Children’s Hospitals Graduate Medical Education (CHGME) Payment Program

HRSA-17-006
Children’s Hospitals Graduate Medical Education (CHGME) Payment Program
Department of Health and Human Services
Health Resources and Services Administration

Pediatrics Residency Program

General Information

Document Type: Grants Notice
Funding Opportunity Number: HRSA-17-006
Funding Opportunity Title: Children’s Hospitals Graduate Medical Education (CHGME) Payment Program
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Health
Category Explanation: https://grants.hrsa.gov/2010/Web2External/Interface/FundingCycle/ExternalView.aspx?fCycleID=ffbb8736-c2bc-4642-805e-0ffd3d65686d
Expected Number of Awards: 65
CFDA Number(s): 93.255 — Children’s Hospitals Graduate Medical Education Payment Program
Cost Sharing or Matching Requirement: No
Posted Date: May 16, 2016
Last Updated Date: May 16, 2016
Original Closing Date for Applications: Jul 15, 2016  
Current Closing Date for Applications: Jul 15, 2016  
Archive Date: Sep 13, 2016
Estimated Total Program Funding: $295,000,000
Award Ceiling: $0
Award Floor: $0

Eligibility

Eligible Applicants:
Others (see text field entitled “Additional Information on Eligibility” for clarification)
Additional Information on Eligibility: There are two categories of children’s hospitals that may be eligible for CHGME payments in FY 2017, depending on the funding appropriated to the program – “Currently Eligible Hospitals” or “Newly Qualified Hospitals.”  New hospitals that are applying for the CHGME program may be hospitals that are eligible as a “Newly Qualified Hospital” or hospitals that are new to the CHGME program but qualify under the “Currently Eligible Hospitals” requirements. Currently Eligible Hospitals: Includes Children’s hospitals that meet the original eligibility requirements for CHGME payments that were established prior to the Children’s Hospital GME Support Reauthorization Act of 2013. These children’s hospitals must meet the following criteria:  It participates in an approved graduate medical education (GME) residency training program; It has a Medicare provider payment agreement; It is excluded from the Medicare Inpatient Prospective Payment System (IPPS) under section 1886(d)(1)(B)(iii)[1] of the Social Security Act and its accompanying regulations; and It is a “freestanding” children’s hospital. Newly Qualified Hospitals: As per the Children’s Hospital GME Support Reauthorization Act of 2013, a freestanding hospital may be eligible for CHGME payments depending on the level of funding appropriated to the program if it meets the following criteria:    It has a Medicare payment agreement and is excluded from the Medicare inpatient hospital prospective payment system (IPPS) pursuant to section 1886(d)(1)(B) of the Social Security Act and its accompanying regulations; Its inpatients are predominantly individuals under 18 years of age; It has an approved medical residency training program as defined in section 1886(h)(5)(A) of the Social Security Act; It is not otherwise qualified to receive payments under this section or section 1886(h) of the Social Security Act.  For those free-standing children’s hospitals that met the above requirements as of April 7, 2014, and the Secretary had not previously determined an average number of FTE residents under section 1886(h)(4) of the Social Security Act, the Secretary may establish such number of FTE residents for the purposes of calculating CHGME program payments. Any public or private nonprofit and for-profit children’s teaching hospital with an accredited residency training program which meets all of the above requirements for either category of eligibility may apply, though final e

Additional Information

Agency Name: Health Resources and Services Administration
Description: This announcement solicits applications for the Children’s Hospitals Graduate Medical Education (CHGME) Payment Program.  Federal funding for graduate medical education (GME) is primarily provided by the Centers for Medicare and Medicaid Services (CMS).  Prior to the enactment of the CHGME Payment Program, children’s teaching hospitals received a disproportionately low amount of Federal GME funding when compared to teaching hospitals that serve adult patients.  The purpose of the CHGME Payment Program is to compensate for the disparity in the level of Federal GME funding for freestanding children’s teaching hospitals versus other types of teaching hospitals.  The CHGME Payment Program is administered by the Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS).
Link to Additional Information:
Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Department of Health and Human Services, Health Resources and Services Administration MLee1@hrsa.gov
Contact Marshala Lee at (301)443-6191 or email MLee1@hrsa.gov

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Pediatric Quality Measures Program (PQMP): Dissemination and Implementation of Child Health Quality Measures Cooperative Research Grants (U18)

Pediatric Quality Measures Program (PQMP): Dissemination and Implementation of Child Health Quality Measures Cooperative Research Grants (U18): RFA-HS-16-002

kids-running-in-park

Purpose

The FOA invites cooperative agreement applications to support the dissemination and implementation of a subset of new child health quality measures developed by the Pediatric Quality Measures Program-Centers of Excellence (PQMP-COE) in key pediatric measurement and quality improvement (QI) gap areas through the work of multi-disciplinary partnership teams.  These teams include pediatric measure developers, QI and systems experts, state Medicaid/CHIP programs, health plans, provider-level organizations, and other key stakeholders.

The partnership teams will have two key goals focused on assessing the feasibility and usability of the new PQMP-COE measures within the Medicaid/CHIP patient populations at the state, health plan, and provider levels to support performance monitoring and QI through: (A) field testing, refinement, data collection, and reporting on new measures; and (B) use of performance data from the measures to define QI goals and test multilevel improvement strategies.

Background

Together, Medicaid and the Children’s Health Insurance Program (CHIP) serve more than 43 million children annually, representing more than 1 in 3 children in the United States.  Medicaid/CHIP play a key role in ensuring that low-income children get health care coverage, access to a comprehensive set of benefits, and other medically necessary services.  The Department of Health and Human Services (HHS) is working closely with states, health plans, and providers to ensure a high-quality system of care for children in Medicaid/CHIP.

The AHRQ-CMS Pediatric Quality Measures Program (PQMP) is a central component to the overall HHS strategy for implementing Public Law 111-3, the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), to support state Medicaid/CHIP agencies in collecting and reporting on a core set of standardized child health quality measures (“Initial Core Set” now called the “Child Core Set”) in alignment with other quality measures collected by states, health plans, and providers. The primary goal for Child Core Set–and more broadly the implementation of pediatric quality measures–is to achieve better care, a healthier population, and affordable care as identified in the HHS’ National Strategy for Quality Improvement in Health Care.

As identified in CHIPRA Title IV, Sec. 401, the PQMP was established to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children’s health care services.  This current FOA to continue the work of the PQMP is funded through Public Law 114-10, effective April 16, 2015, and known as “The Medicare Access and CHIP Reauthorization Act of 2015” (MACRA), Section 304(b).

The initial phase of the PQMP focused on developing new and enhanced pediatric measures to improve children’s quality of care through cooperative agreement grants with the PQMP-COEs. This new phase of the PQMP builds on the work previously completed in the first phase [see: http://www.ahrq.gov/policymakers/chipra/pqmpback.html] with a shift in focus to disseminating and implementing the PQMP-COE measures.  More specifically, the new phase of work will focus on assessing the feasibility and usability of the newly-developed PQMP-COE measures at the state, health plan, and provider levels.  Overall, this effort will build knowledge and evidence to support performance monitoring and QI for children in Medicaid/CHIP by: increasing the number of new measures being implemented and reported at multiple levels (state, health plan, and provider) in key gap areas; informing efforts to streamline data collection and reporting processes; and supporting states to drive improvement in health care quality using the Child Core Measures and the PQMP-COE measures.

SOURCE: Agency for Healthcare Research and Quality (AHRQ)

APPLICATION DEADLINE: Letter of Intent: 5/27/16. Application: 6/28/16 by 5 pm local time of applicant organization.

$ AVAILABLE: AHRQ intends to fund up to six awards, corresponding to a total of $3,350,000 for fiscal year 2016.

ELIGIBILITY: * Public or nonprofit private institution, such as a university, college, or a faith-based or community-based organization;

* For-profit private institution;

* Unit of local or state government;

* Eligible agency of the federal government (as determined by HHS policy);

* Indian/Native American tribal government (federally recognized and other than federally recognized.)

* Indian/Native American tribally designated organization;

* Hispanic-serving Institutions;

* Historically Black Colleges and Universities (HBCUs);

* Tribally Controlled Colleges and Universities (TCCUs);

* Alaska Native and Native Hawaiian Serving Institutions;

* Asian American Native American Pacific Islander Serving Institutions (AANAPISIs).

PURPOSE: The Funding Opportunity Announcement (FOA) invites cooperative agreement applications to support the dissemination and implementation of a subset of new child health quality measures developed by the Pediatric Quality Measures Program-Centers of Excellence (PQMP-COE) in key pediatric measurement and quality improvement (QI) gap areas through the work of multi-disciplinary partnership teams. These teams include pediatric measure developers, QI and systems experts, state Medicaid/CHIP programs, health plans, provider-level organizations, and other key stakeholders.

CFDA: 93.226

CONTACT: Please see URL for multiple contacts. For more information see http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-16-002.html

From Agency for Healthcare Research and Quality email,

Subject(s) children’s health, health promotion/wellness