Program Descriptions
Program Number
93.301
Title
Small Rural Hospital Improvement Grant Program
Federal Agency
HEALTH RESOURCES AND SERVICES ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Authorization
Section 1820(g)(3) of Social Security Act.
Status
Active
Objectives
To help small rural hospitals: (1) pay for costs related to implementation of PPS; (2) comply with provisions of HIPAA; and (3) reduce medical errors and support quality improvement.
Types of Assistance
Project Grants.
Uses and Use Restrictions
All funds awarded are to be expended solely for carrying out the approved projects.
Eligibility Requirements
Applicant Eligibility
All small rural hospitals located in the 50 States and Territories.
Beneficiary Eligibility
Not applicable.
Credentials/Documentation
Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.
Application and Award Process
Preapplication Coordination
This program is excluded for coverage under E.O. 12372.
Application Procedure
Grant applications and required forms for this program can be obtained from http://Grants.gov Please visit the http://Grants.gov Web site at http://www.grants.gov to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Office of Rural Health. The Associate Administrator has the authority to make final selections for awards.
Award Procedure
Applications are evaluated by Federal and Nonfederal experts. All approved applications will be funded. Final decisions on level of funding are made by the Director, Office of Rural Health Policy.
Deadlines
http://www.hrsa.gov
Range of Approval/Disapproval Time
Up to six months.
Appeals
None.
Renewals
Assistance Considerations
Formula and Matching Requirements
None.
Length and Time Phasing of Assistance
Awards are made annually and payment is made through the DHHS Payment Management System.
Post Assistance Requirements
Reports
An annual progress report and final financial status report are due within 90 days after end of the project period.
Audits
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.
Records
All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.
Financial Information
Account Identification
75-0350-0-1-550.
Obligations
(Grants) FY 07 $14,824,097; FY 08 est $14,220,000; and FY 09 est $14,220,000.
Range and Average of Financial Assistance
$26,835 to $992,845; $315,406.
Program Accomplishments
In FY 07, 46 awards were made; in FY 08 and FY 09, it is estimated that 46 awards will be made.
Regulations, Guidelines and Literature
This program is 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.
Information Contacts
Regional or Local Office
Jennifer Chang, Office of Rural Health Policy, Parklawn Building, Room 9A-55, 5600 Fishers Lane, Rockville, MD, 20857. Telephone: (301) 443-0835, (301) 443-2669 (fax).
Headquarters Office
Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch; Telephone: (301) 443-2385; Research and Training Branch; Telephone: (301) 443-3099; Government and Special Focus Branch; Telephone: (301) 443-3288.
Web Site Address
http://www.hrsa.gov
Related Programs
None.
Examples of Funded Projects
Examples of allowable activities include: 1) purchase of billing and coding software and charge-master review for PPS implementation; 2) purchase of security applications and workspace modifications to increase security and privacy for HIPAA compliance, and 3) purchase of electronic health record systems and providing staff training and educational materials in Quality Improvement.
Criteria for Selecting Proposals
Applicants will be evaluated based on: (1) extent to which applicant is responsive to the requirements and purposes of this program; and (2) extent to which application describes need, strategies and investment to address those needs.
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