Opportunity Information: Apply for HRSA 13 284
Apply for HRSA 13 284
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN)" 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 Jul 12, 2013 and posted on Jul 12, 2013.
- Applicants must submit their applications by Aug 12, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $400,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: County governments City or township governments Public and State controlled institutions of higher education Others (see text field entitled Additional Information on Eligibility for clarification) Special district governments State governments Private institutions of higher education Independent school districts Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Native American tribal organizations (other than Federally recognized tribal governments).
- As cited in 42 CFR Part 51a.3(a), any public or private entity (such as non profit organizations, states, colleges and universities) and including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b) is eligible.
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Opportunity Summary:
The Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) grant opportunity (HRSA-13-284) is a Health Resources and Services Administration (HRSA) cooperative agreement designed to strengthen maternal and early childhood services by helping home visiting programs improve faster and more consistently. It is closely tied to the Maternal, Infant, and Early Childhood Home Visiting program (MIECHV), which focuses on identifying pregnant women and families with children ages 0 to 5 in at-risk communities and delivering comprehensive supports that improve health, development, and family well-being. The central idea behind this funding is not simply to expand services, but to upgrade how services are delivered by building practical, on-the-ground capacity for continuous quality improvement (CQI) so programs can get better results sooner for low-income and other at-risk families.
Through a partnership with the Maternal and Child Health Bureau (MCHB), specifically its Division of Home Visiting and Early Childhood Systems (DHVECS), the selected awardee would be responsible for planning and running an HV CoIIN that reaches up to 12 MIECHV state grantees and provides intensive technical assistance to as many as 40 local implementing agency (LIA) pilot teams operating within those states. These LIA teams are the frontline home visiting and early childhood service providers where day-to-day practice changes would happen. The purpose is to create a structured network where participating agencies learn from each other and from an expert faculty, use shared measurement and benchmarks, and run rapid tests of change to improve performance over an 18 to 24 month collaborative period.
The outcomes HRSA is aiming for are concrete, family-level improvements that matter in high-need communities. The announcement points to examples such as parental smoking cessation, reductions in adult depression, fewer child developmental delays, reductions in child maltreatment, and progress toward family economic self-sufficiency. The premise is that these kinds of results are more achievable when programs spread proven or promising practices, measure what is happening in real time, and build leadership and technical mastery of CQI methods across both state systems and local sites. If the model works well in the initial set of states and LIAs, the expectation is that the lessons learned could be scaled and replicated in additional places.
Structurally, the HV CoIIN is framed as a web-enabled collaborative improvement network: a community of motivated partners aligned around shared goals, using an online platform to exchange data, strategies, and lessons learned. Applicants are encouraged to build their approach using established learning-collaborative models, such as the Institute for Healthcare Improvement (IHI) Breakthrough Series, which emphasizes time-limited collaborative learning, shared aims, and iterative improvement. Participating LIA teams would use CQI tools like the Model for Improvement and Plan-Do-Study-Act (PDSA) cycles to test changes in their local context, learn quickly from results, and adapt practices rather than attempting one-time, large-scale changes without feedback.
A key responsibility for the awardee is to organize and sustain the collaborative infrastructure that makes this improvement work possible. That includes coordinating learning sessions (virtual and/or in-person), supporting action periods when teams implement and test changes at their sites, and maintaining ongoing coaching relationships through an expert faculty working alongside DHVECS and awardee staff as the management/planning team. The awardee must also provide or maintain an internet-based platform for collaboration and reporting, plus a data dashboard that can aggregate and display measures at the local, state, and overall collaborative levels. The grant stresses the importance of using quality improvement-friendly visualizations, especially run charts, alongside other tools like Pareto charts, scatter plots, frequency plots, and Shewhart control charts when appropriate. Teams are expected to submit and share monthly progress updates, participate in peer-to-peer learning, and use regular calls and other communications to spread practical solutions across sites.
Content-wise, the collaborative would focus on improving performance in 4 to 8 topic areas selected by MCHB with input from subject matter experts. These topics may align with MIECHV benchmark areas such as maternal and newborn health, child development, and family economic self-sufficiency, partly because MIECHV already requires extensive data collection that can support measurement for improvement. At the same time, the announcement leaves room for other high-impact topics that may be especially important operationally, like improving family retention, strengthening workforce retention, or integrating home visiting with other early childhood service systems. Separately from this funding opportunity, DHVECS planned to use a contract mechanism to convene experts (including model developers) to help narrow the topic list and develop initial technical content such as a draft charter, measurement approach, and a set of best practices or strategies (often described as a "change package"). The awardee would then be expected to review and refine that content with HRSA as the HV CoIIN formally launches.
Administratively, this opportunity was posted July 12, 2013, and closed August 12, 2013, with one expected award. The award amount is listed as a fixed floor and ceiling of $400,000, with no cost sharing or matching requirement. Eligible applicants are broad and include public and private entities such as state, local, and tribal governments; nonprofit organizations (including 501(c)(3)s); colleges and universities (public or private); independent school districts; and tribal organizations as defined in federal statute and regulation (with eligibility referenced in 42 CFR 51a.3(a)). Overall, the grant is essentially funding an organizing hub: an entity that can run a disciplined, data-driven improvement collaborative so that multiple states and local agencies can learn together, test changes quickly, and build CQI into routine home visiting practice with the long-term aim of making CQI a core workforce competency.
FAQs: Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) Grant (HRSA-13-284)
What is the HV CoIIN grant opportunity (HRSA-13-284)?
The Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) grant opportunity (HRSA-13-284) is a Health Resources and Services Administration (HRSA) cooperative agreement focused on strengthening maternal and early childhood services by helping home visiting programs improve faster and more consistently through continuous quality improvement (CQI).
How is this grant connected to the MIECHV program?
The HV CoIIN is closely tied to the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. MIECHV focuses on identifying pregnant women and families with children ages 0 to 5 in at-risk communities and delivering comprehensive supports that improve health, development, and family well-being. HV CoIIN is designed to improve how those services are delivered by building practical CQI capacity.
Is the main goal to expand home visiting services?
No. The central idea is not simply to expand services, but to upgrade service delivery by building on-the-ground capacity for continuous quality improvement so programs can achieve better results sooner for low-income and other at-risk families.
What is HRSA trying to improve through this funding?
HRSA is aiming for concrete, family-level improvements in high-need communities. Examples mentioned include parental smoking cessation, reductions in adult depression, fewer child developmental delays, reductions in child maltreatment, and progress toward family economic self-sufficiency.
What does "HV CoIIN" mean in practice?
The HV CoIIN is framed as a web-enabled collaborative improvement network where participating agencies learn from each other and from an expert faculty, use shared measurement and benchmarks, and run rapid tests of change to improve performance during an 18 to 24 month collaborative period.
Who would the awardee work with inside HRSA?
The work is described as being in partnership with the Maternal and Child Health Bureau (MCHB), specifically its Division of Home Visiting and Early Childhood Systems (DHVECS).
How many states and local agencies could participate in the collaborative?
The selected awardee would be responsible for planning and running an HV CoIIN that reaches up to 12 MIECHV state grantees and provides intensive technical assistance to as many as 40 local implementing agency (LIA) pilot teams operating within those states.
What are local implementing agency (LIA) pilot teams?
LIA pilot teams are described as the frontline home visiting and early childhood service providers where day-to-day practice changes would happen. They participate in the collaborative to test, measure, and refine improvements in real operational settings.
How long does the collaborative improvement period last?
The collaborative period is described as lasting 18 to 24 months.
What improvement approach or model does HRSA encourage applicants to use?
Applicants are encouraged to build their approach using established learning-collaborative models such as the Institute for Healthcare Improvement (IHI) Breakthrough Series, which emphasizes time-limited collaborative learning, shared aims, and iterative improvement.
What CQI methods are mentioned for participating teams?
Participating LIA teams are expected to use CQI tools like the Model for Improvement and Plan-Do-Study-Act (PDSA) cycles to run rapid tests of change, learn from results, and adapt practices based on feedback.
What is the awardee expected to do (in plain terms)?
The grant essentially funds an organizing hub. The awardee is responsible for organizing and sustaining the collaborative infrastructure that enables improvement work across multiple states and local sites, including learning sessions, action periods, coaching, and shared measurement/reporting.
What kinds of events or activities would the awardee coordinate?
The awardee would coordinate learning sessions (virtual and/or in-person) and support action periods when teams implement and test changes at their sites, along with ongoing coaching relationships supported by an expert faculty and a DHVECS/awardee management and planning team.
Are online tools or technology required?
Yes. The awardee must provide or maintain an internet-based platform for collaboration and reporting, plus a data dashboard that can aggregate and display measures at the local, state, and overall collaborative levels.
What types of data visualization are emphasized?
The opportunity stresses quality improvement-friendly visualizations, especially run charts. It also mentions other tools such as Pareto charts, scatter plots, frequency plots, and Shewhart control charts when appropriate.
How often are participating teams expected to report progress?
Teams are expected to submit and share monthly progress updates and participate in peer-to-peer learning and regular calls and other communications to spread practical solutions across sites.
What topic areas would the HV CoIIN focus on?
The collaborative would focus on improving performance in 4 to 8 topic areas selected by MCHB with input from subject matter experts.
Do the topic areas have to match MIECHV benchmark areas?
The topics may align with MIECHV benchmark areas such as maternal and newborn health, child development, and family economic self-sufficiency, in part because MIECHV already requires extensive data collection that can support measurement for improvement.
Can topics also include operational performance issues?
Yes. The announcement leaves room for other high-impact topics that may be especially important operationally, such as improving family retention, strengthening workforce retention, or integrating home visiting with other early childhood service systems.
Where do the initial topic materials and technical content come from?
Separately from this funding opportunity, DHVECS planned to use a contract mechanism to convene experts (including model developers) to help narrow the topic list and develop initial technical content such as a draft charter, measurement approach, and a set of best practices or strategies (often described as a "change package").
What is the awardee expected to do with that initial technical content?
The awardee would be expected to review and refine the initial content with HRSA as the HV CoIIN formally launches.
When was this opportunity posted and when did it close?
The opportunity was posted on July 12, 2013 and closed on August 12, 2013.
How many awards were expected?
The announcement indicates one expected award.
How much funding is available under this opportunity?
The award amount is listed with a fixed floor and ceiling of $400,000.
Is there a cost sharing or matching requirement?
No. The opportunity states there is no cost sharing or matching requirement.
Who is eligible to apply?
Eligible applicants include public and private entities such as state, local, and tribal governments; nonprofit organizations (including 501(c)(3)s); colleges and universities (public or private); independent school districts; and tribal organizations as defined in federal statute and regulation, with eligibility referenced in 42 CFR 51a.3(a).
What makes this a cooperative agreement rather than a typical grant?
The opportunity is described as a cooperative agreement and emphasizes partnership and coordination with HRSA/MCHB/DHVECS, including collaborative planning and refinement of the HV CoIIN as it launches.
What is the long-term intent beyond the initial set of participants?
If the model works well in the initial set of states and LIAs, the expectation is that lessons learned could be scaled and replicated in additional places.
What is the underlying theory of change for the HV CoIIN?
The premise is that better outcomes are more achievable when programs spread proven or promising practices, measure what is happening in real time, and build leadership and technical mastery of CQI methods across both state systems and local sites.
What role does measurement play in this collaborative?
Measurement is central: teams use shared measurement and benchmarks, submit monthly updates, and use dashboards and visualizations to understand performance over time and guide rapid-cycle improvements.
What is meant by "rapid tests of change"?
Rapid tests of change refer to small, iterative trials of practice changes (such as through PDSA cycles) that allow teams to learn quickly from results and adjust approaches based on evidence from their local context.
Who provides the technical assistance and coaching?
Technical assistance is provided through the collaborative structure, including an expert faculty working alongside DHVECS and awardee staff as part of the management/planning team, with ongoing coaching relationships to support participating teams.
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