Rural Health Partnership Grantee Meeting

1. 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)

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

3. Overview • 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

4. ORHP • 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

5. ORHP

6. ORHP

7. Changes in ORHP New Divisions • Policy/Research • Community-Based • Hospital-State • Border Health

8. 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)

9. Community-Based Division Programs Rural Health Outreach Rural Network Development Network Planning Delta Network Development Quality Improvement Black Lung, RESEP, RAED 2009 Focus Best Practices and Tracking Sustainability Economic Impact Technical Assistance

10. CBD Budget *Includes Outreach, Network Development, Network Planning, Quality and Delta Health Network Grant Programs

11. 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.

12. 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

13. 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

14. 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: eholloran@hrsa.gov

15. 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

16. Quality Timeline • Application Information: • Estimated availability Early 2010 • Award Amount: $ 75K • Program Contact: • Elizabeth Rezai-zadeh, erezai-zadeh@hrsa.gov

17. 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.

18. Grants.gov Homepage

19. Find An Opportunity

20. Find - Basic Search

21. Apply

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

23. Application in Grants.gov

24. E-mail Notifications

25. Grants.gov Support • Grants.gov Contact Center • Monday – Friday, 7 AM – 9 PM ET • 1-800-518-4726 • support@grants.gov

26. We Need You! • We need reviewers with rural experience for grant reviews • ORHP has multiple grant reviews each year • Register to be a reviewer https://grants.hrsa.gov/webReview/ • Indicate “rural health” as a specialty

27. Electronic Resources RAC: www.raconline.org 3RNET: www.3rnet.org Health Workforce: healthworkforceinfo.org USDA: www.usda.gov/rus/telecom/comconnect.htm Nursing: http://bhpr.hrsa.gov/nursing/ NRHA: www.rurahealthweb.org

28. Human Resources • Project Officers • Georgia Health Policy Center Technical Assistance Providers • National Cooperative of Health Networks • Office of Performance Review

29. Office of Performance Review (OPR) I Boston Seattle New York Chicago Philadelphia Rockville San Francisco Denver Kansas City Atlanta Dallas Puerto Rico

30. 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.

31. 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

32. 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

33. 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

34. 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

35. Performance Review: Category 2 • Reviews generally: • focus on the selected goals/objectives, priority areas, or measures • assess overall grantee performance

36. Phases of Performance Review • Pre-Site Preparation • On-Site Visit • Post-Site • Action Plan Follow-Up

37. 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

38. 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

39. PIMS Measures • Process or outcome measures • Required for non-competing continuing applications • Cross cutting measures required of all grantees • Additional issue-specific measures

40. 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

41. 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

42. 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

43. Other Reports • FSR and Carry-over Requests • Non-Competing Continuation Applications • Close-out Reports

44. Questions? Sherilyn Pruitt, RHND Program Coordinator Office of Rural Health Policy Health Resources and Services Administration 301-594-0819 spruitt@hrsa.gov