Opportunity Information: Apply for HRSA 13 247
Apply for HRSA 13 247
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Training Track Technical Assistance Demonstration Program" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155 Rural Health Research Centers.
- This funding opportunity was created on Feb 21, 2013 and posted on Jan 17, 2013.
- Applicants must submit their applications by Mar 18, 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 $300,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Independent school districts State governments Special district governments County governments Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal organizations (other than Federally recognized tribal governments) Native American tribal governments (Federally recognized) City or township governments.
- Applications may be submitted by any domestic public or private nonprofit entities including faith based and community based organizations State governments and their agencies such as universities, colleges and research institutions hospitals local go
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Opportunity Summary:
The Rural Training Track Technical Assistance (RTT TA) Demonstration Program is a Health Resources and Services Administration (HRSA) cooperative agreement designed to strengthen a specific kind of family medicine residency model that is closely tied to rural workforce needs. In this program, HRSA is targeting Rural Training Tracks (RTTs), which the Office of Rural Health Policy (ORHP) defines as "1-2" family medicine residencies where residents typically complete their first year at a central (often urban) training site and then spend their final two years training in a rural, community-based setting. The overarching intent is to increase the pipeline of family physicians prepared for rural practice by improving the stability, performance, and growth of RTT residency programs across the country, including programs training graduates from allopathic schools, osteopathic schools, or both.
The opportunity funds one national lead organization to serve as the hub for technical assistance, coordination, and policy analysis related to RTTs. HRSA emphasizes that the lead applicant is central to success and must show a strong track record and meaningful prior results working with RTT programs. The program also strongly encourages building a consortium of relevant partners to help identify and clarify the policy problems that affect RTTs, such as financing and regulation barriers. Because this is a cooperative agreement, the work is meant to be done in active partnership with ORHP, with collaboration in selecting projects and shaping and carrying out the proposed work plan. The award builds on earlier federal work in this area, explicitly continuing and extending a previous RTT demonstration effort (HRSA 10-192), rather than starting from scratch.
The funded project is expected to deliver four big outcomes. First, it should directly support both new and existing RTT programs by providing hands-on technical assistance when programs request it, including detailed assessments and recommendations focused on financial sustainability. Second, it should boost medical student interest in RTTs by improving outreach and marketing to appropriate audiences, assisting with residency interviews (including support for spouses or partners when needed), and ultimately improving match outcomes, including better National Resident Matching Program (NRMP) results and fill rates. Third, it should help expand the number of RTT programs nationally by assisting communities and academic institutions that want to create new RTTs, drawing on experienced RTT faculty and leaders to guide development, accreditation, and pathways to Medicare graduate medical education (GME) funding. This expansion goal also includes attention to practical infrastructure needs at training sites, with support for resources such as textbooks, journals, electronic educational tools, and other equipment that strengthens residency education. Fourth, the project must evaluate and compare new and established RTT programs to better understand what drives long-term viability, and it must assess which technical assistance interventions actually make the biggest difference in sustaining programs over time.
To reach those outcomes, HRSA lays out several focus areas for the national technical assistance and policy work. A major emphasis is identifying, analyzing, and translating the policy issues that shape whether RTTs can recruit residents and remain financially viable, including how Medicare and Medicaid rules can help or hinder rural training sites. The project is also expected to convene or support policy meetings that bring together rural residency directors, rural health workforce researchers, rural medical educators, students, and policymakers to address training, recruitment, and retention challenges. On the operational side, the technical assistance can include mentoring to improve program fill rates, curriculum development support, peer mentorship between RTT programs, recruitment strategy development with consortium members, maintaining up-to-date tracking of match and fill outcomes, and building a functional national network of RTT programs.
Another core deliverable is documenting what works. The awardee is expected to identify and promote best practices that increase RTT viability, including successful administrative structures and support strategies, with a clear plan to ensure technical assistance is primarily focused on the rural, community-based training sites where the unique challenges of the RTT model often show up most strongly. In addition, the project must conduct a nationwide inventory and narrative description of RTT programs, paying special attention to differences between newer and more established programs. That analysis should cover topics like funding and revenue sources, program size and resident numbers, faculty capacity, community champions, distinctive RTT model challenges, and sustainability approaches. The announcement specifically calls for including all new RTT programs implemented from January 1, 2013 through July 31, 2016, and it also requires attention to program closures during that period, including analysis of why closures occurred. Finally, the project must maintain accurate measures of success over time, including NRMP and July fill rates and longer-term rural retention outcomes, meaning whether graduates ultimately practice in rural communities.
From an administrative standpoint, this is a discretionary funding opportunity (HRSA-13-247) in the health category, with one expected award and an award ceiling of $300,000. There is no cost-sharing or matching requirement. Eligible applicants include a wide range of domestic public and private nonprofit entities (including faith-based and community-based organizations), as well as state and local governments and related agencies such as universities, colleges, research institutions, and hospitals; tribal governments and tribal organizations are also eligible. Overall, the program is essentially a national support and learning infrastructure for rural family medicine training tracks, pairing policy analysis with practical, on-the-ground technical assistance to help RTTs recruit residents, remain financially sustainable, expand in number, and ultimately produce more family physicians who stay and work in rural America.
Rural Training Track Technical Assistance (RTT TA) Demonstration Program FAQs
1) What is the Rural Training Track Technical Assistance (RTT TA) Demonstration Program?
The RTT TA Demonstration Program is a Health Resources and Services Administration (HRSA) cooperative agreement that funds a national technical assistance hub to strengthen Rural Training Track (RTT) family medicine residency programs that are tied to rural workforce needs.
2) What does HRSA mean by a "Rural Training Track" (RTT)?
HRSA references the Office of Rural Health Policy (ORHP) definition of RTTs as "1-2" family medicine residencies. In this model, residents typically complete their first year at a central (often urban) training site and then complete their final two years in a rural, community-based setting.
3) What is the main purpose of this funding opportunity?
The purpose is to increase the pipeline of family physicians prepared for rural practice by improving the stability, performance, and growth of RTT residency programs nationally. This includes supporting programs that train graduates from allopathic schools, osteopathic schools, or both.
4) How many awards does HRSA expect to make under this opportunity?
HRSA expects to make one award to one national lead organization.
5) What is the maximum award amount?
The award ceiling is $300,000.
6) Is cost sharing or a matching contribution required?
No. The opportunity states there is no cost-sharing or matching requirement.
7) What type of grant is this (standard grant vs. cooperative agreement)?
This is a cooperative agreement. The work is expected to be conducted in active partnership with ORHP, including collaboration in selecting projects and shaping and carrying out the proposed work plan.
8) Who is eligible to apply?
Eligible applicants include domestic public and private nonprofit entities (including faith-based and community-based organizations), state and local governments, and related agencies such as universities, colleges, research institutions, and hospitals. Tribal governments and tribal organizations are also eligible.
9) What is HRSA looking for in the lead applicant?
HRSA emphasizes that the lead applicant is central to success and must demonstrate a strong track record and meaningful prior results working with RTT programs.
10) Is partnering encouraged, and if so, why?
Yes. The program strongly encourages building a consortium of relevant partners to help identify and clarify the policy problems affecting RTTs, including barriers related to financing and regulation.
11) Does this program create new RTT residencies directly?
The funded project is expected to help expand the number of RTT programs nationally by assisting communities and academic institutions that want to create new RTTs, using experienced RTT faculty and leaders to guide development, accreditation, and pathways to Medicare graduate medical education (GME) funding.
12) What are the main outcomes the funded organization is expected to deliver?
The opportunity describes four major expected outcomes: (1) hands-on technical assistance for new and existing RTTs, including assessments and recommendations for financial sustainability; (2) increased medical student interest and improved recruitment/marketing, including improved match outcomes and fill rates; (3) expansion of RTT programs nationally, including support for development, accreditation, and Medicare GME funding pathways, plus attention to training-site infrastructure needs; and (4) evaluation and comparison of new and established RTTs to understand long-term viability and which technical assistance interventions have the greatest impact.
13) What kinds of technical assistance are expected for existing RTT programs?
Technical assistance is expected to be provided when RTT programs request it and may include detailed program assessments and recommendations, with a specific emphasis on financial sustainability.
14) How does the program plan to improve recruitment and match outcomes?
The funded project is expected to boost medical student interest by improving outreach and marketing to appropriate audiences, assisting with residency interviews (including support for spouses or partners when needed), and improving match outcomes such as National Resident Matching Program (NRMP) results and fill rates.
15) What does HRSA mean by tracking "fill rates"?
The opportunity calls for maintaining accurate measures of success over time, including NRMP and July fill rates, as part of tracking recruitment outcomes for RTT programs.
16) What support is expected for communities or institutions trying to start new RTT programs?
The funded project is expected to assist with development steps such as program design and accreditation support and to help identify pathways to Medicare GME funding. The project is also expected to draw on experienced RTT faculty and leaders to guide new program development.
17) Does the opportunity mention support for training-site educational resources?
Yes. The expansion goal includes attention to practical infrastructure needs at training sites, including support for resources such as textbooks, journals, electronic educational tools, and other equipment that strengthens residency education.
18) What policy issues is the funded organization expected to address?
A major emphasis is identifying, analyzing, and translating policy issues that affect RTT recruitment and financial viability, including the ways Medicare and Medicaid rules may help or hinder rural training sites.
19) Are policy meetings or convenings part of the work?
Yes. The project is expected to convene or support policy meetings that bring together rural residency directors, rural health workforce researchers, rural medical educators, students, and policymakers to address training, recruitment, and retention challenges.
20) What operational supports and network-building activities are expected?
Examples listed include mentoring to improve fill rates, curriculum development support, peer mentorship between RTT programs, recruitment strategy development with consortium members, maintaining up-to-date tracking of match and fill outcomes, and building a functional national network of RTT programs.
21) What does the opportunity require related to best practices?
The awardee is expected to identify and promote best practices that increase RTT viability, including administrative structures and support strategies, and to ensure technical assistance is primarily focused on rural, community-based training sites where RTT challenges are often most pronounced.
22) Is there a requirement to inventory RTT programs nationwide?
Yes. The project must conduct a nationwide inventory and narrative description of RTT programs, with attention to differences between newer and more established programs.
23) What topics should the nationwide RTT inventory and narrative description cover?
The opportunity specifies coverage of funding and revenue sources, program size and resident numbers, faculty capacity, community champions, distinctive RTT model challenges, and sustainability approaches.
24) Does the opportunity specify a time window for which new RTT programs must be included?
Yes. It specifically calls for including all new RTT programs implemented from January 1, 2013 through July 31, 2016.
25) Does the project need to address RTT program closures?
Yes. The announcement requires attention to closures during the January 1, 2013 through July 31, 2016 period, including analysis of why closures occurred.
26) What evaluation is expected beyond recruitment and fill rates?
The project must evaluate and compare new and established RTT programs to understand what drives long-term viability and to assess which technical assistance interventions most affect sustained program success over time.
27) Does the opportunity require tracking whether graduates ultimately practice in rural areas?
Yes. The program calls for maintaining longer-term rural retention outcomes, meaning whether RTT graduates ultimately practice in rural communities.
28) Is this opportunity continuing prior federal work on RTTs?
Yes. The award explicitly continues and extends a previous RTT demonstration effort (HRSA 10-192), rather than starting from scratch.
29) What is the funding opportunity number and category?
The opportunity is identified as HRSA-13-247. It is described as discretionary funding in the health category.
30) In practical terms, what is this program building?
The program is essentially creating a national support and learning infrastructure for rural family medicine training tracks, pairing policy analysis with hands-on technical assistance to help RTTs recruit residents, remain financially sustainable, expand in number, and produce more family physicians who stay and work in rural America.
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