Rural Health Research Centers

The Rural Health Research Center and Telehealth Focused Rural Health Research Center programs are designed to increase the amount of publically available, high quality, impartial, policy-relevant research to assist decision makers at the federal, state and local levels to better understand the challenges

credit:
faced by rural communities and providers.

The research conducted by these research centers provides information that will improve access to health care and population health.



The Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies awardee assists rural communities with conducting rapid data analyses and short term research studies to understand the impact of current and proposed policies and regulations as well as to provide information that will improve access to health care and population health in rural America.

Due to the nature of rural policy analysis and formulation, rural organizations and health care providers often require timely information that is available only through specialized analysis of databases of information compiled by the Centers for Medicare and Medicaid (CMS), and other federal and state agencies or provider organizations.

Most rural groups and individuals do not have the capacity to store the data sets, the staff expertise to refine and analyze the data, nor the technology necessary to run statistical analyses.

Findings from these analyses are used to help inform rural health care providers and stakeholders that set policies impacting rural communities.

The Rural Health Research Dissemination Program awardee disseminates and markets policy-oriented information for use by diverse audiences, such as rural stakeholders at national, state, and community levels and policy decision-makers, to inform and raise awareness of issues regarding policy implications, access, quality and status of health care delivery, services, and management on behalf of rural communities.

The information includes the body of research funded by the Federal Office of Rural Health Policy and is designed to help decision-makers and policy analysts concerned with a variety of rural health issues at national, state, and community levels better understand the problems rural communities face in assuring access to health care and promoting good health for their members.

The Rural Policy Analysis Program, another research-related program within FORHP, supports research and analysis of key policy issues affecting rural communities to inform rural policy makers.

Funded projects focus on the changing rural environment and (1) facilitate public dialogue on key rural policy issues by tracking emerging rural health and human services policy issues; (2) identify opportunities for integrating health and human services in rural policy, program, and evaluation in a local community context; (3) identify opportunities to demonstrate broad community impact of policies and programs in rural health and human services, consistent with policy goals related to rural revitalization and sustainability of rural regions; and (4) provide analysis of policies and regulations in the form of policy briefs, reports, webinars, and oral presentations.



The purpose of the Rural Health Value Program (formally called the Rural Health Systems Analysis and Technical Assistance Program) is to inform rural health care providers, and stakeholders (such as HHS, Congress, states, and for-profit and nonprofit entities that set policies impacting rural health care providers) about the impacts of changes in the health care delivery system, and to provide technical assistance to rural providers in identifying new approaches to health care delivery in their communities.

The Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement and Information Services to Rural Hospital Flexibility Program Awardees provide technical assistance, support, monitoring and evaluation to the State Rural Hospital Flexibility Program awardees and Critical Access Hospitals.



The purpose of the National Rural Health Best Practices and Community Development Program is to develop and maintain projects that will help support rural communities through a broad range of programmatic and policy activities, including: identifying national policy issues and promising practices for rural health care providers; identifying and translating key points from emerging policy issues to rural health care providers, researchers and policymakers; providing a forum for rural medical educators and students to share lessons learned to address recruitment and retention challenges, and expanding public awareness of the importance of the economic impact of the health care sector.

The State Rural Health Coordination and Development Cooperative Agreement (SRHCD-CA) enhances the rural health infrastructure in each state by providing guidance and technical assistance to state Offices of Rural Health (SORHs) as well as their partners and to identify and promote best practices.

The goals of the SRHCD-CA are 1) to assist in the coordination of health care delivery through the development of state level rural health leadership; and 2) to facilitate partnerships and collaboration at the national and state levels to improve the exchange of information and engage in collaborative activities for supporting rural health.

The Rural Quality Improvement Technical Assistance Cooperative Agreement provides technical assistance to Federal Office of Rural Health Policy (FORHP) awardees, Critical Access Hospitals (CAHs), and other rural providers, to assist them in demonstrating improved quality improvement results.

Assistance will be provided in the areas of: data collection and analysis, understanding measure specifications, benchmarking and target-setting, developing and implementing efficient and effective improvement strategies, and tracking the outcomes of quality improvement efforts.

The Frontier Community Health Integration Program (FCHIP) Technical Assistance, Tracking, and Analysis program provides technical assistance, site implementation assistance, and other tracking and analytic activities to support providers participating in the FCHIP Demonstration.

Activities are in support of identifying potential new approaches to health care delivery, reimbursement, and coordination in sparsely populated areas.

The Rural Health Clinic Technical Assistance Cooperative Agreement provides technical assistance to rural health clinics (RHCs) and disseminates information regarding RHC issues such as Medicare survey and certification, billing and payment, quality improvement, best practices, disease management, and applicable regulatory issues.

The program provides technical assistance calls or webinars, and an electronic mailing list (listserv) for RHC staff that serves as a resource for RHCs needing assistance to understand and comply with applicable regulations.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.

See Regional Agency Offices.

Sarah Bryce: Telehealth Focused Rural Health Research Center Curt Mueller, Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies Jennifer Burges, Rural Health Research Dissemination Jennifer Burges, Rural Health Research Center Aaron Beswick, Frontier Community Health Integration Project Technical Assistance, Tracking, and Analysis Program Megan Meacham, National Rural Health Best Practices and Community Development Program Amy Chanlongbutra, Rural Policy Analysis. Kerri Cornejo, Rural Health Value Victoria Leach, State Rural Health Coordination and Development Cooperative Agreement (SRHCD-CA) Owmy Bouloute , Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement Mike McNeely, Information Services to Rural Hospital Flexibility Program Awardees Yvonne Chow, Rural Quality Improvement Technical Assistance Cooperative Agreement. Wakina Scott, Rural Health Clinic Technical Assistance Cooperative Agreement.




Selected Recipients for this Program


RecipientAmount Start DateEnd Date
National Rural Health Association $ 1,123,361   2010-09-012013-08-31
University Of Missouri System $ 959,675   2004-09-012013-07-31
Health And Social Services, Alaska Department Of $ 85,000   2011-09-302012-09-29
Wyoming, Department Of Health $ 0   2011-09-302012-03-31
Social & Scientific Systems, Inc. $ 149,871   2009-09-012011-02-28
American Academy Of Family Physicians $ 149,874   2009-09-012011-02-28
National Opinion Research Center $ 149,908   2009-09-012011-02-28
University Of Nebraska $ 596,152   2004-09-012010-05-31
University Of Central Florida $ 149,939   2008-09-012010-02-28
Critical Illness And Trauma Foundation, Inc. $ 149,573   2008-09-012010-02-28



Program Accomplishments

Not Applicable.

Uses and Use Restrictions

All funds awarded should be expended solely for carrying out approved projects in accordance with the intent of the cooperative agreement as stipulated in the notice of award.

Eligibility Requirements

Applicant Eligibility

The Rural Health Research Center and Telehealth Focused Rural Health Research Center cooperative agreements are open to domestic public, for-profit, and non-profit entities.

Institutions of higher education, faith-based and community based organizations, Tribes, and tribal organizations are eligible to apply. The Frontier Community Health Integration Project Technical Assistance, Tracking and Analysis Program is open to all public, private, and nonprofit organizations, including faith-based and community organizations, as well as federally-recognized tribal governments and organizations. The Rural Health Research Dissemination cooperative agreement is open to all domestic public and private entities, nonprofit and for-profit.

Eligible entities may include, but are not limited to, public and private institutions for higher education, public and private health research organizations, foundations, tribes and tribal organizations, and faith based entities.

Rural Policy Analysis award eligibility is open to public, private, and nonprofit organizations including faith-based and community organizations, state governments and their agencies such as universities, colleges, research institutions, hospitals, and local governments or their bona fide agents.

Federally recognized tribal governments, tribes, and tribal organizations are also eligible.

Please see individual grant FOA at www.grants.gov for program-specific eligibility.

Eligible applicants for the National Rural Health Best Practices and Community Development Program include public, private and nonprofit organizations including faith-based and community organizations, state governments and their agencies such as universities, colleges, research institutions, hospitals, and local governments or their bona fide agents.

Federally recognized tribal governments, tribes, and tribal organizations are also eligible. The Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies cooperative agreement is open to all domestic public and private entities, nonprofit and for-profit.

Eligible entities may include, but are not limited to, public and private institutions for higher education, public and private health research organizations, foundations, tribes and tribal organizations, and faith based entities. National Rural Health Policy and Community Development Program eligibility is open to public, private and non-profit organizations, including faith-based and community-based organizations.

Please see individual grant FOA at www.grants.gov for program-specific eligibility.

Rural Health Value Cooperative Agreement Program eligibility is open to public, private, and nonprofit organizations, including faith-based and community organizations, as well as federally-recognized tribal governments and organizations.

Please see individual grant FOA at www.grants.gov for program-specific eligibility. Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement: Eligible applicants include public and private nonprofit entities.

Faith-based and community organizations are eligible to apply for this cooperative agreement.

Federally-recognized tribal government and Native American Organizations are eligible to apply.

Information Services to Rural Hospital Flexibility Program: Any public or private entity is eligible to apply for this Federal funding opportunity.

Applicant organizations that are federally-recognized Native American tribes or tribal organizations are eligible to apply.

Faith-based and community-based organizations are eligible to apply for this cooperative agreement. The State Rural Health Coordination and Development Cooperative Agreement (SRHCD-CA) applicant is an organization that is national in scope with experience providing coordination and development to enhance the rural health infrastructure in each of the 50 states.

Federally-recognized tribal Government and Native American Organizations are eligible to apply. Rural Quality Improvement Technical Assistance Cooperative Agreement: Eligible applicants include domestic public, private, and nonprofit organizations, including tribes and tribal organizations, and faith-based and community-based organizations. The Rural Health Clinic Technical Assistance Cooperative Agreement: Eligible applicants include domestic public, private, for-profit and nonprofit organizations, as well as federally-recognized tribal governments and organizations.

Beneficiary Eligibility

The entities that will benefit from this program are health care personnel, health research personnel, policy makers, and the general public. Underserved populations in rural areas; facilities and services in rural areas States with at least one hospital located in a non-metropolitan statistical area or county and provides CMS with necessary assurances.

Credentials/Documentation

Applicants should review the individual HRSA notice of funding opportunity issued under these CFDA programs for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

An applicant should consult the office or official designated as the single point of contact in his or her state for more information on the process the state requires to be followed in applying for assistance, if the state has selected the program for review.

Environmental impact information is not required for this program.

This program is eligible for coverage under E.O.

12372, 'Intergovernmental Review of Federal Programs.' An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

This program is excluded from coverage under 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. HRSA requires all applicants to apply electronically through Grants.gov. All qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions.

Award Procedures

Notification is made in writing by a Notice of Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Section 123 of P.L. 110-275, the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA); Section 711 (b) of the Social Security Act (42 U.S.C. 912(b)) as amended by section 432 of the Medicare Prescription Drug Improvement and Modernization Act of 2003. Social Security Act, Title VII, §711 (42 U.S.C. 912), as amended.

Range of Approval/Disapproval Time

Approximately 6 months.

Appeals

Not Applicable.

Renewals

Research Center awards may be made for up to 4-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. The Research Dissemination award may be made for up to 4-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. A Rural Policy Analysis award may be made for up to a 4-year project period. Subject to availability of funds, after initial awards, projects may be renewed non-competitively, contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. The Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies award may be made for up to 3-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. The Frontier Community Health Integration Project Technical Assistance, Tracking and Analysis Program award may be made for up to 3-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. National Rural Health Best Practices and Community Development Program award is for up to a 5-year project period. After an initial award, renewal is non-competitive, contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. National Rural Health Policy and Community Development Program award may be made for up to 5-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. The Rural Health Value Cooperative Agreement Award may be made for up to a 3-year project period. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance. Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement awards may be made for up to 5-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee?s satisfactory performance. Information Services to Rural Hospital Flexibility Program Awardees- awards may be made for up to 5-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee?s satisfactory performance. The State Rural Health Coordination and Development Cooperative Agreement (SRHCD-CA) awardees may request funding beyond an initial project period by submitting a competing continuation application during a regular competing application cycle. All competitive cycles are contingent upon availability of funds for such purposes. Rural Quality Improvement Technical Assistance Cooperative Agreement awards may be made for up to 3-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee?s satisfactory performance. The Rural Health Clinic Technical Assistance Cooperative Agreement award may be made for up to 3-year project periods. Subject to availability of funds, after initial awards, the project may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance.

Assistance Considerations

Formula and Matching Requirements

This program has no statutory formula. This program has no matching requirements. This program does not have MOE requirements.

Length and Time Phasing of Assistance

Awards are made annually. Awards are normally made in a lump sum for the entire budget period. See the following for information on how assistance is awarded/released: Payments are made through an Electronic Transfer System or Cash Demand System. See the following for information on how assistance is awarded/released: Awardee drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Awardee will be required to submit performance and progress reports as well as status-federal financial reports (see the program announcement and notice of award for details for each required report).

Awardee must submit a quarterly electronic Federal Financial Report (FFR) Cash Transaction Report via the Payment Management System within 30 days of the end of each calendar quarter.

Federal Financial Reports (SF-425) must be submitted according to the following schedule: http://www.hrsa.gov/grants/manage/technicalassistance/federalfinancialreport/ffrschedule.pdf.

Final reports are due within 90 days after the project period ends.

If applicable, awardees must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.

L.

109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170.

FFATA details are available online at http://www.hrsa.gov/grants/ffata.html).

Competing continuation awardees, etc.

may be subject to this requirement and will be so notified in the Notice of Award.

Cash reports are not applicable.

A final FFR must be submitted to HRSA via the Electronic HandBooks (EHB) within 90 days of the end of each budget period.

Expenditure reports are not applicable.

Performance monitoring is not applicable.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503. In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-federal entities that expend financial assistance of $750,000 or more in federal awards will have a single or a program-specific audit conducted for that year. Non-federal entities that expend less than $750,000 a year in federal awards are exempt from federal audit requirements for that year, except as noted in 2 CFR 200.503.

Records

Awardees are required to maintain grant accounting records for 3 years after the date they submit the Federal Financial Report (FFR). If any litigation, claim, negotiation, audit, or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(Cooperative Agreements) FY 16 $100,000; FY 17 est $100,000; and FY 18 Estimate Not Available - Rural Health Clinic Technical Assistance Cooperative Agreement. (Cooperative Agreements) FY 16 $1,000,000; FY 17 est $1,000,000; and FY 18 Estimate Not Available - Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement. (Cooperative Agreements) FY 16 $4,898,583; FY 17 est $4,900,000; and FY 18 Estimate Not Available - Rural Health Research Center Cooperative Agreement. (Cooperative Agreements) FY 16 $497,734; FY 17 est $484,097; and FY 18 Estimate Not Available - Frontier Community Health Integration Project Technical Assistance, Tracking and Analysis Program Cooperative Agreement. (Cooperative Agreements) FY 16 $500,000; FY 17 est $500,000; and FY 18 Estimate Not Available - Rural Quality Improvement Technical Assistance Cooperative Agreement. (Cooperative Agreements) FY 16 $957,510; FY 17 est $1,100,000; and FY 18 Estimate Not Available - Information Services to Rural Hospital Flexibility Program Awardees. (Cooperative Agreements) FY 16 $450,000; FY 17 est $450,000; and FY 18 Estimate Not Available - Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies Cooperative Agreement. (Cooperative Agreements) FY 16 $1,799,843; FY 17 est $1,799,997; and FY 18 Estimate Not Available - National Rural Health Best Practices and Community Development Program. (Cooperative Agreements) FY 16 $225,000; FY 17 est $225,000; and FY 18 Estimate Not Available - Rural Policy Analysis Program. (Cooperative Agreements) FY 16 $120,000; FY 17 est $135,000; and FY 18 est $135,000 - Rural Health Research Dissemination Cooperative Agreement. (Cooperative Agreements) FY 16 $750,000; FY 17 est $750,000; and FY 18 Estimate Not Available - Telehealth Focused Rural Health Research Center Cooperative Agreement. (Cooperative Agreements) FY 16 $500,000; FY 17 est $500,000; and FY 18 Estimate Not Available - Rural Health Value Program. (Cooperative Agreements) FY 16 $750,000; FY 17 est $750,000; and FY 18 Estimate Not Available - State Rural Health Coordination and Development Cooperative Agreement (SRHCD-CA).

Range and Average of Financial Assistance

For Rural Health Research Centers (seven awards):; Range $659,996 - $700,000; $698,583-$700,000-$700,000; For Telehealth Research Center (one award):; $750,0000 For Rural Health Research Dissemination (one award) $120,000- $135,000 For Frontier Community Health Integration Project Technical Assistance, Tracking and Analysis (one award) $484, 097-497,734 For Rural Policy Analysis (one award):; $225,000 For Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies (one award) : $450,000; For National Rural Health Best Practice and Community Development Program (one award):; 1,799,843; For Rural Health Value (one award): $500,000 For the Information Services to Rural Hospital Flexibility Program Awardees: $957,510- $1,100,000; For the Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement: $1,500,000- $1,000,000 For the State Rural Health Coordination and Development Cooperative Agreement (SRHCD-CA): - $750,000 For Rural Quality Improvement Technical Assistance Cooperative Agreement: $490,194-$500,000. For Rural Health Clinic Technical Assistance Cooperative Agreement (one award): $100,000.

Regulations, Guidelines, and Literature

These programs are subject to the provisions of 45 CFR Part 92 for state, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. Awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.

Information Contacts

Regional or Local Office

See Regional Agency Offices. See Regional Agency Offices. Sarah Bryce: Telehealth Focused Rural Health Research Center Curt Mueller, Rapid Response Rural Data Analysis and Issue Specific Rural Research Studies Jennifer Burges, Rural Health Research Dissemination Jennifer Burges, Rural Health Research Center Aaron Beswick, Frontier Community Health Integration Project Technical Assistance, Tracking, and Analysis Program Megan Meacham, National Rural Health Best Practices and Community Development Program Amy Chanlongbutra, Rural Policy Analysis. Kerri Cornejo, Rural Health Value Victoria Leach, State Rural Health Coordination and Development Cooperative Agreement (SRHCD-CA) Owmy Bouloute , Medicare Rural Hospital Flexibility Program Evaluation Cooperative Agreement Mike McNeely, Information Services to Rural Hospital Flexibility Program Awardees Yvonne Chow, Rural Quality Improvement Technical Assistance Cooperative Agreement. Wakina Scott, Rural Health Clinic Technical Assistance Cooperative Agreement.

Headquarters Office

Federal Office of Rural Health Policy, 5600 Fishers Lane, Mail Stop 17W59-D, Rockville, Maryland 20857 Phone: (301) 443-0835

Criteria for Selecting Proposals

Criteria are listed in the application guidance.



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