fiscal year (fy) 2013 state and regional primary care association (pca) non-competing continuation...
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Fiscal Year (FY) 2013
State and Regional Primary Care Association (PCA)
Non-Competing Continuation Progress Report (NCC)
HRSA 5-U58-13-001
Technical Assistance Call
Date: Thursday, December 20, 2012Time: 1 PM ESTDial-In Number: 1-800-988-9407Participant Passcode: 9222320Web Meeting Link:https://hrsa.connectsolutions.com/pcancc
A replay will be posted within one week of the call at http://www.hrsa.gov/grants/apply/assistance/pca
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FY 2013 PCA NCC
• Overview• Submission Process• Standard Form SF-PPR• Budget (Forms & Justification/Narrative)• Program Narrative Update • Project Work Plan• Resources• TA Contacts
Overview
• PCAs applying for FY 2013 non-competing continuation funding must submit a progress report in the Electronic Handbooks (EHB)
• FY 2013 begins April 1, 2013 and ends March 31, 2014
• Instructions for completing the progress report are available in EHB and on the PCA TA webpage - http://www.hrsa.gov/grants/apply/assistance/pca
• Progress reports must be submitted in EHB by 5 PM ET on January 23, 2013
• Progress reports may not exceed 40 pages
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Submission Process
• System-generated e-mail notifications that the progress report is available in EHB were sent December 19, 2012 to PCA Project Directors and others individuals who have non-competing continuation edit and submit privileges in EHB
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NCC Components
REQUIRED:
• Standard Form SF-PPR
• Standard Form SF-PPR2
• Budget Information: Budget Details Form
• Budget Narrative
• Project Work Plan
• Attachment 1: Program Narrative Update
As Applicable:
• Attachment 2: Staffing Plan
• Attachment 3: Position Descriptions for Key Personnel
• Attachment 4: Biographical Sketches for Key Personnel
• Attachment 5: Summary of Contracts/Agreements
• Attachment 6: Other Relevant Documents
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Budget Forms
Section A: Budget Summary • The PCA grant request in the federal column is pre-populated and
cannot be edited (this figure should correspond with the recommended future support figure (Line 13) on the most recent Notice of Award)
Section B: Budget Categories• Provide a breakdown of the budgeted funds by object class
category (e.g., Personnel, Fringe Benefits) • Refer to SF-424A submitted with the most recent PCA application as
a reference point, noting that the total value for each Object Class Category may be different from year to year based on programmatic changes
Section C: Non-Federal Resources• It is not necessary to provide other sources of funding
PCAs will complete these sections of the budget form for each remaining year in the project period.
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Budget Justification/Narrative
• Provide a detailed line-item budget that explains each cost for the upcoming budget period (April 1, 2013 through March 31, 2014)
• Additional narrative for the budget justification should describe each cost element and explain how each contributes to meeting the project’s objectives
Line items:• Personnel Costs• Fringe Benefits• Travel• Equipment• Supplies• Contracts• Other• Indirect Costs
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Project Work Plan
• EHB will pre-populate the Project Work Plan recently negotiated with the PO
• An abbreviated sample Project Work Plan is available at http://www.hrsa.gov/grants/apply/assistance/pca/
Project Work Plan Fields:• Goal • Projected Goal
Percentage• Key Factors• T/TA Focus Areas• Activity• Person Area Responsible• Time Frame• Expected Outcome• Comments• Progress Report 9
Project Work Plan – 4 Sections
The 12-month work plan should address:• ONLY the activities to be supported under the
cooperative agreement• 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 project period
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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
State Performance Profile Metrics and Definitions
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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).
This metric provides the number and percentage of currently funded H80 grantees that do not have any active 30 day program conditions in the last 12 months. Program conditions relate to compliance with the 19 program requirements which can be found at http://www.bphc.hrsa.gov/about/requirements.
Note: Goal percentages are for the end of the project period. Do not change these percentages without prior discussion with your Project Officer.
State Performance Profile Metrics and Definitions
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Note: Goal percentages are for the end of the project period. Do not change these percentages without prior discussion with your Project Officer.
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).
This metric provides the number and percentage of grantees that have met or exceeded the Healthy People (HP) 2020 performance measure goals on at least one of the clinical measures. This metric applies to the total number of grantees who submitted UDS data.
B1.bXX% of Health Center Program grantees with Patient-Centered Medical Home (PCMH) recognition.
This metric provides the number and percentage of grantees that currently have PCMH recognition for at least one site. Only sites recognized within the past 3 years will be considered to be PCMH recognized. Data includes PCMH Recognition through NCQA, The Joint Commission, and AAAHC. This metric applies to the total number of grantees who submitted UDS data.
State Performance Profile Metrics and Definitions
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Note: Goal percentages are for the end of the project period. Do not change these percentages without prior discussion with your Project Officer.
Goals: Performance Improvement (Financial)
B2.aXX% of Health Center Program grantees with cost increase less than National average.
This metric provides the number and percent of grantees whose percent increase in cost per patient is less than the CMS National Health Expenditure rate (NHE). The CMS NHE is 4.81% (which was derived from the total health expenditure data published by CMS at the following webpage:http://www.cms.gov/NationalHealthExpendData/03_NationalHealthAccountsProjected.asp#TopOfPage). This metric applies to the total number of grantees who submitted UDS data.
B2.bXX% of Health Center Program grantees without going concern issues.
This metric provides the number and percentage of grantees that currently have no going concern issues identified in their most recent audit.
Overview
• State Performance ProfileA. Health Center Program Requirement Goal
B. Clinical Performance Improvement Goals
B2. Financial Performance Improvement Goals
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Health Center Program Requirement Goal
• Metric: % of Health Center Program grantees with no program conditions on their Notice of Awards (NoAs)
• Definition: Currently funded H80 Grantees that do not have any active 30 day program conditions issued in the current or previous calendar years.
– Program conditions relate to compliance with the 19 key program requirements (http://www.bphc.hrsa.gov/about/requirements/index.html)
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Clinical Performance Improvement Goals
• Metric: % of Health Center Program grantees in the state/region that meet or exceed performance on one or more Healthy People (HP) 2020 performance measure goal(s)
• Definition: Met or exceeded the ‘Healthy People (HP) 2020’ performance measure goals on at least one of the seven clinical measures
• Formula:
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# of grantees who meet or exceed HP 2020 goals on at least one clinical measures
# of 2011 UDS grantees
Clinical Performance Improvement Goals (cont’d)
• Metric: % Diabetic Patients with HbA1c less than or equal to 9% is 85.4% or higher
• Definition: Met or exceeded the HP 2020 performance measure goal(s) of 85.4% or higher for ‘% Diabetic Patients with HbA1c less than or equal to 9%’ clinical measure in the 2011 UDS
• Formula:
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# of 2011 UDS grantees that reported on this clinical measure
# of grantees who meet or exceed HP 2020 goals for ‘% Diabetic Patients with HbA1c ≤ 9%’
Clinical Performance Improvement Goals (cont’d)
• Metric: % Female Patients with PAP Test is 93.0% or higher
• Definition: Met or exceeded the HP 2020 performance measure goal(s) of 93.0% or higher for ‘% Female Patients with PAP Test’ clinical measure in the 2011 UDS
• Formula:
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# of grantees who meet or exceed HP 2020 goals for ‘% Female Patients with PAP Test’
# of 2011 UDS grantees that reported on this clinical measure
Clinical Performance Improvement Goals (cont’d)
• Metric: % Hypertensive Patients with BP less than 140/90 is 61.2% or higher
• Definition: Met or exceeded the HP 2020 performance measure goal(s) of 61.2% or higher for ‘% Hypertensive Patients with BP less than 140/90’ clinical measure in the 2011 UDS
• Formula:
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# of grantees who meet or exceed HP 2020 goals for ‘% Hypertensive Patients with BP < 140/90’ # of 2011 UDS grantees that reported on this
clinical measure
Clinical Performance Improvement Goals (cont’d)
• Metric: % Low Birth Weight is 7.8% or lower
• Definition: Met or exceeded the HP 2020 performance measure goal(s) of 7.8% or lower for ‘% Low Birth Weight’ clinical measure in the 2011 UDS
• Formula:
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# of grantees who meet or exceed HP 2020 goals for ‘% Low Birth Weight’
# of 2011 UDS grantees that reported on this clinical measure
Clinical Performance Improvement Goals (cont’d)
• Metric: % Prenatal Patients Served in the 1st Trimester is 77.9% or higher
• Definition: Met or exceeded the HP 2020 performance measure goal(s) of 77.9% or higher for ‘% Prenatal Patients Served in the 1st Trimester’ clinical measure in the 2011 UDS
• Formula:
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# of grantees who meet or exceed HP 2020 goals for ‘% Prenatal Patients Served in the 1st
Trimester’# of 2011 UDS grantees that reported on this
clinical measure
Clinical Performance Improvement Goals (cont’d)
• Metric: % of Adults Assessed for Tobacco Use is 68.6% or higher
• Definition: Met or exceeded the HP 2020 performance measure goal(s) of 68.6% or higher for ‘% of Adults Assessed for Tobacco Use’ clinical measure in the 2011 UDS
• Formula:
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# of grantees who meet or exceed HP 2020 goals for ‘% of Adults Assessed for Tobacco Use’
# of 2011 UDS grantees that reported on this clinical measure
Clinical Performance Improvement Goals (cont’d)
• Metric: % of Tobacco Users who Received Cessation Advice and/or Medication is 21.1% or higher
• Definition: Met or exceeded the HP 2020 performance measure goal(s) of 21.1% or higher for ‘% of Tobacco Users who Received Cessation Advice and/or Medication’ clinical measure in the 2011 UDS
• Formula:
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# of grantees who meet or exceed HP 2020 goals for ‘% of Tobacco Users who Received Cessation
Advice and/or Medication’# of 2011 UDS grantees that reported on this
clinical measure
Clinical Performance Improvement Goals (cont’d)
• Metric: % of Health Center Program grantees with Patient-Centered Medical Home (PCMH) recognition
• Definition: Grantees as of October 31, 2012 that currently have PCMH recognition for at least one site. Only sites recognized within the past 3 years will be considered to be PCMH recognized. Data includes PCMH Recognition through NCQA, The Joint Commission, and AAAHC.
• Formula: 28
# of 2011 UDS grantees
# of grantees who currently have PCMH recognition for at least one site
Financial Performance Improvement Goals
• Metric: % of Health Center Program grantees with cost increase less than National average
• Definition: Grantees whose ‘percent increase in cost per patient’ is less than the CMS National Health Expenditure rate (NHE)– The CMS NHE is 4.81% (
http://www.cms.gov/NationalHealthExpendData/03_NationalHealthAccountsProjected.asp#TopOfPage)
• Formula:
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# of 2011 UDS grantees
# of grantees whose 'percent increase in cost per patient' < CMS NHE rate
Financial Performance Improvement Goals (cont’d)
• Metric: % of Health Center Program grantees without going concern issues
• Definition: Grantees that currently have no going concern issues identified in their audit report for the 2010 submission year and the report has been reviewed as of November 12, 2012
• Formula:
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# of grantees without going concern issues# of grantees whose 2010 audit report has been
reviewed as of November 12, 2012
Project Work Plan: Requirements
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Program Narrative Update
Attachment 1• Discuss broad issues and
changes that have impacted the target audiences served and the Primary Care Association, as well as overarching progress on the work plan, since September 1, 2012
Program Narrative Update Items:1. Any significant
progress/proposed changes to the project
2. Any significant changes or outcomes
3. Any significant performance measure changes
4. Any significant changes/updates to linkages or partnerships
5. Any significant changes/updates to the staffing plan
6. Any major expected changes/plans/considerations for activities beyond the upcoming budget period
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Attachments 2-6 (As Applicable)
• Attachment 2: Staffing Plan• Attachment 3: Position Descriptions
for Key Personnel• Attachment 4: Biographical
Sketches for Key Personnel• Attachment 5: Summary of
Contracts/Agreements• Attachment 6: Other Relevant
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Important Reminders
• Progress reports must be submitted in EHB by 5 PM ET on January 23, 2013
• Progress reports may not exceed 40 pages
• Failure to submit the NCC by the established deadline or submission of an incomplete or non-responsive progress report may result in a delay of NoA issuance or a lapse in funding
Resources
• PCA TA Webpage http://www.hrsa.gov/grants/apply/assistance/pca
• Health Center Program Requirements http://bphc.hrsa.gov/about/requirements
• Performance Measures http://bphc.hrsa.gov/policiesregulations/performancemeasures/
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Technical Assistance Contacts
Progress report assistance:Beth [email protected] or 301.594.4300
Budget related questions:Angela [email protected] or 301.594.5296
EHB related questions:BPHC [email protected] or 877.974.2742
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Questions?
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