Opportunity Information: Apply for HRSA 17 117

The Delta Region Community Health Systems Development opportunity (HRSA 17-117) is a discretionary grant from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen health care delivery across rural communities in the Delta Region. The core idea is not to fund direct clinical expansion in a broad, light-touch way, but to provide deep, hands-on, multi-year technical assistance that helps a small number of selected high-need communities make meaningful, lasting improvements in how their local health systems operate. The work is structured as a cooperative agreement, meaning HRSA (working in coordination with the Delta Regional Authority, or DRA) expects to be actively involved in shaping priorities and refining the focus areas after award.

The program targets rural providers and organizations that often serve as the backbone of care in the Delta, including Critical Access Hospitals, small rural hospitals, Rural Health Clinics, and other local health care organizations. The awardee is expected to help these providers become more stable financially, improve the quality and reliability of care, and build stronger connections across the local continuum of services. Rather than offering short-term consulting, the emphasis is on intensive, in-depth support that is sustained long enough to change practices, build local capacity, and embed improvements into day-to-day operations.

The scope of technical assistance is intentionally broad, reflecting the reality that rural health challenges are rarely just clinical. Priority assistance areas include improving hospital and clinic financial operations (such as revenue cycle performance, billing and coding practices, budgeting, and other operational controls), implementing quality improvement activities that promote an evidence-based culture and lead to better health outcomes, and expanding telehealth as a practical way to close clinical service gaps and increase access to care. The opportunity also highlights system-level improvements like better coordination of care (for example, reducing fragmentation across providers and settings), strengthening local health systems to improve population health outcomes, and ensuring access to emergency medical services. Workforce challenges are also explicitly included, with expectations that the awardee will help communities identify recruitment and retention resources tailored to rural realities. In addition, the program recognizes that many health outcomes in the Delta are shaped by socio-economic pressures, so communities may receive support in connecting patients to social services such as housing supports, child care, energy assistance, food access, services for older adults, and job training, among others. HRSA and DRA also reserve the option to define additional assistance topics in consultation with the awardee once the project is underway.

A major feature of the grant is its phased, data-driven approach to selecting and supporting communities. The awardee must establish a process for gathering and using data to help identify which Delta communities have the greatest needs, with HRSA and DRA making the final determination on community selection. After communities are selected, the awardee conducts an objective community analysis that looks at key dimensions of local capacity and gaps, including the financial status of providers, quality indicators, the availability of human and social services (and what is missing), and the availability of clinical services (and what is missing). Telehealth is treated as a strategic tool rather than a generic add-on, so the assessment must examine where telehealth can realistically address identified clinical gaps and whether affordable broadband access is available to support that approach.

From there, the awardee develops a community assets and needs assessment and uses that foundation to create and implement a strategic plan for delivering technical assistance to the local hospital and other rural providers. The technical assistance is then delivered according to that plan, focusing on finance, quality improvement, telehealth implementation, and population health service coordination. Finally, the project must evaluate the impact of the technical assistance, meaning the awardee is expected to track results and demonstrate whether the support is producing measurable improvements in areas like organizational stability, quality performance, access, coordination, and other locally relevant outcomes.

In terms of eligibility, the opportunity is open to a wide range of applicants, including state, county, and local governments; special district governments; independent school districts; public and private institutions of higher education; Native American tribal organizations (other than federally recognized tribal governments, as listed); and nonprofits with or without 501(c)(3) status (excluding higher education institutions where specified). The posting lists one expected award. The funding opportunity was created June 14, 2017, with an original closing date of July 17, 2017, and it is associated with CFDA number 93.912. The award ceiling is listed as 0 in the source information, which typically signals that the ceiling was not specified in that field rather than that no funding is available.

Overall, this grant is best understood as a capacity-building initiative aimed at strengthening entire rural health systems in the Delta Region by embedding sustained, high-touch technical expertise into selected communities. It prioritizes practical operational improvements, measurable quality and access gains, smarter use of telehealth, tighter care coordination, stronger EMS readiness, and meaningful links to social supports that influence health, all guided by data, community assessment, and ongoing evaluation under HRSA and DRA partnership.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Delta Region Community Health Systems Development" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.912.
  • This funding opportunity was created on Jun 14, 2017.
  • Applicants must submit their applications by Jul 17, 2017. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 17 117

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