Arra-survey And Certification Ambulatory Surgical Center Healthcare-associated Infection (asc-hai) Prevention Initiative

 

(a) Improve State Agency inspection capability and frequency for onsite surveys of Ambulatory Surgical Centers nationwide;
(b) Use a new infection control survey tool developed by the Centers for Disease Control and Prevention and CMS;
(c) Improve the survey process through the use of a CMS tracer methodology; and
(d) Use multi-person teams for ASCs over a certain size or complexity.

Deleted 02/05/2016 (Archived.) 93.720 Agency: Department of Health and Human Services
Office: Centers for Medicare and Medicaid Services Project Grants Not Applicable. American Recovery and Reinvestment Act of 2009 (Recovery Act), Section 1864 of the Social Security Act. See Index. See Index. No Credentials or documentation are required. This program is excluded from coverage under OMB Circular No. A-87. Any questions about the Recovery Act ASC HAI Initiative or the application process should be directed to Angela Mason-Elbert at 410-786-8279. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372. This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. Memorandum S&C-09-43 outlined the Recovery Act ASC-HAI initiative application process. States must submit projected plans and costs eligible for Recovery Act funding. The plans must include the following:

• Identifying information
• Staffing plan
• Capability Expansion and Hiring Plan
• Training Plan
• Survey Plan
• Barriers and Prospective Solutions
• Budget Estimate
All plans must meet the minimum requirements. Plans will be reviewed and grants awarded based on the amount of funding available. Jun 30, 2009 to Aug 30, 2009 Submission of Plan for FY 2009 funding: June 30, 2009
Selection of States for FY 2009 Implementation: July 2009
Notice to States of FY 2009 Approval & Funding Levels: July 2009
Start Implementation in FY 2009 for Volunteer States: July 2009
Submission of Plan for FY 2010 funding: August 30, 2009
Notice to States of FY 2010 Approval & Funding Levels: September 2009. Not Applicable. Not Applicable. Not Applicable. All acceptable proposals will be funded. To the extent that proposals exceed available funds, the funds will be pro-rated downward, beginning with those States that propose to survey more than 33% of non-deemed ASCs. States will use the funding to conduct additional ASC surveys, save and/or create jobs directly within the State Agency; contract with experienced surveyors who will be trained in the new ASC survey process, enlist the services of State physicians or certified infection control specialists who will accompany surveyors on several of their initial surveys conducted under the new survey process. Funding may not be used to offset costs that are funded through CMS’ regular survey and certification budget. All State Agencies must be able to track and report ASC-HAI project activities, program participant data, and spending separate from other survey and certification activities. Reporting requirements include quarterly reports, annual reporting, and close-out reporting. State Agencies are responsible for furnishing data on the number of jobs created or saved.

CMS will produce quarterly reports on what work has been completed, including milestones such as training, outreach efforts, and allotments to State Agencies. CMS will also issue an evaluative report on the new ASC survey process. This report will include State Agency input on the value from the enhanced survey infection control tool and other important aspects of the new survey process. No cash reports are required. No progress reports are required. No expenditure reports are required. Based on State agency input into Survey and Certification databases CMS will capture output and outcome measures such as training of surveyors and an increase of ASC surveys performed. In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. Recipients must follow the Administrative requirements for record keeping as listed in A-102. This program has no statutory formula.
This program has no matching requirements. There is no match requirement for States for the Recovery Act ASC-HAI Initiative. Additionally, cost-sharing does not apply insofar as it pertains to the add-ons to the survey process that are occasioned by the Recovery Act.
MOE requirements are not applicable to this program. Funding is available over two years. Method of awarding/releasing assistance: lump sum. See Regional Agency Offices. Angela Mason-Elbert, angela.mason-elbert@cms.hhs.gov - (410) 786-8279
Marilyn Dahl, Marilyn.dahl@cms.hhs.gov - (410) 786-8665. Angela Mason-Elbert, 7500 Security Boulevard , Baltimore, Maryland 21207 Email: angela.mason-elbert@cms.hhs.gov Phone: (410) 786-8279. http://www.cms.hhs.gov 75-0518-0-1-551. (Formula Grants (Apportionments)) FY 13 $0; FY 14 est $0; and FY 15 est $0 FY 09: (12 States participating in pilot program); Range for 12 States is from $11,500-$125,000: and an average of $61,163; FY 10: Range of 43 States pariticpating $17,262 - $1,365,979; and an average of $190,715. Grants Administration policies (45 CFR 74 and 92) and application kits may be obtained from the Office of Acquisition and Grants Management, Centers for Medicare and Medicaid Services, Room C2-21-15, Central Building, 7500 Security Boulevard, Baltimore, MD 21244-1850.

The HHS Grants Policy Statement can be found at:

http://www.hhs.gov/grantsnet/docs/HHSGPS_107.doc

The ARRA Award Terms and Conditions can be found at:

http://www.hhs.gov/recovery/grantscontracts/recoverytermsconditions.html
Not Applicable.