadline for the submission of applications under this FOA is August 31, 2022 at 11:59 pm EST. Applications must be submitted electronically via Grants.gov by 11:59 p.m. Eastern Time on 08/31/2022 Applications that are submitted after the deadlines will not be processed.

Intergovernmental Review This FOA is not subject to the requirements of Executive Order 12372, “Intergovernmental Review of Federal Programs.”

Funding Restrictions Use of Funds:

· To train and incorporate military trauma care providers into such trauma center, including incorporation into operational exercises and training drills related to public health emergencies

· Expenditures for malpractice insurance

· Office space

· Information technology, to include systems to report clinical readiness data

· Specialty education and supervision

· Trauma programs

· Research

· Applicable license fees for such military trauma care providers

Restrictions, which must be taken into account while writing the budget, are as follows:

· Recipients may only expend funds for reasonable program purposes, including personnel, travel, supplies, and services, such as contractual.

· The direct and primary recipient in a grant program must perform a substantial role in carrying out project objectives and not merely serve as a conduit for an award to another party or provider who is ineligible.

· Recipients may not use funds to carry out any program of distributing sterile needles or syringes for hypodermic injections of any illegal drug.

· Recipients may not use funds to advocate or promote gun control.

· Salaries may not exceed the rate of $203,700 USD per year: the FY2022 Consolidated Appropriations Act (P.L. 117-103) limits the salary amount that you may be awarded and charge to HHS/ASPR grants and cooperative agreements. Award funds should not be budgeted to pay the salary of an individual at a rate in excess of Executive Level II. Currently, the Executive Level II salary of the Federal Executive Pay scale is $203,700. This amount reflects an individual’s base salary exclusive of fringe and any income that an individual may be permitted to earn outside of the duties to the applicant organization. This salary limitation also applies to subawards/subcontracts under an HHS/ASPR grant or cooperative agreement.

· Recipients may not use funds for lobbying activities: Pursuant to the FY2022 Consolidated Appropriations Act (P.L.117-103), (a) you shall not use any funds from an award made under this announcement for other than normal and recognized executive legislative relationships. You shall not use funds for publicity or propaganda purposes, for the preparation, distribution, or use of any kit, pamphlet, booklet, publication, electronic communication, radio, television, or video presentation designed to support or defeat the enactment of legislation before the Congress or any State or local legislature or legislative body, except in presentation to the Congress or any State or local legislature itself, or designed to support or defeat any proposed or pending regulation, administrative action, or order issued by the executive branch of any State or local government, except in presentation to the executive branch of any State or local government itself. (b) You shall not use any funds from an award made under this announcement to pay the salary or expenses of any employee or subrecipient, or agent acting for you, related to any activity designed to influence the enactment of legislation, appropriations, regulations, administrative action, or Executive order proposed or pending before the Congress or any State government, State legislature or local legislative body, other than for normal and recognized executive-legislative relationships or participation by an agency or officer of a State, local or tribal government in policymaking and administrative processes within the executive branch of that government. (c) The above prohibitions include any activity to advocate or promote any proposed, pending, or future Federal, State or local tax increase, or any proposed, pending, or future requirement or restriction on any legal consumer product, including its sale or marketing, including but not limited to the advocacy or promotion of gun control.

· Recipients may not use funds for fund raising.

· Recipients may not use funds for the cost of money even if part of the negotiated indirect cost rate agreement.

· Recipients may not use funds for vehicles.

· Recipients may not use funds for salaries for back filling of personnel.

· Recipients may not use funds for antibiotics for treatment of secondary infections.

· Funding under these awards may only be used for minor alteration and renovation (A&R) activities. Construction and major A&R activities are not permitted. A&R of real property generally is defined as work required to change the interior arrangements or installed equipment in an existing facility so that it may be more effectively utilized for its currently designated purpose or be adapted for an alternative use to meet a programmatic requirement. The work may be categorized as improvement, conversion, rearrangement, rehabilitation, remodeling, or modernization, but it does not include expansion, new construction, development, or repair of parking lots, or activities that would change the “footprint” of an existing facility (e.g., relocation of existing exterior walls, roofs, or floors; attachment of fire escapes). Minor A&R may include activities and associated costs that will result in:

· Changes to physical characteristics (interior dimensions, surfaces, and finishes); internal environments (temperature, humidity, ventilation, and acoustics); or utility services (plumbing, electricity, gas, vacuum, and other laboratory fittings);

· Installation of fixed equipment (including casework, fume hoods, large autoclaves, biological safety cabinets);

· Replacement, removal, or reconfiguration of interior non-load bearing walls, doors, framed, or windows in order to place equipment in a permanent location;

· Making unfinished shell space suitable for purposes other than human occupancy, such as storage of pharmaceuticals; or,

· Alterations to meet requirements for accessibility by physically disabled individuals.

V. APPLICATION REVIEW INFORMATION

Military-Civilian Partnership for Trauma Readiness Grant Program/Mission Zero Act

As discussed above, the goal of this FOA is to support a MCP Program. Eligible high-acuity trauma centers and eligible trauma centers as defined in the eligible applicants section may apply.

Eligible applicants will be evaluated against the following review criteria:

Background - Maximum Points: 10

· History of trauma center MCP.

Required Components - Maximum Points: 60

· Institutional and Administrative Requirements

· Written and documented support from the hospital’s chief executive officer and chief of surgery

· An identified/designated surgeon champion

· An administrative assistant dedicated to the partnership and tasked with supporting the military partners in the following areas: schedule travel, securing housing and parking, scheduling rotations, and applying for privileges, and Med-KSA data collection and submission

· A policy to address licensing requirement for short-term and full time, embedded personnel

· A clearly defined pathway for military providers to obtain full credentials and privileges in line with their civilian counterparts at the hospital

· An established memorandum of agreement or understanding rotating and embedded personnel are fully integrated into the trauma team

· A policy to cover malpractice costs for rotating and embedded military providers

· An internal staffing plan for service coverage for when military personnel are deployed, completing mandatory training, or executing military requirements

· Written acknowledgement of billing restrictions for services rendered by federal employees

· A clear mechanism for military members to achieve faculty appointments to support the institution’s GME and other civilian training programs

· A mechanism to allow embedded military to participate in non-trauma care to meet (or exceed) service-specific readiness requirements

· A mechanism to report clinical workload data utilizing funding provided with the MZA

· Physical Requirements

· Trauma patient volume of ≥1200 admission/year with 10% sustaining penetrating injuries

· Provides experience in caring for injured patients in all locations, including pre-hospital setting, emergency department, operating room, intensive care unit, and wards

· Allows military personnel to participate in all performance improvement endeavors

· Provides opportunities to participate in mass-casualty drills and disaster planning.

· Provides mechanism to work with subspecialists in fields including if available, but not limited to:

· Vascular Surgery

· Neurosurgery

· Orthopedic Surgery

· Cardiothoracic Surgery

· Burns

· Ophthalmology

· Obstetrics/Gynecology

· Pediatric Surgery

· Transplant Surgery

· ECMO

· Resources for Military Personnel

· Access to the support and privileges provided to equivalent clinical staff within the institution with special consideration given to provision of:

· Parking spaces, Office and storage spaces, On-call rooms, On-call meals

· Continuing education

· Fees related to securing state/federal licenses/certificates to allow practice within a civilian institution (i.e., state licensure fees, DEA certificate, etc.)

· Access to the support and privileges provided to equivalent clinical staff within the institution including access to:

· Computers

· Electronic medical records

· Electronic medical library

· Internet

· Credential-specific courses such as Advanced Trauma Life Support, Trauma Nursing Core Course, Advanced Cardiac Life Support, etc.

· Military participation with scheduling processes to ensure equitable distribution of shifts/coverage (i.e., weekends, holidays, day/night shifts, etc.) between military and civilian partners

Desired Components - Maximum Points: 20

· Trauma patient volume of ≥2400 admission/year with 20% sustaining penetrating injuries

· Full participation in faculty promotion process for military providers

· Participation in a MCP trauma program (Ex: Associate Trauma Medical Director, Program Manager, Trauma Nurse Coordinator, Trauma Registrar)

· Documentation of participation by military personnel in performance improvement endeavors

· Documentation of military providers’ work schedule as well as average schedule of civilian counterparts with MGMA data for institution.

Evaluation and Performance Measurement Strategy - Maximum Points: 10

· Sites report data for measurement of Med-J Knowledge, Skill Area generated by each specialty as part of the ongoing assessment of the value of the MCP.

Performance measures for the project period include:

Clinical Workload data for participating military providers that include (or allow calculation) of Med-JKSAs

Post-Award Requirements Please note, after the awardee is chosen, they will be required to submit a detailed work plan that explains exactly how they will achieve their commitments. In order to expedite the funding process, the award itself will be based on largely the applicant’s commitment to attaining levels of readiness.

Review and Selection Process An objective review panel will evaluate applications that pass the screening criteria. The review panel will be comprised of reviewers who are experts in their field and may be drawn from academic institutions, non-profit organizations, state and local government, and federal government agencies. Based on the application review criteria, the reviewers will comment on and score the applications, focusing their comments and scoring decisions on the identified criteria.

Final award decisions will be made by ASPR. In making these decisions, ASPR will take into consideration: recommendations of the review panel; reviews for programmatic and grants management compliance; the reasonableness of the estimated cost to the government considering the available funding and anticipated results; and the likelihood that the proposed project will result in the benefits expected.

VI: AWARD ADMINISTRATION INFORMATION

Award Notices The Notice of Award is the authorizing document from the ASPR authorizing official, the Division of Contracting and Grants, and the Division of Finance. The Notice of Award will be sent electronically upon successful review of the application. The Notice of Award sets forth the amount of funds granted, the terms and conditions of the award, the effective date of the award, the budget period for which initial support will be given, the non-federal share to be provided (if applicable), and the total project period for which support is contemplated.

Each applicant will receive written notification of the outcome of the objective review process, including a summary of the expert committee’s assessment of the application’s strengths and weaknesses, and whether the application was selected for funding. Applicants who are selected for funding may be required to respond in a satisfactory manner to conditions placed on their application before funding can proceed. Letters of notification do not provide authorization to begin performance.

Administrative and National Policy Requirements The award is subject to HHS Administrative Requirements, which can be found in 45 CFR 75 and the Standard Terms and Conditions implemented through the HHS Grants Policy Statement located at https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html. References in the HHS Grants Policy Statement to 45 CFR part 74 or 45 CFR part 92 have been superseded by 45 CFR 75.

Non-Discrimination Requirements Should you successfully compete for an award, recipients of federal financial assistance (FFA) from HHS must administer their programs in compliance with federal civil rights laws that prohibit discrimination on the basis of race, color, national origin, disability, age and, in some circumstances, religion, conscience, and sex (including gender identity, sexual orientation, and pregnancy). This includes ensuring programs are accessible to persons with limited English proficiency and persons with disabilities. The HHS Office for Civil Rights provides guidance on complying with civil rights laws enforced by HHS. See https://www.hhs.gov/civil-rights/for-providers/provider-obligations/index.html and https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html.

· Recipients of FFA must ensure that their programs are accessible to persons with limited English proficiency. For guidance on meeting your legal obligation to take reasonable steps to ensure meaningful access to your programs or activities by limited English proficient individuals. See https://www.hhs.gov/civil-rights/for-individuals/special-topics/limited-english-proficiency/fact-sheet-guidance/index.html and https://www.lep.gov.

· For information on your specific legal obligations for serving qualified individuals with disabilities, including reasonable modifications and making services accessible to them, see http://www.hhs.gov/ocr/civilrights/understanding/disability/index.html.

· HHS funded health and education programs must be administered in an environment free of sexual harassment, see https://www.hhs.gov/civil-rights/for-individuals/sex-discrimination/index.html.

· For guidance on administering your program in compliance with applicable federal religious nondiscrimination laws and applicable federal conscience protection and associated anti-discrimination laws, see https://www.hhs.gov/conscience/conscience-protections/index.html and https://www.hhs.gov/conscience/religious-freedom/index.html.

System for Award Management (SAM) Reporting A term may be added to the Notice of Award that states: “In accordance with the regulatory requirements provided at 45 CFR 75.113 and Appendix XII to 45 CFR Part 75, recipients that have currently active federal grants, cooperative agreements, and Procurement contracts with cumulative total value greater than $10,000,000, must report and maintain information in the System for Award Management (SAM) about civil, criminal, and administrative proceedings in connection with the award or Performance of a federal award that reached final disposition within the most recent five-year period. The recipient also must make semiannual disclosures regarding such proceedings. Proceedings information will be made publicly available in the designated integrity and performance system (currently the Federal Awardee Performance and Integrity Information System (FAPIIS)). Full reporting requirements and procedures are found in Appendix XII to 45 CFR Part 75.”

Drug-Free Workplace A term may be added to the Notice of Award that states: “You as the recipient must comply with drug-free workplace requirements in Subpart B (or Subpart C, if the recipient is an individual) of part 382, which adopts the Government-wide implementation (2 CFR part 182) of section 5152-5158 of the Drug-Free Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D; 41 U.S.C. 701-707).”

Smoke- and Tobacco-free Workplace The HHS/ASPR strongly encourages all grant recipients to provide a smoke-free workplace and to promote the non-use of all tobacco products. This is consistent with the HHS/ASPR mission to protect and advance the physical and mental health of the American people.

NOTE: The signature of the AOR on the application serves as the required certification of compliance for your organization regarding the administrative and national policy requirements.

Temporary Reassignment of State and Local Personnel during a Public Health Emergency Section 319(e) of the Public Health Service (PHS) Act provides the Secretary of the Department of Health and Human Services (HHS) with discretion upon request by a state or tribal organization to authorize the temporary reassignment of state, tribal, and local personnel during a declared federal public health emergency. The temporary reassignment provision is applicable to state, tribal, and local public health department or agency personnel whose positions are funded, in full or part, under PHS programs and allows such personnel to immediately respond to the public health emergency in the affected jurisdiction. Funds provided under the award may be used to support personnel who are temporarily reassigned in accordance with section 319(e). Please reference detailed information available on the ASPR website via http://www.phe.gov/Preparedness/legal/pahpa/section201/Pages/default.aspx ASPR Public Access Policy The ASPR Public Access Policy requires all researchers receiving ASPR grants, cooperative agreements, or fixed amount awards to develop data management plans describing how they will provide for the long- term preservation of, and access to, scientific data in digital format. This ASPR Public Access Policy applies to any manuscript that is peer-reviewed and arises from any direct funding from an ASPR grant, cooperative agreement or fixed amount award awarded in FY16 or beyond. This policy ensures that the public has access to the published results of ASPR funded grants, cooperative and fixed amount awards at the NIH NLM PubMed Central (PMC), a free digital archive of full-text biomedical and life sciences journal literature (http://www.pubmedcentral.nih.gov/). Under the policy ASPR-funded investigators are required by Federal law to submit (or have submitted for them) to PMC an electronic version of the final, peer-reviewed manuscript upon acceptance for publication, to be made publicly available no later than 12 months after the official date of publication. On February 22, 2013, the White House Office of Science and Technology Policy (OSTP) released the memorandum entitled, Increasing Access to the Results of Federally Funded Scientific Research, which requires federal agencies to make the results of federally funded scientific research available to and useful for the public, industry, and the scientific community.

This document establishes a governing policy to enable public access to digitally formatted scientific data created with ASPR funds.

Publications Manuscripts resulting from funded work must be submitted directly to the NIH Manuscript Submission System (NIHMS) http://www.nihms.nih.gov/. At the time of submission, the submitting author must specify the date the final manuscript will be publicly accessible through PubMed Central (PMC). Authors may own the original copyrights to materials they write and should work with the prospective publisher as necessary before any rights are transferred to ensure that all conditions of the ASPR Public Access Policy can be met. Authors should avoid signing any agreements with publishers that do not allow the author to comply with the ASPR Public Access Policy. The author's final peer-reviewed manuscript is defined as the final version accepted for journal publication arising from funds awarded in or after FY16 and includes all modifications from the publishing peer review process, and all graphics and supplemental material associated with the article. Institutions and investigators are responsible for ensuring that any publishing or copyright agreements concerning submitted articles reserve adequate right to fully comply with this policy. Applicants citing articles in ASPR applications, proposals, and progress reports that fall under the policy, were authored or co-authored by the applicant and arose from ASPR support must include the PMCID or NIHMS ID. The NIHMSID may be used to indicate compliance with the ASPR’s Public Access Policy in applications and progress reports for up to three months after a paper is published. After that period, a PMCID must be provided to demonstrate compliance.

Digital Data ASPR-supported researchers must publish digital scientific data sets resulting from projects meeting the scope criteria above in a recognized scientific data repository capable of long-term preservation of the data and open access to the public within a proscribed time period of 30 months from the creation of the data set (if the data set has not been used in a peer-reviewed publication) or upon publication of a peer- reviewed publication based on the data set, whichever is sooner, unless this requirement has been waived in the approved data management plan. ASPR will recognize intellectual property rights as appropriate, consistent with regulations and program policies, including considerations for intellectual property based on the type of data subject to those policies (e.g., varied embargo dates, conditions for delaying data release). For the purpose of this plan, proprietary interests include receiving appropriate credit for scientific work. If the outcomes of the research result in inventions, the provisions of the Bayh-Dole Act of 1980, as implemented in 37 CFR Part 401, apply.

Acknowledgement ASPR Public Access Policy requires, all recipient publications, including: research publications press releases other publications or documents about research that is funded by ASPR must include the following two statements:

A specific acknowledgment of ASPR grant support, such as: "Research reported in this [publication/press release] was supported by [name of the program office(s), or other ASPR offices] the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response under award number [specific ASPR grant number(s)].” A disclaimer that says: "The content is solely the responsibility of the authors and does not necessarily represent the official views of the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response."

Trafficking in Persons Awards issued under this Notice of Funding Opportunity are subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. 7104). For the full text of the award term, go to http://www.hhs.gov/opa/grants/trafficking_in_persons_award_condition.html. If you are unable to access this link, please contact the Grants Management Officer identified in this Notice of Funding Opportunity to obtain a copy of the term.

Reporting Applicants funded under this announcement will be required to electronically submit a semi-annual program progress report and Federal Financial Report (FFR) SF-425. In addition, applicants must submit an annual end-of-year program progress report and annual end-of-year Federal Financial Report, both due 90 days after each 12-month budget period ends. Recipients will receive instructions for both reports with their Notice of Award. Final performance and financial reports are due 90 days after the end of the project period.