Building Island Health Data System Capacity in the Virgin Islands

GrantID: 74235

Grant Funding Amount Low: Open

Deadline: Ongoing

Grant Amount High: Open

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Summary

Those working in Financial Assistance and located in Virgin Islands may meet the eligibility criteria for this grant. To browse other funding opportunities suited to your focus areas, visit The Grant Portal and try the Search Grant tool.

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Grant Overview

Capacity Gaps in the US Virgin Islands Health Data Infrastructure

The US Virgin Islands maintains only two acute-care hospitals serving a combined population of approximately 100,000 residents across St. Croix, St. Thomas, and St. John. Current electronic health record systems operate on separate platforms with no territorial data exchange standard, resulting in duplicate laboratory testing rates estimated at 18 percent. These constraints limit the territory's ability to produce unified disease incidence reports required for CDC grant compliance.

Workforce constraints include a 35 percent vacancy rate for health informatics specialists, with most data management performed by nurses diverted from clinical duties. Broadband coverage reaches 78 percent of households on St. Thomas but drops to 41 percent on St. Croix's rural east end, complicating real-time surveillance submissions. Transportation between islands relies on daily ferries that experience 12 percent weather-related cancellations during hurricane season.

Readiness requirements mandate that applicant organizations already operate a minimum 24-month data collection pilot covering at least two reportable conditions tracked by the Virgin Islands Department of Health. Proposals must include letters from the territorial legislature confirming budget line items for ongoing server maintenance after the grant period ends. International applicants receive consideration only when paired with a local entity that holds active business licenses in the territory.

US Virgin Islands Demographic and Geographic Data Constraints

Population density varies sharply, from 634 persons per square mile on St. Thomas to 184 on St. Croix, requiring sampling frames that account for inter-island migration patterns documented in the 2020 census. Age distribution shows 22 percent of residents over 65, elevating priority for chronic disease modules within any new surveillance system.

Unlike neighboring Puerto Rico applications, the Virgin Islands requires explicit accounting for the absence of a medical school and consequent dependence on contract physicians from the mainland whose credentialing data must be integrated into the system.

Infrastructure Requirements for Territory-Wide Implementation

Any data system must interface with existing vital records maintained by the USVI Supreme Court and accommodate the territory's separate Medicaid managed care contracts. Applicants demonstrate readiness through submission of de-identified test files formatted to the current HL7 standards used by the two hospitals. Capacity assessments prioritize entities that already lease server space in Miami colocation facilities to mitigate hurricane-related power failures.

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