1. Fiscal Year 2013 Native Hawaiian Health Care Improvement Act Funding Opportunity Announcement HRSA-13-238 Technical Assistance (TA) page: http://www.hrsa.gov/grants/apply/assistance/NHHCS http://www.hrsa.gov/grants/apply/assistance/NHHCS

2. Agenda 2 Overview Electronic Submission Process Project Narrative & Review Criteria Attachments Performance Measures Important Reminders Technical Assistance Contacts Questions & Answers

3. Overview 3 Purpose: To improve the provision of comprehensive disease prevention, health promotion, and primary care services to Native Hawaiians Approximately $12.2 million available Six grants Project period start date: August 1, 2013 Project period: One (1) year Grants.gov due date: June 7, 2013 at 11:59 PM ET

4. Overview of Changes 4 Central Contractor Registration (CCR) transitioned to the System for Award Management (SAM) on July 30, 2012 All sample documents, forms, and templates are available at the technical assistance web site http://www.hrsa.gov/grants/apply/assistance/NHHCS http://www.hrsa.gov/grants/apply/assistance/NHHCS 3 additional Performance Measure options have been added: –Coronary Artery Disease (CAD): Lipid Therapy –Ischemic Vascular Disease (IVD): Aspirin Therapy –Colorectal Cancer Screening

5. Overview of Changes 5 Special instructions for existing Performance Measures: –Diabetes –Child Health –Cancer

6. Electronic Submission Process Grants.gov Forms and Narratives SF-424: Application for Federal Assistance Form –Upload Project Abstract on line 15 Project Narrative SF-424A: Budget Information Form Budget Narrative SF-424B: Assurances for Non-Construction Programs Project Performance Site Location(s) Form Grants.gov Lobbying Form SF-LLL: Disclosure of Lobbying Activities, if applicable 6

7. Electronic Submission Process Attachments Attachment 1: Clinical and Financial Performance Measures (required for NHHCS)/Project Work Plan (required for POL) Attachment 2: Income Analysis Form (required, except POL) Attachment 3: Staffing Plan (required) Attachment 4: Position Descriptions for New Key Personnel (as applicable) Attachment 5: Biographical Sketches for New Key Personnel (as applicable) Attachment 6: Letters of Support (as applicable) Attachment 7: Summary of Contracts and Agreements (as applicable) Attachment 8: Board Profile (required) 7

8. Project Narrative & Review Criteria 8 Project Narrative provides a comprehensive description of all aspects of the proposed project Review Criteria are utilized by reviewers to assess the application: Need (10 points) Project Update (15 points) Response (35 points) Resources/Capabilities (10 points) Evaluative Measures (10 points) Impact (10 points) Support Requested (10 points)

9. Performance Measures Applicants must include at least 6 of the 14 sample core Clinical Performance Measures 6 additional sample areas for inclusion of additional performance measure goals: –Behavioral Health –Oral Health –Hearing/Otitis Media –Traditional Healing –Health Education and Disease Prevention –Nutrition and Physical Activity Applicants must include at least 2 of the 6 sample core Financial Performance Measures 9

10. Performance Measures Applicants may include additional performance measures specific to the identified organization or community health needs, as desired Fields: –Focus Area –Performance Measure –Target Goal Description –Numerator Description –Denominator Description –Baseline Data –Data Source and Methodology –Key Factor –Major Planned Action 10

11. Clinical Performance Measures 11 Diabetes Cardiovascular Disease Cancer Prenatal Health Perinatal Health Child Health Weight Assessment and Counseling for Children and Adolescents Adult Weight Screening and Follow-Up Tobacco Use Assessment and Counseling (Tobacco Use Assessment) Tobacco Use Assessment and Counseling (Tobacco Cessation Counseling) Asthma – Pharmacological Therapy Coronary Artery Disease (CAD): Lipid Therapy Ischemic Vascular Disease (IVD): Aspirin Therapy Colorectal Cancer Screening

12. Financial Performance Measures 12 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 Non-Federal Matching Funds (percentage of matching funds included in the total project budget)

13. Important Reminders 13 Grants.gov deadline is June 7, 2013 by 11:59 PM ET Applications may not exceed 80 pages or 10 MB (see Tables 2-3 in the FOA for items included in the page limit) Submit single-spaced narrative documents with 12 point, easily readable font (e.g., Times New Roman, Arial, Courier) and 1-inch margins To access forms, templates, and samples, go to the TA web page: http://www.hrsa.gov/grants/apply/assistance/NHHCS http://www.hrsa.gov/grants/apply/assistance/NHHCS

14. Technical Assistance Contacts 14 Program related questions Beth Levitz: BPHCNH@hrsa.gov or 301.594.4300BPHCNH@hrsa.gov Budget related questions Christie Walker: cwalker@hrsa.gov or 301.443.7742cwalker@hrsa.gov Grants.gov related questions support@grants.gov or 800.518.4726 support@grants.gov Technical assistance web page http://www.hrsa.gov/grants/apply/assistance/NHHCS