1	FY 2009 Budget Period Renewal (BPR) HRSA 5H80-09-001-009 (Non-Competing Continuation)
2	Agenda Overview Summary of BPR Guidance Electronic Submission Contact Information Technical Assistance Call BPR Forms Clinical Measures Q&As
3	Overview BPR provides continued operational support under the Health Center Program authorized under Section 330 of the Public Health Service Act: Community Health Centers 330 (e); Migrant Health Centers 330 (g); Health Care for the Homeless 330 (h); and Public Housing Primary Care 330 (i)
4	Overview Who submits a FY 2009 BPR (Non-Competing Continuations)? Organizations whose project period does not expire in FY 2009 (on or after October 31, 2008 but BEFORE October 1, 2009).
5	Summary of FY 2009 BPR Guidance Revisions New due dates for Grants.Gov and EHB have been established; All Program Specific Forms must now be completed electronically within the EHBs; Instructions for the Health Care and Business Plans have been revised and are included in Appendix E; Applicants are no longer required to print, sign and scan the SF-424 face page from Grants.gov and upload it as Attachment 1. HRSA can use the “electronic signature” from Grants.gov as the official signature. The electronic certification will be considered to be just as “binding” as a non-electronic paper signature; and Form 8A and 8B – Combined to one Form 8 (Certification and Checklist)
6	Summary of FY 2009 BPR Guidance Revisions No Longer Required Forms: Form 1, Part B – BPHC Funding Request Summary; Form 4, Community Characteristics; Form 5, Parts A, B and C – These forms are no longer required as this information will be pre-populated following the completion of the grantee’s scope verification; Form 6 – Part B, Request for Waiver of Governance Requirements; Form 7 – Compliance Checklist; Form 10 – Annual Emergency Preparedness and Management Report; Form 11 - FTCA deeming applications
7	Summary of FY 2009 BPR Guidance Revisions Added Attachment 6: Action Plan Summary (as applicable) If you have participated in a performance review by HRSA’s Office of Performance Review, provide a summary of your Action Plan activities, describe how the activities have been integrated into your grant program and/or operations, and provide a status update on the activities and/or outcomes achieved.
8	Electronic Submission Applications must be submitted in Grants.gov and EHB by the established due dates (found on pages 6 and 19 of the guidance); and HRSA will not accept paper applications without prior approval. Applicants must request an exemption in writing from DGPWaivers@hrsa.gov and provide details as to why they are unable to submit electronically.
9	Contact Information Program – Cheri Daly (301) 594-4300 or e;mail - cdaly@hrsa.gov Grants Management – Donna Marx (301) 594-4245 or e;mail - dmarx@hrsa.gov HRSA Grants Application Center (EHB) (877) 464-4772, TTY for hearing impaired (877) 897-9910 or e;mail – http://www.callcenter@hrsa.gov Grants.Gov Technical Support (800) 518-4726 or e;mail - http://www.grants.gov/Support
10	Technical Assistance Call Friday, May 16, 2008 2:00 p.m. Eastern Call-In Number: 1-877-917-8924 Passcode: BPR Replays will be available until: February 27, 2009 Replay Phone Number: 1 866-446-5478
11	Submitting a BPR Application
12	Navigating to the BPR Application in EHB
13	Navigating to the BPR Application in EHB
14	Navigating to the BPR Application in EHB
15	BPR Application Status Overview in EHB
16	BPHC Program Specific Forms
17	BPR Clinical Performance Measures Health Care Plan Clinical Measures (See Appendix E) 6 clinical measures from UDS 4 new measures 2 current measures 2 required measures from grantee Behavioral health Oral health Up to 2 optional measures from grantee
18	BPR Clinical Performance Measures Clinical Measures from UDS New measures Childhood immunizations Pap tests Blood pressure under control Diabetes test levels Current measures Prenatal access Low birth weight
19	Financial Performance Measures Based on UDS data Total cost per patient Medical Cost per medical encounter Based on Financial Audit Change in net assets to expense ratio Working capital to monthly expense ratio Long term debt to equity ratio
20	Revised Health Care and Business Plans Reporting Framework is for a transition year Plans will be built around a QI model SAC/BPR plans will state current baseline value for the measure (if available) and set a quantified goal for the project period 3 year trended data may not be available for new measures Qualitative progress statements recommended Measurement of baselines and/or progress will be automatically entered into future grant submissions once the UDS is in the EHB
21	Sample BPR Health Care Plan
22	Sample BPR Health Care Plan
23	Questions & Answers