Opportunity Information: Apply for HHS 2012 IHS PHN 0001

  • The Indian Health Service in the health sector is offering a public funding opportunity titled "Public Health Nursing" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.933 Demonstration Projects for Indian Health.
  • This funding opportunity was created on Jul 18, 2012 and posted on Jul 18, 2012.
  • Applicants must submit their applications by Aug 17, 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 $1,200,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $150,000.00 in funding.
  • The number of recipients for this funding is limited to 8 candidate(s).
  • Eligible applicants include: 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) Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal governments (Federally recognized).
  • Eligible Applicants must be one of the following i. An Indian Tribe, as defined by 25 U.S.C. 1603(14) ii. A Tribal organization, as defined by 25 U.S.C. 1603(26) or iii. An Urban Indian organization, as defined by 25 U.S.C. 1603(29). Applicants must provide proof of non profit status with the application, e.g. 501(c)(3).
Apply for HHS 2012 IHS PHN 0001

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Opportunity Summary:

The Indian Health Service (IHS) offered a discretionary cooperative agreement called "Public Health Nursing (PHN)" intended to strengthen health outcomes for a clearly identified, high-risk patient group by using a community-based nursing case management approach. The central idea is to place a Public Health Nurse in the role of case manager, coordinating care across settings and over time rather than relying on fragmented, episodic encounters. IHS frames this model as both clinically effective and cost effective, citing the broader evidence base that nursing case management can improve outcomes while also reducing avoidable health care costs.

The program emphasizes hands-on, community-oriented case management that actively includes the client and family alongside other members of the health care team. Applicants are expected to focus on quality of care, continuity, and making sure interventions happen appropriately and on time. Beyond cost containment, the opportunity highlights patient-centered benefits associated with case management, such as better rehabilitation progress, improved quality of life, higher patient satisfaction, and stronger adherence to care plans. A key theme is supporting client self-determination, meaning the nurse case manager is not simply directing services, but helping patients and families make informed choices and build the capacity to manage health needs more independently.

Operationally, the PHN case management model is rooted in standard public health nursing functions: assessment of patient and family needs, planning individualized and realistic care strategies, coordinating services across providers and programs, maintaining clear communication among stakeholders, and monitoring progress over time. The intended outcomes align with a prevention-to-treatment continuum, aiming for earlier detection of problems, timely diagnosis, effective treatment, and ongoing evaluation, all delivered in a way that improves health outcomes efficiently. The model is explicitly designed to use primary, secondary, and tertiary prevention in the home and community context, recognizing that many high-risk patients face barriers that make clinic-only approaches less effective.

Projects funded under this opportunity were to be carried out in phases using the nursing process: assessment, planning, implementation, and evaluation. This implies applicants needed to demonstrate not only how they would deliver case management, but also how they would identify the target high-risk population, define measurable health outcomes, implement the intervention in a structured way, and evaluate whether the approach produced the intended clinical and system-level improvements.

From a funding and administrative standpoint, this was a cooperative agreement (meaning IHS would have substantial involvement compared to a standard grant). The funding opportunity number was HHS 2012 IHS PHN 0001, listed under CFDA 93.933 (Demonstration Projects for Indian Health). IHS anticipated making 8 awards, with an estimated total funding level of $1,200,000. Individual awards were expected to fall between $130,000 and $150,000. There was no cost-sharing or matching requirement.

Eligibility was limited to Indian health-related entities as defined in federal law: (1) an Indian Tribe (25 U.S.C. 1603(14)), (2) a Tribal organization (25 U.S.C. 1603(26)), or (3) an Urban Indian organization (25 U.S.C. 1603(29)). Applicants also had to provide proof of nonprofit status, such as IRS 501(c)(3) documentation. The opportunity was posted July 18, 2012, and closed August 17, 2012, with an archive date of September 16, 2012. For access issues related to the full announcement, IHS listed Paul Gettys, Grant Systems Coordinator, at 301-443-2114 through the Grants Policy Office.

Frequently Asked Questions (FAQs)

1) What is the name of this IHS funding opportunity?

The opportunity is the Indian Health Service (IHS) discretionary cooperative agreement called "Public Health Nursing (PHN)."

2) What is the main purpose of the Public Health Nursing (PHN) cooperative agreement?

The purpose is to strengthen health outcomes for a clearly identified, high-risk patient group by using a community-based nursing case management approach. The model centers on placing a Public Health Nurse in the role of case manager to coordinate care across settings and over time, rather than relying on fragmented, episodic care encounters.

3) What type of award mechanism is this?

This is a cooperative agreement, meaning IHS would have substantial involvement compared to a standard grant.

4) What is the funding opportunity number?

The funding opportunity number is HHS 2012 IHS PHN 0001.

5) What CFDA program is this associated with?

This opportunity is listed under CFDA 93.933, "Demonstration Projects for Indian Health."

6) How many awards did IHS anticipate making?

IHS anticipated making 8 awards.

7) What was the estimated total funding level for the program?

The estimated total funding level was $1,200,000.

8) What was the expected size of individual awards?

Individual awards were expected to range from $130,000 to $150,000.

9) Is cost-sharing or matching required?

No. There was no cost-sharing or matching requirement.

10) Who is eligible to apply?

Eligibility was limited to Indian health-related entities as defined in federal law: (1) an Indian Tribe (25 U.S.C. 1603(14)), (2) a Tribal organization (25 U.S.C. 1603(26)), or (3) an Urban Indian organization (25 U.S.C. 1603(29)). Applicants also had to provide proof of nonprofit status, such as IRS 501(c)(3) documentation.

11) What does IHS mean by a "clearly identified, high-risk patient group"?

The opportunity specifies that applicants are intended to focus on a clearly identified, high-risk patient group. The information provided does not list specific conditions or populations, but it does indicate applicants were expected to identify the target high-risk population as part of the project approach.

12) What is the core service model being supported?

The supported model is community-based nursing case management led by a Public Health Nurse acting as a case manager. The approach emphasizes continuity of care, coordination across providers and programs, and ongoing engagement over time rather than one-time or episodic interventions.

13) What does "community-based" imply in this program description?

The program emphasizes hands-on, community-oriented case management in the home and community context. This reflects the program's recognition that many high-risk patients face barriers that make clinic-only approaches less effective.

14) What are the key responsibilities of the Public Health Nurse case manager in this model?

The model is rooted in standard public health nursing functions, including: assessing patient and family needs, planning individualized and realistic care strategies, coordinating services across providers and programs, maintaining clear communication among stakeholders, and monitoring progress over time.

15) How does the program describe the intended benefits of nursing case management?

IHS frames the model as clinically effective and cost effective, citing the broader evidence base that nursing case management can improve outcomes while also reducing avoidable health care costs. Beyond cost containment, the opportunity highlights patient-centered benefits such as better rehabilitation progress, improved quality of life, higher patient satisfaction, and stronger adherence to care plans.

16) What does the program mean by supporting client self-determination?

Supporting client self-determination means the nurse case manager is not simply directing services. Instead, the nurse helps patients and families make informed choices and build capacity to manage health needs more independently.

17) What quality and care-delivery themes does the opportunity emphasize?

The opportunity emphasizes quality of care, continuity, and making sure interventions happen appropriately and on time. It also stresses active inclusion of the client and family along with other members of the health care team.

18) How are projects expected to be structured or phased?

Projects were to be carried out in phases using the nursing process: assessment, planning, implementation, and evaluation.

19) What does IHS expect applicants to demonstrate in their project approach?

Based on the provided description, applicants needed to demonstrate how they would deliver case management and also how they would identify the target high-risk population, define measurable health outcomes, implement the intervention in a structured way, and evaluate whether the approach produced intended clinical and system-level improvements.

20) What prevention approach is reflected in the PHN model?

The model is explicitly designed to use primary, secondary, and tertiary prevention in the home and community context, aligned with a prevention-to-treatment continuum.

21) What outcomes does the opportunity link to the prevention-to-treatment continuum?

The intended outcomes include earlier detection of problems, timely diagnosis, effective treatment, and ongoing evaluation, delivered in a way that improves health outcomes efficiently.

22) When was the opportunity posted and when did it close?

The opportunity was posted on July 18, 2012, and closed on August 17, 2012.

23) What is the archive date listed for this opportunity?

The archive date was September 16, 2012.

24) Who was the contact for access issues related to the full announcement?

For access issues related to the full announcement, IHS listed Paul Gettys, Grant Systems Coordinator, at 301-443-2114 through the Grants Policy Office.

25) Does the description specify any required partner organizations or specific clinical settings?

No specific partner organizations or clinical settings are named in the information provided. The emphasis is on coordinating services across providers and programs and delivering case management in home and community contexts.

26) Does the description list specific allowable costs or a required staffing pattern beyond the Public Health Nurse role?

The information provided does not list allowable costs or a detailed staffing pattern. It does specify that the central idea is to place a Public Health Nurse in the role of case manager.

27) Does the description specify exact evaluation metrics or reporting requirements?

The description indicates applicants were expected to define measurable health outcomes and evaluate whether the approach produced intended clinical and system-level improvements, but it does not specify exact metrics or reporting formats in the information provided.

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