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.Apply for HRSA 23 128
- 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).
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