Opportunity Information: Apply for HRSA 23 066

The Alliance for Innovation on Maternal Health (AIM) Capacity grant (HRSA-23-066) is a discretionary grant opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) intended to strengthen state-level ability to implement the national AIM program. AIM is a cross-sector national effort focused on improving safety and quality in maternity care by identifying, developing, implementing, and spreading evidence-based "maternal patient safety bundles." These bundles are structured sets of best practices aimed at preventing, recognizing, and responding to leading causes of maternal complications across prenatal care, labor and delivery, and the postpartum period. The larger purpose is to reduce the United States' high rates of maternal mortality and severe maternal morbidity (SMM) by making safe, reliable, high-quality maternity care more consistent across hospitals and other birth settings.

A key reason for the AIM Capacity initiative is that, up to this point, states have largely relied on seed funding to launch AIM-related work, which limits how widely and consistently bundles can be rolled out and sustained. Through this new funding stream, HRSA aims to increase the resources available to states so they can expand participation (more hospitals and other birthing facilities), deepen implementation (more bundles adopted and maintained over time), and improve the quality of implementation (stronger fidelity to bundle elements, better training and coordination, and more reliable measurement). The program aligns with legislative intent to "identify, develop, or disseminate best practices" that improve maternal health care quality and outcomes, improve maternal and infant health, and eliminate preventable maternal deaths and severe maternal morbidity.

This funding opportunity is positioned as one of two connected components of the overall AIM program. The second component is a separate cooperative agreement for an AIM Technical Assistance (TA) Center (HRSA-23-084). While the Capacity awards focus on boosting on-the-ground state implementation, the TA Center is intended to support every participating jurisdiction and facility nationwide, including all 50 states, Washington, D.C., U.S. territories and jurisdictions, tribal communities, and birthing facilities engaged with AIM. The TA Center role includes providing hands-on technical assistance and building stronger data capacity so participants can track progress, improve data collection and reporting, and measure impact more effectively. In practice, the Capacity grants supply the staffing and infrastructure states need to drive implementation, while the TA Center helps standardize and strengthen how implementation and measurement are carried out across different settings.

The overarching goal of the AIM Capacity program is to improve maternal health and safety in the United States by increasing access to safe, dependable, and high-quality maternity care. HRSA sets specific targets for what recipients should help accomplish by August 31, 2027. These objectives include increasing the number of hospitals and other birthing facility settings that are implementing AIM patient safety bundles, and increasing the overall number of core bundles that are implemented and/or sustained. The emphasis is not just on starting new bundle efforts, but also on maintaining them over time so the practices become routine rather than temporary projects. Award recipients are also expected to support widespread implementation of core bundles that incorporate respectful, equitable, and supportive care, reflecting a clear expectation that quality improvement efforts address both clinical safety and the patient experience.

Another central expectation is that participating AIM states strengthen how they understand and address disparities. Specifically, states are expected to collect data on disparities by race and ethnicity for at least one patient safety bundle. This requirement signals that implementation is not only about overall averages in outcomes, but also about identifying where harms and gaps are concentrated and ensuring bundle-based improvements benefit all populations. Overall, the AIM Capacity opportunity is designed to move AIM from early-stage, uneven adoption toward broad, durable, data-informed implementation that can measurably reduce preventable maternal deaths and severe maternal morbidity while improving equity and respectful care across birth settings.

From the posted opportunity details, this is a grant (not a contract) under CFDA 93.110, with an expected 29 awards. The opportunity was created March 10, 2023, with an original closing date of May 9, 2023. The listing notes eligibility as "Others" with additional eligibility details referenced in the full notice. The award ceiling is listed as 0 in the summary, which typically indicates applicants need to consult the full announcement for the actual funding amounts or that awards vary based on the applicant and scope.

  • 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) Capacity" 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.)
  • The number of recipients for this funding is limited to 29 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs): AIM Capacity Grant (HRSA-23-066)

What is the AIM Capacity grant (HRSA-23-066)?

The AIM Capacity grant (HRSA-23-066) is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It is intended to strengthen state-level capacity to implement the national Alliance for Innovation on Maternal Health (AIM) program.

What is the overall purpose of the AIM program?

AIM is a cross-sector national effort focused on improving safety and quality in maternity care. It does this by identifying, developing, implementing, and spreading evidence-based maternal patient safety bundles to help reduce maternal mortality and severe maternal morbidity (SMM) in the United States.

What are maternal patient safety bundles?

Maternal patient safety bundles are structured sets of best practices designed to prevent, recognize, and respond to leading causes of maternal complications. They are meant to support safer and more reliable care across prenatal care, labor and delivery, and the postpartum period.

Why did HRSA create the AIM Capacity funding stream?

A key motivation is that states have often relied on seed funding to launch AIM-related work, which can limit how widely bundles are implemented and how well they are sustained. This funding stream is meant to increase resources so states can expand and strengthen implementation in a broader and more consistent way.

How is this grant expected to change AIM implementation at the state level?

HRSA’s intent is to help states: expand participation (more hospitals and other birthing facilities involved), deepen implementation (more bundles adopted and sustained over time), and improve implementation quality (better fidelity to bundle elements, stronger training and coordination, and more reliable measurement).

What outcomes is the AIM Capacity program trying to improve?

The program is designed to improve maternal health and safety by increasing access to safe, dependable, and high-quality maternity care, and by reducing preventable maternal deaths and severe maternal morbidity while improving consistency of care across settings.

What does HRSA expect recipients to achieve by August 31, 2027?

Recipients are expected to help increase the number of hospitals and other birthing facility settings implementing AIM patient safety bundles, and increase the overall number of core bundles that are implemented and/or sustained over time.

Is the focus only on starting new bundle efforts?

No. The emphasis includes sustaining bundles so that practices become routine and durable, rather than being temporary projects that fade after initial rollout.

What does the opportunity say about respectful, equitable, and supportive care?

Award recipients are expected to support widespread implementation of core bundles that incorporate respectful, equitable, and supportive care. This reflects an expectation that quality improvement addresses both clinical safety and the patient experience.

What are the expectations around disparities and equity measurement?

Participating AIM states are expected to collect data on disparities by race and ethnicity for at least one patient safety bundle. This is meant to strengthen how states understand disparities and ensure improvements benefit all populations, not just overall averages.

How does the AIM Capacity grant relate to the AIM Technical Assistance (TA) Center (HRSA-23-084)?

This opportunity is described as one of two connected components of the overall AIM program. The Capacity awards focus on building state-level staffing and infrastructure to drive implementation, while the separate AIM TA Center cooperative agreement (HRSA-23-084) is intended to support participating jurisdictions and facilities nationwide with hands-on technical assistance and stronger data capacity.

Who is the TA Center intended to support?

The TA Center is intended to support every participating jurisdiction and facility nationwide, including all 50 states, Washington, D.C., U.S. territories and jurisdictions, tribal communities, and birthing facilities engaged with AIM.

What kinds of support is the TA Center expected to provide?

The TA Center role includes providing hands-on technical assistance and building stronger data capacity so participants can track progress, improve data collection and reporting, and measure impact more effectively.

What type of funding opportunity is this (grant vs. contract)?

The listing indicates this is a grant (not a contract).

What is the CFDA number for this opportunity?

The opportunity is listed under CFDA 93.110.

How many awards are expected?

The summary indicates an expected 29 awards.

When was this opportunity created and when did it close?

The opportunity was created on March 10, 2023. The original closing date listed is May 9, 2023.

Who is eligible to apply?

The listing notes eligibility as "Others," with additional eligibility details referenced in the full notice. The summary information provided does not include the detailed eligibility criteria.

What is the award ceiling for this grant?

The summary lists the award ceiling as 0. This typically means applicants need to consult the full announcement for actual funding amounts, or that award sizes vary depending on the applicant and proposed scope.

What problem is this program trying to address in the U.S.?

The opportunity is positioned as a response to the United States’ high rates of maternal mortality and severe maternal morbidity, with the goal of making safe, reliable, high-quality maternity care more consistent across hospitals and other birth settings.

What does "implementation quality" mean in the context of this opportunity?

Based on the opportunity description, implementation quality refers to stronger fidelity to bundle elements, better training and coordination, and more reliable measurement so that bundle-based practices are carried out as intended and tracked consistently.

Does this opportunity address both clinical outcomes and patient experience?

Yes. The opportunity emphasizes both clinical safety (preventing and responding to complications) and the patient experience through expectations related to respectful, equitable, and supportive care.

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