04-15605. Fiscal Year 2005 Competitive Application Cycle for Service Area; Competition for the Consolidated Health Center Program (CHCP)
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Start Preamble
AGENCY:
Health Resources and Services Administration, HHS.
Start Printed Page 41813ACTION:
Notice of availability of funds.
SUMMARY:
The Health Resources and Services Administration (HRSA) announces that approximately $355,000,000 is available in fiscal year (FY) 2005 funds to promote the continued operation of community-based primary health care service systems in medically underserved areas for medically underserved populations. It is expected that each application submitted to serve one of these areas will present a clear focus on maintaining access to care and reducing health disparities identified in the target population.
Potential applicants must obtain and respond to the FY 2005 Service Area Competition guidance in order to apply for funding. This announcement does not contain sufficient information in itself to use for developing an application.
Authorizing Legislation: Section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b).
DATES:
The intended timelines for application submission are as follows:
Project period ending: Application deadline October 31, 2004 Aug. 16, 2004. November 30, 2004 Aug. 16, 2004. January 31, 2005 Sept. 1, 2004. February 28, 2005 Sept. 1, 2004. March 31, 2005 Oct. 25, 2004. May 31, 2005 Jan. 3, 2005. June 30, 2005 Jan. 3, 2005. August 31, 2005 Jan. 3, 2005. For FY 2005, applications received or postmarked by August 16, 2004, will be reviewed with funding decision announced on or about November 1, 2004. Applications received or postmarked by September 1, 2004, will be reviewed with funding decision announced on or about February 1, 2005. Applications received or postmarked by October 25, 2004, will be reviewed with funding decision announced on or about April 1, 2005. Applications received or postmarked by January 3, 2005, will be reviewed with funding decision announced on or about June 1, 2005.
Applications will be considered as meeting the deadline if they are: (1) Received on or before the established date and received in time for the Independent Committee Review; or (2) postmarked or E marked on or before the deadline date given in the Federal Register Notice. Late applications will be returned to the applicant. Applicants should obtain a legibly U.S. Postal Service dated postmark or a legible date receipt from a commercial carrier. Private metered postmarks shall not be acceptable as proof of timely mailing. Applications sent to any address other than that specified below are subject to being returned.
Application Requests: To receive a complete application kit (i.e., application instructions, necessary forms, and application review criteria), contact the HRSA Grants Application Center at: The Legin Group, Inc., The HRSA Grants Application Center, Attn: Service Area Competition, Program Announcement No: HRSA 05-024, CFDA No. 93.224, 901 Russell Avenue, Suite 450, Gaithersburg, MD 20879, Telephone: 1-877-477-2123, Fax: 1-877-477-2345, E-mail: hrsagac@hrsa.gov.
When contacting the HRSA Grants Application Center (GAC), please use the following program announcement when requesting application materials: HRSA 05-024.
Eligible Applicants: Applicants are limited to currently funded Section 330 grantees whose project periods expire during fiscal year 2005 and public and private non-profit organizations, including faith-based and community based organizations, proposing to serve the same areas and populations being served by these existing centers. Listed below are the service areas with project periods that expire during fiscal year 2005.
Community/Migrant Health Centers, Health Care for the Homeless, Public Housing Primary Care, and School Based Health Centers
Organizations interested in these competitive opportunities are encouraged to contact the listed program officials for more information.
Contact: Jack Egan 301-594-4339.
City State Expiration date Hyannis MA 10/31/2004 Portsmouth NH 10/31/2004 Pascoag RI 10/31/2004 Newark NJ 10/31/2004 St. George WV 10/31/2004 Harrisville WV 10/31/2004 New York NY 11/30/2004 White Plains NY 11/30/2004 Washington DC 11/30/2004 Camden-on-Gauley WV 11/30/2004 Hartford CT 12/31/2004 Roxbury MA 12/31/2004 Lubec ME 12/31/2004 Brockport NY 12/31/2004 Glens Falls NY 12/31/2004 Buffalo NY 12/31/2004 Arrington VA 12/31/2004 Richmond VA 12/31/2004 Bridgeport CT 01/31/2005 Provincetown MA 01/31/2005 Turner Falls MA 01/31/2005 Bronx NY 01/31/2005 Mayaguez PR 01/31/2005 Chester PA 01/31/2005 Saltville VA 01/31/2005 Fairmont WV 01/31/2005 Gary WV 01/31/2005 Spencer WV 01/31/2005 Waterbury CT 02/28/2005 Asbury Park NJ 02/28/2005 Egg Harbor NJ 02/28/2005 New York NY 02/28/2005 Toa Alto PR 02/28/2005 Hagerstown MD 02/28/2005 Pittsburgh PA 02/28/2005 Franklin WV 02/28/2005 New Haven CT 03/31/2005 New Canton VA 03/31/2005 Beckley WV 03/31/2005 Worcester MA 03/31/2005 Mattapan MA 03/31/2005 Patten ME 03/31/2005 Harrington ME 03/31/2005 Brooklyn NY 03/31/2005 San Juan PR 03/31/2005 Dover DE 03/31/2005 Harrisburg PA 03/31/2005 Coalport PA 03/31/2005 Boston MA 05/31/2005 Worthington MA 05/31/2005 Worcester MA 05/31/2005 Quincy MA 05/31/2005 Lawrence MA 05/31/2005 Schenectady NY 05/31/2005 Philadelphia PA 05/31/2005 Onancock VA 05/31/2005 Dungannon VA 05/31/2005 Laurel Fork VA 05/31/2005 Burlington VT 06/30/2005 Arroyo PR 06/30/2005 Wilmington DE 06/30/2005 Baltimore MD 06/30/2005 Brandywine MD 06/30/2005 Portsmouth VA 06/30/2005 Man WV 06/30/2005 Contact: Jerri Regan, 301-594-4283.
City State Expiration date Port St. Joe FL 10/31/2004 Talbot TN 10/31/2004 Pittsburgh KS 10/31/2004 Mantachie MS 11/30/2004 Tylertown MS 11/30/2004 Dade City FL 11/30/2004 Vancebury KY 11/30/2004 Boone NC 11/30/2004 Ft. Myers FL 12/31/2004 W. Palm Beach FL 12/31/2004 Junction City KS 12/31/2004 Cape Girardeau MO 12/31/2004 Montgomery AL 01/31/2005 Trenton GA 01/31/2005 Newport KY 01/31/2005 Brandon MS 01/31/2005 Liberty MS 01/31/2005 Clairfield TN 01/31/2005 Des Moines IA 01/31/2005 St. Louis MO 01/31/2005 Jackson MS 02/28/2005 Washington NC 02/28/2005 Start Printed Page 41814 Jackson NC 02/28/2005 Sumter SC 02/28/2005 Columbus NE 02/28/2005 Tuskegee AL 03/31/2005 Troy AL 03/31/2005 Sumterville FL 03/31/2005 W. Palm Beach FL 03/31/2005 Whitesburg KY 03/31/2005 Meridian MS 03/31/2005 Hendersonville NC 03/31/2005 Raleigh NC 03/31/2005 Charlotte NC 03/31/2005 Conway SC 03/31/2005 Maynardville TN 03/31/2005 New Madrid MO 03/31/2005 Selma AL 05/31/2005 Mobile AL 05/31/2005 Atlanta GA 05/31/2005 Canton MS 05/31/2005 Port Gibson MS 05/31/2005 Shubuta MS 05/31/2005 Durham NC 05/31/2005 Greenwood SC 05/31/2005 Des Moines IA 05/31/2005 Ellington MO 05/31/2005 Wrightsville GA 06/30/2005 Greenville KY 06/30/2005 Bolivar TN 06/30/2005 Shawnee KS 06/30/2005 Contact: Lisa Tonrey, 301-594-1327.
City State Expiration date Battle Creek MI 10/31/2004 Bismarck ND 10/31/2004 Cheyenne WY 10/31/2004 Portland OR 10/31/2004 Seattle WA 10/31/2004 Toledo OH 11/30/2004 Akron OH 11/30/2004 Chicago IL 11/30/2004 Anchorage AK 11/30/2004 Chicago IL 12/31/2004 E. St. Louis IL 12/31/2004 Cleveland OH 12/31/2004 Cincinnati OH (2) 12/31/2004 Lisbon OH 12/31/2004 Lamar CO 12/31/2004 Salt Lake City UT 12/31/2004 Anna IL 01/31/2005 Marquette MI 01/31/2005 Kalamazoo MI 01/31/2005 Moorehead MN 01/31/2005 Norwood CO 01/31/2005 Butte MT 01/31/2005 Anderson IN 02/28/2005 Muskegon MI 02/28/2005 Jackson MI 02/28/2005 Duluth MN 02/28/2005 Minneapolis MN 02/28/2005 Chinook MT 02/28/2005 Pierre SD 02/28/2005 Saginaw MI 03/31/2005 Traverse City MI 03/31/2005 Sterling MI 03/31/2005 Temperance MI 03/31/2005 Freemont OH 03/31/2005 Wild Rose WI 03/31/2005 Milwaukee WI 03/31/2005 Greeley CO 03/31/2005 Isabel SD 03/31/2005 Casper WY 03/31/2005 Cornelius OR 03/31/2005 Wenatchee WA 03/31/2005 Seattle WA 03/31/2005 Kent WA 03/31/2005 Chicago IL 05/31/2005 Lincoln MI 05/31/2005 Grand Marais MN 05/31/2005 Cook MN 05/31/2005 Ft. Lupton CO 05/31/2005 Glenns Ferry ID 05/31/2005 Medford OR 05/31/2005 Lafayette IN 06/30/2005 Ft. Wayne IN 06/30/2005 Battle Creek MI 06/30/2005 Minneapolis MN 06/30/2005 Cashton WI 06/30/2005 Boulder CO 06/30/2005 Bicknell UT 06/30/2005 Sitka AK 06/30/2005 Fairbanks AK 06/30/2005 Pocatello ID 06/30/2005 Plummer ID 06/30/2005 Cave Junction OR 06/30/2005 Tillamook OR 06/30/2005 Contact: Rashad Al Mahdaoui, 301-594-4335.
City State Expiration date Hulbert OK 10/31/2004 Houston TX 10/31/2004 Prescott AZ 10/31/2004 Sacramento CA 10/31/2004 San Mateo CA 10/31/2004 Humboldt CA 10/31/2004 Los Angeles CA 10/31/2004 Gonzales TX 11/30/2004 Phoenix AZ 11/30/2004 San Fernando CA 11/30/2004 Madera CA 11/30/2004 San Mateo CA 11/30/2004 Los Angeles CA 11/30/2004 Augusta AR 12/31/2004 Hildalgo TX 12/31/2004 Houston TX 12/31/2004 Marana AZ 12/31/2004 San Francisco CA 12/31/2004 Union City CA 12/31/2004 Bloomington CA 12/31/2004 Pohnpei FM 12/31/2004 Greenville TX 01/31/2005 San Antonio TX 01/31/2005 Pleasanton TX 01/31/2005 San Francisco CA 01/31/2005 Porterville CA 01/31/2005 Luling LA 02/28/2005 Ft. Sumner NM 02/28/2005 River Ridge LA 02/28/2005 Los Angeles CA (2) 02/28/2005 Ft. Bragg CA 02/28/2005 Torrance CA 02/28/2005 Honokaa HI 02/28/2005 La Marque TX 03/31/2005 Port Arthur TX 03/31/2005 Laredo TX 03/31/2005 Cotulla TX 03/31/2005 San Antonio TX 03/31/2005 San Jose CA 03/31/2005 San Francisco CA 03/31/2005 Oakland CA 03/31/2005 Agana GU 03/31/2005 Honolulu HI 03/31/2005 New Iberia LA 05/31/2005 Konawa OK 05/31/2005 Levelland TX 05/31/2005 Olivehurst CA 05/31/2005 Susanville CA 05/31/2005 El Rito NM 06/30/2005 Waco TX 06/30/2005 San Joaquin CA 06/30/2005 Kahului HI 06/30/2005 Reno NV 06/30/2005 Elfrido AZ 06/30/2005 Monroe LA 08/31/2005 San Diego CA 08/31/2005 Application Review and Funding Criteria: The following Review Criteria will be used by the Independent Review Committee (IRC) to evaluate the merits of the proposed plan presented in each SAC application.
The seven (7) Review Criteria for the SAC funding opportunity and maximum points awarded
Criterion 1: Need (10 Points)
1. Applicant describes the service area(s)/community(ies) being served, including:
(a) The service area population, i.e. urban, rural, sparsely populated[7 people or less per square mile].
(b) The counties, census tracts, minor civil divisions, schools/school districts, etc., (as appropriate) in the service area.
(c) Any Medically Underserved Areas (MUAs), Medically Underserved Populations (MUPs), High Impact Areas, and Health Professional Shortage Areas (HPSAs), as applicable.
2. Applicant describes the target population(s) (e.g., general community members, migrant/seasonal agricultural workers, residents of public housing, homeless persons, low-income school children, etc.) within the service area/community, including:
(a) The unserved and underserved populations in the community, including any other populations that are in need of access to primary health care (e.g., elderly population, immigrant population, migrant/seasonal farmworkers, homeless populations, residents of public housing, low-income school children/adolescents and their families, etc.).
(b) The unique demographic characteristics of the target population (e.g., age, gender, insurance status, unemployment, poverty level, ethnicity/culture, education, etc.).
(c) The relevant access to care and health status indicators of the target population/community.
3. Applicant identifies how many people are currently being served by the Start Printed Page 41815organization. Applicant also discusses how many will be served and the number of projected encounters that will be generated through the proposed project. This information should be consistent with the information presented on Form 1-A: General Information Worksheet.
4. Applicant identifies and describes the most significant barriers to care, gaps in services, significant health disparities and the major health care problems in the community. 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). (The Health Care and Business Plans should present goals and measurable, time-framed objectives to address the identified needs.)
5. Applicant demonstrates and understanding of the most common causes of mortality, and the incidence and prevalence of chronic and infectious diseases in the target population.
6. Applicant describes any significant changes over the past year in the service area or population being served (i.e., influx of refugee population, or closing of local factory, etc.) impacting on the need for services. This should include a description of any significant changes for each target population type served (i.e., CHC, MHC, HCH, PHPC, and/or SBHC).
7. Applicant identifies any health care providers of care (including all other FQHCs 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). The applicant should also evaluate the effectiveness of available resources and/or services in providing care to the target community/population.
8. Applicant demonstrates a thorough understanding of the health care environment including:
(a) The impact in the State of the implementation of SCHIP, 1115 and 1915(b) waivers, State Medicaid prospective payment system; Medicaid managed care, State laws, current and proposed welfare reform initiatives, etc.;
(b) The impact that these changes have had on the access to services or demand for services among the target population(s), on the ability to respond to patient demand, and/or on the fiscal stability of the organization;
In addition to the above, applicants requesting funding for one or more types of health centers authorized under the section 330 program, should also address the following:
For MHC Applicants
(a) Applicant describes the major agricultural environment, the crops and growing seasons, including a discussion of any impact on the demand for services among migrant and seasonal farmworkers (e.g., the need for hand labor or the number of temporary workers, etc.).
For HCH Applicants
(a) Applicant describes the availability of housing in the community and the impact of this and other factors on the demand for services among homeless individuals and families.
For PHPC Applicants
(a) Applicant describes any recent changes in the availability of public housing to serve area residents and the impact on the demand for services among residents in the targeted public house communities served.
For SBHC Applicants
(a) Applicant describes any changes to the number or type of students enrolled in the targeted schools and the impact on the demand for services in these locations.
Criterion 2: Response (20 Points)
1. Applicant describes the proposed service delivery model (e.g., freestanding, single or multi-site, migrant voucher, mobile site, school-based location, or combination), and locations/settings where services are provided. Applicant should include a discussion of how services will be provided at each proposed service site (e.g. via contract, referral system, etc.) and access problems the model would address and resolve.
2. Applicant demonstrates that the proposed model is most appropriate and responsive to the identified community health care needs (i.e., the service delivery plan addresses the priority health and social problems of the target population(s) for all the major life cycles).
3. Applicant demonstrates that the required primary, preventive and supplemental health services (e.g., enabling services, eligibility assistance, outreach, and transportation) will be available and accessible to all lifecycles of the target population either directly on-site or through established arrangements without regard to ability to pay.
4. Applicant demonstrates a clear and defined plan for providing oral health care that assures availability and accessibility to the target population either directly on-site or through established arrangements (e.g., contract, referral, etc.) without regard to ability to pay.
5. Applicant demonstrates a clear and defined plan for providing mental health care and substance abuse services that assures availability and accessibility to the target population either directly on-site or through established arrangements (e.g., contract, referral, etc.) without regard to ability to pay.
6. Applicant addresses the chronic disease incidences within the target population, and participation in a formal disease/care management and system improvement program, such as the BPHC-supported or sponsored Health Disparities Collaborative.
7. Applicant describes and demonstrates that the services will be culturally and linguistically appropriate.
8. Applicant demonstrates comprehensiveness and continuity of care, including a discussion of the following:
(a) Hours of operation that assure services are available and accessible at times meeting the needs of the population including evenings and weekends as appropriate;
(b) Mechanism to assure professional coverage during the hours when the health center is closed;
(c) Performance improvement system that includes eliminating disparities in health outcomes, reducing patient risk, improving patient satisfaction, credentialing and privileging, incident reporting, etc., that integrates planning, management, leadership and governance into the evaluation processes of program effectiveness; and
(d) Case management system that demonstrates care coordination at all levels of health care, including arrangements for referrals, hospital admissions discharge planning and patient tracking.
9. Applicant demonstrates collaboration and coordination of services with other providers including other existing FQHCs and section 330 grantees in the area (e.g. contracts, MOUs, letters of support, etc.)
10. Applicant discusses the extent to which project activities are coordinated and integrated with the activities of other federally-funded, State and local health services delivery projects and programs serving the same Start Printed Page 41816population(s). This should include a description of both formal and informal collaborative and partner arrangements, which assure a seamless continuum of care and access to appropriate specialty care for the target population(s). Applicant should have provided copies of relevant contracts, MOUs, letters of commitment or investment (e.g., from the school board, local hospital, public health department, etc.), as part of the application attachments.
11. Applicant demonstrates that the proposed clinical staffing pattern (e.g., number and mix of primary care physicians and other providers and clinical support staff, language and cultural appropriateness, etc.) is appropriate for the level and mix of services to be provided.
12. Applicant describes a detailed plan for recruiting and retaining appropriate health care providers as appropriate for achieving the proposed staffing pattern.
In addition to the above, applicants requesting funding for one or more types of health centers authorized under the section 330 program, should also address the following:
For MHC Applicants
(a) Applicant describes the response to health care needs associated with the environmental and/or occupational hazards to which farmworkers and their families are exposed, and how these needs will be met.
(b) Applicant describes the setting(s) in which health and enabling services will be provided, i.e., special arrangements to provide services at camps and/or farms; use of mobile teams and or vans; extended hours/weekend services; etc.
(b) Applicant describes an outreach program that will increase access to primary and preventive health care services and how the outreach program is integrated into the primary care delivery system.
For HCH Applicants
(a) Applicant describes the arrangements for providing required substance abuse services.
(b) Applicant demonstrates the mechanism for informing homeless people of the availability of services and the features of its outreach program.
(c) Applicant describes the coordination of services with providers of housing, job training, and other essential supports for persons who are homeless. The applicant must also describe its relationship with homeless coalitions, advocacy groups, and the existing continuum of care organizations in their community.
(d) Applicant describes the nature and scope of its expanded case management services.
For PHPC Applicants
(a) Applicant provides documentation that the location of the service site(s) is (are) in or directly adjacent to the public housing community(ies) being targeted.
(b) Applicant provides a formal agreement with the local public housing authority that demonstrates access to on-site space, where applicable.(c)Applicant describes how residents will be involved in the administration of the program.
For SBHC Applicants
(a) Applicant provides evidence of on-site care through established arrangements with the school staff and providers (e.g., school nurse, school psychologist, etc.) when applicable.
(b) Applicant provides documentation of access to health care during the summer and other times when the school is closed (e.g. vacations, weekends).
(c) Applicant provides written documentation of an agreement with the school system to permit access to the school facility for the SBHC should be included.
Criterion 3: Evaluative Measures (5 Points)
1. Applicant demonstrates the ability to monitor the quality and outcomes of the services provided (e.g., adequate management information systems, established quality assurance program, patient feedback).
2. Applicant demonstrates the ability to evaluate the quality and outcomes of the services provided including an evaluation plan that includes specific time framed, measurable outcomes and clear methods/action steps.
3. Applicant describes the mechanism(s) by which the organization identifies and responds to the community and its needs (e.g., patient surveys, needs assessments).
4. Applicant demonstrates a performance improvement system that includes eliminating disparities in health outcomes, reducing patient risk, improving patient satisfaction, credentialing and privileging, incident reporting, etc., that integrates planning, management, leadership and governance into the evaluation processes of program effectiveness.
5. Applicant demonstrates through the health care plan that both goals and time-framed, measurable objectives are in place that address the identified needs and disparities of the target population.
6. Applicant demonstrates through the Business Plan that operational issues will be addressed and that the administrative, financial and clinical systems are appropriate for the proposed project.
7. Applicant discusses any issues identified in the Notice of Grant Award (NGA), Primary Care Effectiveness Review (PCER), Office of Performance Review (OPR) or Joint Commission on Accreditation of Healthcare Organizations (JCAHO) reviews, pre-application guidance letter (PAGL) or other findings, as applicable. This should include a discussion of the organization's response to the listed findings.
Criterion 4: Impact (15 Points)
1. Applicant describes the organization's role and relationships within the community including: (a) How the organization fits into the community and its service delivery network; (b) The role of clients, community, staff and Board of Directors in establishing and evaluating the organization's objectives and priorities; and (c) Partnerships and collaborations with other providers in the community.
2. Applicant demonstrates and provides evidence of the community's support for the organization. Letters of support and MOUs and/or a list of additional letters of commitment, MOUs, etc. on file at the health center, as appropriate should be included in the Appendices.
3. Applicant discusses the extent to which the proposed health center will address the priority health care needs, improve access to primary health care services and reduce health disparities for the medically underserved in the community/target population(s).
4. Applicant describes how the proposed project correlates to the goals and objectives of the Healthy People 2010 initiative, specifically to (1) increase the quality and years of a healthy life; and (2) eliminate our country's health disparities.
5. Applicant describes the goals and objectives of the existing project (i.e. existing approved “Scope of Project” for existing grantees). This should include a discussion of outcomes, both positive and negative, or unanticipated issues that may be important, and the organization's response.
6. Applicant discusses the short- and long-term strategic planning process including any proposed plans for future activities such as plans to expand into new areas, and how such activities will be integrated into the current service delivery system.Start Printed Page 41817
In addition to the above, applicants requesting funding for one or more types of health centers authorized under the section 330 program, should also address the following:
For MHC Applicants
(a) Applicant discusses any network of care for migrant health. This should include a discussion of linkages (e.g., MOAs, MOUs, contracts, etc.) with other migrant health organizations such as Migrant Education, Migrant Head Start, and Migrant WIC programs. Copies of appropriate signed agreements, contracts, etc should have been submitted in the Appendix.
For HCH Applicants
(a) Applicant documents the relationship with housing providers and other local organizations that provide services and support to homeless persons.(b) Applicant documents the degree of participation in community-wide planning on behalf of homeless persons through participation with the local continuum of care or other entities.
For PHPC Applicants
(a) Applicant documents the relationship with the local public housing authority and with public housing resident groups within the community.
Criterion 5: Resources/Capabilities (30 Points)
1. Applicant discusses why it is the appropriate entity to receive funding (e.g. staff skills, capacity, clinical outcomes, cultural and linguistic competence, evaluation capabilities, etc.).
2. Applicant discusses the history and status as a designated Federally Qualified Health Center, where applicable, including eligibility for malpractice coverage under the Federal Tort Claims Act, and years of uninterrupted services to the target area and populations.
3. Applicant demonstrates how the structure, management system and lines of authority are appropriate and adequate for the size and scope of the proposed project.
4. Applicant demonstrates that the organization structure (including sponsorship or corporate affiliation, etc.) is in compliance with 330 requirements and appropriate for the proposed project.
5. Applicant demonstrates that the proposed staffing plan is appropriate and adequate given the scope of the proposed project.
6. Applicant demonstrates that the key management staff (e.g. CEO, CFO, CMO) of the health center are appropriate and that the process for hiring key management staff is in accordance with Health Center Program Expectations. This should include a description of any specific leadership for each health center type (i.e. CHC, MHC, HCH, PHPC or SBHC) as applicable.
7. Applicant describes any key management staff changes during the last year, and/or any long-term vacancy, as applicable.
8. Applicant describes the current facility(ies), and demonstrates that it is appropriate for the proposed service delivery plan.
9. Applicant identifies unique characteristics and significant accomplishments of the organization.
10. Applicant describes prior experiences and expertise in:
(a) Working with the target population(s);
(b) Addressing the identified health care needs; and
(c) Developing and implementing appropriate systems and services to meet the needs of the community.
11. Applicant identifies any section 330 funding received over the last five years, including participation in any special initiatives (e.g., integrated service network, dental pilot, etc.) and urgent supplemental funds and/or funds received from other related Federal programs such as Healthy Start, Housing and Urban Development Homeless resources, etc.
12. Applicant demonstrates financial viability and accounting and internal controls in accord with sound financial management procedures that are appropriate to the size of the organization, funding requirements, and staff skills available.
Criterion 6: Support Requested (10 Points)
1. Applicant demonstrates that the budget presentation (an annualized budget for each 12 month period for which funding is requested of the new project period) is appropriate and reasonable in terms of:
(a) The level of requested Federal grant funds versus total budget for each year;
(b) The total resources required to achieve the goals and objectives of the applicant's proposed service delivery plan (i.e., total project budget);
(c) The maximization of non-grant revenue relative to the proposed plan and other Federal/State/local/in-kind resources applied to the project;
(d) The projected patient income is reasonable based on the patient mix and number of projected users and encounters;
(e) The number of proposed users and encounters;
(f) The total cost per user and encounter;
(g) The total Federal section 330 grant dollars per user.
2. Applicant demonstrates that the Federal grant funds requested are being used to leverage other sources of funding.
3. Applicant demonstrates that the business plan goals and objectives are targeted and demonstrate appropriate financial planning in the development of the proposal and for the long-term success of the project.
4. Applicant describes how the proposed health center is a cost-effective approach to meeting the primary care needs of the target population given the health care needs of the target population and the level of health care resources currently available in the community.
Criteria 7: Governance (10 Points)
Applicants must provide a copy of the signed bylaws demonstrating compliance with and reflecting all functions and responsibilities cited in section 330, as appropriate.
1. Applicant describes the structure of the Board in terms of size, expertise, and representativeness of the communities/populations served (e.g. appropriate racial/ethnic, economic status, and gender representation, 51% consumer majority, etc.).
2. Applicant discusses measures for assuring that the Board is compliant with appropriate and applicable regulations and BPHC guidance.
3. Applicant discusses the mechanism of continued Board training, including training new governing board members in appropriate responsibilities and requirements of the Federal grant.
4. Applicant describes the provision for ensuring monthly meetings of the Board or an alternate mechanism if a waiver is requested.
5. Applicant describes the mechanism for quality assurance, including a mechanism to evaluate Board effectiveness.
6. Applicant demonstrates that the Board has appropriate oversight responsibilities, specifically the responsibility to:
(a) Directly employ, select/dismiss and evaluate the CEO/Executive Director;
(b) Adopt policies and procedures for personnel and financial management;
(c) Establish center priorities and activities;Start Printed Page 41818
(d) Approve annual budget; and
(e) Schedule hours of operation.
In addition to the above, applicants requesting funding for one or more types of health centers authorized under the section 330 program, should also address the following:
HCH, PHPC, and MHC Applicants
(a) All HCH, PHPC and/or MHC applicants that are also requesting CHC and/or SBHC funding must demonstrate that at least one member of its Board is representative of the special population.
(b) Applicant clearly identifies a request for a waiver of governance requirements, if applicable.
Estimated Amount of Available Funds: Up to $355,000,000 will be available in fiscal year 2005 for this program.
Estimated Project Period: Up to 5 Years.
Estimated Number of Awards: It is estimated that 277 awards will be issued.
For Further Information Contact: Preeti Kanodia, Public Health Analyst, Division of Health Center Development, Bureau of Primary Health Care, HRSA,4350 East-West Highway, 3rd Floor, Bethesda, MD 20814, Telephone: 301.594.4300, Fax: 301.480.7225.
Executive Order 12372
This program has been determined to be subject to provisions of Executive Order 12372, as implemented by 45 CFR Part 100. Executive Order 12372 allows States the option of setting up a system for reviewing applications from within their States for assistance under certain Federal programs. Application kits made available under this guidance will contain a listing of States that have chosen to set up such a review system, and will provide a State Single Point of Contact (SPOC) for the review. Information on States affected by this program and State Points of Contact may also be obtained from the Grants Management Officer listed in the AGENCY Contact(s) section, as well as from the following Web site: http://www.whitehouse.gov/omb/grants/spoc.html. All applicants other than federally recognized Native American Tribal Groups should contact their SPOC as early as possible to alert them to the prospective applications and receive any necessary instructions on the State process used under this Executive Order. Letters from the SPOC in response to Executive Order 12372 are due sixty days after the application due date.
Start SignatureEnd Signature End PreambleDated: July 2, 2004.
Stephen R. Smith,
Senior Advisor to the Administrator.
[FR Doc. 04-15605 Filed 7-7-04; 2:44 pm]
BILLING CODE 4165-15-U
Document Information
- Published:
- 07/12/2004
- Department:
- Health Resources and Services Administration
- Entry Type:
- Notice
- Action:
- Notice of availability of funds.
- Document Number:
- 04-15605
- Dates:
- The intended timelines for application submission are as follows:
- Pages:
- 41812-41818 (7 pages)
- Docket Numbers:
- CFDA Number 93.224, HRSA-05-024
- PDF File:
- 04-15605.pdf