NAP-AX-22-001
Leading Edge Acceleration Projects (LEAP) in Health Information Technology
Summary
LEAP in Health Information Technology: Funding Briefing
Research Focus & Contribution
The Leading Edge Acceleration Projects (LEAP) in Health Information Technology program funds cooperative agreements to address critical barriers in health information access, exchange, and use. The Office of the National Coordinator (ONC) / Assistant Secretary for Technology Policy (ASTP) seeks solutions that advance interoperable health IT infrastructure and demonstrate scalability across the healthcare industry.
Research contributions include: developing and testing standards-based technologies (using HL7 FHIR, USCDI, and other open standards); improving data quality for electronic health records (EHRs) and artificial intelligence (AI) applications; advancing health equity through social determinants of health (SDOH) data collection and patient-generated health data (PGHD); accelerating behavioral health IT adoption; demonstrating FHIR-based subscriptions for real-time data exchange; and improving patient access through the Trusted Exchange Framework and Common Agreement (TEFCA). Solutions must address well-documented interoperability gaps, inform standards development, and be implementable across diverse healthcare settings including underserved communities, behavioral health providers, and resource-limited organizations.
At-a-Glance
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Who can apply: Public and nonprofit institutions (universities, colleges, faith-based/community organizations); state/local government; federally recognized Indian/Native American tribal governments. For-profit and foreign entities may participate only as subrecipients or consortium members.
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Funding & project length: Up to $1 million per award (typically two awards per fiscal year, one per area of interest); two-year initial budget period with potential continuation funding for years three to five contingent on performance and availability of funds.
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Award / mechanism: Cooperative agreement with substantial ONC/ASTP involvement; monthly minimum check-ins required; quarterly programmatic progress reports; release of funds contingent on performance goals.
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Key dates: Letter of intent encouraged (varies by SEN); applications due July 12, 2024 (FY2024 SEN) or April 25, 2025 (FY2025 SEN); anticipated award date approximately 2–3 months after submission deadline.
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Best fit for: Health IT researchers, standards developers, EHR vendors, healthcare systems, behavioral health providers, and health information networks seeking to advance interoperability, data quality, patient access, and health equity through open-standards-based solutions and real-world implementation pilots.
Key Facts
Deadline
Thu, September 30, 2027
Posted
Tue, June 14, 2022
Award / Year (direct costs)
$500,000
Max Total
$1,000,000
Max Duration
5 years
Expected Awards
2
Keywords
Research Areas
Gotchas (25)
Applicants must explicitly state which Area of Interest they are applying for; applications that do not clearly state their intended area will not be considered
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“Please note that all applicants must explicitly state the area of interest for which they are applying. Applications that do not clearly state their intended area of interest will not be considered.”
The PD/PI must contribute a minimum of 20% effort annually throughout the cooperative agreement. If less time is allocated, an explicit justification of the lower level of effort must be included.
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“The PD/PI is expected to contribute a minimum of 20% effort annually throughout the course of the cooperative agreement. If less time is allocated, an explicit justification of the lower level of effort shall be included.”
Recipients must sign non-disclosure agreements prior to commencing work. All personnel (chief executives, directors, consultants, sub-recipients, etc.) substantially involved in the award must sign ND
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“The federal award may require the recipient to have access to information relating to any and all aspects of grants management operations that may be of a technical, legal, sensitive and/or confidential nature and which may be the sole property of the U.S. Government. To mitigate risks associated with such access, the recipient shall ensure that all its personnel, including chief executives, directors, consultants, sub recipients, or any other personnel substantially involved in the performance ”
The project narrative shall not exceed 35 pages. A project narrative that exceeds the 35-page limit will not be accepted. Resumes of key personnel are not counted as part of the project narrative and
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“The maximum length allowed for the project narrative is 35 pages. A project narrative that exceeds the 35-page limit will not be accepted. Resumes of key personnel (personnel required for the project), are not counted as part of the project narrative and are not included in the 35-page limit.”
Applicants may submit no more than 30 pages of appendix material. Applications that use appendix material as a mechanism to exceed the page length limitations of the project narrative will not be cons
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“Applicants may submit no more than 30 pages of appendix material. Appendix material should be used to provide additional materials (for example, key papers or reports or excerpts) that will be of assistance in evaluating the merit of the application. Do not use the Appendix to circumvent the page limitations of the project narrative component. Applications that use appendix material as a mechanism to exceed the page length limitations of the project narrative will not be considered for award.”
Funds cannot be used to supplant or replace current public or private funding, to supplant ongoing or usual activities of any organization involved in the project, to purchase or improve land, or to p
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“Funds cannot be used for the following purposes: To supplant or replace current public or private funding; To supplant ongoing or usual activities of any organization involved in the project; To purchase or improve land, or to purchase, construct, or make permanent improvements to any building; To reimburse pre-award costs”
A Kick-Off Meeting is required no later than two weeks after award date with recipient team and ONC. Monthly minimum check-in meetings must be scheduled with project team and ONC Project Officer.
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“A Kick-Off Meeting no later than two (2) weeks after award date with members of each recipient team and ONC is required. The purpose of this meeting is to establish points of contacts, expectations, and set-up regular check-in calls. A monthly (minimum) check-in meeting to be scheduled with project team and your ONC Project Officer to discuss implementation trajectory, accomplishments, next steps, challenges, barriers, and recommendations to address challenges and barriers.”
Draft Final Report must be submitted to ONC at least three (3) months prior to the end of the grant period of performance in Microsoft Word. Final version incorporating ONC feedback must be submitted
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“Draft of the Final Report shall be submitted to ONC at least three (3) months prior to the end of the grant period of performance project period in Microsoft Word and include the following elements... A final version of report that incorporates project official feedback shall be submitted to ONC for review and approval by your project by no later than 90 days after the end of the grant.”
Expenditures must be reported on a semi-annual basis using the SF-425, Federal Financial Report (FFR). Reports are due to HHS no later than April 30 for funds expended October-March, and no later than
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“Expenditures shall be reported, on a semi-annual basis, using the SF-425, Federal Financial Report (FFR). Reports are due to HHS no later than April 30 of each year the award is active for funds expended between October and March, and no later than October 31 for funds expended between April and September. The semi-annual FFR will be submitted using the Payment Management System (PMS). ONC will not accept reports sent directly to the ONC Grants mailbox.”
Applicants must disclose any potential conflict of interest (COI) with the awarding agency and/or any pass-through entities. If a COI is discovered after award, recipients must make immediate and full
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“The applicant shall notify the ONC grants management officer (GMO) when they believe an actual or potential COI may exist. If, after award, a recipient discovers a COI, with respect to the assistance agreement, it shall make an immediate and full disclosure in writing to the ONC GMO. The disclosure shall include identification of the actual or potential conflict, the manner in which it arose, and a description of the action the recipient has taken, or proposed to take, to avoid, eliminate, or ne”
The project period is 5 years (September 26, 2022-September 25, 2027), but the initial budget period is 2 years (September 26, 2022-September 25, 2024). Applicants are encouraged to submit application
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“ONC expects to issue one cooperative agreement award per area of interest (the "Area of Interest"), up to $1 million per award, totaling up to $2 million for the two awards in fiscal year 2022. These awards will have a two-year project and budget period at initial award. However, applicants are encouraged to submit their applications based on a five-year budget period. Additional funding for years three to five may be provided, contingent upon availability of funds, meaningful progress, and ONC ”
For Area 1 (SDOH), applicants must create and implement closed loop referral technology in a real-world environment involving at least one health system or community health center, their EHR developer
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“Create and implement closed loop referral technology in a real-world environment involving at least one health system or community health center, their EHR developer, and at least one CBO. The awardee will be expected to provide feedback on the challenges and successes that the health system or community health center and CBO experience while using the technology in underserved communities.”
For Area 2 (PGHD), applicants must demonstrate a path to scalability by implementing the proposed PGHD technology solution in at least two separate healthcare locations or by demonstrating how the sam
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“Demonstrate a path to scalability by implementing the proposed PGHD technology solution in at least two separate healthcare locations or by demonstrating how the same proposed PGHD technology solution can be used for two different use cases.”
For Area 2 (PGHD), applicants must develop at least one manuscript detailing the demonstration project results and submit to an appropriate journal. This is a key objective requirement.
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“Develop at least one manuscript that details the demonstration project results and submit to appropriate journal.”
For FY2024 SEN Area 1 (AI/Data Quality), applicants must demonstrate familiarity with EO 14110 (Executive Order on Safe, Secure, and Trustworthy Development and Use of AI), ONC HTI-1 final rule (speci
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“Applicant and their proposed project team must demonstrate familiarity with an understanding of the following: The EO 14110, the Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence; The ONC HTI-1 final rule, specifically the requirements for Predictive DSI; Experience evaluating and developing improvement strategies for data quality; Experience in developing and deploying AI tools using data derived from EHRs”
For FY2024 SEN Area 2 (Behavioral Health), applicants must demonstrate familiarity with health IT standards and health IT technology (content and exchange standards, implementation specifications), be
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“Applicants and their proposed team must demonstrate familiarity with the following: Health IT standards and health IT technology including content and exchange standards and implementation specifications; Behavioral healthcare systems and technology; Behavioral healthcare settings and their interoperability gaps and needs”
For FY2025 SEN Area 1 (FHIR Subscriptions), applicants must demonstrate experience with developing applications using HL7 FHIR Release 4.0.1, familiarity with FHIR Subscriptions capability, experience
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“Applicant and their proposed project team should demonstrate familiarity with and understanding of the following: Experience with developing applications using HL7® FHIR® Release 4.0.1. Familiarity with HL7® FHIR® Subscriptions capability. Experience with engaging health IT standards community. Experience with developing patient-facing apps using HL7® FHIR®”
For FY2025 SEN Area 1 (FHIR Subscriptions), the technical solution must include at least one use case that demonstrates beneficial interactive exchange with third-party client applications over query-
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“The technical solution must include at least one use case that demonstrates beneficial interactive exchange with third-party client applications over query-based exchange.”
For FY2025 SEN Area 2 (TEFCA/IAS), applicants must describe in detail one or more technical barriers currently impeding entities that could be IAS Providers from participating in TEFCA or offering IAS
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“Describe in detail one or more technical barriers currently impeding entities that could be IAS Providers from participating in TEFCA; or that impede QHINs, Participants, or Subparticipants from becoming IAS Providers and offering IAS services to individuals; or both.”
For FY2025 SEN Area 2 (TEFCA/IAS), applicants must identify an approach to improve IAS exchange while adhering to data security and privacy standards, including ensuring consistency for covered entiti
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“Identify an approach to improve IAS exchange while adhering to data security and privacy standards, including ensuring consistency for covered entities' compliance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule where applicable, its implementing regulations, and other relevant regulations.”
Recipients must report to the Federal Subaward Reporting System (FSRS) at www.fsrs.gov on all sub-awards over $25,000.
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“All recipients of ONC grants and cooperative agreements are required to report to the Federal Subaward Reporting System (FSRS) available at www.fsrs.gov on all sub-awards over $25,000.”
Recipients with Federal contracts, grants, and cooperative agreement awards from all Federal awarding agencies with a cumulative total value greater than $10,000,000 must maintain currency of informat
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“Recipients that have Federal contracts, grants, and cooperative agreement awards from all Federal awarding agencies with a cumulative total value greater than $10,000,000 shall maintain the currency of information reported to the System for Award Management (SAM) that is made available in the designated integrity and performance system (currently FAPIIS), any information about criminal, civil, and administrative proceedings that reached its final disposition during the most recent five-year peri”
Recipients must ensure that any material meant for public release developed by ONC funding is in compliance with Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d) to be accessible to peop
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“ONC requires its recipients to ensure that any material meant for public release developed by way of ONC funding is in compliance with Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d) accessible to people with disabilities.”
Recipients must implement, acquire, upgrade, or utilize health information technology certified under the ONC Health IT Certification Program if certified technology can support the activity and such
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“For grants or cooperative agreements where funding will be used to implement, acquire, upgrade, or utilize health information technology for activities involving health care providers in ambulatory or hospital settings (as such health care providers are defined as eligible under Sections 4101, 4102 and 4201 of the HITECH Act), the recipient must implement, acquire, upgrade, or utilize health information technology certified under the ONC Health IT Certification Program if certified technology ca”
Recipients must implement, acquire, upgrade, or utilize health information technology that meets standards and implementation specifications adopted under section 3004 of the Public Health Service Act
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“For all grants or cooperative agreement activities involving the adoption or use of health information technology standards and systems, or the interoperability (as defined 45 C.F.R. 170.102) of health information technology, the recipient must implement, acquire, upgrade, or utilize health information technology that meets standards and implementation specifications adopted under section 3004 of the Public Health Service Act (PHSA) (identified in 45 CFR Part 170, Subpart B "Standards and Implem”