Key Grant Opportunities for

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• Key Grant Opportunities for
• Telehealth Funding

July 10, 2007 Presented by Lisa Kilawee, Avera
Health John Williams, Good Samaritan Society
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Outline

• History of Avera Good Samaritan Societys
  Telehealth Programs
• Basic Requirements
• Federal Resources
• State Resources
• Foundation/Private Resources
• Q A

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Avera Healths Telehealth Program

• Facilities at over 228 locations in eastern SD
  surrounding areas of IA, MN, NE, and ND.
  Hospitals, Clinics, Nursing Homes
• Comprehensive videoconferencing system- Used for
  education, administration, and clinical
  telehealth
• Avera Telehealth had approximately 2,000 visits
  as of April 30, 2007, Specialties psychiatry,
  infectious disease, dermatology, pulmonary OB,
  internal medicine, endocrinology, wound care,
  nephrology, oncology, pediatric pulmonary,
  pediatric endocrinology, pediatric echo, and
  pediatric gastroenterology. Other applications
  include case review, adult echo, behavioral
  health assessments, pre-commitment screenings and
  court hearings.

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Avera Healths Telehealth Program

• Avera eICU Care Remote ICU Monitoring Both
  Urban and Rural facilities
• Implementing comprehensive, shared electronic
  medical record with a Master Patient Index (MPI)

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Avera Healths Telehealth ProgramFunding

• Federal Office of Rural Health Policy- Rural
  Health Outreach Grants
• Office for the Advancement of Telehealth-
  750,000 (2003)
• Videoconferencing equipment, staffing,
  peripherals. Developed distance based Certified
  Nursing Assistant program (delivered from rural
  facility)
• USDA Rural Development Distance Learning and
  Telemedicine Program
• Avera eICU Care Remote ICU Monitoring
  Teleradiology Videoconferencing equipment (for
  education and clinical purposes). 1.5 million
  since 2004

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Avera Healths Telehealth Program Funding

• State Funding- State Rural Hospital Flexibility
  Programs- SD, IA, MN
• Smaller . Largest awards to implement
  bar-coding in two rural facilities. Two awards
  at 50,000 each.
• Universal Service Funding, Rural Health Care
  Support Program- All eligible Avera facilities
  apply and receive Universal Service Fund
  discounts.
• 2007- FCC Rural Health Care Pilot Program-
  Support for up to 85 of costs for Avera and two
  partners applied for.

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History of Good Samaritan Societys Telehealth
Programs

• Delivered through Home Health Agencies (24
  Across the Country)
• 3 USDA RUS DLT Grants Windom, MN Clearbrook,
  MN Auburn, NE.
• Community Foundation support in Sioux Falls, SD
  Albuquerque, NM.
• Donor support from Center constituency

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Basic Grant Requirements

• Collaboration
• Community Involvement
• Matching Funds
• Non-duplication of Services
• Low-Moderate Income Clients

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Basic Requirements, cont.

• Start Early- Before a Request for Proposals (RFP)
  is published.
• Do your research
• How will the program become sustainable after the
  grant
• Evaluation- External evaluators

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Federal Programs

• USDA
• Federal Office for the Advancement of Telehealth
  (OAT)
• Federal Office of Rural Health Policy (ORHP)
• AHRQ

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Federal Programs-USDA

• USDA Rural Development Distance Learning and
  Telemedicine (DLT) Program
• http//www.usda.gov/rus/telecom/dlt/dlt.htm
• 100 Grants, Grant/Loan Combinations, Loans
• Recommendation- Work with your State USDA
  Representatives.
• USDA Programs are tied to the reauthorization of
  the Farm Bill.
• Grant Program- Up to 500,000 grants. Will pay
  for ONLY equipment. Equipment specific to
  education and clinical health care services
  delivered via distance. Education related
  funding must be linked to activities with
  specific curriculums.

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Federal Programs-USDA

• Grant/Loan Program- Regular Combination
  Loan/Grants Combos will generally consist of 9
  of loan for every 1 of grant. Non-competitive,
  First-come, first-serve.
• Less restrictive in what it will pay for.
• 2007- Special EMR Pilot Program. 1 in grant
  for every 4 in loan. Projects capped at 1
  million.
• Maximum amount of a regular Combo application is
  20 million (18 million in loan, 2 million in
  grant) and the minimum is 50,000.

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Federal Programs-USDA

• Loan Program- Non-competitive. Less restrictive
  in what it will fund than the Grant Program, and
  Grant/Loan Combination. Maximum amount is 20
  million and minimum is 50,000.
• USDA Rural Broadband Loans Loan Guarantees

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Federal Programs-OAT

• Federal Office for the Advancement of Telehealth
  (OAT)
• http//www.hrsa.gov/telehealth/
• Licensure Portability GrantsCongressionally
  Mandated Telehealth Grants
• Telehealth Resource Center Grants
• Telehealth Network Grants
• http//www.hrsa.gov/telehealth/
• For grantee directory, resources, program
  information

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Federal Programs-ORHP

• Federal Office of Rural Health Policy (ORHP)
• http//www.ruralhealth.hrsa.gov/
• Rural Health Outreach Grants- Up to 150,000 for
  Y 1, 125,000 for Y2,100,000 for Y 3.No more
  than 40 of grant funds can be spent on
  equipment.
• Rural Health Network Development Grants
• Rural Health Network Development Planning Grants
• Must be located in a rural area

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Federal Programs-AHRQ

• Agency for Healthcare Research Quality (AHRQ)
• http//healthit.ahrq.gov/
• Health information technology is a priority area
  for AHRQ
• Since 2004, AHRQ has awarded 166 million dollars
  in grants and contracts to support planning,
  implementation, and evaluation of health IT, and
  to foster health information exchange.
• Research components
• Highly competitive

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Federal Programs-AHRQ

• Reviews of proposed Federal legislation indicate
  a significant amount of targeted to AHRQ
• http//www.ahrq.gov/fund/grantix.htm- Funding
  announcements

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Federal Programs-FCC

• Universal Service Administrative Company (USAC)-
• Rural Healthcare Program
• http//www.usac.org/rhc/
• Discounts available to eligible rural health care
  providers for telecommunication services and
  monthly Internet service charges.
• The program is intended to ensure that rural
  health care providers pay no more for
  telecommunications in the provision of health
  care services than their urban counterparts.

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Federal Programs-FCC

• FCC Rural Healthcare Pilot Program- Includes
  for network infrastructure, as well as
  telecommunications costs
• http//www.fcc.gov/cgb/rural/rhcp.html

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State Funding Opportunities

• State Rural Hospital Flexibility Grants, Small
  Hospital Improvement Program Other State Grants
• IA- http//www.idph.state.ia.us/hpcdp/rural_health
  .asp
• http//www.iagrants.com/index.php?getiowa-opp
• MN- www.health.state.mn.us/divs/cfh/orhpc/rhpc/off
  ice/
• http//www.health.state.mn.us/divs/cfh/orhpc/gran
  t/home.htm
• ND- www.med.und.nodak.edu/depts/rural/sorh/index.h
  tml

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State Funding Opportunities

• NE-www.hhss.ne.gov/orh
• SD- www.state.sd.us/doh/rural/
• WY-www.whrn.org
• Directory of State Offices of Rural Health-
  http//ruralhealth.hrsa.gov/funding/50sorh.htm

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Other Funding Sources

• Community Foundations
• Partners (Clinics, Hospitals, Tribal governments
  etc.)
• Local Fundraising

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Networking Information Resources

• Your states healthcare website
• Your states nursing association
• Your state representatives
• TRAC
• http//www.avera.org/avera/gptrac/index.aspx
• Rural Assistance Center
• http//www.raconline.org/
• Grants.gov
• Watch impending Federal Legislation

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Q A

• Open discussion

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Contact Info

• Lisa Kilawee- Director of Rural Health Services,
  Avera Rural Health Institute, Avera Health
• 3900 W. Avera Drive Sioux Falls, SD 57108
• 605.322.4741 (Phone) 605.322.4760 (fax)
• lisa.kilawee_at_avera.org
• John Williams,Grant Writing Consultant
• The Evangelical Lutheran Good Samaritan Society
• P.O. Box 5038 Sioux Falls, SD 57117-5038
• 605-362-2260 (Phone) 605-362-3356 (Fax)
• jwilliam_at_good-sam.com

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Evaluation

• Please fill out evaluation forms
• Thank you for coming