Transcript Document 7429384

FY 2013 New Access Point
Funding Opportunity Announcement
HRSA-13-228
Health Resources and Services Administration
Department of Health and Human Services
NAP TA Website:
http://www.hrsa.gov/grants/apply/assistance/nap
Agenda
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Overview
Eligibility and Funding
Submission Process
Project Narrative and Review Criteria
Budget Presentation
Attachments
Program Specific Forms
Program Specific Information
Funding Priorities
Important Reminders
Technical Assistance Resources
Questions & Answers
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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.
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Overview
The Health Center Program
The Health Center Program provides grant
support to public or private non-profit
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
• HRSA currently provides grant support to
1,200 health centers operating more than
8,500 sites across the United States and its
territories, serving more than 20 million
patients.
• Health Center Program grantees target
unserved and underserved individuals and
families with the goals of ensuring access to
all and reducing health disparities.
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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).
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Overview
NAP Highlights
• Approximately $19 million for approximately 25
NAP grant awards.
• Authorized by Section 330 of the Public Health
Service Act.
• Supported by the Affordable Care Act.
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Overview
NAP Highlights
• Open to current Health Center Program
grantees and new applicants.
• Applications Due in Grants.gov:
February 27, 2013, 11:59 PM ET
• Applications Due in HRSA EHB:
April 3, 2013, 8:00 PM ET
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Overview
NAP Highlights
What is a New Access Point?
• A new service delivery site for the provision of
comprehensive primary and preventive medical
health care services.
Two types of New Access Point applicants:
• New Starts - Organizations that do not currently
receive funding under section 330.
• Satellites - Organizations that currently receive
funding under section 330 that are proposing to
establish NEW delivery site(s).
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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.
• Healthcare 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.
• NEW for 2013: There is no funding priority for
applicants requesting funding to serve special
population(s).
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Eligibility
• Public or private, nonprofit entity, including
tribal, faith based, and community based
organizations.
• At least one proposed NAP site must be a fulltime permanent site operating at least 40
hours per week.
• Comprehensive primary medical care must be
the main purpose of the NAP application.
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Eligibility
• Ensure access to services for all service area
populations. Proposed site(s) may not focus
on a single age-group (e.g., children), lifecycle
(e.g., geriatric), or health issue (e.g.,
HIV/AIDS).
• Provide comprehensive primary health care
services without regard for ability to pay.
• Budget request may not exceed $650,000 in
either Year 1 or Year 2.
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Eligibility
• No proposed NAP site can be in any Health
Center Program grantee’s scope of project,
including sites pending verification at the time
of NAP application.
• Application must not exceed the 200-page limit
when printed by HRSA.
• New Starts applying for Community Health
Center (CHC) funding must propose a service
area that is designated, in whole or in part, as
an MUA and/or contains an MUP
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Funding Cap
• Year One: Up to $650,000 of
which $150,000 may be used
for one-time minor capital
costs for equipment and/or
minor alterations/renovations.
• Year Two: Up to $650,000 for
operational support only.
*Two year project period.
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Submission Process
• 2-step process: Grants.gov and Electronic
Handbooks (EHB).
Applicants should register early!
• Register in the System for Award Management
(SAM) and Data Universal Numbering System
(DUNS) prior to registering in Grants.gov.
• Register in Grants.gov and EHB as soon as
possible – Grants.gov registration process
may take up to one month.
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Grants.gov: Required Documents
Applicants must submit the following documents in
Grants.gov by 11:59 PM EST on February 27,
2013:
• SF-424: Application for Federal Assistance
(upload Project Abstract in box 15)
• SF-424B: Assurances – Non-Construction
Programs
• Project/Performance Site Location(s) Form
• Grants.gov Lobbying Form
• SF-LLL: Disclosure of Lobbying Form
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SF-424: Application for Federal
Assistance
Applications will be New (new start applicants):
Or Revision/Supplement (satellite applicants):
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Grants.gov: Submission Validation
Phase 1: Grants.gov
• Receive a series of confirmation emails
from Grants.gov following successful
submission (check your inbox and spam
folders).
• Receive a tracking number for accessing
EHB via email approximately 7 business
days after Grants.gov submission.
• For help with electronic submission in
Grants.gov, call 1-800-518-4726.
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EHB: Required Documents
Applicants must submit the following documents in
EHB by 8:00 PM EST on April 3, 2013:
• Project Narrative
• SF-424A: Budget information – Non-Construction
Programs
• Budget Justification
• Attachments
• Program Specific Forms
• Program Specific Information (Performance
Measures and One-Time Funding)
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EHB: Submission Validation
Phase 2: EHB
• Application can only be submitted by the
Authorizing Official.
• Receive an “Application successfully
transmitted to HRSA” message in EHB.
• For help with electronic submission in EHB,
call 1-877-974-2742.
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Project Narrative / Review Criteria
• The Project Narrative details the information
the applicant must include to provide a
comprehensive description of the proposed
NAP.
• The Review Criteria are used by grant
reviewers to evaluate how well the applicant
presented the information requested.
• Applicants should consider both sections when
developing the application.
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Review Criteria
• NEW for 2013: Review Criteria reference
Project Narrative items, forms, and
attachments that must be considered
collectively when scoring the application.
• It is important that information is presented
consistently throughout the application.
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Review Criteria
• Need (30 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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Highlights: Need
Need (30 points)
• 20 of the 30 points available for the Need
Section are determined by the Need for
Assistance Worksheet (NFA – Form 9) score.
• The narrative response (10 of the 30 points)
should reference the data provided in the NFA
Worksheet as needed.
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Highlights: Response
Response (20 points)
• The narrative and referenced forms and
attachments must describe the proposed
project and how it will comply with the Health
Center Program requirements.
• NEW for 2013: Implementation Plan to
demonstrate operational readiness in 120
days.
• NEW for 2013: Describe plans for outreach
and enrollment for Medicaid expansion and
Health Insurance Exchanges.
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Highlights: Collaboration
Collaboration (10 points)
• The narrative and attachments must
demonstrate collaboration between service
providers within the service area.
• Letters of support that are not submitted with
the application will not be reviewed.
• NEW for 2013: Letters of support are required
from major private provider groups serving the
target population.
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Highlights: Evaluative Measures
Evaluative Measures (5 points)
• The narrative and performance measures
forms must demonstrate realistic goals and
evaluation planning.
• NEW for 2013: New clinical performance
measures are required.
• NEW for 2013: Describe implementation of
certified Electronic Health Records (EHR) for
patient tracking and meaningful use.
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Highlights: Resources/Capabilities
Resources/Capabilities (15 points)
• The narrative and referenced forms and
attachments must demonstrate the
organizational capacity and experience to
successfully operate the new access point(s).
• NEW for 2013: Describe your current or
planned integration with the state health care
delivery plan.
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Highlights: Governance
Governance (10 points)
• The narrative and referenced forms and
attachments must document how the
organization and its board are compliant with
the Health Center Program governance
requirements.
• Governance requirements do not apply to
health centers operated by Indian tribes, tribal
groups, or Indian organizations.
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Highlights: Support Requested
Support Requested (10 points)
• The budget justification and referenced forms
and attachments must document a consistent
budget presentation appropriate for the
proposed project.
• NEW for 2013: Provide the proposed total cost
and federal cost per patient (by requested
funding type) and explain how this is
reasonable and appropriate.
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Budget Presentation
• The budget presentation must provide detailed
information for each year of the 2-year project
period.
• Required components:
– SF-424A: Budget Information –
Non-Construction Programs
– Budget Justification
• The budget justification should include a lineitem budget and narrative justification.
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Budget Presentation
• The budget must be consistent with:
– Form 1B: BPHC Funding Request Summary
– Form 2: Staffing Profile
– Form 3: Income Analysis Form
• If One-Time Funding is requested for A/R, a
project budget must be provided.
• If One-Time Funding is requested for
equipment, an equipment list must be
provided.
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Attachments
• Attachment 1: Service Area Map and Table
• Attachment 2: Implementation Plan
• Attachment 3: Applicant Organizational Chart
• Attachment 4: Position Descriptions for Key
Management Staff
• Attachment 5: Biographical Sketches for Key
Management Staff
• Attachment 6: Co-Applicant Agreement
• Attachment 7: Summary of Contracts and
Agreements
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Attachments
• Attachment 8: Independent Financial Audit
• Attachment 9: Articles of Incorporation
• Attachment 10: Letters of Support
• Attachment 11: Sliding Fee Discount Schedule(s)
• Attachment 12: Evidence of Nonprofit or Public
Center Status
• Attachment 13: Floor Plans
• Attachment 14: Corporate Bylaws
• Attachment 15: Other Relevant Documents
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Readiness and
Full Operational Capacity
• NEW for 2013: An Implementation Plan has
been added (Attachment 2), that details the
steps necessary for an applicant to
demonstrate that the new access point(s) will
be operational (providing services to the target
community/population) and compliant with
Health Center Program requirements within
120 days of award.
• Full operational capacity must be achieved
within 2 years of award (serving all projected
patients).
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Program Specific Forms
• Form 1A: General Information Worksheet
• Form 1B: BPHC Funding Request Summary
• Form 1C: Documents on File
• Form 2: Staffing Profile
• Form 3: Income Analysis
• Form 4: Community Characteristics
• Form 5A: Services Provided
• Form 5B: Service Sites
• Form 5C: Other Activities/Locations
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Program Specific Forms
• Form 6A: Current Board Member
Characteristics
• Form 6B: Request for Waiver of Governance
Requirements
• Form 8: Health Center Agreements
• Form 9: Need for Assistance Worksheet
• Form 10: Annual Emergency Preparedness
Report
• Form 12: Organization Contacts
• Summary Page
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Need for
Assistance (NFA) Worksheet
The NFA Worksheet (Form 9) documents objective
measures of need of the proposed service area
and/or population to be served via health
indicators
• Use the Data Resource Guide available at
http://www.hrsa.gov/grants/apply/assistance/nap
to identify data sources for all indicators
• Complete based on all proposed NAP sites
• Maximum 100 points, converted to a 20-point
scale
• Review the total score and converted score in
EHB prior to submission
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Summary Page
• NEW for 2013: Summary Page that presents
important information from application forms
• Provides at-a-glance review of:
– proposed sites and service area zip codes
– health center type(s)
– funding requested, including one-time funding
– proposed number of patients to be served and
federal cost per patient
– NFA score
• Applicants must verify accuracy of data
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Program Specific Information
• See Appendix B in the FOA:
– Clinical and Financial Performance
Measures.
– Performance Measures should address only
the service area and target population of the
proposed new access point(s).
• See Appendix D in the FOA:
– One-Time Funding Project Information.
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Performance Measures
• Performance measures serve as ongoing
monitoring and performance improvement
tools.
– Clinical – 16 required measures
– Financial – 5 required measures
• BPHC will hold a separate call on January 30
to go over the performance measures in detail.
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Clinical Performance Measures
• Diabetes
• Cardiovascular Disease
• Cancer
• Prenatal Health*
• Perinatal Health*
• Child Health
• Behavioral Health
• Oral Health
*may be marked “not applicable” if services are provided only via
referral and not paid for by the applicant
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Clinical Performance Measures
• Weight Assessment and Counseling for
Children and Adolescents
• Adult Weight Screening and Follow-Up
• Tobacco Use Assessment
• Tobacco Cessation Counseling
• Asthma – Pharmacological Therapy
• Coronary Artery Disease: Lipid Therapy
• Ischemic Vascular Disease: Aspirin Therapy
• Colorectal Cancer Screening
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Financial Performance Measures
• Total Cost per Patient
• Medical Cost per Medical Visit
• Change in Net Assets to Expense Ratio*
• Working Capital to Monthly Expense Ratio*
• Long Term Debt to Equity Ratio*
*may be marked “not applicable” by tribal and public
center applicants
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Performance Measures
• Applicants may create additional “Other”
performance measures specific to their
proposed projects.
• Applicants applying for special population
funding must include additional clinical
performance measures that address the health
care needs of the special population(s).
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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)
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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)
NEW for 2013: All applications will automatically
be assessed for these priorities.
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Funding Priorities
Unserved, High Poverty (up to 15 points)
• Goal: Prioritize new access point applications
that propose to serve high need, unserved
communities and populations
1. 75% or more of the proposed service area’s
low-income population is NOT being served
by the Health Center Program.
2. Unserved, low-income service area residents
must be at least 1.5 times the number of
proposed patients.
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Funding Priorities
Unserved, High Poverty (up to 15 points)
•
For example, if you propose to serve 2,000
individuals, there must be at least 3,000 lowincome residents in the proposed service
area that are not being served by the Health
Center Program AND only 25% or less of the
low-income population in the service area is
being served by the Health Center Program.
•
See the table on page 50 of the FOA for a
breakdown on points to be assigned.
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Funding Priorities
Sparsely Populated Area (5 points)
• 5 points will be awarded if the entire proposed
service area (defined by the zip codes listed
on Form 5B) has seven or fewer people per
square mile.
• Only applicants that request all or partial CHC
funding are eligible for this priority.
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Important Reminders
• Applications Due in Grants.gov:
February 27, 2013, 11:59 PM ET
• Applications Due in HRSA EHB:
April 3, 2013, 8:00 PM ET
• Applications may not exceed 200 pages
• Failure to follow the instructions and include all
required documents may result in your
application being considered non-responsive.
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Contact Information
Program related questions:
• Joanne Galindo: [email protected] or 301.594.4300
Budget related questions:
• Angela Wade: [email protected] or 301.594.5296
EHB questions:
• BPHC Helpline: [email protected] or
877.974.2742
Grants.gov related questions:
• [email protected] or 800.518.4726
NAP TA Website:
• http://www.hrsa.gov/grants/apply/assistance/nap
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NAP TA Web Page Resources
Replays of TA Calls
Presentation Slides for TA Calls
Frequently Asked Questions
Data Resource Guide: NFA Worksheet
EHB NAP User Guide for Grant Applicants
Samples
Forms
Helpful Links
HRSA Contact Information
http://www.hrsa.gov/grants/apply/assistance/nap
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Questions
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