Opportunity Information: Apply for HRSA 23 042
The Rural Quality Improvement Technical Assistance (RQITA) Cooperative Agreement is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen health care quality in rural communities. The program focuses on helping rural providers and facilities implement quality measures, report data more effectively, and use that data to guide practical improvements in patient care. A core emphasis is making quality measurement and reporting easier and less burdensome for rural providers, recognizing that limited staffing, infrastructure, and technical capacity can make participation in quality programs difficult in rural settings.
This cooperative agreement directly supports Critical Access Hospitals (CAHs) that participate in the Medicare Rural Hospital Flexibility (Flex) Program. It is also closely tied to the Medicare Beneficiary Quality Improvement Program (MBQIP), which aims to improve the quality of care delivered in CAHs by increasing participation in quality data reporting and encouraging ongoing quality improvement work that is driven by the results of that reporting. In other words, MBQIP is not only about submitting measures, but about turning the information into action, identifying gaps in care, tracking progress over time, and adopting improvements that can be sustained.
Under this opportunity, the funded entity is expected to deliver technical assistance to organizations involved in HRSA's Federal Office of Rural Health Policy (FORHP) quality initiatives. The technical assistance audience includes Flex Program beneficiaries and other rural health care stakeholders such as CAHs, small rural health care providers, and other rural facilities and provider organizations. The technical assistance is intended to be hands-on and practical, helping rural providers navigate quality measurement requirements, understand reporting pathways, and build the internal skills and systems needed to use quality data effectively.
The scope of technical assistance described in the notice covers several major categories. One is expanding rural organizations' capacity to use data for quality improvement, which can include improving how data is collected, validated, interpreted, and translated into targeted improvement projects. Another is support related to health information technology, including helping providers understand how electronic systems connect to quality measurement and improvement efforts, with specific reference to electronic clinical quality measures. The program also calls for assistance with implementing quality measures and reporting them, along with identifying measures that are particularly relevant and appropriate for rural care settings within MBQIP. In addition, the awardee is expected to identify and share strategies and evidence-based practices that show how quality data can be used to drive improvement in ways aligned with federal priorities. Finally, the opportunity highlights the development of practical products, tools, and resources, including creating new materials or adapting existing ones, to support rural quality measure reporting and adoption.
Administratively, this is a discretionary grant using a cooperative agreement funding instrument, meaning HRSA typically has substantial involvement in the funded work compared with a standard grant. The opportunity number is HRSA-23-042, and it is associated with CFDA number 93.155. Eligible applicants are broad and include various levels of government (state, county, city or township, and special districts), public and state-controlled institutions of higher education, independent school districts, federally recognized Tribal governments and other Tribal organizations, nonprofit organizations with 501(c)(3) status (other than institutions of higher education), for-profit entities (including those other than small businesses), small businesses, and other eligible applicants as further described in the full announcement. The funding opportunity listed an award ceiling of $640,000 and anticipated making one award. The notice was created on November 28, 2022, with an original closing date of February 17, 2023.Apply for HRSA 23 042
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Quality Improvement Technical Assistance Cooperative Agreement" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155.
- This funding opportunity was created on Nov 28, 2022.
- Applicants must submit their applications by Feb 17, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $640,000.00 in funding.
- 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 governments (Federally recognized), 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, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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Rural Quality Improvement Technical Assistance (RQITA) Cooperative Agreement FAQs
What is the Rural Quality Improvement Technical Assistance (RQITA) Cooperative Agreement?
The RQITA Cooperative Agreement is a federal funding opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). Its purpose is to strengthen health care quality in rural communities by helping rural providers and facilities implement quality measures, improve data reporting, and use quality data to drive practical improvements in patient care.
What is the main goal of this program?
The main goal is to make quality measurement and reporting easier and less burdensome for rural providers, while building their ability to use quality data to identify gaps, track progress over time, and sustain improvements in care.
Which HRSA office is connected to this opportunity?
The technical assistance supported by this award is intended for organizations involved in HRSA's Federal Office of Rural Health Policy (FORHP) quality initiatives.
What does RQITA support in rural health care settings?
The program supports hands-on technical assistance that helps rural organizations with quality measurement, reporting pathways, and the internal skills and systems needed to use quality data effectively for improvement work.
How does this opportunity relate to Critical Access Hospitals (CAHs)?
This cooperative agreement directly supports Critical Access Hospitals (CAHs) that participate in the Medicare Rural Hospital Flexibility (Flex) Program.
How is RQITA tied to MBQIP?
RQITA is closely tied to the Medicare Beneficiary Quality Improvement Program (MBQIP), which aims to improve quality of care in CAHs by increasing participation in quality data reporting and encouraging ongoing, data-driven quality improvement based on reporting results.
Is MBQIP only about submitting measures?
No. As described, MBQIP is not only about submitting measures. It also emphasizes turning information into action by identifying gaps in care, tracking progress over time, and adopting improvements that can be sustained.
Who is expected to receive technical assistance under this award?
The technical assistance audience includes Flex Program beneficiaries and other rural health care stakeholders such as Critical Access Hospitals (CAHs), small rural health care providers, and other rural facilities and provider organizations.
What types of technical assistance activities are included in the scope?
The notice describes several major categories, including building rural organizations' capacity to use data for quality improvement, health information technology support tied to quality measurement, help implementing and reporting quality measures, sharing strategies and evidence-based practices aligned with federal priorities, and developing practical products/tools/resources to support reporting and measure adoption.
What does "capacity to use data for quality improvement" mean in this program?
It can include improving how data is collected, validated, and interpreted, and then translating that information into targeted quality improvement projects.
Does the program include health information technology (health IT) support?
Yes. The scope includes support related to health information technology, including helping providers understand how electronic systems connect to quality measurement and improvement efforts. The notice specifically references electronic clinical quality measures.
Does RQITA help with implementing and reporting quality measures?
Yes. The program calls for assistance with implementing quality measures and reporting them, including identifying measures that are relevant and appropriate for rural care settings within MBQIP.
What does the awardee need to do related to strategies and best practices?
The awardee is expected to identify and share strategies and evidence-based practices that demonstrate how quality data can be used to drive improvement in ways aligned with federal priorities.
Are products and tools part of the deliverables?
Yes. The opportunity highlights developing practical products, tools, and resources, including creating new materials or adapting existing ones, to support rural quality measure reporting and adoption.
What type of federal funding instrument is this?
This is a discretionary grant using a cooperative agreement funding instrument.
What does it mean that this is a cooperative agreement?
It means HRSA typically has substantial involvement in the funded work compared with a standard grant.
What is the funding opportunity number?
The opportunity number is HRSA-23-042.
What is the CFDA number associated with this opportunity?
The CFDA number listed is 93.155.
Who is eligible to apply?
Eligible applicants are broad and include state, county, city or township, and special district governments; public and state-controlled institutions of higher education; independent school districts; federally recognized Tribal governments and other Tribal organizations; nonprofit organizations with 501(c)(3) status (other than institutions of higher education); for-profit entities (including those other than small businesses); small businesses; and other eligible applicants as further described in the full announcement.
How much funding is available under this opportunity?
The funding opportunity listed an award ceiling of $640,000.
How many awards were anticipated?
The opportunity anticipated making one award.
When was the notice created?
The notice was created on November 28, 2022.
What was the original application closing date?
The original closing date listed was February 17, 2023.
Is this opportunity specifically focused on rural providers with limited capacity?
Yes. A core emphasis is reducing burden for rural providers, recognizing that limited staffing, infrastructure, and technical capacity can make participation in quality programs difficult in rural settings.
What kinds of rural organizations might benefit from the technical assistance described?
Based on the notice, beneficiaries and stakeholders include CAHs in the Flex Program, small rural health care providers, and other rural facilities and provider organizations participating in or connected to HRSA FORHP quality initiatives.
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