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FAQ: Alliance for Innovation on Maternal Health (AIM) Technical Assistance Center Program

Funding Opportunity Number: HRSA-23-084

Estimated Number and Type of Award(s): HRSA expects to fund one award in the form of cooperative agreement.

Estimated Annual Award Amount? The award will be funded up to $3,000,000 per year during the five-year project period.

When is the application due? Tuesday, May 9, 2023 at 11:59 p.m. ET.

Eligibility and award

What are the eligibility requirements?

Eligible applicants include any domestic public or private entity. Domestic faith based and community-based organizations, tribes, and tribal organizations are also eligible to apply (NOFO pg. i).

What type of award is this?

Funding will be provided through a cooperative agreement (NOFO pg. i).

Who should be counted as key personnel in the application submission?

According to HRSA’s SF-424 Application Guide, key personnel include any employed personnel that will be assigned to work on the proposed project (NOFO pg. 19).

Are organizations allowed to submit applications for both the HRSA-23-084 AIM Technical Assistance (TA) Center cooperative agreement and the HRSA-23-066 AIM Capacity grant?

HRSA encourages you to read the purpose and program requirements and expectations of both notice of funding opportunities. If your organization meets the eligibility requirements and the organization can meet the requirements and expectations of both funding opportunities, you can apply for each funding opportunity.

Who currently provides technical assistance for the AIM program?

The current award recipient for the AIM program is the American College of Obstetricians and Gynecologists (ACOG). Applicants can learn more about the current program by visiting AIM’s website.

Data and performance measures

Who sees the AIM data?

State-based teams track and report process, structure, and outcome data as part of the AIM program in order to drive continuous improvement in the implementation of the AIM patient safety bundles. These data are reported regularly to the AIM TA Center. Participating AIM states also report on birthing facility participation, bundle implementation, and day-to-day AIM operations. AIM does not collect patient-level data or potentially identifiable patient information. De-identified data from birthing facilities, including the number of participating facilities and number of live births, provide important information on the reach of the program. All reported data are in aggregate form (NOFO pg. 3).

What data should be collected and by who?

The AIM TA Center award recipient is expected to (NOFO pg. 10):

  • Support the quality and management of AIM data by building states’ capacity to track bundle implementation progress at the facility level; providing TA to improve data collection and use; and supporting development and release of state profiles and impact statements.
  • Manage reporting and analysis of process, structure, and outcome data to drive continuous improvement in the implementation of bundles by state-based teams.
  • Report to HRSA, on a biannual basis, information including, at a minimum, the total number of birthing facilities in each participating state (including the number that are hospital-based versus free-standing birthing facilities), the number, and percent of birthing facilities within each state that are participating in the AIM program and reasons for any changes in the numbers of total and participating facilities.
What are the performance measures for the TA Center?

The AIM TA Center award recipient will report on the following performance measures (NOFO pg. 11):

  • # of individual technical assistance events
  • # of trainings conducted with states
  • % of trainings (regardless of topic) that incorporate an equity and respectful or culturally responsive care component
  • # of states participating in AIM
  • # of birthing facilities participating in AIM
  • # of core patient safety bundles implemented by participating birthing facilities
  • # of patient safety bundles developed through the TA Center
  • # of resources, toolkits, etc. developed through the TA Center
  • # of state profiles and impact statements developed through support of the TA Center

Programmatic expectations

Will the cooperative agreement with the current award recipient continue once the new award for this funding opportunity is made?

This funding opportunity is listed as “new, competing continuation”, which means the funding can be awarded to a new applicant or to the current applicant, if the incumbent chooses to apply and their application is chosen for the award.

The awardee is expected to (NOFO pg. 9):

  • Create and provide resources and tools to support current bundle implementation efforts and dissemination of the AIM Obstetric (OB) Emergency Readiness Toolkit.
  • Develop new AIM core bundles, toolkits, and associated resource materials as needed to address the leading causes of maternal mortality and SMM in hospitals, birthing facilities, and other settings where pregnant and postpartum people seek medical care.
  • Transition and continue program operations seamlessly. This includes dissemination of resources, tools, etc. that have been created to-date by the current recipient, as well as the review and updating of materials, as necessary.
Will work need to be continued from the current 2014 and 2018 cooperative agreements, or is the full scope of work outlined within this current NOFO?

The program requirements and expectations for HRSA-23-084 AIM TA Center Notice of Funding Opportunity are outlined on pages 8-12. A seamless transition and continuation of services is expected, including the dissemination of resources, tools, etc. that have been created to-date by the current recipient, as well as the review and updating of materials, as necessary (NOFO pgs. 8-12).

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