Advance Interoperable Health Information Technology Services to Support Health Information Exchange

Active

Assistance listing
93.719
Agency
Grant awards
73 $560,131,113 in federal obligations

Program facts

Assistance type
  • Cooperative Agreement
Eligible applicants
  • State (includes District of Columbia, public institutions of higher education and hospitals)
Beneficiaries
  • Anyone/general public
Treasury account
  • 75-0130-0-1-551
More information

Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.

About this program

The Department of Health and Human Services Immediate Office of the Secretary distributed $560.1 million across 73 cooperative agreements for health information exchange infrastructure through July 27, 2015, with no grant awards or opportunities posted in the past eleven years.

The program funds statewide and territorial health information exchange (HIE) systems that advance interoperable exchange of clinical data across the continuum of care. Funded activities include expanding adoption of HIE technology and policies, implementing send-receive-find-use capabilities for external health information access, and integrating interoperable health IT into provider workflows and care coordination processes. Recent awards supported concrete implementations such as California's patient lookup system for emergency care (Cooperative Agreement 90IX0006, $2.4 million), South Carolina's southeast interoperability expansion (90IX0004, $2.1 million), and New Jersey's shared services platform (90IX0010, $2.7 million).

All 73 awards in the portfolio are Cooperative Agreements, concentrated in an initial cohort of 58 awards from February–March 2010 and a follow-on cycle of 12 awards in July 2015. The Department of Health and Human Services is the sole funding source. Individual award sizes in the 2015 cycle ranged from approximately $1.4 million to $3.4 million; earlier cohorts included larger awards such as California's $37.2 million (2010) and Texas's $28.8 million (2010).

The most recent grant opportunity (Solicitation IX-IX-15-001) closed on April 6, 2015. It sought applications from states, territories, and state-designated entities to advance HIE infrastructure using Direct secure messaging, query-based exchange, and consumer-mediated exchange mechanisms. No subsequent opportunities have been posted. Awards were structured for two-year periods of performance; recipients were required to demonstrate capacity to achieve program objectives and to comply with federal audit and record-retention requirements under 2 CFR 200 and 45 CFR Part 75.

Objective and description

Objective

The Advance Interoperable Health IT Services to Support Health Information Exchange Cooperative Agreement Program will leverage investments and lessons learned from the previous State Health Information Exchange Cooperative Agreement Program (State HIE Program) to rapidly build capacity for the interoperable exchange of health information across the entire care continuum both within and across states while moving toward nationwide interoperability. Grantees will seek to improve care coordination and enhance communication among both clinical and non-clinical care providers across the entire care continuum by: 1) Expanding the adoption of health information exchange technology tools, services, and policies that enable interoperable exchange; 2) Facilitating and enabling send, receive, find, and use capabilities to access health information from external sources and incorporate into care provider workflows; 3) Increase integration of health information in interoperable health IT to support care processes and decision making.

Eligibility

Applicant eligibility

Either a State, Territory, or State Designated Entity was eligible to apply.

Credentials and documentation

State governments and Qualified State-Designated Entities were eligible to apply. The program required a letter from the Governor establishing the Qualified State Designated Entity, where applicable. Documentation was to be provided in accordance with the requirements of 2 CFR 200.

Uses of assistance

This Funding Opportunity Announcement (FOA) uses funds remaining from the State HIE Program to increase the adoption and use of interoperable health IT tools and services to support the interoperable exchange of health information and enable send, receive, find, and use capabilities in a manner that is appropriate, secure, timely, and reliable for both senders and receivers. This FOA was a full and open competition with twelve (12) awards being made in the form of cooperative agreements to states and/or state designated entities (SDE) to continue under the same intent as the original State HIE Program of enabling nationwide health information exchange across the care continuum and improving care coordination and transitions of care. This FOA will allow grantees to leverage the existing operational HIE infrastructure to expand the use of interoperable exchange tools and services to improve transitions of care and care coordination, thus furthering federal, state, and/or community health reform efforts. None of the funds appropriated or otherwise made available in ARRA may be used by a state or local government, or any private entity, for any casino or other gambling establishment, aquarium, zoo, golf course, or swimming pool. (ARRA Sec. 1604).

Length and time phasing of assistance

Awards are expected to be for a two (2) year period of performance.

How to apply

Application procedure

Applications were solicited by a program announcement. The availability of this announcement was broadly published, including by posting on www.grants.gov.

Criteria for selecting proposals

Specific, detailed criteria for determining merit of applications was made available in the funding opportunity guidance document(s) for this program. In general, all applicants were required to demonstrate capability to achieve the goals, purposes, and objectives of the program consistent with applicable statutory provisions.

Award procedure

Following objective review of applications, those applicants whose applications have been selected by the Secretary of HHS (or designee) for funding are to receive a Notice of Award signed by an HHS Grants Management Officer. The Notice of Award, which is sent to the applicant's Authorized Organizational Representative, is the only official notification of award. Unsuccessful applicants will be advised by letter.

Grant opportunities

Opportunity Status Posted Applications due
Advance Interoperable Health Information Technology Services to Support Health Information Exchange IX-IX-15-001 Closed

Grant awards

Award Recipient Federal obligations Awarded
Developing and exchanging consolidated care documents between unaffiliated providers 90IX0012 State Of Colorado - Dept Of Health Care Policy & Financing $2,720,515
Coordinating care for a healthy illinois 90IX0011 Illinois Health Information Exchange Authority $2,179,725
New jersey health information network shared services platform 90IX0010 New Jersey Innovation Institute Inc. $2,727,243
Arkansas health information technology interoperable exchange expansion initiative 90IX0009 Arkansas Office Of Health Information Technology $2,684,650
Advance interoperable health IT services to support health information exchange in nebraska 90IX0008 Nebraska Department Of Administrative Services $1,875,273
Expanding interoperability for robust HIE in a transformed health care ecosystem 90IX0007 Oregon Health Authority $2,225,026
California patient unified lookup system for emergencies plus EMS (pulse + EMS) 90IX0006 Emergency Medical Services Authority $2,419,478
New hampshire health information organization (nhhio) advancement of interoperable health information technology… 90IX0005 New Hampshire Health Information Organization Corporation $1,446,638
Expanding interoperability within south carolina and the southeast 90IX0004 South Carolina Health Information Partners, Inc. $2,083,289
Interoperability for healthier communities. 90IX0003 Utah Health Information Network, Incorporated $3,131,633

Latest 10 of 73 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 70 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2021 -$25,388
FY2020 -$336,252
FY2019 -$3,279,943
FY2016 $476,338
FY2015 -$703,640
FY2011 $16,296,561
FY2010 $547,703,439

Quick answers

What is Assistance Listing 93.719?

Assistance Listing 93.719 is Advance Interoperable Health Information Technology Services to Support Health Information Exchange, a federal grant program run by Immediate Office of the Secretary (Department of Health and Human Services).

What is the CFDA number for Advance Interoperable Health Information Technology Services to Support Health Information Exchange?

Its CFDA number is 93.719: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.719 awarded?

73 grant awards under 93.719 have obligated $560,131,113 in federal funds to 70 recipients.

Who receives the most funding from 93.719?

The recipients obligated the most under Advance Interoperable Health Information Technology Services to Support Health Information Exchange are Health & Human Services Agency California ($37,165,812), Health & Human SVC Commn TX ($28,809,574) and New York Ehealth Collaborative, Inc. ($22,364,782).

Are there open grant opportunities under 93.719?

No opportunity listed under 93.719 is open now. The latest, Advance Interoperable Health Information Technology Services to Support Health Information Exchange, was posted on February 3, 2015.

On GovTribe

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