OpportunityTitle: Frontier Extended Stay Clinic Cooperative Agreement
AdditionalInformationOnEligibility: Funds awarded under the authority of Section 330A of the Public Health Service Act must be awarded to a rural public or non-profit private entity.  Funds awarded under this authority also require the development of a consortium of at least three separately owned organizations that provide health care services.  For-profit organizations may be members of consortiums, but they are not eligible to be applicants.  The purpose of the consortium requirement is to encourage creative and lasting collaborative relationships among service providers in rural areas.  Members of a consortium might include hospitals, public health agencies, primary care service providers, rural health clinics, emergency services providers, tribal health providers and community and migrant health centers.  Faith-based organizations are eligible to apply as members of a consortium.  At least one member of the consortium must be an operational clinic or hospital, currently providing primary care services and located at least 75 miles from the nearest hospital or critical access hospital or inaccessible by public road.  The roles and responsibilities of each member organization must be clearly defined and each must contribute significantly to the goals of the project.  Applicants that have previously received a grant award under 42 U.S.C. 254c(e) are ineligible to receive funding for the same or similar project unless they clearly demonstrate that their new  proposal  either expands the scope of the project or the area to be serviced in a significant way.  Applicants must prepare their application in consultation with the appropriate State Office of Rural Health or another appropriate state entity.  Applicants for funds under this program must also submit evidence of the support of the agency of their state&#146;s government responsible for the licensure and certification of health care entities.
Description: The purpose of this funding opportunity announcement is to award a cooperative agreement which focuses on Frontier Extended Stay Clinic (FESC) type activities. These activities examine the effectiveness and appropriateness of a new type of provider, the FESC, in providing health care services in certain remote clinic sites. The Centers for Medicare and Medicaid Services (CMS) is operating a parallel Frontier Extended Stay Demonstration, which this cooperative agreement supports. Management of the cooperative agreement will include: a. Implementation and testing of FESC protocols at the participating sites; b. Evaluation of program and financial activities at the participating sites; c. Conducting an inventory and developing a narrative of the demonstration activities from previous HRSA-funded FESC demonstrations; d. Providing technical assistance to the Centers for Medicare and Medicaid Services (CMS) Frontier Extended Stay Demonstration and its participating organizations; e. Developing or continuing Health Information Technology (HIT) and quality initiatives, including the development of quality measures for clinical and financial performance in the participating demonstration sites; f. The potential of exploring implementation of the FESC model in the lower 48 states, including a relationship with Critical Access Hospitals; and g. Additional activities that support the development of the FESC model. The cooperative agreement supports an ongoing partnership with significant involvement and input from Office of Rural Health Policy (ORHP) staff in the selection of all projects and in development and implementation of the submitted work plan.
GrantorContactEmailDescription: Contact HRSA Call Center at 877-Go4-HRSA/877-464-4772;301-998-7373 or email
GrantorContactText: CallCenter@HRSA.GOV&lt;br/&gt;CallCenter@HRSA.GOV&lt;br/&gt;