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

3.2.4 Definition of Promising 

HHS intends that for a project to be 

considered promising, the following 

conditions must be met: 

• One study of a project must meet 

evidence standards. 

• That study must find only favorable 

or null impacts within a given outcome 

domain. Thus no studies that meet 

evidence standards for an outcome 

domain can show an unfavorable impact 

within the domain. 

Æ If the review examines more than 

one measure to identify impacts on a 

particular domain (e.g., Unemployment 

Insurance data and participant survey 

data), as long as one measure (among 

those selected according to 3.2.2.3 

above) finds favorable impacts for that 

outcome, the intervention can receive a 

Promising rating for that outcome. 

• Projects that have both favorable 

and unfavorable impacts in a given 

domain will be categorized as mixed. 

3.2.5 Definition of Ineffective 

HHS intends that for a project to be 

considered ineffective, the following 

conditions must be met: 

• One or more studies of a project 

must meet evidence standards. 

• There must be only findings of 

unfavorable or null effects in a given 

domain. 

• For studies finding null effect in a 

given domain, the review will include a 

measure of statistical precision—so that 

small, under-powered studies do not 

drive the effectiveness rating. If an 

intervention has been evaluated using 

only small studies, a lack of detectable 

effects could reflect either 

ineffectiveness of the intervention or the 

lack of statistical power to detect effects. 

It would be misleading to characterize 

this latter scenario as an ineffective 

project. 

3.2.6 Definition of Developmental 

HHS intends that for a project to be 

considered developmental, the 

following conditions must be met: 

• There must be at least one current, 

ongoing evaluation of the project that 

uses a study design that meets evidence 

standards but has not yet produced 

impact findings. 

3.2.7 Additional Category of Mixed 

and Definition of Mixed 

HHS intends that there be an 

additional category for categorizing 

evidence of effectiveness called mixed. 

HHS proposes that for a project to be 

considered mixed, the following 

conditions must be met: 

• One or more studies of a project 

must meet evidence standards. 

• The studies find both favorable and 

unfavorable impact estimates within the 

same domain. 

3.2.8 HHS intends that narrative 

descriptions of rated projects, narrative 

descriptions of approaches, and 

information on case studies be provided 

to users of the Clearinghouse to 

facilitate a fuller understanding of the 

field of welfare-to-work interventions. 

4.0 Submission of Comments 

Comments may be submitted until 

August 5, 2018 by email to 

OPREinfocollection@acf.hhs.gov. 

Naomi Goldstein, 

Deputy Assistant Secretary for Planning, 

Research, and Evaluation. 

[FR Doc. 2018–12160 Filed 6–5–18; 8:45 am] 

BILLING CODE 4184–09–P 

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. 

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=8d869eff0bca-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 


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