Opportunity Information: Apply for DTNH22 13 R 00705

  • The DOT/National Highway Traffic Safety Administration in the health sector is offering a public funding opportunity titled "National Prehospital Evidence Based Guidelines Strategy" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 20.614 National Highway Traffic Safety Administration (NHTSA) Discretionary Safety Grants.
  • This funding opportunity was created on Jun 17, 2013 and posted on Apr 17, 2013.
  • Applicants must submit their applications by Jun 20, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $90,000.00 in funding.
  • Eligible applicants include: Private institutions of higher education Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education Small businesses Public and State controlled institutions of higher education Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education For profit organizations other than small businesses.
Apply for DTNH22 13 R 00705

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Opportunity Summary:

The National Prehospital Evidence Based Guidelines Strategy opportunity (Funding Opportunity Number DTNH22 13 R 00705) is a National Highway Traffic Safety Administration (NHTSA) cooperative agreement designed to improve the consistency and quality of emergency medical services (EMS) care delivered before a patient reaches the hospital. The central problem it targets is that many local EMS protocols have historically been built from customary practice and the preferences of individual medical directors, which can lead to neighboring jurisdictions using different treatments for the same clinical problems even when they serve similar communities. Because variation in clinical practice can translate into variation in patient outcomes, NHTSA is emphasizing the value of protocols grounded in systematic reviews of scientific evidence, not just local tradition or individual judgment, especially for patients injured in motor vehicle crashes and people experiencing other medical emergencies.

This grant builds on earlier national work led by the Federal Interagency Committee on EMS (FICEMS) and the National EMS Advisory Council (NEMSAC), which in 2008 helped establish a National Prehospital Evidence Based Guideline (EBG) Model Process with NHTSA support. That model process has already been used to produce guidelines in areas such as pediatric seizures, prehospital pain management, and decisions about air ambulance transport for trauma patients. The model process is described as multidisciplinary and systems-oriented, meaning it relies on collaboration across EMS professionals, emergency physicians, and other clinical and operational stakeholders rather than being driven by a single organization or specialty.

Under this opportunity, NHTSA intends to fund a grantee that already has expertise in evidence-based medicine and prehospital medical direction to create a sustainable National Prehospital EBG Implementation Strategy. The deliverable is essentially a written national roadmap that lays out practical, financially sustainable action steps for promoting, developing, disseminating, and implementing evidence-based prehospital clinical guidelines across the United States. NHTSA expects the final strategy to be publicly posted on the grantee’s website for broad use by the EMS community, and indicates it will provide technical support during early phases of the work. A key expectation is that the grantee will not work in isolation; it must identify and collaborate with a wide range of EMS stakeholder organizations whose missions already align with improving prehospital clinical care, and then use that collaboration to increase buy-in and shared ownership of the national approach.

The project’s goals and objectives focus on coordination and long-term uptake rather than writing a single guideline. Specifically, the strategy is supposed to (1) identify state, national, tribal, and local stakeholder organizations involved in improving prehospital care; (2) establish ways for the grantee to build and sustain working relationships among those organizations so they actively participate in creating the strategy; (3) outline methods to expand research opportunities that support EBG development and create more venues to present EMS research findings to different audiences; (4) increase interest and engagement in EBG development among emergency physicians, frontline prehospital providers, and EMS leaders; (5) map out pathways for integrating newly developed EBGs into EMS education standards, continuing competency training, and the creation of practical teaching and training tools for educators and EMS agencies; and (6) promote dissemination and implementation steps, including actions like submitting guidelines to the National Guideline Clearinghouse.

Administratively, this was announced as a pre-solicitation synopsis with a notice date of April 15, 2013, and a response due date of June 20, 2013, with the solicitation posted around April 15, 2013 on grants.gov (paper copies not provided). The period of performance is 24 months from the date of award, meaning all work under the cooperative agreement must be completed within two years. The anticipated award date was expected on or before September 30, 2013. The expected funding range listed an award floor of $75,000 and an award ceiling of $90,000, with no cost-sharing or matching requirement.

Eligibility is broad and includes public and state-controlled institutions of higher education, private institutions of higher education, nonprofit organizations (including 501(c)(3) and certain non-501(c)(3) nonprofits), small businesses, and for-profit organizations other than small businesses. The funding instrument is a cooperative agreement, which typically signals ongoing federal involvement or collaboration rather than a hands-off grant. The sponsoring agency is the U.S. Department of Transportation, NHTSA, and the contracting office address is 1200 New Jersey Avenue SE, Washington, DC 20590. The synopsis also provides a point of contact for access issues with the full announcement through NHTSA’s Office of Acquisition Management.

Frequently Asked Questions (FAQs)

What is the National Prehospital Evidence Based Guidelines Strategy opportunity?

It is a National Highway Traffic Safety Administration (NHTSA) cooperative agreement (Funding Opportunity Number DTNH22 13 R 00705) focused on improving the consistency and quality of emergency medical services (EMS) care delivered before a patient reaches the hospital by promoting evidence-based prehospital clinical guidelines.

What problem is this opportunity trying to solve?

It targets wide variation in local EMS protocols, which have often been built around customary practice and individual medical director preferences. That variation can mean neighboring jurisdictions treat the same clinical problems differently, and differences in clinical practice can translate into differences in patient outcomes.

Why is NHTSA emphasizing evidence-based guidelines for EMS?

NHTSA is emphasizing protocols grounded in systematic reviews of scientific evidence rather than local tradition or individual judgment, particularly for patients injured in motor vehicle crashes and for people experiencing other medical emergencies.

Is this funding meant to create a single new EMS guideline?

No. The focus is on coordination and long-term uptake: creating a sustainable National Prehospital Evidence Based Guideline (EBG) Implementation Strategy (a national roadmap), rather than writing one specific guideline.

What is the main deliverable under this cooperative agreement?

The main deliverable is a written National Prehospital EBG Implementation Strategy: a practical, financially sustainable national roadmap describing action steps to promote, develop, disseminate, and implement evidence-based prehospital clinical guidelines across the United States.

What does NHTSA expect the grantee to do with the final strategy document?

NHTSA expects the final strategy to be publicly posted on the grantee's website so it can be broadly used by the EMS community.

What kind of organization is NHTSA looking to fund?

NHTSA intends to fund a grantee that already has expertise in evidence-based medicine and prehospital medical direction and can create a sustainable, national implementation strategy.

Does the grantee work independently, or is collaboration required?

Collaboration is a key expectation. The grantee is expected to identify and work with a wide range of EMS stakeholder organizations whose missions align with improving prehospital clinical care, with the goal of increasing buy-in and shared ownership of the national approach.

What prior national efforts does this opportunity build on?

It builds on work led by the Federal Interagency Committee on EMS (FICEMS) and the National EMS Advisory Council (NEMSAC), which helped establish the National Prehospital EBG Model Process in 2008 with NHTSA support.

What is the National Prehospital EBG Model Process described as?

It is described as multidisciplinary and systems-oriented, relying on collaboration among EMS professionals, emergency physicians, and other clinical and operational stakeholders rather than being driven by a single organization or specialty.

What are examples of guideline topic areas previously produced using the model process?

The model process has been used to produce guidelines in areas such as pediatric seizures, prehospital pain management, and decisions about air ambulance transport for trauma patients.

What are the major goals or objectives the strategy is expected to address?

The strategy is expected to address: identifying stakeholder organizations involved in improving prehospital care; establishing and sustaining working relationships so stakeholders actively participate; expanding research opportunities and venues for presenting EMS research; increasing interest and engagement in EBG development among emergency physicians, frontline providers, and EMS leaders; integrating EBGs into EMS education standards and continuing competency training and creating practical teaching tools; and promoting dissemination and implementation steps, including submission to the National Guideline Clearinghouse.

Which stakeholder groups should be identified as part of the strategy?

The strategy is intended to identify state, national, tribal, and local stakeholder organizations involved in improving prehospital clinical care.

How does the opportunity address EMS research?

The strategy is expected to outline methods to expand research opportunities that support EBG development and to create additional venues to present EMS research findings to different audiences.

Who is the strategy supposed to engage within the EMS and clinical community?

It is intended to increase interest and engagement in EBG development among emergency physicians, frontline prehospital providers, and EMS leaders.

How should new evidence-based guidelines be connected to training and education?

The strategy is expected to map pathways to integrate newly developed EBGs into EMS education standards, continuing competency training, and the development of practical teaching and training tools for educators and EMS agencies.

What dissemination or implementation actions are specifically mentioned?

The opportunity mentions dissemination and implementation steps, including actions such as submitting guidelines to the National Guideline Clearinghouse.

What type of funding instrument is this?

The funding instrument is a cooperative agreement, which typically indicates ongoing federal involvement or collaboration rather than a fully hands-off grant.

Will NHTSA provide any support during the project?

Yes. NHTSA indicates it will provide technical support during early phases of the work.

What is the period of performance for the award?

The period of performance is 24 months from the date of award, meaning all work under the cooperative agreement must be completed within two years.

What is the anticipated award date?

The anticipated award date was expected on or before September 30, 2013.

What is the expected funding range for this opportunity?

The opportunity lists an award floor of $75,000 and an award ceiling of $90,000.

Is cost sharing or matching required?

No. The synopsis states there is no cost-sharing or matching requirement.

Who is eligible to apply?

Eligibility includes public and state-controlled institutions of higher education, private institutions of higher education, nonprofit organizations (including 501(c)(3) and certain non-501(c)(3) nonprofits), small businesses, and for-profit organizations other than small businesses.

Which federal agency is sponsoring this opportunity?

The sponsoring agency is the U.S. Department of Transportation, National Highway Traffic Safety Administration (NHTSA).

What is the notice date and response due date listed in the synopsis?

The pre-solicitation synopsis lists a notice date of April 15, 2013 and a response due date of June 20, 2013.

Where was the solicitation expected to be posted, and are paper copies available?

The synopsis indicates the solicitation was posted around April 15, 2013 on grants.gov, and that paper copies were not provided.

What is the contracting office address provided?

The contracting office address is 1200 New Jersey Avenue SE, Washington, DC 20590.

Who is the point of contact for access issues with the full announcement?

The synopsis notes a point of contact through NHTSA's Office of Acquisition Management for access issues with the full announcement.

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