Grants Technical Assistance Workshop

1. Grants Technical Assistance Workshop Nisha Patel, MA, CHES Kathryn Umali, MPH, CHES U.S. Department of Health & Human Services (HHS) Health Resources & Services Administration (HRSA) Office of Rural Health Policy (ORHP) June 4, 2009

2. Overview • Introduction to ORHP • ORHP funding opportunities • Tips for applying for federal funds • Voice of experience • Practice time!

3. ORHP 101 • Role of the Office of Rural Health Policy • Voice for Rural within HHS • Supports Rural Health Research • Supports Rural Health Grant Programs

4. Changes in ORHP … • Some Minor Tweaks • New Leadership Spots • A Move to Divisions • Community-Based • Hospital-State • Border Health

5. ORHP 101

6. ORHP 101

7. ORHP 101

8. Technical Assistance Workshops • Targeting Key States • Oklahoma • Wyoming • Colorado • Idaho • Pennsylvania • Tennessee • Looking Ahead • Regions Served by Historically Black Colleges and Universities • Border Communities • Tribal Communities

9. ORHP 101 • Hospital-State Division Grants • State Offices of Rural Health (SORH) • Rural Hospital Flexibility Grant (Flex) • Small Rural Hospital Improvement Program (SHIP) • Critical Access Hospital HIT Network Grants (CAH-HIT Network)

10. Community-Based Division Programs Rural Health Outreach Rural Network Development Network Planning Delta Network Development Quality Improvement Black Lung RESEP RAED 2009 Focus Moving to a Foundation Model Best Practices and Tracking Sustainability Economic Impact Technical Assistance

11. Rural Health Grants 2005-2009 • Rural Health Outreach Grants* • Rural Health Network Planning Grants • Rural Health Network Development Grants • Small Health Care Provider Quality Improvement Grants • rants * Rural Health Outreach Grants include Rural Health Care Services Outreach Grant, Delta State Rural Development Network Grant and Frontier Extended Stay Clinic Cooperative Agreement.

12. Funding Opportunities • Network Planning Grant • One-Year Program • Hire HIT consultant • Develop business plan • Develop ECI plan • Conduct Needs Assessment • Eligibility Requirements

13. Network Planning Timeline • Application Information: • Start Date: March 1, 2010 • RFP available June/July 2009 • Award Amount: $85,000 • Program Contact: • Eileen Holloran: eholloran@hrsa.gov

14. Funding Opportunities • Quality Grant • Two year program • QI strategies to improve patient care/chronic disease outcomes • Improve health indicators and decrease emergency room visits/admissions to hospitals • Focus: Diabetes and CVD

15. Quality Timeline • Application Information: • Estimated availability 2010 • Award Amount: $ 75K • Program Contact: • Elizabeth Rezai-zadeh, erezai-zadeh@hrsa.gov

16. Funding Opportunities • Rural Health Network Development Grant • 3-year program • Network Development • Demonstrate community need • Consortium/Community Involvement • Eligibility Requirements

17. Network Development Timeline • Application Information: • RFP Available Summer 2010 • Award Amounts: $180K/year • Program Contact: • Sherilyn Pruitt, spruitt@hrsa.gov

18. Funding Opportunities • Rural Health Services Outreach Grant • 3-year program • Health care service delivery • Demonstrate community need • Consortium/Community Involvement • Eligibility Requirements

19. Outreach Timeline • Application Information: • RFP Available Summer 2011 • Award Amounts: $150K (1st year), $125K (2nd year), $100K (3rd year) • Program Contact: • Kathryn Umali, kumali@hrsa.gov

20. Funding Opportunities • Delta States Rural Development Network • 3-year program • Health care service delivery in the Delta region • Demonstrate community need • Consortium/Community Involvement • Eligibility Requirements

21. Delta States Rural Development Network Timeline • Application Information: • RFP Available • Award Amounts: Vary by grantee • Program Contact: • Valerie Darden, vdarden@hrsa.gov

22. Grants.gov • Established as a Governmental Resource; E-Grants Initiative • Part of the President's 2002 Fiscal Year Management Agenda to Improve Government Services to the Public • Find and Apply for over 1,000 grant programs from the 26 Federal grant making agencies.

23. Grants.gov Homepage

24. Find

25. Find - Basic Search

26. Apply

27. Apply Recommendation: download and save the application instructions and application package to your computer.

28. Application in Grants.gov

29. Register Today! • Registration only required for submitting an application via Grants.gov • Process is two-phased for increased organizational security and efficiency for conducting business with the federal government. Phase I: Prepare your organization Phase II: Prepare yourself

30. E-mail Notifications

31. Grants.gov Support • Grants.gov Contact Center • Monday – Friday, 7 AM – 9 PM ET • 1-800-518-4726 • support@grants.gov

32. Explore Options • Become an expert on the grant program that you want to apply for. • Research the types of projects that have been awarded under the program. • Involve your community and consortium/network members from the beginning. • Identify the needs

33. Application planning • Read and Re-Read Program Guide • Have at least one (two would be better) other staff member read all the program information (guidance, forms, etc.) • You should agree on what needs to be in the application and how to proceed • Make certain you understand exactly what, how, when, etc. is required for the application • Call the program contact person with any questions

34. Application planning (continued) • Create a Team to Work on the Project • Name the lead person • Someone that has the authority to get things done • Set meeting times • Identify Consortium/Network Members • Determine the roles and level of participation of each member. • Get Commitment from Consortium/Network Members

35. Application Planning (continued) • Involve the Community to be Served • Town Meetings, focus groups, health fairs, health surveys • Include members of the target population • Get Community Buy-In • Community must be included in the planning, development and implementation of the project

36. Paint the Right Picture

37. Getting Started • Develop the plan to address the needs • Get letters of Commitment from each consortium/network member EARLY • Secure letter of non-profit status from the IRS or other acceptable Agency (Public or governmental entities do not need this letter.)

38. Story Telling • Tell the Story of your Community and its needs • Try to fine someone who is organized, writes well and is good at following directions to help with writing the grant. • After the grant narrative is completed, give it to someone not involved in the project to read • If they understand what the needs are, why there are needs, who will be served and how the project will address the needs, the narrative is probably clear

39. Application Content • Needs • Response • Evaluation • Impact • Resources/Capabilities • Support Requested

40. Goal, Objective, Activity • Goal:Improve patient’s ability to manage their diabetes • Objective: By the end of the year, 35% of the staff will be trained in basic diabetes management • Activity: Find trainers, diabetes management materials, find RN to do

41. Budget Narrative how many organizations are contributing to the budget what percent of funds are being solicited from the funding source are subcontracts involved annual salary increases

42. Budget Categories Calculate all relevant expenses salary benefits (social security, workman’s compensation) printing and photocopying postage and shipping long distance and cellular telephone service materials and supplies mileage and travel outside services

43. Review Process • Division of Independent Review (DIR) • Panel of reviewers • Review Criterion • ORC Process • Rank Order Listing • Congressional Liaison Office (CLO) • Letters/Notice of Grant Award (NGA)

44. We Need You! • We need reviewers with rural experience the be a part of our Objective Review Committee panels • ORHP has multiple grant program reviews each year • You must register to be a reviewer • To register please visit https://grants.hrsa.gov/webReview/ • Indicate “rural health” as one of your specialties in the background information section • Let ORHP staff know programs familiar to you

45. ORHP 101 The Rural Assistance Center • One-Stop Shopping • Funding Info • Resource Guides • Best Practices http://raconline.org

46. Valuable Resources RAC: www.raconline.org 3RNET: www.3rnet.org Health Workforce: healthworkforceinfo.org USDA: www.usda.gov/rus/telecom/comconnect.htm Nursing: http://bhpr.hrsa.gov/nursing/ NRHA: www.rurahealthweb.org

47. ORHP Contact Information Nisha Patel, MA, CHES npatel@hrsa.gov Kathryn Umali, MPH, CHES kumali@hrsa.gov www.ruralhealth.hrsa.gov 301-443-0835