1. Academic Units for Primary Care Training and Enhancement (AU-PCTE) Funding Opportunity Number: HRSA-16-041 Peer Reviewer Orientation: Feb. 4, 2016 Application Due Date: January 22, 2016 U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) Bureau of Health Workforce (BHW) Division of Medicine and Dentistry (DMD)

2. 2 o HRSA/BHW Mission and Priorities o Highlights of the FY 2016 AU-PCTE Funding Opportunity Announcement Program Summary Application Highlights Funding Preferences and Priorities Review Criteria o Questions and Answers Peer Reviewer Orientation Agenda

3. Dr. Maria Portela-Martinez Branch Chief, Medical Training and Geriatrics, Division of Medicine and Dentistry Welcome 3

4. HRSA Mission 4 To improve health and achieve health equity through access to quality services, a skilled health workforce, and innovative programs Goals o Improve Access to Quality Care and Services o Strengthen the Health Workforce o Build Healthy Communities o Improve Health Equity

5. Bureau of Health Workforce Mission and Values Improve the health of underserved and vulnerable populations by strengthening the health workforce and connecting skilled professionals to communities in need. Collaboration Accountability Innovation 5

6. Purpose 6 Purpose of the AU-PCTE program is to establish, maintain, or improve academic units or programs that improve clinical teaching and research in the fields of family medicine, general internal medicine, or general pediatrics in order to strengthen the primary care workforce.

7. To develop national centers for systems level research, dissemination, and communities of practice in each of the focus areas described in the funding opportunity announcement (FOA). Intent of the Funding Opportunity

8. Authorizing Statutes 8 This program is authorized by Title VII, Section 747(b)(1)(A) of the PHS Act, as amended by section 5301 of the Affordable Care Act (P.L. 111-148). The focus of this authority is on improving the Nation’s access to well-trained primary care providers by improving clinical teaching and research in primary care training.

9. Summary of Program Funding 9 o Anticipated total annual available funding: $4,500,000 o Estimated number of awards: 6 cooperative agreements o Award amounts: up to $750,000 per year including indirect costs o Project Period: July 1, 2016 through June 30, 2021 (5 years)

10. Required Activities 10 o Establish academic units to conduct systems-level research to inform primary care training; o Disseminate current research, evidence-based or best practices, and resources; and o Develop a community of practice that will promote the widespread enhancement of primary care training to produce a diverse, high quality primary care workforce to care for underserved communities.

11. AU-PCTE Six Focus Areas 11 Up to 6 AUs will be funded. HRSA plans to fund one in each of the following 6 focus areas: 1.Integrated behavioral health and primary care 2.Integrated oral health and primary care 3.Health workforce diversity 4.Training for rural practice 5.Addressing the social determinants of health 6.Training for the needs of vulnerable populations

12. Eligible Applicants 12 o Eligible entities include accredited schools of allopathic or osteopathic medicine. o Applicants must be located in the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, the U.S. Virgin Islands, Guam, American Samoa, the Republic of Palau, the Republic of the Marshall Islands, or the Federated States of Micronesia. o Applicants must submit documentation of accreditation in Attachment 10. o Multiple applications from an organization are not allowable

13. Application Highlights 13 o Cooperative Agreement award mechanism and awardees should expect substantial HRSA involvement (page 9 of the FOA details HRSA involvement and awardee responsibilities) o Applicants must apply under one of the six AU-PCTE focus areas o Interprofessional proposals are encouraged

14. Application Highlights 14 i.Project Abstract ii.Project Narrative Purpose and Need Response to Program Purpose a)Methodology/Approach b)Work Plan c)Resolution of Challenges Impact a)Evaluation and Technical Support Capacity b)Project Sustainability Organizational Information, Resources, and Capabilities iii.Budget iv.Budget Justification Narrative v.Attachments

15. Application Highlights - Methodology 15 1.Research Plan – include potential research questions, methodologies, data sources, and expected research products for the full project period. Submit 4 (2-page) research proposals for budget year 1 in Attachment 6. 2.Dissemination Plan – include intended audiences, products, strategies and mechanisms, and intended outcomes for dissemination for the full project period; must include a publicly available website. 3.Community of Practice Plan (CoP)– identify strategies for engaging key stakeholders, leveraging existing initiatives, information sharing, potential initiatives for advancing the focus area on the national, state, and local levels, and intended outcomes for the CoP.

16. What is Primary Care Research? 16 Primary care research informs a wide range of issues related to primary care practice and policy, including the quality, costs, and outcomes of primary care; patient- provider communication; generalist-specialist issues; workforce issues; and access to care, including disparities in care. The characteristics of primary care research include 1 : o Grounding in both clinical and social sciences; o Emphasis on the complexities of conducting research in real-world settings and use of secondary data; o Focus on disseminating key research findings back into real-world practice and policy, and encouraging their implementation; o Addressing services that are often ignored in other medical or health services research, including mental health, dental, social, and enabling (e.g., outreach) services; o Emphasis on chronic care, acute care, or preventive care, in some cases; and o Studies of lifestyles and risk factors, as well as ways to change health behaviors. Agency for Healthcare Research and Quality. Overview: Center for Primary Care Research. Retrieved from http://archive.ahrq.gov/about/cpcr/cpcrover.htmhttp://archive.ahrq.gov/about/cpcr/cpcrover.htm

17. Application Highlights - Workplan 17 o Describe the activities, the staff responsible for achieving each of the activities, and a timeline for the entire project period o Identify key partner organizations and programs and how you will coordinate activities. o Include work plan in chart format in Attachment 1 o Include a logic model in Attachment 4 o For the first year of the project, provide a schedule for release of each product, including release of research briefs, final research reports, website launch, and any Community of Practice activities.

18. Attachment 1: Work Plan Attachment 2: Staffing Plan, Job Descriptions for Key Personnel(Biographical Sketches should be uploaded in the SF-424 R&R form) Attachment 3: Project Organizational Chart Attachment 4: Logic Model Attachment 5: Maintenance of Effort Documentation List of Attachments 18

19. Attachment 6: Research Proposals Attachment 7: Funding Preference and/or Funding Priorities, if applicable Attachment 8: Letters of Agreement Attachment 9: Letters of Support Attachment 10: Accreditation Documents Attachment 11: Other Relevant Documents List of Attachments (Cont.) 19

20. Application Page Limit 20 Page Limit: 75 pages when printed by HRSA o Includes the abstract, project and budget narratives, attachments, and letters of commitment and support For more information refer to the FOA and the SF- 424 R&R Application Guide o Page limit does not include standard OMB- approved forms

21. Qualification 1. Establishing or substantially expanding an academic unit in family medicine, general internal medicine, or general pediatrics. Qualification 2: Medically Underserved Community (MUC). Pages 26-27 of the FOA for instructions for calculation o High Rate o Significant Increase Qualification 3: New Program Go to pages 25 through 32 of the FOA. Funding Preference - Options 21

22. Pay close attention to the academic years requested in the FOA and the documentation provided by the applicant. Preferences and Priorities

23. N2010-2011– Numerator (2010-2011) = the number of AY 2010 -2011 medical school graduates currently in practice in an MUC N2011-2012 – Numerator (2011-2012) = the number of AY 2011-2012 medical school graduates currently in practice in a MUC D2010-2011– Denominator (2010-2011) = the TOTAL number of medical school graduates in AY 2010-2011. D2011-2012– Denominator (2011-2012) = the TOTAL number of medical school graduates in AY 2011-2012. N2010-2011 + N2011-2012 High Rate =-------------------------------------- x 100 D2010-2011 + D2011-2012 Qualification 2: MUC Funding Preference- Calculating High Rate

24. N2008-2009 – Numerator (2008-2009) = the number of AY 2008-2009 medical school graduates who are currently in practice in a MUC D2008-2009 – Denominator (2008-2009) = the TOTAL number of medical school graduates in AY 2008-2009 N2010-2011– Numerator (2010-2011) = the number of AY 2010-2011 medical school graduates who are currently in practice in a MUC D2010-2011 – Denominator (2010-2011) = the TOTAL number of medical school graduates in AY 2010-2011 To calculate the difference in percentages, please use the formula below: Percentage Point Increase=((N2010-2011/D2010-2011) – (N2008-2009/D2008-2009)) x 100 Qualification 2: MUC Funding Preference- Calculating Significant Increase

25. Partnering o Priority 1: Collaborative Projects Between Academic Units, must be from medical schools with separate accreditation (5 points) o Priority 2: Interprofessional Collaborative Projects, must include departments from at least two of the following professions: primary care physicians, physician assistants, nurse practitioners, dentists, mental health providers, pharmacists, and other allied health professionals (5 points) Funding Priorities 25

26. Partnering o Priority 3: Joint Applications with Federally Qualified Health Centers, Rural Health Clinics, Area Health Education Centers, or clinics that serve underserved populations (5 points) Funding Priorities (Cont.) 26

27. Training Outcomes o Priority 4: Primary Care Retention, focuses on the number of graduates who enter into and remain in primary care fields (5 points) High Rate Significant Improvement OR credit for 4 or 5 not both. o Priority 5: Diversity, focuses on the medical school’s track record of training individuals from underrepresented minority groups or from rural or disadvantaged backgrounds (5 points) Funding Priorities (Cont.) 27

28. N2010-2011– Numerator (2010-2011) = the number of AY 2010 -2011 medical school graduates currently in primary care practice N2011-2012 – Numerator (2011-2012) = the number of AY 2011-2012 medical school graduates currently in primary care practice D2010-2011– Denominator (2010-2011) = the TOTAL number of medical school graduates in AY 2010-2011. D2011-2012– Denominator (2011-2012) = the TOTAL number of medical school graduates in AY 2011-2012. N2010-2011 + N2011-2012 High Rate = --------------------------------------- x 100 D2010-2011 + D2011-2012 Priority 4: Primary Care Retention – Calculating High Rate

29. N2008-2009 – Numerator (2008-2009) = the number of AY 2008-2009 medical school graduates who are currently in primary care practice D2008-2009 – Denominator (2008-2009) = the TOTAL number of medical school graduates in AY 2008-2009 N2010-2011– Numerator (2010-2011) = the number of AY 2010-2011 medical school graduates who are currently in primary care practice D2010-2011 – Denominator (2010-2011) = the TOTAL number of medical school graduates in AY 2010-2011 Percentage Point Increase=((N2010-2011/D2010-2011) – (N2008-2009/D2008-2009)) x 100 Priority 4: Primary Care Retention – Calculating Significant Improvement

30. Number medical students who are underrepresented minorities or from rural or disadvantaged backgrounds Diversity = -------------------------------------------------------- Total number of medical student enrollees Priority 5: Diversity- Calculation

31. Applicants may request, meet, and be awarded no more than 20 points for meeting priorities. Either Priority 4 or Priority 5 can be requested, documented and awarded for 5 points. Funding Priorities-continued

32. Application Review Criteria and Points 32 The AAU-PCTE program has six (6) review criteria:* Criterion 1: PURPOSE AND NEED (15 points) Criterion 2: RESPONSE TO PROGRAM PURPOSE (35 points) a)Methodology/Approach (20 points) b)Work Plan (10 points) c)Resolution of Challenges (5 points) *Note: All review criteria and the individual elements of each criterion mirror the information requested in the narrative section.

33. Application Review Criteria and Points (Cont.) 33 Criterion 3: IMPACT (20 points) a)Evaluation and Technical Support Capacity (15 points) b)Project Sustainability (5 points) Criterion 4: ORGANIZATIONAL INFORMATION, RESOURCES AND CAPABILITIES (15 points) Criterion 5: SUPPORT REQUESTED (15 points) Corresponds to Section IV’s Budget Justification Narrative and SF-424 R&R budget forms

34. Application Review 34 All eligible applications will receive a full, fair, and impartial review by you as a panel of experts. o All applications will be ranked by review scores received. Funding preferences place an application in a more competitive position among applications that can be funded - applications that qualify for the preference and are in the top 80 th percentile move as a block to the top of the rank order list. Funding priorities add points to an applicant’s score Applicant may apply for more than one priority

35. Irene Sandvold, DrPH, FACNM, FAAN Project Officer Tel: 301-443-2295 –Direct Tel: 301-443-6190 –Main Fax: 301-443-1945 E-mail: isandvold@hrsa.gov Geri Tebo, RN, MA Project Officer Tel: 301-945-3339 E-Mail: gtebo@hrsa.govgtebo@hrsa.gov Maria Portela-Martinez, MD Branch Chief, Medical Training and Geriatrics Branch E-mail: mportela-martinez@hrsa.govmportela-martinez@hrsa.gov Contact Information 35

36. Jacqueline Dickerson Grants Management Specialist HRSA Division of Grants Management Operations, OFAM Room 18-105 5600 Fishers Lane Rockville, MD 20857 Phone: 301-443-6512 Fax: 301-443-6343 jdickerson@hrsa.gov Kimberly Ross Grants Management Specialist Phone: 301-443-2353 Fax: 301-443-6452 E-mail: kross@hrsa.govkross@hrsa.gov Contact Information (Cont.) 36

37. Jackie Dickerson Grants Management Specialist Grants Management

38. QUESTIONS? www.bhw.hrsa.gov 38