Competing for Federal Grants in a Disrupted Funding Climate

Competing for Federal Grants in aDisrupted Funding ClimateWebinar | February 12, 2015

2 © Copyright 2015 Hanover Research

Presenter

Teresa WilkeSenior Grants ConsultantHanover Research

[email protected]

Moderator

Michael LittlefieldManaging DirectorHealthcare Practices, Hanover Research

[email protected]

SPEAKERS

Teresa has worked in several federal agencies and

executive departments, including the White House,

HUD, and the EEO Commission. Teresa leverages this

policy background to monitor, analyze, and forecast

federal grant opportunities and recognize healthcare

funding trends. She has been developing grant

proposals and grantseeking strategies for universities

and healthcare providers for over 13 years. Before

coming to Hanover, she served as the Director of

Sponsored Programs at a large regional public

university and coordinator of an NIH-funded research

center. Teresa has secured over $37 million in

foundation, state government, and federal grant awards,

including NSF, ED, DOJ, ACF, and HRSA. She also

serves as a HRSA peer grant reviewer.

Mike is the Managing Director of Hanover

Research’s Healthcare division. He was

instrumental to the 2009 launch of

Hanover Grants, now known as the

Healthcare Development Center. He and

his team provide grantseeking support to

hospitals, health systems, medical

centers, and healthcare organizations

across the nation.

Competing for Federal Grants in a Disrupted Funding Climate

AGENDA

1. InfluencersExamine the policy, research and thought leaders influencing the funding landscape.

2. TrendsReview ongoing and emerging trends in healthcare grant funding.

3. OpportunitiesDiscuss upcoming federal grant opportunities.

4. PlanningProvide planning tips to position your organization for grantseeking success.


“A negotiator should observe everything. You

must be part Sherlock

Holmes, part Sigmund Freud.”

– Victor Kiam

Source: http://www.patriots.com/media-

center/photo-gallery/Victor-Kiam/817F48FD-

E80E-421C-9718-4CD330BC3867


INFLUENCERS


HEALTHCARE FUNDING IS INFLUENCED BY MANY PLAYERS

Research

Community

Congressional

Appropriators

President /

Executive Agency Leadership

Federal Grant

Opportunities


ACA IMPLEMENTATION WILL INFLUENCE FUTURE FUNDING

Research

Community

Congressional

Appropriators

President /

Executive Agency Leadership

Federal Grant

Opportunities

After Implementation:

ACA Impact and

Market Factors


AGENDA-SETTING RESEARCH INFLUENCES FUNDING

• Telehealth

• Grad Medical

Education

• Capturing Social and

Behavioral Domains

in EMR

• End of Life Care

• Promoting Health of

Young Adults

• Medicaid Enrollment

Data

• Medicare Spending

Projections

• Polls and Surveys

Assessing ACA

Implementation and

Public Opinion

• Care Management in

Primary Care

• Addressing Patient

Social Needs

• How Medical Practices

Can Become PCMHs

• Care Management for

High-Need, High-Cost

Patients

• Health System Design

• State System

Scorecards


AGENDA-SETTING RESEARCH INFLUENCES FUNDING (2)

• Reducing

Readmissions

• Evaluation of Pilot

Innovations

• Best Practices,

Clinical Guidelines,

and Toolkits

• Patient

Engagement/

Perspective

• Change Management

• System-Wide

Implementation

• Fostering,

Implementing and

Scaling Innovation

• Interdisciplinary

Teams

• Evaluate Social

Determinants

• Niche Patient

Populations

• Economic Evaluations

and Cost Benefit

Analyses


FEDERAL GOVERNMENT INFLUENCES HEALTHCARE FUNDING

• Patient Protection

and Affordable

Care Act

• Executive Agency

Interpretation and

Latitude to

Implement Funding

Programs

• King v. Burwell

• Integration and

Antitrust Laws

• Sequestration

• Entitlement Reform

• ACA “Fixes”

• Partisan and Intra-

Party Conflicts

• Campaigns and

Elections


AFFORDABLE CARE ACT: SURPRISES, SNAGS AND MARKET FACTORS THAT WILL INFLUENCE FUNDING

MARKET

• Insurers

• Providers

• Employers

POLICY

• States

• Legislation

LOGISTICS

• HIT

• Shared Risk


TRENDS

13 Competing for Federal Grants in a Disrupted Funding Climate

GRANT FUNDING TRENDS: ESTABLISHED AND ONGOING

Innovative Care Models

Patient-Centered Care

Behavioral Health Integration

Managing Complex Patients

Improving Care Access

Electronic Health Information

Workforce Development

Population Health


GRANT FUNDING TRENDS: EMERGING AND NARROWING

Disruptive Business Models

Health Analytics for Precision Care

Niche Mental Health Models

Scaling and Disseminating

Targeted Care and Hotspots

Engaging Patients with Data

Workforce Optimization

Innovative Care Models

Patient-Centered Care

Behavioral Health Integration

Managing Complex Patients

Improving Care Access

Electronic Health Information

Workforce Development

Population Health Broader Social Determinants


OPPORTUNITIES


U.S. Department of Health and Human ServicesHealth Resources and Services Administration (HRSA)

HRSA Grant Awards by Key Program Area (FY2014)

• New Bureau of Health

Workforce

• Bureau of Primary

Health Care (BPHC)

reorganized to create

Offices for Northern and

Southern Health

Services, Quality

Improvement, Policy and

Program Development,

Strategic Business

Operations


Upcoming Competitions

Office of Rural Health Policy

• Rural Health Network Planning (Fall 2015)

Bureau of Health Professions

• Nurse Education, Practice, Quality and Retention (Fall 2015)

Primary Health Care

• Health Center Program Capital Development $150M (February 2015)

• Health Center Expanding Services (Spring 2015)

• Health Center Controlled Networks (Spring/Summer 2015)

Telehealth

• Telehealth Network Grant Program – “Small Opportunity” (February/March 2015)

U.S. Department of Health and Human ServicesHealth Resources and Services Administration (HRSA)


U.S. Department of Health and Human ServicesCenter for Medicare and Medicaid Innovation (CMMI)

January 8, 2015 http://www.nejm.org/doi/pdf/10.1056/NEJMp1406838

For medical practices, which are structured around individual, face-to-face encounters,

pursuing a population-based approach means considering what happens between

visits; using patient registries and other tools to improve the use of preventive care

services; addressing health disparities by considering social, economic, and cultural

factors; and referring patients to a wider range of community services…

Because so many factors lie outside clinicians’ control, we need to understand what

factors the health care system can reasonably be expected to act on, given

professionals’ training, infrastructure, and scope of practice; we also need to determine

the appropriate levels of health system accountability for population health outcomes.


Applications Under

Review for New Pre-

Payment Approach

Accountable

Care

Applications Under

Review for Transforming

Clinical Practices

Initiative

Under Development:

Specialty Practitioner

Payment Model

(RFI 4/2014)

Bundled

Payments

Primary Care

Transformation

Focused

Beneficiary

Initiatives

Speed Adoption

of Best PracticesDevelopment and

Testing of New Payment

and Delivery Models

Ongoing Models Under Development:

Health Plan Innovation

Initiatives

Accepting Applications:

Medicare Intravenous

Immune Globulin

Under Development:

Beneficiary

Engagement Model

(RFI 9/2014)

U.S. Department of Health and Human ServicesCenter for Medicare and Medicaid Innovation (CMMI)


U.S. Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administration (SAMHSA)


Vulnerable Populations

• Capacity Building Initiative for Substance Abuse and HIV Prevention Services for At-Risk Racial/Ethnic

Minority Youth and Young Adults (February 2015)

• Targeted Capacity Expansion - HIV: Substance Abuse Treatment for Racial/Ethnic Minority Populations at

High- Risk for HIV/AIDS (March 2015)

• Offender Reentry Program (April 2015)

Substance AbuseTreatment Services

• Targeted Capacity Expansion: Medication Assisted Treatment-Prescription Drug and Opioid Addiction

(February 2015)

Community Collaboration

• Project AWARE- Mental Health First Aid-Community (March 2015)

• Minority Serving Institutions (Higher Ed) Partnerships with Community-Based Organizations (March 2015)


U.S. Department of Health and Human ServicesAdministration for Children and Families (ACF)


Healthcare Workforce and Economic Stability

• Health Profession Opportunity Grants to Serve TANF Recipients and Other Low-Income

Individuals (April 2015)

Families and Healthy Relationships

• New Pathways for Fathers and Families (April 2015)

• Healthy Marriage, Relationship Education and Economic Mobility Grants (April 2015)


U.S. Department of AgricultureDistance Learning & Telemedicine Grants

Notice of Solicitation of Applications (NOSA) Expected Soon

Award Range: $50K to $500K

Eligibility: Applicants must operate a rural community facility directly, or deliver distance learning or

telemedicine services to another organization that operates a rural community facility.

Matching Funds: A minimum of 15% match is required, but additional match increases the score of

the application.

Review Criteria: Rurality, Economic Need, Empowerment Zones, Leverage (Match), Innovativeness,

Cost Effectiveness

Use of Funding: (1) Eligible capital assets, such as audio, video and interactive video equipment;

terminal and data terminal equipment; computer hardware, network components and software; inside

wiring and similar infrastructure that further DLT services; (2) Instructional programming that is a

capital asset; (3) Technical assistance and instruction for using eligible equipment.


PLANNING


PLANNING TIP #1: ESTABLISH AND FORMALIZE MEANINGFUL PARTNERSHIPS

Cross-SectorGrassroots

Explicit

Commitments Demonstrated

Collaboration

Partners


PLANNING TIP #2:ARTICULATE DATA CAPABILITIES AND IDENTIFY DATA NEEDS

Capture Analysis

SharingImprovement

Data


PLANNING TIP #3:ASSESS EXISTING AND PLANNED RESOURCES AND CAPACITIES

Key Personnel

Investments

Community

Momentum

Reputation

Resources


PLANNING TIP #4: ESTABLISH A SYSTEM FOR MONITORING NEW INFORMATION

Grant

Solicitations Evidence

Based

Programs

Community

Health

Needs

AssessmentPromising

Practices

Research


As the U.S. economy rebounds and private foundation assets grow, hospital

and health system fundraisers should proactively integrate grant seeking into

their annual and multi-year development plans. Hanover's white paper shows

how to integrate and leverage diverse funding streams, so that fundraisers

can create synergies across platforms and increase overall philanthropic

income.

E-mail [email protected] to reserve your copy in advance.

How Grantseeking

Differs from

Traditional

Fundraising

Importance of

Strategic

Planning

Grantseeking

Strategic

Planning

Process

Grantseeking

Strategy

Implementation

Reserve Your Copy!

White Paper Coming Soon in February 2015:

Integrating Grant Seeking into

Hospital Foundation Fundraising Plans

White paper focus:


Pre-Proposal

Support

Proposal

Development

Post Award

• Funding prospect

research

• RFP and funder analysis

• Grants calendar for

specific grant makers

• Literature review and best

practices research

• Concept paper

development

• Partnership research and

recommendations

Capacity

Building

• LOI production

• Foundation proposal

production

• Federal proposal

production

• Program and research

design consulting

• Comprehensive proposal

review and critique

• Rejected proposal

rewriting and resubmission

• Grant application renewal

• Proposal production

management

• Grantseeking strategy

development

• Peer analysis and

regional scan

• Grantsmanship training

and workshops

• Grants policy manual

• PI mentoring and training

(e.g., advising on project

rationale,

implementation,

evaluation plan)

• Relationship building

strategies

Our full-cycle proposal development solutions were developed to enable

increased competitiveness and results for our partners. They include:

ABOUT HANOVER RESEARCH’S HEALTHCARE DEVELOPMENT CENTER

Competing for Federal Grants in a Disrupted Funding Climate

Healthcare

Transcript of Competing for Federal Grants in a Disrupted Funding Climate