2978 Federal Register / Vol. 60, No. 8 / Thursday, January 12, 1995 / Notices

Indicator 5—Anticipated Problems—10

points

Project plan defines the problems

anticipated in implementing the project

and the proposed approaches to

resolving such problems as may arise.

Indicator 6—Institutional

Collaboration—15 points

Project plan includes documentation

of the support of individuals or

organizations who will collaborate in

implementation of this proposed

project. Letters of support for the project

from the institution, department,

faculty, etc., are included. For Faculty

Development projects, letters from

potential/actual trainees are included.

Indicator 7—Trainee Grid—10 points

Except for Departments of Family

Medicine, project plan includes a

‘‘trainee grid’’ that defines the type of

individuals being trained, how many

will be trained, and when they will be

trained.

For General Internal Medicine and

General Pediatrics Residencies, the grid

should also reflect actual and projected

numbers of primary care and traditional

residents.

Criterion 3: Economic Viability—The

Potential of the Project to Continue on

a Self-Sustaining Basis After the Period

of the Project Grant

Indicator 1—Continuation Support—10

points

Proposed projects demonstrate how

their support will be continued after

cessation of Federal funding. If other

projects have been funded under this

grant program within the past five years,

a financial report discusses how

terminated Federal funds have been

replaced.

Indicator 2—Non-Federal Support—10

points

Financial and in-kind support is or

will be provided by state or local

government, institution, medical school,

department, patient fees, or other

private funding sources to supplement

the Federal grant.

Criterion 4: Degree to Which the

Proposed Project Adequately Provides

for the Project Requirements

(These indicators (project

requirements) have been established in

42 CFR part 57, subparts Q, R, and FF

and are summarized below.)

Establishing Departments of Family

Medicine

Indicator 1—Project Director—10 Points

Indicator 2—Administrative

Autonomy—15 points

Indicator 3—Control Over Residency

Program—10 points

Indicator 4—Evaluation Plans—10

points

Indicator 5—Family Medicine

Instruction—10 points

Indicator 6—Full-Time Faculty—10

points

Indicator 7—Academic Status—10

points

Family Medicine Residencies

Indicator 1—Accreditation Status—40

points

Proposal includes a letter of

accreditation from the ACGME/RRC or a

letter of approval from the AOA

verifying that the residency meets all

requirements. All such projects are

considered to have satisfied the Project

Requirements. To the extent that

problems are noted by the accrediting

body, the project plan addresses the

problems and has a plausible plan for

their correction. New programs which

have not yet been accredited must meet

the project requirements specified in

regulations at 42 CFR 57.1604.

Family Medicine Faculty Development

Indicator 1—Project Director—10 points

Indicator 2—Administrative &

Organizational Plan—10 points

Indicator 3—Evaluation Plans—10

points

Indicator 4—Curriculum—25 points

Indicator 5—Eligible Trainees—10

points

Indicator 6—Number of Trainees—0

points

Indicator 7—Length of Training—0

points

Indicator 8—Trainee Support—0 points

Family Medicine Predoctoral Training

Indicator 1—Project Director—10 points

Indicator 2—Administrative &

Organizational Plan—10 points

Indicator 3—Evaluation Plans—10

points

Indicator 4—Ambulatory Care Training

Settings—20 points

Indicator 5—Curriculum—10 points

Indicator 6—Sponsoring Unit—10

points

Indicator 7—Institutional Strategy—10

points

General Internal Medicine and General

Pediatrics Residencies

Indicator 1—Project Director—10 points

Indicator 2—Administrative &

Organizational Plan—10 points

Indicator 3—Curriculum Development

and Evaluation Coordinator—10

points

Indicator 4—Faculty and Training

Personnel—10 points

Indicator 5—Behavioral Science

Faculty—10 points

Indicator 6—Resident Recruitment and

Selection—10 points

Indicator 7—Requirement for Stipend

Support—0 points

Indicator 8—Number and Distribution

of Residents—10 points

Indicator 9—Ambulatory Care Training

Setting—10 points

Indicator 10—Continuity of Care

Experience—0 points

Indicator 11—Other Ambulatory Patient

Care Experiences—10 points

Indicator 12—Curriculum Content and

Evaluation of Educational Offerings—

20 points

Indicator 13—Evaluation of Residents—

10 points

General Internal Medicine and General

Pediatrics Faculty Development

Indicator 1—Project Director—10 points

Indicator 2—Administrative &

Organizational Plan—10 points

Indicator 3—Curriculum—25 points

Indicator 4—Evaluation Plans—10

points

Indicator 5—Eligible Trainees—10

points

Indicator 6—Eligibility for Trainee

Stipend Support—0 points

Indicator 7—Length of Training for

Stipend Support—0 points

If additional information is needed,

please contact: Enrique Fernandez,

M.D., Division of Medicine, Bureau of

Health Professions, Health Resources

and Services Administration, Parklawn

Building, Room 9A–20, 5600 Fishers

Lane, Rockville, Maryland 20857,

Telephone: (301) 443–1467, FAX: (301)

443–8890.

Dated: January 5, 1995.

Ciro V. Sumaya,

Administrator.

[FR Doc. 95–696 Filed 1–11–95; 8:45 am]

BILLING CODE 4160–15–P

Health Resources and Services

Administration

Final Project Requirements and

Review Criteria for Cooperative

Agreements for the National AIDS

Education and Training Centers

Program for FY 1995

The Health Resources and Services

Administration (HRSA) announces the

final project requirements and review

criteria for Cooperative Agreements for

the National AIDS Education and

Training Centers (AETCs) Program for

FY 1995 authorized under section

776(a), title VII of the Public Health

Service (PHS) Act, as amended by the

Health Professions Education Extension

Amendments of 1992, Public Law 102–

408, dated October 13, 1992.
Federal Register / Vol. 60, No. 8 / Thursday, January 12, 1995 / Notices 2979

Eligibility and Purpose

The Secretary may make awards and

enter into contracts to assist public and

nonprofit private entities and schools

and academic health science centers in

meeting the costs of projects.

(1) To train the faculty of schools of,

and graduate departments or programs

of, medicine, nursing, osteopathic

medicine, dentistry, public health,

allied health, and mental health practice

to teach health professions students to

provide for the health care needs of

individuals with HIV disease;

(2) To train practitioners to provide

for the health care needs of such

individuals;

(3) With respect to improving clinical

skills in the diagnosis, treatment, and

prevention of such disease, to educate

and train the health professionals and

clinical staff of schools of medicine,

osteopathic medicine, and dentistry;

and

(4) To develop and disseminate

curricula and resource materials relating

to the care and treatment of individuals

with such disease and the prevention of

the disease among individuals who are

at risk of contracting the disease.

Specifically for the National AETC

Program, these awards will be made as

above and will include communitybased organizations (CBOs) and

community health clinics affiliated with

accredited public and nonprofit private

entities—

1. To train health personnel, focusing

on practitioners in Title XXVI programs

(Ryan White CARE Act), in the

diagnosis, treatment, and prevention of

Human Immunodeficiency Virus (HIV)

infection and disease; and to provide

supplementary and/or complementary

training to the faculty of schools of, and

graduate departments or programs of

medicine, nursing, dentistry, public

health, mental health practice and allied

health personnel;

2. To train and motivate the above

practitioners and other community

providers to care for the health needs of

individuals with HIV disease;

3. To teach health professions

students and residents to provide for the

health care needs of individuals with

HIV disease; and

4. To develop and disseminate to

health providers curricula and resource

materials relating to the care and

treatment of individuals with HIV

disease and the prevention of HIV

among individuals who are at risk of

contracting the disease; and to organize

plans for information dissemination of

HIV-related information.

Project requirements and review

criteria for this program were proposed

for public comment in the Federal

Register on October 27, 1994 at 59 FR

53996. No comments were received

during the 30-day comment period.

Therefore, the project requirements and

review criteria will be retained as

proposed.

Final Project Requirements

The focus in FY 1995 will be on

primary care providers in high HIV/

AIDS prevalence areas, with an

emphasis on living persons infected

with HIV. However, consideration will

be given to rural areas. The project

requirements are designed to direct

Federal resources where the greatest

needs exist. To accomplish this, each

project must define a geographic region

and identify the types of providers to be

targeted for training within that region.

A. Definition of AETCs

All applicants are encouraged to form

AETCs composed of as many states/

territories/commonwealths as can be

managed completely and efficiently.

There are four options for defining an

AETC region. An applicant may

propose, with appropriate

documentation:

1. An AETC composed only of a

single state/territory/commonwealth as

a region if that region contains two or

more Ryan White CARE Act Title I

Eligible Metropolitan Areas (EMAs) or if

the AETC currently is established as a

single state AETC;

2. An AETC composed of multiple,

contiguous states (Hawaii and Alaska

may be included) if it justifies its

boundaries with the inclusion of one

EMA and specific local epidemiological

data equivalent to at least 10,000 living

HIV-infected persons (with a prevalence

of at least 2,500 living AIDS cases and

7,500 other HIV infected persons).

Supporting documentation may include

rates of HIV/AIDS infection, or proxy

indicators such as STD, TB, and

substance abuse, CDC heel stick study

data, teenage pregnancy, etc.;

3. An AETC for rural regions if it

encompasses at least three states with

contiguous boundaries (Hawaii and

Alaska may be included) and contains at

least one EMA, although the prevalence

of living HIV infected persons totals less

than 10,000; or

4. An AETC specifically in the District

of Columbia that either stands alone or

is incorporated in a consortium

arrangement with another AETC.

At least 50 percent of project funds

must be expended for training activities

in high AIDS prevalence areas, i.e.; as

defined as EMAs in the Ryan White

CARE Act, Title I. If this is not done,

appropriate justification from regional

epidemiological data and the needs

assessment must be provided.

B. Performance Expectations

Each AETC must provide or perform

the following. These items are essential

for consideration for this cooperative

agreement.

1. Submission of a coordinated plan,

including a clear statement of resources

available from the region’s EMA(s), for

the network that has been created for

dissemination of state-of-the-art

information to health professions

schools and organizations, HIV care

providers and CBOs, including

organizations of people living with

AIDS (PLWA) in the AETC’s proposed

region; the methodology (e.g., electronic

bulletin boards, print material and

teleconferencing, etc.) should be

described as well as the types of

education materials to be distributed in

concert with other PHS agencies and

health professions’ schools and

organizations.

2. A comprehensive clinical training

plan, of which a minimum of 50 percent

of the Federal funds devoted to training

is directed toward primary care

providers, i.e., physicians, registered

nurses, dentists, physician assistants,

nurses with advanced training (e.g.,

nurse practitioners, clinical nurse

specialists and nurse-midwives) and

dental hygienists.

3. A training plan for other health

professionals including, but not limited

to, mental health care providers, case

managers, substance abuse counselors

and other allied health personnel;

4. Linkages to other organizations in

the following priority order: (a) Ryan

White CARE ACT, Titles I, II, including

Special Programs of National Significant

(SPNS), IIIb and IVd funded health

services-programs, and the Hemophilia

Programs; (b) health professions

schools, academic centers, and national

health professions organizations,

including minority professional groups;

(c) Federally supported substance abuse

programs (e.g., NIDA & SAMHSA) and

community substance abuse programs;

(d) PHS funded Area Health Education

Centers (AHECs), migrant centers (e.g.,

sec. 329(a)(1), community health centers

(e.g., sec. 330(a), and homeless centers

(e.g., sec. 340), mental health providers

(e.g., SAMHSA grantees), Federally

supported STD and prevention activities

(e.g., CDC, etc.), providers in prisons,

family planing programs and HRSA

supported maternal and child health

programs, State and local health

agencies and health care facilities

involved in providing care for HIV

infected individuals in order to fill any

gaps in training; (e) other community
2980 Federal Register / Vol. 60, No. 8 / Thursday, January 12, 1995 / Notices

based HIV-related organizations

(including those formed by PLWA);

AETC projects also are encouraged to

collaborate with (f) national networks of

AIDS clinical trials such as the adult

and pediatric AIDS Clinical Trials

Group (ACTG), the Community

Programs for Clinical Research on AIDS

(CPCRA), AMFAR and the Robert Wood

Johnson Foundation.

5. An updated needs-assessment of

the education and training needs of the

primary care providers within the

proposed service area and which is

based upon epidemiological data for

that service area.

6. A plan for outreach to minorities,

including involvement of minority

providers, providers who serve minority

populations, minority professional

organizations, and minority health care

delivery systems;

7. A plan for program assessment and

data collection on program and trainees

which can be used for regional and

national evaluative purposes; and

8. Plan for non-Federal funding

during the 3-year project period.

Final Review Criteria

Applications will be reviewed and

rated according to the applicant’s ability

to meet the following:

1. The completeness and pertinence

of the needs assessment to the proposed

region and the degree of linkage

between its findings and the plans for

information dissemination and training

for National AETC Program Levels I

through III described in the program

guidelines;

2. The degree of emphasis on linkages

with Ryan White CARE ACT programs

I, II (including Special Programs of

National Significance (SPNS)), IIIb and

IVd, health professions schools and

academic health centers, and other

collaborations as described under

Proposed Project Requirements above;

3. The extent to which the training

plans meet the national priorities

(prevention, substance abuse, cultural

competence, tuberculosis, providers in

prisons, implementation of the PHS

recommendations of protocol, AIDS

Clinical Trials Group (ACTG 076), and

psychosocial issues) of the National

AETC Program;

4. The completeness and

appropriateness of the plan for

information dissemination among key

HIV contacts as defined under Proposed

Project Requirements above;

5. The completeness and

appropriateness of the training plans for

National AETC Program Levels I, II and

III;

6. The organization of the AETC; the

administration and management of the

AETC and its relationship to its

component parts, i.e., Consortia

members and/or subcontractors;

7. The appropriateness of the size and

configuration of the AETC; the

appropriateness and cost-effectiveness

of the budget; the amount of support

contributed by the proposed awardee

institution, including in-kind support;

8. The completeness and

appropriateness of the data management

and evaluation plans; and

9. The potential for the project to

operate on a partially self-sustaining

basis during the 3-year period of

support.

Additional Information

Requests for technical or

programmatic information should be

directed to: Juanita Koziol, RN, MS, CS,

Division of Medicine, Bureau of Health

Professions, Health Resources and

Services Administration, Parklawn

Building, Room 9A–39, 5600 Fishers

Lane, Rockville, MD 20857, Telephone:

(301) 443–6326.

This program is listed at 93.145 in the

Catalog of Federal Domestic Assistance

and is not subject to the provisions of

Executive Order 12372

Intergovernmental Review of Federal

Programs (as implemented through 45

CFR part 100). This program is not

subject to the Public Health System

Reporting Requirements.

Dated: January 5, 1995.

Ciro V. Sumaya,

Administrator.

[FR Doc. 95–697 Filed 1–11–95; 8:45 am]

BILLING CODE 4160–15–P

Advisory Council; Notice of Meetings

In accordance with section 10(a)(2) of

the Federal Advisory Committee Act

(Public Law 92–463), announcement is

made of the following National

Advisory bodies scheduled to meet

during the months of January and

February 1995.

Name: National Advisory Council on the

National Health Service Corps.

Date and Time: January 27–29, 1995.

Place: Terrace Garden Inn-Buckhead, 3405

Lenox Road, NW., Atlanta, Georgia, (404)

261–9250.

The meeting is open to the public.

Purpose: The Council will advise and make

appropriate recommendations on the

National Health Service Corps (NHSC)

program as mandated by legislation. It will

also review and comment on proposed

regulations promulgated by the Secretary

under provision of the legislation.

Agenda: The meeting will begin at 8:00

a.m. on Friday, January 27, and include a

Bureau of Primary Health Care Director’s

update, Regional Office presentations, an

update on the Division of National Health

Service Corps and the Division of

Scholarships and Load Repayments and

presentations on modules developed to assist

community-based systems of care in the

delivery of health care services. On Saturday

at 7:30 for visit to sites in the Atlanta area

and hear from National Health Service Corps

scholar and loan repayment participants. The

Council will continue their business meeting

on Sunday at 8:00 and adjourn at noon.

The meeting is open to the public;

however, no transportation will be provided

to the sites.

Anyone requiring information regarding

the subject Council should contact Ms. Nada

Schnabel, National Advisory Council on the

National Health Service Corps, 8th floor,

4350 East West Highway, Rockville,

Maryland 20857, Telephone (301) 594–4147.

* * * * *

Name: National Advisory Committee on

Rural Health.

Date and Time: February 6–8, 1995; 8:30

a.m.

Place: The Embassy Row Hotel, 2015

Massachusetts Avenue NW., Washington, DC

20036, (202) 328–7526.

The meeting is open to the public.

Purpose: The Committee provides advice

and recommendations to the Secretary with

respect to the delivery, financing, research,

development and administration of health

care services in rural areas.

Agenda: During the Plenary Session, the

Committee is considering a discussion of

managed care and network development in

rural areas.

The Education and Health Services Work

Group and the Health Care Finance Work

Group will meet between plenary sessions on

developing recommendations and strategies

for improving health services delivery in

rural areas. The Education and Health

Services Work Group will address emerging

health service delivery systems and the

impact that they will have on rural and/or

vulnerable populations. This is a long-term

agenda item for the Work Group and will be

addressed over the next couple of years. The

Health Care Financing Work Group will

discuss the interplay between Medicare cuts

and network development in a more

competitive marketplace; and ERISA and

Medicaid waivers. The meeting will adjourn

on Wednesday, February 8, at noon.

Anyone requiring information regarding

the subject Council should contact Dena S.

Puskin, Executive Secretary, National

Advisory Committee on Rural Health, Health

Resources and Services Administration,

Room 9–05, Parklawn Building, 5600 Fishers

Lane, Rockville, Maryland 20857, Telephone

(301) 443–0835, FAX (301) 443–2803.

Persons interested in attending any portion

of the meeting should contact Ms. Arlene

Granderson, Director of Operations, Office of

Rural Health Policy, Health Resources and

Services Administration, Telephone (301)

443–0835.

Agenda Items are subject to change as

priorities dictate.