Fiscal Year 2012State and Regional
Primary Care Associations (PCA) Cooperative Agreements
HRSA-12-114
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 $43 million annually • Approximately 51 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, Ariel, Courier) and 1-inch margins
Resource: http://www.hrsa.gov/grants/apply/userguide.pdf
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Tier Deadline
Phase 1 - Grants.govApril 2, 2012 by 8 PM ET
Phase 2 - HRSA Electronic Handbooks (EHBs)
April 26, 2012 by 8 PM ET
Two-Tiered Submission Process
• Phase 1: Grants.gov - Due April 2, 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 EHBs – Due April 26, 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 (EHBs)
• Once an application is successfully submitted through Grants.gov and downloaded into the EHBs, HRSA will issue the applicant a tracking number.
• The Project Director and Authorizing Official must register in EHBs.
• The Registered User will need:– Grant Announcement Number (HRSA-12-114)
– Grants.Gov Tracking Number
– HRSA EHBs Tracking Number
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Phase 2: EHBs 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: EHBs 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• Attachment 5: Year 5 Budget• Attachment 6: Budget Justification (5 years)
IF APPLICABLE:• Attachment 7: Summary of Contracts and Agreements• Attachments 8-12: 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 EHBs 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.
500 20
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: [email protected] or 301.594.4300
Budget related questions
• Angela Wade: [email protected] or 301.443.3190
Grants.gov related questions
• [email protected] or 1.800.518.4726
EHB accounts and access questions
• HRSA Contact Center: [email protected] or 877.464.4772
Electronic submission questions
• BPHC Helpline: [email protected] or 877.974.2742
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Important Reminders
• Grants.gov deadline is April 2, 2012 by 8 PM ET.
• HRSA EHB deadline is April 26, 2012 by 8 PM ET.
• Applications may not exceed 80 pages or 10MB.
• Applicants will enter information directly into EHBs 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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