Opportunity Information: Apply for HRSA 17 102

Home Visiting Collaborative Improvement and Innovation Network: Series 2 (HV CoIIN 2.0) is a Health Resources and Services Administration (HRSA) discretionary funding opportunity (HRSA-17-102) offered through a cooperative agreement. It is designed to take what was learned in the first Home Visiting CoIIN and move it into broader, real-world use across the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. The central idea is not to start from scratch, but to spread and scale the best-tested approaches that already showed results, while also building stronger quality improvement (QI) tools and practical supports that home visiting programs can use day to day.

The opportunity focuses on dissemination and scale-up of effective practices and interventions previously tested under the HV CoIIN, alongside targeted research and development of tools and resources that strengthen quality improvement across MIECHV. In practical terms, HRSA is looking for an applicant that can organize and run a national improvement effort that helps home visiting programs replicate proven changes more widely, while still allowing for reasonable local adaptation. The scale-up concept referenced in the announcement is the "Go to Full Scale" phase described in Barker et al. (2016), meaning a rapid deployment stage where a well-tested set of interventions is rolled out broadly with strong data feedback loops, an emphasis on replication and uptake by frontline staff, and enough infrastructure and readiness to support implementation at larger scale.

The program priorities align with major home visiting outcome areas where the prior HV CoIIN concentrated efforts: alleviating maternal depression; promoting early child development, including identifying developmental delays and improving linkages to needed services; increasing initiation and duration of breastfeeding; and strengthening engagement by enhancing and increasing family participation in home visiting services. The successful project under HV CoIIN 2.0 is expected to plan, manage, and execute the expansion of interventions that have already demonstrated effectiveness across different settings, which implies coordinating partners, supporting implementation, and ensuring that data systems and learning structures are in place to monitor whether the scaled practices are working as intended.

Another major component is improving the science and practice of change strategies used in home visiting. The announcement calls for refining and evaluating a new set of evidence-informed change strategies using accepted evaluation methods, including rapid Plan-Do-Study-Act (PDSA) cycles. These rapid-cycle tests are meant to help programs try changes quickly, study results using near real-time data, and adjust based on findings. Importantly, this refinement and evaluation work is expected to align with best practices in home visiting implementation and with MIECHV's standardized performance measures, so that improvement work maps onto the same metrics grantees are required to track and report.

Capacity-building is the third core pillar. The project is expected to assist MIECHV award recipients (referred to in the FOA as grantees, whether funded through grants or cooperative agreements) and their local implementing agencies (LIAs) in strengthening their ability to use Continuous Quality Improvement (CQI) as an ongoing management approach. CQI here is framed broadly as a continuous effort to improve efficiency, effectiveness, quality, and outcomes, while also helping organizations capture lessons learned, motivate improvement, and use performance monitoring systems consistently. In other words, the goal is not just to run a one-time collaborative, but to leave behind stronger local capability so programs can keep measuring, testing, and improving after the formal project activities end.

Structurally, HV CoIIN 2.0 is rooted in the CoIIN model itself: a network of organizations and practitioners collaborating toward shared, measurable aims, using common measures, rapid-cycle testing of change ideas, and data-driven learning. The HV CoIIN is described as a national collaborative intended to improve home visiting services and outcomes for low-income families with children ages 0-5, particularly in maternal depression, child development, and breastfeeding. Under this second series, the emphasis shifts toward spreading the most effective practices identified previously and advancing the quality improvement infrastructure that supports sustained performance gains.

Key administrative details from the source listing include that the sponsor is the U.S. Department of Health and Human Services (HHS), HRSA; the funding instrument is a cooperative agreement (which typically means substantial federal involvement in project direction and oversight compared to a standard grant); the CFDA number is 93.870; and the opportunity anticipated a single award (Expected Awards: 1). The posting was created November 10, 2016, with an original closing date of January 11, 2017. The eligibility field is listed as "Others (see text)," indicating eligibility was defined more specifically in the full announcement, but the core audience and beneficiaries are clearly MIECHV grantees and their local implementing partners.

Overall, HV CoIIN 2.0 can be read as a national implementation and improvement effort that tries to bridge the gap between "we tested something that works" and "programs everywhere can reliably put it into practice." It prioritizes scaling interventions with demonstrated effectiveness, strengthening the toolbox for QI in home visiting, and building lasting CQI capability among MIECHV-funded entities so that improvements are measurable, repeatable, and sustainable across diverse local contexts.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Home Visiting Collaborative Improvement and Innovation Network: Series 2 (HV CoIIN 2.0)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.870.
  • This funding opportunity was created on Nov 10, 2016.
  • Applicants must submit their applications by Jan 11, 2017. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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