1. June 20, 2012 Pre-Proposal Conference SAFETY NET HEALTH CARE RFP

2. MISSION Provide 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 2

3. Service Area ● Kansas City, MO ● Cass, Jackson and Lafayette counties in Missouri ● Allen, Johnson and Wyandotte counties in Kansas

4. Grant Types Foundation 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 4

5. 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 Care Providers 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)

6. Safety Net Health Care RFP To 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 Emphasis 1.Improving Efficiency and Access to Care 2.Delivering Culturally Competent Services 3.Strengthening Organizational Capacity 4.Enabling Community-Based Health Planning 5.NEW Supporting Improvements in Healthcare Delivery that promote coordinated & Integrated Care 6

7. The 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 7

8. 1.Efficiency 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 8

9. 2. Cultural Competence Congruent 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 9

10. 3. Strengthening Organizational 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. 10

11. 4. Community-based Health Planning S upport community-based health planning strategies aimed at reducing gaps Fragmentation in access and the delivery of healthcare services for the uninsured and underserved 11

12. 5. Improvements in the Healthcare Delivery System NEW 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. 12

13. Improvements in the Healthcare Delivery System –— Approaches of Interest 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 13

14. Safety Net Health Care Neighborhood & Community Resources Hospital Mental Health Care Urgent Care Rehabilitation/ Disabilities Dental Care Schools Pharmac y/ Labs/Ima ging Specialists: Cardiologist Surgeon Eye Care Community Health Clinics Church/Faith Based Services Healthy Food Safe Housing/ Shelters Transportation Senior Services 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 Care Coordinated & Integrated Care Quality Care Safe Effective, Patient-Centered Timely Efficient Equitable Health Department 14

15. Pursuing 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 15

16. 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 16

17. Safety 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

18. HOW TO APPLY All proposals should be submitted electronically Step 1: Letter of Intent Step 2: Full Narrative Proposal

19. STEP 1: STEP 1: LETTER OF INTENT Due: Wednesday, July 18, 2012, at 12pm (noon)

20. 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

21. Acknowledgements After 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

22. STEP 2: FULL PROPOSAL Due: Due: Wednesday, August 15, 2012, noon

23. 23 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.

24. Project Overview Includes: ● 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

25. Goals 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.

26. Applicants should consider the following ● Focus on short term outcomes ● Outcomes should make sense for a particular project ● Focus on lessons learned—what worked and what didn’t

27. PROGRAM LOGIC MODELS and OUTCOME MEASUREMENT FRAMEWORKS

30. Proposal Attachments A.Budget Worksheet & Narrative B. Supporting Documents 30

31. A. Budget Worksheet(s) & Narrative 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 31

32. B. Supporting Documents Non-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

33. Proposal Attachments Letters of Commitment 33

34. Letters 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 34

35. 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. 35

36. APPLICATION CHECKLIST

37. Grant Approval Process  Staff 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

38. All grant proposals, financial information and other reports submitted to HCF are subject to public review and consideration.

39. Key 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 39

40. CONTACT Andres Dominguez, Program Officer Graciela Couchonnal, Program Officer Health Care Foundation of Greater Kansas City 2700 East 18th Street, Suite 220 Kansas City, MO 64127 Adominguez@hcfgkc.org gcouchonnal@hcfgkc.org Ph: 816.241.7006 Fax: 816.241.7005 hcfgkc.org

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