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One aspect of the organization's mission is to promote the quality of liver care, including care of patients with cirrhosis. Systematic efforts to improve the care of patients with advanced chronic liver disease have been minimal, however. In addition, the accumulating data show that care targeted at patients with cirrhosis often falls short of the guidelines and recommended standards, and is associated with increased morbidity and resource utilization. Given these identified gaps in care, the members of the Cirrhosis Quality Collaborative (CQC) seek to develop a Learning Health Network in which continuous improvement of healthcare, technological innovation, and research are all purposefully integrated. The Learning Health Network will be designed to generate and apply the best evidence for the collaborative choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and to ensure innovation, quality, safety, and value in health care for patients with Chronic Liver Disease. To that end, AASLD is soliciting requests for proposals from vendors to build, host, and maintain a disease registry software platform that supports the Learning Health Network. The goal of the system is to enroll patients from multiple sites into a single platform with minimal manual data entry.

The intent of the PFCRA is to target the emerging need to provide extended trauma care prior to reaching a location that can provide definitive hemorrhage and contamination control. Trauma care during this period is often called "Prolonged Field care" (PFC). Traditionally, improvements to the trauma care system have focused on shortening evacuation times from the point of injury to the first surgical site. However, in future conflicts or mass trauma events, it is anticipated that the initial evacuation time, and thus initial surgical hemorrhage and contamination control, may be delayed for hours or days.This challenge also requires research to develop new solutions to provide for prolonged Damage Control Resuscitation (pDCR) including: support for medical providers in the out-of-hospital setting (point of injury, austere environment, or en route care) with limited resources; understanding the physiologic impact of pDCR; and techniques to mitigate the negative effects of delayed surgical intervention. The research and solutions must be focused on patient-level interventions and outcomes, rather than the broader trauma system. However, proposed research and solutions should consider the entire continuum of trauma care.The JPC-6/CCCRP has identified three overarching Focus Areas for funding under this Program Announcement/Funding Opportunity.

The goal of the Hillman Innovations in Care Program is to advance leading edge, nursing-driven models of Care that will improve the health and health Care of vulnerable populations, including the economically disadvantaged, racial and ethnic minorities, LGBTQ people, the homeless, rural populations, and other groups that encounter barriers to accessing quality health Care services. We seek bold, evidence-based, patient- and family-centered approaches that challenge conventional strategies, improve health outcomes, lower costs, and show potential for national replicability. The Rita & Alex Hillman Foundation specifically seeks proposals that address the health Care needs of vulnerable populations in the following areas: Maternal and Child Health Care of the Older Adult Chronic Illness Management

he purpose of RHOP is to promote rural health care services outreach by expanding the delivery of opioid related health care services to rural communities. The program will reduce the morbidity and mortality related to opioid overdoses in rural communities through the development of broad community consortiums to prepare individuals with opioid-use disorder (OUD) to start treatment, implement care coordination practices to organize patient care activities,[1] and support individuals in recovery through the enhancement of behavioral counselling[2] and peer support activities.[3] This program will bring together health care providers (i.e. local health departments, hospitals, primary care practices, and substance abuse treatment providers) and entities such as social service and faith-based organizations, law enforcement, and other community-based groups to respond multifaceted to the opioid epidemic in a rural community. The consortium must include at least three (3) health care providers.

CMF works to improve health care outcomes through grant funding of: * Programs and initiatives that improve patient safety and quality of care through education and training of health care professionals or through systems changes and improvements; * Pilot programs that are designed to reduce medical errors; and * Development and implementation of checklists and other tools to improve disease management and transitions in care. The 2021 focus area is fragmentation across care settings. Breakdowns in care from a fragmented healthcare system can lead to readmissions, missed diagnoses, medication errors, delayed treatment, duplicative testing and procedures, and reduction in quality of care leading to general patient and provider dissatisfaction. Healthcare organizations must collaborate with each other and decide how to transfer information about patients they share. For example, health information technology can help providers share information about their patients. Organizations must devise strategies to "close the loop" and ensure that providers are aware of and address actionable patient information, such as test results.

The Agency for Healthcare Research and Quality's (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used. AHRQ's Center for Quality Improvement and Patient Safety (CQuIPS) is addressing patient safety and medication research by focusing on the safe usage of medications.  This perspective centers on how medications move through the health care system and how this systemic process can be improved so that patients are not harmed, while health care delivery is improved.  CQuIPS encourages the involvement of all members of the health care team, especially patients and families, nurses, pharmacists, technicians (pharmacy and medication administration technicians), health care administrators, risk managers, and physicians across all settings of care, including in the home. This FOA will fund investigative research demonstration projects that examine the effective implementation of processes, policies, and behaviors that support safe use of medication as well as its sustainment and dissemination.

This announcement solicits applications for the Rural Health Network Development (RHND) Program.  The purpose of this program is to support mature, integrated rural health care networks that have combined the functions of the entities participating in the network in order to address the health care needs of the targeted rural community.  Awardees will combine the functions of the entities participating in the network to address the following statutory charges:  (i) achieve efficiencies; (ii) expand access, coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health care system as a whole.

This announcement solicits applications for the Rural Health Network Development (RHND) Program.  The purpose of this program is to support mature, integrated rural health care networks that have combined the functions of the entities participating in the network in order to address the health care needs of the targeted rural community.  Awardees will combine the functions of the entities participating in the network to address the following statutory charges:  (i) achieve efficiencies; (ii) expand access, coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health care system as a whole.

The Grenvik Family Award for Ethics Award honors a Society of Critical Care Medicine member who has promoted the ethical and humane delivery of critical Care. The award was established in memory of Dr. Christer Grenvik, who died very early in his medical Career. During his last two years of life, Christer Grenvik became deeply religious and concerned with the critically and terminally ill patient's autonomy when deciding on choice of treatment. He became particularly interested in the ethical problems in these situations and compassionate Care of patients in the terminal stage. The Grenvik Family Award for Ethics Award memorializes Christer Grenvik's great concern for these issues. The recipient receives $1,000 and complimentary registration to attend the Critical Care Congress. Candidates are nominated for the award by an SCCM member or members of the award subcommittee. To be eligible, nominees must have made a significant contribution to addressing an ethical problem in critical Care; be an SCCM member in good standing; and have demonstrated commitment to SCCM through involvement in SCCM committees or other SCCM activities at the local, regional, national, or international level.

The Rita and Alex Hillman Foundation supports nurse-led healthcare innovation and research, with the goal of improving patient care in hospitals, clinics, homes, and communities. Nurses operate at the junction of public policy, medical science, systems-based healthcare delivery, and one-on-one patient care. Drawing on its knowledge of this unique and important role, the foundation believes it has valuable insights with respect to relevant modes of research and alternative models that can lead to more equitable, patient-centered health care. In support of this mission, the foundation is accepting applications to the Hillman Innovations in care Program. Established in 2014, the program supports creative, non-traditional, collaborative projects that address the needs of underserved populations, including the homeless, racial and ethnic minorities, and members of the LGBTQ community. The foundation has indicated three specific targets of interest for this particular opportunity: maternal and child health, older adult care, and chronic illness management.

Family caregivers shoulder many emotional and economic burdens in the course of delivering care to loved ones. Their role however is essential. According to a 2018 report from bipartisan policy center the majority of long-term care services and supports comes from family caregivers with estimates reporting that family caregivers have provided $470 billion in care. Additionally, the same report cites a statistic that family caregivers aged 50 and over lose approximately $304,000 in income and benefits over the duration of their care. Consequently family caregivers are especially vulnerable to experiencing the devastating economic burdens of the provision of care. As such, the development and dissemination of training and information to improve and strengthen the financial literacy of family caregivers is paramount in efforts to help them maintain their caregiving duties while concurrently helping them better understand and prepare for the potential financial impacts associated with the provision of care. The target population to be served will be all eligible family caregivers as defined in Title III E of the Older Americans Act. The objectives for this new funding opportunity include:* Advance understanding of the need for and the available interventions to improve financial literacy among family caregivers, incluidng gaps found in existing interventions, and develop a stragety for addressing these needs

This Funding Opportunity Announcement (FOA) encourages UG3/UH3 phased cooperative research applications to conduct efficient, large-scale pragmatic trial or implementation science study designs to improve pain management and reduce the use of opioid medications. Awards made under this FOA will initially support a one-year milestone-driven planning phase (UG3), with possible transition to an implementation phase (UH3). UG3 projects that have met the scientific milestone and feasibility requirements may transition to the UH3 phase. The UG3/UH3 application must be submitted as a single application, following the instructions described in this FOA. The overall goal of this initiative is to identify effective methods to improve the management of pain and reduce the need for opioid medications at the health care system level. This FOA requires that the intervention under study be embedded into health care delivery system, real world settings. Studies can propose to integrate interventions that have demonstrated efficacy into health care system; or implement health care system changes to improve adherence to evidence-based guidelines. Trials must be conducted across two or more health care systems (HCS) and must be conducted as part of the NIH HCS Research Collaboratory supported through the NIH Common Fund. (See https://commonfund.nih.gov/hcscollaboratory). The NIH HCS Research Collaboratory Program has established a Collaboratory Coordinating Center (CCC) that is providing national leadership and technical expertise in all aspects of research with HCS. After awards are made by NIH, the CCC (http://rethinkingclinicaltrials.org/about-nih-collaboratory/) and the NIH will work with successful awardees from this FOA to facilitate the planning and rapid execution of high impact trials that conduct research studies in partnerships with health care delivery systems.

This notice announces the opportunity to apply for funding under the Rural Telementoring Training Center (RTTC) Program. The purpose of this program is to train academic medical centers and other centers of excellence (COEs) to create or expand technology-enabled collaborative learning and capacity building models (such as Project ECHO, ECHO-like models, and other emerging models in the field). The RTTC will develop and share freely accessible tools and resources that are adaptable to culturally and regionally diverse populations to provide training nationwide to facilitate the dissemination of best practice specialty care to primary care providers and care teams in rural and underserved areas. This cooperative agreement aligns with HRSA's goals of fostering a health care workforce to address current and emerging needs, improving access to quality health services, achieving health equity, and enhancing population health. This RTTC's focus is to train and support academic medical centers and other centers of excellence to provide technology-enabled telementoring that will ultimately better equip the health care workforce in rural communities to meet critical demands while improving access to health care.

Under the 2016 - 2020 Country Development Cooperation Strategy (CDCS), USAID/Zimbabwe anticipates awarding a five-year $25 million cooperative agreement to provide technical assistance to the Ministry of Health and Child Care (MOHCC) at the national level and in Manicaland province. This award will be made through a full and open competition, under which any type of organization is eligible to apply. Building on the achievements of current USAID-supported activities, the purpose of the activity is improved maternal, youth, and child health and survival in beneficiary communities and populations. This activity will improve the health of women, youth, and children in Manicaland by strengthening maternal, newborn, child health and family planning (integrated MNCH-FP) service delivery throughout the continuum of Care, i.e., from the home, to the community, to the primary Care facility, and to the tertiary referral hospital. Continuum of Care refers to a concept involving a system that guides and tracks patients over time through a comprehensive array of health services spanning all levels and intensity of Care. Integrated MNCH-FP service delivery refers to combining together MNCH and FP health services in order to expand access to Care, increase efficiencies, and improve health outcomes. The activity will also increase access to a broader range of family planning methods through outreach services at the national level.

The purpose of this Funding Opportunity Announcement (FOA) is to increase the identification of HIV positive persons through targeted HIV counseling and testing (HCT), assist in spouse and child disclosure of HIV status, and improve linkage and enrollment of all newly identified HIV clients to HIV/AIDS care, treatment and support services. Linkage is defined as the process of identifying new HIV positive clients through a bidirectional relationship among index case testing service outlets and HIV/AIDS care and treatment facilities, enrolling newly diagnosed HIV clients into appropriate chronic care by using referral slip and/or escorting of all newly identified HIV clients to appropriate care, treatment and support services. The care and support services will serve to improve clients ART adherence, and overall quality of life of persons living with HIV (PLHIV) and their families. This in turn will reduce new HIV infections, improve the quality of life for PLHIVs, and mitigate the negative health, psychological, social, and economic impacts of HIV infection in the long term.

This announcement solicits applications for the Native Hawaiian Health Care Improvement Act program.  The Native Hawaiian Health Care Improvement Act (NHHCIA), as amended (42 U.S.C. 11701 - 11714), states that "it is the policy of the United States in fulfillment of its special responsibilities and legal obligations to the indigenous people of Hawaii … to (1) raise the health status of Native Hawaiians to the highest possible health level; and (2) provide existing Native Hawaiian health Care programs with all resources necessary to effectuate this policy" [see 42 U.S.C. 11702(a)].  The NHHCIA authorizes funding opportunities for the following activities: ·         Service grant to Papa Ola Lokahi (POL) for the activities described in the NHHCIA, including the coordination of the health Care programs and services provided to Native Hawaiians. ·         Service grants to the five recognized community-based Native Hawaiian Health Care Systems (NHHCS) to provide a full range of services identified by the legislation and tailored to fit the needs of their respective island communities. This Congressional Special Initiative is a limited competition program announcement.  This FOA provides instructions to be used by existing recipients under the NHHCIA in preparing applications for funding for fiscal years 2015 through 2017.

This notice announces the opportunity to apply for funding under the Innovations in Care Coordination for Children and Youth with Autism Spectrum Disorders (ASD) and Other Developmental Disabilities (DD) Program. The purpose of this program is to build on past HRSA programs (HRSA-16-048 and HRSA-13-207) to improve access to coordinated and integrated Care for children with, or at risk for, ASD/DD and their families in medically underserved areas and populations.[1],[2] The purpose and objectives of this program will be accomplished by implementing the following two strategies: Family Navigation - Increasing family navigation services to improve communication between families and primary and specialty providers; link children with/at risk for ASD/DD to diagnostic evaluations, ASD/DD services, and community resources; and provide education to families of children with/at risk for ASD/DD to improve self-efficacy in navigating the system of Care for children with/at risk for ASD/DD; and Provider Education - Providing education, training, and technical assistance to providers, and community based-organizations providing services to ASD/DD on improving Care for children with/at risk for ASD/DD through a learning community. [1] At risk for ASD/DD can be defined as children who have been identified through primary Care developmental surveillance as needing further screening or evaluation for ASD/DD. [2] HRSA definition for Medically Underserved Areas: https://datawarehouse.hrsa.gov/topics/shortageareas.aspx.

The purpose of this Funding Opportunity Announcement (FOA) is to reduce the burden of cancer and improve the quality of cancer care in rural areas among low-income and/or underserved populations. The FOA encourages two types of applications: 1) observational research that includes pilot testing of intervention to understand and address predictors of cancer care/treatment and outcomes in rural low-income and/or underserved populations; or 2) intervention research to address known predictors of cancer care/treatment and outcomes in rural low-income and/or underserved populations. Specifically, the focus for observational studies (with pilot testing) is understanding and addressing the predictive and/or mediating role of social determinants of health, barriers to care, and treatment; and the focus for interventional research is on addressing quality of care related to cancer diagnosis, treatment and/or survivorship. Most existing cancer control interventions are not ready for direct implementation and dissemination in low-income rural areas, so proposals should seek to develop, adapt, and/or implement, and test interventions.

This Funding Opportunity Announcement (FOA) encourages research grant applications focused on palliative care in geriatric populations. This FOA emphasizes studies in a variety of settings including ambulatory care, hospitals (and specific sites within hospitals including specialty wards, intensive care units and emergency departments), assisted living facilities, and short- and long-term care facilities; however, hospice and end-of-life settings are not included within the scope of this FOA, as they are the subject of other NIH programs. Rather, this FOA highlights research on palliative care in settings and at time points earlier in geriatric patients' disease or disability trajectories. Types of studies may include observational, quasi-experimental, or interventional studies using primary data collection and/or secondary analyses. Leveraging on-going cohorts, intervention studies, networks, data and specimen repositories, and other existing resources and infrastructure are encouraged.

This funding opportunity announcement (FOA) seeks to stimulate research that focuses on reducing negative individual and family outcomes related to unwanted transitions at the end of life and optimizing the individual and family outcomes related to high quality coordination of care of care of individuals who are enrolled in hospice. This FOA emphasizes individuals who are receiving hospice care and their family caregivers, in any setting where hospice care is provided, including their home, a relative's home, a hospice inpatient facility, an assisted living facility, a short- or long-term care facility, or a hospital.

This announcement solicits applications for the Rural Opioid Overdose Reversal (ROOR) Grant Program. The purpose of the ROOR program is to reduce the incidences of morbidity and mortality related to opioid overdoses in rural communities through the purchase and placement of emergency devices used to rapidly reverse the effects of opioid overdoses and the training of licensed healthcare professionals and emergency responders on the use of opioid devices. Community partnerships are an important component of this program and can be comprised of local emergency responders as well as other local non-profit and for-profit entities involved in the prevention and treatment of opioid overdoses. In addition, care coordination is essential to efforts in reducing incidences of morbidity and mortality related to opioid overdoses. As a result, this funding opportunity announcement is seeking innovative approaches that involve broad community partnerships which may include referral of individuals to appropriate substance abuse treatment centers where care coordination and communication is facilitated by a team of qualified health care providers. The ROOR goals are to: 1) Purchase naloxone and opioid overdose reversal devices and increase the availability in rural areas through strategic placement; 2) Train licensed healthcare professionals and others using the devices to recognize the signs of opioid overdose, administer naloxone, administer basic cardiopulmonary life support, report results, and provide appropriate transport to a hospital or clinic for continued care after administration; 3) Refer those with a drug dependency to appropriate substance abuse treatment centers where care coordination is provided by a team of providers; and Demonstrate improved and measurable health outcomes, including but not limited to, reducing opioid overdose morbidity and mortality in rural areas.