Opportunity Information: Apply for IX IX 16 001
Apply for IX IX 16 001
- The Department of Health and Human Services, Office of the National Coordinator in the health sector is offering a public funding opportunity titled "Advance Interoperable Health Information Technology Services to Support HIE" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.719.
- This funding opportunity was created on Jul 12, 2016.
- Applicants must submit their applications by Aug 11, 2016 No Explanation. (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 $575,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Opportunity Summary:
The Advance Interoperable Health Information Technology Services to Support HIE grant opportunity is a discretionary federal funding announcement from the U.S. Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONC), focused on expanding health information exchange (HIE) capabilities across the country. Issued as Funding Opportunity Number IX IX 16 001 under CFDA 93.719, it uses a cooperative agreement mechanism, meaning ONC expects to be actively involved with awardees during the period of performance rather than simply providing funds and stepping back. The opportunity was created on July 12, 2016, and originally closed on August 11, 2016, with an anticipated total of four awards and an award ceiling of $575,000 per recipient.
At its core, the program is designed to build on prior investments and lessons learned from ONC's existing Advance Interoperable HIE Program. The main objective is to accelerate broad adoption, routine use, and large-scale routing of ADT messages (admissions, discharges, and transfers) as well as event and encounter notification services. These notifications are widely seen as a practical, high-value form of interoperability because they can alert care teams in near real time when a patient is admitted, discharged, or transferred, supporting better care coordination, smoother transitions of care, and reduced gaps in follow-up.
A major emphasis of this opportunity is solving the problem of fragmentation. Many HIE networks and notification services exist, but they can be siloed, disconnected, and uneven in coverage. The grant pushes recipients to enable ADT routing across existing, operational networks, even when those networks are disparate or historically separate. To accomplish that, recipients are expected to collaborate across two or more state jurisdictions, taking advantage of the program's broad geographic footprint that spans all ten HHS Regions. In practice, the goal is not just to improve a single state's exchange, but to promote multi-state interoperability that allows notifications to follow patients across borders and across different network infrastructures.
The opportunity also makes it clear that successful work will require shared learning and common building blocks. Awardees are expected to participate in communities of practice, workgroups, and other peer-learning collaborations where implementers can identify best practices, troubleshoot obstacles, and align on practical approaches to scaling ADT notifications. The announcement highlights several topics that may be addressed through these collaborative efforts, including provider directory capabilities (so networks can reliably identify where to send notifications), trust framework development (so organizations can establish the legal and technical trust needed to exchange data), ADT message standardization (to improve consistency and reduce the burden of mapping and custom work), and strategies to offset interface fees and connection costs (a persistent barrier that often limits participation, especially for smaller organizations).
Another important feature is its focus on equity in interoperability. The program funds efforts spanning both eligible and non-eligible care settings described in the scope of services, but it puts particular emphasis on extending widespread ADT routing to support non-eligible providers in rural and underserved areas. This reflects a recognition that smaller, resource-constrained providers and safety-net settings can be left behind when connectivity depends on costly interfaces, complex onboarding, or fragmented governance. By targeting these gaps, the program aims to make event notifications more universally available so that care coordination benefits are not limited to large health systems or well-funded regions.
Finally, the opportunity requires a strong dissemination component. Recipients are expected to partner with ONC to synthesize what they learn into a final report that documents solutions, implementation approaches, and best practices. The explicit intent is for these deliverables to be scalable and replicable nationwide, so that successful models for multi-network ADT routing, trust, directories, and cost mitigation can be adopted by other states and regions without starting from scratch. In short, the grant is structured to deliver both on-the-ground connectivity improvements and practical national guidance for expanding ADT-based notifications across the broader U.S. interoperability landscape.
FAQs: Advance Interoperable Health Information Technology Services to Support HIE (ONC)
1) What is the purpose of the Advance Interoperable Health Information Technology Services to Support HIE grant?
This discretionary federal funding opportunity is intended to expand health information exchange (HIE) capabilities nationwide by accelerating broad adoption, routine use, and large-scale routing of ADT messages (admissions, discharges, and transfers) and related event/encounter notification services.
2) Which federal agency is offering this grant opportunity?
The opportunity is offered by the U.S. Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONC).
3) What is the Funding Opportunity Number and CFDA number for this announcement?
The announcement is Funding Opportunity Number IX IX 16 001 under CFDA 93.719.
4) What funding mechanism is used (grant vs. cooperative agreement)?
The opportunity uses a cooperative agreement mechanism, meaning ONC expects to be actively involved with awardees during the period of performance rather than only providing funding with limited federal involvement.
5) When was this opportunity created and when did it close?
The opportunity was created on July 12, 2016, and originally closed on August 11, 2016.
6) How many awards were anticipated and what was the maximum award amount?
The announcement anticipated a total of four awards, with an award ceiling of $575,000 per recipient.
7) What are ADT messages and why are they emphasized in this program?
ADT messages are admissions, discharges, and transfers messages. The program emphasizes them because large-scale ADT routing and event/encounter notifications are considered practical, high-value interoperability capabilities that can alert care teams in near real time when a patient experiences key care events.
8) What are event and encounter notification services in the context of this grant?
Event and encounter notification services use messages such as ADTs to notify care teams when a patient is admitted, discharged, or transferred. These notifications are meant to support care coordination, smoother transitions of care, and reduced gaps in follow-up.
9) How does the program address fragmentation among HIE networks?
A core emphasis is enabling ADT routing across existing, operational networks even when those networks are disparate, siloed, or historically separate. The goal is to reduce disconnected coverage and improve interoperability across multiple infrastructures.
10) Is this program focused on a single state or multi-state interoperability?
The program is designed to promote multi-state interoperability rather than improving only a single state. Recipients are expected to collaborate across two or more state jurisdictions so notifications can follow patients across borders and across different network infrastructures.
11) What geographic scope does the program envision?
The opportunity references a broad geographic footprint spanning all ten HHS Regions, with expectations that recipients collaborate across multiple state jurisdictions.
12) How does this opportunity build on prior ONC investments?
It is designed to build on prior investments and lessons learned from ONC's existing Advance Interoperable HIE Program, with a focus on scaling practical interoperability services (especially ADT routing and notifications).
13) What collaboration or peer-learning activities are expected of awardees?
Awardees are expected to participate in communities of practice, workgroups, and other peer-learning collaborations to identify best practices, troubleshoot obstacles, and align on practical approaches to scaling ADT notifications.
14) What technical or operational topics may be addressed through these collaborative efforts?
The announcement highlights several topics that may be addressed, including provider directory capabilities, trust framework development, ADT message standardization, and strategies to offset interface fees and connection costs.
15) Why are provider directories mentioned as a key topic?
Provider directory capabilities are highlighted because networks need reliable ways to identify where to send notifications. Better directory capabilities can help route ADT-based notifications to the right recipients.
16) What is meant by "trust framework development" in this program?
Trust framework development refers to establishing the legal and technical trust needed for organizations and networks to exchange data and route notifications across different jurisdictions and infrastructures.
17) Why does the program focus on ADT message standardization?
ADT message standardization is emphasized to improve consistency and reduce the burden of mapping and custom work when routing messages across multiple networks and systems.
18) How does the opportunity address interface fees and connection costs?
The announcement notes that interface fees and connection costs are persistent barriers to participation and specifically calls out strategies to offset these costs as a topic to be addressed through collaborative efforts.
19) Does the program include an equity focus?
Yes. A stated feature of the opportunity is a focus on equity in interoperability, with particular emphasis on extending widespread ADT routing to support non-eligible providers in rural and underserved areas.
20) Which care settings are emphasized for expanded ADT routing?
The program funds efforts spanning both eligible and non-eligible care settings described in the scope of services, but it particularly emphasizes expanding ADT routing to support non-eligible providers in rural and underserved areas.
21) What problem is the program trying to solve for rural and underserved areas?
The opportunity recognizes that smaller, resource-constrained providers and safety-net settings can be left behind due to costly interfaces, complex onboarding, or fragmented governance. The program aims to target these gaps so event notifications are more universally available.
22) What deliverables or dissemination activities are required?
The opportunity requires a strong dissemination component. Recipients are expected to partner with ONC to synthesize what they learn into a final report documenting solutions, implementation approaches, and best practices.
23) What is the intended impact of the final report?
The explicit intent is for deliverables to be scalable and replicable nationwide, so that successful models for multi-network ADT routing, trust frameworks, provider directories, and cost mitigation can be adopted by other states and regions.
24) What does success look like for this grant, based on the announcement?
Success is framed as achieving on-the-ground connectivity improvements (especially large-scale, multi-network ADT routing and notifications across jurisdictions) while also producing practical guidance and best practices that can be reused nationally.
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