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Rural Health Partnership Grantee Meeting. Rural Health Network Development Grant Program Sherilyn Pruitt, RHND Program Coordinator Washington, DC September 1, 2009 U.S. Department of Health & Human Services (HHS) Health Resources & Services Administration (HRSA)

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rural health partnership grantee meeting
Rural Health Partnership Grantee Meeting

Rural Health Network Development

Grant Program

Sherilyn Pruitt, RHND

Program Coordinator

Washington, DC

September 1, 2009

U.S. Department of Health & Human Services (HHS)

Health Resources & Services Administration (HRSA)

Office of Rural Health Policy (ORHP)

  • We’re glad you’re here
  • Who is in the room?
  • What you have accomplished
  • Things you are working toward


  • Review of the next day and a half
  • How to get the most out of your experience
  • Review of this session
  • Where to go for assistance


  • Role of the Office of Rural Health Policy
    • Voice for Rural within HHS
    • Supports Rural Health Research
    • Supports Rural Health Grant Programs

Mary Wakefield, Administrator of HRSA

Modern Healthcare’s Top 25 Women for 2009


Changes in ORHP

New Divisions

  • Policy/Research
  • Community-Based
  • Hospital-State
  • Border Health

Hospital-State Division

  • Hospital-State Division Grants
    • State Offices of Rural Health (SORH)
    • Rural Hospital Flexibility Grant (Flex)
    • Small Rural Hospital Improvement Program (SHIP)
    • Critical Access Hospital HIT Network Grants (CAH-HIT Network)

Community-Based Division


Rural Health Outreach

Rural Network Development

Network Planning

Delta Network Development

Quality Improvement

Black Lung, RESEP, RAED

2009 Focus

Best Practices and Tracking


Economic Impact

Technical Assistance


CBD Budget

*Includes Outreach, Network Development, Network Planning, Quality and Delta Health Network Grant Programs


Rural Health Grants 2005-2009

    • Rural Health Outreach Grants*
    • Rural Health Network Planning Grants
    • Rural Health Network Development Grants
    • Small Health Care Provider Quality ImprovementGrants
  • rants

* Rural Health Outreach Grants include Rural Health Care Services Outreach Grant, Delta State Rural Development Network Grant and Frontier Extended Stay Clinic Cooperative Agreement.


Technical Assistance Workshops

Targeting Key States

  • Oklahoma
  • Wyoming
  • Colorado
  • Idaho
  • Pennsylvania
  • Tennessee

Looking Ahead

Regions Served by

  • Historically Black
  • Colleges and Universities
  • Border Communities
  • Tribal Communities
funding opportunities
Funding Opportunities
  • Network Planning Grant
    • One-Year Program
    • Hire Health Information Technology consultant
    • Develop business plan
    • Develop Economic Community Impact plan
    • Conduct Needs Assessment
    • Eligibility Requirements
network planning timeline
Network Planning Timeline
  • Application Information:
    • Start Date: March 1, 2010
    • RFP currently available
    • Applications due September 14, 2009
    • TA Conference Call for Applicants
    • Award Amount: $85,000
    • Program Contact:
      • Eileen Holloran:
funding opportunities15
Funding Opportunities
  • Quality Grant
    • Two year program
    • QI strategies to improve patient care/chronic disease outcomes
    • Improve health indicators and decrease emergency room visits/admissions to hospitals
    • Focus: Diabetes and CVD
quality timeline
Quality Timeline
  • Application Information:
    • Estimated availability Early 2010
    • Award Amount: $ 75K
    • Program Contact:
      • Elizabeth Rezai-zadeh,

grants gov
  • Established as a Governmental Resource; E-Grants Initiative
    • Part of the President's 2002 Fiscal Year Management Agenda to Improve Government Services to the Public
    • Find and Apply for over 1,000 grant programs from the 26 Federal grant making agencies.

Recommendation: download and save the application instructions and application package to your computer desktop.

slide25 Support

  • Contact Center
    • Monday – Friday, 7 AM – 9 PM ET
    • 1-800-518-4726
we need you
We Need You!
  • We need reviewers with rural experience for grant reviews
  • ORHP has multiple grant reviews each year
  • Register to be a reviewer
  • Indicate “rural health” as a specialty
electronic resources
Electronic Resources



Health Workforce:




human resources
Human Resources
  • Project Officers
  • Georgia Health Policy Center Technical Assistance Providers
  • National Cooperative of Health Networks
  • Office of Performance Review
office of performance review opr
Office of Performance Review (OPR)




New York




San Francisco


Kansas City



Puerto Rico

opr mission
OPR Mission

To improve access to quality health care and reduce health disparities by effectively reviewing and enhancing the performance of HRSA-supported programs within communities and States.

purpose of performance reviews
Purpose of Performance Reviews
  • To improve the performance of HRSA-funded programs
  • Provide direct feedback to the agency about the impact of HRSA policies on program implementation and performance
performance review benefits
Performance Review Benefits
  • Improved grantee performance through:
    • Facilitated discussions
    • Sharing best practices
    • Expert consultation/technical assistance
    • Performance Improvement Action Plan
  • Cross-Cutting feedback on HRSA policies
  • Environmental surveillance
underlying assumptions
Underlying Assumptions
  • Most grantees are performing well
  • Many solutions exist within an organization, or can be achieved through partnerships
  • HRSA staff will produce better outcomes and results working in collaboration with grantees
  • Grantee oversight responsibility remains with project officers
performance review category 2
Performance Review: Category 2
  • Professional training and public health infrastructure development grants that have
    • outreach activities as the scope of the project
    • limited project periods
    • may have performance best assessed either by progress toward goals and objectives, or measures
performance review category 235
Performance Review: Category 2
  • Reviews generally:
    • focus on the selected goals/objectives, priority areas, or measures
    • assess overall grantee performance
phases of performance review
Phases of Performance Review
  • Pre-Site Preparation
  • On-Site Visit
  • Post-Site
  • Action Plan Follow-Up
performance measurement
Performance Measurement
  • Purpose of PIMS - to help quantify the impact of ORHP funding on access to health care, quality of services, and improvement of health outcomes
  • Compatible with HRSA’s Electronic Handbook (EHB)
  • Fulfills the Government Performance Results Act (GPRA) requirements
pims background
PIMS Background
  • Measures were developed by ORHP with input from ORHP grantees over a two-year period
  • Measures were standardized to allow for comparison across the varied programs within ORHP
  • Measures are nationally-accepted
pims measures
PIMS Measures
  • Process or outcome measures
  • Required for non-competing continuing applications
  • Cross cutting measures required of all grantees
  • Additional issue-specific measures
cross cutting measures
Cross-Cutting Measures
  • Number of new or expanded programs/ services generated
  • Number of people with access to new or expanded programs/services
  • Savings from shared staff and/or joint purchasing
  • Percent attendance at network board meetings
  • Network member operating margins
  • Number and types of sources of network income
issue area categories
Issue Area Categories
  • Health Information Technology
  • Quality
  • Prescription Drugs
  • Chronic Disease – Health Education/Promotion
  • Chronic Disease - Case Management
  • Under and Uninsured
  • Mental/Behavioral Health
  • Recruitment and Retention
utility of pims
Utility of PIMS
  • Grantees use the system to track their own performance
  • ORHP uses the system to improve their programs as a whole
  • ORHP can quantify the impact of its programs and justify the investment of Federal funds
other reports
Other Reports
  • FSR and Carry-over Requests
  • Non-Competing Continuation Applications
  • Close-out Reports

Sherilyn Pruitt,

RHND Program Coordinator

Office of Rural Health Policy

Health Resources and Services Administration