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The Boston Sustainable Models for unhealthy Alcohol use ReducTion (B SMART) Program

Award Number: NU84DD000002
ORGANIZATION: NATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES (NCBDDD)
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2018
PERIOD OF PERFORMANCE END DATE: 08/29/2023

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The Boston Sustainable Models for unhealthy Alcohol use ReducTion (B SMART) Program - The purpose of the Boston Sustainable Models for unhealthy Alcohol use ReducTion (B SMART) Program is to reduce the number of infants born at risk for Fetal Alcohol Spectrum Disorders (FASD) and reduce unhealthy alcohol use and its associated risks among adults, with a particular focus on women during their reproductive years. We will accomplish this goal by instituting system-level universal screening of patients for the full spectrum of unhealthy alcohol use (i.e., risky use to alcohol use disorders) in outpatient primary care settings. The B SMART Program’s umbrella health system is the Boston HealthNet, a network of clinical sites including Boston Medical Center, the largest safety-net hospital in New England and the leading provider of medical care for Boston’s low-income individuals and families, and 14 community health centers, located in the underserved areas of Boston, that serve minority populations and provide culturally sensitive care. The B SMART Program will aim to achieve the following outcomes within at least 15 Boston HealthNet clinics (including Family Medicine, OB/GYN and Internal Medicine) that serve primary care to women of childbearing years: increase knowledge among healthcare providers and staff about the full spectrum and risks of unhealthy alcohol, about the rationale and effectiveness of screening and brief intervention (SBI) for unhealthy alcohol use, and about the risks of any alcohol use during pregnancy and periconception; increase awareness that healthcare providers can help decrease the risk of Fetal Alcohol Spectrum Disorders (FASD) through alcohol SBI and education of all women of childbearing age; increase access by healthcare providers and their patients to alcohol-related educational resources; increase understanding of the healthcare team member roles in the alcohol SBI process within individual clinic settings and workflow constraints throughout Boston HealthNet; increase uptake and continued use of high quality alcohol SBI throughout specific Boston HealthNet clinics through protocol development and integration into patient workflow and electronic health records; increase the number of healthcare providers competent to deliver alcohol SBI through skills-based training programs focused on screening, assessment and brief intervention using the Brief Negotiated Interview (BNI) and motivational interviewing techniques; and develop a feedback process to give clinical sites reports on the degree, fidelity, and effectiveness of integration of alcohol SBI into their healthcare services. The program aims will be achieved through clinic-specific alcohol SBI protocol development and incorporation into the workflow, electronic health records, healthcare team education and training, and ongoing coaching and technical assistance. Through a robust process and outcome evaluation plan, the B SMART Program will share and disseminate lessons learned from different alcohol SBI models within, and beyond the Boston HealthNet community through a number of scholarly and practice products (i.e., internal meetings, statewide symposia, local/national conference presentations, toolkits/white papers/reports produced, peer-reviewed manuscripts). The dissemination and sustainability of the B SMART Program will be enhanced through our well-established partnership with the MA Department of Public Health, Bureau of Substance Addiction Services. We estimate that 61,500 unique patients will be served over the course of the cooperative agreement.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$2,878 )
2024	2021	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	03	4	1/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$2,878
2024	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	03	4	1/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	03	4	1/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	03	4	1/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$2,878

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	Boston Medical Center Corporation	1 Boston Medical Ctr Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	4	11/19/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	Boston Medical Center Corporation	1 Boston Medical Ctr Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	02	4	6/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	Boston Medical Center Corporation	1 Boston Medical Ctr Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	4	11/19/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	Boston Medical Center Corporation	1 Boston Medical Ctr Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	02	4	6/23/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $397,046 )
2021	2021	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	4	6/17/2021	NON-COMPETING CONTINUATION	$397,046
2021	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	4	6/17/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $397,046

Issue Date FY: 2020 ( Subtotal = $397,258 )
2020	2020	Boston Medical Center Corporation	1 Boston Medical Center Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	3	6/20/2020	NON-COMPETING CONTINUATION	$397,258
2020	2019	Boston Medical Center Corporation	1 Boston Medical Center Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	02	2	3/24/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Boston Medical Center Corporation	1 Boston Medical Center Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	2	11/4/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Boston Medical Center Corporation	1 Boston Medical Center Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	03	2	5/4/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $397,258

Issue Date FY: 2019 ( Subtotal = $397,240 )
2019	2019	Boston Medical Center Corporation	1 Boston Medical Center Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	2	5/21/2019	NON-COMPETING CONTINUATION	$397,240
2019	2018	Boston Medical Center Corporation	1 Boston Medical Center Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	1	1/31/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $397,240

Issue Date FY: 2018 ( Subtotal = $397,438 )
2018	2018	Boston Medical Center Corporation	1 Boston Medical Center Pl Ste 1	Boston	MA	02118	SUFFOLK	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	1	7/27/2018	NEW	$397,438
														Subtotal = $397,438

Grand Total All Awards = $1,586,104

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The Boston Sustainable Models for unhealthy Alcohol use ReducTion (B SMART) Program

Award Number: NU84DD000002

ORGANIZATION: NATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES (NCBDDD)

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2018

PERIOD OF PERFORMANCE END DATE: 08/29/2023

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