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RCHN CHF Population Health Initiative Grant

RCHN Community Health Foundation

Grant amount: Approximately US $125,000

Deadline: The deadline for this grant has passed

Applicant type: Nonprofit Government Entity

Funding uses: Education / Outreach, Applied Project / Program

Location of project: United States

Location of residency: United States


About the Foundation

Formed in 2005, the RCHN Community Health Foundation (“RCHN CHF” or the “Foundation”) is a private, not-for-profit foundation established to support community health centers (“CHCs”) through policy research, outreach, education, and strategic investment. RCHN CHF is the only foundation in the U.S. dedicated solely to CHCs – the local, non-profit, community-governed health care providers that offer comprehensive primary and preventive care to underserved populations. RCHN CHF works to address community health centers’ primary challenges and establish opportunities to sustain health centers in the future.

Population Health Initiative

The RCHN Community Health Foundation is pleased to announce a new grant program in support of population health management. Community health centers, designated look-alikes and primary care associations are eligible to apply for this award. The Foundation expects to fund five (5) awards under this program, with an approximate amount of $125,000 per award. 


The term “population health” has become prominent in health policy since its inclusion in The Triple Aim. Population health management in an essential element in two major, closely related areas of health reform: clinical practice transformation and health system transformation, including payment reform. States and the federal government recognize that primary care is the foundation for transformation of both the care delivery system and supportive payment reforms that generate improved quality of care and control costs. Given the current healthcare landscape and the rapid evolution of health reform at the state and national levels, successful health centers will require capacity for strong population health management that is sustainable and improves over time to keep pace with health reforms and pressures from the marketplace.

Description of Funding Opportunity

Given the current healthcare landscape and the rapid evolution of health reform at the state and national levels, successful health centers will require capacity for strong population health management that is sustainable and improves over time to keep pace with health reforms and pressures from the marketplace. Building on the Foundation’s experience over the past several years, this RCHN CHF initiative will support community health center and PCA proposals to develop and implement programs focused on population health management. The Foundation seeks to identify and support a representative and committed group of health center grantees and partners that are planning or are engaged in local or state initiatives to engage in “health neighborhoods” that support systems for population health management, while also addressing local, upstream causes of health disparities. We aim to identify and disseminate a spectrum of best practices that may be adapted by most health center organizations to help accelerate health center progress, while building upon past and current initiatives and addressing remaining gaps for health centers at the local and national levels.

Fundable proposals must include the following four elements:

  • Target Condition or Health Services Situation – Identify and describe a target clinical condition, preventive care issue or the health services utilization situation as the target for this proposal. Discuss why this is important to your community, and the major social determinants that may be associated with this condition or health services utilization pattern in your community. If the target is a clinical condition, describe the nationally-recognized performance measures (e.g. UDS clinical measures, HEDIS measures. other) that are associated with this condition. If the target is a utilization situation such as high ED utilization or high readmission rates, describe the source of the readily available data related to this situation.
  • Population of Focus
    • Describe the population of focus for the selected condition or situation (i.e. registered patients only, patients in designated health plan, residents of a designated geographic area, etc.). Describe what is currently known about target condition or situation in your population of focus.
    • Describe which social determinants of health are important factors influencing the selected condition or utilization pattern in the target population.
  • Intervention – Propose an evidence-informed intervention addressing the role of multiple partners in a coordinated approach to the selected condition or situation. Include at least one approach to address one or more social determinants related to the clinical condition or the utilization situation. If the target is a clinical condition, discuss the management of at least one related prevention strategy as applicable as well as the coordinated approach for ongoing care management. If the target is a services utilization situation (i.e. ED over-utilization, high readmission rate, etc.) describe the proposed intervention among the key stakeholder partners, i.e. health center, health department, hospital, health plan, payor partners, etc.
  • Partnerships – Briefly describe the designated partnerships that support the grant activities and promote the objectives of both sharing knowledge and strengthening strategies to expand and sustain population health capacity. This can either be taking one or more existing partnerships to the next level, or providing evidence of one or more viable new partnerships with documented agreements to collaborate, as may be evidenced by data collection and timely sharing of patient population information for care coordination, etc. These partners may include Health Center Controlled Networks (HCCNs), Regional Extension Centers (RECs) or other organizations engaged in supporting CHC adoption and implementation of HIT to support quality improvement.

Award Information

The Foundation expects to fund five (5) awards under this program, with grant awards of approximately $125,000 per award, including up to 10% for indirect costs. Requests should not exceed $125,000. The Foundation anticipates making these awards for single year funding. Grantees that fulfill year one requirements may be funded for a second year to bring ideas to scale or replicate interventions at additional sites.

You can learn more about this opportunity by visiting the funder's website.


  • Entities that are currently designated by the HHS’ Health Resources and Services Administration’s (“HRSA’s”) Bureau of Primary Health Care as federally-qualified health centers (“FQHCs”) or FQHC Look-Alikes, as well as state or regional Primary Care Associations (PCAs) are solely eligible to receive these awards.
    • PCAs are required to subgrant to FQHCs or FQHC-Look-Alikes a portion of any project award. 
  • FQHC applicants must document that the entity is currently ‘in good standing’ as a FQHC with the Bureau of Primary Health Care by attaching a copy of the most recent Notice of Grant Award from HRSA or as a Look-Alike by attaching a copy of the current Designation Letter from HRSA. 
  • To meet the Foundation’s funding requirements, all applicants must also submit proof of their federal tax exemption as 501(c)(3) tax exempt not-for-profit organizations. 
  • Please note that while the applicant must be a designated FQHC, Look-Alike, or state/regional PCA working with FQHCs or Look-Alikes, the Foundation is seeking collaborative proposals.
    • Applicants should include other entities in the proposed project, such as other health centers, or public health agencies, hospitals or managed care organizations.  


  • While we recognize that some organizations projects may require facility development in support of population health management initiatives, this LOI is not geared toward capital, facilities, or significant infrastructure needs, or toward initiatives focused strictly on data analysis.

About this funder:

View past grantees & full 990 summary