Transcript Document 7117453

Community-Based and Rural
Health Grant Program
Technical Assistance
Workshop
Department of Health and Hospitals Bureau
of Primary Care and Rural Health
July 8, 2009
Baton Rouge, LA
TA Workshop Agenda
• Welcome & Overview of CBRHP
• CBRHP processes, eligibility, focal funding
areas
• CBRH program changes
• Budget, Organization Infrastructure
• Project Narrative
• Q&A
CBRH Program Overview
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About the CBRH program
BPCRH mission/priorities
Focal funding areas
Pertinent dates
Applicant eligibility
About the Community-based and
Rural Health grant program
• Funded annually via Legislative Appropriation
• Funding intent is to provide financial assistance
to rural and/or underserved areas to maintain,
enhance or expand access to community-based
primary and preventive health care services.
• Applicants demonstrate their project will address
identified gaps in services and has community
support
• Guidance and forms available on website
– www.pcrh.dhh.louisiana.gov
BPCRH Priorities
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Integrating local health care services
Developing strong community partnerships
Building local health care resources
Supporting effective clinical practices and
health care organizations
• Recruiting and retaining primary care providers
• Promoting relevant state and national health
policy
• Reducing health disparities
CBRHP Focal Funding Areas
• Applicants may apply for up to $75,000 to
fund a project that:
– Expands, enhances and/or strengthens
access to quality primary care services
– Enhances school based health center (SBHC)
capacity
• Projects designed for the sole purpose of
planning will not be considered
Expanding, Enhancing or Strengthening
Access to Primary Care Services (page 7)
• Development of primary care projects in
HPSAs, rural areas or other designated
eligible areas
• Funding may be used for
– Innovative project designs for service delivery
– Integrating health care services
– Development of new FQHCs, expanded
scope, expanded medical capacity, or FQHC
Look-alike
– Development of future service delivery
systems
Expanding, Enhancing or Strengthening
Access to Primary Care Services
Examples of projects that may be funded (page 7)
• Service integration projects
• Service delivery project of community networks
or collaborative efforts
• Information technology to facilitate quality
improvement and infrastructure
Funded FQHC development projects will have
requirements for federal grant submission and
additional reporting to the BPCRH
Enhancing School-based Health
Centers (page 8)
• Existing SBHC sites are eligible
• Collaboration with OPH Adolescent School
Health Program is required
• Funding may be used for
– Integrating or expanding health care services
– IT to facilitate QI and infrastructure
– software, training or educational events to
enhance SBHC sustainability or expand
scope of care
– integrating components of medical home
system of care
Pertinent Dates
• Letters of Intent requested by COB July 17
• Applications due at DHH by 5:00 p.m. July 31
• Objective Review Committee (ORC) reviews
applications and convenes to discuss
• Award Announcement targeted by September
30
• Grantees enter into contractual agreement
with BPCRH by end of October
• Site visits conducted
CBRHP Applicant Eligibility
• Public or non-profit health care provider
organizations located in rural areas, a federally
designated HPSA and/or area identified in Act
162 from the 2002 Legislative Session
– 501c3 documentation sufficient for most applicants
– Educational entities to provide other IRS
documentation
– hospital service districts can provide copy of statute
• Prior grantees are eligible if prior grant year
funds were used
Department of Health and
Hospitals Priorities 2009-10
Medical Home Policy Statement
American Academy of Pediatrics
Medical care of infants, children, and adolescents
should be accessible, continuous comprehensive,
family centered, coordinated, compassionate, and
culturally effective.
Louisiana Health Care Priorities
• Redesigning the state’s Medicaid program ($8
billion program)
• Focus on preventive health measures,
including coordinated care in appropriate and
less costly facilities, and incentives for health
care providers
• Provider Service Network (PSN)- Appendix A
DHH Priority:
Medical Home Model of Care
• Projects that demonstrate alignment with the
medical home model of care will be prioritized
for funding
• Components (page 6)
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Evidence-based, patient-centered care
Coordination of care across multiple providers
Disease management
Quality improvement initiatives
Health information technology
• National Committee on Quality Assurance
standards (Appendix A, page 19)
Sample Projects Consistent with
Medical Home Model (page 6)
• Information system technology for
interoperability, electronic health records, referral
systems, and/or data collection relative to quality
improvement and patient safety
• Implementation of services for managing chronic
disease and/or care coordination
• Provision of pharmacological
services/management
• Addition/integration of services such as mental
health, dental, preventative care
CBRH Program Changes for Fiscal
Year 2009-10
• Due date of July 31 for applications in-hand at
BPCRH (page 4)- electronic submission
• Prioritized funding to projects that align with
DHH priorities and initiatives (page 6)
• Eligibility of prior-year grantees (page 4)
– Forego 1 year eligibility if grant funds not used
• Budget narrative is streamlined (page 28)
– One narrative to include grant, match and in-kind
budget items
CBRH Program Changes for Fiscal Year
2009-10
Equipment and technology funding limits (page 6)
• Within each project application a maximum of $30,000
can be requested in aggregate for the following
categories:
– Capital Improvements
– Equipment
– Technology
Funding limit does not apply to training or process
redesign tasks that lend to success of the
project
CBRH Program Changes for Fiscal
Year 2009-10
• SBHC projects to coordinate with OPH ASHP
(page 8)
– Letter required from school board
– Letter required from ASHP that includes outcome of
sponsor’s most recent QI (LaPERT) site visit.
• Project Director must be an employee of
applicant.
• Required match is 30% with 5% cash.
• Contracting expectations of grantees (page 16)
– Monthly reporting and reimbursement
Budget and Budget
Narrative (25 points)
Budget & Budget Narrative
• Page 13 in guidance and Appendix F
• Form C – Line Item Budget
• Narrative – provide clear comments
explaining each item within the budget
• Budget items should “make sense” with
the proposed project
Matching Funds (10 Points)
• Page 13 of guidance
• Form C to list matching funds (cash and
in-kind)
• Applicants required to demonstrate 30%
match
• Applicants required to demonstrate 5%
cash match (see example p. 13)
Project Infrastructure
• Page 13 of guidance
• Applicant describes
– Experience and responsibilities of applicant
organization in managing and coordinating
project implementation
– Project management structure and key project
staff
– Bio-sketches of key staff and amount of time
each will apply to the project
Appendices
• Tax Exempt Documentation
• Board Resolution
• Request for Project Support & Conditions
of Grant
• Letters of Support / Commitment
• Bio-Sketches /Job Descriptions/ Org Chart
• Contractor Fact Sheet(s)
• Support Documentation
Questions/ Open
Discussion