Guide to Understanding Florida's FQHCs and 330 Expansion ...

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3. Applicant clearly identifies and describes the most significant barriers to care, gaps in services, significant health disparities and the major health care problems in the community that will be addressed by the EMC project. This should include a description of: (a) Any culturally specific characteristics that impact access to and the delivery of health care services. (b) Any relevant geographic barriers to care and other factors impacting access to care. (c) Any major and/or unique health care needs of the target population(s). 4. For those organizations proposing to serve a new population (i.e., MSFWs, homeless people, public housing residents) for which they do not currently receive Federal support, the applicant clearly identifies the specific health care needs and barriers to care for this population to be addressed by the EMC project and justifies the need to expand its focus to new populations. 5. Applicant clearly describes any significant changes over the past year in the health care environment, service area or population being served (e.g., influx of refugee population, closing of local factory) impacting on the need for services. This should include a description of any significant changes for each target population type served (i.e., MSFWs, homeless people, public housing residents, low-income school children/adolescents and their families). 6. Applicant clearly identifies any health care providers (including all other FQHC Look Alikes and section 330 grantees), resources and/or services of other public and private organizations within the proposed service area that are providing care to the target population(s). Appropriate justification is provided as to why existing health center resources and other local resources (e.g., other HRSA supported programs, rural health clinics, etc.) are unable to meet the need for increased access to primary care. What Criteria Are Used To Score And Evaluate The “Response” Section (Criteria #2) (Maximum 35 Points) 1. Applicant provides a detailed description of the proposed project that is appropriate and responsive to the identified community and target population health care needs. Included should be the number and location of targeted EMC sites, the number of new patients to be served, the number of new encounters projected, the types of services impacted, the increase in providers and support staff, and any increase or modification to hours of operation. Applicant must include the number of users and encounters for each special population, (i.e., MSFWs, homeless, public housing residents) if funds are requested for one or more of these populations. 2. Applicant describes reasonable and appropriate strategies/methods that will attract new users, expand access to primary care services for the target population and increase primary care medical capacity. Strategies may include but are not limited to providing additional services, additional providers where excess facility capacity exists, expanded hours of operation, or providing additional services through contractual relationships (e.g., OB/GYN) at existing sites. If the proposal includes completely relocating an existing site(s) to a more appropriate facility, the applicant clearly demonstrates how the project will Understanding Florida FQHCs Copyright 2006 Page 59 ©
continue to maximize access to health care for the community currently being served by the existing site. 3. Applicant provides a Service Delivery Plan that is appropriate and realistic for the proposed EMC project, and responsive to the identified needs of the community, including any targeted health disparities. The plan includes adequate medical and other providers (e.g., outreach workers, case managers) and support staff associated with the expansion. The Service Delivery Plan addresses its impact on the current Heath Care Plan for the organization, and any significant changes (e.g., serving a new population or age group, or expanding into new services) are noted in an addendum to the existing Health Care Plan. 4. Applicant provides a Business Plan that is appropriate and realistic for the proposed EMC project. Each relevant component of the Heath Center (e.g., Administration, Fiscal, Clinical, MIS, Governance, etc.) is sufficiently addressed, and the goals and activities are appropriate for the proposed project. 5. Applicant proposes appropriate plans for incorporating or improving the use of outreach and other enabling services to bring new users in to the health centers and/or medical services, both for traditional health center users and, where applicable, for special populations (e.g., MSFWs, homeless individuals and families, residents of public housing). 6. Applicant demonstrates that the new or expanded services being proposed are culturally and linguistically appropriate for the populations to be served. 7. For organizations proposing an expansion to serve a population for which they do not currently receive Federal support, the applicant: (a) Demonstrates awareness of the appropriate organizational changes to be made (per statutory and other requirements and expectations of health centers). Areas of consideration include representation in governance, and modifications to clinical and business systems, enabling services and overall cultural competency. (b) Presents a sound plan to assure compliance upon receipt of funding. (c) Assures the organization’s ability to implement the necessary changes. 8. Applicant provides a feasible and credible timeline for implementation of the project. The applicant demonstrates operational readiness within 120 days of award (i.e., proposed staff recruited and services provided), including those applicants proposing to open a replacement site. What Criteria Are Used To Score And Evaluate The “Evaluative Measures” Section (Criteria #3) (Maximum 10 Points) 1. Applicant demonstrates the ability to evaluate the effectiveness of the EMC project, including the quality and outcomes of the services provided (e.g., adequate management information systems, patient satisfaction). Applicant provides an evaluation plan that is appropriate for the EMC project goals and projected outcomes. Understanding Florida FQHCs Copyright 2006 Page 60 ©
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Community Health Centers in Florida
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Community Health Centers in Florida
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What is an FQHC Section One Overvie
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array of “Enabling Services” de
Page 10 and 11: make the extra effort required to m
Page 12 and 13: In 2005, the Florida Legislature, i
Page 14 and 15: Table 9: Florida FQHC Provider Prod
Page 16 and 17: Section Two Significant Florida Tre
Page 18 and 19: North Florida. The rapid spread of
Page 20 and 21: Linguistic and cultural differences
Page 22 and 23: Florida, like other states, has roo
Page 24 and 25: organizations (PPO,) provider spons
Page 26 and 27: Table 20: Florida HPSA Designations
Page 28 and 29: What is FACHC’s Statewide Strateg
Page 30 and 31: organizations have received 330 fun
Page 32 and 33: Table 23: Florida FQHC Expanded Med
Page 34 and 35: Where Are The Greatest Needs For He
Page 36 and 37: Section Four Understanding Federal
Page 38 and 39: There Are Three Types Of 330 Fundin
Page 40 and 41: • Proposals to support the reloca
Page 42 and 43: and reduce health disparities. •
Page 44 and 45: 3. Applicant identifies how many pe
Page 46 and 47: proposed project and any collaborat
Page 48 and 49: What Criteria Are Used To Score And
Page 50 and 51: What Criteria Are Used To Score And
Page 52 and 53: 2. Applicant describes the extent t
Page 54 and 55: 4. Applicant discusses the mechanis
Page 56 and 57: Overview of 330 “Expanded Medical
Page 58 and 59: will be provided. They must also de
Page 62 and 63: 2. If applicable, the applicant des
Page 64 and 65: target population and the level of
Page 66 and 67: Some experts believe that 330 appli
Page 68 and 69: Health Disparities Collaboratives (
Page 70 and 71: Directory of Florida FQHCs 1. Agape
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