HRSA UPDATE NPAIHB Meeting January 2014 Laurie Wylie, HRSA Regional Administrator
Fiscal Year 2012 State and Regional Primary Care Associations (PCA) Cooperative Agreements...
Transcript of Fiscal Year 2012 State and Regional Primary Care Associations (PCA) Cooperative Agreements...
Fiscal Year 2012State and Regional
Primary Care Associations (PCA) Cooperative Agreements
HRSA-12-114
PCA Technical Assistance (TA) Website: http://www.hrsa.gov/grants/apply/assistance/pca
Agenda
• Overview • Eligibility Requirements• Two-Tiered Electronic Submission Process• Project Narrative • Project Work Plan• Technical Assistance Contacts• Important Reminders• Questions & Answers
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PCA: Purpose
To provide statewide/regional training and technical assistance (T/TA) to all existing section 330 health centers, regardless of PCA membership status.
To provide T/TA to all interested organizations seeking section 330 resources and how they can be used to meet community health needs.
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PCA T/TA Requirements
1. State/Regional Health Center T/TA Activities• Program Requirements: To improve compliance of
existing health centers in the state/region with Health Center Program requirements.
• Performance Improvement: To strengthen clinical and financial performance and enhance the operations of existing health centers in the state/region.
2. Statewide/Regional Program Assistance To provide T/TA to potential and existing health centers
based on statewide/regional and/or HRSA/BPHC priorities.
Note: Refer to “PCA Recipient Roles and Responsibilities” on pages 3-6 of the funding opportunity announcement (FOA).
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Requirement 1
Statewide/Regional Health Center T/TA Activities
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Program Requirements Goal Performance Improvement Goals
XX% of Health Centers with No Program Conditions
• XX% of Health Centers that Meet/Exceed Healthy People 2020 Goals on One or More Clinical Performance Measures
• XX% of Health Centers with PCMH Recognition
• XX% of Health Centers with Cost Increase Less than National Average
• XX% of Health Centers Financially Strong (No Going Concern Issues)
T/TA Focus Areas T/TA Focus Areas• Need• Services – QI/QA Systems• Management and Finance – Fiscal
Operations/Systems• Management and Finance – Workforce
Recruitment and Retention• Governance
• Clinical Performance Measures• Financial Performance Measures
Requirement 2
Statewide/Regional Program Assistance
T/TA Focus Areas:
• Information on Available Resources• Annual T/TA Needs Assessment• Special Populations• Collaboration• Emergency Preparedness• Regional/Statewide Surveillance Analysis• Newly Funded Health Centers
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Award Information
• Approximately $43 million annually • Approximately 51 cooperative agreements • Project period: up to 5 years• Project period start date: September 1, 2012
Note: An organization’s budget request cannot exceed the annual level of federal section 330 funding that is currently provided in the state/region. This applies to any year of the proposed project.
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Eligibility Requirements
Entities that can provide T/TA on a statewide/regional basis to community based organizations:
– Domestic public or private, non-profit or for-profit entities
– Faith-based and community-based organizations
– Tribes and tribal organizations
Note: Applicants with no experience working with potential or existing health centers and community-based providers with similar missions will not be competitive.
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Funding Restrictions
• Construction/renovation of facilities• Activities not approved under the
cooperative agreement• Reserve requirements for state insurance
licensure• Lobbying/advocacy efforts
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Application Deadlines & Requirements
Note: Applicants who do not complete Phase 1 by the deadline will not be able to move to Phase 2 and will not be able to submit an application.
• Page limit: 80 pages or 10MB• Format: Single-spaced,12 point, easily readable
font (e.g., Times New Roman, Ariel, Courier) and 1-inch margins
Resource: http://www.hrsa.gov/grants/apply/userguide.pdf
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Tier Deadline
Phase 1 - Grants.govApril 2, 2012 by 8 PM ET
Phase 2 - HRSA Electronic Handbooks (EHBs)
April 26, 2012 by 8 PM ET
Two-Tiered Submission Process
• Phase 1: Grants.gov - Due April 2, 2012– Applicants should register early!
– Organization must register in the Central Contractor Registry (CCR) and Data Universal Numbering System (DUNS) prior to registering in Grants.gov.
– Applicants will receive a validation email from Grants.gov.
• Phase 2: HRSA EHBs – Due April 26, 2012– Upon successful completion of the Grants.gov submission,
applicants will receive an e-mail confirmation with a tracking number. Email notification to begin Phase 2 will be sent on or around 7 business days following Grants.gov validation.
Resource: http://www.hrsa.gov/grants/apply/userguide.pdf
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Phase 1 (Grants.gov) Forms
http://www.grants.gov
• SF 424 Application for Federal Assistance Form– upload Project Abstract on line 15
– upload Additional Congressional District on line 16, if applicable
• Project/Performance Site Location Form– include administrative site only, not where services
will be provided
• Grants.gov Lobbying Form• SF 424B: Assurances for Non-Construction Programs • SF-LLL Disclosure of Lobbying Activities, if applicable
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HRSA Electronic Handbooks (EHBs)
• Once an application is successfully submitted through Grants.gov and downloaded into the EHBs, HRSA will issue the applicant a tracking number.
• The Project Director and Authorizing Official must register in EHBs.
• The Registered User will need:– Grant Announcement Number (HRSA-12-114)
– Grants.Gov Tracking Number
– HRSA EHBs Tracking Number
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Phase 2: EHBs Required Forms
https://grants.hrsa.gov/webexternal/home.asp
• Project Narrative Form (upload project narrative)
• SF- 424A : Budget Information - Non-Construction Programs
• Form 1A: General Information Worksheet• Project Work Plan Form
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Phase 2: EHBs Attachments
REQUIRED:• Attachment 1: Staffing Plan• Attachment 2: Position Descriptions for Key Personnel• Attachment 3: Biographical Sketches for Key Personnel• Attachment 4: Letters of Support• Attachment 5: Year 5 Budget• Attachment 6: Budget Justification (5 years)
IF APPLICABLE:• Attachment 7: Summary of Contracts and Agreements• Attachments 8-12: Other Relevant Documents
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Program Narrative & Review Criteria
• Introduction• Need (15 points)• Response (25 points)• Collaboration (10 points) • Evaluative Measures/Impact (15 points)• Resources/Capabilities (25 points)• Support Requested (10 points)
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Project Work Plan – 4 Sections
The 12-month work plan should address:• ONLY the activities to be supported under the cooperative agreement.• PCA recipient roles and responsibilities on pages 3-6 of FOA.• Short-term and long-term T/TA needs of potential and existing health
centers in the state/region.• Projected target goals for the end of the 5-year project period.
Resource: HRSA EHBs PCA Cooperative Agreement User Guide
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Requirement 1: Statewide/Regional Health Center T/TA Activities
Section A – T/TA in Fiscal and Program Management (Program Requirements)
Section B1 – T/TA in Performance Improvement (Clinical)
Section B2 – T/TA in Performance Improvement (Financial)
Requirement 2: Statewide/Regional Program Assistance
Section C – Statewide/Regional Program Assistance
Project Work Plan: Performance Goals
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Goal: Health Center Program Requirements
A1XX% of Health Center Program grantees with no program conditions on their Notice of Awards (NoAs).
Goals: Performance Improvement (Clinical)
B1.a
XX% of Health Center Program grantees in the state/region that meet or exceed performance on one or more Healthy People 2020 performance measure goal(s).
B1.b
XX% of Health Center Program grantees with Patient-Centered Medical Home (PCMH) recognition.
Goals: Performance Improvement (Financial)
B2.a
XX% of Health Center Program grantees with cost increase less than National average.
B2.b
XX% of Health Center Program grantees without going concern issues.
Note: Applicant organizations will establish percentage goals for the end of the project period.
Project Work Plan: Key Components
• Projected Goal Percentages• Key Factors• T/TA Focus Areas• Activities• Person(s)/Area(s) Responsible• Time Frames• Expected Outcomes• Comments (optional)
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Project Work Plan: Requirements
Key Components
Section A
Section B
(Clinical)
Section B
(Financial)
Section C
Character Limit
Min Max Min Max Min Max Min Max
Goal 1 1 2 2 2 2 N/A N/A N/A
Key Factor 3 5 3 5 3 5 N/A N/A 500
T/TA Focus Area
3 5 1 3 1 3 7 9 200
Activity 2 5 2 5 2 5 2 5 200
Person/Area Responsible
1 5 1 5 1 5 1 5 200
Time Frame 1 5 1 5 1 5 1 5 200
Expected Outcome
1 5 1 5 1 5 1 5 200
CommentsThis is the only optional field on the form. Indicate supplemental information related to entries in the project work plan.
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Resources
• PCA TA Website
http://www.hrsa.gov/grants/apply/assistance/pca
• HRSA Electronic Submission User Guide
http://www.hrsa.gov/grants/apply/userguide.pdf
• Health Center Program
http://www.bphc.hrsa.gov/
• Healthy People 2020
http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx
• National Health Expenditure
http://www.cms.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorial.asp#TopOfPage
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Technical Assistance Contacts
Program related questions
• Denise Nguyen: [email protected] or 301.594.4300
Budget related questions
• Angela Wade: [email protected] or 301.443.3190
Grants.gov related questions
• [email protected] or 1.800.518.4726
EHB accounts and access questions
• HRSA Contact Center: [email protected] or 877.464.4772
Electronic submission questions
• BPHC Helpline: [email protected] or 877.974.2742
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Important Reminders
• Grants.gov deadline is April 2, 2012 by 8 PM ET.
• HRSA EHB deadline is April 26, 2012 by 8 PM ET.
• Applications may not exceed 80 pages or 10MB.
• Applicants will enter information directly into EHBs for the Project Work Plan.
• Failure to include all required documents may result in your application being deemed incomplete or non-compliant.
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Questions & Answers
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