GPA Annual Conference - Portland Finding & Securing Funding For Health Care Projects
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1 GPA Annual Conference - Portland Finding & Securing Funding For Health Care Projects Christopher LaPage Senior Grants Development Consultant Manager, Research & Consultative Services Grants Office LLC Phone: (585) clapage@grantsoffice.com October 17, 2014
2 Today s Agenda Target Applicant Pool Federal Funding Priorities & Trends 3 Part Aim & Health Care Innovation Awards Grants for Rural Service Delivery & Telemedicine (e.g. Rural Outreach Program) Grants for Health Professional Education & Training Grants for Underserved & Special Populations Regional, State & Foundation Funding Options Tips & Suggestions for Success
3 Target Applicants Non-profit & Public Entities Directly Eligible Hospitals & Clinics FQHCs, RHCs, CAHs For-Profit Entities Typically not directly eligible For-profit hospitals, physician practices
4 Note on For-Profit Providers Fiduciary Agent A non-profit entity acts as the financial sponsor for a for-profit organization 501c3 Foundation Establish 501c3 foundation to raise funds Common practice amongst for-profit hospitals Partnership Partner with a public or not-for-profit provider on a project For-profit partner may receive subgrants or contract support
5 Speak Up We will get to projects in a second, but first we must discuss an underlying issue: Grant professionals are usually approached with problems, not projects What are some of these problems?
6 Meet the Funders: Federal Health Care Grants
7 Federal Funding Priorities Health Information Technology Health Professional Education & Training Emergency Preparedness & Disaster Recovery Access, Eliminating Disparities & Service Delivery
8 Federal Funding Priorities Chronic Disease Management Preventative Care Patient Safety Quality Improvement
9 Follow the Money: Trends in Healthcare
10 Healthcare: The New Normal Thin Margins Multiple Providers Inpatient Fee for Service (FFS) Improve Care Quality Thinner Margins Consolidation Outpatient & Home Shared Risk 3 Part Aim
11 3 Part Aim Better Health Care Delivery Better Health Status Reduced Costs Burden
12 Grants to Address 3 Part Aim Program Heath Care Innovation Awards (HCIA) AHRQ Health Services Research, Demonstration & Dissemination Grants (R18) Value Portfolio Deadline November 2014* September 25 January 25 May 25 *Projected Deadline
13 Health Care Innovation Awards: Eligibility
14 Health Care Innovation Awards: Funding Levels $1 Billion Ceiling $30 million Expected to fund 100 projects Soft Floor $1 million
15 Health Care Innovation Awards: Purpose Innovations in Service Delivery Telemedicine & Mobile Health Reorganizing care delivery / moving away from institutionalized settings Transferring certain tasks from physicians to less-costly healthcare providers Payment Modeling Pay for performance Accountable care organizations (ACOs) Bundled payments Shared risk between providers, patients and payors
16 Health Care Innovation Awards: Past Awardees
17 HCIA: Sample of Success Awardee California Long-Term Care Education Center Project Title Care Team Integration of the Home-Based Workforce Funding Amount $11,831,445 Estimated 3-Year Savings $24,957,836
18 HCIA: Sample of Success Partners SEIU United Long Term Care Workers Shirley Ware Education Center SEIU United Healthcare Workers L.A. Care Health Plan Contra Costa Health Plan Contra Costa Employment and Human Services Dept. SynerMed St. John s Well Child and Family Center Care 1 st Health Plan Univ. of California, San Francisco Center for Health Professions Target Population Beneficiaries of California s Medicaid personal care services program, known as In-Home Supportive Services (IHSS) All beneficiaries are disabled and 85% are Medicare-Medicaid enrollees
19 HCIA: Sample of Success Innovation in Service Delivery Develop IHSS workforce by training personal home care aides in certain competencies for expanded roles as agents of change for target population Providers trained to take on roles of health monitors, coaches, communicators, navigators and care aides. Payment model Monthly care management fee (per member per month) Project Outcomes Reduce ER visits by 23 percent over 3 years Reduce hospital admissions from ER by 23 percent over 3 years Reduce average length of stay in nursing homes by 10% over 3 years Train 6,000 IHSS providers
20 Rural Service Delivery & Telemedicine Program Distance Learning and Telemedicine Program (DLT) Emergency Based Telehealth Network Grant Program (EB TNGP) Rural Health Network Development Planning Grant Program Rural Health Network Development Program Rural Health Care Services Outreach Grant Program AHRQ Health Services Research, Demonstration & Dissemination Grants (R18) Deadline July 2015* June 2015* January 2015* October 2015* November 14, 2014 September 25 January 25 May 25 *Projected Deadline
21 Rural Health Care Services Outreach Grant Program: Eligibility Partner Partner Partner Lead applicant must be rural and non-profit or public entity For-profit orgs can be consortium partners Each partner must have a unique EIN Consortium = At Least 3 Entities Funds can only be used for services in rural areas
22 Rural Outreach Program: Funding Levels $16 Million Applicant Ceiling $600k total over 3 years Expected to fund 80 projects
23 Rural Outreach Program: Purpose & Overview
24 Rural Outreach: Sample of Success Awardee Heartland Rural Health Network, Inc. Project Title Comprehensive Rural Chronic Disease Management Program Funding Amount $450,000 Website
25 Rural Outreach: Sample of Success Partners Healthy Start Coalition of Hardee, Highlands and Polk Counties Central Florida Area Health Education Center County Health Departments (Highlands, Polk, DeSoto, Hardee, Charlotte) Central Florida Health Care Highlands Regional Medical Center Manatee Rural Health Services DeSoto Memorial Hospital Redlands Christian Migrant Association & More Target Areas & Population Area: Highlands, Hardee and DeSoto Counties and rural portions of Polk County (Frostproof and Ft. Meade) Seniors and minority patients with higher prevalence of Diabetes and Cardiovascular Disease (CVD)
26 Rural Outreach: Sample of Success Outreach Initiative Specifics Component #1: Expand evidence-based Diabetes Master Clinician Program (DMCP), an internet-based registry. Component #2: Expand Health Living Nutrition Program to patients under the age of 60 years old. Component #3: Utilized Community Health Workers (CHWs) to develop case management plans and oversee patient health. Component #4: Remote monitoring of biometric data and other mhealth applications. Project Outcomes Appropriate health resource utilization Adoption of healthy behaviors by participants Improved chronic disease management Making the program sustainable
27 Qualifying Customers for HRSA Grants: Rural Eligibility Check -
28 Health Professional Education & Training Program Advanced Nursing Education Program (ANE) Deadline January 2015* Nursing Workforce Diversity (NWD) January 2015* Nurse Education, Practice, Quality, and Retention (NEPQR) Program February 2015* *Projected Deadline
29 Qualifying Customers for HRSA Grants: Underserved Areas Eligibility Check HPSA, MUC, MUA or.aspx
30 Qualifying Customers for HRSA Grants: Underserved Areas
31 Access & Service Delivery for Underserved and Special Populations Mental & Behavioral Health Patients Program Grants to Expand Care Coordination through the Use of Technology- Assisted Care in Targeted Areas of Need (TCE-TAC) Primary and Behavioral Health Care Integration Deadline June 2015* June 2015* *Projected Deadline
32 Access & Service Delivery for Underserved and Special Populations Medically Underserved Areas - FQHCs Program Affordable Care Act Health Center Controlled Networks *Projected Deadline Deadline March 2015*
33 HRSA Grant Programs: FQHCs
34 Access & Service Delivery for Underserved and Special Populations Medically Underserved Populations - Children Program Affordable Care Act School Based Health Centers Capital Program (SBHCC) Deadline Spring 2015* *Projected Deadline
35 Access & Service Delivery for Underserved and Special Populations Medically Underserved Populations Ryan White HIV/AIDS Providers Program Part C Capacity Development Program *Projected Deadline Deadline March 2015*
36 Regional Funding: Federal Administration Delta Region Delta Regional Authority USDA Delta Health Care Services Grant Program HRSA Delta State Rural Development Network Grant Program Page 36 Page 36
37 Regional Funding: State Administration Appalachian Region Appalachian Regional Commission (ARC) Healthcare is a business and can approach these funds targeted at economic development Each States administers grant funds for their counties Page 37 Page 37
38 State Programs Few and far between with recent recession and budget crunch Historically a great source for capital development projects in health sector Programs are usually small in terms of dollars Programs are more accessible when compared to federal grants Monitor state versions of federal agencies we discussed today State Department of Health State Office of Rural Health (HRSA) State Rural Development Office (USDA) State Department of Labor State Department of Commerce/Economic Development Page 38 Page 38
39 Dollars Foundations Relationship Nat l Regional State LOCAL
40 National Foundations Kresge Foundation Robert Wood Johnson Foundation Commonwealth Fund Aetna Foundation William Randolph Hearst
41 Tips & Suggestions Know What is Coming Program History Federal Budget / Legislation HHS Forecast Agency Contacts Listservs/ General News Predicting the Pipeline Page 41 Page 41
42 Resource: HHS Forecast Predicting the Pipeline Page 42 Page 42
43 Tips & Suggestions for Winning Grants Know the overarching goals of the funder HHS Strategic Vision (Health People 20/20) HHS Sub-agency mission/objectives (HRSA, CDC, SAMHSA) Review Criteria are usually similar across funding programs from same agency, such as HRSA: Need Response Evaluation/Measurement Impact Resources/Capabilities Support Requested Page 43 Page 43
44 Tips & Suggestions for Winning Grants Rely more on specific local statistics when demonstrating need rather than large state and national aggregate statistics For example, it s not enough to say the project serves a rural population when you are applying to grants from HRSA s Office of Rural Health The Three C s Comprehensive (well-rounded) Compelling (makes a strong case for funding) Competitive (stands out above the rest) Every grant program from a federal funder has a program contact available use them in advance of submission Dot your i s and cross your t s Don t get discouraged by a failed proposal Page 44 Page 44
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