Fiscal Year 2013 Health Center Controlled Networks (HCCN) Competitive Funding Opportunity HRSA-13-237

1. Fiscal Year 2013Health Center Controlled Networks(HCCN) Competitive Funding OpportunityHRSA-13-237 HCCN Technical Assistance (TA) Website: http://www.hrsa.gov/grants/apply/assistance/HCCN

2. Agenda • Overview of Quality Strategy and Funding Opportunity • Eligibility Requirements • Program Requirements • Award Information • Participating Health Centers • Grants.gov Submission Process • Application Components • Project Work Plan • Resources and Technical Assistance Contacts • Important Reminders • Questions and Answers

3. Utilizing HIT to Improve Quality Better Care ⃘ Healthy People & Communities ⃘ Affordable Care BPHC Quality Strategy Priorities and Goals • Implementation of QA/QI Systems All health centers fully implement their QA/QI plans • Adoption and Meaningful Use of EHRs All health centers implement EHRs across all sites and providers • Patient Centered Medical Home Recognition All health centers receive PCMH recognition • Improving Clinical Outcomes All health centers meet/exceed HP2020 goals on at least one UDS clinical measure • Workforce/Team-Based Care All health centers are employers/providers of choice and support team-based care INTEGRATED HEALTH SYSTEM INTEGRATED SERVICES COMPREHENSIVE SERVICES ACCESS

4. EHR and PCMH Results • In the 2010 UDS: • 82.6% of health center grantees met or exceeded performance on one or more Healthy People 2020 performance measure • In the 2011 UDS: • 20.3% of health center grantees had no EHR • 65.2% had an EHR in use at all sites • 14.5% had an EHR in use at some sites • As of May 2012: • 8.3% of health center grantees have PCMH recognition • Detailed National and State level PCMH and EHR data profiles can be found at http://www.hrsa.gov/grants/apply/assistance/HCCN

5. Overview Purpose: To support the adoption, implementation, and meaningful use of Health Information Technology (HIT) and technology-enabled quality improvement strategies in section 330 funded health centers. • Approximately $20 million • Approximately 25 to 30 grants • Project period start date: December 11, 2012 • Project period: up to 3 years

6. Eligibility Requirements To be eligible, the applicant organization must: • Be a public or private non-profit organization • Be either: • A practice management network (HCCN) controlled by and acting on behalf of health centers funded under section 330 of the PHS Act. OR • A health center, funded for at least the two consecutive preceding years under section 330 of the PHS Act, applying on behalf of an HCCN. • Provide evidence of Health Center Program grantees committed to participating with the HCCN to achieve the three goals of the grant program.

7. Program Requirements • Adoption and Implementation Activities to assist participating health centers to effectively adopt and implement an ONC-certified EHR system at all sites.

8. Program Requirements • Meaningful Use Activities to assist participating health centers to become meaningful users of EHR systems and have their providers receive EHR incentive payments.

9. Program Requirements • Quality Improvement Activities to assist participating health centers to improve operational quality, reduce health disparities, and improve population health through HIT, including becoming recognized as a Patient-Centered Medical Home.

10. Annual Award Limitations Applicants are required to include a minimum of 10 participating health centers.

11. Participating Health Centers Participating Health Centers must be organizations funded under section 330(e), (g), (h), and/or (i) of the Public Health Service Act. Applicants are required to develop Memoranda of Agreement (MOAs) with all participating health centers, signifying commitment to participate in the HCCN activities throughout the project period.

12. Grants.gov Submission Process Deadline: September 10, 2012 • Ensure your Grants.gov registration and passwords are current! • Organization must register in the Central Contractor Registry (CCR)* and Data Universal Numbering System (DUNS) prior to registering in Grants.gov. • CCR is being moved to a new system called the System for Award Management effective the end of July. See page 8 of the FOA for more details. • Applicants will receive a validation email from Grants.gov following successful submission.

13. Grants.gov Submission Process Applications for funding must consist of the following forms and documents: • SF 424: Application for Federal Assistance Form • Upload Project Abstract on line 15 • Project Narrative • SF 424A: Budget Information Form • Budget Narrative • SF 424B: Assurances for Non-Construction Programs • Project Performance Site Location Form • Grants.gov Lobbying Form • SF-LLL: Disclosure of Lobbying Activities, if applicable • Attachments

14. Project Narrative and Review Criteria • Need (15 points) • Response (25 points) • Collaboration (10 points) • Evaluative Measures (15 points) • Resources/Capabilities (20 points) • Governance (5 points) • Support Requested (10 points)

15. Attachments • Attachment 1: Project Work Plan • Attachment 2: Health Center Participant Verification Sheet • Attachment 3: Participating Health Center Map • Attachment 4: Project Organizational Chart • Attachment 5: Position Descriptions for Key Personnel • Attachment 6: Biographical Sketches for Key Personnel • Attachment 7: Staffing Plan • Attachment 8: Summary of Contracts and Agreements • Attachment 9: Letters of Support • Attachment 10: Corporate Bylaws • Attachments 11-12: Other Relevant Documents

16. Project Work Plan: Requirements

17. Project Work Plan: Key Components • Projected Goal Percentage • Baselines • Key Factors • Focus Areas • Activities • Person(s)/Area(s) Responsible • Time Frames • Expected Outcomes • Comments (optional)

18. Project Work Plan

19. Project Work Plan

20. Project Work Plan

21. Healthy People 2020 Goals

22. Resources • HCCN TA Website http://www.hrsa.gov/grants/apply/assistance/HCCN • HRSA Electronic Submission User Guide http://www.hrsa.gov/grants/apply/userguide.pdf • The Network Guide http://www.hrsa.gov/healthit/networkguide/index.html • Certified HIT Product List http://onc-chpl.force.com/ehrcert • Medicare and Medicaid EHR Incentive Programs http://www.cms.gov/EHRIncentivePrograms/ • HRSA Patient-Centered Medical/Health Home (PCMHH) Initiative http://bphc.hrsa.gov/policiesregulations/policies/pal201101.html • Healthy People 2020 http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx

23. Technical Assistance Contacts Program related questions: • Joanne Galindo: BPHCHCCN@hrsa.gov or 301.594.4300 Budget related questions: • Bryan Rivera: brivera@hrsa.gov or 301.443.8094 Grants.gov related questions: • support@grants.gov or 800.518.4726

24. Important Reminders • Grants.gov deadline is September 10, 2012 by 8 PM ET. • The yearly maximum amount that an applicant can request is dependent upon the number of participating health centers committed to working with the applicant throughout the three-year project period. Applicants are required to include a minimum of 10 participating health centers. • Applications may not exceed 100 pages or 10MB. • Failure to follow the instructions and include all required documents may result in your application being considered non-responsive.

25. Questions and Answers