Tracking Electronic Health Record Adoption And Capturing Related Insights in U.S. Hospitals | Apply Online

Opportunity Summary:

The grant opportunity titled "Tracking Electronic Health Record Adoption And Capturing Related Insights in U.S. Hospitals" is a federal cooperative agreement offered by the Office of the National Coordinator for Health Information Technology (ONC). Its purpose is to continue and strengthen national tracking of how U.S. hospitals are adopting electronic health records (EHRs) and exchanging clinical data, along with collecting the related attitudes, experiences, and on-the-ground insights that explain not just whether adoption is happening, but how and why it is progressing in particular ways. The underlying context is that major federal investments and policy initiatives have been put in place to speed up health IT adoption, so ONC needs a reliable, ongoing evidence base to understand current adoption levels and the real-world effects of those initiatives in inpatient hospital settings.

At the heart of the opportunity is the need to generate data that can be used for three closely related federal objectives. First, the work is meant to establish the status of EHR adoption and inform the evaluation of both existing and proposed policy decisions, essentially giving policymakers a clear and timely picture of where hospitals stand and what barriers or accelerators they are seeing. Second, the project is intended to support evaluation of the impact of ONC programs and the Medicare and Medicaid EHR incentive structures tied to "meaningful use" of certified EHR technology, helping determine whether these programs are achieving intended outcomes and where adjustments may be needed. Third, the project aims to produce data resources that ONC and external researchers can use to study how health IT adoption and clinical data exchange affect important aspects of care delivery, including quality and efficiency. In practical terms, the grant is designed to support a data collection effort robust enough to fuel both internal federal assessment and broader research use.

The opportunity is directly linked to the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009. That legislation set a national direction for expanding electronic use and exchange of health information, with EHRs as a central component of building a nationwide health information infrastructure. HITECH also authorized the Centers for Medicare and Medicaid Services (CMS) to administer incentive payments to eligible professionals, eligible hospitals, and critical access hospitals, encouraging adoption, implementation, upgrading, and meaningful use of certified EHR technology. Against that policy backdrop, ONC describes this tracking work as critical to its responsibilities because it provides the empirical foundation needed to oversee federal health IT efforts and to measure how incentive programs and ONC initiatives are shaping hospital behavior and outcomes over time.

A key operational detail is that this is a non-competitive funding opportunity restricted to a single designated organization: the American Hospital Association (AHA). ONC notes that it has partnered with the AHA since 2008 through grants administered via NIH to track hospital health IT use and related insights, and this award continues that relationship now that ONC has its own grants management capability and expanded statutory responsibilities under HITECH. Because eligibility is limited to the AHA, other organizations are explicitly instructed not to apply, and applications from non-designated entities will not be reviewed.

The administrative and funding specifics are straightforward and tightly defined. The funding opportunity number is NAP AX 13 001, and it falls under CFDA 93.239 (Policy Research and Evaluation Grants). It is categorized as a discretionary award and uses a cooperative agreement funding instrument, indicating ONC expects substantial involvement or partnership in the execution of the work rather than a hands-off grant. There is one expected award, with an award ceiling and floor both set at $204,000, meaning the award amount is fixed at $204,000. There is no cost-sharing or matching requirement. The opportunity was posted and created on June 20, 2013, with an original and current closing date of July 22, 2013.

Finally, the announcement provides points of contact for support. For technical issues accessing the full announcement electronically, the contact listed is Bianca Costa at bianca.costa@hhs.gov. For program-specific questions, the contact is Dustin Charles at dustin.charles@hhs.gov. Overall, the opportunity is best understood as a targeted federal investment to maintain a consistent, policy-relevant national dataset on hospital EHR adoption and data exchange, enabling ONC and the research community to evaluate the outcomes of HITECH-era programs and to guide future health IT policy in inpatient care settings.

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