service area competition (sac) new and competing continuation funding fiscal year 2011 sac ta...

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SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage: http://www.hrsa.gov/grants/apply/assistance/ sac/ HRSA-11-007, HRSA-11-008, HRSA-11-009, HRSA-11-010, HRSA-11-011, HRSA-11-012, HRSA-11-013, and HRSA-11- 014

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Page 1: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

SERVICE AREA COMPETITION (SAC)NEW AND COMPETING

CONTINUATION FUNDINGFiscal Year 2011

SAC TA Webpage:http://www.hrsa.gov/grants/apply/assistance/sac/

HRSA-11-007, HRSA-11-008, HRSA-11-009, HRSA-11-010, HRSA-11-011, HRSA-11-012, HRSA-11-013, and HRSA-11-014

Page 2: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

SAC 2011 OverviewToday’s Presentation

• Application Due Dates

• SAC Eligibility Requirements

• Program Narrative

• Program Specific Forms and Program Specific Information

• Clinical and Financial Performance Measures

• Electronic Health Records

• Differences Between SAC 2010 and SAC 2011 funding opportunities

• Additional Information

• Resources/Technical Assistance

• Contact Information

Page 3: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Application Due Dates

Project Period Start Date

HRSA Announcement

Number

Grants.gov

Application Deadline

Electronic Hand Books (EHB)

Deadline

November 1, 2010 HRSA-11-007 October 25, 2010

at 8:00 p.m. ET

November 8, 2010

at 5:00 p.m. ET

December 1, 2010 HRSA-11-008 October 26, 2010

at 8:00 p.m. ET

November 9, 2010

at 5:00 p.m. ET

January 1, 2011 HRSA-11-009 October 27, 2010

at 8:00 p.m. ET

November 10, 2010

at 5:00 p.m. ET

February 1, 2011 HRSA-11-010 October 28, 2010

at 8:00 p.m. ET

November 12, 2010

at 5:00 p.m. ET

March 1, 2011 HRSA-11-011 October 29, 2010

at 8:00 p.m. ET

November 15, 2010

at 5:00 p.m. ET

April 1, 2011 HRSA-11-012 November 16, 2010

at 8:00 p.m. ET

November 30, 2010

at 5:00 p.m. ET

May 1, 2011 HRSA-11-013 December 1, 2010

at 8:00 p.m. ET

December 20, 2010

at 5:00 p.m. ET

June 1, 2011 HRSA-11-014 January 10, 2010

at 8:00 p.m. ET

January 24, 2010

at 5:00 p.m. ET3

Page 4: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Eligibility Requirements

ALL applicants must be:

1. A public or nonprofit private entity, including tribal, faith-based & community-based organizations; and

2. All applicants must propose to serve the same service area and/or populations identified in Appendix D of the funding opportunity. This includes:

– Grantees whose project period ends on or after Oct. 31, 2010 and before Oct. 1, 2011.

– A new organization that can serve the entire service area and/or population identified in Appendix D of the funding opportunity. New organizations include an organization representing a consortium of health centers who through their partnership can serve the entire service area and/or population.

Page 5: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Eligibility Requirements cont’d

All competing organizations must:

• Provide services to the entire announced service area;

• Provide services to the entire population currently being served (applicants may not propose to serve only a segment of the existing population being served);

• Provide the same or comparable comprehensive primary health care services presently being provided to the population;

• Utilize Federal funding to serve patients currently served by the existing grantee; and

• Request an equal or lesser amount of Federal funding as currently received by the existing grantee, including funding for special populations (migrant, homeless, and public housing programs).

Page 6: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

• 8 review criteria—NEW

*Criterion 3-Collaboration

• Describe formal and informal collaboration and coordination of services with other health care providers (e.g., existing section 330 grantees, FQHC Look-alikes, rural health clinics, critical access hospitals, etc.)

• Provide letters of support from current FQHCs, FQHC Look-alikes, rural health clinics, and critical access hospitals OR provide justification as to why such letters cannot be obtained

Program Narrative

Page 7: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

• Clinical and Financial Performance Measures are scored as part of the Evaluative Measures section

Program Narrative cont’d

Page 8: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Program Specific Forms &

Program Specific Information

• All forms except for Form 3 (Income Analysis Form) are now structured

Page 9: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Clinical Performance Measures

• 8 required performance measures (6 standardized measures plus one oral health and one behavioral health measure):

– Prenatal care

– Childhood immunizations (for 2 year olds)

– Pap tests 

– Hemoglobin A1C test results for adults with diabetes

– Low birth weight babies

– Blood pressure readings for adults with hypertension

– Behavioral health

– Oral health

Page 10: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Clinical Performance Measures cont’d

• Option to include additional health care-related measures of their choice

• Any additional narrative regarding the Clinical Performance Measures should be included in the Evaluative Measures section of the Program Narrative, as appropriate

Page 11: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Financial Performance Measures

• 5 required financial performance measures:

– Total cost per patient

– Medical cost per medical visit

– Change in net assets to expense ratio

– Working capital to monthly expense ratio (current financial condition)

– Long term debt to equity ratio (long term financial conditions)

(Exception: public and/or tribal entities are only required to complete the 2 non-audit related measures)

Page 12: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Financial Performance Measures cont’d

• Option to include additional financial-related measures of their choice

• Any additional narrative regarding the Financial Performance Measures should be included in the Evaluative Measures section of the Program Narrative, as appropriate

Page 13: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Electronic Health Records (EHR)

• Required—questions 1 and 4 are mandatory for all applicants

• Information submitted provides HRSA with data—not used as an awarding factor

• It is a structured form

Page 14: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Differences Between SAC 2010 and SAC 2011 Funding

Opportunities

• Review Criteria point allocations have been changed

• New Collaboration criterion (Criterion 3) added as part of the Program Narrative

• Health Care and Business Plans are now referred to as the Clinical and Financial Performance Measures

Page 15: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Additional Information

• Existing grantees must submit a 5-year Budget Justification; new applicants must submit a 2-year Budget Justification

• 150 page limit

Page 16: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Resources / Technical Assistance

• Grants.gov: 1-800-518-4726

• HRSA Call Center (EHB): 1-877-464-4772

• BPHC Help Desk: 1-877-974-2742 or [email protected]

• DUNS/CCR Info: 1-866-705-5711; http://www.hrsa.gov/grants/dunsccr.htm

• 2009 Uniform Data System (UDS) —http://www.hrsa.gov/data-statistics/health-center-data/reporting/index.html

• SAC TA Webpage —http://www.hrsa.gov/grants/apply/assistance/sac/

Page 17: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Contact Information

• SAC Lead (Program-related questions)

– Cheri Daly

– (301) 594-4300

[email protected]

• Grants Management Lead (Budget-related questions)

– Donna Marx

– (301) 594-4245

[email protected]

Page 18: SERVICE AREA COMPETITION (SAC) NEW AND COMPETING CONTINUATION FUNDING Fiscal Year 2011 SAC TA Webpage:

Questions?