SAC Technical Assistance (TA) page: hrsa/grants/apply/assistance/sac

1. Fiscal Year (FY) 2012 Service Area Competition–Additional Area (SAC-AA) for Anchorage, AKHRSA-12-169 SAC Technical Assistance (TA) page: http://www.hrsa.gov/grants/apply/assistance/sac

2. Agenda • Overview • Application Due Dates & Times • Eligibility Requirements • Award Information • Two-Tiered Electronic Submission Process • Program Narrative • Performance Measures • Budget • Important Facts • Technical Assistance Contacts • Question & Answer Session

3. Overview The Service Area Competition-Additional Area (SAC-AA) for Anchorage, Alaska is a competitive funding opportunity that provides funding for the provision of comprehensive primary health care services. Three types of applicants: • Current grantees applying to continue serving their current service area • New applicants • Current grantees applying to serve a new service area

4. Overview • Project period is up to 5 years for current grantees and up to 2 years for new applicants • Project period start date: May 1, 2012 • Grants.gov deadline: February 21, 2012 • HRSA Electronic Handbook (EHB) deadline: March 6, 2012

5. Eligibility Requirements Applicants must: • Be public or nonprofit private entities, including tribal, faith-based, and community-based organizations; and • Propose to serve a current service area and its associated population(s) – in this case, Community Health Center (CHC)

6. Service Area Details Details about the service area are available in Table 6 in the FOA

7. Eligibility Requirements Competing organizations must: • Serve entire announced service area: zip codes 99591 and 99660 • Serve same target population: CHC • Provide same or comparable comprehensive primary health care services • Request an equal or lesser amount of CHC Federal funding: $1,349,604 see Table 6 in the FOA

8. Award Information Award Basics: • $1,349,604 available for one FY 2012 SAC-AA award for Anchorage, Alaska under HRSA-12-169 Ineligible Uses of SAC Funding: • Construction of facilities • Fundraising/grant writing • Lobbying efforts

9. Two-Tiered Submission Process Phase 1: Grants.gov • Register in the Data Universal Numbering System (DUNS) and Central Contractor Registration (CCR) prior to registering in Grants.gov • Register in Grants.gov as soon as possible • Receive a validation email from Grants.gov following successful submission Phase 2: HRSA EHB • Register in HRSA EHB as soon as possible • Receive a tracking number for accessing EHB via email 7 business days after Grants.gov submission • See an “Application successfully transmitted to HRSA” message in EHB following successful submission

10. Phase 1: Grants.gov Required Forms http://www.grants.gov • SF-424: Application for Federal Assistance (upload Project Abstract on page 2, box 15) • Project/Performance Site Location(s) Form • Current grantees applying to continue serving their current service area: list the administrative site only • New applicants: list all sites • Current grantees applying to serve a new service area: list all sites that will serve the new service area • Grants.gov Lobbying Form (Certification Regarding Lobbying) see Table 1 (page iii) and Table 2 (page 8) in the FOA

11. Phase 2: EHB Required Forms https://grants.hrsa.gov/webexternal • Program Narrative • SF-424A: Budget information – Non-Construction Programs • Budget Justification (upload in Budget Narrative Attachment Form field) • SF-424B: Assurances – Non-Construction Programs • SF-LLL: Disclosure of Lobbying Activities • Attachments • Program Specific Forms • Program Specific Information (Performance Measures) see Table 1 (page iv) and Tables 3-5 (pages 9-16) in the FOA

12. Program Narrative & Review Criteria Program Narrative = general request for information Review Criteria = details/examples for a thorough response; utilized by the Objective Review Committee to assess the application • Need (15 points) • Response (20 points) • Collaboration (10 points) • Evaluative Measures (15 points) • Resources/Capabilities (20 points) • Governance (10 points) • Support Requested (10 points)

13. New Aspects of the Program Narrative • Form 9: Need for Assistance Worksheet replaces much of the quantitative data previously requested in the Need Section • The Impact Section has been removed and its items have been moved to the Resources/Capabilities Section • The items in the Resources/Capabilities Section have been reordered • An item about EHR/HIT and meaningful use has been added to the Resources/Capabilities Section • An item has been added to the Governance Section for applicants who are Indian tribes or tribal, Indian, or urban Indian groups

14. Clinical Performance Measures Standard Clinical Performance Measures: • Diabetes • Cardiovascular Disease • Cancer • Prenatal Health* • Perinatal Health* • Child Health • Behavioral Health • Oral Health *may be marked “not applicable” if services are provided only via referral and not paid for by the applicant – requires justification in the Comments field

15. Clinical Performance Measures NEW Clinical Performance Measures: • Weight Assessment and Counseling for Children and Adolescents* • Adult Weight Screening and Follow-Up* • Tobacco Use Assessment* • Tobacco Cessation Counseling* • Asthma – Pharmacological Therapy* *may be marked “not applicable” for this application only – requires justification in the Comments field; all grantees will be required to report on these measures in the 2011 Uniform Data System (UDS) Report

16. Clinical Performance Measures REVISED Clinical Performance Measures: • Diabetes – revised to capture data on HbA1c levels that are < 7%, < 8%, < 9%, or > 9%* • Child Health – revised to add 2 Hepatitis A shots, 2 or 3 Rotavirus shots, and 2 influenza shots* *The measure forms will include the unrevised version of these measures. If reporting on the revised version, applicants must note this in the Comments field of the measure form. If reporting on the unrevised version, no note is required. All grantees will be required to report on the revised measures in the 2011 UDS Report.

17. Financial Performance Measures Standard 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* • Long Term Debt to Equity Ratio* *may be marked “not applicable” by tribal and public center applicants – requires justification in the Comments field

18. Performance Measures:General Information • Applicants are encouraged to create performance measures specific to their proposed projects (clinical and/or financial measures) • Applicants can create their own measures by selecting Add Performance Measure in the Other Measures section of the performance measures forms • Information that will not fit on the performance measures forms should be included in the Evaluative Measures section of the Program Narrative see Appendix B of the FOA

19. Performance Measures:General Information Current grantees applying to continue serving their current service area: • All measures will be pre-populated with data submitted in the 2010 UDS Report • If pre-populated data is changed, a justification must be provided • Provide information on the past year’s progress and future action steps and strategies to be used to achieve each performance measure • If a previously-defined Other measure is no longer tracked, mark it as Not Applicable and provide a justification in the Comments field

20. Budget • New applicants must provide a 2 year budget justification; current grantees must provide a 5 year budget justification • Provide sufficient information in the budget justification to show that costs are reasonable and necessary for implementation of the proposed project • The budget justification should include a line-item budget and any narrative required to explain costs • Section C of the SF-424A is now required • Section D of the SF-424A should NOT be completed see Appendix C of the FOA

21. Important Facts • Applications may not exceed 150 pages or 20 MB (see Tables 2-5 (pages 8-16) in the SAC FOA for items included in the page limit) • Submit single-spaced narrative documents with 12 point, easily readable font (e.g., Times New Roman, Ariel, Courier) and 1-inch margins • Failure to include all required documents may result in an application being considered incomplete or non-compliant

22. Technical Assistance Contacts SAC TA page: http://www.hrsa.gov/grants/apply/assistance/sac Program Related Questions • Cheri Daly: BPHCSAC@hrsa.gov or 301-594-4300 Budget Related Questions • Donna Marx: dmarx@hrsa.gov or 301-594-4245 Grants.gov Related Questions • support@grants.gov or 800-518-4726 EHB Related Questions • HRSA Call Center for questions about EHB accounts and access: CallCenter@hrsa.gov or 877-464-4772 • BPHC Helpline for questions about completing forms in EHB: BPHCHelpline@hrsa.gov or 877-974-2742

23. Question & Answer Session Reminder: Throughout the application process, please refer to the Frequently Asked Questions (FAQ) on the SAC TA page (http://www.hrsa.gov/grants/apply/assistance/sac)