Common use of Type of Application and Award Clause in Contracts

Type of Application and Award. ‌ Type(s) of applications sought: New, Competing Continuation. Funding will be provided in the form of a cooperative agreement. A cooperative agreement, as opposed to a grant, is an award instrument of financial assistance where substantial involvement is anticipated between HRSA and the recipient during performance of the contemplated project. As a cooperative agreement, HRSA Program involvement will include: • Providing input on dissemination strategies and selection of publications/products for distribution including target audiences for dissemination; • Assuring the timely cooperation of the RHRCs in responding to information requests by the awardee; • Providing input into the decisions on content, presentation approach, and selection of products/publications; • Reviewing and providing comments on draft products and publications, such as research alerts, prior to dissemination to diverse audiences; • Providing input and knowledge on the current and future policy issues that will be informed by past and future RHRC studies; • Providing input on metrics that will be used to evaluate the awardee; and • Assisting the awardee in selecting appropriate professional meetings, including the total number of meetings, at which to exhibit each year. The cooperative agreement recipient’s responsibilities will include: • Adherence to HRSA guidelines pertaining to acknowledgement and disclaimer on all products produced by HRSA award funds; • Coordinating with RHRC grantees to summarize the key research questions for ongoing research and summarize findings for completed publications/products; • Updating the Rural Health Research website and Listserv based on information from the RHRC grantees about new, on-going, and recently completed research; • Assessing the market to understand how to best target audiences who will benefit from products published by the RHRCs; • Executing and monitoring dissemination strategies to increase RHRC publication and Rural Health Research (Rural Health Research Dissemination awardee) website awareness; • Providing input to RHRCs prior to product publication regarding how to effectively communicate the research findings to diverse target audiences; • Identifying appropriate professional meetings at which to exhibit each year; • Developing brief (1-2 pages) research summaries using findings from RHRC research products on key topic areas (e.g. quality, workforce, post-acute care); and • Establishing evaluation metrics and tracking related data to assist in measuring the success of this cooperative agreement and the RHRC cooperative agreement.

Type of Application and Award. ‌ Type(s) Type of applications sought: New, Competing Continuation. New Funding will be provided in the form of a cooperative agreement. A cooperative agreement, as opposed to a grant, is an award instrument of financial assistance where substantial involvement is anticipated between HRSA and the recipient during performance of the contemplated project. As a In addition to the usual monitoring and technical assistance provided under the cooperative agreement, HRSA HRSA/ORHP Program involvement will responsibilities shall include: • Providing input Provide consultation and guidance in planning, development, coordination, operation and evaluation of activities, including the identification and selection of projects and policy issues and the analysis of key information sources from which to draw upon for synthesis and analysis; • Provide guidance and assistance in identifying key organizations through which to share information on emerging policy issues; • Participate, as appropriate, in the planning and implementation of any meetings, training activities or workgroups conducted during the period of the cooperative agreement; • Consult on dissemination strategies and selection of publications/products for distribution including target audiences for dissemination; • Assuring the timely cooperation of the RHRCs research and analysis results to multiple audiences interested in responding rural health care recruitment and retention in the form of policy briefs, journal manuscripts, presentations to information requests by the awardee; • Providing input into the decisions on contentpolicymakers, presentation approachresponses to health policy programs and experts and presentations at national, State, and selection of products/publications; • Reviewing and providing comments on draft products and publications, such as research alerts, prior to dissemination to diverse audiences; • Providing input and knowledge on the current and future policy issues that will be informed by past and future RHRC studies; • Providing input on metrics that will be used to evaluate the awardeeregional conferences; and • Assisting the awardee in selecting appropriate professional meetingsReview and provide comment for documents, curricula, program plans, budgets, work to be contracted out, key personnel (including the total number of meetingsconsultants and contractors), at which work plan revisions, etc. prior to exhibit each yearprinting, dissemination or implementation. The cooperative agreement recipient’s responsibilities shall include addressing the activities previously outlined in the “Funding Opportunity Description” section of this announcement: • Conducting an inventory and developing a narrative report of the different rural recruitment and retention strategies currently utilized. There will be a particular emphasis on analyzing nationwide and State-based programs, initiatives and strategies. Existing health system and provider initiatives will also be reviewed. Tools and approaches currently employed will be identified. Typical recruitment costs and types of retention activities will be analyzed. Unique rural challenges subsequent to the Affordable Care Act in the areas of clinical practice, Telehealth and rural health networks will be highlighted. This component will include, but not be limited to, reviewing programs and activities associated with the National Health Service Corps, Area Health Education Centers (AHECs), Xxxxxx State 30 J-1 Visa Waiver Program, National Rural Recruitment and Retention Network (3RNet), National Cooperative of Health Networks Association (NCHN), State Office of Rural Health (SORH) and State Rural Health Association (SRHA) initiatives, tracking tools such as TruServe and Practice Sights, the Community Xxxxx Program and additional software and commercial products as identified; • Working with appropriate State-level experts to understand the current state of practice in rural recruitment and retention and emerging challenges and trends to inform future policy and programmatic needs; • Identifying successful models, why they are successful and what areas of commonality exist between them. This will emphasize the practical experience from the field – what works, what does not work and what is not known regarding successful approaches; • Identifying the gaps between existing rural recruitment and retention resources and proposing potential responses to alleviate these gaps; • Analyzing the particular health workforce needs in communities of color, where recruitment and retention challenges can be especially acute. A focus on how to assist these communities in identifying appropriate strategies will be emphasized; • Analyzing the extent to which the unique recruitment and retention challenges of Rural Health Network Directors and Rural Telehealth Network Directors are addressed; and • Informing rural stakeholders and policymakers of key findings and potential responses to the ongoing challenges of recruitment and retention of a viable rural health workforce. Recommendations regarding sustainability and more efficient use of resources will be emphasized. In addition, the recipient’s responsibilities shall also include: • Adherence Responding to HRSA guidelines pertaining to acknowledgement ORHP requests, comments and disclaimer on all products produced by HRSA award funds; • Coordinating with RHRC grantees to summarize the key research questions for ongoing research and summarize findings for completed publications/products; • Updating the Rural Health Research website and Listserv based on information from the RHRC grantees about new, on-going, and recently completed research; • Assessing the market to understand how to best target audiences who will benefit from products published by the RHRCs; • Executing and monitoring dissemination strategies to increase RHRC publication and Rural Health Research (Rural Health Research Dissemination awardee) website awareness; • Providing input to RHRCs prior to product publication regarding how to effectively communicate the research findings to diverse target audiences; • Identifying appropriate professional meetings at which to exhibit each year; • Developing brief (1-2 pages) research summaries using findings from RHRC research products on key topic areas (e.g. quality, workforce, post-acute care)in a timely manner; and • Establishing evaluation metrics and tracking related data to assist in measuring the success Developing a calendar for submission of this cooperative agreement and the RHRC cooperative agreementany research products (policy briefs, monographs, etc.) for ORHP review.

Type of Application and Award. ‌ Type(s) Types of applications sought: New, Competing Continuation. Funding Continuation HRSA will be provided provide funding in the form of a cooperative agreement. A cooperative agreement, as opposed to agreement is a grant, is an award instrument of financial assistance mechanism where substantial involvement is anticipated between HRSA and the recipient during the performance of the contemplated projectperiod. As a cooperative agreement, HRSA Program involvement will include: • Providing input  Facilitating the close collaboration on dissemination strategies work with important cooperative agreements and contracts related to quality improvement that HRSA administers such as the Information Services to Rural Hospital Flexibility Grantees Program (Technical Assistance Center), Medicare Rural Hospital Flexibility Program Evaluation, and Technical Assistance Contract for Direct Service Grantees and relevant federal agencies and programs such as Center for Medicare & Medicaid Services (CMS), the Center for Disease Control and Prevention (CDC), Quality Improvement Networks – Quality Improvement Organizations, Hospital Innovation Improvement Networks;  Assisting with selection of publications/products the rural quality advisory council and participate as an active member on the council;  Sharing relevant program data to ensure the greatest impact of technical assistance and quality improvement efforts in rural communities;  Review methods supporting document preparation for distribution appropriate rigor and soundness and provide comments on documents, curricula, program plans, budgets, work to be contracted out (including target audiences for disseminationthe work plan), work plan revisions, etc. prior to printing, dissemination or implementation; • Assuring  Participate in planning the timely cooperation strategic direction of the RHRCs in responding to information requests technical assistance provided by the awardee; • Providing input into the decisions on content, presentation approach, and selection of products/publications; • Reviewing and providing comments on draft products and publications, such recipient as research alerts, prior to dissemination to diverse audiences; • Providing input and knowledge on the current and future policy issues that will be informed by past and future RHRC studies; • Providing input on metrics that will be used to evaluate the awardee; and • Assisting the awardee in selecting appropriate professional meetings, including the total number of meetings, at which to exhibit each yearwell as MBQIP. The cooperative agreement recipient’s responsibilities will include: • Adherence  Adhering to HRSA guidelines pertaining to acknowledgement and disclaimer on all products produced by HRSA award funds, per Section 2.2 of the Application Guide (Acknowledgement of Federal Funding); • Coordinating with RHRC grantees  Developing and implementing a strategy to summarize the key research questions for ongoing research and summarize findings for completed publications/products; • Updating the Rural Health Research website and Listserv based on information from the RHRC grantees about newassist beneficiaries of HRSA rural health quality initiatives such as award recipients, on-goingCAHs, and recently completed researchother rural providers in need of quality improvement technical assistance as well as enhanced technical assistance (such as site visits) to specific award recipients determined by HRSA; • Assessing  Providing guidance and assistance in the market to understand identification and selection of quality reporting and improvement education programs for beneficiaries of HRSA rural health quality initiatives;  Developing a plan for demonstrating how to best target audiences who will benefit from products published by the RHRCs; • Executing and monitoring dissemination strategies to increase RHRC publication and Rural Health Research (Rural Health Research Dissemination awardee) website awareness; • Providing input to RHRCs prior to product publication regarding how to effectively communicate the research findings to diverse target audiences; • Identifying appropriate professional meetings at which to exhibit each year; • Developing brief (1-2 pages) research summaries using findings from RHRC research products on key topic areas (e.g. quality, workforce, post-acute care); and • Establishing evaluation metrics and tracking related data to assist in measuring the success provision of this technical assistance leads to increased public reporting of quality data as well as improvements in quality outcomes;  Convening a rural quality advisory council for the purposes of providing guidance on the development, implementation, and evaluation of the technical assistance resources and quality improvement strategies as well as topics related to the clinical priorities of mental illness, opioid abuse, and childhood obesity;  Maintaining and regularly reporting a detailed log of all technical assistance provided to rural hospitals and resolution status to HRSA;  Collaborating closely with HRSA and other partners such as award recipients of cooperative agreement agreements and contracts related to quality improvement administered by HRSA like the RHRC cooperative agreementInformation Services to Rural Hospital Flexibility Grantees Program (Technical Assistance Center), Medicare Rural Hospital Flexibility Program Evaluation, and Technical Assistance Contract for Direct Service Grantees to identify and provide support for potential opportunities of collaboration as well as disseminate shared knowledge to inform stakeholders of best practices for improving quality outcomes in rural communities;  Working with HRSA and other federal partners such as CMS and CDC to identify and provide support for potential opportunities for collaboration and alignment of technical assistance and reducing reporting burden;  Attending (and presenting, when applicable) at relevant meetings and workshops. Required meetings with at least one representative include, but are not limited to, at the annual Flex Reverse Site Visit in Washington, DC and bi-annual Flex Workshop in Duluth, MN.

Type of Application and Award. ‌ Type(s) of applications sought: New, Competing Continuation. Funding Continuation HRSA will be provided provide funding in the form of a cooperative agreement. A cooperative agreement, as opposed to agreement is a grant, is an award instrument of financial assistance mechanism where HRSA anticipates substantial involvement is anticipated between HRSA and with the recipient during performance of the contemplated project. As a cooperative agreement, HRSA Program program involvement will include: • Providing input on dissemination strategies Managing all pre-award, award, and post-award HWRC program administration activities. • Participating in the planning and development of each HWRC's annual research portfolio and in the selection of publications/products each HWRC's annual research studies. The annual project selection will be in consultation with the CDC and SAMHSA for distribution the Public Health Workforce Research Center and the Behavioral Health Workforce Research Center, respectively. • Reviewing, and, if necessary, commenting on each HWRC's plans and methodologies presented in their study proposals. The project review process will be in consultation with the CDC and SAMHSA for the Public Health Workforce Research Center and the Behavioral Health Workforce Research Center, respectively. • Reviewing each HWRC's work products, including target audiences for dissemination; • Assuring the timely cooperation of the RHRCs in responding to information requests by the awardee; • Providing input into the decisions on contenteach study's methodology, presentation approachanalysis, results, policy implications, and selection of products/publications; • Reviewing and providing comments on draft products and publications, such as research alertsformat, prior to dissemination to diverse audiences; public dissemination. • Providing input consultation, as appropriate, to each HWRC to design strategies for disseminating HWRC work in order to target multiple audiences interested in health workforce issues. Dissemination products may include policy briefs; peer- reviewed journal articles; invited presentations; responses to inquiries from health policy programs and knowledge on the current health policy researchers; webinars; presentations at national, regional, state, and future policy issues that will be informed by past and future RHRC studies; • Providing input on metrics that will be used to evaluate the awardeelocal conferences; and • Assisting the awardee in selecting other appropriate professional meetingsvehicle(s) for sharing rigorous, including the total number of meetings, at which to exhibit each yearpolicy-oriented research. The cooperative agreement recipient’s responsibilities will include: • Adherence Adhering to HRSA guidelines pertaining to acknowledgement and disclaimer on all products produced by HRSA award funds; , per Section 1.2 of the R&R Application Guide (Acknowledgement of Federal Funding). • Coordinating Establishing and maintaining effective working relationships with RHRC grantees other HRSA- funded HWRCs as well as with health workforce stakeholders. For Public Health and Behavioral Health Workforce Research Centers, this includes CDC and SAMHSA, respectively. • Submitting project proposals with relevant timelines and milestones to summarize the key NCHWA Project Officer (PO) for review. o For the recipient of the Technical Assistance HWRC, the proposals should include TA initiatives or projects related to the research questions for ongoing research community and/or local and summarize findings for completed publications/products; • Updating regional entities on the Rural Health Research website and Listserv based on information from the RHRC grantees about newcollection, on-goinganalysis, and recently reporting of health workforce data and research. • Conducting studies/projects, and synthesizing the results into reports or other work products developed for both technical and non-technical audiences. • Participating in the planning and development of the HWRC's annual project portfolio and in the final selection of studies/projects with HRSA. CDC and SAMHSA will provide guidance and direction for their respective centers during this process. • Preparing and submitting a 250-word abstract and a 2-page brief for each completed research; study/project in addition to the study's primary work product(s) (e.g., full policy brief, report, journal manuscript, monograph). • Assessing Submitting work products (e.g., abstracts, 2-page briefs, full policy briefs, reports, manuscripts, monographs) for NCHWA review, generally within 180 days of the market end of each budget period. Work products from Public Health and Behavioral Health Workforce Research Centers will be distributed to understand how to best target audiences who will benefit from CDC and SAMHSA for review, respectively, by NCHWA. The timeline for submitting specific work products published may be extended by the RHRCs; NCHWA project officer (PO) on a case-by-case basis upon request by the award recipient. • Executing At the end of the period of performance, ensuring all the work products developed and monitoring dissemination strategies to increase RHRC publication and Rural Health Research (Rural Health Research Dissemination awardee) website awareness; • Providing input to RHRCs prior to product publication regarding how to effectively communicate the research findings to diverse target audiences; • Identifying appropriate professional meetings at which to exhibit each year; • Developing brief (1-2 pages) research summaries using findings from RHRC research products on key topic areas (e.g. quality, workforce, post-acute care); and • Establishing evaluation metrics and tracking related data to assist in measuring the success completed through funding of this cooperative agreement (e.g., abstracts, 2-page briefs, full policy briefs, reports, manuscripts, monographs) are sent to HRSA. • Implementing and maintaining a publicly available website with information about the RHRC health workforce, current HWRC projects funded under this cooperative agreement, and completed projects/work products funded under this cooperative agreement. The recipient's website must also include the acknowledgement and disclaimer information required on all products supported by HHS award funds. • Designing and implementing strategies to disseminate the HWRC's studies/projects to multiple audiences interested in health workforce issues. Dissemination products may include policy briefs; peer-reviewed journal articles; invited presentations; responses to inquiries from health policy programs and health policy researchers; webinars; presentations at national, regional, state, and local conferences; and other appropriate vehicle(s) for sharing rigorous, policy-oriented research. Additionally, cooperative agreement recipients will: o Post completed work products to the HWRC's publicly available website. Note: In certain cases, exceptions may be made for posting peer-reviewed journal articles, if posting a published article is prohibited by the journal. o Submit summary information on ongoing projects and completed work products in a mutually agreeable format to the PO for dissemination purposes. The frequency of this information gathering will occur no more than six (6) times per budget year. • Responding to NCHWA PO's comments, questions, and requests (including executing short-term, rapid-response qualitative or quantitative analyses to assist in answering health workforce planning and policy questions) within five to ten business days. Note: The timeline for responding to rapid response requests or other requests from the PO may be extended by the PO on a case by case basis. o Comments, questions, and requests from CDC/SAMHSA for their respective center will be given to the award recipients by the PO. Therefore, the recipients should provide a response directly to the PO. • Responding to and participating in HRSA requests for technical feedback on federal health workforce product development. • Attending and presenting at periodic HWRC Cooperative Agreement Program meetings either at HRSA's headquarters in Rockville, Maryland or in the Washington, D.C. metropolitan area or via virtual platform. • Participating in periodic NCHWA-hosted conference calls with other HWRCs.