1. Fiscal Year 2013 Health Center Controlled Networks (HCCN) Competitive Funding Opportunity HRSA-13-267 HCCN Technical Assistance (TA) Website: http://www.hrsa.gov/grants/apply/assistance/HCCN http://www.hrsa.gov/grants/apply/assistance/HCCN

2. Agenda Overview of Quality Strategy and Funding Opportunity Eligibility Requirements Program Requirements Award Information Participating Health Centers Grants.gov Submission Process Application Components Project Work Plan Resources and Technical Assistance Contacts Important Reminders Questions and Answers 2

3. Utilizing HIT to Improve Quality BPHC Quality Strategy Priorities and Goals 1.Implementation of QA/QI Systems Health centers fully implement their QA/QI plans 2.Adoption and Meaningful Use of EHRs Health centers implement EHRs across all sites and providers 3.Patient Centered Medical Home Recognition Health centers receive PCMH recognition 4.Improving Clinical Outcomes Health centers meet/exceed HP2020 goals on at least one UDS clinical measure 5.Workforce/Team-Based Care Health centers are employers/providers of choice and support team-based care 3 ACCESS COMPREHENSIVE SERVICES INTEGRATED SERVICES INTEGRATED HEALTH SYSTEM Better Care ⃘ Healthy People & Communities ⃘ Affordable Care

4. EHR and PCMH Results In the 2010 UDS: –82.6% of health center grantees met or exceeded performance on one or more Healthy People 2020 performance measure In the 2011 UDS: –20.3% of health center grantees had no EHR –65.2% had an EHR in use at all sites –14.5% had an EHR in use at some sites As of May 2012: –8.3% of health center grantees have PCMH recognition Detailed National and State level PCMH and EHR data profiles can be found at http://www.hrsa.gov/grants/apply/assistance/HCCN http://www.hrsa.gov/grants/apply/assistance/HCCN 4

5. Overview Purpose: To support the adoption, implementation, and meaningful use of Health Information Technology (HIT) and technology-enabled quality improvement strategies in section 330 funded health centers. Approximately $2 million Estimated 3-5 grants Project period start date: August 1, 2013 Project period: up to 3 years 5

6. Eligibility Requirements To be eligible, the applicant organization must: 1.Be a public or private non-profit organization 2.Be either: A practice management network (HCCN) controlled by and acting on behalf of health centers funded under section 330 of the PHS Act. OR A health center, funded for at least the two consecutive preceding years under section 330 of the PHS Act, applying on behalf of an HCCN. 3.Provide evidence of Health Center Program grantees committed to participating with the HCCN to achieve the three goals of the grant program. A Health Center Program grantee cannot serve as a Participating Health Center for more than one HCCN for the purposes of this grant opportunity. 6

7. Exclusionary Criteria Applicants cannot: 1.Be HCCNs funded in December 2012 under HRSA- 13-237. 2.Propose participating health centers that are currently participating in projects funded under HRSA-13-237. See http://www.hrsa.gov/grants/apply/assistance/HCCN for a list of current HCCN grantees and their participating health centers.http://www.hrsa.gov/grants/apply/assistance/HCCN 7

8. Program Requirements 1.Adoption and Implementation Activities to assist participating health centers to effectively adopt and implement an ONC- certified EHR system at all sites. 8

9. Program Requirements 2.Meaningful Use Activities to assist participating health centers to become meaningful users of EHR systems and have their providers receive EHR incentive payments. 9

10. Program Requirements 3.Quality Improvement Activities to assist participating health centers to improve operational quality, reduce health disparities, and improve population health through HIT, including becoming recognized as a Patient-Centered Medical Home. 10

11. Annual Award Limitations Applicants are required to include a minimum of 10 participating health centers. 11 Number of Participating Health Center Program Grantees Annual Award Maximum Amount 10-14$400,000 15-19$475,000 20-24$550,000 25-29$625,000 30-34$700,000 35-39$775,000 40-44$850,000 45-49$925,000 50 or more$1,000,000

12. Participating Health Centers Participating Health Centers must be organizations funded under section 330(e), (g), (h), and/or (i) of the Public Health Service Act. Applicants are required to develop Memoranda of Agreement (MOAs) with all participating health centers, signifying commitment to participate in the HCCN activities throughout the project period. 12

13. Grants.gov Submission Process Deadline: April 3, 2013 Ensure your Grants.gov registration and passwords are current! Organization must register in the System for Award Management (SAM) and Data Universal Numbering System (DUNS) prior to registering in Grants.gov. Applicants will receive a validation email from Grants.gov following successful submission. 13

14. Grants.gov Submission Process Applications for funding must consist of the following forms and documents: SF 424: Application for Federal Assistance Form –Upload Project Abstract on line 15 Project Narrative SF 424A: Budget Information Form Budget Narrative SF 424B: Assurances for Non-Construction Programs Project Performance Site Location Form Grants.gov Lobbying Form SF-LLL: Disclosure of Lobbying Activities, if applicable Attachments 14

15. Project Narrative and Review Criteria Need (15 points) Response (25 points) Collaboration (10 points) Evaluative Measures (15 points) Resources/Capabilities (20 points) Governance (5 points) Support Requested (10 points) 15

16. Attachments Attachment 1: Project Work Plan Attachment 2: Health Center Participant Verification Sheet Attachment 3: Participating Health Center Map Attachment 4: Project Organizational Chart Attachment 5: Position Descriptions for Key Personnel Attachment 6: Biographical Sketches for Key Personnel Attachment 7: Staffing Plan Attachment 8: Summary of Contracts and Agreements Attachment 9: Letters of Support Attachment 10: Corporate Bylaws Attachments 11-12: Other Relevant Documents 16

17. Project Work Plan: Requirements 17 Adoption and Implementation Goal A1: Percent of participating health centers’ sites that have implemented a certified EHR system Goal A2: Percent of eligible providers using a certified EHR system Meaningful Use Goal B1: Percent of eligible providers who have registered and attested/applied for EHR Incentive Program payments Goal B2: Percent of eligible providers receiving EHR Incentive Program payments Quality Improvement Goal C1: Percent of health centers that meet or exceed Healthy People 2020 goals on at least one UDS clinical quality measure Goal C2: Percent of health centers that achieve PCMH recognition or maintain/increase their PCMH recognition level

18. Project Work Plan: Key Components Projected Goal Percentage Baselines Key Factors Focus Areas Activities Person(s)/Area(s) Responsible Time Frames Expected Outcomes Comments (optional) 18

19. Project Work Plan Quality Improvement Goal C1. Percent of participating health centers that that meet or exceed Healthy People 2020 goals on at least one UDS clinical quality measure. Note: Provide numerator and denominator baseline data below. Note: Provide percentages for goals and baselines below. Goal C1: ___% Numerator C1: The number of participating health centers that meet or exceed Healthy People 2020 goals on at least one UDS clinical quality measure Denominator C1: Total number of participating health centers Numerator C1: Denominator C1: Baseline data: ___% Goal C2. Percent of participating health centers that achieve PCMH recognition or maintain/increase their PCMH recognition level. Goal C2: ___% Numerator C2: The number of participating health centers that achieve PCMH recognition, or maintain/increase their PCMH recognition level Denominator C2: Total number of participating health centers Numerator C2: Denominator C2: Baseline data: ___%

20. Project Work Plan 20 Key Factors: Based on participating health centers’ MOAs and overall needs assessment, identify 2 or more key factors impacting performance on these measures (include at least 1 factor predicted to contribute to and at least 1 factor predicted to restrict progress toward achieving the proposed goals). 1. Contributing Factor(s): 2. Restricting Factor(s):

21. Project Work Plan Activity Two required for each focus area Person /Area Responsible Time FrameExpected Outcome Comments Focus Area C1. HIT-Enabled Use of Data for Quality Improvement: Develop and use quality reports, data dashboards, population health management systems, and centralized HIT tools to manage patient populations and manage and coordinate integrated care. Focus Area C2. Data Sharing and Information Exchange: Provide HIT support to maximize functional interoperability and use of data exchange standards, foster program efficiencies, and provide operational and clinical improvement, focusing on UDS clinical quality measures that meet or exceed Healthy People 2020 goals. Focus Area C3. Best Practices for System Use and System Optimization: Provide QI training and support the integration of HIT efforts into larger quality strategies and service provision, optimizing continuous quality improvement. Focus Area C4. Use of HIT for Practice Transformation and Alignment with Health Care Landscape: Coordinate QI activities to support health centers in aligning their HIT efforts with HIT changes in the evolving health care delivery system.

22. Healthy People 2020 Goals HRSA/BPHC Performance Measure Healthy People 2020 Goal Hypertension Controlled Blood Pressure Performance Rate (Age 18+) 61% Childhood Immunization Performance Rate (at 2 nd Birthday) 80% First Trimester Entry into Prenatal Care 78% Percentage Newborns Below Normal Birthweight (Less than 2500 grams) 7.8% Diabetes Controlled HBA1c Performance Rate ≤9% (Age 18+) 85% Pap Test Performance Rate (Ages 21-64) 93% Tobacco Use Assessment 69% Tobacco Cessation Counseling 21%

23. Resources HCCN TA Website http://www.hrsa.gov/grants/apply/assistance/HCCN http://www.hrsa.gov/grants/apply/assistance/HCCN HRSA Electronic Submission User Guide http://www.hrsa.gov/grants/apply/userguide.pdf http://www.hrsa.gov/grants/apply/userguide.pdf The Network Guide http://www.hrsa.gov/healthit/networkguide/index.html http://www.hrsa.gov/healthit/networkguide/index.html Certified HIT Product List http://onc-chpl.force.com/ehrcert Medicare and Medicaid EHR Incentive Programs http://www.cms.gov/EHRIncentivePrograms/ http://www.cms.gov/EHRIncentivePrograms/ HRSA Patient-Centered Medical/Health Home (PCMHH) Initiative http://bphc.hrsa.gov/policiesregulations/policies/pal201101.html http://bphc.hrsa.gov/policiesregulations/policies/pal201101.html Healthy People 2020 http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx 23

24. Technical Assistance Contacts Program related questions: Andrea Bainbridge: BPHCHCCN@hrsa.gov or 301.594.4300BPHCHCCN@hrsa.gov Budget related questions: Bryan Rivera: brivera@hrsa.gov or 301.443.8094brivera@hrsa.gov Grants.gov related questions: support@grants.gov or 800.518.4726 support@grants.gov 24

25. Important Reminders Grants.gov deadline is April 3, 2013 by 11:59 PM ET. The yearly maximum amount that an applicant can request is dependent upon the number of participating health centers committed to working with the applicant throughout the 3-year project period. Applicants are required to include a minimum of 10 participating health centers. Applications may not exceed 100 pages or 10MB. Failure to follow the instructions and include all required documents may result in your application being considered non-responsive. 25

26. Questions and Answers 26