Opportunity Information: Apply for HRSA 14 092
Apply for HRSA 14 092
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Collaborative Improvement and Innovation Network on School Based Health Services" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110 Maternal and Child Health Federal Consolidated Programs.
- This funding opportunity was created on Jun 17, 2014 and posted on Jun 17, 2014.
- Applicants must submit their applications by Jul 17, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $700,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $700,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants include public and private entities, including an Indian tribe or tribal organizations (as those terms are defined at 25 U.S.C. 450(b)). Faith based and community based organizations are also eligible to apply.
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Opportunity Summary:
The FY 2014 Collaborative Improvement and Innovation Network on School Based Health Services (CoIIN SBHS) opportunity, offered by the Health Resources and Services Administration (HRSA), funds a national effort to strengthen and grow school-based health services by combining performance measurement, quality improvement coaching, and practical policy and financing support. The core idea is to build a structured learning network that can gather and analyze data across many sites, identify what is working, spread promising innovations, and help lower-performing programs improve by learning directly from stronger models and from expert advisors. The program is explicitly focused on two service platforms: school-based health centers (SBHCs) and comprehensive school mental health programs (CSMHPs).
A key feature of the announcement is its emphasis on creating a standardized, voluntary national performance measurement system for school-based health services. SBHCs are defined using the Childrens Health Insurance Reauthorization Act of 2009 framework: clinics located in or near a school, formed through school-community-provider relationships, administered by a sponsoring facility (such as a hospital, health department, community health center, nonprofit, school system, or tribal/IHS-related entity), and delivering primary health services to children consistent with state and local requirements. For mental health, the funding targets comprehensive programs rather than partial or informal service arrangements. CSMHPs are described as tiered systems that include universal promotion, selective prevention, and indicated early intervention and treatment, built on formal partnerships between schools and community mental health providers, with an expectation of using evidence-based practices and continuous quality improvement. The announcement notes that while many districts offer some mental health or social services, only a small share meet the full definition of a comprehensive program, which helps explain why the grant is structured to accelerate field-wide improvement and expansion.
The opportunity has two main goals. Goal 1 is to improve the quality of SBHCs and CSMHPs by establishing national performance measures and using those measures to drive real quality improvement. The awardee is expected to convene the field to reach consensus on standardized measures by the end of year 1, collect performance-measure data from at least 25 percent of SBHCs and CSMHPs nationwide by the end of year 2, and reach at least 50 percent participation by the end of year 4. This is not just a reporting exercise; the program is designed so that measures support active improvement work, letting sites compare progress, identify gaps between evidence and practice, and test changes in a disciplined way.
To make that happen, the grant centers on creating and operating a Collaborative Improvement and Innovation Network (CoIIN) that uses learning collaboratives to set shared aims, establish benchmarks, and run rapid-cycle tests of change using real-time data. The approach is aligned with the Institute for Healthcare Improvement Breakthrough Series model and draws on diffusion of innovation principles, meaning it intentionally leverages early adopters, champions, and opinion leaders to spread effective practices across the broader field. Practically, that means recruiting a minimum of 25 SBHC and CSMHP sites to participate as active teams; building an expert advisory and planning group that includes child/adolescent health and mental health experts, improvement advisors skilled in the Model for Improvement, and stakeholder voices such as educators, administrators, parents, and students; and creating the technical backbone for the work, including a web-based system for data submission and analysis plus a virtual workspace for collaborative teams to share tools and lessons learned. The awardee is also expected to provide training and coaching to participating sites on data collection and use, quality improvement methods, evidence-based interventions, and priority content areas selected for improvement, with ongoing technical assistance during action periods between learning sessions.
Goal 2 is to expand the number of SBHCs and CSMHPs and improve their sustainability by spreading practical policy and financing strategies. The program sets a four-year expansion target of a 30 percent increase in the number of SBHCs and CSMHPs, and it treats financing and policy capability as a core capacity that must be strengthened to reach and maintain that growth. Under this goal, the CoIIN structure is also used for capacity building around finance and policy, including developing clear guidance on leveraging funding mechanisms such as Medicaid and aligning strategies with major policy environments like the Affordable Care Act and the Title V Maternal and Child Health Block Grant, along with other public and private resources. The awardee is expected to provide nationwide technical assistance to states, communities, and organizations on how to start, expand, and sustain these programs, and to coordinate with other federally supported school health, safety, and youth mental health initiatives to avoid duplication and to amplify impact.
Dissemination is treated as an expected product, not an optional add-on. The grantee must translate what is learned into reports, issue briefs, professional publications, conference presentations, webinars, and other communication channels aimed at school administrators, policymakers, and practitioners. The point is to make improvements portable: document the attributes of successful models, clarify which change packages actually move outcomes, and provide realistic guidance for programs that are struggling to improve quality, scale services, or stabilize funding.
Administratively, this was a discretionary cooperative agreement (meaning HRSA anticipates substantial federal involvement during the project) with a single expected award totaling 700,000 dollars (award floor and ceiling both 700,000), with no cost-sharing requirement. Eligible applicants were broad and included public and private entities, including Indian tribes and tribal organizations as defined in federal law, as well as faith-based and community-based organizations. The funding opportunity number was HRSA-14-092 under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs), posted June 17, 2014, with a closing date of July 17, 2014.
FAQs: FY 2014 Collaborative Improvement and Innovation Network on School Based Health Services (CoIIN SBHS) - HRSA
What is the CoIIN SBHS grant opportunity?
The FY 2014 Collaborative Improvement and Innovation Network on School Based Health Services (CoIIN SBHS) is a HRSA-funded national effort to strengthen and grow school-based health services. It is designed to combine performance measurement, quality improvement coaching, and practical policy and financing support so that school-based programs can improve quality, spread successful innovations, and help lower-performing programs improve by learning from stronger models and expert advisors.
Which service platforms does the program focus on?
The opportunity is explicitly focused on two service platforms: school-based health centers (SBHCs) and comprehensive school mental health programs (CSMHPs).
What is the core idea behind the program approach?
The core idea is to build a structured learning network that can gather and analyze data across many sites, identify what is working, spread promising innovations, and help programs improve through shared learning and expert support.
What is a key feature emphasized in the announcement?
A key feature is the creation of a standardized, voluntary national performance measurement system for school-based health services, paired with an expectation that the measures are used for active quality improvement (not just reporting).
How does the announcement define a school-based health center (SBHC)?
SBHCs are defined using the Childrens Health Insurance Reauthorization Act of 2009 framework. They are clinics located in or near a school, created through school-community-provider relationships, administered by a sponsoring facility (such as a hospital, health department, community health center, nonprofit, school system, or tribal/IHS-related entity), and delivering primary health services to children consistent with state and local requirements.
What does the grant mean by a comprehensive school mental health program (CSMHP)?
CSMHPs are described as tiered systems that include universal promotion, selective prevention, and indicated early intervention and treatment. They are built on formal partnerships between schools and community mental health providers, with an expectation of using evidence-based practices and continuous quality improvement.
Does the opportunity fund informal or partial school mental health service arrangements?
No. The funding targets comprehensive programs rather than partial or informal service arrangements. The announcement notes that many districts offer some mental health or social services, but only a small share meet the full definition of a comprehensive program.
What are the two main goals of the CoIIN SBHS opportunity?
Goal 1 is to improve the quality of SBHCs and CSMHPs by establishing national performance measures and using them to drive quality improvement. Goal 2 is to expand the number of SBHCs and CSMHPs and improve their sustainability by spreading practical policy and financing strategies.
What does Goal 1 require by the end of Year 1?
By the end of Year 1, the awardee is expected to convene the field to reach consensus on standardized national performance measures for SBHCs and CSMHPs.
What data collection targets are expected by the end of Year 2 and Year 4?
By the end of Year 2, the awardee is expected to collect performance-measure data from at least 25 percent of SBHCs and CSMHPs nationwide. By the end of Year 4, the expectation increases to at least 50 percent participation.
Is performance measurement treated as a reporting requirement only?
No. The program is designed so that measures support active improvement work. Sites are expected to use measures to compare progress, identify gaps between evidence and practice, and test changes in a disciplined way.
What is a CoIIN (Collaborative Improvement and Innovation Network) in this program?
In this program, a CoIIN is the operating structure used to run learning collaboratives that set shared aims, establish benchmarks, and run rapid-cycle tests of change using real-time data across participating sites.
What quality improvement model does the CoIIN approach align with?
The approach is aligned with the Institute for Healthcare Improvement Breakthrough Series model and draws on diffusion of innovation principles to spread effective practices through early adopters, champions, and opinion leaders.
How many sites must be recruited as active teams?
The awardee is expected to recruit a minimum of 25 SBHC and CSMHP sites to participate as active teams.
Who is expected to be included in the expert advisory and planning group?
The advisory and planning group is expected to include child/adolescent health and mental health experts, improvement advisors skilled in the Model for Improvement, and stakeholder voices such as educators, administrators, parents, and students.
What technical infrastructure is the awardee expected to build or operate?
The awardee is expected to create the technical backbone for the work, including a web-based system for data submission and analysis and a virtual workspace where collaborative teams can share tools and lessons learned.
What types of training and technical assistance must be provided to participating sites?
The awardee is expected to provide training and coaching on data collection and use, quality improvement methods, evidence-based interventions, and priority content areas selected for improvement. Ongoing technical assistance is expected during action periods between learning sessions.
What is the expansion target under Goal 2?
The program sets a four-year expansion target of a 30 percent increase in the number of SBHCs and CSMHPs.
How does the program address sustainability and financing?
The program treats financing and policy capability as core capacities that must be strengthened to reach and maintain growth. It includes developing guidance on leveraging funding mechanisms such as Medicaid and aligning strategies with policy environments like the Affordable Care Act and the Title V Maternal and Child Health Block Grant, along with other public and private resources.
Who should receive nationwide technical assistance under Goal 2?
The awardee is expected to provide nationwide technical assistance to states, communities, and organizations on how to start, expand, and sustain SBHCs and CSMHPs.
Is coordination with other federally supported initiatives expected?
Yes. The awardee is expected to coordinate with other federally supported school health, safety, and youth mental health initiatives to avoid duplication and to amplify impact.
What dissemination products are expected from the grantee?
Dissemination is treated as an expected product. The grantee must translate lessons learned into reports, issue briefs, professional publications, conference presentations, webinars, and other communication channels aimed at school administrators, policymakers, and practitioners.
What is meant by making improvements "portable"?
The program aims to document the attributes of successful models, clarify which change packages actually move outcomes, and provide realistic guidance that other programs can use to improve quality, scale services, or stabilize funding.
What type of award mechanism was used?
This opportunity was a discretionary cooperative agreement, meaning HRSA anticipated substantial federal involvement during the project.
How many awards were expected and what was the total funding amount?
A single award was expected, totaling 700,000 dollars. The award floor and ceiling were both 700,000 dollars.
Was cost sharing required?
No cost-sharing requirement was stated for this opportunity.
Who was eligible to apply?
Eligible applicants were broad and included public and private entities, including Indian tribes and tribal organizations as defined in federal law, as well as faith-based and community-based organizations.
What is the funding opportunity number and CFDA listing?
The funding opportunity number was HRSA-14-092 under CFDA 93.110 (Maternal and Child Health Federal Consolidated Programs).
When was the opportunity posted and when did it close?
The opportunity was posted June 17, 2014, with a closing date of July 17, 2014.
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