Opportunity Information: Apply for HRSA 19 050

The Supporting Healthy Start Performance Project (SHSPP) is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), designed to strengthen how Healthy Start (HS) programs operate across the country. The central idea is consistency and quality: SHSPP funds a single organization to provide structured training and hands-on technical assistance so HS grant recipients can deliver services in a more uniform, evidence-based way. The project focuses on improving implementation, building local program capacity, and making sure Healthy Start sites have the practical support they need to carry out core activities effectively, especially in communities facing high infant mortality and poor perinatal outcomes.

SHSPP is built around Healthy Start's four approaches for reducing disparities in infant mortality and adverse perinatal outcomes. These approaches emphasize: improving women's health, improving family health and wellness, promoting systems change, and ensuring impact and effectiveness. The last approach is strongly operational and performance-focused, highlighting workforce development, strong data practices, quality improvement (QI), performance monitoring, and program evaluation. In other words, SHSPP is not just about encouraging programs to do "more," but about helping them do the right things in a consistent, measurable, and accountable way, and to demonstrate results through better data and evaluation.

The funded recipient under SHSPP is expected to use a capacity building assistance (CBA) model that blends ongoing training, technical assistance, education, and knowledge sharing. This includes activities like technology transfer and information dissemination so that Healthy Start staff can build core competencies tied to the four approaches. A major emphasis is improving the consistency and quality of the content of HS services by supporting staff with clear guidance, skill-building, and practical tools. Another key goal is expanding the use of evidence-based interventions and best practices, so local programs rely less on ad hoc approaches and more on proven strategies that improve maternal and infant health outcomes.

In addition to strengthening service delivery, SHSPP places a strong focus on workforce capability and performance infrastructure. The project aims to ensure the Healthy Start workforce has the knowledge and demonstrable skills needed to provide high-quality services, and that programs are equipped to collect and use data in meaningful ways. This includes increasing data collection and improving how data are used for quality improvement, performance monitoring, and local evaluation. The opportunity also prioritizes collaboration across Healthy Start grantees, encouraging stronger coordination and shared learning so programs can align efforts, reduce duplication, and build momentum toward reducing disparities in outcomes.

Another practical deliverable embedded in the notice is helping programs sharpen their planning and long-term readiness. SHSPP will support Healthy Start recipients in developing SMART objectives (specific, measurable, attainable, realistic, and timely), which helps translate broad goals into concrete actions that can be tracked and improved. The project also supports sustainability planning and succession planning, recognizing that lasting impact depends on stable operations, leadership continuity, and the ability to maintain effective practices over time, even through staffing or funding changes.

From an administrative standpoint, this is a discretionary HRSA cooperative agreement (meaning the federal agency is typically more involved than under a standard grant model). The opportunity number is HRSA-19-050, listed under CFDA 93.926. The notice was created on November 9, 2018, with an original closing date of January 8, 2019. HRSA anticipated making one award, with an award ceiling of $2,465,000. Eligibility is described broadly as "Others" with additional eligibility details referenced in the full announcement, indicating applicants likely needed specific qualifications or experience relevant to training, technical assistance, maternal and child health, and performance improvement systems.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Supporting Healthy Start Performance Project" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.926.
  • This funding opportunity was created on Nov 09, 2018.
  • Applicants must submit their applications by Jan 08, 2019. (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 $2,465,000.00 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 19 050

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Supporting Healthy Start Performance Project (SHSPP) FAQs

What is the Supporting Healthy Start Performance Project (SHSPP)?

SHSPP is a federal funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). It is designed to strengthen how Healthy Start (HS) programs operate nationwide by improving consistency, quality, and performance through structured training and hands-on technical assistance.

What is the main goal of SHSPP?

The main goal is to help Healthy Start grant recipients deliver services in a more uniform, evidence-based way, with practical support that improves implementation, local capacity, and measurable results, especially in communities with high infant mortality and poor perinatal outcomes.

Who does SHSPP serve or support?

SHSPP supports Healthy Start (HS) grant recipients by providing training, technical assistance, education, and knowledge sharing to strengthen their ability to carry out core Healthy Start activities effectively.

How many organizations are funded under SHSPP?

HRSA anticipated making one award. The intent is to fund a single organization to deliver structured training and technical assistance to Healthy Start sites across the country.

What type of funding mechanism is SHSPP?

SHSPP is a discretionary HRSA cooperative agreement. This means HRSA is typically more involved in the project compared to a standard grant model.

What is the opportunity number and CFDA listing for SHSPP?

The opportunity number is HRSA-19-050, and it is listed under CFDA 93.926.

What is the funding amount (award ceiling) for SHSPP?

The award ceiling was $2,465,000.

When was the SHSPP notice created and when did it close?

The notice was created on November 9, 2018. The original closing date was January 8, 2019.

What are Healthy Start's four approaches that SHSPP is built around?

SHSPP is built around Healthy Start's four approaches for reducing disparities in infant mortality and adverse perinatal outcomes:

  • Improving women's health
  • Improving family health and wellness
  • Promoting systems change
  • Ensuring impact and effectiveness

What does "ensuring impact and effectiveness" focus on in SHSPP?

This approach is strongly operational and performance-focused. It emphasizes workforce development, strong data practices, quality improvement (QI), performance monitoring, and program evaluation so sites can demonstrate results through better data and evaluation.

What is SHSPP expected to provide to Healthy Start grantees?

The funded recipient is expected to provide capacity building assistance (CBA) that blends ongoing training, technical assistance, education, and knowledge sharing. This also includes technology transfer and information dissemination to build core staff competencies tied to Healthy Start's four approaches.

What is meant by a capacity building assistance (CBA) model in SHSPP?

In SHSPP, a CBA model means delivering structured support that helps Healthy Start programs build the skills, tools, and operational capability they need to implement core activities consistently and effectively. It includes training, hands-on technical assistance, education, and sharing proven knowledge and tools.

Does SHSPP focus on service quality and consistency?

Yes. A major emphasis is improving the consistency and quality of Healthy Start service content by supporting staff with clear guidance, skill-building, and practical tools.

How does SHSPP promote evidence-based practice?

SHSPP aims to expand the use of evidence-based interventions and best practices so local programs rely less on ad hoc approaches and more on proven strategies that improve maternal and infant health outcomes.

What does SHSPP do to strengthen the Healthy Start workforce?

SHSPP focuses on workforce capability by helping ensure Healthy Start staff have the knowledge and demonstrable skills needed to provide high-quality services. This includes training and support aligned with core competencies tied to the four Healthy Start approaches.

How does SHSPP address data collection and performance infrastructure?

SHSPP emphasizes increasing data collection and improving how data are used for quality improvement, performance monitoring, and local evaluation. The goal is to help programs use data meaningfully to improve performance and demonstrate results.

Does SHSPP encourage collaboration among Healthy Start grantees?

Yes. The opportunity prioritizes collaboration and shared learning across Healthy Start grantees to support stronger coordination, align efforts, reduce duplication, and build momentum toward reducing disparities in outcomes.

What planning tools does SHSPP support for Healthy Start recipients?

SHSPP supports Healthy Start recipients in developing SMART objectives (specific, measurable, attainable, realistic, and timely) to translate broad goals into concrete actions that can be tracked and improved.

Does SHSPP include sustainability and succession planning support?

Yes. SHSPP supports sustainability planning and succession planning, recognizing that lasting impact depends on stable operations, leadership continuity, and the ability to maintain effective practices over time, including through staffing or funding changes.

Why is SHSPP focused on communities with high infant mortality and poor perinatal outcomes?

The project is designed to help Healthy Start sites carry out core activities effectively in places where needs are greatest, particularly communities facing high infant mortality and poor perinatal outcomes, with the broader goal of reducing disparities.

Who was eligible to apply for SHSPP?

Eligibility was described broadly as "Others," with additional eligibility details referenced in the full announcement. The notice indicates applicants likely needed specific qualifications or experience relevant to training, technical assistance, maternal and child health, and performance improvement systems.

Is SHSPP about expanding the amount of services, or improving how services are delivered?

SHSPP is framed as improving how services are delivered. The focus is on helping programs do the right things in a consistent, measurable, and accountable way, supported by better implementation, data use, quality improvement, and evaluation.

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