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Funding Opportunities

Rural Hospital Flexibility Grant – Lean implementation projects

The Rural Hospital Flexibility Grant Program (Flex Program) is a federal grant program directed to State Offices of Rural Health to support:

  • Improving the quality of health care provided in communities served by small rural hospitals - in particular Critical Access Hospitals (CAHs)
  • Improving the financial and operational performance of small rural hospitals - in particular CAHs
  • Developing collaborative regional and local delivery systems in small rural hospitals - in particular CAH communities
  • Facilitating the establishment of CAHs

The purpose of these Flex Program funds is for the development and implementation of strategies that support improvements in the quality of health care provided in communities served by small rural hospitals with a specific focus on Lean implementation as outlined in the federal work plan. Lean is designed to meet the federal objectives of improving the financial and operational performance of the eligible hospitals, and developing a regional learning collaborative. Funds are directed to the development and implementation of strategies that support improvements in the quality of health care provided in communities served by small rural hospitals with a specific focus on CAHs, efforts to improve the financial and operational performance of the eligible hospitals and efforts to develop collaborative regional and local delivery systems. Lean activities will assist CAHs in identifying areas of financial and operational performance improvement.

Funding Availability:
The Office has a total of $100,000 allocated to fund Lean initiatives for the 2014-2015 grant cycle which began September 1, 2014 and concludes August 31, 2015. Funding will be specifically geared toward Lean programs and strategies. Funding amounts will be awarded by the Office based upon the submission of the RFA application and budget. The Office retains the right to modify or change direction of planning and funding based upon findings and opportunities that may arise during the funding cycle.

Eligibility:
These limited funds are intended to improve the stability, quality, performance, and integration of the rural health safety net providers with a primary focus on small rural hospitals including CAHs. The following definitions further delineate eligibility:

  • Rural counties as identified by The Rural Center http://www.ncruralcenter.org/databank/rural_county_map.asp
  • Small rural hospitals are those that staff 49 beds or fewer (based upon Average Daily Census, not licensure)
  • CAHs are those that have been recognized by the state and confirmed by the Centers for Medicare and Medicaid Services (CMS), as well as those which are potentially eligible
  • Community of providers that comprise the health care safety net where these hospitals are located

How to Apply:
The Office requires applicants for this funding opportunity to apply by completing the Rural Hospital Flexibility Grant Instructions for Application.

Deadline for Submission:
Organizations seeking funding should submit completed applications by email to Jay Kennedy at jay.kennedy@dhhs.nc.gov no later than 5:00 pm on October 3, 2014. Pages requiring signatures may either have an electronic signature applied or a scanned copy of the file as a PDF document.

How to Obtain Further Information:
If you have questions, please contact Jay Kennedy via email at jay.kennedy@dhhs.nc.gov or by phone at 919-527-6467.

  1. Rural Hospital Flexibility Grant – Lean Implementation RFA
  2. RHFG - Lean Implementation - Instructions
  3. RHFG - Lean Implementation - Budget
  4. Federal Certifications
  5. IRS Tax Exemption Verification Form (Annual)
  6. Conflict of Interest Verification (Annual)
  7. No Overdue Tax Debts Certification
  8. Contractor Certifications - Instructions
  9. Conflict of Interest Acknowledgement and Policy

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HealthNet 2014-2015 Funding Opportunity

The purpose of grants awarded under this program is to sustain the community-based indigent care programs begun in the past decade, primarily with funding from HRSA’s now defunct Healthy Communities in Action Program (HCAP) grants, and to develop new programs in other communities. In North Carolina, approximately 1.5 million of the adult population has no health insurance coverage. For uninsured adults, access to primary care, preventive services, specialty care, and prescription drugs has been largely limited to the availability of donated “charity” care and safety net providers. Through HealthNet, the Office of Rural Health and Community Care (ORHCC) leverages the administrative infrastructure of Community Care of North Carolina (CCNC) and the resources of a broad array of partners in order to strengthen health care delivery systems in rural and underserved communities, enhance quality and coordination of care, and help contain unnecessary growth in healthcare expenditures.

HealthNet is built upon CCNC’s primary care medical home and care coordination model, and utilizes the care and disease management systems, tools, and protocols in CCNC’s Care Management Information System (CMIS) to manage care for the target population, uninsured adults, 18 – 64 years old, whose family income is at or below 200% of the Federal Poverty Limits (FPL).

The Office received a recurring appropriation for HealthNet in the State’s SFY 2014/2015 budget, of which $4,250,000 is available for HealthNet grants. Funding for each county within the service area of the 14 CCNC networks was allocated by the Office on the basis of the estimated number of uninsured adults who likely remained uninsured after January 1, 2014, weighted for factors that impact access and quality of medical care (e.g., rural or urban, economic well-being tier designation, providers per 10,000 population).

CCNC networks are eligible to apply for HealthNet grant funding to support local and regional efforts to improve access and quality of medical care for uninsured adults through a coordinated delivery system.

The Office requires applicants for this funding opportunity to apply by completing the “HealthNet SFY 2014 - 2015 Funding Opportunity” request for applications as posted on the Office website.

CCNC networks seeking funding should submit electronic copies of the completed application, budget, and all required forms by email to Anne.Braswell@dhhs.nc.gov by 5 p.m. on Wednesday, October 1, 2014. Documents that require signatures and those that are notarized should be scanned individually and submitted to the Office as part of the application package. Scanned files containing multiple documents will not be accepted

Questions regarding the grant application may be directed to:
Anne Braswell (anne.braswell@dhhs.nc.gov) 919.527.6449
Glenn Field (glenn.field@dhhs.nc.gov) 919.527.6458

  1. HealthNet Year 8 RFA
  2. HealthNet Year 8 Application
  3. HealthNet Year 8 Annual Allocation by Network
  4. HealthNet Year 8 Budget Template
  5. HealthNet Year 8 Performance Measures
  6. State Certifications
  7. Conflict of Interest Acknowledgement and Policy
  8. Conflict of Interest Verification (Annual)
  9. IRS Exemption Verification Form (Annual)
  10. No Overdue Tax Debts Certification
  11. Internal Control Questionnaire (ICQ)

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Rural Hospital Flexibility Grant – Technical Assistance for the Flex program

The Rural Hospital Flexibility Program (Flex Program) is a federal grant program directed to State Offices of Rural Health to support:

  • Improving the quality of health care provided in communities served by Critical Access Hospitals (CAHs)
  • Improving the financial and operational performance of CAHs
  • Developing collaborative regional and local delivery systems in CAH communities
  • Facilitating the establishment of CAHs

Description- Brief statement of nature and scope of the program: The purpose of these Flex Program funds is to:

  1. Provide technical assistance (TA) to the Office’s Rural Hospital Program Manager. TA should focus on quality improvement, financial and operational performance, and community collaboration with a primary emphasis on CAHs and the communities they serve.
  2. Provide administrative support for various tasks assigned by the Office’s Rural Hospital Program Manager. These tasks will relate to the Flex Program initiatives.
  3. Assist with the development and organization of quarterly CAH meetings
  4. Management of project where select CAHs will participate in a financial performance improvement pilot project. Based on the project’s outcomes, CAH financial performance will improve in at least one of the following three areas: labor productivity, labor expense, and/or medical supply expense.
  5. Assign a Senior Hospital Consultant to provide technical assistance (TA) to CAHs regarding behavioral health interventions, which could augment the current implementation of the statewide telepsychiatry program, improve CAH staff satisfaction when working with patients with mental health issues, and build relationships with other medical and non-medical facilities working with behavioral health interventions in the community. Possible TA may include facilitation of mental health first-aid training sessions for participating CAH staff and the community, consultation for integrated care within the CAH and expanded outreach between the CAH and the community. In addition TA will include compilation and reporting of ongoing behavioral health interventions and results at quarterly CAH meetings.
  6. The assigned Senior Hospital Consultant will also provide periodic TA to the Office’s Rural Hospital Program Manager as it relates to ongoing HRSA grant administration and reporting requirements.
  7. A NC CAH quality and patient safety performance report will be produced, distributed and presented (via webinar) to the CAHs semi-annually. The Contractor will use the results of this report to identify possible QI interventions/collaboratives targeting NC CAHs. These possible QI interventions/collaboratives will be provided (in written form) to the Office’s Rural Hospital Program Manager for inclusion in the Flex grant application which is due to HRSA in March 2015.

The maximum total grant award cannot exceed $160,000. All funding must be expended by August 31, 2015.

Eligibility: Any organization that employs staff that have experience working with small and rural hospitals in NC and knowledge of the Federal CAH program is eligible to apply. All applicants will need to complete the grant application, budget template, contractor information sheet, and applicable contractor/provider documents to be considered for funding.

How to Apply: The Office requires applicants for this funding opportunity to apply by completing the “SFY 2015 Rural Hospital Flexibility Grant – Technical Assistance for the Flex program” request for applications as posted on the Office’s website.

Deadline for Submission: Grant applications must be electronically received by the individual listed below by 5:00 PM Friday, September 19, 2014. Only electronic copies will be accepted. Incomplete applications and applications not completed in accordance with the following instructions will not be reviewed. Applications received after the 5:00 PM deadline on Friday, September 19, 2014 will not be reviewed.

How to Obtain Further Information: Questions regarding the grant application may be directed to Jay Kennedy at jay.kennedy@dhhs.nc.gov.

  1. TA RFA Organizational Information & Signature Sheet
  2. TA RFA Instructions
  3. TA RFA Budget

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Rural Health Center Program – Capital Project Grant

The purpose of grants awarded under this program is to continue support for state-designated rural health centers. The Office of Rural Health and Community Care (the Division) assists underserved communities and populations with developing innovative strategies for improving access, quality, and cost-effectiveness of health care. Distribution of primary care providers in North Carolina has historically been skewed toward the cities and larger towns. Rural residents, who often suffer from transportation issues, find accessing primary care services difficult. Through the establishment of rural health centers, the Division enables local communities to provide access to their underserved populations who would otherwise be unable to receive needed primary care services due to geographic, economic, or other barriers. Thus, rural health centers have become an integral part of the health care safety net for North Carolina’s rural and underserved residents.

Through this capital support grant, the rural health center will continue to develop and implement projects intended to increase quality driven, cost effective care to meet the transitions mandated through the Affordable Care Act and other industry trends. These funds may be used for a variety of projects including limited information technology components as deemed appropriate by the Division. In addition, these funds may include planned and unplanned structural improvements, upkeep, etc. of the facility/physical plant. If the proposed capital project may result in an insurance claim or involves information technology, please contact Parcheul Harris and/or Andrea Murphy prior to completion of this application packet. The maximum total grant award is dependent upon demonstrated need at the rural health center and the availability of funding. This is a project based grant opportunity. All funding must be expended by May 31, 2015.

The Division was awarded funding for this opportunity through an annual State appropriation. As such, grant awards are based on the availability of State funding. The maximum total grant award is dependent upon demonstrated need at the rural health center.

Capital projects/initiatives must address one or more of the following categories at a state designated rural health site:

  1. Patient and/or staff comfort and safety
  2. Quality of services provided
  3. Efficiency of services provided
  4. Compliance with current state and federal regulations
  5. Health Information Technology (with prior approval)

State-designated rural health centers that are 501(c) 3 non-profit primary care organizations that are funded in the current state fiscal year under the Rural Health Center Operations Medical Access Plan Grant Program are eligible to apply. Funds must be used at rural health center location(s) specified in this grant application. All applicants must complete the grant application/scope of work, budget template, and contractor information sheet to be considered for funding. In addition, the applicant must submit the required contractor information including the State Certification, Verification of 501(c) 3 status, Conflict of Interest Verification, and the Statement of No Overdue Tax Debts. The forms must be executed within the current calendar year.

How to Apply:

The Division requires applicants for this funding opportunity to apply by completing the “FY 2014 – 2015 Rural Health Center Program Capital Project” request for application as posted on the Division’s website http://www.ncdhhs.gov/orhcc/.

Deadline for Submission:
Grant applications must be electronically received by the Division prior to April 1 of the current state fiscal year (SFY). Only electronic copies will be accepted. Incomplete applications and applications not completed in accordance with the following instructions will not be reviewed.

Parcheul Harris (Parcheul.Harris@dhhs.nc.gov) 919.527.6468
Andrea Murphy (Andrea.Murphy@dhhs.nc.gov) 919.527.6448

Grant applications must be submitted electronically to e-mail SVC_DHHS.RHCMAP.orhccgrants prior to April 1 of the current fiscal year. Hard copies will not be accepted. Applications must be e-mailed to SVC_DHHS.RHCMAP.orhccgrants.

Mailed Applications:
Mailed applications are not accepted for this funding opportunity.

Delivered Applications:
Hand delivered paper applications are not accepted for this funding opportunity.

How to Obtain Further Information:
Questions regarding the grant application may be directed to:

Parcheul Harris (Parcheul.Harris@dhhs.nc.gov) 919.527.6468
Andrea Murphy (Andrea.Murphy@dhhs.nc.gov) 919.527.6448

  1. Notification of New Grants
  2. Scope of Work Form
  3. Performance Measures Table
  4. Required Budget Template
  5. Conflict of Interest Acknowledgement and Policy
  6. Conflict of Interest Verification (Annual)
  7. Contractor Certifications Required by North Carolina Law
  8. IRS Tax Exemption Verification Form (Annual)
  9. Organizational Information & Signature Sheet
  10. Proof of Insurance Verification Form
  11. State Grant Certification - No Overdue Tax Debts

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Rural Health Centers Operational Grant Program – Medical Access Plan Grant

Purpose:
The purpose of grants awarded under this program is to continue support for state-designated rural health centers. The Office of Rural Health and Community Care (ORHCC) assists underserved communities and populations with developing innovative strategies for improving access, quality, and cost-effectiveness of health care. Distribution of primary care providers in North Carolina has historically been skewed toward the cities and larger towns. Rural residents, who often suffer from transportation issues, find accessing primary care services difficult. Through the establishment of rural health centers, the ORHCC enables local communities to provide access to their underserved populations who would otherwise be unable to receive needed primary care services due to geographic, economic, or other barriers. Thus, rural health centers have become an integral part of the health care safety net for North Carolina’s rural and underserved residents.

Description:
Through this operational support grant, the rural health center provides much needed primary care access to its rural residents. Indigent residents are afforded access through the Medical Access Plan (MAP). As a state-designated, 501(c)(3) rural health center, you are eligible to apply for MAP. The maximum total grant award is dependent upon demonstrated need at the rural health center and is contingent upon funding availability. Grant applications for the first round must be received at the Office of Rural Health & Community Care by 5:00 May 2, 2014 with applications for all other funding requests by 5:00 p.m. April 1, 2015. Only electronic copies will be accepted. Emailed applications should be sent to: SVC_DHHS.RHCMAP.orhccgrants@dhhs.nc.gov.

Funding Availability:
The Office was awarded funding for this opportunity through the Rural Health Centers Operational Grant Program – Medical Access Plan. Grant awards are based on the availability of State funding. The maximum total grant award is dependent upon demonstrated need at the rural health center. Grant funds must be utilized at physical locations where primary medical care is provided.

Eligibility:
State-designated rural health centers that are 501(c)(3) non-profit primary care organizations that are funded in the current state fiscal year under the Rural Health Center Operations Medical Access Plan Grant Program are eligible to apply. Additional awards may be granted to new state-designated rural health centers after July 1, 2014; however, all grantees must fully expend grant funds by June 30, 2015.

Funds must be used at rural health center location(s) specified in this grant application. All applicants must complete the entire grant application packet and budget template to be considered for funding. In addition, the applicant must submit the required contractor information including the State Certification, Verification of 501(c ) 3 status, Conflict of Interest Attestation and Policy, and the Statement of No Overdue Tax Debts. The forms must be executed within the current calendar year.

How to Apply:
The Office requires applicants for this funding opportunity to apply by completing the “SFY 2015 Rural Health Centers Operational Program – Medical Access Plan Grant" request for applications as posted on the Office website.

Deadline for Submission:
Grant applications for the first round must be received at the Office of Rural Health & Community Care by 5:00 May 2, 2014 with applications for all other funding requests by 5:00 p.m. April 1, 2015. Only electronic copies will be accepted. Emailed applications should be sent to: SVC_DHHS.RHCMAP.orhccgrants@dhhs.nc.gov. Incomplete applications and applications not completed in accordance with the following instructions will not be reviewed.

Questions regarding the grant application may be directed via email to Stanley Davis (Stanley.Davis@dhhs.nc.gov).

Mailed Applications:
Mailed applications are not accepted for this funding opportunity.

Delivered Applications:
Delivered applications are not accepted for this funding opportunity.

How to Obtain Further Information:
Questions regarding the grant application may be directed to:
Stanley Davis (stanley.davis@dhhs.nc.gov) 919.527.6475

  1. Notification of Grants
  2. Organizational Information & Signature Sheet
  3. Budget Template
  4. Instructions for completing the ORHCC Internal Control Questionnaire (ICQ)
  5. Internal Control Questionnaire (ICQ)

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The Kate B. Reynolds Charitable Trust “Innovations in Rural Health Award” Funding Opportunity

The Kate B. Reynolds Charitable Trust is offering the “Innovations in Rural Health Award.” They are looking for original, innovative solutions to drive health improvement in rural communities. For more information, click on the following link: http://kbr.org/news/announcing-2014-innovations-rural-health-award.

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