1. Western Appalachian Kentucky Health Care Access Network Montgomery County, Kentucky
I Wish I Had Known…: Lessons Learned from Past Outreach Programs
ORHP Grantee Partnership Meeting
August 31 – September 2, 2009

2. Background – Our Grant Community infrastructure
Promotoras model for outreach
Cultural competency
El Puente (The Bridge)
Primary medical care
Primary dental care

3. From grant vision to implementation
Is the plan implementable?
Do you have the resources - staff?
Have you contacted “Best Practice” models?
Have you kept your partners and your community “in the loop”?
It probably won’t be a “turn key” process (3-6 months)

4. Key Word: FLEXIBILITY Stay focused on the work plan and outcomes
Work plan adjustments are allowed as long as it meets the desired outcomes – the “feds” are flexible
Stay in touch with your project officer
Prioritize and re-prioritize – you can’t implement everything at once
Prepare early for sustainability – 3 years goes by very quickly!

5. Data – Data - Data
Begin collecting data immediately – you will have to report on your progress annually.
More is better
Expected outcomes must be measurable – data must match your goals

6. Evaluation – Performance Review
Engage your evaluator immediately
Review the HRSA Performance Review process during the first six months of the grant
Understanding and anticipating the Performance Review will result in a positive experience
Involve your partners in the process

7. Financial Oversight Track your expenses and review at least monthly
Know the requirements and submit HRSA financial reports in a timely manner
Keep track of indirects (in-kind)

8. Monitor Progress
Meet regularly with staff to review goals, outcomes, financial parameters
Keep partners informed of progress
Address challenges and/or barriers when they occur
Always evaluate other options

9. Where are we now?
Obtained 2nd round of HRSA funding with expanded services
Applying for FQHC new start funding
Evaluating other grant opportunities
Expanding capacity at the local health department to continue services
Continuing to work with local providers

10. Contact Information
Project Director: Jan Chamness, Public Health Director
Montgomery County Health Department
117 Civic Center
Mt. Sterling, KY
Phone: , Ext. 242