Opportunity Information: Apply for HRSA 23 084

The Alliance for Innovation on Maternal Health (AIM) Technical Assistance Center funding opportunity (HRSA-23-084) is a federal grant from the Health Resources and Services Administration (HRSA), specifically through the Maternal and Child Health Bureau (MCHB), to strengthen and scale the AIM program nationwide. The core idea is to fund a single, national technical assistance (TA) center that helps states and birthing facilities put proven maternal safety practices into routine use, track results, and improve outcomes for pregnant and postpartum people. The work is framed around the legislative intent of identifying, developing, and sharing best practices that improve maternal health care quality, improve maternal and infant health, and reduce preventable maternal deaths and severe maternal morbidity.

This award supports one of the two major pieces of the broader AIM program structure. In this model, the TA Center serves as the hands-on national support hub that provides expertise, tools, coaching, and data support to AIM participants. The other component referenced is a separate HRSA initiative (HRSA-23-066, the AIM Capacity program) that focuses on building state capacity to implement AIM and expand the reach and quality of implementation across the country. Together, these two components are designed to accelerate adoption of standardized safety practices and ensure that implementation is durable, measurable, and equitable.

The purpose of the AIM TA Center is to support all 50 states, Washington, D.C., U.S. jurisdictions and territories, tribal communities, and participating birthing facilities. The technical assistance is meant to increase engagement from hospitals and other birth settings, help teams implement and sustain AIM patient safety bundles, and strengthen reporting systems so participating states can submit data that can be analyzed and used for continuous improvement. A major emphasis is also on promoting safe care for pregnant and postpartum people in ways that are reliable and consistent across different care settings, including support for respectful, equitable, and supportive care as a built-in expectation of bundle implementation.

The program goal is straightforward: improve maternal health and safety in the United States by expanding access to safe, reliable, high-quality care. In practical terms, that means making it easier for frontline maternity care teams and state partners to adopt evidence-informed approaches (the AIM patient safety bundles), keep them in place over time, and use data to identify gaps, monitor progress, and address persistent disparities.

By the end of the performance period identified in the notice (by August 31, 2027), HRSA expects the TA Center to show progress on several specific objectives. These include increasing the amount and quality of technical assistance delivered to participating AIM states, increasing the number of hospitals and other birthing facilities actively implementing patient safety bundles, and increasing the total number of core bundles being implemented and/or sustained across sites. The opportunity also highlights the expectation of widespread implementation of the core bundles, explicitly noting that these bundles include elements focused on respectful, equitable, and supportive care rather than only clinical protocols. Another central objective is to strengthen equity-focused measurement by supporting AIM states in reporting key measures by race and ethnicity at a minimum, so disparities can be evaluated and addressed using consistent data.

From an administrative standpoint, this opportunity is a discretionary grant using a cooperative agreement mechanism, meaning HRSA is likely to have substantial involvement in coordinating, guiding, or partnering on the work as it is carried out. The funding activity area is health (CFDA 93.110). HRSA anticipated making one award, with an award ceiling of $3,000,000. The notice was originally posted March 10, 2023, with an original closing date of May 9, 2023. Eligibility is listed broadly as "Others," with additional eligibility details referenced in the full announcement.

Overall, this grant is designed to create a national engine for practical implementation support: helping states and facilities adopt AIM safety bundles more consistently, maintain them over time, improve data reporting and analysis (including race and ethnicity stratification), and ultimately reduce preventable harm and deaths during pregnancy and the postpartum period while advancing respectful and equitable maternity care.

  • 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) Technical Assistance Center" 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 Mar 10, 2023.
  • Applicants must submit their applications by May 09, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $3,000,000.00 in funding.
  • 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).
Apply for HRSA 23 084

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FAQs: AIM Technical Assistance Center (HRSA-23-084)

What is the AIM Technical Assistance Center funding opportunity (HRSA-23-084)?

HRSA-23-084 is a federal grant opportunity from the Health Resources and Services Administration (HRSA), through the Maternal and Child Health Bureau (MCHB), to fund a single national Technical Assistance (TA) Center for the Alliance for Innovation on Maternal Health (AIM) program.

What is the main purpose of this grant?

The purpose is to strengthen and scale the AIM program nationwide by funding a national TA Center that helps states and birthing facilities implement proven maternal safety practices (AIM patient safety bundles), track results, improve outcomes for pregnant and postpartum people, and reduce preventable maternal deaths and severe maternal morbidity.

Who is the federal agency sponsoring this opportunity?

The sponsoring agency is the Health Resources and Services Administration (HRSA), specifically the Maternal and Child Health Bureau (MCHB).

What does the AIM TA Center do in the overall AIM program structure?

In the AIM model described, the TA Center serves as the national support hub that provides hands-on technical assistance, expertise, tools, coaching, and data support to AIM participants. It is one of two major components referenced in the broader AIM structure.

How is HRSA-23-084 related to HRSA-23-066 (AIM Capacity program)?

HRSA-23-084 funds the national TA Center, while HRSA-23-066 (AIM Capacity program) is described as a separate HRSA initiative focused on building state capacity to implement AIM and expand the reach and quality of implementation. Together, the two components are intended to accelerate adoption of standardized safety practices and ensure implementation is durable, measurable, and equitable.

Is this grant meant to fund multiple centers or just one?

This opportunity anticipates making one award to support a single, national technical assistance center.

What type of award mechanism is used?

The opportunity uses a cooperative agreement mechanism, which indicates HRSA is likely to have substantial involvement in coordinating, guiding, or partnering on the work during the project.

What is the funding amount for this opportunity?

The anticipated award ceiling is $3,000,000.

What is the CFDA number and funding activity area?

The funding activity area is health, with CFDA 93.110.

What is the overarching goal of the AIM TA Center program?

The program goal is to improve maternal health and safety in the United States by expanding access to safe, reliable, high-quality care, including support for consistent implementation of evidence-informed practices and stronger use of data to monitor progress and address disparities.

Who is expected to be supported by the TA Center?

The TA Center is intended to support all 50 states, Washington, D.C., U.S. jurisdictions and territories, tribal communities, and participating birthing facilities.

What kinds of organizations or settings are included as “birthing facilities” in the description?

The description references hospitals and other birth settings, indicating the TA Center support is meant to reach maternity care delivery sites beyond hospitals as well.

What are “AIM patient safety bundles” in the context of this opportunity?

Based on the notice summary provided, AIM patient safety bundles are evidence-informed, standardized safety practices meant to be implemented in routine maternity care, supported and sustained over time, and tracked using data for continuous improvement.

What is the TA Center expected to provide to states and facilities?

The TA Center is described as providing expertise, tools, coaching, and data support. The assistance is intended to increase engagement from hospitals and other birth settings, help teams implement and sustain AIM patient safety bundles, and strengthen reporting systems so data can be analyzed and used for continuous improvement.

What does “strengthening reporting systems” mean here?

In this opportunity, strengthening reporting systems refers to improving the ability of participating states to submit AIM-related data that can be analyzed and used to monitor outcomes, identify gaps, and support continuous quality improvement.

What role does equity play in the expectations for this project?

Equity is a central emphasis. The opportunity highlights expectations for respectful, equitable, and supportive care as a built-in part of bundle implementation and calls for stronger equity-focused measurement, including supporting states in reporting key measures by race and ethnicity at a minimum.

Does the opportunity focus only on clinical protocols?

No. The description explicitly notes that the core bundles include elements focused on respectful, equitable, and supportive care, not only clinical protocols.

What specific outcomes or progress does HRSA expect by the end of the performance period?

By August 31, 2027, HRSA expects the TA Center to show progress on several objectives described in the summary: (1) increase the amount and quality of technical assistance delivered to participating AIM states; (2) increase the number of hospitals and other birthing facilities actively implementing patient safety bundles; (3) increase the total number of core bundles being implemented and/or sustained across sites; and (4) strengthen equity-focused measurement by supporting reporting of key measures by race and ethnicity at a minimum.

What is the performance period end date referenced in the notice summary?

The summary identifies an end-of-performance expectation date of August 31, 2027.

What is meant by “durable, measurable, and equitable” implementation?

In the context provided, “durable” refers to sustaining bundle implementation over time; “measurable” refers to improving data reporting and analysis to track progress; and “equitable” refers to implementing care practices (including respectful, supportive care expectations) and measuring outcomes in ways that can identify and address disparities, including stratifying key measures by race and ethnicity.

What is the legislative intent referenced in the opportunity description?

The work is framed around identifying, developing, and sharing best practices that improve maternal health care quality, improve maternal and infant health, and reduce preventable maternal deaths and severe maternal morbidity.

When was the funding opportunity posted and when did it close?

The notice was originally posted on March 10, 2023, with an original closing date of May 9, 2023.

Who is eligible to apply?

Eligibility is listed broadly as “Others,” with additional eligibility details referenced in the full announcement.

Does the summary indicate how many awards HRSA planned to make?

Yes. HRSA anticipated making one award.

What geographic scope is intended for the TA Center’s work?

The intended scope is nationwide: all 50 states, Washington, D.C., U.S. jurisdictions and territories, and tribal communities, along with participating birthing facilities.

What is the practical impact the grant aims to have for frontline maternity care teams?

The grant is designed to make it easier for frontline maternity care teams and state partners to adopt evidence-informed approaches (AIM bundles), keep them in place over time, and use data to identify gaps, monitor progress, and address persistent disparities.

How does this grant address preventable maternal deaths and severe maternal morbidity?

The opportunity’s approach is to expand adoption and sustained use of proven safety practices (AIM bundles), strengthen data reporting and continuous improvement systems, and incorporate respectful, equitable, and supportive care expectations to improve outcomes during pregnancy and the postpartum period.

Does this opportunity include expectations about data stratification?

Yes. A central objective is to support AIM states in reporting key measures by race and ethnicity at a minimum so disparities can be evaluated and addressed using consistent data.

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