Frontier Extended Stay Clinic Cooperative Agreement

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The purpose of this funding opportunity announcement is to award a cooperative agreement which focuses on Frontier Extended Stay Clinic (FESC) type activities. These activities examine the effectiveness and appropriateness of a new type of provider, the FESC, in providing health care services in certain remote clinic sites. The Centers for Medicare and Medicaid Services (CMS) is operating a parallel Frontier Extended Stay Demonstration, which this cooperative agreement supports. Management of the cooperative agreement will include: a. Implementation and testing of FESC protocols at the participating sites; b. Evaluation of program and financial activities at the participating sites; c. Conducting an inventory and developing a narrative of the demonstration activities from previous HRSA-funded FESC demonstrations; d. Providing technical assistance to the Centers for Medicare and Medicaid Services (CMS) Frontier Extended Stay Demonstration and its participating organizations; e. Developing or continuing Health Information Technology (HIT) and quality initiatives, including the development of quality measures for clinical and financial performance in the participating demonstration sites; f. The potential of exploring implementation of the FESC model in the lower 48 states, including a relationship with Critical Access Hospitals; and g. Additional activities that support the development of the FESC model. The cooperative agreement supports an ongoing partnership with significant involvement and input from Office of Rural Health Policy (ORHP) staff in the selection of all projects and in development and implementation of the submitted work plan.

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