request for applications nys dementia grants program information meeting october 27, 2006 krause...
TRANSCRIPT
![Page 1: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/1.jpg)
REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM
INFORMATION MEETING
October 27, 2006
Krause Center
2212 Burdett Avenue
Troy, NY 12180
1:00 - 4:00 PM
![Page 2: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/2.jpg)
TIMEFRAMES
• Letters of intent (11/10/06)• Application deadline (1/27/07)
NOTE DEADLINE CHANGE TO 1/27/07• Application review and scoring (2/07 -- 6/07)• Award announcement (8/07)• Contract assembly and execution
(8/07 - 11/07)• Contract start date and term (1/1/08 - 12/31/10)
![Page 3: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/3.jpg)
WHO IS ELIGIBLE TO APPLY?
ONLY NYS Article 28 nursing homes are eligible to apply.
NHs that currently have dementia grant awards or have been awarded dementia grant funds in the past are still eligible to apply
![Page 4: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/4.jpg)
SUB-CONTRACTORS
Applicants may sub-contract with other nursing homes, organizations, consultants, etc., and pay them grant funds.
![Page 5: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/5.jpg)
AWARD CAPS
• Three year contracts
• Capped at an average of $300,00/year
• Total grant award cannot exceed $900,00
• Paid through an adjustment to your Medicaid rate.
• Same rate add-on for all three years
![Page 6: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/6.jpg)
PROGRAM OBJECTIVES
1.Disseminate evidence-based best practices into NHs that have not yet adopted them such that the NHs sustain the best practice over time.
![Page 7: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/7.jpg)
PROGRAM OBJECTIVES, Cont’d.
2.Develop an evidence-based best practice.
![Page 8: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/8.jpg)
OPTIONAL DELIVERABLE
High quality training and implementation materials:– in-service training materials for all staff– implementation guidance– implementation documentation forms– etc.
![Page 9: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/9.jpg)
CHANGE TO RFA: REQUIRED DELIVERABLE
Projects are required to participate and present in the biennial statewide dementia conference
![Page 10: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/10.jpg)
EVALUATION
• Must be done regardless of which objective your application addresses
• Is worth 30 of the 75 technical points
• Is a critical component of your project
• Must focus on measureable resident outcomes
• Should include a solid CEA
![Page 11: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/11.jpg)
MEASUREABLE RESIDENT OUTCOMES
– Required by the RFA– Application must make the case that the intevention
or best practice will produce the measureable resident outcomes
– May also measure staff and family outcomes– If resident outcomes are process measures, such
as number of ER or hospital visits, must still specify resident outcomes that address why such decreases are a desired outcome. For example, is there a decrease in infections and other preventable conditions?
![Page 12: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/12.jpg)
RESIDENT SAMPLE
Can include only residents with dementia, although other residents can participate in the project
Clarification to RFA: a cognitive impairment screen can be used to identify residents who possibly or probably have dementia
![Page 13: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/13.jpg)
SUGGESTED READING
• Journal of Clinical Epidemiology, 2006. Scaling the Mini-Mental State Examination using item response theory, J. Teresi.
• Neurology 54(4):827, February 22, 2000. Memory impairment on free and cued selective reminding predicts dementia. Grober, Ellen PhD; Lipton, Richard B. MD; Hall, Charles PhD; Crystal, Howard MD.
• Research on Aging 22(6), November 2000, 738-773. Applications of Item Response Theory to the Examination of the Psychometric Properties and Differential Item Functioning of the Comprehensive Assessment and Referral Evaluation Dementia Diagnostic Scale Among Samples of Latino, African American, and White Non-Latino Elderly. J. Teresi, M. Kleinman, K. Ocepek-Welikson, M. Ramirez, B. Gurland, R. Lantigua, D. Holmes.
![Page 14: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/14.jpg)
MEASUREMENT ISSUES
• Determine resident outcome variables• Review the literature and select the best
measures for each variable• Review the data collection tool for each
measure• Determine required qualifications for those
who will collect the data for each measure• Train data collectors to pre-determined
standards on the data collection tools
![Page 15: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/15.jpg)
INSTITUTIONAL REVIEW BOARD
• NHs whose projects require IRB review and approval cannot use the DOH IRB
• If approval is denied, the project cannot be funded
• If appropriate, structure your project as a quality assurance or quality improvement project
![Page 16: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/16.jpg)
BUDGET AND ALLOWABLE COSTS
• Expenses already reimbursed through your Medicaid rate are not allowable
• Indirect rate - not allowed for nursing homes - must be itemized and justified
• Managing consortia and administering grant funds within a consortium
• IRB• Fixed and movable capital• Training materials
![Page 17: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/17.jpg)
SCORING CRITERIA
Interventions that will result in lower scores:– weak or unclear causal relationship w/
resident outcomes – NHs wouldn’t implement absent outside
funding– will benefit very small sub-sets of the NH
population w/ dementia
![Page 18: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/18.jpg)
SCORING CRITERIA, CONT’D
• Project and evaluation work plans
• Project and evaluation staffing
• Sustainability
![Page 19: REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM INFORMATION MEETING October 27, 2006 Krause Center 2212 Burdett Avenue Troy, NY 12180 1:00 - 4:00](https://reader036.vdocuments.net/reader036/viewer/2022083007/56649e895503460f94b8e282/html5/thumbnails/19.jpg)
PREFERENCE POINTS
• Up to 5 points for training and implementation materials
• Up to 5 points for consortium of facilities (i.e., NHs and ACFs)