Community-Based and Rural Health Grant Program Technical Assistance Workshop

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Community-Based and Rural Health Grant
ProgramTechnical Assistance Workshop

• Department of Health and Hospitals Bureau of
  Primary Care and Rural Health
• July 8, 2009
• Baton Rouge, LA

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TA Workshop Agenda

• Welcome Overview of CBRHP
• CBRHP processes, eligibility, focal funding areas
• CBRH program changes
• Budget, Organization Infrastructure
• Project Narrative
• QA

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CBRH Program Overview

• About the CBRH program
• BPCRH mission/priorities
• Focal funding areas
• Pertinent dates
• Applicant eligibility

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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

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BPCRH Priorities

• 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

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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

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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

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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

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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

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Pertinent Dates

• Letters of Intent requested by COB July 17
• Applications due at DHH by 500 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

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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

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• Department of Health and Hospitals Priorities
  2009-10

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Medical Home Policy StatementAmerican Academy of
Pediatrics
Medical care of infants, children, and
adolescents should be accessible, continuous
comprehensive, family centered, coordinated,
compassionate, and culturally effective.
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Louisiana Health Care Priorities

• Redesigning the states 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

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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)
• 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)

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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

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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

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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

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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 sponsors 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

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Budget and Budget Narrative (25 points)
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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

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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)

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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

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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

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Questions/ Open Discussion