Fiscal Year 2020 Preparing and Submitting the Native Hawaiian Health Care

Improvement Act Progress Report for Native Hawaiian Health Care Systems and Papa Ola Lokahi

5-H1C-20-001

Rael Ammon Management Analyst Bureau of Primary Health Care (BPHC) Health Resources and Services Administration (HRSA)

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Today’s Presenter

Rael Ammon MA, PCPM Management Analyst Bureau of Primary Health Care

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Purpose

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Agenda

• Overview • How to Submit • Submission Components • Tips and Contacts • Questions & Answers

Idea Boxes provide helpful tips and highlight important

information

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Changes from last year Refer to instructions and sample forms on the Technical Assistance (TA) webpage for detail

• Total allocation increased • Executive salary cap increased • Coronary Artery Disease: Lipid Therapy

performance measure revised • Technical assistance page and instructions

list new HRSA application point of contact.

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What is a Non-Competing Continuation?

Award recipients: • Complete a non-competing

continuation progress report in the HRSA Electronic Handbooks (EHBs) during the first and second years of the three-year project period

• Provide programmatic progress for the current budget period

• Provide budget information for the upcoming budget period

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Summary Ensure HRSA EHBs has the correct dollar amount listed for your organization

Due Date: April 1, 2020 at 11 am HAST/ 5 PM ET

• Total 2020 health care funding: Approx. $17M* • Appropriated annually • Amounts per award recipient can vary each year • Refer to instructions for cost sharing/matching

requirements • Budget period start date: August 1, 2020 • Application • EHBs submission only • 40 pages or less when printed

* Excludes $2 million in scholarship funding

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Registration and System Instructions

• For registration guidance, see the EHBs link on the Native Hawaiian Technical Assistance Page

• For step-by-step system instructions, access the User Guide on the TA webpage.

Remember: Form: Structured submission sections completed online in EHBs. Does not count towards page limit. Attachment: Documents created by user and uploaded to EHBs. Counts towards page limit.

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Overview: Project Period

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Submission Components For details, refer to the Instructions appendices and the User Guide

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Submission Components: SF-PPR & SF-PPR-2

• Serves as progress report cover page • Contains basic information about your

organization

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Submission Components: Budget Presentation

Refer to Budget Presentation Section of Instructions and the User Guide

• Includes Budget Information: Budget Details Form and Budget Narrative • Provide budget information for the upcoming FY 2020 budget period

(August 1, 2020 through July 31, 2021) • Federal funds may not be used to pay the salary of an individual at a rate in

excess of $197,300. • Instructions table 4 provides detail

• NHHCS only • 10% cap on administrative expenditures • Cost sharing/matching requirement equal to $1 for every $5 of federal

funds (42 U.S.C. 11705)

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Submission Components: Performance Narrative

Required for POL and NHHCS

Required Elements 1. Changes in target population/demographics 2. Significant progress, challenges, and changes to the approved activities 3. Significant changes to collaborations, partnerships, and coordinated activities 4. Significant changes to program evaluation plans 5. Significant changes to project staffing 6. How the funding match requirement is being met (NHHCS ONLY) 7. Progress toward recognizing the full universe of NHHCS, as well as certifying

NHHCS that have the qualifications and the capacity to provide the services and meet the requirements of the NHHCIA (POL ONLY)

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Submission Components: Attachments

Use your last progress report as a starting point to complete these attachments

1. FY 2019 Project Work Plan Progress Report (POL)

2. FY 2020 Project Work Plan Update (POL)

3. Service Projections Update (NHHCS)

4. Clinical Performance Measures: Required and Optional (NHHCS)

5. Financial Performance Measures: Required and Optional (NHHCS)

6. Income Analysis Form (NHHCS)

7. Summary of Contracts and Agreements (as applicable for NHHCS & POL)

8. Other Relevant Documents (as applicable for NHHCS & POL)

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Attachments 1 & 2: Project Work Plans

For submission by POL only

• Attachment 1: FY 2019 Project Work Plan Progress Report • Use the FY 2019 Project Work

Plan Update included in last year’s progress report as the starting point

• Documents progress made toward planned activities and goals since last year’s progress report submission.

• Attachment 2: FY 2020 Project Work Plan Update • Use the FY 2019 Project Work

Plan Update submitted with your FY 2019 progress report as the starting point

• Documents changes planned for the upcoming budget period (August 1, 2020 - July 31, 2021)

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FY Project Work Plan Progress 2019 Report Sample

PDF sample available on TA webpage

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FY 2020 Project Work Plan Update Sample

PDF sample available on TA webpage.

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Attachment 3: Service Projections Update

For submission by NHHCS only

Provide progress toward projections for the following: • Outreach Services • Education and Health Promotion • Services of physicians,

physicians’ assistants, nurse practitioners, or other health professionals

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Service Projections Update Sample

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Attachments 4 & 5: Performance Measures

For submission by NHHCS only

• Progress toward all performance measure goals must be tracked over the course of the three-year project period

• Performance Measure Categories • Required and Optional Clinical Performance Measures • Required and Optional Financial Performance Measures

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Required Clinical Performance Measures

6 Required Clinical Performance Measures:

1. Diabetes: Hemoglobin A1c Poor Control

2. Controlling High Blood Pressure

3. Early Entry Into Prenatal Care

4. Childhood Immunizations Status

5. Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

6. Body Mass Index (BMI) Screening and Follow-Up Plan

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Optional Clinical Performance Measures

If any of the following optional clinical performance measures were included in your FY 2018 application, progress must continue to be tracked:

1. Cervical Cancer Screening 2. Low Birth Weight 3. Dental Sealants for Children between 6-9

years 4. Tobacco Use: Screening and Cessation

Intervention 5. Use of Appropriate Medications for Asthma 6. Statin Therapy for the Prevention or

Treatment of Cardiovascular Disease (*New* Replaces Coronary Artery Disease (CAD): Lipid Therapy)

7. Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

8. Colorectal Cancer Screening 9. HIV Linkage to Care 10. Screening for Depression and Follow Up

Plan 11. Prevention and Control of Otitis Media 12. Traditional Healing

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Clinical Performance Measures Sample

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Required and Optional Financial Performance Measures

At least 2 financial measures must be tracked:

Required 1. Grant Costs - Total NHHCIA grant cost per total patient

Optional (at least one selected in 2018 and tracked over time) 1. Total Costs – Total cost per total patient 2. Medical Costs – Medical cost per medical visit 3. Financial Viability - Non-federal matching funds (percentage of matching funds

included in the total project budget)

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Financial Performance Measures Sample

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Attachments 6 - 8

• Attachment 6: Income Analysis Form (NHHCS Only)

• Attachments 7 - 8 (POL and NHHCS, as applicable) • Summary of Contracts and Agreements

(Attachment 7) • Other Relevant Documents (Attachment 8) ✓If you have an indirect cost rate

agreement, you must include it in Attachment 8

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Remember

EHBs • EHBs submission

deadline: April 1, 2020, by 11:00 AM HAST (5 PM ET)

• Confirm EHBs registration/access early

Submissions • May not exceed 40 pages • Narrative document must

be: • Single-spaced with 1-

inch margins • 12 point, easily

readable font (e.g., Times New Roman, Arial, Courier)

Technical Assistance Resources • Forms, templates, and

samples are available at the Native Hawaiian Technical Assistance Page

• A recording of today’s call will also be posted

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Contacts

Progress report questions Rael Ammon Bureau of Primary Health Care Office of Policy and Program Development Email BPHC Contact Form 301-594-4300

Budget or other fiscal questions Christie Walker Office of Federal Assistance Management Division of Grants Management Operations cwalker@hrsa.gov 301-443-7742

Electronic submission issues (i.e., EHBs issues)

Health Center Program Support BPHC Contact Form 877-464-4772

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Questions and Answers

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