Promoting Pediatric Primary Prevention (P4) Challenge: Innovations in Pediatric Primary Care to Improve Child Health

Deadline for submissions now closed. Phase 1 winners will be announced in May 2021.

Informational webinar Exit Disclaimer, which took place on January 15, 2021, and presentation slides (PDF - 282 KB).

Sign up for the P4 Challenge listserv Exit Disclaimer for regular updates.

Promoting Pediatric (P4) Challenge Primary Prevention

About the P4 Challenge

Vaccinations and well-child visits help prevent outbreaks of childhood diseases. Recent CDC data show that fewer children got vaccines on time this year compared to last year because of the COVID-19 pandemic.

The P4 Challenge invites applicants to propose and implement innovative approaches to increase access to and utilization of well-child visits and/or immunizations services within primary care settings.

Innovative approaches in Phase 1 should aim to increase a key pediatric health performance measure such as:

  • Number of well-child visits (number of visits/number of children in the target population)
  • Well-child visit disparities (comparing measures across two or more subpopulations)
  • Doses administered of specific vaccines; coverage of the primary pediatric vaccination series (for example, number of MMR vaccines given/number of children 12-18 months in the target population)
  • Disparities within the community on a specific immunization metric (comparing measure across two or more subpopulations)

In Phase 1 of the P4 Challenge, up to 50 applicants will receive $10,000 to deploy the proposed approach in Phase 2.

Goal of the P4 Challenge

The CDC reports that declines in vaccination coverage might leave young children and communities vulnerable to vaccine-preventable diseases such as measles.

Well-child visits also declined Exit Disclaimer since the COVID-19 pandemic. These visits are an important venue for counseling, as well as vaccine administration and documentation.

At well-child visits, providers can also screen for developmental delays and parents can raise concerns about a child’s physical problems, behavior and mental health and receive personalized guidance on healthy nutrition, exercise and safety.

It’s important to get the message out to parents and caregivers that children should maintain well-child visits and get timely vaccinations in their medical home. Children who are not up-to-date with vaccinations recommended by the CDC’s Advisory Committee on Immunization Practices (ACIP) should be seen in primary care as soon as possible for catch-up vaccination.

Who is encouraged to apply?

The Maternal and Child Health Bureau (MCHB) envisions partnerships from various individuals, companies and organizations to meet all of the needs of the challenge. Please note that submissions must include a primary care provider who delivers health services to children as a key submitter or partner.

MCHB is seeking concept papers from a wide array of contestants and encourages anyone with a good idea and a collaborative team to apply. Examples of individuals and entities MCHB envisions submitting include, but are certainly not limited to:

  • Pediatric primary care or specialty care providers (e.g., pediatrics, family medicine, accountable care organizations, hospital systems) including those that deliver primary care visits via Telehealth
  • Professionals who deliver primary or specialty care (e.g., family physicians)
  • Provider organizations (e.g. AAP, Academic Pediatric Association SIGs, AAFP chapters)
  • Academic medical centers
  • Children’s hospitals
  • Community Centers
  • Community-Based Organizations and community health workers
  • Distribution experts
  • Federally Qualified Health Centers and Rural Health Centers
  • Head Start
  • Health educators
  • Health Information Exchanges and Immunization Registries that have data to share
  • Health professional students and organizations
  • Home Visiting professionals
  • Immunization coalitions
  • Managed Care Organizations
  • Mobile vans, taxi and car share services
  • Public housing workers
  • Quality improvement organizations
  • Residency training program continuity clinics
  • Schools, school nurses, and childcare settings
  • Technology experts
  • WIC clinics

Again, please note that submissions must include a primary care provider who delivers health services to children as a key submitter or partner. If contestants feel they have a gap in either expertise or data collection, it should be described in the concept paper as technical assistance may be made available to help organizations find partnerships, and plan for and gather data in Phase 2.

How to Get Started:

It’s easy to enter Phase I of the P4 Challenge. The only requirement is a 3-5-page concept paper. You can find guidance on the concept paper structure in the submission requirement section below.

Step 1: Sign up for updates Exit Disclaimer.

Step 2: Read the submission requirements, eligibility rules, and evaluation criteria for the P4 Challenge.

Step 3: Review the recording of the Informational Webinar Exit Disclaimer, which took place on January 15, 2021 and presentation slides (PDF - 282 KB).

Step 4: Develop your 3-5-page innovative approach.

Step 5: Submit your response along with this submission form (PDF - 322 KB) to MCHBP4Challenge@hrsa.gov by March 15, 2021 by 5:00 PM ET.

 

Timeline

DECEMBER 15, 2020: Phase 1 opens

JANUARY 15, 2020: MCHB hosted Informational Webinar. View the recording Exit Disclaimer and access the presentation slides (PDF - 282 KB).

JANUARY 19, 2021: Submissions begin: Submit your application to MCHBP4Challenge@hrsa.gov

MARCH 15, 2021: Phase 1 Submissions due

MAY 2021: Phase 1 Winners announced, prize money distributed, and Phase 2 begins

SEPTEMBER 2021: Phase 2 performance results and program progress reports submitted for Phase 2 judging

OCTOBER 2021: Phase 2 Winners announced

Prizes

Total Cash Prize Pool: Up to $1,000,000

Phase I Winners: Up to 50

Phase I Winner Prize Amount: $10,000

A prize purse of $1,000,000 is available for the entire P4 challenge.

The Phase 1 prize purse is $500,000. We expect to select up to 50 Phase 1 winners to progress on to Phase II. Each Phase 1 winner will win $10,000 upon selection.

In the event we choose fewer than 50 Phase 1 winners, the $500,000 will be split evenly among those teams selected.

Phase II Winners: Up to 20

Phase II Winner Prize Amount: $25,000

The Phase 2 prize purse is $500,000. We expect to award up to 20 Phase 2 winners who will each be awarded up to $25,000.

In the event we choose fewer than 20 Phase 2 winners, the $500,000 will be split evenly among those teams selected.

Winning approaches will be promoted widely by MCHB and key partners.

Submission Requirements:

Phase one: Teams will submit a 3-5 page concept paper. Proposals must be no longer than 5 pages, with up to two additional pages for letters of support.

The following sections shall be included in the concept paper:

Section Maximum Length
Executive summary and the problem in your community. (2 paragraphs max)

Describe the population you serve that would be affected by the proposed intervention. Please include descriptors such as:

  • Population demographics, such as number of children served, parent education, payer mix, insurance status, race, ethnicity, and other demographics
  • Urban or rural population (and degree of rurality)
  • Age group for those targeted in your solution
(Half page max)

Describe your team, including:

  • The partnerships included
  • The role of the partners
  • The team's capabilities, experience, and commitment

Include letter(s) of support indicating support of each partner other than the lead organization.

Also describe any gaps you may have in your team's ability to implement the solution; technical and partnership assistance may be available.

(1 page max)

Describe your intervention.

  • What is your innovative solution to increase access to and utilization of well-child visits and/or immunizations in your community?
  • Describe your approach, intervention or strategy, its novelty, and how your proposal will address the problem.
  • How will the prize funds help in your implementation?
  • How will your solution sustain beyond the P4 Challenge and continue to help the community?
  • How will you approach and incorporate patient/family-centered design (e.g., barriers to access and utilization for preventive services for children, parents’ hesitancy regarding vaccination and well-child visits (during the pandemic)?
(1 page max)

Describe your data.

  • What baseline can you set for measuring immunizations and/or well-child visits?
  • How do you and will you perform your data collection and analysis to demonstrate improvement in well-child visits and/or immunization rates (or disparities in rates) at the end of Phase 2?
  • Include a description of how patient confidentiality will be maintained throughout the proposed project, in accordance with the HIPAA Security Rule.
(1 page max)

Judging Criteria

Phase 1

Understanding of Population Served and Its Need

  • Does the contestant demonstrate an understanding of the population served, key barriers to access to well child visits and/or immunizations, and need for innovative approaches to address the stated problem?

Approach

  • How well does the contestant leverage appropriate partnerships to maximize impact in its community?
  • Is the intervention feasible given the prize money and time frame?
  • How well does the contestant demonstrate connections to primary care?
  • How well does the approach incorporate patient/family-centered design (e.g., addressing barriers to access and utilization for preventive services for children, parents’ hesitancy regarding vaccination, and well-child visits during the pandemic)?
  • Regarding the contestant’s data collection and analysis approach:
    • How well has the contestant demonstrated a clear plan to capture baseline data and to show improvement in the targeted outcome(s)?
    • How feasible is the approach?
    • Does the planned approach protect patient information appropriately?

Innovation

  • How innovative is the design and the content of the intervention, and how responsive is the intervention to the community’s need and the available data?
  • How promising is the intervention with respect to potential for buy-in from the population of focus?

Potential Impact

  • How likely is the proposed solution to increase well-visits and/or immunizations in a participating or collaborating primary care setting?
  • How likely is the plan to measure impact accurately?
  • How likely is the proposed solution to be sustained?

Phase 2

Impact and Approach

  • Based on the data, how effective of an intervention did the contestant introduce (a recorded increase in well-visits and/or immunizations)?
  • How well did the contestant demonstrate their ability to adapt and strengthen the intervention based on data and feedback along the way?
  • How effectively did the contestant mobilize partnerships to increase impact of the intervention?

Sustainability

  • How strong is the potential for the intervention to be sustained beyond the duration of the P4 Challenge?
  • How strong is the potential for scaling in other, similar communities?

Innovation

  • How well does the contestant set itself apart from the Phase 2 competition in delivery of its innovation?
  • How promising is the intervention in terms of potential for buy-in from the population of focus?

Rules & Eligibility Section:

Eligibility:

To be eligible to win a prize under the P4 Challenge, an individual or entity:

  • Must be submitting on behalf of or in partnership with a primary care provider who delivers health services to children. We encourage partnerships with community partners.

Additionally, applicants:

  • Shall have complied with all the requirements under this section.
  • In the case of a private entity, shall be incorporated and maintain a primary place of business in the United States and in the case of an individual, whether participating singly or in a group, shall be a citizen or permanent resident of the United States.
  • May not be a federal entity or federal employee acting within the scope of their employment.
  • Shall not be an HHS employee working on their applications or submissions during assigned duty hours.
  • May not be employees of HRSA or any other company, organization, or individual involved with the design, production, execution, judging, or distribution of the Challenge and their immediate family (spouse, parents and step-parents, siblings and step-siblings, and children and step-children) and household members (people who share the same residence at least three (3) months out of the year).
  • Federal grantees may not use federal funds to develop COMPETES Act Challenge applications unless consistent with the purpose of their grant award.
  • Federal contractors may not use federal funds from a contract to develop COMPETES Act Challenge applications or to fund efforts in support of a COMPETES Act Challenge submission.
  • An individual or entity shall not be deemed ineligible because the individual or entity used federal facilities or consulted with federal employees during a competition if the facilities and employees are made equitably available to all individuals and entities participating in the competition.
  • Entrants must agree to assume any and all risks and waive claims against the Federal Government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from participation in this prize contest, whether the injury, death, damage, or loss arises through negligence or otherwise.
  • Entrants must also agree to indemnify the Federal Government against third-party claims for damages arising from or related to competition activities
  • The government will not select as a winner an individual who is currently on the Excluded Parties List.

Additional Information:

  • No HHS or HRSA logo: The intervention must not use HHS or HRSA logos or official seals in the submission and must not claim endorsement.
  • General Conditions: HRSA reserves the right to cancel, suspend, and/or modify the Contest, or any part of it, for any reason, at HRSA’s sole discretion.
  • Ownership: Each entrant retains full ownership in and title to their submission. As an entrant, you reserve all intellectual property rights not expressly granted under the Challenge agreements. However, by participating in the Challenges, you, as an entrant, irrevocably grant HRSA a limited, non-exclusive, royalty-free, worldwide license and right to reproduce, publicly perform, publicly display and use the submission for internal HHS business, and to the extent necessary to administer the Challenge, and to publicly perform and publicly display the submission, including, without limitation, for advertising and promotional purposes relating to the Challenge.
  • Liability and Insurance Requirements: By registering and entering a submission, each participant agrees to assume any and all risks and waive claims against the Federal Government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from their participation in this competition, whether the injury, death, damage, or loss arises through negligence or otherwise. By registering and entering a submission, each participant further represents and warrants that it possesses sufficient liability insurance or financial resources, to the extent permitted by applicable law, to cover claims by a third party for death, bodily injury, or property damage or loss resulting from any activity it carries out in connection with its participation in this competition, or claims by the Federal Government for damage or loss to government property resulting from such an activity. Competition winners shall be prepared to demonstrate proof of insurance or financial responsibility in the event HRSA deems it necessary.
Date Last Reviewed:  February 2021