Tracking Electronic Health Record Adoption and Capturing Related Insights in U.S. Hospitals


Significant federal investments to accelerate the adoption of electronic health records and exchange of clinical data are now in place. It is critical to continue to track the adoption of electronic health records and related attitudes and insights to: (1) ascertaub tge status of adoption and evaluate existing and proposed policy decisions; (2) evaluate the impact of ONC programs and realted incentives for meaningful use; and (3) make resources available to ONC and external researchers to assess the effects of health IT adoption and exchange on key aspects of care, such as quality and efficiency. The data generated under this funding opportunity will enable ONC and researchers to carry out these important activities for inpatient settings.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Agency: Department of Health and Human Services
Office: Office of the Secretary
Type(s) of Assistance Offered
Cooperative Agreements
Program Accomplishments
Fiscal Year 2014: Survey Data with 60% response rate. Fiscal Year 2015: No Current Data Available Fiscal Year 2016: No Current Data Available
Consolidated and Further Continuing Appropriations Act, 2015, Pub. L. No. 113-235, Division G, Title II, and Title XXX, §§ 3001 (c)(2) and 3011 of the Public Health Service Act.
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
This is a non-competitive funding opportunity and is restricted to a designated organization. Organizations not designated as such are not eligible to apply for this opportunity, and therefore should not submit an application. Applications submitted by organizations not designated below will not be considered. The designated organization for this opportunity is the American Hospital Association (AHA).
Beneficiary Eligibility
The beneficiaries will include the Office of the National Coordinator for Health Information Technology, the American Hospital Association, and any researchers or members of the general public interested in survey data on the adoption and use of health information technology by U.S. hospitals.
No Credentials or documentation are required. This program is excluded from coverage under 2 CFR 200, Subpart E - Cost Principles.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.
Award Procedure
The Notice of Grant Award (NGA) is signed by the ONC Grants Management Officer. The successful applicants’ Authorized Representatives will receive the NGA electronically from ONC. The NGA is considered the official authorizing award document.

The NGA will include amount of funds awarded, the terms and conditions of the cooperative agreement, the effective date of the award, the budget period for which support will be given, the total project period timeframe, and the total approved budget.
Sep 10, 2015
Approval/Disapproval Decision Time
From 60 to 90 days.
Not Applicable.
Renewals will be available if the Office of the Coordinator for Health Information Technology continues to report on hospital adoption and use of health information technology using these survey methods, and continues to be satisfied with the quality of the output.
How are proposals selected?
The American Hospital Association (AHA) has an ongoing data collection effort in place designed to capture information on the adoption of and attitudes towards electronic health records in U.S. hospitals. Since 2008, the Office of the National Coordinator for Health Information Technology has supported the data collection and acquired the resulting data through a single-source cooperative agreement.

AHA is uniquely situated to successfully carry out the kind of survey work that they have done with NIH and ONC in the past. The Information Technology Survey currently reaches every non-federal acute care hospital in the U.S. The Survey is a separate collection effort from the Association’s general census tracking survey project that has been conducted continuously since 1946. Over this time span, the general census tracking survey has enjoyed an average response rate in excess of 85 percent. Such a high level of response is exceptional for a voluntary survey that includes both member and non-member hospitals. Building on the success of the general survey, the response rates for the Information Technology Survey have exceeded 60 percent each year since its inception, an exemplary response rate for a comparatively newer data collection effort.

As the leading acute care hospital membership organization (approximately 80 percent of non-federal acute care hospitals are members), the AHA is uniquely suited to build on the response rate successes of prior years. Its credibility and reputation as a hospital advocacy and research center are unmatched by any other organization. In addition, the AHA has more than 60 years experience in survey development and design and effective data collection through mail-based, and now Internet-based, efforts.

With regard to government performance reporting and policy-making, the AHA’s Information Technology Survey is the only known source that tracks key performance measures regarding IT use in hospitals, such as the presence of a “basic” EHR as defined in Jha et al. 2009. In addition, no other existing data collection effort has the capability to track the same specific functionalities currently included in meaningful use or specific functionalities currently under consideration for inclusion in future stages of the program. Sound policy decisions on what functionalities to require under meaningful use is helped substantially by a solid understanding of their current adoption status. ONC’s ability to have input on the content of the Information Technology Survey instrument to measure current and proposed meaningful use functionalities is critical to informing and evaluating these policy decisions. For these reasons, ONC believes a sufficient basis exists to limit this funding opportunity to a sole source cooperative agreement with the AHA for a project period of 24 months over FFYs 2016 and 2017.
How may assistance be used?
Contract, Subgrants. Funds under this announcement cannot be used for the following purposes:
•To supplant or replace current public or private funding.
•To supplant on-going 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.
•Indirect costs should not exceed 8% of direct costs. FY15 ONC Appropriations.
What are the requirements after being awarded this opportunity?
Reports will be developed by ONC Staff prior to award. Federal Financial Report-Cash Transaction Reports are required quarterly in the Payment Management System. Reports will be developed by ONC Staff prior to award. Federal Financial Reports SF-425 are due semi-annually. Reports will be developed by ONC Staff prior to award.
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.
No Data Available.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formulas are not applicable to this program.
This program has no matching requirements.
This program does not have MOE requirements.
Length and Time Phasing of Assistance
Funds will be available through the period of performance. Method of awarding/releasing assistance: lump sum.
Who do I contact about this opportunity?
Regional or Local Office
Headquarters Office
Carmel Halloun 330 C Street SW, Washington , District of Columbia 20201 Email: Phone: 2027202919
Website Address
No Data Available
Financial Information
Account Identification
(Salaries) FY 14 Not Separately Identifiable; FY 15 est $102,000; and FY 16 est $102,000
Range and Average of Financial Assistance
No Data Available.
Regulations, Guidelines and Literature
2 CFR 200 Subparts B through D and F
Examples of Funded Projects
Not Applicable.


Federal Grants Resources