Fiscal Year (FY) 2012 Service Area Competition (SAC)

New and Competing Continuation

HRSA-12-087, HRSA-12-088, HRSA-12-089, HRSA-12-102,HRSA-12-105, HRSA-12-106, HRSA-12-107, HRSA-12-110

SAC Technical Assistance (TA) page: http://www.hrsa.gov/grants/apply/assistance/sac

Agenda

• Overview

• Award Due Dates & Times

• Eligibility Requirements

• Award Information

• Two-Tiered Electronic Submission Process

• Program Narrative

• Performance Measures

• Budget

• Important Facts

• Technical Assistance Contacts

• Question & Answer Session2

Overview

The Service Area Competition (SAC) is a competitive funding opportunity that provides funding for the provision of comprehensive primary health care services to underserved and/or special targeted populations.

Three types of applicants:

1. Current grantees applying to continue serving their current service area

2. New applicants

3. Current grantees applying to serve a new service area

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Overview

Please Note:

A Health Center Program grantee whose project period does not end in FY 2012 (October 1, 2011 – September 30, 2012) should complete a Budget Period Progress Report (BPR) rather than a SAC application

http://bphc.hrsa.gov/policiesregulations/continuation

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Overview

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Overview

• Project period is up to 5 years for current grantees and up to 2 years for new applicants

• Project period start date: varies throughout FY 2012*

• Grants.gov deadline: varies throughout FY 2012*

• HRSA Electronic Handbook (EHB) deadline: varies throughout FY2012*

*see following slide for details

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Application Due Dates &Times

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Project Period Start Date HRSA Announcement NumberGrants.gov Deadline

(8:00 PM ET)HRSA EHB Deadline

(8:00 PM ET)

November 1, 2011 HRSA-12-087 August 8, 2011 August 22, 2011

December 1, 2011 HRSA-12-088 August 15, 2011 August 29, 2011

January 1, 2012 HRSA-12-089 August 29, 2011 September 12, 2011

February 1, 2012 HRSA-12-102 September 19, 2011 October 3, 2011

March 1, 2012 HRSA-12-105 October 17, 2011 October 31, 2011

April 1, 2012 HRSA-12-106 November 7, 2011 November 21, 2011

May 1, 2012 HRSA-12-107 December 5, 2011 December 19, 2011

June 1, 2012 HRSA-12-110 January 9, 2012 January 23, 2012

Eligibility Requirements

Applicants must:

1. Be public or nonprofit private entities, including tribal, faith-based, and community-based organizations; and

2. Propose to serve a current service area and its associated population(s)

see the Service Area Announcement Table available at http://www.hrsa.gov/grants/apply/assistance/sac

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Service Area Announcement Table

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Available as a PDF table organized by project period start date or as a customized table based on search criteria.

Eligibility Requirements

Target Populations by Funding Type:

• Community Health Centers (CHC, section 330(e)): target population is underserved individuals

• Migrant Health Centers (MHC, section 330 (g)): target population is migrant and seasonal farm workers and their families

• Health Care for the Homeless (HCH, section 330 (h)): target population is homeless individuals and families

• Public Housing Primary Care (PHPC, section 330 (i)): target population is residents of, and individuals living immediately adjacent to, public housing

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Eligibility Requirements

Competing organizations must:

1. Serve entire announced service area

2. Serve same target population

3. Provide same or comparable comprehensive primary health care services

4. Request an equal or lesser amount of Federal funding, including funding for CHC, MHC, HCH, and/or PHPC

see the Service Area Announcement Table available at http://www.hrsa.gov/grants/apply/assistance/sac

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Award Information

Award Basics:

•Approximately $450 million available for approximately 230 FY 2012 SAC awards

•Awards will vary across CHC, MHC, HCH, and/or PHPC

Ineligible Uses of SAC Funding:

•Construction/renovation of facilities

•Fundraising/grants writing

•Lobbying efforts

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Two-Tiered Submission Process

Phase 1: Grants.gov• Register in the Central Contractor Registration

(CCR) and Data Universal Numbering System (DUNS) prior to registering in Grants.gov

• Register in Grants.gov as soon as possible• Receive a validation email from Grants.gov

following successful submission

Phase 2: HRSA EHB• Register in HRSA EHB as soon as possible• Receive a tracking number for accessing EHB via

email 7 business days after Grants.gov submission• Receive a confirmation email from EHB following

successful submission

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Phase 1: Grants.gov Required Forms

http://www.grants.gov

•SF-424: Application for Federal Assistance (upload Project Abstract on page 2, box 15)

•HHS 5161-1 Checklist

•Project/Performance Site Location(s) Form

•Grants.gov Lobbying Form (Certification Regarding Lobbying)

see Table 1 (page iii) and Table 2 (page 8) in the FOA

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Phase 2: EHB Required Forms

https://grants.hrsa.gov/webexternal

•Program Narrative•SF-424A: Budget information – Non-Construction Programs•Budget Justification (upload in Budget Narrative Attachment Form field)•SF-424B: Assurances – Non-Construction Programs•SF-LLL: Disclosure of Lobbying Activities•HHS Certifications•Attachments•Program Specific Forms•Program Specific Information (Performance Measures)

see Table 1 (page iv) and Tables 3-5 (pages 9-16) in the FOA 15

Phase 2: EHB Attachments

All attachments are required except:

• 6: Co-Applicant Agreement

• 7: Summary of Contracts and Agreements

• 12: Evidence of Non-Profit or Public Center Status

• 13: Floor Plans

• 14 and 15: Other Relevant Documents

see Table 4 (pages 10-14) in the FOA

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Phase 2: EHB Forms

• All forms are required except 5C: Other Activities/Locations

• Form 8 has been revised

• Form 9 has been added to replace some quantitative data previously provided in the Program Narrative

see Table 5 (pages 15-16) in the FOA

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Program Narrative & Review Criteria

Program Narrative = general request for information

Review Criteria = details/examples for a thorough response; utilized by the Objective Review Committee to assess the application

• Need (15 points)

• Response (20 points)

• Collaboration (10 points)

• Evaluative Measures (15 points)

• Resources/Capabilities (20 points)

• Governance (10 points)

• Support Requested (10 points)18

New Aspects of the Program Narrative

• Form 9: Need for Assistance Worksheet replaces much of the quantitative data previously requested in the Need Section

• The Impact Section has been removed and its items have been moved to the Resources/Capabilities Section

• The items in the Resources/Capabilities Section have been reordered

• An item about EHR/HIT and meaningful use has been added to the Resources/Capabilities Section

• An item has been added to the Governance Section for applicants who are Indian tribes or tribal, Indian or urban Indian groups

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Clinical Performance Measures

Standard Clinical Performance Measures:

• Diabetes

• Cardiovascular Disease

• Cancer

• Prenatal Health*

• Perinatal Health*

• Child Health

• Behavioral Health

• Oral Health

*may be marked “not applicable” if services are provided only via referral and not paid for by the applicant 20

Clinical Performance Measures

NEW Clinical Performance Measures:

• Weight Assessment and Counseling for Children and Adolescents*

• Adult Weight Screening and Follow-Up*

• Tobacco Use Assessment*

• Tobacco Cessation Counseling*

• Asthma – Pharmacological Therapy*

*may be marked “not applicable” for this application only; all grantees will be required to report on these measures in the 2011 Uniform Data System (UDS) Report

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Clinical Performance Measures

REVISED Clinical Performance Measures:

• Diabetes – revised to capture data on HbA1c levels that are < 7%, < 8%, < 9%, or > 9%*

• Child Health – revised to add 2 Hepatitis A shots, 2 or 3 Rotavirus shots, and 2 influenza shots*

*The measure forms will include the unrevised version of these measures. If reporting on the revised version, applicants must note this in the Comments field of the measure form. If reporting on the unrevised version, no note is required. All grantees will be required to report on the revised measures in the 2011 UDS Report.

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Financial Performance Measures

Standard Financial Performance Measures:

• Total Cost per Patient

• Medical Cost per Medical Visit

• Change in Net Assets to Expense Ratio*

• Working Capital to Monthly Expense Ratio*

• Long Term Debt to Equity Ratio*

*may be marked “not applicable” by tribal and public center applicants

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Performance Measures:General Information

• Applicants are encouraged to create performance measures specific to their proposed projects (clinical and/or financial measures) by selecting Add Performance Measure in the Other Measures section of the performance measures forms

• If a previously-defined Other measure is no longer tracked, mark it as Not Applicable and provide a justification in the Comments field

• Information that will not fit on the performance measures forms should be included in the Evaluative Measures section of the Program Narrative

see Appendix B of the FOA

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Performance Measures:General Information

Current grantees applying to continue serving their current service area:

• All measures will be pre-populated with data submitted in the 2010 UDS Report

• If pre-populated data is changed, a justification must be provided

• Provide information on the past year’s progress and future action steps and strategies to be used to achieve each performance measure

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Budget

• New applicants must provide a 2 year budget justification; current grantees must provide a 5 year budget justification

• Provide sufficient information in the budget justification to show that costs are reasonable and necessary for implementation of the proposed project

• The budget justification should include a line-item budget and any narrative required to explain costs

• Section C of the SF-424A is now required

see Appendix C of the FOA

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Important Facts

• Applications may not exceed 150 pages or 20 MB (see Tables 2-5 (pages 8-16) in the SAC FOA for items included in the page limit)

• Submit single-spaced narrative documents with 12 point, easily readable font (e.g., Times New Roman, Ariel, Courier) and 1-inch margins

• Failure to include all required documents may result in an application being considered incomplete or non-compliant

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Technical Assistance Contacts

SAC TA page: http://www.hrsa.gov/grants/apply/assistance/sac

Program Related Questions• Cheri Daly: BPHCSAC@hrsa.gov or 301-594-4300

Budget Related Questions• Donna Marx: dmarx@hrsa.gov or 301-594-4245

Grants.gov Related Questions• support@grants.gov or 800-518-4726

EHB Related Questions• HRSA Call Center for questions about EHB accounts

and access: CallCenter@hrsa.gov or 877-464-4772

• BPHC Helpline for questions about completing forms in EHB: BPHCHelpline@hrsa.gov or 877-974-2742

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Question & Answer Session

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Reminder:

Throughout the application process, please refer to the Frequently Asked Questions (FAQ) on the SAC TA page (http://www.hrsa.gov/grants/apply/assistance/sac)