Fillable Technical Assistance Program Notice of Intent to Apply (Delta Regional Authority)

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Technical Assistance Program Notice of Intent to Apply (Delta Regional Authority)

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Delta Region Community Health Systems Development
Technical Assistance Program | August 2020
Delta Region Community Health Systems Development:
Technical Assistance Program
Notice of Intent to Apply
The Delta Regional Authority (DRA) works to improve regional economic opportunity by
supporting job creation, building communities, and improving the lives of the 10 million people
who reside in the 252 counties and parishes of the eight-state Delta region. In collaboration with
the Health Resources & Services Administration of the U.S. Department of Health and Human
Services (HHS), DRA is soliciting applications to participate in the Delta Region Community
Health Systems Development – Technical Assistance Program. Eligible applicants must be
located in the eight-state DRA Region (Alabama, Arkansas, Illinois, Kentucky, Louisiana,
Missouri, Mississippi, and Tennessee).
The purpose of this program is to enhance health care delivery in the Delta Region through
technical assistance to eligible applicants, including critical access hospitals, small rural
hospitals, rural health clinics, and other healthcare organizations. Technical assistance will be
delivered by provider(s) selected through HRSA’s Delta Region Community Health Systems
Development Cooperative Agreement.
Notices of Intent to Apply for the Delta Region Community Health Systems Development –
Technical Assistance Program are accepted on a continuous basis. E-mail your application to
bhenson@dra.gov. Subject line: Notice of Intent to Apply for Technical Assistance. You must
use this document to submit your Application for Technical Assistance for the Delta Region
Community Health Systems Development – Technical Assistance Program.
Eligibility: Eligible applicants include critical access hospitals, small rural hospitals, rural health
clinics, and other healthcare organizations located in the 252 counties and parishes of the DRA
Region.
Note: The Delta Region Community Health Systems Development – Technical Assistance
Program is not a federal funding opportunity.
For more information, visit www.dra.gov/deltahealth or contact Brian Henson at 662.624.8600
or bhenson@dra.gov.
Delta Region Community Health Systems Development
Technical Assistance Program | August 2020
Applicant is (please select one):
Critical Access Hospital
Small Rural Hospital
Rural Health Clinic
Other Healthcare Organization (please specify): _
Legal Name of Applicant Organization
Name:
Address:
City:
State:
Zip Code:
Name of Contact Person:
Title:
Phone:
E-mail:
Primary Focus Area(s) for Requested Technical Assistance:
Please select all that apply.
Improving hospital or clinic financial operations
Implementing quality improvement activities to promote the development of an evidence-
based culture leading to improved health outcomes
Increasing use of telehealth to address gaps in clinical service delivery and improve access
to care
Enhancing coordination of care
Strengthening the local health care system to improve population health
Providing social services to address broader socio-economic challenges faced by patients
(e.g., housing, childcare, energy assistance, access to healthy food, elderly support
services, job training, etc.)
Delta Region Community Health Systems Development
Technical Assistance Program | August 2020
Ensuring access to and availability of emergency medical services (EMS)
Identifying workforce recruitment and retention resources targeted to rural communities
Other (please specify): _
Describe the geographic area(s), counties/parishes, cities, or other locations impacted by
your healthcare organization.
Is the geographic area deemed a Health Professional Shortage Area (HPSA) by the
U.S. Department of Health and Human Services?
Yes
No
Provide a brief narrative describing the focus area(s) selected and the technical assistance
needed for you healthcare organization:
Delta Region Community Health Systems Development
Technical Assistance Program | August 2020
Will the applicant’s governing body and/or principal sign a letter of commitment to work
closely with HRSA’s technical assistance provider(s) to achieve the objectives of the
program?
Yes
No (please explain):
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Technical Assistance Program Notice of Intent to Apply (Delta Regional Authority)

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Completed 25 January 2021

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