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.Apply for HRSA 17 117
- 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).
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Frequently Asked Questions (FAQs): Delta Region Community Health Systems Development (HRSA 17-117)
What is the Delta Region Community Health Systems Development opportunity (HRSA 17-117)?
HRSA 17-117 is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is designed to strengthen health care delivery in rural communities across the Delta Region by providing intensive, hands-on technical assistance that helps local health systems make lasting improvements.
Is this grant meant to fund direct clinical service expansion?
No. The core emphasis is not broad, light-touch funding for direct clinical expansion. The focus is on deep, sustained, multi-year technical assistance to help selected high-need communities improve how their health systems operate and perform over time.
What type of award mechanism is used for this opportunity?
This opportunity is structured as a cooperative agreement. That means HRSA, working in coordination with the Delta Regional Authority (DRA), expects to be actively involved in shaping priorities and refining focus areas after the award is made.
Who is HRSA partnering with on this effort?
HRSA is coordinating with the Delta Regional Authority (DRA). HRSA and DRA are involved in project direction and have a role in community selection and in refining technical assistance priorities during the project period.
What is the overall purpose of the program?
The purpose is to strengthen rural health systems in the Delta Region by improving operational stability, care quality and reliability, care coordination, access (including via telehealth), emergency medical services readiness, workforce capacity, and connections to social services that influence health outcomes.
Which types of rural organizations and providers are a focus of the technical assistance?
The program targets rural providers and organizations that commonly serve as the backbone of care in the Delta Region, including Critical Access Hospitals, small rural hospitals, Rural Health Clinics, and other local health care organizations.
What makes the technical assistance approach different from typical consulting?
The technical assistance is intended to be intensive and sustained rather than short-term consulting. The goal is to support changes that are embedded into day-to-day operations, build local capacity, and produce meaningful, lasting system improvements.
What are the main technical assistance priority areas?
Priority assistance areas include hospital and clinic financial operations (such as revenue cycle performance, billing and coding practices, budgeting, and operational controls), quality improvement activities that promote an evidence-based culture and improve outcomes, and telehealth expansion to close clinical service gaps and increase access.
What kinds of financial and operational improvements are included?
The opportunity explicitly highlights improvements such as revenue cycle performance, billing and coding practices, budgeting, and other operational controls intended to make rural providers more financially stable.
How does the grant address quality improvement?
The program supports implementing quality improvement activities that foster an evidence-based culture and lead to better health outcomes. The expectation is that the awardee will help selected communities strengthen quality and reliability of care and track measurable improvement.
How is telehealth treated within this program?
Telehealth is treated as a strategic tool, not a generic add-on. Community assessments must identify where telehealth can realistically address clinical gaps and must also consider whether affordable broadband access is available to support telehealth implementation.
Does the scope include care coordination and system-level improvements?
Yes. The opportunity highlights system-level improvements such as reducing fragmentation across providers and settings, strengthening local health systems to improve population health outcomes, and improving coordination across the continuum of services.
Is emergency medical services (EMS) included in the focus areas?
Yes. Ensuring access to emergency medical services is specifically included as part of the broader effort to strengthen local health systems in the Delta Region.
Does the program address workforce recruitment and retention challenges?
Yes. Workforce challenges are explicitly included. The awardee is expected to help communities identify recruitment and retention resources tailored to rural realities.
Can technical assistance include connections to social services that impact health?
Yes. The opportunity recognizes the role of socio-economic pressures in Delta health outcomes and includes support for connecting patients to social services such as housing supports, child care, energy assistance, food access, services for older adults, and job training, among others.
Can additional technical assistance topics be added during the project?
Yes. HRSA and DRA reserve the option to define additional assistance topics in consultation with the awardee once the project is underway.
How are communities selected to receive the intensive technical assistance?
The awardee must establish a data-driven process to gather and use data to identify Delta communities with the greatest needs. HRSA and DRA make the final determination on which communities are selected.
What happens after communities are selected?
After selection, the awardee conducts an objective community analysis covering key dimensions such as provider financial status, quality indicators, the availability of human and social services (and gaps), and the availability of clinical services (and gaps). This analysis informs a community assets and needs assessment and the strategic plan for technical assistance.
What is included in the community analysis and assessment process?
The analysis examines financial status of providers, quality indicators, availability of human and social services and what is missing, availability of clinical services and what is missing, and telehealth feasibility including whether affordable broadband access is available.
What is the role of a strategic plan in this program?
Using the assessment findings, the awardee creates and implements a strategic plan for delivering technical assistance to the local hospital and other rural providers. Technical assistance is then delivered according to that plan across focus areas like finance, quality improvement, telehealth implementation, and population health service coordination.
Is evaluation and measurement required?
Yes. The project must evaluate the impact of the technical assistance. The awardee is expected to track results and demonstrate measurable improvements in areas such as organizational stability, quality performance, access, coordination, and other locally relevant outcomes.
Who is eligible to apply for HRSA 17-117 based on the posting?
Eligibility 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).
How many awards are expected?
The posting lists one expected award.
What is the CFDA number associated with this opportunity?
The opportunity is associated with CFDA number 93.912.
When was this funding opportunity created and when did it close?
The posting indicates it was created on June 14, 2017, with an original closing date of July 17, 2017.
What does it mean that the award ceiling is listed as 0?
The award ceiling is listed as 0 in the source information. This typically indicates that the ceiling was not specified in that particular field rather than indicating that no funding is available.
In plain terms, what is this grant trying to achieve in the Delta Region?
It is 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. The intent is to produce practical operational improvements, measurable gains in quality and access, smarter use of telehealth, tighter care coordination, stronger EMS readiness, and meaningful links to social supports that influence health.
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