Fiscal Year 2012State and Regional

Primary Care Association (PCA) Cooperative Agreements

Alabama and Pacific Islands

HRSA-12-183

PCA Technical Assistance (TA) Website: http://www.hrsa.gov/grants/apply/assistance/pca

Agenda

• Overview • Eligibility Requirements• Two-Tiered Electronic Submission Process• Project Narrative • Project Work Plan• Technical Assistance Contacts• Important Reminders• Questions & Answers

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PCA: Purpose

To provide statewide/regional training and technical assistance (T/TA) to all existing section 330 health centers, regardless of PCA membership status.

To provide T/TA to all interested organizations seeking section 330 resources and how they can be used to meet community health needs.

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PCA T/TA Requirements

1. State/Regional Health Center T/TA Activities• Program Requirements: To improve compliance of

existing health centers in the state/region with Health Center Program requirements.

• Performance Improvement: To strengthen clinical and financial performance and enhance the operations of existing health centers in the state/region.

2. Statewide/Regional Program Assistance To provide T/TA to potential and existing health centers

based on statewide/regional and/or HRSA/BPHC priorities.

Note: Refer to “PCA Recipient Roles and Responsibilities” on pages 3-6 of the funding opportunity announcement (FOA).

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Requirement 1

Statewide/Regional Health Center T/TA Activities

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Program Requirements Goal Performance Improvement Goals

XX% of Health Centers with No Program Conditions

• XX% of Health Centers that Meet/Exceed Healthy People 2020 Goals on One or More Clinical Performance Measures

• XX% of Health Centers with PCMH Recognition

• XX% of Health Centers with Cost Increase Less than National Average

• XX% of Health Centers Financially Strong (No Going Concern Issues)

T/TA Focus Areas T/TA Focus Areas• Need• Services – QI/QA Systems• Management and Finance – Fiscal

Operations/Systems• Management and Finance – Workforce

Recruitment and Retention• Governance

• Clinical Performance Measures• Financial Performance Measures

Requirement 2

Statewide/Regional Program Assistance

T/TA Focus Areas:

• Information on Available Resources• Annual T/TA Needs Assessment• Special Populations• Collaboration• Emergency Preparedness• Regional/Statewide Surveillance Analysis• Newly Funded Health Centers

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Award Information

• Approximately $900,000 annually • Approximately 2 cooperative agreements • Project period: up to 5 years• Project period start date: September 1, 2012

Note: An organization’s budget request cannot exceed the annual level of federal section 330 funding that is currently provided in the state/region. This applies to any year of the proposed project.

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Eligibility Requirements

Entities that can provide T/TA on a statewide/regional basis to community based organizations:

– Domestic public or private, non-profit or for-profit entities

– Faith-based and community-based organizations

– Tribes and tribal organizations

Note: Applicants with no experience working with potential or existing health centers and community-based providers with similar missions will not be competitive.

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Funding Restrictions

• Construction/renovation of facilities• Activities not approved under the

cooperative agreement• Reserve requirements for state insurance

licensure• Lobbying/advocacy efforts

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Application Deadlines & Requirements

Note: Applicants who do not complete Phase 1 by the deadline will not be able to move to

Phase 2 and will not be able to submit an application.

• Page limit: 80 pages or 10MB• Format: Single-spaced,12 point, easily readable

font (e.g., Times New Roman, Arial, Courier) and 1-inch margins

Resource: http://www.hrsa.gov/grants/apply/userguide.pdf

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Tier Deadline

Phase 1 - Grants.govJune 20, 2012 by 8 PM ET

Phase 2 - HRSA Electronic Handbooks (EHB)

July 10, 2012 by 8 PM ET

Two-Tiered Submission Process

• Phase 1: Grants.gov - Due June 20, 2012– Applicants should register early!

– Organization must register in the Central Contractor Registry (CCR) and Data Universal Numbering System (DUNS) prior to registering in Grants.gov.

– Applicants will receive a validation email from Grants.gov.

• Phase 2: HRSA EHB – Due July 10, 2012– Upon successful completion of the Grants.gov submission,

applicants will receive an e-mail confirmation with a tracking number. Email notification to begin Phase 2 will be sent on or around 7 business days following Grants.gov validation.

Resource: http://www.hrsa.gov/grants/apply/userguide.pdf

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Phase 1 (Grants.gov) Forms

http://www.grants.gov

• SF 424 Application for Federal Assistance Form– upload Project Abstract on line 15

– upload Additional Congressional District on line 16, if applicable

• Project/Performance Site Location Form– include administrative site only, not where services

will be provided

• Grants.gov Lobbying Form• SF 424B: Assurances for Non-Construction Programs • SF-LLL Disclosure of Lobbying Activities, if applicable

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HRSA Electronic Handbooks (EHB)

• Once an application is successfully submitted through Grants.gov and downloaded into the EHB, HRSA will issue the applicant a tracking number.

• The Project Director and Authorizing Official must register in EHB.

• The Registered User will need:– Grant Announcement Number (HRSA-12-183)

– Grants.Gov Tracking Number

– HRSA EHB Tracking Number

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Phase 2: EHB Required Forms

https://grants.hrsa.gov/webexternal/home.asp

• Project Narrative Form (upload project narrative)

• SF- 424A : Budget Information - Non-Construction Programs

• Form 1A: General Information Worksheet• Project Work Plan Form

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Phase 2: EHB Attachments

REQUIRED:• Attachment 1: Staffing Plan• Attachment 2: Position Descriptions for Key Personnel• Attachment 3: Biographical Sketches for Key Personnel• Attachment 4: Letters of Support

IF APPLICABLE:• Attachment 5: Summary of Contracts and Agreements• Attachments 6-10: Other Relevant Documents

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Program Narrative & Review Criteria

• Introduction• Need (15 points)• Response (25 points)• Collaboration (10 points) • Evaluative Measures/Impact (15 points)• Resources/Capabilities (25 points)• Support Requested (10 points)

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Project Work Plan – 4 Sections

The 12-month work plan should address:• ONLY the activities to be supported under the cooperative agreement.• PCA recipient roles and responsibilities on pages 3-6 of FOA.• Short-term and long-term T/TA needs of potential and existing health

centers in the state/region.• Projected target goals for the end of the 5-year project period.

Resource: HRSA EHB PCA Cooperative Agreement User Guide

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Requirement 1: Statewide/Regional Health Center T/TA Activities

Section A – T/TA in Fiscal and Program Management (Program Requirements)

Section B1 – T/TA in Performance Improvement (Clinical)

Section B2 – T/TA in Performance Improvement (Financial)

Requirement 2: Statewide/Regional Program Assistance

Section C – Statewide/Regional Program Assistance

Project Work Plan: Performance Goals

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Goal: Health Center Program Requirements

A1XX% of Health Center Program grantees with no program conditions on their Notice of Awards (NoAs).

Goals: Performance Improvement (Clinical)

B1.a

XX% of Health Center Program grantees in the state/region that meet or exceed performance on one or more Healthy People 2020 performance measure goal(s).

B1.b

XX% of Health Center Program grantees with Patient-Centered Medical Home (PCMH) recognition.

Goals: Performance Improvement (Financial)

B2.a

XX% of Health Center Program grantees with cost increase less than National average.

B2.b

XX% of Health Center Program grantees without going concern issues.

Note: Applicant organizations will establish percentage goals for the end of the project period.

Project Work Plan: Key Components

• Projected Goal Percentages• Key Factors• T/TA Focus Areas• Activities• Person(s)/Area(s) Responsible• Time Frames• Expected Outcomes• Comments (optional)

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Project Work Plan: Requirements

Key Components

Section A

Section B

(Clinical)

Section B

(Financial)

Section C

Character Limit

Min Max Min Max Min Max Min Max

Goal 1 1 2 2 2 2 N/A N/A N/A

Key Factor 3 5 3 5 3 5 N/A N/A 500

T/TA Focus Area

3 5 1 3 1 3 7 9 200

Activity 2 5 2 5 2 5 2 5 200

Person/Area Responsible

1 5 1 5 1 5 1 5 200

Time Frame 1 5 1 5 1 5 1 5 200

Expected Outcome

1 5 1 5 1 5 1 5 200

CommentsThis is the only optional field on the form. Indicate supplemental information related to entries in the project work plan.

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Resources

• PCA TA Website

http://www.hrsa.gov/grants/apply/assistance/pca

• HRSA Electronic Submission User Guide

http://www.hrsa.gov/grants/apply/userguide.pdf

• Health Center Program

http://www.bphc.hrsa.gov/

• Healthy People 2020

http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx

• National Health Expenditure

http://www.cms.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorial.asp#TopOfPage

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Technical Assistance Contacts

Program related questions

• Denise Nguyen: BPHCPCA@hrsa.gov or 301.594.4300

Budget related questions

• Angela Wade: awade@hrsa.gov or 301.443.3190

Grants.gov related questions

• support@grants.gov or 1.800.518.4726

EHB accounts and access questions

• HRSA Contact Center: CallCenter@hrsa.gov or 877.464.4772

Electronic submission questions

• BPHC Helpline: BPHCHelpline@hrsa.gov or 877.974.2742

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Important Reminders

• Grants.gov deadline is June 20, 2012 by 8 PM ET.

• HRSA EHB deadline is July 10, 2012 by 8 PM ET.

• Applications may not exceed 80 pages or 10MB.

• Applicants will enter information directly into EHB for the Project Work Plan.

• Failure to include all required documents may result in your application being deemed incomplete or non-compliant.

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Questions & Answers

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