June 22, 2010

1. SAFETY NET HEALTH CARE RFP June 22, 2010 Pre-Proposal Conference

2. Overview ●HCF Mission and Grantmaking Strategy ●The Safety Net RFP ●The Application Components & Key Dates ●The On-Line Application Process ●Questions & Answers

3. MISSION Provide leadership, advocacy and resources that eliminate barriers to quality health for uninsured and underserved in our service area 

4. Service Area ● Kansas City, MO ● Cass, Jackson and Lafayette counties in Missouri ● Allen, Johnson and Wyandotte counties in Kansas

6. Foundation Defined Based on Foundation’s determination of need: Safety Net Care Healthy Lifestyles Mental Health Request for Proposals 1 to 2 year Grants accepted 1 proposal per RFP (2 for universities, hospitals and cities) allowed as lead organization Reviewed by staff & outside reviewers – recommended to program committee – final approval by Board Grant Types • Applicant Defined • Based on applicant’s determination of need • Accepted and awarded throughout the year • Limited 1 proposal per yr • No greater than $75,000 • Reviewed by staff and recommended to program committee – final approval by Board • $50,000 and under reviewed by staff and approved by CEO.

7. Safety Net Care RFP • To provide support for programs, projects and services that improve access to effective safety net care and • improve the overall health status of individuals and • communities who are indigent and underserved • Areas of Emphasis • ●Strengthening Organizational Capacity • ●Delivering Culturally Competent Services • ●Enabling Community-Based Health Planning • ●Improving Efficiency and Access to Care

8. What is Safety Net Health Care ? • The default health care system for the poor and underserved who do not have access to health care. • A patchwork of institutions, non-profit and faith-based organizations and individuals that deliver a significant level of healthcare and other related services to uninsured, Medicaid and underserved patients. Providers of Safety Net Care • Either by legal or explicitly adopted mission, they offer care to patients regardless of their ability to pay for those services • A substantial share of their patient mix are uninsured, Medicaid, and other vulnerable patients.(Institute of Medicine, 2000)

9. Safety Net RFP Dates • Letter of Intent • July 28, 2010 by 5 pm • 2. Full Narrative Proposal • August, 25, 2010 by 5 pm • 3. HCF Board Review/Approval • November 18, 2010

10. GRANT APPLICATION PROCESS All proposals should be submitted electronically Step 1: Letter of Intent Step 2: Full Narrative Proposal

11. EXCEPTIONS • Organizations that lack the IT capacity necessary for electronic submission may submit hard copy requests. Guidelines are found in the Safety Net RFP. • Assistance is available to those organizations that would like to submit electronically but lack the IT capacity. This can be arranged through HCF.

12. STEP 1:LETTER OF INTENT Due: July 28, 2010

13. Letter of Intent (LOI) • Includes the following information: • Electronic Application Form: • Organization Profile • Contact Information • Project Summary • Attachments (Upload): • Letter of Intent Template: • Need or Case Statement that discusses the problem or need to be addressed by your project or program. • Grant Purpose Statement that explains the project/program that the proposed grant will fund, followed by a brief description of project/program activities. • Amount of Funding to be requested and the proposed grant period. • IRS Determination Letter • If submitting a hard copy, submit the original and four copies of the LOI and cover page.

14. http://www.healthcare4kc.org

17. www.healthcare4kc.org

21. Acknowledgements After Submitting the LOI Applicants will receive: • An automated e-mail indicating the application was received & you should proceed with full proposal. • Electronic link to access your application. IMPORTANT: Application can be easily accessed using this link – Save it. • After staff pulls electronic application into our grant system we will also send an acknowledgement

22. STEP 2:FULL PROPOSAL Due: August 25, 2010 by 5 PM

23. Full Proposal Includes ● Abstract - Not to exceed 250 words - website examples ● Problem or Need Statement (20 pts) ● Project Overview (70 pts) ● Diversity Statement (10 pts) ● Proposal attachments: -Budget worksheet & Narrative -Letters of Support/Commitment - Current FY Operating Budget - List of Board of Directors w/ Demographic Information (i.e Race/Gender) -Most recent IRS 990 -Most recent Audit -Certificate of Incorporation

24. Project Overview • Includes: • ● Brief history of organization, current programs and services • ● Organizational fit with proposed project ● Target population/communities • ● Proposed project activities • ● Outcomes evaluation • Logic Model & Outcomes Measurement Framework-optional • ● Staffing & capacity • ● Collaboration • ● Sustainability • ● Rationale for multi-year funding (up to 2 years)

25. Goals of Evaluation ● Purpose is to assess or improve a particular program. How will you know if your program is successful? ● How will you use the data you collect? If it is only to report to HCF, it probably isn’t the right data.

26. Grantees should be realistic about what they hope to accomplish ● Focus on short term outcomes ● Outcomes should make sense for a particular project ● Sometimes less is more

27. Focus on Lessons Learned • What worked and what didn’t? • Support & Barriers • Unanticipated Outcomes

28. PROGRAM LOGIC MODELS and OUTCOME MEASUREMENT FRAMEWORKS

31. A. Budget Worksheet(s) & Narrative Budget Worksheet (2 versions) • 1 Year Grants • Multi-Year Grants (up to 2 years) Budget Narrative • Detailed explanation of each line item for 1 year and multi-year grants • Specificity – What exactly would HCF grant dollars pay for?

32. Multi-Year Grant Requests RequestsRequestsFundingIn-KindTotal Budget Overview From HCFFrom HCFFrom HCFOther(Multi-Year) ( First Year) (Second Year) (Third Year) ( Multi-Year) Net revenue HCF Grant50,000 50,000 50,000 00 150,000 Health Department 0 0 0 30,0005,00035,000 Total Revenue 50,000 50,000 50,000 30,000 5,000 185,000 Expense Salary 40,000 40,000 40,000 25,0000 145,000 Benefits & Taxes 1,000 1,000 1,000 00 3,000 Total Compensat. 41,000 41,000 41,000 25,0000 148,000 Equipment 2,000 2,000 2,000 2,0005,000 13,000 Supplies 0 0 0 0 0 0 Other Direct Expense 3,000 3,000 3,000 3,000 0 12,000 Sub-total 46,000 46,000 46,000 30,000 5,000 173,000 Indirect Expense (10%) 4,000 4,0004,000 00 12,000 Total Expense 50,000 50,000 50,000 30,0005,000 185,000

33. Multi-YearRequests FundingIn-KindTotal First Year Budget From HCFOther Net revenue HCF Grant 50,000 00 50,000 Health Department 0 10,000 2,00012,000 Total Revenue 50,000 10,000 2,000 62,000 Expense Salary 40,000 10,0000 50,000 Benefits & Taxes 1,000 0 0 1,000 Total Compensat. 41,000 10,000 0 51,000 *Equipment 2,000 1,0002,000 5,000 Supplies 0 00 0 Other Direct Expense 3,0001,000 0 4,000 Sub-total 46,000 12,000 2,000 60,000 Indirect Expense (10%) 4,000 0 4,000 Total Expense 50,000 12,0002,000 64,000

34. Budget Narrative (example) Net Revenue: We are asking for funds from the Foundation in the amount of $150,000 over three years. Funding from other sources include $30,000 from the Health Department. In-kind monies/equipment included contributions valued at $5,000 from the Health Department. Expenses: Salary for the Program Director will be $123,000 for a full time RN. Responsibilities will include the coordination of all program activities and collaboration with school personnel and the health department. Benefits and taxes are based on 35%. Equipment: Equipment necessary for the Fit for Life component is itemized on a separate sheet and include: 1 bike, 2 body mass monitors, computer. Supplies: Office supplies, 4 balls, 6 jump ropes, 4 pedometers. Indirect Expenses: Foundation will pay no more that 10% of the direct expense sub-total.

35. Proposal Attachments Supporting Documents

36. B. Supporting Documents Non-Profit Applicant Organizations • Certificate of incorporation • IRS non-profit determination letter • Most recent IRS 990 Report (copy of nonprofit tax return) • Most recent audit • Roster of Board of Directors (demographic composition related to race, ethnicity and gender. • Current Board approved operating budget Organization that will carry out fiscal management: • Certificate of Incorporation • IRS non-profit determination letter • Most recent IRS 990 Report • Most recent audit For governmental entities that are the applicant or fiscal sponsor • Enabling statute/legislation or official description of the entity’s responsibility or purpose • Most recent audit • List of elected and/or appointed officials who oversee the entity’s performance (not required of fiscal sponsor)

37. Proposal Attachments Letters of Commitment

38. Letters of Commitment • Each organization that will receive a portion of the grant funds must provide a Letter of Commitment. • The letter must state the organization’s commitment to the project, indicate the specific role it will fulfill, and state its share of the grant proceeds. • In-Kind Resources also require a Letter of Commitment -salary and benefit expense of staff -office space/equipment /training -volunteer time -other forms of direct/indirect support such as the cost of utilities and supplies.

39. Grant Support Services Small organizations may apply for assistance as follows: • No-Fee Grantwriting Technical Assistance (up to 8 hours) from members of the TA Cadre. • No Fee Fiscal Agent Services for Organizations without annual financial audits.

40. APPLICATION CHECKLIST

41. Grant Approval Process • Staff review of applications • -Upon Receipt of Full Proposal with All Required Supporting Documents. • Outside Reviewers Convened • -Propose slate of recommendations • -Conduct due diligence as requested by Outside Reviewers • Program Committee review and recommendations • - November 9, 2010 • Final Board Approval and Grant Award Announcements • - November 18, 2010

42. All grant proposals, financial information and other reports submitted to HCF are subject to public review and consideration.

43. Key Dates • Letter of Intent Due: July 28, 2010 by 5PM • Full Proposal Due: August 25, 2010 by 5PM • Grant Awards Announced: November 18, 2010

44. CONTACT Graciela Couchonnal, PhD, Program Officer Andres Dominguez, Program Officer Health Care Foundation of Greater Kansas City 2700 East 18th Street, Suite 220 Kansas City, MO 64127 gcouchonnal@healthcare4kc.org Adominguez@healthcare4kc.org Ph: 816.241.7006 Fax: 816.241.7005 www.healthcare4kc.org

45. PROMISING PRACTICES IN CARE COORDINATION SAVE THE DATE July 9, 2010 8:00 a.m. – 3:00 p.m. Town Square Conference Center, The Kauffman Foundation 4801 Rockhill Road – Kansas City, MO 64110 Lunch will be provided Register by June 28, 2010 at www.healthcare4kc.org

46. PROMISING PRACTICES IN CARE COORDINATION • Keynote Speaker: • Dr. Jim Walton, Vice President of Health Equity at Baylor Health Care System • Panel Presentation: Care Coordination Projects in Kansas City • Truman Medical Center –Chronic Guided Care Project • Jackson County Free Health Clinic –Diabetes Management Project • KC Free Health Clinic- HIV Case Management • El Centro – Promotora & PatientNavigation Project • Legal Aid of Western Missouri –Migrant Caseworker Project • ReDiscover – Hospital Diversion Initiative • Metro/CARE & Northland/Care – Specialty and Primary Care Access • Project