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You are here: Home / Grant Size / $50,000 to $500,000 / HRSA: Enhancing Systems of Care for Children with Medical Complexity (Demonstration Projects)

HRSA: Enhancing Systems of Care for Children with Medical Complexity (Demonstration Projects)

Dated: December 9, 2021

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2022 Enhancing Systems of Care for Children with Medical Complexity program.

Donor Name: Health Resources and Services Administration (HRSA)

Country: U.S.

State: All States

Type of Grant: Grant

Deadline (mm/dd/yyyy): 03/07/2022

Size of the Grant: $400,000

Grant Duration: 5 years

Details:

The purpose of this program is to optimize the health, quality of life, and well-being for children with medical complexity and their families.

The program will accomplish this by funding up to five demonstration projects (HRSA-22-098) to implement and evaluate evidence-informed, patient/family-centered models of care delivery, and by funding a coordinating center (HRSA-22-088) to provide support to the demonstration projects in meeting their program objectives, developing and disseminating resources, and providing leadership in the field.

Program Goals

  • The goal of the Enhancing Systems of Care for Children with Medical Complexity program is to improve the quality, coordination, and experience of care and services for children with medical complexity and their families/caregivers.
  • For purposes of this program, CMC, a subset of children with special health care needs, are characterized as children having family-identified service needs, severe chronic clinical conditions, functional limitations, and high utilization of health resources.
  • HRSA-22-098 (Demonstration projects): Up to five demonstration projects will be funded to implement and evaluate evidence-informed models of care designed to optimize the child’s health, general functioning/quality of life, and family well-being. The models of care should be accessible, continuous, comprehensive, coordinated, compassionate, culturally effective, and patient/ family-centered. Proposed models are expected to:
    • Expand equitable access to quality patient/family-centered services, with an emphasis on CMC from unserved or underserved6 populations or communities; Optimize use of innovative technologies, such as telehealth, to facilitate comprehensive, coordinated, and continuous services across the care continuum; and
    • Apply an equity-informed approach to health care delivery for CMC and equip their families with the knowledge of and/or access to medical, social, financial, or community resources they need for their children to thrive.
  • Demonstration project applicants should propose strategies to implement a model of care that meets the goal of the program. Examples of such strategies could include:
    • patient/family-centered care coordination through tertiary care-community based partnerships, family peer support, respite care services, or transition support;
    • team-based or collaborative care that actively involves pediatric medical providers and other providers such as social services, mental/behavioral health, oral health, home-based care, palliative care,8 or adult primary and specialty care;
    • mechanisms to incorporate telehealth as a complementary mechanism for service provision, care monitoring, or as a strategy to strengthen communication, partnerships, and co-management of care among CMC, their families, and providers; and/or
    • mechanisms to support information/data sharing and coordination between the family, primary and specialty care providers, home caregivers and other service providers, such as educators, social workers, or therapists.

Objectives

  • By July 2027, increase by 50 percent from baseline the number of families of CMC who report being actively engaged as shared decision makers in developing their child’s shared plan of care.
  • By July 2027, increase by 50 percent from baseline the number of families of CMC who report an improved patient/family experience of care (as measured by the Consumer Assessment of Healthcare Providers and Systems Health Plan Survey).
  • By July 2027, increase by 25 percent from baseline the number of families of CMC who report increased coordination of care and access to the services, supports and resources they need (as measured by the Pediatric Integrated Care Survey (PICS).
  • By July 2027, 100 percent of participating recipients will have implemented, and evaluated an innovative and/or evidence-informed family-centered model of care for serving a minimum of 75 CMC per project.

Funding Information

  • HRSA estimates approximately $2,700,000 total to be available annually to fund the program, with up to $2,000,000 to fund up to five cooperative agreements for HRSA-22- 098 (Demonstration Projects).
  • You may apply for a ceiling amount of up to $400,000 for HRSA-22-098 (Demonstration Projects).
  • The period of performance is August 1, 2022 through July 31, 2027 (5 years).

Eligible Applicants

Eligible applicants for both HRSA-22-098 (Demonstration Projects) includes any domestic public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. § 450b). Domestic faith-based and community-based organizations are eligible to apply.

For more information, visit Grants.gov.

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