FESC CA Program

• Application Available: June 1, 2007
• Due: July 2, 2007
• Grant Funding Start: September 1, 2007
• http://www.grants.gov

Applicant Information

• Rural Headquarters (rural county or eligible ZIP Code in urban county)
• Lead applicant: Non-Profit Designation
• Consortium: three or more separately owned organizations that provide health care, health related services and/or social services
• At least one consortium member is an operational clinic or hospital that is at least 75 miles from the nearest acute care or critical access hospital and/or is inaccessible by public road
• Category One- Demonstration of support from State
• Cost sharing- not required, but considered

Pre-Application Homework

• Identify Current use of FESC-like models
• Enlist Consortium Partners
• Research Existing Health Care Delivery System in Frontier Areas
• Develop Strategies for Implementation of FESCs
• Start Planning

Application Guidance

• Part I- Overview and Summary info about program
• Part III- Eligibility Information
• Part IV- Directions for completing the application
• Part V- Review criteria

Review Criteria- Need (20 points)

• Understanding of Frontier Health Care Delivery
• Understanding of FESC model and issues
• Experience with extended care in remote frontier settings

Review Criteria- Response (25 Points)

• Use of established FESC activities, evaluation, and protocols
• Development of project timeline and well designed plan
• Inclusion of HIT and quality activities
• Provision of TA for CMS FESC Demonstration

Review Criteria- Evaluative Measures (15 Points)

• Effectiveness of proposal to monitor and evaluate project
• Compatibility with established evaluation model

Review Criteria- Impact (15 points)

• Dissemination Plan
• Commitment to project beyond one-year
• Replicability

Review Criteria- Resources (20 points)

• Applicant agency's structure
• Staffing
• Physical resources
• Cost sharing

Review Criteria- Support Req. (5 points)

• Appropriate funding level
• Detailed budget and justification
• Reasonable cost estimates

Review Process

• Applications will be reviewed by an Objective Review Committee of non-Federal experts.
• To become a reviewer go to https://grants.hrsa.gov/webReview/
• Final decisions will be made by Director of ORHP taking into account program intent, geographic distribution, agency-level priorities, etc.

Putting It Together

• Always follow ORHP's instructions found in the Program Guide when completing all Application Forms
• When Assembling follow order as indicated in the guidance
• Do not staple or bind - use binder clip or band

Common Problems

• Content
• Instructions not followed
• Abstract: not a good summary (1 page)
• Goals & Objectives not specific or measurable
• Disorganized, concept is fuzzy - unclear
• Unrealistic - overly ambitious
• Too many words
• Budget justification is absent or weak

Fatal Flaws

• County name and ZIP Code are NOT on form PHS-424, Block 5
• Proof of non-profit status - IRS letter or equivalent not included
• More than 80 pages
• Postmarked past the due date

Need Further Help?

For Programmatic Questions
Carrie Cochran
301-443-4701
ccochran@hrsa.gov

Need Further Help?

For Budget and Financial Questions
Carolyn Cobb, Grants Management Specialist
301-443-3256
ccobb2@hrsa.gov