Advanced Nursing Education Program (ANE) Fiscal Year 2015 Technical Assistance Webinar December 11, 2014 Nancy Douglas-Kersellius Serina Hunter-Thomas Nurse Consultants U. S. Department of Health and Human Services Health Resources and Services Administration Bureau of Health Workforce Division of Nursing and Public Health
Advanced Nursing Education Purpose: To provide Federal funding for projects that support the enhancement of advanced nursing education and practice at the masters and doctoral level 2
Advanced Education Nurses Nurse Practitioners Nurse Midwives Nurse Anesthetists Clinical Nurse Specialists Nurse Educators Nurse Administrators Public Health Nurses Other Nurse Specialties 3
Advanced Nursing Education For Fiscal Year 2015 ANE will support projects that: Develop and test innovative academicpractice partnerships models for clinical training Create one or more innovative partnerships between academic institutions and rural and/or underserved clinical practice sites 4
ANE Projects should Implement new and innovative strategies and models for preparing graduate nursing students to address: Current and evolving needs of the healthcare system and practice-based environment Educating and precepting graduate nursing students in new models of health care delivery Providing health care to minority, underserved and rural populations 5
ANE Program Requirements Applications must include: A detailed description of the innovative academic-practice partnership model Establish at least one innovative NEW partnership or Enhancement of an existing partnership between academic institutions and rural or underserved clinical practice sites 6
ANE Program Requirements (continued) A detailed timeline for the establishment of the partnership(s) Details of the formal partnership arrangement(s). A plan for placement of students in the clinical partner site(s) by January 31, 2016. 7
ANE Program Requirements (continued) Demonstrate that clinical practice sites are incorporating new models of health care delivery that deliver team-based care (i.e., Patient Centered Medical Home, Accountable Care Organization) or other innovative payment & service delivery models, as well as addressing the broad range of social determinants that influence health and health outcomes 8
ANE Program Requirements (continued) Academic-clinical partnership(s) must provide education and training for graduate nursing students and clinical preceptors in complex practice environments of rural and underserved clinics 9
Academic-Clinical Partnerships Defined as strategic relationships between educational (academic) and clinical practice settings established to advance their mutual interests related to practice, education and research Beal, Judy. 2012. Academic-Service partnerships in Nursing: An integrative review. Nursing Research and Practice. 10
Must include: Academic-Practice Model (s) 1) Formal mechanisms for feedback and evaluation to inform program development and curricular enhancements; 2) Factors that augment preceptor quality and improve the outcomes of student s clinical experiences; 3) Use of existing evidence-based tools and methods to measure preceptor competencies 11
Academic-Clinical Partnerships (continued) 4) Use of existing evidence-based tools and methods to measure student clinical competencies; 5) A rapid cycle quality improvement strategy(s) to test the effectiveness of the clinical training model and plan for ongoing feedback; 12
Academic-Clinical Partnerships (continued) 6) Evidence- and competency-based assessments and clinical evaluation tools to assess student performance and student readiness to practice; and 7) Incentives to recruit, engage, and train preceptors (i.e., faculty appointments at the academic institution, and educational and/or professional development opportunities). 13
Eligibility Accredited schools of nursing Nursing centers Academic health centers State or local governments Non-profit health care facilities Other public or private non-profit entities 14
Summary of Funding 3 year Project Period Fiscal Year July 1, 2015 to June 30, 2018 Amount: Cap of $700,000/year (includes direct and indirect costs) 15
Accreditation Schools of Nursing Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) Accreditation Commission on Midwifery Education of the American College of Nurse-Midwives (ACME) Council on Accreditation (COA) of Nurse Anesthesia Programs of the American Association of Nurse Anesthetists 16
Accreditation (continued) New Nursing Programs need a letter of reasonable assurance from the U.S. Department of Education Substantive Change Notification modified nursing programs must include documentation of the approval from the accrediting agency 17
Clinical Facility Accreditation Provide documentation of accreditation by a national accrediting agency: For Example The Joint Commission on Accreditation of Healthcare Organization (JCAHO) 18
Project Staff Qualifications Project Director : RN, Doctorate in Nursing (preferred); must be employed by the applicant agency; submits application and executes project. Program Director : (Recommend) Nationally certified in nursing specialty. Has clinical expertise and experience as an educator. 19
Use of Grant Funds 1) To develop, coordinate and maintain at least one or more formalized partnerships between clinical training sites and academic institution(s); 2) To develop and implement clinical field placements focused on serving rural and/or underserved populations; 3) To recruit, engage and train faculty to serve as preceptors to provide oversight and guidance to students (funds cannot be used for direct payment to preceptors and clinical sites) 20
Use of Grant Funds (continued) 4) To implement existing evidence based tools to measure student and preceptor competencies; 5) To support curricular enhancements specific to clinical competencies; and 6) To implement rapid cycle quality improvement strategies to evaluate the innovated clinical training mode. 21
Funding Restrictions Funds may not be used for: Student support (tuition, stipends, salaries, travel) Student books and fees Direct payment to preceptors and clinical sites Subsidies or paid release time for project trainees or participants Construction and/or renovations 22
Funding Restrictions (continued) Only one Project Director Salary amounts cannot exceed $181,500 Accreditation, credentialing, continuing education Food and drinks Promotional items and memorabilia Purchase of gift cards Franchise fees and expenses 23
Salary Limitation example Individual s actual base full time salary: $255,000 50% of time will be devoted to project Direct salary $112,500 Fringe (25% of salary) $28,125 Total $140,625 Amount that may be claimed on the application budget due to the legislative salary limitation: Individual s base full time salary adjusted to Executive Level II: $181,500 50% of time will be devoted to the project Direct salary $90,750 Fringe (25% of salary) $22,687.50 Total amount $113,437.50 24
Funding Preference Definition: funding of a specific category of approved applications ahead of other categories of approved applications Applicants receiving the preference will be considered ahead of others without the preference Applications that do not receive a funding preference will be given full and equitable consideration during the review process 25
The Funding Preferences Requested in the Project Abstract and Document in Attachment 11 for how it is being met: A high rate of graduates accepting positions in practice settings that: Substantially benefit rural populations; or Substantially benefit underserved populations; or Help meet public health nursing needs in state or local health departments. 26
Meeting the Funding Preference High rate is defined as a minimum of 40 percent of graduates in the academic year 7/1/2013-6/30/2014 employed in clinical practice sites substantially benefiting rural or underserved populations, or in State or local health departments. 27
Benefits Rural Populations Students will have a field placement or practicum experience in a site serving rural populations, (see FOA for listing of sites); and the curriculum includes content on rural culture and other health indices specific to rural health populations; and the curriculum provides precepted training experiences in care of patients with complex health needs; and a high rate of graduates go to work in a site serving rural populations. 28
Benefits Underserved Populations The applicant organization is physically located in a HPSA, a MUC, or serves medically underserved populations & focuses on primary care, wellness, and prevention strategies; and the curriculum incorporates content addressing the cultural and health indices specific to underserved populations; and the curriculum provides precepted training experiences in care of patients with complex health needs; and 29
Benefits Underserved Populations (continued) partners with schools within Historically Black Colleges and Universities; Tribal Colleges and Universities; Hispanic serving institutions; or with other schools or consortia of schools that educate nursing students from groups underrepresented in the nursing profession; and a high rate of graduates go to work in a site serving underserved populations. 30
Help Meet Public Health Needs Linkage(s) with state, local and Federal health departments for student learning experiences; and the curriculum concentrates on the public health sciences and prepares students with the competencies needed to work as a public health nurse; the curriculum provides precepted training experiences in care of patients with complex health needs, including, social determinants that influence access to specialty care and social services; and a high rate of graduates go to work in a Public health facility. 31
Student Enrollment Enrollment should be included for all three years of the project Placement of students at the clinical partner site(s) by January 31, 2016 32
Application One application per campus/university NOTE: A campus is defined as a division of a university that has its own grounds, buildings (e.g., school of nursing) and faculty 33
HRSA s Application Guide Applicants responsible for reading and complying with instructions in the HRSA s SF-424 Application Guide available online at http://www.hrsa.gov/grants/apply/application guide/sf424guide.pdf 34
Provides: HRSA s Application Guide Comprehensive information related to the application preparation and submission process Does not replace program-specific guidance provided in the funding opportunity announcement 35
Register and Apply Applicants Must obtain a data universal numbering system (DUNS) Number and Register with System for Award Management (SAM) Apply via Grants.gov 36
Application Content Project Abstract Project Narrative Purpose and Need Response to Program Purpose (a) Work Plan includes a logic model (b) Methodology (c) Resolution of Challenges 37
Application Content (continued) Project Narrative (continued) Impact (a) (b) Evaluation & Technical Support Capacity Project Sustainability Organizational Information, Resources & Capabilities Program Specific Information Budget & Budget Justification 38
Application Content (continued) Program Specific Attachments: 1: Project specific ANE program info, required 2: Letters of Agreement/MOU, as applicable 3: Accreditation Documentation, required 4: Approval Documentation for new programs, as applicable 39
Application Content (continued) Project specific attachments (continued): 5: Curriculum-Related Information, required 6: Administrative and Other Letters of Support, as applicable 7: Position Descriptions of Clinical Preceptors & Project Personnel, required 8: Consultant Information, as applicable 40
Application Content (continued) 9: Bio Sketches of Key Personnel, required 10: Maintenance of Effort, required 11: Request for Funding Preference, as applicable (should include table for Graduates in Practice Settings, see page 23) 12: Other relevant attachments, as applicable 41
Review Criteria to Evaluate Applications 1. Purpose & Need 10 points 2. Response 30 points 2a: Work Plan 10 points 2b: Methodology- 15 points 2c: Resolution of Challenges- 5 points 42
Review Criteria to Evaluate Applications 3. Impact 20 points 3a: Evaluation & Technical Support Capacity - 15 points 3b: Project Sustainability - 5 points 4. Organizational Information Resources/Capabilities 15 points 43
Review Criteria to Evaluate Applications 5. Support Requested 10 points 6. Program-Specific 15 points Information 44
Font(s): Formatting and Page Limit Times Roman Arial Courier or CG Times Not less than 12-point font, single-spaced No more than 65 pages 45
Submission Date & Time Application Due Date and Time 11:59 P.M. Eastern Time February 13, 2015 46
Logic Model Resources Logic models can be found at the following website: http://www.cdc.gov/nccdphp/dnpao/hwi/programde sign/logic_model.htm How to distinguish between a logic model and work plan: http://www.cdc.gov/healthyyouth/evaluations/pdf/bri ef5.pdf 47
Grant Writing Resources Apply for applications: http://www.hrsa.gov/grants/apply/index.html Writing proposals tips: http://www.hrsa.gov/grants/apply/index.html Technical assistance: http://bhpr.hrsa.gov/grants/technicalassista nce/index.html 48
Questions 49
Programmatic Contact Nancy Douglas-Kersellius NDouglas@hrsa.gov Serina Hunter-Thomas Shunter-thomas@hrsa.gov BHW Division of Nursing and Public Health: 301-443-5688 50
Financial Contact Latisha Harris, BS Grants Management Specialist lharris@hrsa.gov Nandini Assar, PhD Grants Management Specialist nassar@hrsa.gov 51