Opportunity Information: Apply for HRSA 23 128

The Delta Health Systems Implementation Program (DSIP) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen healthcare delivery in rural communities across the Delta region. The program is geared toward helping rural hospitals stay financially stable while also improving access to care for the people who rely on them. DSIP funding supports practical, on-the-ground implementation projects that build on prior planning or guidance, with a clear emphasis on making rural hospitals more sustainable, more efficient, and better able to meet local health needs.

A key feature of DSIP is that it is intended for hospitals that have already received recent technical assistance and are ready to put that guidance into action. Specifically, the program supports Critical Access Hospitals and small rural hospitals (inpatient prospective payment system facilities with up to 100 beds) located in the rural counties and parishes of the Delta region, as long as they received technical assistance within the past five years through the Delta Region Community Health Systems Development Program or a comparable technical assistance program. In other words, the funding is aimed at organizations that have already done some preparatory work and now need resources to implement improvements.

HRSA outlines several main focus areas for DSIP projects. One major category is financial and operational improvement, which can include efforts to strengthen revenue cycle processes, boost point-of-service collections, improve efficiency in day-to-day operations, and generally enhance the hospital's ability to remain open and viable. Another focus area is quality improvement, which may include initiatives to reduce readmissions, improve transitions of care, strengthen discharge planning, and implement performance measurement systems that allow hospitals to track outcomes and make data-driven changes. DSIP also supports the expansion of telehealth services, along with related upgrades to financial or operational systems that help telehealth work effectively at scale. Workforce development is also part of the program's scope, recognizing that rural hospitals often struggle with staffing, training, and retention, and that clinical and leadership capacity directly affects both quality and sustainability.

The types of projects DSIP will fund are broad, but they share a common theme: they are concrete implementations that can produce measurable improvements. Examples listed in the opportunity include increasing inpatient and swing bed volume, expanding outpatient services, developing new service lines, optimizing emergency department operations, improving clinical documentation through integrity training, and using simulation training to strengthen clinical skills. The program also recognizes modern infrastructure needs, encouraging projects that utilize data analytics, improve cybersecurity, and implement new technology aimed at increasing clinical efficiency. Leadership development is also specifically mentioned, such as structured leadership rounding approaches that can improve patient satisfaction and employee engagement, both of which can influence financial performance and staff stability.

Another important priority is ensuring that hospitals develop or expand service lines that address community needs, including the needs of people who have been historically underserved. This means applicants are expected to think beyond internal hospital operations and connect proposed improvements to real gaps in care in their surrounding rural communities, whether those gaps relate to access, service availability, care coordination, or the ability to receive care locally rather than traveling long distances.

In terms of funding details, the opportunity is listed under Funding Opportunity Number HRSA-23-128 and CFDA (Assistance Listing) 93.912. The award ceiling is $404,000, with HRSA expecting to make about 5 awards. Eligible applicants include a wide range of public and nonprofit entities, such as state, county, and city governments; special district governments; independent school districts; public and private institutions of higher education; Native American tribal organizations (other than federally recognized tribal governments); and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education), along with other entities as clarified in the official eligibility guidance. The original posting date for this opportunity was March 24, 2023, and the original closing date was May 18, 2023.

Finally, HRSA indicates it will work with grant recipients to identify appropriate measures that demonstrate improved financial sustainability and capture the impact of each hospital's specific implementation project. That signals that applicants should be prepared to define realistic performance metrics tied to their proposed activities, especially metrics that show operational and financial improvement alongside access and quality gains, since the program is explicitly built around both hospital sustainability and better rural healthcare delivery.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Delta Health Systems Implementation Program" 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 Mar 24, 2023.
  • Applicants must submit their applications by May 18, 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 $404,000.00 in funding.
  • The number of recipients for this funding is limited to 5 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, Private institutions of higher education, Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 23 128

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Delta Health Systems Implementation Program (DSIP) FAQs

What is the Delta Health Systems Implementation Program (DSIP)?

The Delta Health Systems Implementation Program (DSIP) is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It is designed to strengthen healthcare delivery in rural communities across the Delta region by supporting practical implementation projects that help rural hospitals improve sustainability, efficiency, and access to care.

What is DSIP trying to accomplish for rural hospitals?

DSIP is geared toward helping rural hospitals remain financially stable while improving access and healthcare delivery for the communities that rely on them. The emphasis is on concrete implementation efforts that make hospitals more sustainable, more operationally efficient, and better able to meet local health needs.

Is DSIP meant for planning projects or implementation projects?

DSIP funding is intended for implementation projects. The opportunity specifically supports on-the-ground actions that build on prior planning or guidance, rather than early-stage planning work.

Who is DSIP primarily intended to serve as applicants?

DSIP is intended for Critical Access Hospitals and small rural hospitals (inpatient prospective payment system facilities with up to 100 beds) located in rural counties and parishes of the Delta region, provided they have received qualifying technical assistance within the past five years.

What types of hospitals qualify as "small rural hospitals" under DSIP?

As described in the opportunity, DSIP includes inpatient prospective payment system facilities with up to 100 beds as small rural hospitals.

Does a hospital need prior technical assistance to be eligible?

Yes. A key feature of DSIP is that it is intended for hospitals that have already received recent technical assistance and are ready to implement that guidance. The hospital must have received technical assistance within the past five years through the Delta Region Community Health Systems Development Program or a comparable technical assistance program.

What technical assistance programs count for DSIP eligibility?

The opportunity specifically references technical assistance received through the Delta Region Community Health Systems Development Program or through a comparable technical assistance program, as long as it was within the past five years.

What are the main DSIP project focus areas?

HRSA outlines several main focus areas for DSIP projects, including:

  • Financial and operational improvement
  • Quality improvement
  • Telehealth expansion (and related operational or financial upgrades)
  • Workforce development (staffing, training, retention, clinical and leadership capacity)

What are examples of financial and operational improvements DSIP supports?

Examples described include strengthening revenue cycle processes, improving point-of-service collections, improving day-to-day operational efficiency, and other efforts that enhance the hospital's ability to remain open and viable.

What kinds of quality improvement activities are supported?

DSIP may support initiatives such as reducing readmissions, improving transitions of care, strengthening discharge planning, and implementing performance measurement systems to track outcomes and guide data-driven changes.

Does DSIP support telehealth?

Yes. DSIP supports the expansion of telehealth services. It also supports related upgrades to financial or operational systems that help telehealth function effectively and scale.

Does DSIP address workforce challenges in rural hospitals?

Yes. Workforce development is part of DSIP's scope, reflecting that rural hospitals often face staffing, training, and retention challenges. The opportunity notes that clinical and leadership capacity can directly affect both quality of care and hospital sustainability.

What are some specific project examples DSIP mentions?

The opportunity provides examples of implementation projects, including:

  • Increasing inpatient and swing bed volume
  • Expanding outpatient services
  • Developing new service lines
  • Optimizing emergency department operations
  • Improving clinical documentation through integrity training
  • Using simulation training to strengthen clinical skills

Does DSIP encourage technology and infrastructure improvements?

Yes. The opportunity recognizes modern infrastructure needs and encourages projects that use data analytics, improve cybersecurity, and implement new technology aimed at increasing clinical efficiency.

Is leadership development an allowable project area?

Yes. Leadership development is specifically mentioned. An example included is structured leadership rounding approaches that can improve patient satisfaction and employee engagement, which can influence financial performance and staff stability.

How important is community need in DSIP proposals?

Community need is a stated priority. DSIP emphasizes developing or expanding service lines that address community needs, including the needs of people who have been historically underserved. Applicants are expected to connect internal hospital improvements to real gaps in care in surrounding rural communities.

What kinds of community gaps does DSIP expect projects to address?

The opportunity points to gaps related to access, service availability, care coordination, and the ability for patients to receive care locally rather than traveling long distances.

What is the Funding Opportunity Number for DSIP?

The Funding Opportunity Number is HRSA-23-128.

What is the Assistance Listing (CFDA) number for this opportunity?

The CFDA (Assistance Listing) number is 93.912.

What is the maximum award amount under DSIP?

The award ceiling is $404,000.

How many awards does HRSA expect to make?

HRSA expects to make about 5 awards.

What types of organizations are listed as eligible applicants?

The opportunity lists a broad range of eligible applicants, including public and nonprofit entities such as state, county, and city governments; special district governments; independent school districts; public and private institutions of higher education; Native American tribal organizations (other than federally recognized tribal governments); and nonprofit organizations with 501(c)(3) status (excluding institutions of higher education), along with other entities as clarified in official eligibility guidance.

When was this DSIP opportunity originally posted?

The original posting date was March 24, 2023.

What was the original closing date for applications?

The original closing date was May 18, 2023.

How does HRSA expect DSIP grantees to measure success?

HRSA indicates it will work with grant recipients to identify appropriate measures that demonstrate improved financial sustainability and capture the impact of each hospital's specific implementation project. This signals that applicants should be prepared to define realistic performance metrics tied to proposed activities, especially metrics showing operational and financial improvement alongside access and quality gains.

What should an applicant keep in mind when selecting project metrics?

Based on the opportunity description, metrics should align with the hospital's implementation activities and demonstrate improvements tied to DSIP priorities, including financial sustainability, operational performance, quality improvements, and access-related gains where relevant.

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