Opportunity Information: Apply for HRSA 14 138

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Evidence Based Tele Emergency Network Grant Program" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.211 Telehealth Programs.
  • This funding opportunity was created on May 16, 2014 and posted on May 16, 2014.
  • Applicants must submit their applications by Jun 19, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $1,600,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 4 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants include rural or urban nonprofit entities that will provide Tele Emergency services through a telehealth network. Network members may be public, nonprofit or for profit entities. Faith based, community based organizations and tribal organizations are eligible to apply. The bulk of the tele emergency services must be provided to rural communities, although the applicant and/or destination site may be located in an urban area. This FOA seeks applicants that have established telehealth networks and experience in delivering Tele Emergency services who will be able to leverage their existing networks with the option to use some of the grant funding to expand to other sites to increase the number of Tele Emergency encounters.
Apply for HRSA 14 138

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Opportunity Summary:

The Evidence Based Tele Emergency Network Grant Program (EB TNGP) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) designed to strengthen rural emergency care by expanding telehealth based Emergency Department (ED) consultation services. The core idea is to support established telehealth networks that can provide 24/7, real time emergency specialist support to rural hospitals and clinics that do not have emergency care specialists on site. In this program, "Tele Emergency" specifically means an immediate, synchronous, interactive audio and video connection where an ED specialist at a distant location consults with generalist clinicians at the rural originating site to guide emergency care decisions as they happen.

The program is not only about increasing access to specialist input in rural EDs, but also about building a strong evidence base for whether tele emergency care improves outcomes and how it affects costs. HRSA is looking for networks that can generate a large number of patient encounters so the results are statistically meaningful and suitable for rigorous study. Grantees are expected to systematically collect, manage, and analyze data in a way that supports both local evaluation and a coordinated, multi site evaluation led by HRSA's Office of Rural Health Policy (ORHP). The intention is that participating grantees will use common metrics and shared evaluation protocols so results can be compared across sites and combined into broader findings. A major expectation is publication of results in peer reviewed academic journals, with an emphasis on producing evaluation quality comparable to leading health services and clinical research publications.

Tele Emergency services supported by this funding can cover a wide range of ED consultation functions, including early assessment of patients when they arrive, interpretation of symptoms and clinical tests, supervision or guidance for treatment and medication administration, and coordination of transfers when patients need a higher level of care. The FOA highlights rural impact, but it allows flexibility in where the network hub or destination specialist site is located: the specialist site and even the applicant organization may be urban as long as the bulk of tele emergency services are delivered to rural communities. The program also makes clear that networks may include a mix of public, nonprofit, and for profit members, even though the applicant organization must meet the eligibility requirements described in the announcement.

Evaluation is a central feature of the EB TNGP. Applicants are expected to demonstrate serious technical expertise in quantitative and qualitative evaluation, including experience conducting large scale analyses across multiple sites. They also need to explain how their staffing plan will support the broader ORHP led evaluation, not just their internal reporting. ORHP plans to work with awardees and other key informants to finalize the common evaluation metrics after awards are made. While the program recognizes that creating a control group at every individual site may not be feasible given the push for large patient volumes, it still expects robust evaluation designs. Studies should compare outcomes to other populations not receiving tele emergency services when scientifically appropriate, and they should transparently document methods, implementation approaches, and any costs added or saved.

The types of outcomes the program is interested in measuring span clinical, operational, patient experience, and financial domains. Example metrics mentioned include improved diagnostic accuracy, expanded treatment options, reduced complications and mortality, fewer subsequent interventions, fewer transfers and follow up visits, reduced length of stay, faster resolution of illness, reduced pain or other measurable symptoms, shorter recovery time, reduced travel burden for patients and families, higher patient and provider satisfaction, and better cost efficiency. ORHP's broader program evaluation is expected to focus on quality of care, appropriateness of technology use, changes in patient access, changes in clinical processes and outcomes, and the overall cost impact of service delivery in terms of efficiency and effectiveness.

From an administrative standpoint, the opportunity is listed under Funding Opportunity Number HRSA-14-138 and CFDA 93.211 (Telehealth Programs). HRSA anticipated making 4 awards with an estimated total funding amount of $1.6 million, and the program does not require cost sharing or matching. Eligible applicants include rural or urban nonprofit entities capable of providing tele emergency services through a telehealth network. Faith based organizations, community based organizations, and tribal organizations are explicitly included as eligible to apply. The solicitation was originally posted May 16, 2014, with an application closing date of June 19, 2014, and it was later archived on August 18, 2014. For access issues or applicant support, HRSA directed applicants to the HRSA Grants Application Center and the HRSA Call Center.

Evidence Based Tele Emergency Network Grant Program (EB TNGP) FAQs

What is the Evidence Based Tele Emergency Network Grant Program (EB TNGP)?

The Evidence Based Tele Emergency Network Grant Program (EB TNGP) is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA). Its purpose is to strengthen rural emergency care by expanding telehealth-based Emergency Department (ED) consultation services and building a strong evidence base about outcomes and costs.

What does "Tele Emergency" mean in this program?

In this program, "Tele Emergency" refers to an immediate, synchronous, interactive audio and video connection. An ED specialist located at a distant site consults in real time with generalist clinicians at a rural originating site to guide emergency care decisions as they happen.

What is the main goal of the program?

The program aims to increase rural access to real-time emergency specialist consultation (especially where specialists are not on site) and to generate rigorous evidence about whether tele emergency care improves outcomes and how it affects costs.

What kinds of organizations does HRSA want to fund?

HRSA is looking to support established telehealth networks that can provide 24/7 real-time emergency specialist support to rural hospitals and clinics that do not have emergency care specialists on site.

Does the program require 24/7 availability?

Yes. A core idea of the opportunity is to support telehealth networks that can provide 24/7, real-time emergency specialist support to rural originating sites.

Who can apply for this grant?

Eligible applicants include rural or urban nonprofit entities capable of providing tele emergency services through a telehealth network. Faith-based organizations, community-based organizations, and tribal organizations are explicitly included as eligible to apply.

Can an urban organization apply if it serves rural communities?

Yes. The opportunity emphasizes rural impact but allows flexibility in where the network hub or destination specialist site is located. The specialist site and even the applicant organization may be urban, as long as the bulk of tele emergency services are delivered to rural communities.

Can the tele emergency network include for-profit members?

Yes. The program states that networks may include a mix of public, nonprofit, and for-profit members, although the applicant organization must meet the eligibility requirements described in the announcement.

What types of services can Tele Emergency cover under this program?

Tele Emergency services supported by this funding can include early assessment of patients upon arrival, interpretation of symptoms and clinical tests, guidance or supervision for treatment and medication administration, and coordination of transfers when a higher level of care is needed.

Why is evaluation so important in this program?

Evaluation is described as a central feature of the EB TNGP. HRSA is not only funding service expansion, but also expecting grantees to generate rigorous, publishable evidence about clinical, operational, patient experience, and financial impacts.

What kind of evaluation capabilities are applicants expected to have?

Applicants are expected to demonstrate serious technical expertise in quantitative and qualitative evaluation, including experience conducting large-scale analyses across multiple sites. They also need to explain how their staffing plan will support the broader HRSA Office of Rural Health Policy (ORHP)-led evaluation, not just internal reporting.

What is ORHP and what role does it play in the evaluation?

ORHP is HRSA's Office of Rural Health Policy. ORHP is expected to lead a coordinated, multi-site evaluation and plans to work with awardees and other key informants to finalize common evaluation metrics after awards are made.

Are grantees expected to use common metrics across sites?

Yes. The intent is that grantees will use common metrics and shared evaluation protocols so results can be compared across sites and combined into broader findings.

Does HRSA expect a high volume of patient encounters?

Yes. HRSA is looking for networks that can generate a large number of patient encounters so results are statistically meaningful and suitable for rigorous study.

Does the program require a control group?

The program recognizes that creating a control group at every individual site may not be feasible given the push for large patient volumes. However, it still expects robust evaluation designs and states that studies should compare outcomes to other populations not receiving tele emergency services when scientifically appropriate.

What are some example outcomes or metrics that the program is interested in?

Examples include improved diagnostic accuracy, expanded treatment options, reduced complications and mortality, fewer subsequent interventions, fewer transfers and follow-up visits, reduced length of stay, faster resolution of illness, reduced pain or other measurable symptoms, shorter recovery time, reduced travel burden for patients and families, higher patient and provider satisfaction, and better cost efficiency.

What does ORHP expect its broader evaluation to focus on?

ORHP's broader program evaluation is expected to focus on quality of care, appropriateness of technology use, changes in patient access, changes in clinical processes and outcomes, and the overall cost impact of service delivery in terms of efficiency and effectiveness.

Are grantees expected to publish results?

Yes. A major expectation is publication of results in peer-reviewed academic journals, with an emphasis on producing evaluation quality comparable to leading health services and clinical research publications.

What does HRSA expect grantees to do with data?

Grantees are expected to systematically collect, manage, and analyze data to support both local evaluation and a coordinated, multi-site evaluation led by ORHP, using shared protocols and common metrics.

What is the Funding Opportunity Number and CFDA number for this opportunity?

The opportunity is listed under Funding Opportunity Number HRSA-14-138 and CFDA 93.211 (Telehealth Programs).

How much funding was HRSA planning to award?

HRSA anticipated making 4 awards with an estimated total funding amount of $1.6 million.

Is cost sharing or matching required?

No. The program does not require cost sharing or matching.

When was the opportunity posted, and what were the key dates?

The solicitation was originally posted on May 16, 2014. The application closing date was June 19, 2014. The opportunity was later archived on August 18, 2014.

Where could applicants go for technical help or access issues?

HRSA directed applicants to the HRSA Grants Application Center and the HRSA Call Center for access issues or applicant support.

Is this opportunity still open?

The information provided states that the opportunity was archived on August 18, 2014.

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