Opportunity Information: Apply for HRSA 16 052

  • The HHS-HRSA in the health sector is offering a public funding opportunity titled "Emergency Medical Services for Children Innovation and Improvement Center" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.127.
  • This funding opportunity was created on Oct 22, 2015 and posted on Oct 22, 2015.
  • Applicants must submit their applications by Jan 20, 2016. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • 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).
Apply for HRSA 16 052

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Opportunity Summary:

The Emergency Medical Services for Children Innovation and Improvement Center (EIIC) funding opportunity (HRSA 16-052) is a discretionary cooperative agreement from HHS HRSA (CFDA 93.127) designed to strengthen how emergency medical systems care for children in both prehospital and hospital settings. The larger Emergency Medical Services for Children (EMSC) program focuses on improving outcomes for children and youth facing trauma or critical illness, with the central aim of reducing preventable mortality and morbidity tied to severe injury or illness. Rather than building a separate pediatric EMS system, the program is explicitly aimed at upgrading the pediatric readiness and capabilities of the existing EMS infrastructure, which historically has been built around adult needs.

Under this announcement, HRSA planned to fund one awardee to operate the EIIC and serve as a national support hub for other EMSC-funded recipients. The EIIC is expected to provide hands-on consultation and technical assistance to multiple categories of EMSC grant recipients, including State Partnership programs, State Partnership Regionalization of Care projects, Targeted Issues programs, and the Pediatric Emergency Care Applied Research Network. The core idea is that many states, hospitals, EMS agencies, and partners need practical support to translate evidence and best practices into real-world quality improvement (QI) work. The EIIC functions as the connective tissue that helps these grantees choose effective strategies, implement them consistently, measure progress, and spread what works.

A key theme of the opportunity is treating pediatric emergency care as a full continuum, not a single point of service. The program frames EMS for children broadly to include prevention, prehospital response and transport, hospital-based emergency care, and rehabilitation and reintegration back into the community. In that context, the EIIC is meant to help move pediatric emergency care systems toward consistent, measurable performance, with an emphasis on evidence-based, evidence-informed, and innovative approaches. This includes identifying and packaging strategies and tools that can be adopted by grantees, educating the broader EMSC community about those approaches, and driving improvements in national EMSC performance measures through structured QI collaboratives.

The funding opportunity lays out time-bound program objectives (SMART objectives) that the EIIC-supported work should help advance over the following four years. By 2017, the expectation was that at least 90 percent of EMSC State Partnership recipients would be ready for the prehospital baseline assessment tied to new EMSC performance measures. By 2019, the target was for 20 states to have adopted or engaged in at least one QI strategy or process. Also by 2019, at least 30 percent of hospitals were expected to increase their Pediatric Readiness score by 10 points, reflecting measurable gains in hospital capability to care for children in emergencies.

To achieve these outcomes, the EIIC is required to carry out several major activity areas. These include delivering education, training, and consultation using subject matter experts across both prehospital and hospital pediatric emergency care; establishing and running QI collaboratives that allow multiple sites or states to work on shared improvement goals; creating QI tools and practical products that grantees can use (for example, implementation guides, protocols, data collection resources, and training materials); and disseminating those tools widely so improvements can spread beyond early adopters. The EIIC also has an explicit coordination role: facilitating communication among EMS stakeholders and EMSC recipients, and maintaining active collaboration with the federal EMSC program and other key partners to keep priorities aligned.

Applicants to run the EIIC were expected to propose their own SMART objectives that align with the program-wide targets and the required logic model for the cooperative agreement. In practical terms, that means an applicant needed to show exactly what they would build or deliver (activities and products), how they would support grantees in adopting QI strategies, and how success would be tracked through measurable outputs and improvements in system performance and national EMSC measures. The cooperative agreement structure also signals that the federal program would be actively involved in the work, with ongoing coordination between HRSA and the EIIC to ensure the center stays focused on measurable, nationally relevant improvements in pediatric emergency care.

Administrative details included an original and current closing date of January 20, 2016, and an expectation of a single award. The award ceiling was listed as 0 in the source data, which typically indicates the ceiling was either not specified in that field or was addressed elsewhere in the full funding announcement. Eligibility was listed broadly as "Others," with additional clarification expected in the full eligibility section of the FOA.

Frequently Asked Questions (FAQs)

What is the EIIC funding opportunity (HRSA 16-052)?

The Emergency Medical Services for Children Innovation and Improvement Center (EIIC) funding opportunity (HRSA 16-052) is a discretionary cooperative agreement from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), under CFDA 93.127. It is designed to strengthen how emergency medical systems care for children in both prehospital and hospital settings by helping EMSC-funded programs implement evidence-based and practical quality improvement (QI) approaches.

What is the broader Emergency Medical Services for Children (EMSC) program trying to achieve?

The EMSC program focuses on improving outcomes for children and youth who experience trauma or critical illness. Its central aim is to reduce preventable mortality and morbidity related to severe injury or illness by improving pediatric readiness and capabilities within the existing EMS infrastructure, rather than building a separate pediatric EMS system.

Does this program create a separate pediatric EMS system?

No. The opportunity explicitly emphasizes improving pediatric readiness within existing EMS systems that historically have been designed around adult needs. The goal is to upgrade current systems so they can consistently deliver high-quality emergency care to children.

What is the EIIC expected to do?

The EIIC is intended to operate as a national support hub for EMSC-funded recipients. It is expected to provide hands-on consultation and technical assistance, help grantees translate evidence and best practices into real-world QI work, support implementation of strategies, help measure progress, and help spread effective approaches across states, hospitals, and EMS agencies.

How does the EIIC fit into the EMSC ecosystem?

The EIIC functions as connective tissue across EMSC grantees and partners. It supports recipients in selecting and implementing improvement strategies, provides tools and training, runs QI collaboratives, and coordinates communication among stakeholders while staying aligned with federal EMSC program priorities.

Who would the EIIC support?

The EIIC is expected to provide consultation and technical assistance to multiple categories of EMSC grant recipients, including:

  • EMSC State Partnership programs
  • State Partnership Regionalization of Care projects
  • Targeted Issues programs
  • Pediatric Emergency Care Applied Research Network (PECARN)

What does the program mean by pediatric emergency care being a "continuum"?

In this opportunity, EMS for children is framed as a full continuum that includes prevention, prehospital response and transport, hospital-based emergency care, and rehabilitation and reintegration back into the community. The EIIC is meant to help improve performance across that continuum, not just at a single point of care.

What are the major activity areas the EIIC must carry out?

The funding opportunity describes several major activity areas for the EIIC, including:

  • Delivering education, training, and consultation using subject matter experts in both prehospital and hospital pediatric emergency care
  • Establishing and running QI collaboratives so multiple sites or states can work toward shared improvement goals
  • Creating QI tools and practical products (such as implementation guides, protocols, data collection resources, and training materials)
  • Disseminating tools and approaches broadly to support spread beyond early adopters
  • Facilitating communication among EMS stakeholders and EMSC recipients and coordinating with the federal EMSC program and key partners

What is meant by "quality improvement (QI) collaboratives" in this announcement?

QI collaboratives are structured improvement efforts where multiple participating sites (such as states, hospitals, or EMS systems) work on shared goals, apply improvement strategies, and track results in a consistent way. In this opportunity, collaboratives are intended to accelerate adoption of effective strategies and improve national EMSC performance measures.

What kinds of tools and products is the EIIC expected to develop?

The opportunity anticipates practical, use-ready QI products that grantees can adopt, such as implementation guides, protocols, data collection resources, and training materials. The emphasis is on packaging strategies and tools so they can be implemented consistently and measured over time.

What performance measures or outcomes is the EIIC expected to influence?

The EIIC-supported work is intended to drive improvements in national EMSC performance measures by helping grantees implement evidence-based, evidence-informed, and innovative approaches through structured QI work and broad dissemination of effective tools and strategies.

What time-bound program objectives (SMART objectives) are described in the announcement?

The announcement includes multi-year targets the EIIC work should help advance over four years, including:

  • By 2017: At least 90 percent of EMSC State Partnership recipients ready for the prehospital baseline assessment tied to new EMSC performance measures
  • By 2019: 20 states adopted or engaged in at least one QI strategy or process
  • By 2019: At least 30 percent of hospitals increased their Pediatric Readiness score by 10 points

What is the Pediatric Readiness score referenced in the targets?

Based on the information provided in the opportunity summary, the Pediatric Readiness score is used as an indicator of a hospital's capability to care for children in emergencies. The 2019 target calls for measurable improvement, specifically a 10-point increase for at least 30 percent of hospitals.

What is the prehospital baseline assessment mentioned for 2017?

The opportunity references a prehospital baseline assessment tied to new EMSC performance measures. A key 2017 expectation is that at least 90 percent of EMSC State Partnership recipients would be ready for that assessment, supporting consistent measurement and improvement work in prehospital settings.

What does it mean that this award is a "cooperative agreement"?

A cooperative agreement structure indicates active federal involvement in the work. In this opportunity, it signals ongoing coordination between HRSA and the EIIC to keep the center focused on measurable, nationally relevant improvements in pediatric emergency care and alignment with federal EMSC priorities.

How many awards did HRSA plan to make under this announcement?

HRSA planned to fund one awardee to operate the EIIC and serve as the national support hub for other EMSC-funded recipients.

What was the application closing date for HRSA 16-052?

The original and current closing date listed for the opportunity was January 20, 2016.

What was the award ceiling?

The award ceiling was listed as 0 in the source data. This typically indicates the ceiling amount was either not specified in that field or provided elsewhere in the full funding announcement.

Who was eligible to apply?

Eligibility was listed broadly as "Others," with the expectation that more specific eligibility details would be provided in the full eligibility section of the funding opportunity announcement (FOA).

What would an applicant need to propose in their application to run the EIIC?

Applicants were expected to propose their own SMART objectives aligned with program-wide targets and the required logic model for the cooperative agreement. The application would need to clearly describe planned activities and products, how the applicant would support grantees in adopting QI strategies, and how success would be tracked using measurable outputs and improvements in system performance and national EMSC measures.

Is the EIIC focused only on hospitals or only on EMS agencies?

No. The opportunity emphasizes both prehospital and hospital pediatric emergency care. EIIC support is intended to strengthen pediatric readiness across the emergency care system, reflecting the continuum from prehospital response and transport through hospital care and beyond.

What is the main problem this opportunity is trying to solve?

The opportunity is designed to address the gap between evidence/best practices and real-world implementation. Many states, hospitals, EMS agencies, and partners need practical assistance to select effective strategies, implement them consistently, measure results, and spread successful approaches. The EIIC is intended to provide that hands-on support at a national level.

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