Early Childhood Comprehensive Systems Impact (ECCS Impact)

Announcement Number:
HRSA-16-047

Bureau/Office:
Maternal & Child Health Bureau

Date(s) to Apply:
01/15/2016 to 03/25/2016

Estimated Award Date:
08/01/2016


What is the program?

The Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB) is accepting applications for fiscal year (FY) 2016 Early Comprehensive Childhood Systems Impact (ECCS Impact).  The purpose of this program is to enhance early childhood (EC) systems building and demonstrate improved outcomes in population-based children’s developmental health and family well-being indicators using a Collaborative Innovation and Improvement Network (CoIIN) approach.  An additional goal of the ECCS Impact grants is the development of collective impact expertise, implementation and sustainability of efforts at the state, county and community levels.  Up to 15 recipients of the ECCS Impact program will identify one to five (1-5) place-based communities within their state/territory to participate in the Early Childhood Comprehensive Systems Collaborative Innovation and Improvement Network (ECCS CoIIN).  At least one of the identified communities should be a community receiving state and/or tribal Maternal, Infant and Early Childhood Home Visiting (MIECHV) services.  Applicants will receive priority points (See Section V. Application Review Information. 2. Review and Selection Process. Funding Priorities) if one of the communities selected to participate is a Promise Zone and/or Rural IMPACT community as defined in Appendix A – Glossary of Terms.  The ECCS CoIIN will be coordinated by the ECCS CoIIN Technical Assistance Center (ECCS CoIIN TAC), which will be established through a cooperative agreement, HRSA 16-179 Early Childhood Comprehensive Systems Collaborative Innovation and Improvement Network.  See Appendix B for a visual model of the working relationship between the ECCS Impact grantees and the ECCS CoIIN TAC.  The ECCS CoIIN TAC will provide intensive, targeted technical assistance to the ECCS Impact recipients and their identified place-based communities on CoIIN processes.  The ECCS CoIIN TAC will facilitate three successive 18-month CoIIN cohorts consisting of place-based communities of ECCS Impact recipients utilizing collective impact principles to accelerate or improve results for families.  (Section V. Application Review Information. 2. Review and Selection Process. Funding Priorities) see Appendix A – Glossary of Terms) The overall aim of the ECCS Impact and the ECCS CoIIN TAC is that within 60 months, participating communities will show a 25percent increase from baseline in age appropriate developmental skills among their community’s three (3) year old children. The secondary aims of the ECCS Impact and ECCS CoIIN TAC are to:  strengthen leadership and expertise in continuous quality improvement (CQI) and support innovation among a cohort of recipients representing states/territories and their identified place-based communities.  At least one community should be a community receiving state and/or tribal MIECHV services.  Applicants will also receive priority points (See Section V. Application Review Information. 2. Review and Selection Process. Funding Priorities)  if one of the communities selected is a Promise Zone and/or Rural IMPACT community achieve greater collective impact in early childhood systems at the state, county, and community level, with common aims, shared metrics and measurement systems, coordinated strategies, continuous communication, and a backbone organization at the state, county, and community levels; develop primarily two-generation approaches to drive integration of early childhood services vertically (i.e., within a sector such as health care) and horizontally (i.e., across sectors such as between early care and education and health care); develop and adopt core sets of indicators to measure Early Childhood (EC) system processes and outcome indicators that measure population impact around children’s developmental health and family well-being; and test innovative EC systems change ideas, develop spread strategies and adopt new EC policies for sustaining the systems developed during this project that improve children’s healthy development and family well-being. An early childhood comprehensive system is defined as an organized, purposeful partnership of interrelated and interdependent agencies/organizations representing health, mental health, social services, families and caregivers, and early childhood education to develop seamless systems of care for children from birth to kindergarten entry.  These systems help children grow up healthy and ready to learn by addressing their physical, emotional and social health in a broad-based and coordinated way.  A Collaborative Innovation and Improvement Network, or CoIIN, is defined as a group of self-motivated people (or organizations) with a collective vision, enabled by the Web to collaborate in achieving a common goal by sharing ideas, information, and work.  The CoIIN model provides a platform for collaborative learning and quality improvement toward common goals and benchmarks using rapid cycles of change. Key features include collaborative learning, common benchmarks, coordinated strategies, rapid tests of change, and real-time data to drive real-time improvement. Requirements of the ECCS Impact recipients include the following: The recipient should have an early childhood comprehensive system[1] in place with state/territory agency, and stakeholder leadership participation. Note: Only one entity per state/territory will be chosen for this program.  The recipient must partner with a state/territory Advisory Team that provides leadership in implementing the policies and practices necessary to carry out systems work in their respective state/territory organizations and recommends state/territorial-wide system change as a result of the ECCS CoIIN results. Key leaders represented on the state/territory Advisory Team should include: The Governor’s Office; Maternal, Infant and Early Childhood Home Visiting Program; Early Childhood Advisory Council/System; Title V leadership; Family engagement leadership (examples might be Family Voices; Strengthening families, etc.); Public and private primary health care (examples might include the state/territory’s Medicaid/Children’s Health Insurance program or the person responsible for Medicaid Early Periodic Screening, Diagnosis, and Treatment Program; the state/territory ’s primary health care, medical home, and safety net provider organizations such as American Academy of Pediatrics; American Academy of Family Physicians, Pediatric nurse practitioners;  HRSA-funded health centers, Part C, state/territory Children with Special Health Needs Division); Mental health service providers (examples might be the state/territory’s Division of Mental Health; Project Launch grantee); Early childhood education representatives (examples might include state/territory Department of Early Learning; Child Care Administrator; state/territory early childhood educators association (Head Start/Association for the Education of Young Children; Family Child Care Association); School Pre-K organization; and Designated leader(s) from each selected place-based community. Other desirable state/territory partners strongly recommended but not required include: trauma informed care[2] networks, The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), housing, public-private early childhood partnerships, and businesses that support children’s developmental health and family well-being. The recipient must select at least one (1) and up to five (5) place-based communities that are willing and available for participation in ECCS CoIIN cohorts[3] (See Appendix A – Glossary of Terms). At least one of the identified communities should be a community receiving state and/or tribal Maternal, Infant and Early Childhood Home Visiting (MIECHV) services.  Applicants will also receive priority points if one of the communities selected is a Promise Zone and/or a Rural IMPACT community.  The  priority points for Promise Zone and Rural IM


Are you eligible?

As provided for in 42 CFR Part 51a.3 (a), any public or private entity, including an Indian tribe or tribal organization (as those terms are defined at 25 U.S.C. 450b) is eligible. Faith-based and community-based organizations are also eligible.

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Contact Us

Barbara Hamilton

bhamilton@hrsa.gov

Phone: (301) 443-8939

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