HEALTH
RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND
HUMAN SERVICES
AUTHORIZATION:
Public
Health Service Act, Title VII, Section 755(b)(3), 42 U.S.C. 294e,
as amended; Health Professions Education Partnerships Act of 1998;
Public Law 105-392.
Grants
are awarded to carry out demonstration projects in which chiropractors
and physicians collaborate to identify and provide effective treatment
for spinal and lower-back conditions. The project requirements include:
(1) The project must address the identification and treatment of
spinal and/or lower-back conditions; (2) the project must be founded
on collaborative efforts between chiropractors and allopathic or
osteopathic physicians; (3) each project must include a strong research
protocol which will result in a significant expansion of documented
research in the area addressed and which is suitable for publication
in referred health professions journals, including research oriented
publications; (4) the project must include an explicit strategy
for case-finding and a strategy for making direct comparisons to
other forms of treatment. The results must be generalizable to patients
cared for in a clinical practice addressing spinal and/or lower-back
conditions; and (5) whenever feasible, minorities and women should
be included in study populations so that research findings can be
of benefit to all persons at risk of the disease, disorder, or condition
under study.
TYPES
OF ASSISTANCE:
Project Grants. Place Cursor Here for Definition
USES
AND USE RESTRICTIONS:
Grant and contract funds
may be used for personnel, equipment, supplies, domestic travel,
consultants and guest lecturers, rental of space, renovations, and
other costs directly related to the project as described in the
approved application. Program funds may not be used for construction
of facilities, acquisition of land, foreign travel, or support of
students, including fellowships, stipends, tuition, fees, or travel
allowances.
ELIGIBILITY REQUIREMENTS:
Applicant Eligibility:
To be eligible for a Chiropractic Demonstration Project, the applicant
shall be: a health professions school, an academic health center,
a State or local government, other appropriate public or private
nonprofit entity, a private nonprofit school, or a college or University
of Chiropractic.
Beneficiary Eligibility:
Health professionals will benefit.
Credentials/Documentation:
Costs will be determined by DHHS Regulations, 45 CFR Part 74,
Subpart Q.
Pre-application
Coordination: This program is excluded from
coverage under E.O. 12372.
Application Procedure:
Application materials are available on the World Wide Web at address:
http://www.hrsa.gov/bhpr/grants.html. This year BHPr has decided
to use Adobe Acrobat to publish the grants documents on the Web
page. In order to download, view and print these documents, you
will need a copy of Adobe Acrobat Reader. This can be obtained
without charge from the Internet by going to the Adobe Web page
("http://www.abode.com") and downloading the version of the Adobe
Acrobat Reader which is appropriate for your operating system,
i.e. Windows, Unix, Macintosh, etc. A set of more detailed instructions
oh how to download and use the Adobe Acrobat Reader can be found
on the BHPr Grants Web page under "notes on this WWW page."
Award Procedure:
Notification is made in writing by a Notice of Grant Award issued
from the Headquarters Office.
Deadlines:
Application deadlines are available on the World Wide Web at address:
http://www.hrsa.gov/bhpr/grants.html.
Range of Approval/Disapproval
Time: From 5 to 6 months from receipt of application.
Appeals:
Appeals are available only to grantees.
Renewals:
At the end of the initial project period, competing continuation
applications may be submitted for up to three years of support.
ASSISTANCE CONSIDERATIONS:
Formula and Matching
Requirements: None.
Length and Time Phasing
of Assistance: Project periods are for 3 years.
POST ASSISTANCE REQUIREMENTS:
Reports:
A uniform progress report must be submitted annually. Financial
status reports are required within 90 days after the end of each
budget period. A final progress report and financial status report
must be submitted within 90 days after the end of the project period.
Audits:
In accordance with the provisions of OMB Circular No. A-133, (Revised,
June 24, 1997), "Audits of States, Local Governments, and Non-Profit
Organizations," nonfederal entities that expend financial assistance
of $300,000 or more in Federal awards will have a single or a
program-specific audit conducted for that year. Nonfederal entities
that expend less than $300,000 a year in Federal awards are exempt
from Federal audit requirements for the year, except as noted
in Circular No. A-133.
Records:
Financial records must be kept available for 3 years after the
submission of expenditure report, and 3 years after the final
disposition of non-expendable property. If questions remain, such
as those raised as a result of an audit, records must be retained
until the problem is resolved.
FINANCIAL INFORMATION:
Account Identification:
75-0350-0-1-550.
Obligations:
FY 01 $1,493,961; FY 02 est $1,391,207; and FY 03 est $0.
Range
and Average of Financial Assistance:
From $316,568 to $450,156; Average: $373,490.
In fiscal year 2001, 1
new award and 3 continuation awards were made. In fiscal year 2002,
it is estimated that 4 continuations will be awarded. No awards
are anticipated for fiscal year 2003.
REGULATIONS, GUIDELINES, AND
LITERATURE:
Pertinent information
may be obtained by contacting the Bureau of Health Professions Grants
Office, Grants Management Branch, Room 8C-26, 5600 Fishers Lane,
Rockville, MD. Telephone number (301) 443-6960.
INFORMATION CONTACTS:
Regional or Local
Office: None.
Headquarters Office:
Program Contact: Jennifer Hannah, Division of State, Community
and Public Health, Bureau of Health Professions, Health Resources
and Services Administration, PHS, Parklawn Building, 5600 Fishers
Lane, Rockville, MD 20857. Telephone: (301) 443-0908. Grants Management
Contact: Mark Wheeler, Grants Management Officer, Bureau of Health
Professions, Health Resources and Services Administration, PHS,
Room 8C-26, Parklawn Building, 5600 Fishers Lane, Rockville, MD
20857. Telephone: (301) 443-6880.
Web Site Address: http://bhpr.hrsa.gov/interdisciplinary/chiro.html
EXAMPLES OF FUNDED PROJECTS:
Funded projects include
research projects including multidisciplinary evaluation of treatment
outcomes by medical doctors and chiropractors; and assessment of
multiple alternative approaches to the treatment of subacute low-back
pain; and flexion distraction manipulation.
CRITERIA FOR SELECTING PROPOSALS:
The major elements to
be evaluated in determining the quality of each proposal include
the following: (1) The documented strength of the rationale for
the project; (2) the quality and clarity of the objectives to be
achieved in relation to the stated statutory purposes of the program
and the potential of the project for meeting them; (3) the documented
strength of the applicant's institutional background in chiropractic
research; (4) the documented competency of all personnel, both chiropractic
and allopathic or osteopathic medicine, to be involved in the project,
including past experience in chiropractic and/or chiropractic research
and allopathic or osteopathic research; (5) the proposed research
methodology to be used in carrying out the goals and objectives
of the project, including those pertaining to the documentation
of research outcomes; (6) the documentation and appropriateness
of timelines to be used in achieving the project's goals and objectives;
(7) the strength of the proposed evaluation methodology to be used
in evaluating the accomplishments of the project, including those
pertinent to research; (8) the strength of the documentation, including
letters of support, of the applicant's institutional commitment
to carrying out the project successfully and the institutional commitment
of collaborators in the project; (9) the documented suitability
and availability of all proposed facilities and resources to be
used in carrying out the project; (10) the appropriateness of the
proposed budget and fiscal plan for carrying out the project and
the administrative and management capability of the applicant to
implement the project in a cost-effective manner; and (11) the formal
documentation, terms, and specificity of a formal agreement with
an institution for its collaboration in carrying out the goals,
objectives, and evaluation of the project. All funded projects will
be among chiropractors, (1) Two to three chiropractors, (2) one
or more allopathic or osteopathic physicians, and (3) other experts
determined to be pertinent to the evaluation of proposals for this
program.
