1. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20151 Puerto Rico Department of Health Federal Grants Programs

2. Presenter Fernando Llavona, J.D. Puerto Rico Department of Health Federal Affairs Office Director P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20152

3. 3 Session Objectives 1.Overview of the Puerto Rico Department of Health (PRDoH) federal grant programs 2.Discuss how federal funds have provided valuable resources and financial assistance to diverse PRDoH programs in order to advance our operational goals

4. Puerto Rico Department of Health P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20154 The PRDoH oversees over 65 federally funded Grants and Cooperative agreements that work to provide diverse health services to Puerto Rico residents.

5. PRDoH - Office of Federal Affairs P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20155 Serves as the Department’s liaison with the federal government and seeks to: Promote the optimal use of federal resources Ensure compliance with federal regulation Facilitate communication between the PRDoH and the federal government Identify new sources of income for the PRDoH

6. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20156 Grant - Assistance Purpose is to transfer resources to recipients in order to accomplish a public purpose. No substantial programmatic involvement is anticipated between the sponsor and the recipient. Cooperative Agreement - Assistance Substantial programmatic involvement between sponsor and recipient Contract - Procurement Acquire property or services with specific obligations for both sponsor and recipient. Types of Funding

7. Funding Priorities P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20157 The main criterion in the search for federal funds is: To increase resources to finance PRDoH priority projects. Federal funds must be aligned with public policy and the PRDoH Strategic Plan.

8. Federal partnership P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20158 Since federal agencies will only fund those applications that address their administrative priorities: Grantees need to understand the priorities of federal agencies. Share common goals. Comply by the terms and conditions established by the grantor agency.

9. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 20159 Puerto Rico Department of Health Federal Grants - Overview

10. Secretary Auxiliary for Family Health and Integrated Services P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201510 Oversees 29 federal programs, it provides broad health services and resources to a population of vulnerable families and children across Puerto Rico. Federal funds (yearly): $93M Population served: Island wide

11. Family Health and Integrated Services Federal Programs Include: Abstinence Educ. Grant - DHHS Maternal and Child Health Services Block Grant - HRSA Infants and Toddlers with Disabilities - DOE Sexual Violence Education - CDC Addressing Asthma from a Public Health Perspective - CDC Birth Defects Surveillance Perinatal Health - CDC Community-Based Integrated Service System - HRSA Ryan White Program – R.White Comprehensive STD Prev. - CDC Immunization and Vaccines for Children Grants - CDC Tuberculosis Elimination and Laboratory - CDC Comprehensive HIV Prev. -CDC Behavioral Risk Factor Surveillance - CDC Housing Opportunities for Persons with Aids - HUD HIV/AIDS Intervention and Prevention - MHAASA Newborn Hearing Screening – HRSA Community Based Integrated Service System - HRSA P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201511

12. Secretary Auxiliary for Health Promotion P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201512 Seeks to improve the health of individuals and communities through education, behavioral change and environmental improvement. In addition, provides resources to enable citizens to increase control over their health in order to improve it. Federal funds (yearly): $3.9M Population served: Island wide

13. Secretary Auxiliary for Health Promotion Federal Programs include: P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015 13 Preventive Health Services Block Grant - CDC Diabetes & Tobacco (Chronic Disease, Health Promotion and Surveillance - CDC Grants to Support Oral Health - CDC State Tobacco Compliance - FDA National Association of County and City Health Officials (NACCHO) – USDA

14. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201514 WIC is a federally funded nutrition program. Provides healthy foods, nutrition education and counseling, breastfeeding support, and referrals for health care and community services to the population of PR at no cost. WIC - Women, Infants, and Children Awarding agency: U.S Dept of Agriculture Federal funds (yearly): Nutrition $187M Administration: $40M Population served: 163,000

15. Secretary Auxiliary for Environmental Health and Public Health Laboratory P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201515 Strives to improve those aspects of human health that are determined by physical, chemical, biological and social factors in the environment. In addition, implements environmental health policies through monitoring and control activities. Federal funds (yearly): $9.6M Population served: Island wide

16. Secretary Auxiliary for Environmental Health and Public Health Laboratory P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201516 Drinking Water State Revolving Fund - EPA Water System Supervision - EPA Radiological Health Inspections - FDA P.R. Food Contract - FDA School Lunch Inspection - Epidemiological and Lab. Capacity for Infectious Diseases - CDC Federal Programs include :

17. Secretary Auxiliary for Planning P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201517 Serves as an agency source for policy analysis. It performs data collection, and research and evaluation projects in order to attain the PRDoH strategic planning goals. Assists making informed public policy decisions. Federal funds (yearly): $2.8M Population served: Island wide

18. Secretary Auxiliary for Planning P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201518 Vital Statistic Cooperative Program Primary Care Services and Manpower Placement Strengthening Public Health Infrastructure "Saludable y Orgulloso" Community Outreach Campaigns Enumeration at Birth Electronic Online Verification National Public Health Improvement Initiative Federal Programs include:

19. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201519 Provides the PRDoH with Infectious disease surveillance and outbreak investigations to determine public health actions. Diseases such as: Influenza, Dengue, Chikungunya, Gastrointestinal diseases, Hepatitis and VIH/AIDS. EPIDEMIOLOGY Federal funds (yearly): $1.7M Population served: Island wide

20. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201520 Is a web-service designed to securely exchange healthcare related data. Puerto Rico Health Information Network (PRHIN) Awarding agency: HHS - Office of the National Coordinator for Health Information Technology (ONC) Federal funds : $7.7M (ARRA)

21. 21 Serves as operational arm of the PRDoH providing rapid response to public health emergencies. Oversees preparedness activities in order to strengthen our abilities to respond to all types of public health incidents and build more resilient communities. Federal Grant : Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) cooperative agreement Office of Public Health Emergency Preparedness and Response Awarding agency: Centers for Disease Control and Prevention (CDC) Federal funds (yearly): $13.7M Population served: Island wide

22. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201522 Federal funds: $1M (yearly) Population served: Island wide Federal Grant : CDC - OPHPR Funds Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness (PHEP) cooperative agreement Medical Services Administration Provides services to the Medical Center (Centro Médico) Institutions and operates the Emergency Rooms in UPR and Trauma hospitals.

23. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201523 The Puerto Rico Mental Health and Anti-Addiction Services Administration seeks to: Improve the quality and availability of prevention, treatment, and rehabilitative services. Reduce illness, death, disability, resulting from substance abuse and mental illnesses. Federal Grants Include: Substance abuse prevention and treatment block grant PR State adolescent Treatment-Enhancement and Dissemination Strategic Prevention Framework State initiative Grant (SPF SIG) Proyecto Iniciativa Federal funds : $9.6M (yearly)

24. 24 Medicaid is a program created by the federal government, but administered by the PRDoH. Provides payment for medical services for low-income citizens. Provides health coverage to 1.6M recipients in P.R. which include: children, families, pregnant women, the elderly, and people with disabilities. Sources of funding: Medicaid $330M SCHIP $155M ACA $803M (yearly) / 6.4 billions (2011-2019) Federal funds : $1.3B (yearly) Awarding agency: Department of Health and Human Services (DHHS)

25. Continuation of funds

26. 26 Sustainability In moments of economic needs, maintaining and increasing federal assistance is essential. Actively search new sources of federal funds. While we have no control regarding available future federal funds we do have control in how we administrate federal money. Proper administration of current federal funds is essential in order to be entrusted with future funds. Working together towards this common goal will put us in a better position to achieve sustainability. (Example: streamlining our internal procurement process, efficiency in expenses and payments and effective lobbying).

27. P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 201527 Fernando Llavona, J.D. Puerto Rico Department of Health Federal Affairs Office Director Thank you!