June 20, 2012June 20, 2012

Pre-Proposal ConferencePre-Proposal Conference

SAFETY NET HEALTH CARE RFPSAFETY NET HEALTH CARE RFP

MISSIONMISSIONProvide leadership, advocacy and

resources to eliminate barriers and promote quality health for uninsured and underserved in our service area  

Since we began grantmaking in 2005, we have dedicated nearly

$150 million

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Service AreaService Area

● Kansas City, MO

● Cass, Jackson and Lafayette counties in Missouri

● Allen, Johnson and Wyandotte counties in Kansas

Grant TypesGrant TypesFoundation DefinedFoundation Defined

Based on Foundation’s determination of need:– Safety Net Health Care– Healthy Lifestyles– Mental Health

Request for Proposals Multi year varies – 1 year for Safety Net 1 proposal per RFP (2 for universities, hospitals and

cities) allowed as lead organization Reviewed by staff & outside reviewers – recommended

to program/grants committee – final approval by Board

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Safety Net Health Care Safety Net Health Care The default health care system for the poor and underserved who do not

have access to health care.

A patchwork of institutions, non-profit and faith-based organizations and individuals that deliver a significant level of healthcare and other related services to uninsured, Medicaid and underserved patients.

Providers of Safety Net CareProviders of Safety Net Care Either by legal or explicitly adopted mission, they offer care to patients

regardless of their ability to pay for those services.

A substantial share of their patient mix are uninsured, Medicaid, and other vulnerable patients. (Institute of Medicine, 2000)

Safety Net Health Care RFPSafety Net Health Care RFPTo provide support for programs, projects & services that

Improve access to effective safety net care and the overall health status of individuals and communities 

who are uninsured and underserved.

Areas of EmphasisAreas of Emphasis

1. Improving Efficiency and Access to Care2. Delivering Culturally Competent Services3. Strengthening Organizational Capacity4. Enabling Community-Based Health Planning5.5. NEW NEW Supporting Improvements in Healthcare Supporting Improvements in Healthcare

Delivery that promote coordinated & Integrated Delivery that promote coordinated & Integrated CareCare 6

The OutcomeThe Outcome

• An Integrated Healthcare Delivery System where the uninsured and underserved have access to coordinated care across conditions, providers, settings (i.e. healthcare & community services), and time; resulting in better health, better care and lower costs

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1.1. Efficiency and Access to CareEfficiency and Access to Care

“The timely use of personal health services to achieve the best health outcomes” (National Health Care Quality Report, 2010).

● Anticipation of healthcare reform being fully implemented● Entry into the healthcare system● Access to sites where patients receive needed services● Finding providers who meet the needs of individual patients ● Patients can develop a relationship based on mutual communication and trust

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2. Cultural Competence2. Cultural CompetenceCongruent behaviors, attitudes & policies that come together to work effectively in cross-cultural situations

• Understanding, valuing, and incorporating the cultural differences diverse population

• Examining one’s or an organizations own health-related values and beliefs

• A health care system that responds appropriately to, and directly serves the unique needs of populations whose cultures may be different from the prevailing culture

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3. Strengthening Organizational 3. Strengthening Organizational Capacity Capacity

• Projects that maintain, expand and improve the organization’s capacity to fulfill its mission:

To deliver safety net care services &

programs effectively and measurably.

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4. Community-based Health 4. Community-based Health Planning Planning

• Support community-based health planning strategies aimed at reducing gaps

• Fragmentation in access and the delivery of healthcare services for the uninsured and underserved 

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5. Improvements in the 5. Improvements in the Healthcare Delivery Healthcare Delivery

System System NEW EMPHASIS AREANEW EMPHASIS AREA

Problems such as: ● Inadequate coordination & communication among providers● A reimbursement system that encourages quantity not quality ● Poor information management

A fragmented healthcare system contributes to the system’s inefficiencies, quality deficits and high costs. 

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Improvements in the Healthcare Improvements in the Healthcare Delivery System –— Delivery System –— Approaches of Approaches of

Interest to HCFInterest to HCF• Implementation of the patient-centered medical home (PCMH) model in the primary care setting

• Projects/Partnerships that promote integration & coordination of care Primary care, mental health & oral health Improve Care Transitions Enabling state-level entities to develop payment

methods that reward: coordination, integration and care transitions

• Building leadership and political will for health care system redesign that improves integration of care

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Safety Net Health Care Neighborhood & Community Resources

Hospital

Mental HealthCare

Urgent Care

Rehabilitation/Disabilities

Dental Care

Schools

Pharmacy/

Labs/Imaging

Specialists:Cardiologist

Surgeon Eye Care

Community Health Clinics

Church/Faith Based

Services

Healthy Food

Safe Housing/Shelters

Transportation

Senior Service

s

Disease Specific

Community Support Services

Safety

Emergency Assistance

Law Enforcement & Corrections

Home Health & Hospice

PATIENT

(& Family)

Public Assistance

(Food Stamps, TANF, WIC, Child Care)

Insurance/Lack of

Insurance

IHI Triple Aim•Better Health•Better Care•Reduced Cost

Coordinated & Integrated CareCoordinated & Integrated Care Quality Care Safe Effective, Patient-Centered Timely Efficient Equitable

Health Department

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Pursuing Health EquityPursuing Health Equity

The “attainment of his or her full health potential” and no one is “disadvantaged from achieving this potential because of social position or other socially determined circumstance.” 

● Health inequalities are reflected in differences in length of life; quality of life; rates of disease, disability and death; severity of disease and access to treatment (CDC, 2012). 

● In order to work toward achieving health equity we must work to eliminate health disparities

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Social Determinants of Health

One strategy to decrease the pervasive health inequality or disparities in our society is to look beyond the immediate causes of disease

The social factors which determine how people grow, live, work and age

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Safety Net RFP DatesSafety Net RFP Dates

1. Letter of Intent Wednesday, July 18, 2012, noon

2. Full Narrative Proposal Wednesday, August 15, 2012, noon

3. HCF Board Review/Approval Wednesday, December 12, 2012

HOW TO APPLYHOW TO APPLY

All proposals should be submitted All proposals should be submitted electronicallyelectronically

Step 1: Letter of IntentStep 2: Full Narrative Proposal

STEP 1:STEP 1:

LETTER OF INTENT

Due: Wednesday, July 18, 2012, at 12pm (noon)

Letter of Intent (LOI)Letter of Intent (LOI)Includes the following information:1. Electronic Application Form:

Organization Profile Contact Information Project Summary

2. Attachments (Upload):a. Letter of Intent Template: Need or Case Statement that discusses the problem or

need to be addressed by your project or program. Grant Purpose Statement that explains the

project/program that the proposed grant will fund, followed by a brief description of project/program activities.

Amount of Funding to be requested and the proposed grant period.

b. IRS Determination Letter

AcknowledgementsAcknowledgementsAfter Submitting the LOI Applicants will receive:

An automated e-mail indicating the application was received & you should proceed with full proposal.

Electronic link to access your application. IMPORTANT: Application can be easily accessed using this link – Save it.

After staff pulls electronic application into our grant system we will also send an acknowledgement

REMEMBER TO HIT THE SUBMIT BUTTON

STEP 2:STEP 2:

FULL PROPOSALFULL PROPOSAL

Due: Due: Wednesday, August 15, 2012, noon

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2. Full Proposal=Online Application + Proposal Narrative & Attachments

The proposal narrative includes the following information:

A. Abstract - Not to exceed 250 words (e.g.’s can be found on website)

B. Problem or Need Statement (20 pts)

C. Project Overview (70 pts)

D. Diversity Statement (10 pts)

E. Proposal attachments: Budget Worksheet/Narrative, Letters of Commitment, Fiscal Agent or Sponsor, Most Recent IRS Letter of Determination, IRS 990 & Audit for your organization.

Project OverviewProject OverviewIncludes:

● Brief history of organization, current programs and services

● Organizational fit with proposed project

● Target population/communities

● Proposed project activities ● Outcomes evaluation Logic Model & Outcomes Measurement Framework -optional, but strongly recommended● Staffing & capacity

● Collaboration

● Sustainability

Goals of EvaluationGoals of Evaluation● Purpose is to assess or improve a particular program.

● How will you know if your program is successful?

● How will you use the data you collect?

If it is only to report to HCF, it probably isn’t the right data.

Applicants should consider the Applicants should consider the followingfollowing

● Focus on short term outcomes

● Outcomes should make sense for a particular project

● Focus on lessons learned—what worked and what didn’t

PROGRAM LOGIC MODELS PROGRAM LOGIC MODELS andand

OUTCOME MEASUREMENT OUTCOME MEASUREMENT FRAMEWORKSFRAMEWORKS

Proposal AttachmentsProposal Attachments

A.A.Budget Worksheet & Budget Worksheet & NarrativeNarrative

B. Supporting DocumentsB. Supporting Documents

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A. Budget Worksheet(s) & A. Budget Worksheet(s) & NarrativeNarrative

Budget Worksheet– 1 Year Grant– No limits on amount requested (Strong case for request)

Budget Narrative – Detailed explanation of each line item expense

PLEASE USE TEMPLATE ON HCF WEBSITE. OTHER FORMATS OF BUDGET WORKSHEET/NARRATIVE WILL NOT BE ACCEPTED

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B. Supporting DocumentsB. Supporting DocumentsNon-Profit Applicant Organizations

– Certificate of incorporation– IRS non-profit determination letter– Most recent IRS 990 Report (copy of nonprofit tax return)– Most recent audit– Roster of Board of Directors (demographic composition related to race,

ethnicity and gender.– Current Board approved operating budget

For governmental entities that are the applicant or fiscal sponsor – Enabling statute/legislation or official description of the entity’s

responsibility or purpose– Most recent audit– List of elected and/or appointed officials who oversee the entity’s

performance (not required of fiscal sponsor) 32

Proposal AttachmentsProposal Attachments

Letters of CommitmentLetters of Commitment

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Letters of CommitmentLetters of Commitment• Each organization that will receive a portion of the grant funds

must provide a Letter of Commitment.

• The letter must state the organization’s commitment to the project, indicate the specific role it will fulfill, and state its share of the grant proceeds.

• In-Kind resources also require a Letter of Commitment (e.g. the value—salary and benefit expense --of staff time contributed to the project, the value of office space, equipment or training that is donated, or the value of volunteer time or other forms of direct or indirect support such as the cost of utilities and supplies

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Grant Support Services

• Small organizations may apply for assistance as follows.

• No-Fee Grantwriting Technical Assistance (up to 8 hours) from members of the TA Cadre.

• No Fee Fiscal Agent Services for Organizations without annual financial audits.

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APPLICATION CHECKLISTAPPLICATION CHECKLIST

Grant Approval ProcessGrant Approval ProcessStaff review of applications

-Upon Receipt of Full Proposal with All Required Supporting Documents.

Outside Reviewers Convened -Propose slate of recommendations -Conduct due diligence as requested by Outside Reviewers

Program Committee review and recommendations-November 13, 2012

Final Board Approval and Grant Award Announcements- December 12, 2012

All grant proposals, financial information and other reports

submitted to HCF are subject to public review and consideration.

Key DatesKey Dates

1. Letter of Intent Wednesday, July 18, 2012, noon

2. Full Narrative Proposal Wednesday, August 15, 2012, noon

3. HCF Board Review/Approval Wednesday, December 12, 2012

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CONTACTCONTACT

Andres Dominguez, Program OfficerGraciela Couchonnal, Program Officer

Health Care Foundation of Greater Kansas City2700 East 18th Street, Suite 220

Kansas City, MO 64127

Adominguez@hcfgkc.orggcouchonnal@hcfgkc.org

Ph: 816.241.7006Fax: 816.241.7005

hcfgkc.org

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