Community-Based and Rural Health Grant Program Technical Assistance Workshop

1. 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

2. TA Workshop Agenda • Welcome & Overview of CBRHP • CBRHP processes, eligibility, focal funding areas • CBRH program changes • Budget, Organization Infrastructure • Project Narrative • Q&A

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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. Pertinent Dates • Letters of Intent requested by COB July 17 • Applications due at DHH by 5:00 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

11. 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

12. Department of Health and Hospitals Priorities 2009-10

13. 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.

14. Louisiana Health Care Priorities Redesigning the state’s 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

15. 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)

16. 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

17. 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

18. 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

19. 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 sponsor’s 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

20. Budget and Budget Narrative (25 points)

21. 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

22. 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)

23. 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

24. 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

25. Questions/ Open Discussion