P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015 1

Puerto Rico Department of

Health Federal Grants Programs

Presenter

Fernando Llavona, J.D.Puerto Rico Department of HealthFederal Affairs Office Director

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015 2

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015 3

Session Objectives

1. Overview of the Puerto Rico Department of Health (PRDoH) federal grant programs

2. Discuss how federal funds have provided valuable resources and financial assistance to diverse PRDoH programs in order to advance our operational goals

Puerto Rico Department of Health

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015 4

The PRDoH oversees over 65 federally funded Grants and Cooperative agreements that work to provide diverse health services to Puerto Rico residents. 

PRDoH - Office of Federal Affairs

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Serves as the Department’s liaison with the federal government and seeks to:•Promote the optimal use of federal resources •Ensure compliance with federal regulation•Facilitate communication between the PRDoH and the federal government •Identify new sources of income for the PRDoH

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Grant - Assistance

• Purpose is to transfer resources to recipients in order to

accomplish a public purpose.

• No substantial programmatic involvement is anticipated

between the sponsor and the recipient.

Cooperative Agreement - Assistance

• Substantial programmatic involvement between

sponsor and recipient

Contract - Procurement

• Acquire property or services with specific obligations for

both sponsor and recipient.

Types of Funding

Funding Priorities

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The main criterion in the search for federal funds is:

•To increase resources to finance PRDoH priority projects.

•Federal funds must be aligned with public policy and the PRDoH Strategic Plan.

Federal partnership

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Since federal agencies will only fund those applications that address their administrative priorities:•Grantees need to understand the priorities of federal agencies.•Share common goals.•Comply by the terms and conditions established by the grantor agency.

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Puerto Rico Department of Health

Federal Grants - Overview

Secretary Auxiliary for Family Health and Integrated

Services

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Oversees 29 federal programs, it provides broad health services and resources to a population of vulnerable families and children across Puerto Rico.

Federal funds (yearly): $93MPopulation served: Island wide

Family Health and Integrated Services

Federal Programs Include:• Abstinence Educ. Grant - DHHS• Maternal and Child Health

Services Block Grant - HRSA• Infants and Toddlers with

Disabilities - DOE• Sexual Violence Education - CDC• Addressing Asthma from a

Public Health Perspective - CDC• Birth Defects Surveillance • Perinatal Health - CDC• Community-Based Integrated

Service System - HRSA• Ryan White Program – R.White

• Comprehensive STD Prev. - CDC

• Immunization and Vaccines for Children Grants - CDC

• Tuberculosis Elimination and Laboratory - CDC

• Comprehensive HIV Prev. -CDC• Behavioral Risk Factor

Surveillance - CDC• Housing Opportunities for

Persons with Aids - HUD• HIV/AIDS Intervention and

Prevention - MHAASA• Newborn Hearing Screening –

HRSA• Community Based Integrated

Service System - HRSAP.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015 11

Secretary Auxiliary for Health Promotion

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Seeks to improve the health of individuals and communities through education, behavioral change and environmental improvement. In addition, provides resources to enable citizens to increase control over their health in order to improve it.

Federal funds (yearly): $3.9M Population served: Island wide

Secretary Auxiliary for Health Promotion

Federal Programs include:

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• Preventive Health Services Block Grant - CDC• Diabetes & Tobacco (Chronic Disease, Health

Promotion and Surveillance - CDC• Grants to Support Oral Health - CDC• State Tobacco Compliance - FDA• National Association of County and City Health

Officials (NACCHO) – USDA 

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• WIC is a federally funded nutrition program.

• Provides healthy foods, nutrition education and counseling, breastfeeding support, and referrals for health care and community services to the population of PR at no cost.

WIC - Women, Infants, and Children

Awarding agency: U.S Dept of Agriculture

Federal funds (yearly): Nutrition $187M Administration:

$40M Population served: 163,000

Secretary Auxiliary for Environmental Health

and Public Health Laboratory

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Strives to improve those aspects of human health that are determined by physical, chemical, biological and social factors in the environment. In addition, implements environmental health policies through monitoring and control activities. Federal funds (yearly): $9.6M

Population served: Island wide

Secretary Auxiliary for Environmental Health

and Public Health Laboratory

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• Drinking Water State Revolving Fund - EPA

• Water System Supervision - EPA• Radiological Health Inspections - FDA• P.R. Food Contract - FDA• School Lunch Inspection - • Epidemiological and Lab. Capacity for

Infectious Diseases - CDC

Federal Programs include:

Secretary Auxiliary for Planning

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Serves as an agency source for policy analysis. It performs data collection, and research and evaluation projects in order to attain the PRDoH strategic planning goals.  

•Assists making informed public policy decisions.

Federal funds (yearly): $2.8MPopulation served: Island wide

Secretary Auxiliary for Planning

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• Vital Statistic Cooperative Program

• Primary Care Services and Manpower Placement

• Strengthening Public Health Infrastructure

• "Saludable y Orgulloso" Community Outreach Campaigns

• Enumeration at Birth• Electronic Online Verification• National Public Health

Improvement Initiative

 

Federal Programs include:

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Provides the PRDoH with Infectious disease surveillance and outbreak investigations to determine public health actions.Diseases such as: Influenza, Dengue, Chikungunya, Gastrointestinal diseases, Hepatitis and VIH/AIDS.

EPIDEMIOLOGY

Federal funds (yearly): $1.7MPopulation served: Island wide

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Is a web-service designed to securely exchange healthcare related data.

Puerto Rico Health Information Network

(PRHIN)

Awarding agency: HHS - Office of the National Coordinator for Health Information Technology (ONC) Federal funds : $7.7M (ARRA)

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• Serves as operational arm of the PRDoH providing rapid response to public health emergencies.

• Oversees preparedness activities in order to strengthen our abilities to respond to all types of public health incidents and build more resilient communities.

Federal Grant :Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) cooperative agreement

 

Office of Public Health Emergency Preparedness and Response Awarding agency: Centers for Disease

Control and Prevention (CDC)

Federal funds (yearly): $13.7MPopulation served: Island wide

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Federal funds: $1M (yearly)Population served: Island wide

Federal Grant : CDC - OPHPR FundsHospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) cooperative agreement

Medical Services Administration

Provides services to the Medical Center (Centro Médico) Institutions and operates the Emergency Rooms in UPR and Trauma hospitals.

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The Puerto Rico Mental Health and Anti-Addiction Services Administration seeks to:• Improve the quality and availability of prevention, treatment, and rehabilitative services. •Reduce illness, death, disability, resulting from substance abuse and mental illnesses.

Federal Grants Include:• Substance abuse prevention and treatment block grant• PR State adolescent Treatment-Enhancement and

Dissemination • Strategic Prevention Framework State initiative Grant (SPF

SIG)• Proyecto Iniciativa

Federal funds : $9.6M (yearly)

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Medicaid is a program created by the federal government, but administered by the PRDoH.• Provides payment for medical services for low-income citizens.•Provides health coverage to 1.6M recipients in P.R. which include: children, families, pregnant women, the elderly, and people with disabilities.

Sources of funding:Medicaid $330MSCHIP $155MACA $803M (yearly) / 6.4 billions (2011-2019)

Federal funds : $1.3B (yearly)

Awarding agency: Department of Health and Human Services (DHHS)

Continuation of funds Continuation of funds

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Sustainability In moments of economic needs, maintaining and increasing federal assistance is essential.

•Actively search new sources of federal funds.•While we have no control regarding available future federal funds we do have control in how we administrate federal money. •Proper administration of current federal funds is essential in order to be entrusted with future funds. •Working together towards this common goal will put us in a better position to achieve sustainability. (Example: streamlining our internal procurement process, efficiency in expenses and payments and effective lobbying).

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Fernando Llavona, J.D.Puerto Rico Department of HealthFederal Affairs Office Director

Thank you!