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Small Health Care Provider Quality Improvement Program

  • Program Name:Small Health Care Provider Quality Improvement
  • Activity Code:G20
  • Application Available:2/20/2019
  • Application Deadline:4/26/2019
  • Created By:Beach, Dawn
  • Created On:11/29/2017
  • Last Updated by:Wildberger, William
  • Last Updated On:4/24/2019
  • Estimated Project Start Date:8/1/2019

 Details of the changes posted in this announcement

Modification published on 04/24/2019
Updating Deadline for waiver


 Announcement Information

Announcement Number HRSA-19-018
Announcement Code
CFDA Number 93.912
Provisional No
Activity Code G20
Competitive Yes
Fiscal Year 2019


This notice announces the opportunity to apply for funding under the Small Health Care Provider Quality Improvement Program (Rural Quality Program). The purpose of the Rural Quality Program is to support planning and implementation of quality improvement activities for rural primary care providers or providers of health care services, such as a critical access hospital or a rural health clinic, serving rural residents. These activities include providing clinical health services to residents of rural areas by funding projects that coordinate, expand access, contain costs, and improve the quality of essential health care services. The program goal is to promote the development of an evidence-based quality improvement culture and to promote the delivery of cost-effective, coordinated health care services in primary care settings. Successfully funded projects will enhance the delivery of health care in rural areas and demonstrate improvements in: 1) patient health outcomes for the rural communities served and 2) the delivery and quality of essential rural health care services by the end of the three-year period of performance. Additional objectives of the program include enhanced chronic disease management and increased engagement of patients and their caregivers. In alignment with the Department of Health and Human Services’ (HHS) and Health Resources and Services (HRSA) priorities and current rural health care needs, the FY 2019 Rural Quality Program additionally requests project proposals focus on rural chronic disease management and/or the integration of mental/behavioral health services into the rural primary care setting. You are also strongly encouraged to incorporate quality improvement initiatives that align with Patient-Centered Medical Home (PCMH) and Value-Based Care Delivery (VBC) approaches to care. Both PCMH and VBC apply the concepts of systematic and continuous quality improvement and will help position award recipients to provide high quality, affordable and accessible patient-centered health care services.1, 2 Although it is not a requirement, HRSA strongly encourages applicants to form a consortium or network for this program. As health care delivery becomes an increasingly collaborative environment, HRSA finds the formation of partnerships for community-based projects an effective way to meet rural community needs, enhance organizational roles, and expand critical health care services and rural delivery systems. Further, consortia and networks can contribute great value to quality improvement initiatives through leveraging shared resources, information, and participation in incentive programs rewarding health care professionals for the provision of preventive and quality care services. Funding under this program may be used to provide start-up funds for quality improvement initiatives that allow recipients to develop the necessary capacity and ability to obtain funding from other sources. Awarded organizations are not required to, but are permitted, to use funds to obtain or maintain nationally recognized 1 Agency for Healthcare Research and Quality Patient Center Medical Home Resource Center. Defining PCMH. Accessed June 1, 2018 from: 2 New England Journal of Medicine. January 1, 2017. What is Value-Based Healthcare? Accessed June, 2018 from: HRSA-19-018 2 quality improvement accreditation such as, PCMH by the National Committee for Quality Assurance (NCQA), among others. Applicants that are health departments and/or partner with health departments are particularly encouraged to pursue such accreditation. HRSA also recognizes how the focus on value among public and private insurers may further serve strategies for post-funding project sustainability. You are encouraged to consider leveraging value-based payment and reimbursement structures for maintaining proposed projects at the conclusion of federal funding, if awarded. Please refer to this NOFO’s Project Narrative Methodology section A. Goals and Objectives and C. Sustainability Approach for more information and additional guidance on this topic. HRSA recognizes rural health care organizations often provide a variety of essential health care services and, if awarded, does not restrict applicants from expanding or replicating proposed project activities as part of implementation efforts during the three-year period of performance. For additional information and guidance, please refer to the instructions included in the Project Narrative section.

 Application Information

Application Available 02/20/2019
Application Deadline 04/26/2019
Supplemental Application Deadline N/A
Explanation for Deadline N/A
Archive Date 06/21/2019
Letter of Intent Not required
Application Package SF424
Allow Applications to be Reopened in EHBs No
FOA Available Yes
Competitive Application Types Supported New; Continuation & Supplement
Allow Electronic Submission N/A
Page Limit for Application
Allow Multiple Applications
from an Organization from
Electronic Submission Instruction Electronic submission is/will be available in Grants.Gov

 General Information

Projected Award Date N/A
Estimated Project Period N/A
Estimated Project Start Date 08/01/2019
Estimated Project End Date 07/31/2022
Estimated Amount of this Competition $6,400,000.00
Estimated Number of Awards 32
Estimated Average Size of Awards $0.00
Cost Sharing No
Cooperative Agreement No

 Contact Information

Name Katherine Lloyd
Phone Number (301)443-2933

 Download Information

Expand FOA (Guidance) Attachment (Maximum 1)
Document Name Size Date Attached Description
FORHP HRSA-19-018 Final.docx.pdf 1 MB 02/20/2019
Expand Application Package (Maximum 1)
No documents attached
Expand User Guide (Maximum 1)
No documents attached

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