Fiscal Year (FY) 2012 Service Area Competition–Additional

Area (SAC-AA) for Anchorage, AK

HRSA-12-169

SAC Technical Assistance (TA) page: http://www.hrsa.gov/grants/apply/assistance/sac

Agenda

• Overview

• Application Due Dates & Times

• Eligibility Requirements

• Award Information

• Two-Tiered Electronic Submission Process

• Program Narrative

• Performance Measures

• Budget

• Important Facts

• Technical Assistance Contacts

• Question & Answer Session2

Overview

The Service Area Competition-Additional Area (SAC-AA) for Anchorage, Alaska is a competitive funding opportunity that provides funding for the provision of comprehensive primary health care services.

Three types of applicants:

1. Current grantees applying to continue serving their current service area

2. New applicants

3. Current grantees applying to serve a new service area

3

Overview

• Project period is up to 5 years for current grantees and up to 2 years for new applicants

• Project period start date: May 1, 2012

• Grants.gov deadline: February 21, 2012

• HRSA Electronic Handbook (EHB) deadline: March 6, 2012

4

Eligibility Requirements

Applicants must:

1. Be public or nonprofit private entities, including tribal, faith-based, and community-based organizations; and

2. Propose to serve a current service area and its associated population(s) – in this case, Community Health Center (CHC)

5

Service Area Details

6

Details about the service area are available in Table 6 in the FOA

Project Period Start Date

Service Area (Current

Grantee's Administrative Site Location)

StateTarget

Population

Grants.gov Deadline (8:00 PM

ET)

EHB Deadline (8:00 PM

ET)

Total Funding

(CHC)

Service Area Zip Codes

Number of

Patients in 2010

May 1, 2012

Anchorage AK CHCFebruary 21,

2012March 6,

2012$1,349,604

99591, 99660

645

Eligibility Requirements

Competing organizations must:

1. Serve entire announced service area: zip codes 99591 and 99660

2. Serve same target population: CHC

3. Provide same or comparable comprehensive primary health care services

4. Request an equal or lesser amount of CHC Federal funding: $1,349,604

see Table 6 in the FOA

7

Award Information

Award Basics:

•$1,349,604 available for one FY 2012 SAC-AA award for Anchorage, Alaska under HRSA-12-169

Ineligible Uses of SAC Funding:

•Construction of facilities

•Fundraising/grant writing

•Lobbying efforts

8

Two-Tiered Submission Process

Phase 1: Grants.gov• Register in the Data Universal Numbering System

(DUNS) and Central Contractor Registration (CCR) prior to registering in Grants.gov

• Register in Grants.gov as soon as possible• Receive a validation email from Grants.gov following

successful submission

Phase 2: HRSA EHB• Register in HRSA EHB as soon as possible• Receive a tracking number for accessing EHB via

email 7 business days after Grants.gov submission• See an “Application successfully transmitted to

HRSA” message in EHB following successful submission

9

Phase 1: Grants.gov Required Forms

http://www.grants.gov

•SF-424: Application for Federal Assistance (upload Project Abstract on page 2, box 15)•Project/Performance Site Location(s) Form

– Current grantees applying to continue serving their current service area: list the administrative site only

– New applicants: list all sites– Current grantees applying to serve a new service

area: list all sites that will serve the new service area

•Grants.gov Lobbying Form (Certification Regarding Lobbying)

see Table 1 (page iii) and Table 2 (page 8) in the FOA 10

Phase 2: EHB Required Forms

https://grants.hrsa.gov/webexternal

•Program Narrative

•SF-424A: Budget information – Non-Construction Programs

•Budget Justification (upload in Budget Narrative Attachment Form field)

•SF-424B: Assurances – Non-Construction Programs

•SF-LLL: Disclosure of Lobbying Activities

•Attachments

•Program Specific Forms

•Program Specific Information (Performance Measures)

see Table 1 (page iv) and Tables 3-5 (pages 9-16) in the FOA 11

Program Narrative & Review Criteria

Program Narrative = general request for information

Review Criteria = details/examples for a thorough response; utilized by the Objective Review Committee to assess the application

• Need (15 points)

• Response (20 points)

• Collaboration (10 points)

• Evaluative Measures (15 points)

• Resources/Capabilities (20 points)

• Governance (10 points)

• Support Requested (10 points)12

New Aspects of the Program Narrative

• Form 9: Need for Assistance Worksheet replaces much of the quantitative data previously requested in the Need Section

• The Impact Section has been removed and its items have been moved to the Resources/Capabilities Section

• The items in the Resources/Capabilities Section have been reordered

• An item about EHR/HIT and meaningful use has been added to the Resources/Capabilities Section

• An item has been added to the Governance Section for applicants who are Indian tribes or tribal, Indian, or urban Indian groups

13

Clinical Performance Measures

Standard 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 – requires justification in the Comments field

14

Clinical Performance Measures

NEW 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*

*may be marked “not applicable” for this application only – requires justification in the Comments field; all grantees will be required to report on these measures in the 2011 Uniform Data System (UDS) Report

15

Clinical Performance Measures

REVISED Clinical Performance Measures:

• Diabetes – revised to capture data on HbA1c levels that are < 7%, < 8%, < 9%, or > 9%*

• Child Health – revised to add 2 Hepatitis A shots, 2 or 3 Rotavirus shots, and 2 influenza shots*

*The measure forms will include the unrevised version of these measures. If reporting on the revised version, applicants must note this in the Comments field of the measure form. If reporting on the unrevised version, no note is required. All grantees will be required to report on the revised measures in the 2011 UDS Report.

16

Financial Performance Measures

Standard 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 – requires justification in the Comments field 17

Performance Measures:General Information

• Applicants are encouraged to create performance measures specific to their proposed projects (clinical and/or financial measures)

• Applicants can create their own measures by selecting Add Performance Measure in the Other Measures section of the performance measures forms

• Information that will not fit on the performance measures forms should be included in the Evaluative Measures section of the Program Narrative

see Appendix B of the FOA

18

Performance Measures:General Information

Current grantees applying to continue serving their current service area:

• All measures will be pre-populated with data submitted in the 2010 UDS Report

• If pre-populated data is changed, a justification must be provided

• Provide information on the past year’s progress and future action steps and strategies to be used to achieve each performance measure

•If a previously-defined Other measure is no longer tracked, mark it as Not Applicable and provide a justification in the Comments field

19

Budget

• New applicants must provide a 2 year budget justification; current grantees must provide a 5 year budget justification

• Provide sufficient information in the budget justification to show that costs are reasonable and necessary for implementation of the proposed project

• The budget justification should include a line-item budget and any narrative required to explain costs

• Section C of the SF-424A is now required

• Section D of the SF-424A should NOT be completed

see Appendix C of the FOA

20

Important Facts

• Applications may not exceed 150 pages or 20 MB (see Tables 2-5 (pages 8-16) in the SAC FOA for items included in the page limit)

• Submit single-spaced narrative documents with 12 point, easily readable font (e.g., Times New Roman, Ariel, Courier) and 1-inch margins

• Failure to include all required documents may result in an application being considered incomplete or non-compliant

21

Technical Assistance Contacts

SAC TA page: http://www.hrsa.gov/grants/apply/assistance/sac

Program Related Questions• Cheri Daly: BPHCSAC@hrsa.gov or 301-594-4300

Budget Related Questions• Donna Marx: dmarx@hrsa.gov or 301-594-4245

Grants.gov Related Questions• support@grants.gov or 800-518-4726

EHB Related Questions• HRSA Call Center for questions about EHB accounts

and access: CallCenter@hrsa.gov or 877-464-4772

• BPHC Helpline for questions about completing forms in EHB: BPHCHelpline@hrsa.gov or 877-974-2742

22

Question & Answer Session

23

Reminder:

Throughout the application process, please refer to the Frequently Asked Questions (FAQ) on the SAC TA page (http://www.hrsa.gov/grants/apply/assistance/sac)