December 22, 2021

VUMC Limited Submission Opportunity: HRSA Enhancing Systems of Care for Children with Medical Complexity; deadline is Jan. 13

VUMC Limited Submission Opportunity

HRSA Enhancing Systems of Care for Children with Medical Complexity (Demonstration Projects)

VUMC:  These instructions are for VUMC investigators. VU investigators should apply through InfoReady and address any questions to

Applications due Jan. 13, 2022


VUMC may submit one application to the HRSA Enhancing Systems of Care for Children with Medical Complexity (Demonstration Projects) program. The purpose of this program is to optimize the health, quality of life, and well-being for children with medical complexity (CMC) and their families. For purposes of this program, children with medical complexity are characterized as children having family-identified service needs, severe chronic clinical conditions, functional limitations, and high utilization of health resources.

The program will fund up to five demonstration projects (HRSA-22-098) to implement and evaluate evidence-informed, patient/family-centered models of care delivery, and a coordinating center (HRSA-22-088) to support the demonstration projects in meeting their program objectives, developing and disseminating resources, and providing leadership in the field. Please note: This call is for Demonstration Project (HRSA-22-098) applications only. Find a separate call for Coordinating Center (HRSA-22-088) applications at Applicants may apply to both opportunities.

Demonstration Project Roles and Responsibilities:

Up to five demonstration projects will be funded to implement and evaluate evidence-informed models of care designed to optimize the child’s health, general functioning/quality of life, and family well-being. The models of care should be accessible, continuous, comprehensive, coordinated, compassionate, culturally effective, and patient/family-centered.


Proposed models are expected to:

  • Expand equitable access to quality patient/family-centered services, with an emphasis on CMC from unserved or underserved populations or communities;
  • Optimize use of innovative technologies, such as telehealth, to facilitate comprehensive, coordinated, and continuous services across the care continuum; and
  • Apply an equity-informed approach to health care delivery for CMC and equip their families with the knowledge of and/or access to medical, social, financial, or community resources they need for their children to thrive.


Demonstration project applicants should propose strategies to implement a model of care that meets the goal of the program. Examples of such strategies could include:

  • patient/family-centered care coordination through tertiary care-community based partnerships, family peer support, respite care services, or transition support;
  • team-based or collaborative care that actively involves pediatric medical providers and other providers such as social services, mental/behavioral health, oral health, home-based care, palliative care, or adult primary and specialty care;
  • mechanisms to incorporate telehealth as a complementary mechanism for service provision, care monitoring, or as a strategy to strengthen communication, partnerships, and co-management of care among CMC, their families, and providers; and/or
  • mechanisms to support information/data sharing and coordination between the family, primary and specialty care providers, home caregivers and other service providers, such as educators, social workers, or therapists.

You are encouraged to propose novel or innovative models of care, the rationale for selecting the model, and how it will be evaluated.

Successful implementation of all demonstration projects will be assessed by positive impacts on family well-being and child functioning/quality of life, as measured by patient and family experience of care and coordination of care, among other potential indicators. In addition, project activities are expected to demonstrate sustainability and replicability.

Additional responsibilities are outlined in detail on the NOFO.

Award Information:

HRSA anticipates funding five awards of up to $400,000 total costs per year for 5 years (performance period: August 1, 2022 through July 31, 2027.)

Internal Application Process:

Anyone interested in being considered to submit VUMC’s proposal must submit the following (in a single PDF) to by 5 p.m. on Jan. 13:

  • Brief project description including summary budget (2 pages max).
  • Letter of support from department chair/center director;
  • NIH Biosketch or 5-page CV

Any questions about this opportunity or the LSO process may be directed to