Opportunity Information: Apply for HRSA 11 090
Apply for HRSA 11 090
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Delta Health Initiative" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.241 State Rural Hospital Flexibility Program.
- This funding opportunity was created on Jan 12, 2011 and posted on Jan 12, 2011.
- Applicants must submit their applications by Mar 15, 2011. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $34,000,000.00 to eligible and selected applicants.
- 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).
- To be eligible an organization must be a non Federal, not for profit alliance. This alliance must consist of no fewer than four academic institutions that have a history of collaboration and a commitment to addressing the healthcare needs of the Mississippi Delta. The alliance must include both the State Medical Association and State Hospital Association. Additionally, alliance partners must also include an academic health center, a minimum of two regional universities, a school of nursing, and a relationship with a strong economic development entity. The alliance must have at least three years experience working with federally qualified health centers and local health departments. The alliance is required to demonstrate the capacity to determine what programs/projects would have the greatest bearing on reducing health care disparities, along with experience in diabetes education, disease management protocols, other health education practices and wellness attainment strategies for promoting healthy communities. Within this alliance, one organization shall be identified as the lead agency/grantee. That organization will be legally and fiscally responsibility for the entire grant.
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Opportunity Summary:
The Delta Health Initiative (DHI) is a discretionary federal cooperative agreement from the Health Resources and Services Administration (HRSA), designed to improve health outcomes in the Mississippi Delta, a region described in the announcement as historically distressed and facing persistent rural health gaps. The core idea of the program is to fund a coordinated alliance of providers and academic partners that can tackle long-standing unmet needs tied to rural health access and disparities. Rather than focusing on a single clinic or isolated intervention, DHI is structured to support a broad, organized partnership capable of delivering health care services, health education, applied research efforts, job training, health workforce development, health information technology improvements, care coordination, and even capital improvements such as construction of health facilities. The overarching goal is to improve the health of people living in the Delta by strengthening the systems that deliver care, prevention, and community health support.
This opportunity was posted on January 12, 2011, under Funding Opportunity Number HRSA 11-090, with an application closing date of March 15, 2011 (archived May 14, 2011). The funding instrument is a Cooperative Agreement, which typically means HRSA anticipates substantial involvement in the program beyond standard grant monitoring, often including collaboration on implementation, performance measures, and oversight expectations. The funding activity category is Health, and the CFDA number listed is 93.241 (State Rural Hospital Flexibility Program). The announcement anticipated a single award (Expected Awards: 1) with an estimated total funding level of $34,000,000, and it did not require cost sharing or matching.
DHI emphasizes both direct health impact and the infrastructure needed to sustain improvements. The description highlights that earlier DHI cooperative agreement investments included a 5-year award totaling $24.75 million in FY 2006 and $23 million in FY 2008, illustrating that the program has historically been funded at a major scale and is intended to support multi-year, region-wide work. The funded effort described in the opportunity includes an active consortium working with 10 partners across a portfolio of projects targeting chronic disease management (with particular relevance to diabetes education and disease management protocols), health education, wellness promotion and interventions, expanded access to health care services, health IT, workforce training, care coordination, and construction of health facilities. The consortium approach is further underscored by the mention of 24 proposed projects and the creation of internal communication and coordination systems to keep multiple initiatives aligned. Notably, three projects were described as major public works efforts involving construction of public health facilities, signaling that DHI is not limited to programmatic services but can also support bricks-and-mortar components when they are central to improving access and service capacity.
Eligibility is narrowly defined and geared toward mature, collaborative networks rather than new partnerships. Applicants had to be a non-federal, nonprofit alliance, and the alliance needed to include at least four academic institutions with a history of working together and a demonstrated commitment to addressing Mississippi Delta health needs. The alliance also had to include both the State Medical Association and the State Hospital Association, indicating an intent to integrate clinical leadership, hospital systems, and broader provider networks into a unified regional strategy. Required partners further included an academic health center, at least two regional universities, a school of nursing, and a relationship with a strong economic development entity, reflecting the program’s view that health improvement in the Delta is connected to workforce pipelines, regional capacity, and community economic conditions. Experience requirements were also specific: the alliance needed at least three years of experience working with federally qualified health centers and local health departments, plus the ability to identify and prioritize interventions most likely to reduce disparities. The announcement also calls for demonstrated experience in diabetes education, disease management protocols, health education practices, and wellness strategies aimed at building healthier communities. Within the alliance, one organization had to serve as the lead agency/grantee and carry the legal and fiscal responsibility for the entire award, a common structure for complex consortium grants where one entity serves as the accountable hub.
In terms of federal priorities, DHI is positioned as a vehicle to advance multiple HHS, HRSA, and Office of Rural Health Policy (ORHP) goals, especially improving the safety, quality, and access to health care. The way the program is framed suggests an emphasis on measurable improvements in rural service delivery and chronic disease outcomes, backed by practical capacity-building: training the workforce, strengthening coordination across providers, deploying health IT, expanding facilities where needed, and aligning education and outreach so that prevention and chronic care management can reach more residents across the Delta.
For applicants or stakeholders seeking the original materials, HRSA provided an additional information link through its grants portal and directed technical access issues to the HRSA Call Center (CallCenter@HRSA.GOV), including phone contact options.
Delta Health Initiative (DHI) - FAQs
What is the Delta Health Initiative (DHI)?
The Delta Health Initiative (DHI) is a discretionary federal cooperative agreement from the Health Resources and Services Administration (HRSA) intended to improve health outcomes in the Mississippi Delta. It is designed to address persistent rural health gaps and long-standing unmet needs tied to access and health disparities by supporting a coordinated, region-wide alliance rather than a single clinic or isolated project.
Which federal agency administers this opportunity?
HRSA (Health Resources and Services Administration) administers the opportunity.
What is the Funding Opportunity Number for this announcement?
The Funding Opportunity Number is HRSA 11-090.
When was this opportunity posted and when did it close?
The opportunity was posted on January 12, 2011, and the application closing date was March 15, 2011. It is noted as archived on May 14, 2011.
What type of funding instrument is DHI?
DHI uses a Cooperative Agreement. This typically indicates HRSA expects substantial involvement beyond standard grant monitoring, such as collaboration on implementation, performance measures, and oversight expectations.
What is the funding activity category?
The funding activity category listed is Health.
What CFDA number is associated with this opportunity?
The CFDA number listed is 93.241 (State Rural Hospital Flexibility Program).
How many awards were expected under this announcement?
The announcement anticipated a single award (Expected Awards: 1).
What was the estimated total funding level?
The estimated total funding level was $34,000,000.
Was cost sharing or matching required?
No cost sharing or matching was required.
What is the main goal of the Delta Health Initiative?
The overarching goal is to improve the health of people living in the Mississippi Delta by strengthening the systems that deliver care, prevention, and community health support. The program is framed to improve safety, quality, and access to health care, with an emphasis on measurable improvements in rural service delivery and chronic disease outcomes.
What kinds of activities and projects can DHI support?
DHI is structured to support a broad partnership capable of delivering and coordinating multiple types of work, including health care services, health education, applied research efforts, job training, health workforce development, health information technology (health IT) improvements, care coordination, and capital improvements such as construction of health facilities.
Does DHI focus on a single program or clinic?
No. DHI is designed to fund a coordinated alliance of providers and academic partners addressing regional needs across the Mississippi Delta, rather than focusing on a single clinic or isolated intervention.
Can DHI funds be used for construction or facility improvements?
Yes. The opportunity description specifically notes that DHI can support capital improvements, including construction of health facilities. It references major public works efforts involving construction of public health facilities, indicating that bricks-and-mortar components may be included when central to improving access and service capacity.
What health issues are highlighted in the program description?
The announcement highlights chronic disease management, with particular relevance to diabetes education and disease management protocols, along with health education, wellness promotion and interventions, and expanded access to health care services.
Is health information technology (health IT) included in the scope?
Yes. Health IT improvements are explicitly included among the supported activities.
Does DHI include workforce training and development?
Yes. The scope includes job training, health workforce development, and workforce training activities as part of strengthening rural health systems.
Is care coordination part of the DHI approach?
Yes. Care coordination is specifically named as part of the funded effort, consistent with the program emphasis on organized, multi-partner implementation.
Who was eligible to apply?
Eligibility was narrowly defined. Applicants had to be a non-federal, nonprofit alliance rather than a single organization acting alone.
What partnership structure was required for eligibility?
The alliance had to include at least four academic institutions with a history of working together and a demonstrated commitment to addressing Mississippi Delta health needs. The alliance also had to include the State Medical Association and the State Hospital Association, indicating required integration of clinical leadership and hospital systems into a unified regional strategy.
What specific types of academic and institutional partners were required?
Required partners included an academic health center, at least two regional universities, a school of nursing, and a relationship with a strong economic development entity.
Why does the opportunity require an economic development relationship?
The announcement reflects a view that health improvement in the Mississippi Delta is connected to workforce pipelines, regional capacity, and community economic conditions, which is why a relationship with a strong economic development entity is required.
Were there minimum experience requirements for the alliance?
Yes. The alliance needed at least three years of experience working with federally qualified health centers (FQHCs) and local health departments, plus the ability to identify and prioritize interventions most likely to reduce disparities.
What subject-matter experience did the announcement call for?
The announcement calls for demonstrated experience in diabetes education, disease management protocols, health education practices, and wellness strategies aimed at building healthier communities.
Was a lead agency required?
Yes. Within the alliance, one organization had to serve as the lead agency/grantee and carry the legal and fiscal responsibility for the entire award.
Does the announcement indicate DHI is meant for mature alliances rather than new collaborations?
Yes. The eligibility requirements emphasize an established alliance, including a history of working together, specific required partners, and multi-year experience working with FQHCs and local health departments.
How does DHI align with federal priorities?
DHI is positioned to advance multiple HHS, HRSA, and Office of Rural Health Policy (ORHP) goals, especially improving the safety, quality, and access to health care, with an emphasis on measurable improvements supported by capacity-building (workforce training, health IT, coordination, facility expansion where needed, and aligned education/outreach).
Does the announcement provide examples of the scale or history of DHI investments?
Yes. The description notes earlier DHI cooperative agreement investments, including a 5-year award totaling $24.75 million in FY 2006 and $23 million in FY 2008, indicating historically major, multi-year, region-wide funding.
What does the announcement say about the consortium approach in practice?
The opportunity describes an active consortium working with 10 partners across a portfolio of projects, references 24 proposed projects, and notes internal communication and coordination systems to keep multiple initiatives aligned.
Where could applicants or stakeholders find the original materials or get technical help?
HRSA provided an additional information link through its grants portal and directed technical access issues to the HRSA Call Center at CallCenter@HRSA.GOV, with phone contact options also referenced.
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