Opportunity Information: Apply for HRSA 15 075
Apply for HRSA 15 075
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Reducing Loss to Follow up after Failure to Pass Newborn Hearing Screening" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.251 Universal Newborn Hearing Screening.
- This funding opportunity was created on Sep 10, 2014 and posted on Sep 10, 2014.
- Applicants must submit their applications by Nov 10, 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 $3,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $250,000.00 in funding.
- The number of recipients for this funding is limited to 12 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligibility for this funding opportunity is limited to those current grantees/awardees with project periods ending March 31, 2015 or August 31, 2015 and the one state, South Dakota, which does not have HRSA Federal funds to support its newborn hearing screening program at this time.
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Opportunity Summary:
The grant opportunity "Reducing Loss to Follow up after Failure to Pass Newborn Hearing Screening" (Funding Opportunity Number HRSA 15-075) is a discretionary grant from the Health Resources and Services Administration (HRSA) under CFDA 93.251, the Universal Newborn Hearing Screening and Intervention Program. It focuses on a persistent gap in early hearing detection and intervention (EHDI): infants who do not pass the initial physiologic newborn hearing screening before hospital discharge but then do not receive timely diagnostic follow-up or whose outcomes are not properly documented. The central intent is to fund practical, targeted, and measurable interventions that reduce loss to follow-up and loss to documentation (often combined as LTF/D), with the broader public health goal of ensuring infants with possible hearing loss are identified quickly and connected to appropriate evaluation and early intervention services.
A key driver for this funding is performance improvement. The announcement notes that LTF/D dropped by 10 percentage points between 2009 and 2012 (the most recent annual data available at the time), but it sets a clear expectation for continued progress: at least a 5 percentage point reduction per year in LTF/D during 2015 and 2016. In other words, applicants are not being funded simply to maintain an existing program; they are being funded to demonstrate measurable system improvement, using structured methods and ongoing monitoring to show that fewer babies are falling through the cracks after a failed initial screen.
To reach those improvements, HRSA expects states to use quality improvement (QI) methodology rather than isolated, one-off fixes. Applicants are required to assemble, or re-energize, a stakeholder team to lead and carry out the QI work. At minimum, the team should include the state EHDI coordinator (as the lead), a pediatric audiologist, a parent of a child with hearing loss (to ensure family experience and real-world barriers are represented), a representative from the early intervention program (to strengthen referral and service linkage), and a data person (to support tracking, analysis, and reporting). Beyond forming the team, the grant emphasizes disciplined QI practice: establishing a meeting schedule, writing an aim statement that defines what will improve and by how much, selecting change strategies, and running Plan-Do-Study-Act (PDSA) cycles to test changes on a small scale, evaluate results, and refine approaches before expanding successful practices across the broader system.
Data quality and accountability are treated as central, not optional. Grantees are expected to collect source data, share data with the Centers for Disease Control and Prevention (CDC) in a timely manner, and continuously review and analyze results to determine whether the proposed changes are producing system-wide improvement. The expectation is that data will be used both for real-time course correction (adjusting strategies when results lag) and for reporting back to relevant stakeholders so that progress, barriers, and effective practices are visible and can be acted on. This emphasis reflects that "loss to documentation" can inflate apparent loss to follow-up, so strengthening data capture, interoperability, and reporting processes is often part of achieving true reductions in LTF/D.
The funding details indicate an estimated total program funding level of $3,000,000 with an expected 12 awards, and an award ceiling of $250,000. There is no cost sharing or matching requirement. Eligibility is limited, aimed primarily at existing newborn hearing screening grantees/awardees whose project periods were ending March 31, 2015 or August 31, 2015, plus the state of South Dakota, which at the time did not have HRSA federal funds supporting its newborn hearing screening program. The opportunity was posted on September 10, 2014, with an original and current closing date of November 10, 2014, and an archive date of May 1, 2015. A listed point of contact for access issues with the full announcement is Irene Forsman at the HRSA Grants Application Center in Gaithersburg, Maryland.
Overall, this opportunity is best understood as a performance-focused, quality-improvement grant designed to help states strengthen the EHDI pipeline from initial screening to diagnostic evaluation and early intervention. Its defining features are the requirement for a multidisciplinary stakeholder team, the use of measurable QI techniques like PDSA cycles, and the expectation of documented, data-verified reductions in the number of infants who miss or cannot be confirmed to have received appropriate follow-up after failing newborn hearing screening.
FAQs: Reducing Loss to Follow up after Failure to Pass Newborn Hearing Screening (HRSA 15-075)
What is the purpose of this grant opportunity?
This discretionary HRSA grant funds practical, targeted, and measurable interventions to reduce loss to follow-up and loss to documentation (often combined as LTF/D) after infants do not pass the initial physiologic newborn hearing screening before hospital discharge. The broader public health goal is to ensure infants with possible hearing loss are identified quickly and connected to timely diagnostic evaluation and early intervention services.
What problem is HRSA trying to address?
The focus is a persistent gap in early hearing detection and intervention (EHDI): some infants who fail the initial newborn hearing screening do not receive timely diagnostic follow-up, or the follow-up outcome is not properly documented. This means babies can fall through the cracks, and programs may not be able to confirm whether appropriate follow-up care occurred.
What does LTF/D mean in this announcement?
LTF/D refers to loss to follow-up and loss to documentation. It combines two related issues: infants who truly do not receive recommended follow-up after failing the initial screening, and infants whose follow-up may have occurred but cannot be verified because the outcome was not documented in a way the system can capture and report.
Is this grant intended to maintain an existing program or to drive improvement?
The announcement is performance improvement driven. Applicants are not funded simply to maintain an existing program; they are funded to demonstrate measurable system improvement with structured methods and ongoing monitoring showing that fewer infants are lost to follow-up or documentation after a failed screening.
What performance improvement does HRSA expect grantees to achieve?
HRSA sets an expectation of continued progress, specifically at least a 5 percentage point reduction per year in LTF/D during 2015 and 2016.
How does HRSA expect applicants to achieve reductions in LTF/D?
HRSA expects states to use quality improvement (QI) methodology rather than isolated, one-off fixes. The grant emphasizes disciplined QI practice, including forming a stakeholder team, setting a regular meeting schedule, creating an aim statement, selecting change strategies, and using Plan-Do-Study-Act (PDSA) cycles to test and refine changes before expanding successful practices.
What is required regarding a stakeholder team?
Applicants are required to assemble, or re-energize, a stakeholder team to lead and carry out the QI work. The state EHDI coordinator is expected to lead the team.
Who should be included on the stakeholder team at a minimum?
At minimum, the team should include: the state EHDI coordinator (lead), a pediatric audiologist, a parent of a child with hearing loss, a representative from the early intervention program, and a data person to support tracking, analysis, and reporting.
Why does the grant require a parent of a child with hearing loss on the team?
The parent role is intended to ensure family experience and real-world barriers are represented in the QI work, so changes are grounded in what families actually face when trying to complete diagnostic follow-up and connect to services.
What QI elements does the grant emphasize beyond simply forming a team?
The announcement emphasizes a structured approach: establishing a meeting schedule, writing an aim statement defining what will improve and by how much, selecting change strategies, and running PDSA cycles to test changes on a small scale, evaluate results, and refine approaches before spreading effective practices more broadly.
What are PDSA cycles and how are they used in this grant?
PDSA stands for Plan-Do-Study-Act. The grant expects grantees to plan a change, test it on a small scale, study results using data, and act by refining or expanding the change. This iterative process is used to develop interventions that reliably reduce LTF/D and can be scaled across the system.
How important is data in this funding opportunity?
Data quality and accountability are treated as central requirements. Grantees are expected to collect source data, continuously review and analyze results, and use data for both real-time course correction and reporting progress and barriers to stakeholders.
What data-sharing expectations are included?
Grantees are expected to share data with the Centers for Disease Control and Prevention (CDC) in a timely manner.
Why does the announcement emphasize "loss to documentation"?
The announcement notes that loss to documentation can inflate the apparent loss to follow-up. Strengthening data capture, interoperability, and reporting processes is often part of achieving true reductions in LTF/D because better documentation can clarify whether follow-up occurred and where gaps actually exist.
What is the funding opportunity number and program identifier?
The funding opportunity number is HRSA 15-075. The program is under CFDA 93.251, the Universal Newborn Hearing Screening and Intervention Program.
How much funding is available and how many awards are expected?
The estimated total program funding level is $3,000,000, with an expected 12 awards.
What is the maximum award amount?
The award ceiling is $250,000.
Is cost sharing or matching required?
No. The announcement states there is no cost sharing or matching requirement.
Who is eligible to apply?
Eligibility is limited. It is aimed primarily at existing newborn hearing screening grantees/awardees whose project periods were ending March 31, 2015 or August 31, 2015, plus the state of South Dakota, which at the time did not have HRSA federal funds supporting its newborn hearing screening program.
When was the opportunity posted and when did it close?
The opportunity was posted on September 10, 2014. The original and current closing date was November 10, 2014.
When was the opportunity archived?
The archive date listed is May 1, 2015.
Who is the point of contact listed for access issues with the full announcement?
The listed point of contact for access issues is Irene Forsman at the HRSA Grants Application Center in Gaithersburg, Maryland.
What makes this opportunity different from a typical program grant?
Its defining features are performance focus and quality improvement requirements: a multidisciplinary stakeholder team, measurable aims, iterative PDSA testing, and data-verified reductions in the number of infants who miss or cannot be confirmed to have received appropriate follow-up after failing newborn hearing screening.
What is the overall outcome HRSA wants to see from funded projects?
HRSA wants documented, data-verified reductions in LTF/D and a stronger EHDI pipeline from initial screening to diagnostic evaluation and early intervention, so infants with possible hearing loss are identified quickly and connected to appropriate services.
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