Center for Rural Health Webinar Series

1. Center for Rural Health Webinar Series Overview of 2013–2015 HRSA Office of Rural Health Policy Funding Opportunities Monday, January 7, 2013 10:00–11:30 am Sponsored by: Arizona State Office of Rural Health Program | Arizona Rural Hospital Flexibility Program

2. Agenda/Objectives • Review upcoming ORHP grant opportunities – Now to 2015 • Discuss the Small Healthcare Provider Quality Improvement Program funding opportunity (Due 1/30/13) • Preview HRSA’s New TA Webpage and Other Resources • Identify Specific Tips In Writing a Winning Application • Discussion/Questions • Provide the Upcoming Webinar Series Schedule

3. Overview of ORHP Funding Opportunities • FY 2013 Funding Opportunities • Small Healthcare Provider Quality Improvement Program – Due 1/30/13 • FY 2014 Funding Opportunities • Rural Network Planning Program, Funding Announcement – Summer 2013 • Rural Network Development Program, Funding Announcement – Fall 2013 • FY 2015 Funding Opportunities • Rural Network Planning Program, Funding Announcement – Summer 2014 • Rural Health Care Services Outreach Program, Funding Announcement – Fall 2014

4. FY 2013: Overview – Small Healthcare Provider Quality Improvement Program • Purpose:Improve patient care and chronic disease outcomes by assisting rural primary care providers with the implementation of quality improvement (QI) initiatives using the Chronic Care Model and electronic patient registries (EPR). • Duration/Funds: 3-Year Grant Program | Maximum $150,000/Year • Eligibility: rural not-for-profit, Federally-recognized tribal organization, or an organization that provides services exclusively to migrant farm workers • Proposal Due Date: Wednesday, January 30, 2013 • Contact: Ann Ferrero, aferrero@hrsa.gov Tel: 301.443.3999

5. Key Points – Small Healthcare Provider Quality Improvement Program • Background • Program funding initiated in FY 2006 following 2002 federal authorization • Sequence of awards and duration • FY 2006: 15 awards up to $50,000/year for 2 years • FY 2008: 55 awards up to $75,000/year for 2 years • FY 2010: 58 awards up to $100,000/year for 3 years • FY 2013: 40-50 awards up to $150,000/year for 3 years • Purpose • Assist rural primary care providers with implementation of quality improvement strategies • Promote evidence-based culture • Coordinate delivery of care • Improve health outcomes for patients • Enhance chronic disease management • Better engage patients and caregivers

6. Key Points –Small Healthcare Provider Quality Improvement Program • Eligibility • Organizations • Rural public or rural non-profit • All RHCs and CAHS • Geography • Non-metro county or in a rural census tract of a metro county • All services must be provided in a non-metro county or rural census tract • http://datawarehouse.hrsa.gov/RuralAdvisor/RuralHealthAdvisor.aspx • No organization already funded under this program is eligible • Funding Preferences • Health Professional Shortage Area (http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesognaitonAdvisor.aspx ) • Medically Underserved Community/Populations (see link above) • Primary Care, Wellness, and Prevention Strategies

7. Key Points –Small Healthcare Provider Quality Improvement Program • Application Requirements • Propose an evidenced-based quality improvement model • Have implemented HIT by the time of award • Include a detailed workplan, evaluation plan, sustainability plan, and a logic model • Encourage alignment with other providers to form a consortium or network • Year 1 Program Expectations • Complete implementation of HIT needed for data collection • Implement quality improvement model • Train staff on data collection and QI model • Begin collection, validating and testing data • Perform tests of change (PDSA) • Report baseline data 6 months after start date (clinical measures focused on diabetes, hypertension, BMI, tobacco

8. FY 2014 Overview– Rural Network Planning Program • Purpose: Supports planning activities to improve health care delivery in rural areas, focusing on the development of networks to help hospitals, clinics, and social service organizations to work together to address local health care challenges. Examples of possible projects to consider – development of a business plan, strategic plan, conduct a needs assessment, HIT readiness assessment, etc. • Duration/Funds:One –year at a maximum of $85,000 • Eligibility:rural not-for profit, Federally-recognized tribal organization or an organization exclusively serving migrant farm workers • Guidance Release: Fall 2013 and Summer 2014 • Program Contact: Linda Kwon, lkwon@hrsa.gov Tel: 301.594.4205

9. FY 2014 Overview – Rural Health Network Development Program (RHND) • Purpose: Assist health networks to enhance and build capacity to help improve health care delivery in rural communities (i.e., Increase access, improve quality, improve health status of residents • Duration/Funds: 3-year grant program at a maximum of $180,000/year • Eligibility:Rural not-for profit, Federally-recognized tribal organization, or an organization that provides services exclusively to migrant farm workers • Guidance Release: Fall 2013 • Program Contact: Leticia Manning, lmanning@hrsa.gov Tel: 301.443.8335

10. FY 2015 Overview – Rural Health Care Services Outreach Program • Purpose: Promote rural health care services outreach by expanding the delivery of health care services to include new and enhanced services in rural areas. Funds can be used to conduct health screenings, health fairs, education and training, and other health service delivery activities that does NOT involve inpatient care. • Duration/Funds:3-year grant program at a maximum of $150,000/year • Eligibility:rural not-for-profit, Federally-recognized tribal organization, or an organization exclusively serving migrant farm workers; other requirement – form a network with at least 2 other organizations (rural, urban, non-profit/for-profit eligible) • Guidance Release: Fall 2014 • Program Contact: Kathryn Umali, kumali@hrsa.gov Tel: 301.443.7444

11. NEW: HRSA Web Portal to Access TA Resources • What it contains: • Slide Presentations • Recorded Webinars • Information about HRSA funding opportunities • How to register using various systems to submit a grant application, including grants.gov • Tips for writing a strong application • Explanation of the HRSA application review process (link to become a grant reviewer – http://www.hrsa.gov/grants/reviewers/index.html ) Website link http://www.hrsa.gov/grants/apply/index.html

12. Other HRSA Resources Available Online • Toolkits on Rural Assistance Center, Community Health Gateway link • http://www.raconline.org/communityhealth/ • Community Health Workers Toolkit • Obesity Toolkit (Soon to be available) • Success Stories • http:///www.raconline.org/success/success.php • More Useful Tools, Planning for Sustainability • http://www.raconline.org/sustainability/

13. Key Websites • HRSA: www.hrsa.gov • Office of Rural Health Policy: www.ruralhealth.hrsa.gov • Technical Assistance: http://www.hrsa.gov/grants/apply/index.html • Rural Eligibility: http://datawarehouse.hrsa.gov/RuralAdvisor/RuralHealthAdvisor.as

14. Tips for Successful Proposals • Read grant program guidance several times; make sure all on the proposal team have read the guidance • Plan for the time necessary for the lead applicant AND partner organizations to approve the final work plan, budget, etc. • Understand that the reviewer is the advocate for the proposal – make it easy and build enthusiasm • Ensure readability • Easy to follow; well-organized (use the headings in the guidance, and sub-headings as necessary) • Check grammar and spelling • Place maps, charts, diagrams, etc., in the narrative (not in the appendices); use clear and readable images

15. Tips for Successful Proposals • Don’t leave anything out – if not relevant, include the item and note that it is not applicable and why. • If you know there is a weakness in the proposal, address it. Do not ignore it; this is expected and can be addressed in an “anticipated challenges” section (or similar) • Allow time to read the PROPOSAL multiple times as well; give to others to read. • CRH can review proposal; need 3-4 days turnaround time • Seek technical assistance from CRH, others.

16. Discussion/Questions • What challenges do you foresee in responding to these funding opportunities? • What specific questions do you have regarding the Small Healthcare Provider Quality Improvement Program? • What type of TA support might you need from the CRH?

17. Upcoming CRH Grants Webinars • Tuesday, February 19, 2013, 10:00am – 11:30am • Special topic: How to develop logic models for a strong program evaluation (presented by Lynda Bergsma, PhD & Joyce Hospodar) • May 2013 • Rural Network Planning Program, Funding Announcement – Summer 2013 • August 2013 • Rural Network Development Program, Funding Announcement – Fall 2013 • FY 2015 • Rural Network Planning Program, Funding Announcement – Summer 2014 • Rural Health Care Services Outreach Program, Funding Announcement – Fall 2014

18. CRH Contacts Arizona State Office of Rural Health staff: • Lynda Bergsma lbergsma@email.arizona.edu 520.626.2401 • Jennifer Peters petersjs@email.arizona.edu 520.626.5837 • Joyce Hospodar hospodar@email.arizona.edu 520.626.2432 • Agnes Attakai agnesa@email.arizona.edu 520.626.4727 http://crh.arizona.edu/events Thank you!