Opportunity Information: Apply for HRSA 12 098
Apply for HRSA 12 098
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Information Services to Rural Hospital Flexibility Grantees Program Cooperative Agreement (Technical Assistance Center)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.241 State Rural Hospital Flexibility Program.
- This funding opportunity was created on Jan 27, 2012 and posted on Jan 27, 2012.
- Applicants must submit their applications by Mar 19, 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 $1,025,000.00 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).
- Eligible applicants include domestic public or private, non profit or for profit organizations. Eligible organizations may include State, local, and Indian tribal governments institutions of higher education other non profit organizations (including faith based, community based, and tribal organizations) and hospitals. Applicants must have significant experience with providing technical assistance virtually and on site to a wide range of stakeholders, to include State and hospital staff. Expert knowledge and demonstrable national recognition in the realm of CAH Finance, Performance Improvement, Quality Improvement, Health Systems Development, and Network Development are required. Applicants must have established methodologies for the creation and dissemination of TA related to the aforementioned focus areas.
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Opportunity Summary:
The Information Services to Rural Hospital Flexibility Grantees Program Cooperative Agreement (Technical Assistance Center) is a Health Resources and Services Administration (HRSA) funding opportunity designed to strengthen the rural health care safety net by funding one national-level technical assistance center. The center is meant to support the Medicare Rural Hospital Flexibility (Flex) Program, which focuses on improving care and strengthening operations for Critical Access Hospitals (CAHs) and the rural communities they serve. Because relatively few hospitals remain eligible to convert to CAH status, the Flex Program has shifted most state-level effort toward core performance and system-improvement work rather than hospital conversions.
At its core, the opportunity aims to help rural hospitals and state program offices make measurable progress in three main areas: improving the quality of care delivered by CAHs and other rural providers, improving the financial and operational performance of CAHs, and advancing rural health system development. That third area includes helping rural communities, CAHs, and other providers build more coordinated regional and local delivery systems, with particular emphasis on integrating rural Emergency Medical Services (EMS) into the broader health care system while maintaining service quality. In practical terms, the funded technical assistance center is expected to bring expertise, tools, and hands-on support that state grantees can use to guide hospitals through quality improvement work, performance management, sustainability planning, and collaborative network development.
The awardee serves as a technical backbone for multiple audiences at once: the 45 state Flex Program grantees, the 46 state-level Small Rural Hospital Improvement Program (SHIP) grantees, and rural hospitals located in the Delta Region (covering 252 counties). The work is not limited to one format. The applicant must be capable of delivering technical assistance both virtually and on-site, and must be prepared to work with a broad mix of stakeholders, including state offices and hospital leadership and staff. A major deliverable is the ongoing creation and dissemination of educational resources such as trainings, guidance materials, and other practical tools. Another key function is enabling peer-to-peer learning, meaning the center should help rural hospitals and state programs learn directly from one another by sharing effective practices, templates, and real-world implementation lessons.
This award is structured as a cooperative agreement rather than a standard grant, which signals substantial federal involvement during the project period. The funded organization would work in coordination with the Office of Rural Health Policy (ORHP) project officers, combining federal oversight and strategic direction with the awardee's subject-matter expertise. The expectation is that the technical assistance center will not just produce materials, but will actively help maintain and improve the operational and educational support infrastructure used by Flex and SHIP programs and targeted rural hospitals.
In terms of funding details, the opportunity (Funding Opportunity Number HRSA-12-098; CFDA 93.241) was a discretionary HRSA award in the health category, with an estimated total funding amount of $1,025,000 and an expectation of a single award. There was no cost sharing or matching requirement. The posting date was January 27, 2012, with an application closing date of March 19, 2012, and an archive date of May 18, 2012.
Eligibility was broad but the qualifications were not. HRSA allowed domestic public or private organizations, non-profit or for-profit entities, including state, local, and tribal governments; institutions of higher education; other non-profit organizations (including faith-based, community-based, and tribal organizations); and hospitals. However, applicants were required to show significant experience delivering technical assistance across many stakeholders and settings, and to demonstrate expert knowledge and national recognition in areas central to the Flex mission. Those areas include CAH finance, performance improvement, quality improvement, health systems development, and network development. Applicants also needed established methodologies for creating and distributing technical assistance products tied to these focus areas, reflecting HRSA's emphasis on proven capacity and national-scale impact rather than experimental or purely local approaches.
Overall, the opportunity funded a specialized technical assistance center intended to help state rural hospital programs and rural providers translate Flex and SHIP priorities into practical improvements in quality, financial stability, operational performance, and regional system coordination, with special attention to rural EMS integration and the needs of Delta Region hospitals.
Frequently Asked Questions (FAQs)
What is this funding opportunity?
This opportunity is the Information Services to Rural Hospital Flexibility Grantees Program Cooperative Agreement (Technical Assistance Center), a Health Resources and Services Administration (HRSA) funding opportunity to support one national-level technical assistance (TA) center focused on strengthening the rural health care safety net.
Which federal agency is offering the award?
The award is offered by HRSA, with substantial involvement from the Office of Rural Health Policy (ORHP) during the project period.
What is the main purpose of the technical assistance center?
The purpose is to provide national-level technical assistance, tools, and educational resources that help rural hospitals and state program offices make measurable progress in Flex priorities, including quality improvement, financial and operational improvement for Critical Access Hospitals (CAHs), and rural health system development.
Why is the Flex Program emphasizing performance improvement rather than hospital conversions?
Because relatively few hospitals remain eligible to convert to CAH status, the Flex Program has shifted most state-level effort toward core performance and system-improvement work rather than hospital conversions.
What are the three main focus areas the center is expected to support?
The center is expected to support measurable progress in: (1) improving quality of care delivered by CAHs and other rural providers, (2) improving the financial and operational performance of CAHs, and (3) advancing rural health system development.
What does "rural health system development" mean in this opportunity?
It includes helping rural communities, CAHs, and other providers build more coordinated regional and local delivery systems, with particular emphasis on integrating rural Emergency Medical Services (EMS) into the broader health care system while maintaining service quality.
Who are the primary audiences served by the technical assistance center?
The center is expected to support multiple audiences: the 45 state Flex Program grantees, the 46 state-level Small Rural Hospital Improvement Program (SHIP) grantees, and rural hospitals located in the Delta Region (252 counties).
What is the Delta Region referenced in the opportunity?
The opportunity specifically calls out rural hospitals in the Delta Region, described as covering 252 counties, as part of the audience the TA center should serve.
Is this award intended to fund more than one technical assistance center?
No. The opportunity indicates an expectation of a single award to fund one national-level technical assistance center.
What types of support is the awardee expected to provide?
The awardee is expected to provide hands-on technical assistance that state grantees can use to guide hospitals through quality improvement work, performance management, sustainability planning, and collaborative network development.
Does the opportunity require both virtual and on-site technical assistance?
Yes. The applicant must be capable of delivering technical assistance both virtually and on-site, and be prepared to work with a broad mix of stakeholders including state offices and hospital leadership and staff.
What kinds of resources and deliverables are expected?
A major deliverable is the ongoing creation and dissemination of educational resources such as trainings, guidance materials, and other practical tools. Another key function is enabling peer-to-peer learning by sharing effective practices, templates, and real-world implementation lessons.
What does "peer-to-peer learning" mean in this context?
It means the TA center should help rural hospitals and state programs learn directly from one another by facilitating the sharing of effective practices, templates, and implementation lessons.
What is the award mechanism and why does it matter?
The award is structured as a cooperative agreement rather than a standard grant. This signals substantial federal involvement during the project period, with the awardee working in coordination with ORHP project officers who provide federal oversight and strategic direction.
What is the Funding Opportunity Number (FON) and CFDA number?
The Funding Opportunity Number is HRSA-12-098 and the CFDA number is 93.241.
How much funding was available under this opportunity?
The estimated total funding amount was $1,025,000.
Was there a cost sharing or matching requirement?
No. The opportunity stated there was no cost sharing or matching requirement.
What were the key dates for this funding opportunity?
The posting date was January 27, 2012. The application closing date was March 19, 2012. The archive date was May 18, 2012.
Who was eligible to apply?
Eligibility included domestic public or private organizations, non-profit or for-profit entities, including state, local, and tribal governments; institutions of higher education; other non-profit organizations (including faith-based, community-based, and tribal organizations); and hospitals.
Were there qualification expectations beyond basic eligibility?
Yes. HRSA required applicants to show significant experience delivering technical assistance across many stakeholders and settings, and to demonstrate expert knowledge and national recognition in areas central to the Flex mission.
What specific expertise areas were emphasized for applicants?
Applicants were expected to demonstrate expert knowledge and national recognition in CAH finance, performance improvement, quality improvement, health systems development, and network development.
What did HRSA expect regarding the applicant's technical assistance methodology?
Applicants needed established methodologies for creating and distributing technical assistance products tied to the focus areas, reflecting an emphasis on proven capacity and national-scale impact.
Does the opportunity focus only on Critical Access Hospitals (CAHs)?
While CAHs are central to the Flex Program focus (quality and financial/operational performance improvements), the opportunity also references supporting other rural providers and broader rural system development efforts.
What role does EMS play in the scope of work?
EMS integration is a specific emphasis within rural health system development. The opportunity highlights integrating rural EMS into the broader health care system while maintaining service quality.
What does it mean that the awardee provides a "technical backbone"?
It means the awardee is expected to act as a central source of expertise, tools, hands-on support, educational resources, and peer-learning infrastructure that multiple state programs and targeted rural hospitals can rely on.
Is the TA center expected to only produce materials, or to provide active support?
The expectation is active support. The center should not just produce materials, but actively help maintain and improve the operational and educational support infrastructure used by Flex and SHIP programs and targeted rural hospitals.
What stakeholders is the TA center expected to work with?
The center is expected to work with a broad mix of stakeholders, including state program offices as well as rural hospital leadership and staff.
What is the relationship between Flex and SHIP in this opportunity?
The TA center supports both the state Flex Program grantees and the state-level SHIP grantees, providing resources and support infrastructure that can be used across these rural hospital improvement efforts.
What category of funding is this?
This was a discretionary HRSA award in the health category.
Is this opportunity still open?
No. Based on the dates provided, the closing date was March 19, 2012 and the opportunity was archived on May 18, 2012.
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