1. What’s New in the Outreach Program? Kathryn Umali, MPH, CHES U.S. Department of Health & Human Services (HHS) Health Resources & Services Administration (HRSA) Office of Rural Health Policy (ORHP) August 3, 2010

2. Overview Upcoming Program Requirements Non-competing application PIMS report Upcoming Grants Requirements Federal Financial Report (FFR) Carryover Request Payment Management System (PMS) Refresher on some Program and Grant Requirements Project Director change Budget revision Performance Improvement Measurement System (PIMS) Update Challenges Results Next Steps Questions?

3. Upcoming Program Requirements

4. Non-competing application Will be released around mid-late Fall 2010 (tentative) Application will be in progress report format Submitted in EHB only

5. Upcoming Program Requirements Performance Improvement Measurement System (PIMS) Report Due May 30, 2011 (30 days after the end of the budget period) Conference call prior to May 1, 2011

6. Upcoming Program Requirements Things to remember for your 3 rd year:  Program Evaluation Report  PIMS Report—due May 30, 2012  Final Report—due July 30, 2012

7. Upcoming Program Requirements Any programmatic questions should be directed to your Project Officer

8. Upcoming Grants Requirements

9. Federal Financial Report (FFR) Replaces Federal Status Report (FSR) Questions 10d to 10o (bottom portion) are reported to HRSA Submitted through the Electronic Handbook (EHB) Documentation of funds spent over the past year and shows carryover funds Due 90 days after budget period ends

10. Upcoming Grants Requirements Carryover Request Submitted in the Electronic Handbook (EHB) – Go to ‘Prior Approval’, then select ‘Carryover Unobligated Balances’ option – Grantee will create a request, attach required documents and submit – Submit’ button will not work if you do not attach the required documents – Required documents: SF 424A, carryover letter and budget justification Once it is approved, grantee will receive a new Notice of Grant Award (NGA) reflecting this carryover amount Since prior HRSA approval is required, unobligated funds may not be spent before the grantee receives a revised NGA which specifically states that the carryover request has been approved

11. Upcoming Grants Requirements Payment Management System (PMS) http://www.dpm.psc.gov FFR questions 10a, b and c (top portion) are reported to PMS For disbursement activity during the months of: Federal Financial Report (FFR) is due on: July 01 through September 30, 2010 - 4th Qtr October 30, 2010 October 01 through December 31, 2010 - 1st Qtr. (FY2011) January 30, 2011

12. Upcoming Grants Requirements Things to remember for your 3 rd year:  No-cost extension request  Federal Financial Report (FFR)  Payment Management System (PMS) reports

13. Upcoming Grants Requirements Any questions regarding budgetary/financial requirements should be directed to your Grants Management Specialist (GMS)

14. Refresher on Some Program and Grants Requirements Program Requirements Project Director Change  Submitted through EHB  Go to ‘Prior Approval’ and select ‘Project Director’ option  Grantee will create a request, attach required documents and submit  Submit’ button will not work if you do not attach the required documents  Required documents: Justification for change and resume/CV of new Project Director

15. Refresher on Some Program and Grants Requirements Grants Requirements Rebudgeting  Submitted through EHB  Go to ‘Prior Approval’ and select ‘Rebudgeting’ option  Grantee will create a request, attach required documents and submit  ‘Submit’ button will not work if you do not attach the required documents  Required documents: SF424A and narrative

16. Performance Improvement Measurement System (PIMS) Update

17. Challenges Unclear Questions I. Access to Care:  duplicated vs. unduplicated encounters  direct vs. indirect services  Number of people in target population vs. # of people in target population with access to new/expanded services  Number of new and/or expanded services provided

18. Challenges Unclear Questions II. Sustainability  Program revenue vs. project revenue III. Clinical Measures  Diabetes = standard is HbA1c greater than 9.0%

19. Results Number of people in target population with access to new/expanded programs/services = 1,983,705 Top 3 focus areas: 1)Health Education 2)Health Promotion/ Disease Management 3)Diabetes/Obesity Management

20. Results

23. Next Steps Further analyze data Show data trends based on previous cohort’s data Revise some measures Clinical measures ‘Demographics’ questions Clarify instructions and improve submission process

24. Other Changes We’ve moved offices!!!! 9A-5510B-45

25. We Need Grant Reviewers!!! ORHP has multiple grant programs this year We need reviewers with rural experience to be a part of our Objective Review Committee panels You must register to be a reviewer To register, please visit: https://grants.hrsa.gov/webReview/https://grants.hrsa.gov/webReview/ Indicate “rural health” as one of your specialties in the background information section Send me an email indicating that you have registered as a reviewer

26. Contact Information Kathryn Umali Outreach Program Coordinator kumali@hrsa.gov 301-443-7444

27. Questions????