Transcript FY 15 NAP FOA TA Slides

FY 2015
New Access Point (NAP)
Funding Opportunity Announcement
HRSA-15-016
Objective Review Committee
Health Resources and Services Administration
Department of Health and Human Services
NAP TA Website:
http://www.hrsa.gov/grants/apply/assistance/nap
Agenda
1. Overview
• Health Center Program
• New Access Point Funding Opportunity
• Eligibility
2. Application Components and Review
• Project Narrative and Review Criteria
• One-Time Funding
• Summary Page
• Funding Priorities
3. Reviewer Website Resources and Reminders
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Overview
NAP is a competitive funding opportunity for
operational support for new primary care service
delivery site(s) under the Health Center
Program.
Goals: Increase access to comprehensive
primary health care services and improve the
health status of underserved and vulnerable
populations.
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Overview
The Health Center Program
The Health Center Program provides grant
support to organizations that serve designated
medically underserved areas/populations or
special populations comprised of migratory and
seasonal agricultural workers, homeless
individuals and families, or residents of public
housing.
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Overview
The Health Center Program
• Health Center Program grantees must provide
primary care services to all, regardless of their
ability to pay.
• Health Center Program grantees are expected
to comply with the 19 program requirements
included as Appendix F in the NAP funding
opportunity announcement (FOA).
• Requirements are divided into four categories:
► Need
► Management & Finance
► Services
► Governance
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Answer to Poll Question #1
A reviewer must check the following for
demonstration of compliance with the program
requirements:
• The Program Narrative
• The Forms (Form 9: Need for Assistance
Worksheet)
• The Attachments (Attachment 2:
Implementation Plan)
All of the above
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Overview
NAP Highlights
• What is a New Access Point (NAP)?
– A new service delivery site for the provision
of comprehensive primary and preventive
medical health care services
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Overview
NAP Highlights
• Two types of NAP applicants:
– New Starts - Organizations not currently
receiving Health Center Program funding
– Satellites - Organizations currently receiving
Health Center Program funding that are
proposing to establish new service delivery
site(s)
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Answer to Poll Question #2
The NAP application must propose:
• New health centers that will open within 120
days of award
• A satellite site for an existing health center
• Dental, mental health, or primary medical
health care site
One or more health center sites that
provide comprehensive primary medical
care, regardless if they are already
operational or will be open within 120 days
of award.
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Overview
Types of Health Centers
Applicants may request funding to serve any
combination of populations based on the proposed
service area’s needs.
• Community Health Centers (CHC, section 330(e))
serve the general underserved population
• Migrant Health Centers (MHC, section 330(g))
serve migratory and seasonal agricultural workers
and their families
• Health Care for the Homeless (HCH, section
330(h)) serve homeless individuals and families
• Public Housing Primary Care (PHPC, section
330(i)) serve residents of public housing
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Overview
Special Populations
• Applicants proposing to serve special
population(s) must address additional, specific
program requirements.
– MHC, HCH, and PHPC applicants must
ensure availability and accessibility of
required services to the special population
group.
– HCH applicants must provide substance
abuse services.
– PHPC applicants must consult with public
housing residents on the planning and
administration of the program.
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Answer to Poll Question #3
Applicants requesting funding for public housing
primary care must:
• Demonstrate that they consulted with public
housing residents to be served in the development
of the application
• Propose a NAP site that is easily-accessible to
public housing residents
• Submit a letter of support from the public housing
authority or resident organization
• Have public housing residents on the board of
directors, or a plan to recruit them
All of the above
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Eligibility
• An applicant cannot apply on behalf of another
organization.
• An applicant must propose at least one
permanent service delivery site that provides
comprehensive primary medical care as its
main purpose and operates for at least 40
hours per week.
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Eligibility
The proposed NAP project (across all sites)
must:
• Provide comprehensive primary medical care
as its main purpose.
• Provide services without regard for ability to
pay.
• Ensure access to services for all individuals in
the service area (e.g., cannot focus on a single
age group, racial/ethnic group, or health
issue).
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Application Components
Project Narrative
Attachments
Program Specific Forms
Need
Att. 1: Service Area Map and Table
Form 4: Community Characteristics
Form 9: Need for Assistance
Response
Att. 2: Implementation Plan
Att. 7: Summary of Contracts and
Agreements
Att. 11: Sliding Fee Discount Schedule
Form 1A: General Information
Form 2: Staffing Profile
Form 5A: Services Provided
Form5B: Service Sites
Form 5C: Other Activities
Collaboration
Att. 10: Letters of Support
Evaluative Measures
Resources and
Capabilities
Governance
Support Requested
Performance Measures
Att. 3: Organizational Chart
Att. 4-5: Position Descriptions/Bio Sketches
Att. 8: Independent Financial Audit
Att. 13: Floor Plans
Att. 6: Co-Applicant Agreement
Att. 9: Articles of Incorporation
Att. 14: Bylaws
Budget Justification
Form 8: Health Center Agreements
Form 10: Emergency Preparedness
Form 1C: Documents on File
Form 6A: Board Members
Form 12: Organization Contacts
Form 1B: Funding Request
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Form 3: Income Analysis
Application Review
• Base the review on the review criteria and
health center program requirements
• Give credit for information provided in any part
of the application
• Cross reference narrative, forms, and
attachments
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Answer to Poll Question #4
If information is missing from Attachment 2, the
Implementation Plan, I can remove points and
add weaknesses:
• In the Response section
• In the Resources/Capabilities section
• In the Governance section
In any/all of the above
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Project Narrative /Review Criteria
• Need (10 points)
• Response (20 points)
• Collaboration (10 points)
• Evaluative Measures (5 points)
• Resources/Capabilities (15 points)
• Governance (10 points)
• Support Requested (10 points)
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Need
Need (30 points)
• Reviewers score up to 10 points
• 20 points determined by the NFA worksheet
• The narrative response should be consistent
with data provided in:
– Form 9: NFA Worksheet
– Form 4: Community Characteristics
– Form 1A: General Information Worksheet
(patient numbers and population types)
– Attachment 1: Service Area Map and Table
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Response
Response (20 points)
• Ensure the proposed NAP project will comply
with the Health Center Program requirements
• Implementation Plan (Attachment 2) must
demonstrate all proposed NAP sites will be
open, operational, and compliant with Health
Center Program Requirements within 120
days of the NAP award
• Related documents:
– Attachments 1, 2, 7, and 11
– Forms 1A, 2, 5A, 5B, and 5C
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Answer to Poll Question #5
If the applicant proposes a single site that is
described inconsistently throughout the
application (e.g., in some places it appears that
it will be open 40 hours a week and in other
places it is described as open only 20 hours a
week), I should:
Write weakness statements for the
inconsistent information and score
accordingly
Write weakness statements for
compliance with the 40 hour a week
requirement and score accordingly
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Collaboration
Collaboration (10 points)
• The narrative and attachments must
demonstrate collaboration between providers
within the service area (Attachment 1)
• If required letters of support are not provided,
applicants must document attempts to secure
letters and explain why they are not provided
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Collaboration Letters
Required letters of support (Attachment 10):
• State Health Department /Primary Care Office
• State Medicaid Agency
• Organizations that are located in the service
area or in close proximity of the NAP site:
– Health centers
– Rural health clinics
– Critical access hospitals
– Health departments
– Primary care providers and community
organizations serving target population
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Evaluative Measures
Evaluative Measures (5 points)
• The narrative and performance measures
forms must demonstrate realistic goals and
evaluation planning
• Clinical and Financial Performance Measures
serve as ongoing monitoring and performance
improvement tools.
– Clinical – 16 required measures
– Financial – 5 required measures
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Answer to Poll Question #6
If an applicant does not provide text in the
Program Narrative for #1 (Clinical Performance
Measures) and #2 (Financial Performance
Measures), I should:
Review the Performance Measure
forms to ensure that they are complete and
consider information presented there when
scoring
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Resources/Capabilities
Resources/Capabilities (15 points)
• Demonstrate the organizational capacity and
experience to successfully open and operate all
proposed NAP sites within 120 days of the NAP
award.
• Related documents:
– Attachments 2-8 and 13
– Forms 1A, 2, 5B, 8, and 10
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Governance
Governance (10 points)
• The application must document how the
organization and its board are compliant with
the Health Center Program governance
requirements
• The narrative response should be consistent
with Forms 1C, 4, 6A, and 8; Attachments 6, 9,
and 14
• Governance requirements do not apply to
health centers operated by Indian tribes, tribal
groups, or Indian organizations
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Answer to Poll Question #7
Health center governing board members must:
• Measure and evaluate the organization’s
progress and performance
• Meet monthly
• Be representative of the patient population
All of the above
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Support Requested
Support Requested (10 points)
• The budget must align with the service
delivery plan
• The budget justification must include a lineitem budget and narrative justification for each
year of the 2-year project period
• The narrative response should be consistent
with SF-424A Budget Information, Budget
Justification, Form 1B, Form 2, and Form 3
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One-Time Funding
• Applicants requesting one-time funding for
alteration and renovation must complete:
– Equipment List (as applicable)
– Alteration/Renovation Project Cover Page
– Other Requirements for Sites
– Environmental Information and
Documentation Checklist
– Alteration/Renovation Budget Justification
– Schematic Drawings
– Landlord Letter of Consent (as applicable)
– Attachments in these forms appear as links
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Summary Page
• The Summary Page provides at-a-glance review
of important information from various forms:
– proposed sites and service area zip codes
– funding requested, including one-time funding
– proposed number of patients to be served
and federal cost per patient
– NFA score
• Applicants must certify that all proposed sites
will be open and operational within 120 days of
award and that the projected number of patients
will be reached by December 31, 2016
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Funding Priorities
A funding priority is the favorable adjustment of
an application’s objective review score if specific
criteria are met.
1. Unserved, High Poverty (up to 15 points)
2. Sparsely Populated (5 points)
3. Health Center Program Look-Alikes (5 points)
Reviewers do not make the determination on
priority points. Applications will be automatically
assessed for these priorities.
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Reviewer Website Materials
• NAP Funding Opportunity Announcement
• Side by Side of Project Narrative and Review
Criteria
• HRSA Scoring Rubric
• Sample Summary Statements
• NAP Frequently Asked Questions
• NAP Application TA Website:
http://www.hrsa.gov/grants/apply/assistance/NAP
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HRSA Scoring Rubric
Total Point Value for a
Review Criterion
Outstanding
Very Good
Satisfactory
Marginal
Poor
5
10
15
20
5
10
15-14
20-19
4
9-8
13-12
18-16
3
7
11
15-14
2
6
10-9
13-12
1-0
5-0
8-0
11-0
Outstanding: All elements are clearly addressed, well
conceived, thoroughly developed, and well supported.
Documentation and required information are specific and
comprehensive.
Very Good: Elements are clearly addressed with
necessary detail and adequate support. Most
documentation and required information are specific and
sufficient.
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HRSA Scoring Rubric
Satisfactory: Elements are addressed, although some
do not contain necessary detail and/or support. Most
documentation and required information are present and
acceptable.
Marginal: Some elements are not addressed, and those
addressed do not contain necessary detail and/or
support. Some documentation and required information
are missing or deficient.
Poor : Few, if any, elements are addressed.
Documentation and required information are deficient or
omitted. Weaknesses identified will likely have
substantial effect on the applicant’s proposed project.
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Answer to Poll Question #8
The project narrative section required applicants
to answer 3 questions, referring to attachments
and forms. The applicant’s narrative answered
all 3 questions well. The attachments and forms
are inconsistent with the narrative response and
lack specifics. How would you score this
section?
Satisfactory
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Summary Statements
• For each review section, provide a numeric
score and corresponding strengths and
weaknesses
• Sample summary statement with strengths
and weaknesses on reviewer website
• Strengths and weaknesses need to be
accurate and provide value to the applicant as
feedback
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Answers to Poll Questions #9-10
Is this a good strength?
The sub-recipient or sub-contracted service site
demonstrates that the site will meet all
requirements of the RESPONSE section.
No
Is this a good weakness?
The applicant does not provide evaluative
measures.
No
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Final Reminders
• Know the FOA and program requirements
• Base your score on the Review Criteria
• Substantiate your score with strengths and
weaknesses
• Call on HRSA staff for clarification
– If application appears ineligible
– If forms do not appear in PDF
– If you cannot open links to documents on
Form 8 or A/R Forms
• Your effort is appreciated
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