Opportunity Information: Apply for HRSA 19 109
The Alliance for Innovation on Maternal Health (AIM) - Community Care Initiative is a federal grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), focused on improving maternal health and reducing preventable harm during pregnancy and the postpartum period. Unlike many maternal safety efforts that concentrate primarily on hospitals and labor-and-delivery units, this initiative is designed to push proven safety practices into the places where many pregnant and postpartum people actually receive care outside the hospital, including outpatient clinical settings and community-based organizations. The overall aim is to extend and strengthen the existing AIM framework so it addresses preventable maternal mortality and severe maternal morbidity (SMM) not only during birth events, but also across the broader continuum of care after delivery and as patients transition back into routine well-woman care.
At the center of the program is the use of maternal safety bundles. These bundles are essentially practical, evidence-based sets of actions that are meant to be implemented together, reliably, and consistently. The basic idea is that a small group of straightforward steps, when performed as a standard package rather than as optional or inconsistent practices, can significantly improve outcomes and reduce complications. AIM is well known for promoting bundle-based quality improvement in hospital settings, and this Community Care Initiative is intended to adapt that same disciplined approach for community and outpatient environments, where workflows, staffing, data systems, and patient access issues can look very different from inpatient care.
Funding is provided through a cooperative agreement, meaning HRSA expects substantial involvement and collaboration with the awardee rather than a simple pass-through grant. The notice describes one expected award under this opportunity (Funding Opportunity Number HRSA-19-109, CFDA 93.110). While an award ceiling is not listed in the summary provided, the structure suggests HRSA intended to fund a single national recipient to lead and coordinate work that has broad, national reach. Eligibility is listed as "Others" with additional eligibility details referenced in the full announcement, which typically signals HRSA is looking for a specific type of capable organization such as a nonprofit, academic institution, or another entity with the infrastructure to lead national implementation and technical assistance.
The cooperative agreement supports three main areas of work. First, the recipient must identify and convene a maternal safety workgroup made up of community-focused public health and clinical experts. This workgroup is meant to guide the initiative, help ensure the bundles and implementation strategies make sense in real-world community settings, and bring practical expertise from both clinical care and public health systems. In effect, this group functions as a steering body to keep the program aligned with best practices and the realities of outpatient and community-based care delivery.
Second, the recipient is expected to facilitate national implementation and adoption of two existing AIM non-hospital maternal safety bundles and to develop new non-hospital focused bundles for use in outpatient clinical settings and community-based organizations. The two named bundles are both focused on postpartum care, which is a particularly high-risk period that often involves fragmented care, missed follow-up visits, and gaps in handoffs between obstetric providers and primary care. The first bundle, "Postpartum Care Basics for Maternal Safety From Birth to the Comprehensive Postpartum Visit," targets the critical weeks immediately after delivery through the standard postpartum follow-up window. The second, "Postpartum Care Basics for Maternal Safety Transition from Maternity to Well-Woman Care," focuses on the handoff from maternity care to ongoing preventive and primary care, which is where issues like chronic disease management, mental health, contraception, and long-term cardiovascular risk often need sustained attention. Beyond promoting these two bundles, the initiative also calls for the creation of additional bundles designed specifically for non-hospital use, recognizing that community organizations and outpatient clinics need tools that fit their settings, roles, and patient touchpoints.
Third, the recipient must collect and analyze structure, process, and outcome data and use those findings to drive continuous improvement through a quality improvement (QI) framework. This is important because bundle implementation is not just about distributing guidance; it is about changing systems and measuring whether those changes are being adopted and whether they are improving care. Structure measures typically look at whether the necessary supports are in place (for example, protocols, staffing arrangements, referral pathways, or data systems). Process measures examine whether the recommended steps are actually happening in routine care (for example, screening, follow-up scheduling, patient education, referrals completed). Outcome measures track the real-world results, including complications, SMM indicators, or other maternal health outcomes relevant to postpartum care and transitions. The emphasis on continuous QI reflects the AIM model: implement, measure, learn, and refine in cycles so that improvements become reliable and scalable rather than one-time efforts.
The AIM - Community Care Initiative is also positioned as part of a broader set of HRSA maternal health investments, alongside the State Maternal Health Innovation Program, the Supporting Maternal Health Innovation Program, and the Rural Maternity and Obstetrics Management Strategies Program (RMOMS). Taken together, these programs reflect a portfolio approach: strengthening maternal safety and quality across settings (urban and rural), across systems (clinical and community), and across stages of care (from pregnancy through postpartum and beyond). A central theme running through the portfolio is addressing disparities that contribute to maternal mortality and severe maternal morbidity, which often require targeted improvements in access, coordination, and quality in the community settings where many gaps in care occur.
Key administrative details from the opportunity summary include a creation date of May 15, 2019, an original closing date of July 15, 2019, and an activity category listed as Health. The overall purpose is clearly oriented toward national leadership and practical implementation support, with the expectation that the awardee will help communities and outpatient providers adopt evidence-based postpartum safety practices, build new tools where needed, and use data-driven quality improvement methods to reduce preventable harm for pregnant and postpartum people outside of hospital and birthing facility environments.Apply for HRSA 19 109
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Alliance for Innovation on Maternal Health (AIM) – Community Care Initiative" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.110.
- This funding opportunity was created on May 15, 2019.
- Applicants must submit their applications by Jul 15, 2019. (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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