Transcript Community Health Center Grant Program Technical Assistance

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Pass code 8618357
RFAs available online at:
http://www.dhhs.state.nc.us/orhcc/partners/fundingops.htm
http://www.nciom.org/ (under What’s New)
Community Health Center Grant Program
Technical Assistance Webinar
NC Office of Rural Health & Community Care
October 15, 2009
WHO CAN APPLY
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AHEC clinics
CCNC networks
FQHCs
Free clinics
Health departments
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Hospitals
Rural health clinics
School-based/linked
health centers
Other non-profit
community
organizations
AVAILABLE GRANTS
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Program grants
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Medical Access Plan (MAP) grants
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An organization may apply for both a
program grant and a MAP grant
Capital-only grants are
NOT available this funding cycle
DEADLINES
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Postmarked
Tuesday, November 17, 2009
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Received
5:00 p.m. Friday, November 20, 2009
Track your package!
ORH staff cannot confirm receipt of applications
APPLICATION PACKET
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5 copies of the grant application – 1 original and
4 copies
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1 copy of most recent audit* - do not send
multiple copies
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1 copy of IRS letter verifying tax exempt
status* - do not send multiple copies
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Stapled or binder clipped – no folders, binding,
notebooks, etc.
* Health departments/districts do not submit
LETTERS OF SUPPORT
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Required – will lose 10 points if not provided
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Limit of 5 letters
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MUST be included with the grant application
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Do NOT send separately to ORH – these will
not be considered during the review process
NCIOM
SAFETY NET PROVIDER SURVEY
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Report the date for the most recent review or
update of information
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For more information, contact:
Kimberly Alexander-Bratcher
919-401-6599 ext. 26
[email protected]
Points are deducted if your organization’s information is not up-to-date.
REQUIRED FORMS
Use the forms provided with the current RFAs
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Organizational Information & Signature Sheet
Summary of Evaluation Criteria & Baseline Data
Budget Template
Not using these forms or using out-dated forms
will result in a mandatory point deduction
Medical Access Plan (MAP) Grants
MAP GRANT ELIGIBILITY
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Non-profit
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Provide comprehensive primary care services
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Do not receive federal or state funding for
indigent care for targeted delivery site
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Accept Medicare and Medicaid
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Bill patients and insurance companies
Confirm eligibility with Parcheul Harris at 919-733-2040
MAP GRANT MAXIMUM
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$25,000 Year 1 January 2010 - June 2010
If funding is available and grantee meets performance measures:
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$50,000 Year 2 July 2010 – June 2011
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$50,000 Year 3 July 2011 – June 2012
Program Grants
FUNDING PRIORITIES
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Maximum of 1 Program Grant will be funded
in a service area / county
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Clearly define service area for the proposed
project in the grant narrative
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Encourage partnership, collaboration, and
effective use of limited resources
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Joint-Organization application option
ELIGIBLE PROJECTS
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Increase access to primary and preventative
MEDICAL care
Not Eligible
 Dental
 Pharmaceutical services
 Behavioral / mental health*
* MEDICAL component of integrated medical-mental health initiatives is eligible;
mental health component is not eligible.
OTHER RESTRICTIONS
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Funds must be used at the physical location
where primary care is provided
Funds CANNOT be used for:
 Emergency department, hospital inpatient, or
specialty clinic projects
 Purchase or lease of vehicles
 Paying down existing mortgages or loans
JOINT-ORGANIZATION APPLICATIONS
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One application – partners do NOT submit separate
applications
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Designated fiduciary agent – organization that
submits application
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May subcontract with partner organizations
Responsible for all reporting requirements
Cannot be just a pass-through agency; must be
an active partner
JOINT-ORGANIZATION APPLICATIONS
Partner Responsibilities
 Have a clearly defined role
 Contribute resources to the project
 Provide data/information for evaluation
 Write letter of support clearing stating
organization’s support and describing roles
and responsibilities *
* Fiduciary agent does not write letter of support but describes role / responsibilities in
grant narrative.
JOINT-ORGANIZATION APPLICATIONS
Organizations with Multiple Service Areas
 Fiduciary agent for only 1 grant
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May be the fiduciary agent for one grant and
be a partner agency (but not lead) on a
separate joint-org application.
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May participate in only 1 grant application per
service area
Descriptions of service areas will be reviewed for reasonableness
PROGRAM GRANT MAXIMUM
Year 1 January-December 2010
 Solo-Organization Application = $125,000
 Joint-Organization Application = $175,000
If funding is available and grantee meets performance measures:
Years 2 & 3
 Year 1 Grant Award less Capital Expense
(capital is one-time only)
CAPITAL REQUESTS
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Must be directly related to proposed project
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One-time only – not included in continuation funding
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Quotes required IF:
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Item costs $5,000 or greater
Building/facility modification or renovation (any amount)
Quotes placed in an appendix and included
with each copy of the application
ORGANIZATIONAL INFORMATION
& SIGNATURE SHEET
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Organization Name through Organization
Type provide fiduciary agent information if
joint-org application
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Rural/urban designation of physical location
where funds will be used (Instructions Appendix II)
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Joint-Organization application provide
names/address of co-applicants
ORGANIZATIONAL INFORMATION
& SIGNATURE SHEET
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Summary of Request – be brief, one to two
sentences
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Contact Person – someone who can answer
questions about the application
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Submitted By – signed by person authorized
to enter into contracts for the organization
SUMMARY OF EVALUATION
CRITERIA & BASELINE DATA
Section I
 Must be unduplicated patients not visits (see
Instructions Appendix I)
Section II
 Measurable
 Criteria’s baseline and target must use the same
unit of measurement
 One criteria must address how project affects
population and/or community need as described in
narrative
GRANT NARRATIVE
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Maximum 8 pages excluding forms and
appendices – 12 point font and 1 inch margins
Appendices
 Do not count towards the page limit
 Must be included with each copy of the
application
 Letters of support
 Capital item quotes (if needed)
GRANT NARRATIVE
Section II Community Need
 Incidence of poverty
 Other relevant demographic, health-status,
and community data
 Citations/references required for data
GRANT NARRATIVE
Section III Project Description
 Be clear
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Number of uninsured persons served
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After-hours care
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Implementation timeline
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Capital request – what and how it will support the
proposed project
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Joint-Org application – description of partners roles
and resources committed
GRANT NARRATIVE
Section IV Return on Investment
 Part A – pull patient numbers directly from
Summary of Evaluation Criteria & Baseline
Data form
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Part B – describe anticipated cost savings,
improved health status, or other reasons the
project is a good use of state monies
GRANT NARRATIVE
Section VI Collaboration & Community Support
 Maximum 5 letters of support
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Joint-Org application each partner (excluding fiduciary
agent) must provide letter of support
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If no direct collaboration for proposed project
describe current partnerships with other
community providers or agencies
GRANT NARRATIVE
Section VII Project Evaluation
 Part A – date of safety-net survey update
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Part B
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Must be completed in addition to Summary of
Evaluation Criteria & Baseline Data form
Explain evaluation criteria
Identify factors that may negatively impact ability
to meet targets and describe how these factors
could be addressed
BUDGET TEMPLATE
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Project specific
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Time frame January – December 2010
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Column A – community health grant revenue
and expenses covered by grant
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Column B – all other funding and any
expenses not covered by community health
grant
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Column C - total
BUDGET TEMPLATE
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Staffing – enter FTEs for each position type
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Temp/Contract Staff – enter hours per month
for each position type
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Capital expenses – must tie back to project
description
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Report total number of new FTEs that will be
created as result of community health grant
EXTRAORDINARY HARDSHIP GRANTS
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Very Rare
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Grant to address an IMMEDIATE threat to
access to care that can be addressed by a
ONE-TIME infusion of funds.
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Maximum grant $125,000 – not eligible for
continuation grant funding
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Solo organization application
EXTRAORDINARY HARDSHIP GRANTS
Additional Grant Application Requirements
 Income statements and balance sheets
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Data on number of patients impacted
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Detailed sustainability plan that addresses
additional funding sources and potential for
partnering with other organizations to meet
community need
See Instructions for more requirements and details
FOR MORE INFORMATION
Andrea D. Radford, DrPH, MHA
Email: [email protected]
Voice mail message: 919-966-7922
QUESTIONS
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