2014 Program GrantsPre-Proposal Conference

August 15, 2013

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“Access to quality, affordable health care for poor and underserved individuals is the driving force for the REACH Foundation’s work.”

Two targeted outcomes:1. INCREASED ACCESS to health care services and health

coverage2. IMPROVED QUALITY of health care

services

GRANT GUIDELINES

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FUNDING PARTNERS

Our funding area includes Allen, Johnson and Wyandotte counties in Kansas, and Cass, Jackson and Lafayette counties in Missouri, and Kansas City, Missouri

We seek nonprofit partners that:

Are innovative, and committed to improvement and growth; Demonstrate best practices in leadership and governance; Collaborate or partner with others; Are moving toward integration of services; Demonstrate commitment to cultural competency, consumer engagement and a patient-centered approach to care; Leverage diverse funding sources

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• Organizations that deliver services or carry out activities that benefit people living within the REACH Foundation service area.

• Organizations that are tax-exempt under IRS Section 501(c)3 and in good standing in the state in which incorporated.

• Governmental entities.

Coalitions and collaborative efforts and new or emerging organizations without approved tax-exempt status may apply through a tax-exempt organization that serves as fiscal agent.

*For more detailed information on eligibility, visit our website at www.reachhealth.org

WHO IS ELIGIBLE

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The health priorities of the REACH Foundation remain unchanged – oral health, mental health and safety net health care.

The theory of change (TOC) serves as our guide to how and where we make investments in nonprofit organizations. The strategies in the TOC are our first funding priority.

In addition, the foundation is encouraging innovation in our program grants through new opportunities:

1. Additional emphasis and preference for three specific strategies: Expansion of health care access points Expansion of the number and diversity of health providers, health navigators

and mental health engagement specialists Collaboration/partnerships to address complex healthcare issues

2. Encouraging Innovation: Propose new strategies not explicitly identified in the REACH TOC but are

responsive to one or more barriers identified in the REACH TOC

FUNDING PRIORITIES

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LONG-TERM IMPACTImprovements in health outcomes for

persons who are living in poverty, uninsured and medically underserved

Equity in health outcomes across economic, geographic, gender, racial

and ethnic groups

IMPACT

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IMPACT

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OUTCOME 1

Increased access to quality, affordable health care

services and coverage for persons who are living in

poverty, uninsured and/or medically underserved

OUTCOME 2

Improved quality of health care services for persons who

are living in poverty, uninsured and/or medically

underserved

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OUTCOMES

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INCREASE ACCESS TO HEALTHCARE SERVICES & COVERAGE

IMPROVE QUALITY OF HEALTHCARE

STRATEGIES INCLUDE:• Increase number of health access points for oral

health, mental health and primary care through the safety net and in rural communities

• Expand the number and diversity of health care providers, navigators and engagement specialists

• Support use of mid-level providers and expanded scope of practice to create greater health access

• Advance policies to expand Medicaid, Health Homes, oral health workforce, and preserve the safety net

• Provide health education and advocacy to consumers, providers and policymakers

• Utilize place-based health services and/or tele-health

STRATEGIES INCLUDE:• Implement PCMH and Medical/Health Home

standards in clinics and community mental health centers

• Support activities that connect Accountable Care Organizations to the health care safety net

• Adopt bi-directional integration of oral health, mental health and primary care services

• Expand use of care coordination, intensive case management, disease management

• Implement evidenced-based treatment approaches• Build organizational and/or community capacity to

address health care access and quality• Build organizational and provider cultural

competency• Implement electronic health records, HIE and other

technologies

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STRATEGIES

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• Fragmented system of health care• Workforce shortages among specific provider groups• Low provider participation in Medicaid• Cultural competence of organizations and providers• Language and cultural barriers to accessing high quality care• Social and economic conditions• Affordability of health care services and coverage• Lack of consumer support navigating the complex health care

system• Inadequate funding to address the health care needs of persons

living in poverty

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BARRIERS

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INCREASE ACCESS TO HEALTHCARE SERVICES & COVERAGE IMPROVE QUALITY OF HEALTHCARE

STRATEGIES INCLUDE:• Increase number of health access points for oral health, mental health and

primary care through the safety net and in rural communities• Expand the number and diversity of health care providers, navigators and

engagement specialists • Support use of mid-level providers and expanded scope of practice to create

greater health access • Advance policies to expand Medicaid, Health Homes, oral health workforce,

and preserve the safety net• Provide health education and advocacy to consumers, providers and

policymakers• Utilize place-based health services and/or tele-health

STRATEGIES INCLUDE:• Implement PCMH and Medical/Health Home standards in clinics and

community mental health centers• Support activities that connect Accountable Care Organizations to the health

care safety net• Adopt bi-directional integration of oral health, mental health and primary

care services• Expand use of care coordination, intensive case management, disease

management• Implement evidenced-based treatment approaches• Build organizational and/or community capacity to address health care

access and quality• Build organizational and provider cultural competency• Implement electronic health records, HIE and other technologies

LONG-TERM IMPACTImprovements in health outcomes for persons who

are living in poverty, uninsured and medically underserved

Equity in health outcomes across economic, geographic, gender, racial and ethnic groups

OUTCOME 1Increased access to quality,

affordable health care services and coverage for persons who are living

in poverty, uninsured and/or medically underserved

OUTCOME 2

Improved quality of health care services for persons who are living

in poverty, uninsured and/or medically underserved

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REACH is committed to evaluating our efforts and using the information to inform our grant making strategies.

Applicants will be asked to identify in their proposal the IMPACT area, targeted OUTCOME, and the specific STRATEGY(IES) that will be implemented through the project.

Once grants are awarded:

Key indicators and associated metrics will be collaboratively selected

REACH will suggest one impact and one outcome indicator to be measured by grantees

Informed by long-term partners

*For more information on the theory of change, visit our website at www.reachhealth.org

MEASURING PROGRESS

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APPLICATION INSTRUCTIONS

Two stage online application process:1. Letter of Intent2. Full Proposal

Organizations invited to submit a full proposal will be provided information to guide their efforts

The online application is available at www.reachhealth.org/grants/

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1. Complete brief eligibility survey2. Complete required information3. Download required forms, including:

Narrative Budget

APPLICATION REQUIREMENTS

4. Upload attachments Narrative Budget IRS Letter

5. Attestation Statement*6. Click Submit!

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Create ONE account and password to be shared among staff. You are not required to complete your online application in one session. When exiting the application, choose “Save & Finish Later” to save your work. To return to your account, visit our website at www.reachhealth.org. Click on the “Grantees” link in the upper left-hand corner of the home page. To save data on a page, click “Next” or select a page number. Click on the page numbers to move between pages within your application. Do NOT click on your browser’s back button – you will lose your data if you do.

*Contact the Grants Manager with any questions regarding the online application

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NON-DISCRIMINATION

Additional requirement for full proposal:

• Submit a Board-approved non-discrimination policy• Must pertain to both employment and provision of services• Must specify age, race, color, sex, religion, national origin,

disability, sexual orientation or any other consideration made unlawful by applicable law

Organizations that do not have a Board-approved policy in place by the time of proposal submission that includes these considerations may provide a signed statement by their Board chair affirming this statement. In the 2015 grant cycle this option will not be available.

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APPLICATION ASSISTANCE

Contact program staff or grants manager for help

Review FAQ’s on the website

Attend grant writing and evaluation technical assistance workshops

Submit early – LOI reviewed for completeness up to two business days prior to deadline

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Does the Foundation allocate its funds by county or funding priority? Answer: No. But we work to ensure our resources are addressing needs across our service area and interest areas/priorities. The Foundation continues to invest in each of the six counties in our service area through a variety of investment approaches including initiatives, core operating grants, discretionary grants, and program grants.

Can I apply for more than one grant during the year? Answer: Yes. There are no limits on grant applications. However, because we receive more proposals than we can fund, we encourage organizations to focus on those programs that have the greatest potential to increase access to health care services for the poor and medically underserved or improve the quality of care received by the target population(s).

My organization was previously declined for funding. Can we apply again? Answer: Yes. But please review the reasons your proposal was declined before submitting a new request. If you are not clear why you were declined, contact a program officer for feedback.

Must we address one of the 2014 competitive priorities?Answer: No. But you must propose to implement at least one of the strategies in the TOC or in the case of the Innovation Competitive Priority address one of the barriers through a new strategy.

Can we address more than 1 of the competitive priorities?Answer: Not at this time. Speak to a program officer if you have questions about this.

FAQs

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Letter of Intent Deadline Thursday, September 5, by 4:00 pm Full Proposal Invitations Issued October 1

Full Proposal Application Conference October 8 Evaluation Workshop October 8 Full Proposal TA Workshop October 16 Full Proposal Deadline Thursday, November 7, by 4:00 pm Notification of Program Grant Awards January 3, 2014

Grant Term Begins Dialogue

KEY DATES

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Additional Year-Round Funding Opportunities:

• Capacity Grants

• Policy/Advocacy Grants

• CEO Discretionary Grants

OTHER GRANT OPTIONS

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*Visit our website or contact a program officer to discuss your ideas