Opportunity Information: Apply for HRSA 12 126
Apply for HRSA 12 126
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "EMSC State Partnership Regionalization of Care (SPROC)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.127 Emergency Medical Services for Children.
- This funding opportunity was created on Jan 24, 2012 and posted on Oct 17, 2011.
- Applicants must submit their applications by Feb 3, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $800,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $200,000.00 in funding.
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: State governments Others (see text field entitled Additional Information on Eligibility for clarification).
- Applications may be submitted by state governments and accredited schools of medicine and must partner with at least one of the populations of focus (government or non government organizations and institutions in tribal, territorial, insular, or rural geographical areas). The population focus for this application is the children and families in tribal, territorial, insular, or rural geographical areas. Applications that fail to demonstrate established partnerships with tribal, insular, or rural jurisdictions will not be considered.
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Opportunity Summary:
The EMSC State Partnership Regionalization of Care (SPROC) grant (HRSA-12-126) is a Health Resources and Services Administration (HRSA) funding opportunity under the Emergency Medical Services for Children program (CFDA 93.127) designed to improve how severely ill or injured children in underserved areas get timely access to specialized pediatric emergency and trauma care. The opportunity is framed around long-standing national concerns highlighted by the Institute of Medicine in 2006: most children receive emergency care in general hospitals rather than childrens hospitals, many emergency departments lack pediatric-ready staff, equipment, and policies, only a small fraction of EDs have all supplies needed for pediatric emergencies, pediatric dosing and device testing often lag behind adult standards, and disaster planning has historically under-addressed childrens needs. SPROC is meant to tackle the practical reality that in tribal, territorial, insular, and rural communities, geography and limited local resources frequently delay access to pediatric specialty services.
At the core of SPROC is the idea of moving away from ad hoc, case-by-case decisions about whether and where to transport a child, and replacing that with a structured, preplanned, pre-event regional system of care that can reliably do two things: (1) support local teams in stabilizing and managing pediatric emergencies when appropriate, and (2) trigger immediate, well-coordinated transport to the right level of pediatric specialty or trauma care when needed, without avoidable delay. The program encourages applicants to build cross-jurisdiction solutions that may extend beyond state borders, recognizing that the nearest appropriate pediatric expertise or facility may sit in a neighboring state or different jurisdiction. A successful project is expected to map and clarify local capabilities across participating jurisdictions, create practical protocols for triage, consultation, and transfer, and improve resource-sharing so that care is safer, faster, more efficient, more equitable, and more patient-centered.
The solicitation specifically emphasizes regionalization tools and infrastructure that can make specialized pediatric support available in places that do not have it on-site. Examples of approaches named in the announcement include Agreements of Consultation, telemedicine, and other innovative methods to connect frontline providers with pediatric experts. Another major theme is improving the ability to access and retrieve clinical data to support coordinated care across facilities and systems, which is especially important when children must move between EMS, small hospitals, and distant referral centers. The expected end product is not just local improvement, but demonstration models for regionalized pediatric care that could be replicated in other rural regions and potentially adapted for disaster preparedness and response.
Eligibility is limited primarily to state governments and accredited schools of medicine, but applicants must partner with at least one organization or institution representing the targeted populations and locations (tribal, territorial, insular, or rural). The focus population is children and families in those geographic areas, and the announcement is explicit that applications will not be considered if they do not demonstrate established partnerships with tribal, insular, or rural jurisdictions. In addition, proposals must include an innovative partnership-building plan that ensures collaboration between U.S. jurisdictions and the tribal, territorial, insular, or rural communities and residents being served. The opportunity also requires compliance with Executive Order 13166 on improving access to services for persons with limited English proficiency, signaling that applicants should plan for language access and culturally appropriate communication as part of system design and implementation.
Funding details reflect a small, competitive demonstration program. HRSA anticipated making 4 awards with an estimated total program funding level of $800,000, and an award ceiling of $200,000 per award. There is no cost-sharing or matching requirement. The opportunity was posted October 17, 2011, with a closing date of February 3, 2012 (and later archived April 3, 2012), indicating it was a time-limited competition. Operationally, HRSA positioned state partnership applicants as the conduit that helps communities connect to pediatric resources, while emphasizing that the populations of focus should be treated as experts in identifying what innovations will actually work in their own settings.
FAQs: EMSC State Partnership Regionalization of Care (SPROC) Grant (HRSA-12-126)
What is the SPROC grant (HRSA-12-126)?
The EMSC State Partnership Regionalization of Care (SPROC) grant (HRSA-12-126) is a Health Resources and Services Administration (HRSA) funding opportunity under the Emergency Medical Services for Children (EMSC) program (CFDA 93.127). It is designed to improve how severely ill or injured children in underserved areas get timely access to specialized pediatric emergency and trauma care.
What problem is this grant trying to solve?
The opportunity targets long-standing national concerns about pediatric emergency readiness and access. It recognizes that most children receive emergency care in general hospitals (not childrens hospitals), many emergency departments lack pediatric-ready staff, equipment, and policies, and only a small fraction of emergency departments have all supplies needed for pediatric emergencies. It also notes persistent gaps such as pediatric dosing and device testing lagging behind adult standards and disaster planning historically under-addressing childrens needs. In rural, tribal, territorial, and insular communities, geography and limited local resources can delay access to pediatric specialty services.
What does "regionalization of care" mean in this program?
In SPROC, regionalization means moving away from ad hoc, case-by-case decisions about whether and where to transport a child and replacing them with a structured, preplanned, pre-event regional system of care. The goal is to reliably support local teams in stabilizing and managing pediatric emergencies when appropriate, and to trigger immediate, well-coordinated transport to the right level of pediatric specialty or trauma care when needed, without avoidable delay.
Who is the focus population for SPROC?
The focus population is children and families in tribal, territorial, insular, and rural geographic areas where access to pediatric specialty and trauma services may be limited and delayed by distance and resource constraints.
Does the program support projects that cross state borders or jurisdictions?
Yes. The program encourages cross-jurisdiction solutions that may extend beyond state borders, recognizing that the nearest appropriate pediatric expertise or facility may be located in a neighboring state or a different jurisdiction.
What kinds of activities or outputs are projects expected to produce?
Projects are expected to map and clarify local capabilities across participating jurisdictions, create practical protocols for triage, consultation, and transfer, and improve resource-sharing. The emphasis is on creating a safer, faster, more efficient, more equitable, and more patient-centered system for pediatric emergency and trauma care access in underserved regions.
What tools or infrastructure does the solicitation emphasize?
The solicitation emphasizes regionalization tools and infrastructure that can make specialized pediatric support available in places that do not have it on-site. Examples named include Agreements of Consultation, telemedicine, and other innovative methods to connect frontline providers with pediatric experts.
Why is clinical data access and retrieval emphasized?
Because children may need to move between EMS, small hospitals, and distant referral centers, the opportunity highlights improving the ability to access and retrieve clinical data to support coordinated care across facilities and systems.
Is the goal only to improve care locally, or also to create models others can reuse?
The expected end product includes demonstration models for regionalized pediatric care that could be replicated in other rural regions and potentially adapted for disaster preparedness and response.
Who is eligible to apply?
Eligibility is limited primarily to state governments and accredited schools of medicine.
Are partnerships required to be eligible?
Yes. Applicants must partner with at least one organization or institution representing the targeted populations and locations (tribal, territorial, insular, or rural). The announcement is explicit that applications will not be considered if they do not demonstrate established partnerships with tribal, insular, or rural jurisdictions.
What is required in the partnership approach beyond having a partner?
Proposals must include an innovative partnership-building plan that ensures collaboration between U.S. jurisdictions and the tribal, territorial, insular, or rural communities and residents being served. The opportunity also emphasizes that the populations of focus should be treated as experts in identifying what innovations will actually work in their own settings.
Does the opportunity mention language access or limited English proficiency (LEP)?
Yes. The opportunity requires compliance with Executive Order 13166 on improving access to services for persons with limited English proficiency. This signals that applicants should plan for language access and culturally appropriate communication as part of system design and implementation.
How many awards did HRSA expect to make and what was the total funding level?
HRSA anticipated making 4 awards, with an estimated total program funding level of $800,000.
What is the maximum award amount?
The award ceiling was $200,000 per award.
Is there a cost-sharing or matching requirement?
No. The opportunity states there is no cost-sharing or matching requirement.
When was the opportunity posted and when did it close?
The opportunity was posted October 17, 2011, with a closing date of February 3, 2012. It was later archived April 3, 2012.
Is this a permanent program or a time-limited competition?
Based on the posted and closing dates and the later archived date, the solicitation describes a time-limited competition rather than an open-ended, always-available funding opportunity.
What role does HRSA envision for state partnership applicants?
Operationally, HRSA positioned state partnership applicants as the conduit that helps communities connect to pediatric resources, while emphasizing collaboration with the communities being served.
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