Service area competition technical assistance Manual

SERVICE AREA
COMPETITION
TECHNICAL
ASSISTANCE
MANUAL

Service Area Competition (SAC) Technical Assistance
Manual
Introduction
This technical assistance manual addresses changes made to the new fiscal year 2014
Service Area Competition grant, which is open to current grantees and new applicants.
Eligible applicants include: public or nonprofit organizations, current grantees, health
centers that are not currently funded, or current grantees that would like to serve an
additional area. Further technical assistance is available to new applicants and current
grantees through two National Cooperative Agreements at North American
Management. Grantees who serve special populations such as public housing residents
can receive direct support through the National Center for Health in Public Housing.
This manual broadly covers changes implemented in the new SAC grants. Additional
information can be found in the grant application.
Keywords: health center programs, grants, special populations, service area competition,
public housing primary care
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Changes to HRSA Funding Opportunity Announcement
Application
Service Area Competition (SAC) Technical Assistance
Application Deadlines
Project Period Start
Date
HRSA Announcement
Number
Grants.gov Deadline
(11:59 PM ET)
HRSA EHB Deadline
(5:00 PM ET)
November 1, 2013 HRSA-14-021 July 24, 2013 August 7, 2013
December 1, 2013 HRSA-14-022 July 31, 2013 August 14, 2013
January 1, 2014 HRSA-14-023 August 14, 2013 August 28, 2013
February 1, 2014 HRSA-14-024 September 11, 2013 September 25, 2013
March 1, 2014 HRSA-14-025 October 9, 2013 October 23, 2013
April 1, 2014 HRSA-14-026 October 30, 2013 November 13, 2013
May 1, 2014 HRSA-14-027 December 4, 2013 December 18, 2013
June 1, 2014 HRSA-14-028 January 8, 2014 January 22, 2014
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General Information
Applying is as easy as 1,2,3…
1) Submit application through grants.gov
2) Submit additional application components through HRSA Electronic Handbook
(EHB)
3) Make sure that all attachments are included before the final submission
**Highlighted sections indicated below have recent changes.
Application Forms
Form 1A: General Information
Form 1C
Form 2: Staffing Profile
Form 3: Income Analysis
Form 4: Community Characteristics
Form 5A: Services Rendered
Form 5B: Service Area Sites
Form 5C
Form 6A: Board Composition
Form 6B: Waiver Request
Form 8: Health Center Agreements
Form 9: Need for Assistance
Form 10: Emergency Preparedness
Form 12: Organization Contacts
Federal Object Class Categories Form
Clinical Performance Measures
Financial Performance Measures
Form Name
Required
Required
Required
Required
Required
Required
Required
As Applicable
Required
Required
Required
Required
Required
Required
Required
Required
Required
Changes to Forms
*Please note that additional instructions can be found in the grant application and on the
Service Area Competition (SAC) Technical Assistance page.
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General Changes
The requirements for Attachment 1: Service Area Map and Table have been expanded and
applicants should use UDS Mapper for maps and accompanying data tables.
Maps should indicate:
Zip code of proposed service area by outlining area with border tool in UDS Mapper
Medically underserved areas (MUAs) or medically underserved populations (MUPs)*
Health Center Programs*
Look-alikes*
Other health care providers serving proposed zip codes*
*Show item on the map by selecting the option in Map Elements
Resources Available:
Service Area Competition (SAC) Technical Assistance
UDS Mapper Tutorial
Example of UDS Mapper Output
• Attachment 14: An implementation Plan is now required for new applicants and current
grantees applying to serve a new service area. This plan is designed to outline action steps
required for meeting the 120-day operational status requirement.
Resources Available:
Sample Implementation Plan
• The prenatal and perinatal performance measures are now required for all applicants. See
Appendix B in grant application for details.
Resources Available:
Required Performance Measure Information
UDS Manual
• The childhood immunization and cancer screening performance measures have been
updated per Program Assistance Letter 2013-02 available at
http://bphc.hrsa.gov/policiesregulations/policies/pal201302.html.
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I. Childhood Immunization
Old Performance Measure
Childhood Immunization
Total Number Patients
with 2nd Birthday
During Measurement
Year
(a)
Estimated
number patients
immunized
(b)
Estimated % patients
immunized
(c)
10
Children who have received
age appropriate vaccines
who had their 2nd birthday
during the measurement
year.
New Performance Measure
Childhood Immunization
Total Number Patients
with 3rd Birthday
During Measurement
Year
(a)
Number of Charts
Sampled or EHR
Total
(b)
Number of Patients
Immunized
(c )
10
MEASURE: Children who
have received age
appropriate vaccines prior
to reaching their 3rd
birthday during
measurement year (on or
prior to 31 December)
***Changes reflect the goals of Healthy People 2020.
II.
Cancer Screening Changes
Although the UDS table has not changed, HRSA has changed the method of measurement.
Due to the U.S. Preventive Services Task Force latest recommendation in 2012, the new
measure accounts for 5-year intervals between screenings for women age 30-64 years.
Resources Available:
UDS Changes for 2013
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Form 2: Staffing Profile
The Staffing Plan has been updated to include a column to report staff expenses to be
charged to the SAC grant (i.e. requested federal dollars).
Applicants must indicate any staff whose salary will be paid from the grant during the first
year of the award. This information includes staff who may receive funds through indirect
costs. All staff and salaries reported in Form 2 should be associated with the Health Center
Program project. If staffing changes are to occur, applicants must provide additional
information in Item 4 (Resources and Capabilities) of Form 2.
Form 3: Income Analysis
The Income Analysis has been revised to simplify the reporting of projected income.
Applicants must report estimated income for first budget year. Income reported here should
include 1) program income/patient service revenue, and 2) all other income. Do not include
any funds from the grant in this section.
Patient service revenue includes all forms of payment from the patient or a third-party such
as reimbursement or payment from an insurance company.
Form 6A: Current Board Member Characteristics
Current Board Member Characteristics will be pre-populated and available for edit for
current Health Center Program grantees.
The new application system remembers previous data for current grantees, but grantees
must make corrections to old information as necessary. New grantees must fill out Form 6A
in its entirety. The only exclusions applicable for this required section include Tribal and
Urban Indians and those who request a waiver. However, those requesting a waiver must
list the current board members, even if the patient majority is not 51 percent. Exact
specifications for all information requested may be found in the application.
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Form 6B: Request for Waiver of Governance Requirements
Request for Waiver of Governance Requirements will be not applicable for current grantees
receiving CHC (section 330(e)) funding
The only grantees eligible to request a waiver for lack of patient majority board composition
are:
Migrant Health Centers
Homeless Health Centers
Public Housing Primary Care
Current grantees of the Community Health Center (CHC) program or those applying for
CHC funding are not eligible for waivers. Waivers are available for current grantees, but a
new waiver must be requested. Failure to meet the 51 percent patient majority must be
explained.
Form 9: Need for Assistance (NFA) Worksheet
The Need for Assistance Worksheet has been revised to include more current indicators.
Core Barriers and Health Indicators have been modified, added, or removed to include the
most relevant and current indicators of need for which data are available.
Form 9 includes 3 sections:
1) Core Barriers include:
a. Percent under 200% of the Federal Poverty Level
b. Percent Uninsured
c. Population to one FTE Primary Care Physician
d. Distance or Travel time to Nearest Primary Care Provider accepting Medicaid
and Uninsured Patients
See Data Reporting Guidelines Table in the application or the Data Resource Guide.
2) Core Health Indicators
3) Other Health and Access Indicators.
For sections 2 and 3, data required should be the most current and available sub-state data.
Please limit response to one per barrier or indicator.
Although an applicant may have multiple proposed sites, there should be one NFA
worksheet per application.
All responses must be consistent with the format in the worksheet template found at
http://www.hrsa.gov/grants/apply/assistance/SAC/form9.docx.
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Additional Revised Sections
The Federal Object Class Categories form has been added to capture details on the federal
funding request.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Grant Number
Health Resources and Services
Administration
FEDERAL OBJECT CLASS CATEGORIES
Total Proposed Budget
Amount
Section 330 Federal funding (from Total
Federal - New or Revised Budget on Section A -
Budget Summary)
Non-Federal funding (from Total Non-Federal -
New or Revised Budget on Section A- Budget
Total
Budget Categories
Object Class Category
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractural
g. Construction
h. Other
i. Total Direct Changes (sum of a-h)
j. Indirect Charges
k. Total Budget Specified in
Section A - Budget Summary
FOR HRSA USE ONLY
Application Tracking
Number
Federal Non Federal Total (from Section B -
Budget Categories)
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Please note a new change: The budget justification must detail the costs of each line item
within each object class category from the Federal Object Class Categories form (federal
section 330 funding request and non-federal funding). See Appendix C within the
application for details.
Project period length determining factors have been added, including a stipulation that a
current Health Center Program grantee will not be funded if they would be awarded a third,
consecutive one-year project period for FY 2014. The maximum project period length is
three years for all applicants. See Table 7 below:
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Sources
Service Area Competition Grant HRSA-14-021
HRSA: Service Area Competition Technical Assistance
Additional Resources
Finding Grants
Finding Data
Archived Webinar
Funding Announcements
Register for Grant Applications
Write a Strong Application
10 Grant Tips
Electronic Handbooks (EHB)
Understand the Review Process
For Training and Technical Assistance, please contact us:
North American Management
2111 Eisenhower Avenue, Suite 300
Alexandria, VA 22314
Phone: (703) 812-8822
Email: info4health@namgt.com
Or visit our webpage at:
http://www.namgt.com/healthfamilyservicesoverview
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