Opportunity Information: Apply for TI 13 013
Apply for TI 13 013
- The Substance Abuse Mental Health Services Adminis. in the health sector is offering a public funding opportunity titled "Cooperative Agreements for Electronic Health Record (EHR) and Prescription Drug Monitoring Program (PDMP) Data Integration" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.243 Substance Abuse and Mental Health ServicesProjects of Regional and National Significance.
- This funding opportunity was created on Jun 19, 2013 and posted on May 7, 2013.
- Applicants must submit their applications by Jul 24, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $3,400,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $212,500.00 in funding.
- The number of recipients for this funding is limited to 8 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants are state government agencies (e.g., Single State Authority, Board of Pharmacy, Health Department, etc.) in the 49 states and one U.S. territory (Guam) that have enacted legislation or regulations that permit the following Implementation of a state PDMP and Imposition of appropriate penalties for the unauthorized use and disclosure of information maintained in the program. Eligibility is limited to states/territory with enacted PDMP legislation because only these states/territory have the capability to collect the required information and make that information available to prescribers, dispensers, and under controls, other states. PDMPs that are not actively collecting information cannot link their systems to EHRs or share information with other state PDMPs. Due to state laws establishing PDMPs, privacy, confidentiality, security, and other limitations on PDMPs, EHR and PDMP Data Integration grants are limited to state and applicable territorial government entities. Please note that states who received SAMHSA FY 2012 PDMP EHR Integration and Interoperability grants (Florida, Illinois, Indiana, Kansas, Maine, Ohio, Texas, Washington, West Virginia) are not eligible to apply.
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Opportunity Summary:
The SAMHSA Center for Substance Abuse Treatment (CSAT) FY 2013 Cooperative Agreements for Electronic Health Record (EHR) and Prescription Drug Monitoring Program (PDMP) Data Integration is a discretionary federal grant program designed to reduce prescription drug misuse and abuse by making PDMP information easier for clinicians and pharmacists to use at the point of care. The core idea is straightforward: PDMP data can improve clinical decision-making, but it is often underused because checking a PDMP can be time-consuming, requires separate logins, and does not fit naturally into everyday clinical workflows. This opportunity funds states to connect PDMP data directly into tools providers already use, such as hospital emergency department EHRs, primary care EHRs, health information exchanges (HIEs), and retail pharmacy dispensing systems, so clinicians can access prescription history quickly and with minimal disruption to care.
The program is framed against the backdrop of a major national overdose crisis, with sharp increases in drug overdose deaths over recent decades and a particularly large role of prescription opioids. The announcement highlights that opioid analgesics became increasingly involved in overdose deaths, that emergency department visits tied to pharmaceutical misuse rose dramatically, and that treatment admissions related to opioid analgesic abuse grew substantially. It also notes connections between nonmedical use of prescription pain relievers and later heroin initiation. Within that context, PDMPs are presented as an evidence-informed tool that can influence prescribing patterns, discourage dangerous behaviors such as obtaining controlled substances from multiple prescribers or pharmacies ("doctor shopping"), and support more appropriate opioid dosing. However, the program emphasizes that PDMPs are most effective when they are easy to access and incorporated into routine practice.
SAMHSA sets two primary expectations for funded projects. First, grantees are expected to improve the quality and usefulness of prescription drug information available to healthcare providers by integrating PDMP data into existing health IT systems (for example, embedding PDMP content into an EHR view or routing it through an HIE). Second, they are expected to support real-time or near-real-time access to PDMP information in a way that aligns with normal clinical workflow, such as enabling a "single login" experience or reducing the number of separate steps required to query the PDMP. The overall goal is to increase PDMP utilization by prescribers and dispensers and, as a result, reduce inappropriate prescribing and dispensing and improve patient safety. The announcement also notes that integration can encourage proactive approaches like unsolicited reporting or alerts, where concerning patterns identified in PDMP data are flagged to appropriate parties under state-defined thresholds.
A key restriction is that the money is only for integration work, not for building, enhancing, or expanding the PDMP itself. In other words, the PDMP program must already exist in a functional form that collects the relevant data; the grant supports the technical and operational work needed to connect that existing PDMP data stream into EHRs and other health information technology systems so it becomes more accessible and actionable for clinicians and pharmacists. Because PDMP access and permissible use are governed by state law, projects must also account for privacy, confidentiality, and security requirements, including penalties for unauthorized use or disclosure.
Eligibility is limited to state government entities (such as the Single State Authority, Board of Pharmacy, or state health department) in the 49 states and the U.S. territory of Guam that have enacted legislation or regulations permitting implementation of a PDMP and establishing appropriate penalties for unauthorized use and disclosure of PDMP information. States without enacted PDMP legislation are not eligible because they cannot reliably collect and provide the required data for integration. The notice also excludes states that received SAMHSA FY 2012 PDMP EHR Integration and Interoperability grants (Florida, Illinois, Indiana, Kansas, Maine, Ohio, Texas, Washington, West Virginia), meaning those prior awardees cannot apply under this FY 2013 competition.
From a funding and administrative standpoint, the award mechanism is a cooperative agreement, which typically means SAMHSA expects substantial federal involvement during the project period compared to a standard grant. The opportunity anticipated up to 8 awards with an estimated total funding amount of $3.4 million, and an award ceiling of $212,500 per award (with no stated award floor). There is no cost-sharing or matching requirement. The CFDA number listed is 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance). Key dates included a posted date of May 7, 2013, an original closing date of June 12, 2013, and a revised closing date of July 24, 2013, with archiving on August 23, 2013.
Strategically, SAMHSA positions the program as aligned with broader federal priorities, including the 2011 Prescription Drug Abuse Prevention Plan (which called for expanding PDMPs) and the 2012 National Drug Control Strategy action item promoting links among state systems and to EHRs. It also connects the effort to SAMHSA strategic initiatives in Prevention and Health Information Technology and notes relevance to the CMS EHR Incentive Program (Meaningful Use Stage 2 and/or Stage 3), reflecting the larger policy push to use health IT to improve quality and outcomes. The program is authorized under Section 509 of the Public Health Service Act and is associated with Healthy People 2020 substance abuse objectives.
Frequently Asked Questions (FAQs)
What is this grant opportunity?
This is the SAMHSA Center for Substance Abuse Treatment (CSAT) FY 2013 Cooperative Agreements for Electronic Health Record (EHR) and Prescription Drug Monitoring Program (PDMP) Data Integration. It is a discretionary federal grant program focused on integrating existing state PDMP data into health IT systems that clinicians and pharmacists already use.
What problem is the program trying to solve?
The program targets prescription drug misuse and abuse by making PDMP information easier to access at the point of care. The opportunity explains that PDMPs are often underused because they can be time-consuming to check, may require separate logins, and can feel disconnected from normal clinical workflow.
What is the main goal of funding PDMP-EHR integration?
The goal is to increase PDMP utilization by prescribers and dispensers and, as a result, reduce inappropriate prescribing and dispensing and improve patient safety. The focus is on making prescription history available quickly, with minimal disruption to care.
What types of integrations does the grant support?
The grant supports connecting PDMP data into tools providers already use, including hospital emergency department EHRs, primary care EHRs, health information exchanges (HIEs), and retail pharmacy dispensing systems.
What are SAMHSA's two primary expectations for funded projects?
- Improve the quality and usefulness of prescription drug information available to healthcare providers by integrating PDMP data into existing health IT systems (for example, embedding PDMP content into an EHR view or routing it through an HIE).
- Support real-time or near-real-time access to PDMP information in a way that aligns with normal clinical workflow, such as enabling a single-login experience or reducing the steps required to query the PDMP.
Does the program require real-time PDMP access?
The program emphasizes real-time or near-real-time access to PDMP information so it fits routine clinical workflow and can be used during care delivery.
What is meant by "single login" or workflow-aligned access?
It refers to reducing barriers that make PDMP use cumbersome, such as requiring separate credentials or multiple steps. The intent is to bring PDMP data into the systems clinicians and pharmacists are already using so access is faster and more seamless.
Can funded projects include proactive alerts or unsolicited reporting?
Yes. The announcement notes that integration can support proactive approaches like unsolicited reporting or alerts, where concerning patterns identified in PDMP data are flagged to appropriate parties under state-defined thresholds.
Is the grant funding for building or expanding a PDMP?
No. A key restriction is that funds may be used only for integration work, not for building, enhancing, or expanding the PDMP itself. The PDMP must already exist in a functional form that collects the relevant data.
Who is eligible to apply?
Eligibility is limited to state government entities (for example, the Single State Authority, Board of Pharmacy, or state health department) in the 49 states and the U.S. territory of Guam that have enacted legislation or regulations permitting implementation of a PDMP and establishing appropriate penalties for unauthorized use and disclosure of PDMP information.
Why are states without enacted PDMP legislation ineligible?
The opportunity states that states without enacted PDMP legislation cannot reliably collect and provide the required data for integration, so they are not eligible.
Are any states specifically excluded from applying?
Yes. States that received SAMHSA FY 2012 PDMP EHR Integration and Interoperability grants are excluded from applying under this FY 2013 competition. The excluded prior awardees listed are Florida, Illinois, Indiana, Kansas, Maine, Ohio, Texas, Washington, West Virginia.
What is the award mechanism and what does it imply?
The award mechanism is a cooperative agreement. This typically means SAMHSA expects substantial federal involvement during the project period compared to a standard grant.
How many awards were anticipated and what was the total funding amount?
The opportunity anticipated up to 8 awards, with an estimated total funding amount of $3.4 million.
What is the maximum award amount?
The award ceiling is $212,500 per award. No award floor is stated.
Is cost-sharing or matching required?
No. The opportunity states there is no cost-sharing or matching requirement.
What is the CFDA number for this opportunity?
The CFDA number listed is 93.243 (Substance Abuse and Mental Health Services Projects of Regional and National Significance).
What were the key dates for this funding announcement?
The posted date was May 7, 2013. The original closing date was June 12, 2013, and the revised closing date was July 24, 2013. The opportunity was archived on August 23, 2013.
How does the opportunity describe the broader public health context?
The announcement is framed against a national overdose crisis, noting sharp increases in drug overdose deaths over recent decades and a particularly large role of prescription opioids. It also highlights major increases in emergency department visits tied to pharmaceutical misuse and growth in treatment admissions related to opioid analgesic abuse, and it notes a connection between nonmedical use of prescription pain relievers and later heroin initiation.
How are PDMPs expected to help reduce misuse and improve safety?
PDMPs are presented as an evidence-informed tool that can influence prescribing patterns, discourage dangerous behaviors such as obtaining controlled substances from multiple prescribers or pharmacies (often referred to as "doctor shopping"), and support more appropriate opioid dosing. The program emphasizes that PDMPs are most effective when they are easy to access and incorporated into routine practice.
Do projects need to address privacy, confidentiality, and security?
Yes. Because PDMP access and permissible use are governed by state law, projects must account for privacy, confidentiality, and security requirements, including penalties for unauthorized use or disclosure of PDMP information.
What federal priorities or strategies does SAMHSA link this program to?
SAMHSA aligns the program with broader federal priorities including the 2011 Prescription Drug Abuse Prevention Plan (which called for expanding PDMPs) and the 2012 National Drug Control Strategy action item promoting links among state systems and to EHRs.
Is this related to Meaningful Use and the CMS EHR Incentive Program?
Yes. The opportunity notes relevance to the CMS EHR Incentive Program (Meaningful Use Stage 2 and/or Stage 3), reflecting a broader policy push to use health IT to improve quality and outcomes.
What is the legal authority for the program?
The program is authorized under Section 509 of the Public Health Service Act.
Does the opportunity reference Healthy People 2020?
Yes. It is associated with Healthy People 2020 substance abuse objectives.
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