Health Care Delivery System Innovations for Children with Medical Complexity

Funding Agency:
Health Resources and Services Administration

This announcement solicits applications for the 2017 Health Care Delivery System Innovations for Children with Medical Complexity cooperative agreement. Children with medical complexity (CMC), a subgroup of children and youth with special health care needs (CYSHCN), have generally been characterized as “children with substantial family-identified needs, characteristic chronic and severe conditions, functional limitations, and high health care use” (Cohen et al. Pediatrics 2011). The purpose of this initiative is to develop and implement innovative care and payment models for such children and youth using a Collaborative Improvement and Innovation Network (CoIIN) approach, which is adapted from Peter Gloor’s collaborative innovation network (COIN) model (Gloor, 2006). Through collaborative learning, a CoIIN made up of teams of families of CMC, pediatric primary and specialty care clinicians, leaders of integrated health care delivery systems and/or freestanding children’s hospitals, state Title V CYSHCN and Medicaid leaders, and other relevant stakeholders from participating states will work together to test strategies and build evidence for optimizing high quality, cost-effective, family-centered care for CMC.

Program Goal: The overall goal of this program is to improve the quality of life for CMC, the wellbeing of their families, and the cost-effectiveness of their care. The CoIIN model provides an infrastructure based on collaborative learning, QI, and innovation for increasing the sharing of best practices and lessons learned among a peer-to-peer framework, including stakeholders that can impact policy and practice to show measureable outcomes in a short time. 

Multiple applications from an organization are not allowable. However, organizations have the ability to come together as a consortium to submit a joint application for this cooperative agreement. The application must identify the lead organization as the proposed award recipient, and additional information on the partner organization(s) must be included in the Work Plan, Evaluation, and Technical Capacity, and Organizational Information sections of the Project Narrative. Each consortium member must demonstrate substantial involvement in the project and contribute significantly to the goals of the project. The roles and responsibilities of each consortium member must be clearly defined in a proposed Memorandum of Understanding/Agreement (MOU/A). The proposed MOU/A must be supported in writing by all consortium members and submitted as Attachment 4.

  • Duke Internal Deadline: January 4, 2017
  • Sponsor Deadline: February 27, 2017

Agency Website

Eligibility Requirements

As cited in 42 CFR § 51a.3(a), any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450(b) is eligible to apply). Faith-based and communitybased organizations are also eligible to apply.



Amount Description

Approximately $3,200,000 is expected to be available annually to fund one (1) recipient. You may apply for a ceiling amount of up to $3,200,000 per year. The actual amount available will not be determined until enactment of the final FY 2017 federal budget. This program announcement is subject to the appropriation of funds, and is a contingency action taken to ensure that, should funds become available for this purpose, applications can be processed, and funds can be awarded in a timely manner. The project period is August 1, 2017 through July 31, 2021 (four (4) years). 

Funding Type





Medical - Clinical Science
Social Sciences

Internal Nomination

Owing to the sponsor's restriction on the number of applications that may be submitted from Duke, anyone wishing to pursue nomination should submit the following materials as one PDF.

* A letter of support from dean or chair - 1 to 1.5 pages
* Project summary - 2 to 4 pages
* CV or Biosketch of project leader

Applicants will need to submit internal materials through My Research Proposal.(Code ILN)

Instructions for setting up your account and uploading internal applications can be found here: Instructions_FINAL.pdf

Internal Deadline

January 4, 2017

External Deadline

February 27, 2017