1. Fiscal Year (FY) 2012 Budget Period Progress Report (BPR) Noncompeting Continuation Revised May 27, 2011 BPR Technical Assistance (TA) page: http://bphc.hrsa.gov/policiesregulations/continuation http://bphc.hrsa.gov/policiesregulations/continuation

2. Agenda Overview Application Due Dates & Times Submission Process Program Narrative Update Performance Measures Budget Important Facts Technical Assistance Contacts Question & Answer Session 2Revised 05/27/2011

3. Overview The Budget Period Progress Report (BPR) provides an update on the progress and challenges of Health Center Program grantees who do not have a project period end date in FY 2012 (October 1, 2011 – September 30, 2012) PLEASE NOTE: A Health Center Program grantee whose project period ends in FY 2012 (October 1, 2011 – September 30, 2012) must complete a Service Area Competition (SAC) application instead of a BPR http://www.hrsa.gov/grants/apply/assistance/sac 3Revised 05/27/2011

4. Overview 4Revised 05/27/2011

5. Overview The BPR is submitted only in the HRSA Electronic Handbook (EHB) Grantees can begin to complete the BPR approximately 2-3 months prior to the submission deadline* Information on completion of the BPR submission can be found in the BPR Instructions and the Noncompeting Continuation (NCC) Progress Report for BPHC User Guide for Grant Applicants available in EHB and on the BPR TA page at http://bphc.hrsa.gov/policiesregulations/continuation http://bphc.hrsa.gov/policiesregulations/continuation *see following slide for details 5Revised 05/27/2011

6. Application Due Dates &Times 6 Budget Period Start DateEHB Deadline (5:00 PM ET) November 1, 2011July 21, 2011 December 1, 2011August 18, 2011 January 1, 2012September 22, 2011 February 1, 2012October 20, 2011 March 1, 2012November 17, 2011 April 1, 2012December 15, 2011 May 1, 2012January 19, 2012 June 1, 2012February 16, 2012 Revised 05/27/2011

7. Submission Process Grantees will receive notification from EHB that the BPR is available for completion approximately 2-3 months before the deadline All required information must be provided in EHB Incomplete or non-responsive progress reports will be returned through a “request change” notification Failure to submit the BPR by the deadline or submission of an incomplete or non-responsive progress report may result in a delay in Notice of Award issuance or a lapse in funding 7Revised 05/27/2011

8. Submission Requirements https://grants.hrsa.gov/webexternal SF-PPR and SF-PPR-2 (basic information forms) Budget Information: Budget Details Budget Narrative (also known as Budget Justification) Program Specific Forms Program Specific Information (Performance Measures) Attachments (including Program Narrative Update) see Tables 2-5 (pages 6-9) in the BPR Instructions 8Revised 05/27/2011

9. Attachments and Forms Form 1C (Documents on File) has been revised Attachments 6 (Summary of Contracts, Agreements, and Sub-Recipient Arrangements) and 7 (Sliding Fee Discount Schedule(s)) are new for FY 2012 Attachments 1 (Program Narrative Update) and 7 (Sliding Fee Discount Schedule(s)) are required All other attachments are “as applicable” based on organizational and/or programmatic changes since the last SAC application, New Access Points application (for new starts), or BPR submission see Table 3 in the BPR Instructions for a list of Forms see Table 5 in the BPR Instructions for a list of Attachments 9Revised 05/27/2011

10. Program Narrative Update Attachment 1: Program Narrative Update Need Response Collaboration Evaluative Measures Impact Resources/Capabilities Governance Support Requested 10Revised 05/27/2011

11. Program Narrative Update The Program Narrative Update should address broad issues and changes Highlight the CURRENT STATUS and describe any CHANGES Information must be provided for each item within each section Grantees may not indicate “no change” for any item 11Revised 05/27/2011

12. Program Narrative Update An item about FQHC-related benefits and BPHC/HRSA- targeted initiatives has been added to the Response Section An item about EHR/HIT and meaningful use has been added to the Resources/Capabilities Section An item has been added to the Governance Section for grantees who are Indian tribes or tribal, Indian, or urban Indian groups 12Revised 05/27/2011

13. Clinical Performance Measures Standard Clinical Performance Measures: –Diabetes –Cardiovascular Disease –Cancer –Prenatal Health* –Perinatal Health* –Child Health –Behavioral Health –Oral Health *may be marked “not applicable” if services are only provided via referral 13Revised 05/27/2011

14. Clinical Performance Measures NEW Clinical Performance Measures: –Weight Assessment and Counseling for Children and Adolescents* –Adult Weight Screening and Follow-Up* –Tobacco Use Assessment* –Tobacco Cessation Counseling* –Asthma – Pharmacological Therapy* *may be marked “not applicable” for this BPR submission only; all grantees will be required to report on these measures in the 2011 Uniform Data System (UDS) Report 14Revised 05/27/2011

15. Clinical Performance Measures REVISED Clinical Performance Measures: –Diabetes – revised to capture data on HbA1c levels that are 9%* –Child Health – revised to add 2 Hepatitis A shots, 2 or 3 Rotavirus shots, and 2 influenza shots* *The measure forms will include the unrevised version of these measures. If reporting on the revised version, grantees must note this in the Comments field of the measure form. If reporting on the unrevised version, no note is required. All grantees will be required to report on the revised measures in the 2011 UDS Report. 15 Revised 05/27/201115

16. Financial Performance Measures Standard Financial Performance Measures: –Total Cost per Patient –Medical Cost per Medical Visit –Change in Net Assets to Expense Ratio* –Working Capital to Monthly Expense Ratio* –Long Term Debt to Equity Ratio* *may be marked “not applicable” by tribal and public center grantees 16Revised 05/27/2011

17. Performance Measures: General Information Grantees are encouraged to create program-specific performance measures (clinical and/or financial measures) by selecting Other If a previously-defined Other measure is no longer tracked, mark it as Not Applicable and provide a justification in the Comments field Information that will not fit on the performance measures forms should be included in the Evaluative Measures section of the Program Narrative Update see Appendix B of the BPR Instructions 17Revised 05/27/2011

18. Performance Measures: General Information All measures will be pre-populated with data submitted in the 2010 UDS Report If pre-populated data is changed, a justification must be provided in the Comments field Use the Qualitative subfield of the Progress Toward Goal field to describe contributing and/or restricting factors that have impacted progress and identify new and emerging issues (e.g., target populations and/or service areas) 18Revised 05/27/2011

19. Budget Budget information should be consistent with information included in the most recent Notice of Award The Budget Information: Budget Details form replaces the Budget Summary and Budget Categories forms Provide sufficient information in the budget narrative to show that costs are reasonable and necessary for implementation of the proposed project The budget narrative should include a line-item budget and any narrative required to explain costs see Section IV of the BPR Instructions (pages 10-12) 19Revised 05/27/2011

20. Important Facts Applications may not exceed 60 pages or 8 MB (see Tables 2-5 (pages 6-9) in the BPR Instructions for items included in the page limit) Submit single-spaced narrative documents with 12 point, easily readable font (e.g., Times New Roman, Ariel, Courier) and 1-inch margins Failure to include all required documents may result in a submission being returned for changes which could delay award 20Revised 05/27/2011

21. Technical Assistance Contacts BPR TA Page –http://bphc.hrsa.gov/policiesregulations/continuationhttp://bphc.hrsa.gov/policiesregulations/continuation Program Related Questions –Cheri Daly: BPHCBPR@hrsa.gov or 301-594-4300BPHCBPR@hrsa.gov Budget Related Questions –Donna Marx: dmarx@hrsa.gov or 301-594-4245dmarx@hrsa.gov EHB Related Questions –BPHC Helpline: BPHCHelpline@hrsa.gov or 877-974-2742BPHCHelpline@hrsa.gov 21Revised 05/27/2011

22. Question & Answer Session REMINDER Throughout the application process, please refer to the Frequently Asked Questions (FAQ) on the BPR TA page located at http://bphc.hrsa.gov/policiesregulations/continuation http://bphc.hrsa.gov/policiesregulations/continuation 22Revised 05/27/2011