Opportunity Information: Apply for HRSA 15 084

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Early Detection of Vision Problems in Young Children" 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 Feb 9, 2015 and posted on Feb 9, 2015.
  • Applicants must submit their applications by Apr 10, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $300,000.00 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).
  • Per 42 CFR 51a.3(a), any public or private entity, including an Indian Tribe or Tribal organization (as those terms are defined at 25 U.S.C. 450b) is eligible to apply. Faith based and community based organizations are also eligible.
Apply for HRSA 15 084

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Opportunity Summary:

The Health Resources and Services Administration (HRSA) offered a discretionary grant opportunity titled Early Detection of Vision Problems in Young Children (Funding Opportunity Number HRSA-15-084) focused on improving how early childhood vision problems are found and confirmed. The central goal was to increase the detection and diagnosis of visual impairment among children age five and under by helping state public health agencies build stronger systems for universal preschool vision screening. Rather than funding multiple states directly, HRSA planned to fund one awardee to organize and lead a multi-state learning collaborative in which five states would work together on practical, measurable improvements to screening and follow-up.

The grant was designed around quality improvement (QI) methods, emphasizing structured testing, learning, and scaling of changes. The funded entity would convene the collaborative so participating states could jointly identify common barriers, try interventions, refine implementation strategies, and agree on meaningful measures of progress. A key feature was the expectation that each state would consider forming a vision screening QI team that brings together all the major players needed for a functioning screening-to-diagnosis pathway. HRSA specifically pointed to teams that include state Title V maternal and child health leadership, early childhood and education programs, state health surveillance and information systems (such as immunization registries), community health centers, pediatric primary care, vision specialty providers, and family organizations. The idea was to reduce fragmentation by making sure agencies and providers coordinate on screening, referral, diagnosis, reporting, and continuous improvement.

The program’s measurable aim was explicit and time-bound: by 2018, increase by 20 percent over 2011-2012 levels the proportion of children age five and under who receive vision screening and diagnosis in the five participating states, using the National Survey of Children’s Health (NSCH) measure as the benchmark. In practice, this tied the project to a recognized national data source and encouraged states to align their improvement work with outcomes that can be tracked over time.

To achieve that aim, the awardee was expected to build and manage the collaborative’s infrastructure. This included establishing a multidisciplinary project advisory group composed of stakeholders, including families and experts with specialized background in vision screening and diagnosis. The awardee would also provide multiple learning opportunities, including enough learning sessions for state teams to talk through challenges, share what is working, learn from each other, and draw on national experts. In addition, the awardee would create an online platform to support ongoing communication, peer learning, and knowledge transfer between sessions, helping states keep momentum and avoid working in isolation.

A major part of the work involved hands-on technical assistance to state teams in applying QI methodologies. The technical assistance focus areas included strengthening statewide partnerships among key stakeholders (including families and clinical and early childhood systems), improving access to screening and diagnostic services in hard-to-reach communities (with specific attention to rural areas, Tribal communities, and underserved populations), and developing workable strategies for tracking and reporting screening results. The opportunity emphasized measurement discipline as well, calling for a balanced set of measures (outcome, process, and balancing measures) to monitor progress and detect unintended consequences. Finally, the awardee was expected to produce a plan for dissemination and diffusion so that promising practices identified through the collaborative could be spread more broadly within and across states.

From an administrative standpoint, HRSA anticipated making one award under this opportunity, with an estimated total funding amount of $300,000 and no cost sharing or matching requirement. Eligible applicants were broad under 42 CFR 51a.3(a), allowing any public or private entity to apply, including Indian Tribes and Tribal organizations, as well as faith-based and community-based organizations. The opportunity was posted February 9, 2015, and closed April 10, 2015 (archived June 9, 2015). The CFDA listing associated with the program was 93.110 (Maternal and Child Health Federal Consolidated Programs). Contact for the opportunity was Irene Forsman, MS, RN, at HRSA.

Frequently Asked Questions (FAQs)

What is the title and funding opportunity number for this grant?

The opportunity is titled Early Detection of Vision Problems in Young Children and the Funding Opportunity Number is HRSA-15-084.

Which federal agency offered this grant opportunity?

This discretionary grant opportunity was offered by the Health Resources and Services Administration (HRSA).

What problem is this grant trying to address?

The grant focuses on improving how early childhood vision problems are found and confirmed, with an emphasis on strengthening systems that support universal preschool vision screening and effective follow-up to diagnosis.

Who is the target population for the program?

The target population is children age five and under, with the overall intent to increase detection and diagnosis of visual impairment in this age group.

What is the central goal of the project?

The central goal is to increase the detection and diagnosis of visual impairment among children age five and under by helping state public health agencies build stronger systems for universal preschool vision screening.

Is this grant intended to fund multiple states directly?

No. HRSA planned to fund one awardee to organize and lead a multi-state learning collaborative in which five states would work together on practical, measurable improvements.

How many awards did HRSA anticipate making under this opportunity?

HRSA anticipated making one award.

What was the estimated total funding amount for this grant?

The estimated total funding amount was $300,000.

Is cost sharing or matching required?

No. HRSA indicated there was no cost sharing or matching requirement.

Who was eligible to apply?

Eligible applicants were broad under 42 CFR 51a.3(a), allowing any public or private entity to apply. This explicitly included Indian Tribes and Tribal organizations, as well as faith-based and community-based organizations.

What approach or methodology did the grant emphasize?

The program was designed around quality improvement (QI) methods, emphasizing structured testing, learning, and scaling of changes across participating states.

What is a "multi-state learning collaborative" in the context of this grant?

In this opportunity, the collaborative is a structured way for five states to work together to identify shared barriers, test interventions, refine implementation strategies, and agree on meaningful measures to improve vision screening and follow-up to diagnosis.

What kinds of activities was the awardee expected to lead?

The awardee was expected to convene and manage the collaborative, support peer learning across states, provide technical assistance in QI methods, help develop measures to track progress, and create a plan to disseminate and spread promising practices identified through the collaborative.

What infrastructure was the awardee expected to establish for the collaborative?

The awardee was expected to build and manage the collaborative's infrastructure, including forming a multidisciplinary project advisory group, offering multiple learning opportunities (including learning sessions), and creating an online platform to support ongoing communication and knowledge sharing.

What was the expected composition of the project advisory group?

The advisory group was expected to include stakeholders such as families and experts with specialized backgrounds in vision screening and diagnosis.

What are "learning sessions" in this program?

Learning sessions were described as opportunities for state teams to discuss challenges, share what is working, learn from one another, and draw on national experts, helping teams coordinate and keep improvement work moving forward.

Why was an online platform required?

The online platform was intended to support ongoing communication, peer learning, and knowledge transfer between learning sessions, so participating states could maintain momentum and avoid working in isolation.

What measurable aim did HRSA set for the collaborative?

The measurable aim was: by 2018, increase by 20 percent over 2011-2012 levels the proportion of children age five and under who receive vision screening and diagnosis in the five participating states.

What data source or benchmark was used for the measurable aim?

The benchmark was the National Survey of Children’s Health (NSCH) measure.

What is the role of state public health agencies in this grant?

The opportunity focused on helping state public health agencies build stronger systems for universal preschool vision screening, and encouraged coordination across agencies and providers to reduce fragmentation in screening-to-diagnosis pathways.

Were states expected to form teams to support quality improvement?

Yes. A key expectation was that each participating state would consider forming a vision screening QI team that includes the major partners needed for a functioning screening-to-diagnosis pathway.

Which stakeholders did HRSA specifically suggest including on state QI teams?

HRSA specifically pointed to teams that include: state Title V maternal and child health leadership, early childhood and education programs, state health surveillance and information systems (such as immunization registries), community health centers, pediatric primary care, vision specialty providers, and family organizations.

What does the grant mean by reducing fragmentation?

It refers to improving coordination among agencies and providers so that the system works smoothly across screening, referral, diagnosis, reporting, and continuous improvement.

What kinds of technical assistance was the awardee expected to provide?

The awardee was expected to provide hands-on technical assistance to state teams in applying QI methodologies, including: strengthening statewide partnerships, improving access to screening and diagnostic services in hard-to-reach communities, and developing strategies for tracking and reporting screening results.

Which communities were specifically highlighted as needing improved access?

The opportunity highlighted hard-to-reach communities with specific attention to rural areas, Tribal communities, and underserved populations.

What did HRSA mean by a "balanced set of measures"?

The opportunity called for a balanced measurement approach that includes outcome measures, process measures, and balancing measures to monitor progress and detect unintended consequences.

What deliverable related to spreading results was expected?

The awardee was expected to produce a plan for dissemination and diffusion so that promising practices identified through the collaborative could be spread more broadly within and across states.

What is the CFDA listing associated with this opportunity?

The CFDA listing associated with the program was 93.110 (Maternal and Child Health Federal Consolidated Programs).

When was the funding opportunity posted and when did it close?

The opportunity was posted on February 9, 2015 and closed on April 10, 2015. It was archived on June 9, 2015.

Who was the HRSA contact person for this opportunity?

The contact listed was Irene Forsman, MS, RN, at HRSA.

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