What’s New in the Outreach Program?

1. What’s New in the Outreach Program? Kathryn Umali, MPH, CHES U.S. Department of Health & Human Services (HHS) Health Resources & Services Administration (HRSA) Office of Rural Health Policy (ORHP) August 3, 2010

2. Overview • Upcoming Program Requirements • Non-competing application • PIMS report • Upcoming Grants Requirements • Federal Financial Report (FFR) • Carryover Request • Payment Management System (PMS) • Refresher on some Program and Grant Requirements • Project Director change • Budget revision • Performance Improvement Measurement System (PIMS) Update • Challenges • Results • Next Steps • Questions?

3. Upcoming Program Requirements

4. Upcoming Program Requirements • Non-competing application • Will be released around mid-late Fall 2010 (tentative) • Application will be in progress report format • Submitted in EHB only

5. Upcoming Program Requirements • Performance Improvement Measurement System (PIMS) Report • Due May 30, 2011 (30 days after the end of the budget period) • Conference call prior to May 1, 2011

6. Upcoming Program Requirements • Things to remember for your 3rd year: • Program Evaluation Report • PIMS Report—due May 30, 2012 • Final Report—due July 30, 2012

7. Upcoming Program Requirements • Any programmatic questions should be directed to your Project Officer

8. Upcoming Grants Requirements

9. Upcoming Grants Requirements • Federal Financial Report (FFR) • Replaces Federal Status Report (FSR) • Questions 10d to 10o (bottom portion) are reported to HRSA • Submitted through the Electronic Handbook (EHB) • Documentation of funds spent over the past year and shows carryover funds • Due 90 days after budget period ends

10. Upcoming Grants Requirements • Carryover Request • Submitted in the Electronic Handbook (EHB) • Go to ‘Prior Approval’, then select ‘Carryover Unobligated Balances’ option • Grantee will create a request, attach required documents and submit • Submit’ button will not work if you do not attach the required documents • Required documents: SF 424A, carryover letter and budget justification • Once it is approved, grantee will receive a new Notice of Grant Award (NGA) reflecting this carryover amount • Since prior HRSA approval is required, unobligated funds may not be spent before the grantee receives a revised NGA which specifically states that the carryover request has been approved

11. Upcoming Grants Requirements • Payment Management System (PMS) • http://www.dpm.psc.gov • FFR questions 10a, b and c (top portion) are reported to PMS

12. Upcoming Grants Requirements • Things to remember for your 3rd year: • No-cost extension request • Federal Financial Report (FFR) • Payment Management System (PMS) reports

13. Upcoming Grants Requirements • Any questions regarding budgetary/financial requirements should be directed to your Grants Management Specialist (GMS)

14. Refresher on Some Program and Grants Requirements Program Requirements Project Director Change • Submitted through EHB • Go to ‘Prior Approval’ and select ‘Project Director’ option • Grantee will create a request, attach required documents and submit • Submit’ button will not work if you do not attach the required documents • Required documents: Justification for change and resume/CV of new Project Director

15. Refresher on Some Program and Grants Requirements Grants Requirements Rebudgeting • Submitted through EHB • Go to ‘Prior Approval’ and select ‘Rebudgeting’ option • Grantee will create a request, attach required documents and submit • ‘Submit’ button will not work if you do not attach the required documents • Required documents: SF424A and narrative

16. Performance Improvement Measurement System (PIMS) Update

17. Challenges Unclear Questions I. Access to Care: • duplicated vs. unduplicated encounters • direct vs. indirect services • Number of people in target population vs. # of people in target population with access to new/expanded services • Number of new and/or expanded services provided

18. Challenges Unclear Questions II. Sustainability • Program revenue vs. project revenue III. Clinical Measures • Diabetes = standard is HbA1c greater than 9.0%

19. Results • Number of people in target population with access to new/expanded programs/services = 1,983,705 • Top 3 focus areas: • Health Education • Health Promotion/ Disease Management • Diabetes/Obesity Management

20. Results

21. Results

22. Results

23. Next Steps • Further analyze data • Show data trends based on previous cohort’s data • Revise some measures • Clinical measures • ‘Demographics’ questions • Clarify instructions and improve submission process

24. Other Changes We’ve moved offices!!!! 9A-5510B-45

25. We Need Grant Reviewers!!! • ORHP has multiple grant programs this year • We need reviewers with rural experience to be a part of our Objective Review Committee panels • You must register to be a reviewer • To register, please visit: https://grants.hrsa.gov/webReview/ • Indicate “rural health” as one of your specialties in the background information section • Send me an email indicating that you have registered as a reviewer

26. Contact Information Kathryn Umali Outreach Program Coordinator kumali@hrsa.gov 301-443-7444

27. Questions????