Request for Applications Eastern Oregon Healthcare Transformation Project Grants

Transcription

1 Request for Applications Eastern Oregon Healthcare Transformation Project Grants Program Overview The Eastern Oregon Coordinated Care Organization (EOCCO) announces the availability of grants, through funding from the State of Oregon Transformation Center, for projects that support better health, better health care and lower costs for Eastern Oregon s Oregon Health Plan (OHP) members and their communities. Proposed projects should be innovative, scalable, transferable and related to overall transformation goals. Specific areas of emphasis include, but are not limited to, the following: Information technology systems and infrastructure, including additional investment in electronic medical records (EMR) and claims processing systems. Population health management, case management, disease management and achieving quality metrics. Provider panel and clinic enhancements to provide extended primary care services to high risk Oregon Health Plan members. Projects designed to improve patient engagement in and accountability for a patient s own health, disease prevention and wellness activities. Pilot projects testing the use of flexible or otherwise innovative services. EOCCO encourages collaborative applications between caregivers and community partners and anticipates awarding funds for at least one project in each county. Example projects include, but are not limited to, the following: Projects that encourage members to use health services appropriately and in appropriate settings. Integrating mental health providers into the primary care setting. Supporting efforts to obtain Patient Centered Primary Care Homes (PCPCH) designation or progress toward becoming a Tier 3 PCPCH medical home. Alignment between multiple care providers (e.g. physical, behavioral, public health, school, etc.) for care coordination and disease management activities. Investments in telemedicine. Key Dates Optional Question & Answer Call Letter of intent (LOI) deadline Application deadline Notification of award February 20, 2014, noon to 1 p.m. PST March 7, 2014 by 5 p.m. PST April 4, 2014 by 5 p.m. PST late May Earliest project start date July 1, 2014 Latest project end date June 30, 2015

2 Eligible Organizations Community organizations and providers throughout the healthcare community including, but not limited to: hospitals, primary care clinics, rural health clinics, federally qualified health centers, mental health and public health, are eligible for these grants. Applicant organizations must provide services to Oregon Health Plan members within the twelve-county EOCCO service area: Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa and Wheeler. Allowable and Unallowable Costs Funded activities may include, but are not limited to: personnel, travel expenses, meetings and supplies, consultants, and indirect expenses associated with the project such as administrative support, telephone, and computers. Non-project related indirect expenses, funds for capital expenditures (e.g. major non-technology equipment, building renovations) and costs related to enhancing reimbursements or supporting state-covered services cannot be funded through these grants. Anticipated Available Funding & Project Period Funding for this program is provided by the State of Oregon Transformation Center. EOCCO anticipates awarding $1.6 million in individual grant amounts ranging from $30,000 to $100,000. Grantee Requirements Grantees will be required to share intermediate and final process and outcomes data on their projects, participate in periodic telephone meetings with EOCCO representatives and, at times, other grantees. Grantees will produce periodic reports for the EOCCO to share with the state and a final report that will be publically available. Review Criteria All applications will undergo a comprehensive evaluation by an impartial review panel. Applications will be assessed with regard to the following review criteria: Significance. Does the project address an important problem or barrier to better health, better health care and lower costs for Eastern Oregon s OHP members and their communities? If the goals of the project are achieved, how will the outcomes affect these problems or barriers and support overall transformation needs and goals? How will successful completion change the technologies, treatments, services, or preventive interventions for OHP members? Innovation. Does the project propose novel concepts or approaches to address the needs of OHP members and their communities or address intractable problems in promising new ways? Approach. Is the project design well-reasoned and likely to achieve the stated goals? Are the methods and timeline thoroughly described and reasonable given limitations of the environment, time available and funding? Is the budget clear, reasonable and appropriate to the work proposed? Does the project include the stakeholders (e.g. organizations and community partners) likely to contribute to its success? Potential Impact. Does the project hold promise for making a significant improvement in the health, health care or costs of care for Eastern Oregon s OHP members and their communities? Is it scalable and transferable to other similar environments? Is the project sustainable and likely to continue beyond the grant period? 2

3 How to Apply Notice of Intent to Apply To assist us with planning for proposal review, please submit a non-binding notice of intent to apply for a grant by March 7, 2014 by 5 p.m. PST. The should be sent to lyzells@ohsu.edu and should contain the following information: Name of organization applying for funding Up to a paragraph describing the project the organization plans to propose Name of project director/principal investigator for the project Mailing address, address, phone Full Application Submit the following materials by 5 p.m. PST on April 4, 2014 in a single PDF document via to lyzells@ohsu.edu. You will receive a confirmation that your grant has been received. I. Cover Sheet Complete all sections of the Application Cover Sheet (Attachment 1) including signature from the authorized representative. This page should be included as the top page of the Application. II. Narrative Application The narrative application should address the following items in the order listed below. Use the titles provided for each section. Application narratives comprising sections A through D, described below, must be no more than 6 pages in length. Use an 11 pt. or greater font size for narrative text and no smaller than half-inch margins. Diagrams, tables and budgets may be in smaller font sizes. a. Executive Summary (1/2 page) Provide a brief summary of the project(s) including project goals. b. Project Description (4 pages) Give a detailed description of the proposed project including: overall goals, target populations, the intervention, detailed activities and any community partners that will be working on the project and the tasks they will undertake. Describe the individuals tasked with portions of the project and their roles and experience. Explain the expected outcomes and how they help meet the project goals. Describe potential risks and how you plan to address them. c. Measurable Project Objectives and Metrics (1 page) Describe the goals you expect to have reached by the end of the project. Present the key evaluation metrics you will use to measure progress toward reaching these goals and whether the goals have been achieved. Include a timeline with key interim steps, responsible individuals and deliverables for the project. d. Spread of Innovation (1/2 page) Explain how the project is innovative, scalable and transferable. Describe how the project, if successful, will be sustained within your organization and how it could be spread to other organizations. III. IV. Budget and Budget Narrative Provide a budget in the format described in Attachment 2. Also include a brief budget narrative. Other Attachments You may include Attachment 3 to designate confidential materials. Attachments other than those included in this notice and letters of support are discouraged. 3

4 Questions An optional conference call for applicants wishing to ask questions will be held on February 20, 2014 from noon to 1:00 p.m. PST. Please to register for the phone call and receive the call in number. At the conclusion of the call, all questions and answers will be posted on the EOCCO website. For programmatic or technical questions related to this opportunity, Stephanie Lyzell at or call (503) To ensure fairness, all questions and their responses will be posted on the EOCCO website. 1 The Center for Evidence-based Policy at OHSU is providing support for this grants process. 4

5 ATTACHMENT 1 Application Cover Sheet Applicant Name: For non-governmental organizations, check one. Applicant is a: publicly held company privately held company Name of Project Director/Principal Investigator: Title: Address: City, State, Zip: Telephone: Fax: Address: Name and title of the person(s) authorized to represent the Applicant in any negotiations and sign any Grant Agreement that may result: Name: Title: By signing this page and submitting an Application, the Authorized Representative certifies that the following statements are true: No attempt has been made or will be made by the Applicant to induce any other person or organization to submit or not submit an Application. Applicant does not discriminate in its employment practices with regard to race, creed, age, religious affiliation, sex, disability, sexual orientation or national origin. Information and costs included in this Application shall remain valid for 90 days after the Application due date or until a Grant is approved, whichever comes first. The statements contained in this Application are true and complete to the best of the Applicant s knowledge and Applicant accepts as a condition of the Grant, the obligation to comply with the applicable state and federal requirements, policies, standards, and regulations. The undersigned recognizes that this is a public document and open to public inspection. The Applicant, by submitting an Application in response to this Request for Grant Applications (RFGA), certifies that it understands that any statement or representation contained in, or attached to, its Application, and any statement, representation, or application the Applicant may submit under any Grant awarded under this RFGA, that constitutes a claim (as defined by the Oregon False Claims Act, ORS (1)), is subject to the Oregon False Claims Act, ORS to , and to any liabilities or penalties associated with the making of a false claim under that Act. The Applicant acknowledges receipt of all addenda issued under this RFGA. If the Applicant is awarded a Grant as a result of this RFGA, the Applicant will be required to complete, and will be bound by, a Grant Agreement. At the time of signing the Grant the Applicant will be required to provide their Federal Employer Identification Number (FEIN) or Social Security Number (SSN) as applicable. Signature: (Authorized to Bind Applicant) Date: *** THIS PAGE SHOULD BE THE TOP PAGE OF THE APPLICATION *** 5

6 ATTACHMENT 2 Budget Format Expense Budget Format Project Start Date: Project End Date: Personnel Costs Name Role on Project Number of Hours Cost per Hour^ Total Cost Amount Requested* Subtotal Personnel Materials & Supplies Subtotal Materials & Supplies Travel Expenses Subtotal Travel Expenses Consultants & Contracted Services Subtotal Consultants & Contracted Services Meeting Expenses Subtotal Meeting Expenses Professional Training & Development Subtotal Professional Training & Development Other Budget Items Subtotal Other Total Project Budget *If amount requested is different from total cost, please describe the source of the additional funds. ^Cost per hour calculation: salary + benefits/2080 hours 6

7 ATTACHMENT 3 - Applicant s Designation of Confidential Materials Applicant Name: Instructions for completing this form: As a public entity, the Oregon Office of Contracts & Procurement (OC&P) is subject to the Oregon Public Records Law which confers a right for any person to inspect any public records of a public body in Oregon, subject to certain exemptions and limitations. See ORS through Exemptions are generally narrowly construed in favor of disclosure in furtherance of a policy of open government. Your Application will be a public record that is subject to disclosure except for material that qualifies as a public records exemption. It is OC&P s responsibility to redact from disclosure only material exempt from the Oregon Public Records Law. It is the Applicant s responsibility to only mark material that legitimately qualifies under an exemption from disclosure. To designate a portion of an Application as exempt from disclosure under the Oregon Public Records Law, the Applicant should take the following steps: I. Clearly identify in the body of the Application only the limited material that is a trade secret or would otherwise be exempt under public records law. If an Application fails to identify portions of the Application as exempt, Applicant is deemed to waive any future claim of non-disclosure of that information. II. List, in the space provided below, the portions of your Application that you have marked in step 1 as exempt under public records law and the public records law exemption (e.g., a trade secret) you believe applies to each portion. If an Application fails to list in this Attachment a portion of the Application as exempt, Applicant is deemed to waive any future claim of non-disclosure of that information. III. Provide, in your response to this Attachment, justification how each portion designated as exempt meets the exemption criteria under the Oregon Public Records Law. If you are asserting trade secret over any material, please indicate how such material meets all the criteria of a trade secret listed below. Please do not use broad statements of conclusion not supported by evidence. Application of the Oregon Public Records Law shall determine whether any information is actually exempt from disclosure. Prospective Applicants are advised to consult with legal counsel regarding disclosure issues. Applicant may wish to limit the amount of truly trade secret information submitted, providing only what is necessary to submit a complete and competitive Application. In order for records to be exempt from disclosure as a trade secret, the records must meet all four of the following requirements: The information must not be patented; It must be known only to certain individuals within an organization and used in a business the organization conducts; It must be information that has actual or potential commercial value; and, It must give its users an opportunity to obtain a business advantage over competitors who do not know or use it. Keep in mind that the trade secret exemption is very limited. Not all material that you might prefer be kept from review by a competitor qualifies as your trade secret material. OC&P is required to release information in the Application unless it meets the requirements of a trade secret or other exemption from disclosure and it is the Applicant s responsibility to provide the basis for which exemption should apply. In support of the principle of an open competitive process, bottom-line pricing that is, pricing used for objective cost evaluation for award of the RFGA or the total cost of the Grant or deliverables under the Grant will not be considered as exempt material under a public records request. Examples of material that would also not likely be considered a trade secret 7

8 would include résumés, audited financial statements of publicly traded companies, material that is publicly knowable such as a screen shot of a software interface or a software report format. To designate material as confidential and qualified under an exemption from disclosure under Oregon Public Records Law, an Applicant must complete this Attachment form as follows: Part I: List all portions of your Application, if any, that Applicant is designating as exempt from disclosure under Oregon Public Records Law. For each item in the list, state the exemption in Oregon Public Records Law that you are asserting (e.g., trade secret). This data is exempt from disclosure under Oregon Public Records Law pursuant to [insert specific exemption from ORS 192, such as a ORS (2) trade secret ], and is not to be disclosed except in accordance with the Oregon Public Records Law, ORS through In the space provided below, state Applicant s list of material exempt from disclosure and include specific pages and section references of your Application [This list may be expanded as necessary.] Part II: For each item listed above, provide clear justification how that item meets the exemption criteria under Oregon Public Records Law. If you are asserting trade secret over any material, state how such material meets all the criteria of a trade secret listed above in this Attachment. In the space provided below, state Applicant s justification for non-disclosure for each item in the list in Part I of this Attachment: [This list may be expanded as necessary.] 8