The Host and Innovator co-applicants must discuss and agree upon the pilot project design prior to submitting an application. Applications for the 2015 program are now closed. 

We encourage you to preview the application in its entirety to ensure you have the information prepared. 

The Host and innovator are asked to submit a joint proposal with the following submission elements:

1. General Information about innovator and host

Contact information, Company office address
Annual revenue, amount of capital raised and type of investors
Number of full and part-time employees 
How did the innovator and host partnership arise?

2. Technology solution of innovator

What problem or unmet need is your technology or innovation designed to address and how does it go about it?
How does this differ from other solutions?
What measurements would illuminate the impact and outcomes of use of your technology, and over what timeframe?
Tell us more about your technology solution.
What is your business model?
What results would a customer need to see to justify their investment in your product?

3. Demo video of innovator product

3 minutes max uploaded publicly or privately to Youtube or Vimeo. Please provide password for private video.

4. Overview of Pilot Proposal addressing the following questions:

What is your proposed pilot and why is it important? 
What is the scale of your pilot? (e.g. how many participants will take part in the pilot)
What is your target patient or consumer population and why?
What is your proposed timeline and implementation plan?
Will the pilot involve one cycle of testing or multiple cycles?
What resources will be required to implement your pilot?
What are the proposed roles/responsibilities for the Innovator and the Host? (e.g. patient recruitment, data analysis)
During the pilot, what will you be measuring on a regular basis and with what frequency?
What are your concrete metrics for success in the pilot? (e.g. Costs reduced, increased adherence, reduced readmissions, staff efficiencies)
What challenges or risks do you foresee?
Does your pilot require IRB approval? Please describe plan and timeline.

5. Budget overview (description and Excel sheet)

6. What is the total cost of your proposed pilot?

What are the contributions to be made by the Innovator and Host (resources, technology, staff time and involvement, other costs)?
Characterize the cost and complexity of your pilot. Are host and innovator devoting major resources to develop new systems/ integrate into existing systems, or are you collaborating to distribute a finished product?   
To what extent do you believe additional funding will be required for subsequent pilots or phases of your pilot (if applicable)?
How will you allocate the funding received from the ONC between host and innovator if chosen?

7. Slide deck of Pilot Proposal

Summary of Pilot Project in Slidedeck format (include all elements from the Pilot Proposal overview)
10 slides max, PDF format

8. Resume of Primary Contact (Innovator)

9. Letter of Support from Host Organization

In order for an Innovator’s application to be eligible to win this Challenge, it must meet the following requirements:

  • No HHS or ONC logo – The product must not use HHS’ or ONC’s logos or official seals and must not claim endorsement.
  • Functionality/Accuracy – A product may be disqualified if it fails to function as expressed in the description provided by the user, or if it provides inaccurate or incomplete information.
  • Security – Submissions must be free of malware. Contestant agrees that ONC may conduct testing on the product to determine whether malware or other security threats may be present. ONC may disqualify the product if, in ONC’s judgment, the app may damage government or others’ equipment or operating environment.