MISSOURI FOUNDATION FOR HEALTH

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					                                   2011 MHNSA – COD Quality Improvement




                  Mini-Grants
Community Health and Prevention, Services Delivery,
   and Systems Development – Health Literacy

                       2012
                                                               2012 Mini-Grants




Table of Contents                                                 Page


   Funding Program Overview                                            1
   Project Plan Expectations                                           1
   Funding Guidelines                                                  2
   Eligibility                                                         2
   Selection Criteria                                                  3
   Timetable                                                           3
   How to Apply                                                        3
   Right to Reject                                                     4
   Inquiries                                                           4
   Application Checklist                                               4
   Application Cover Sheet                                             6


Project Budget
   Mini-Grant Budget Worksheet                                         7


Attachments
    A – Allowable/Excluded Costs and Activities: Mini-Grants           8
    B – Community Health and Prevention Mini-Grants                  10
    C – Services Delivery Mini-Grants                                12
    D – Systems Development – Health Literacy Mini-Grants            14
                                                                                      2012 Mini-Grants



Funding Program Overview
In 2012 the Missouri Foundation for Health (MFH) introduced a new strategic framework and
programmatic structure that will allow MFH to be more responsive to community needs. As part
of that effort, MFH is introducing a mini-grant program for targeted, short-term projects that
address specific objectives within MFH’s strategic framework.


The mini-grant program is designed to:
   » Provide a responsive funding stream with a simplified application process.
   » Support projects with high potential for community level impact through smaller
       investments of funding.
   » Introduce a wider array of organizations to MFH funding.


In line with the new program structure, MFH is offering three different mini-grant programs. This
Request for Applications (RFA) outlines the funding guidelines for each of the three mini-grant
programs and provides detailed descriptions as attachments to this RFA:
   » Community Health and Prevention Mini-Grants (Attachment B)
   » Services Delivery Mini-Grants (Attachment C)
   » Systems Development - Health Literacy Mini-Grants (Attachment D)


NOTE: Separate from this RFA, MFH also has developed a Health Policy mini-grant program.
The application and information about that funding opportunity is available on the MFH website.


Project Expectations
Each mini-grant program has a separate application. Applicants must submit programs based
on project parameters outlined in Attachments B, C and D. In addition, applicants must
demonstrate the capacity to implement the project as described.


One application is permitted per organization per mini-grant program. Funding is for one year
from the time of grant award.




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                                                                                       2012 Mini-Grants




Funding Guidelines
Funding amounts for each mini-grant program are included in Attachments B, C and D. The
mini-grant program does not provide support for:
    » New project-related staff positions.
    » Major equipment or capital campaigns.
    » Ongoing operating expenses of existing programs.


See Attachment A on page 8 for mini-grant specifics on Allowable and Excluded Costs and
Activities.


Eligibility
Applicants and the majority of the target population must be located within the MFH service
area. Applicants must meet the general MFH guidelines below:
    »   Applicant must be a state or local government agency or a nonprofit corporation exempt
        from Federal income tax under Section 501(c)(3) of the IRS Code. For state or local
        government agencies, MFH must be assured that its support will not supplant existing
        funding for activities and that the recipient governmental agency assumes an increasing
        portion of the cost of such projects over the period of MFH support.
    »   Fiscal agents are not allowed.
    »   Applicants must be registered with the Secretary of State to conduct business in
        Missouri and must be classified by the state as being in good standing. Applicants not in
        good standing are ineligible to apply until their status has been resolved and reclassified
        to good standing. An organization can check its standing with the state of Missouri
        through the Secretary of State at www.sos.mo.gov/BusinessEntity/soskb/csearch.asp.
    »   The total of current MFH funding cannot exceed 25% of an organization’s annual
        expense budget. All current MFH grants and contracts are considered in calculating an
        organization's 25% limit. In-kind expenses are not considered in determining the size of
        an annual expense budget.
     » Applicants cannot re-grant MFH funds to any other organization (i.e., an applicant whose
        primary purpose is to raise funds for a related organization and not to provide health-
        related services).



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                                                                                          2012 Mini-Grants



Selection Criteria
Applications meeting the minimum qualifications will be internally reviewed. Applications will be
assessed on the completeness of the project; the degree to which the project is justified; the
extent to which the project is responsive to the community’s needs; the likelihood for achieving
stated objective; and the reasonableness of the budget.


Timetable
Application Available (online only):                                              March 1, 2012
Pre-Application Telephone conference call *:                                      March 7, 2012
Application Deadline:                                                             April 5, 2012
                                                       (applications must be uploaded by 4 pm CST)
Anticipated Award:                                                                June 2012
Project Start Date:                                                               July 2012


* A pre-application telephone conference call is scheduled on March 7, 2012, at 9 am.
RSVPs are required in order to receive call-in information. To RSVP, e-mail Jenny Minelli at
jminelli@mffh.org. Include “Mini-Grant Pre-Application Call” in the e-mail subject line.



How to Apply
Online Applications Only
Applications must be completed online using the link below. The narrative must follow the
outline contained in the mini-grant description (see Attachments B, C and D). Upon completing
the online form, applicants must choose the “Review and Submit” button for the online
application to be received by MFH. A separate application must be submitted if applying
for more than one mini-grant program. Applications must be submitted online by 4 pm
CST, April 5, 2012.


Applicants must submit online all required attachments listed in the Application Checklist on
page 4. These can be submitted in Word, Excel or Adobe PDF format.

To start a new online application, click

To return to a previously saved online application, click here to log into your


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                                                                                      2012 Mini-Grants



Right to Reject
MFH reserves the right to:
   »   Reject any or all applications submitted.
   »   Request additional information from any or all respondents.
   »   Conduct discussions with respondents to assure full understanding of, and
       responsiveness to, the solicitation requirements.
   »   Negotiate modifications to a respondent’s application prior to final award for the purpose
       of obtaining best and final offers.
   »   Approve subcontractors proposed or used in carrying out the work.


Inquiries
Based on the desired mini-grant program, direct all inquiries to:
   Community Health and Prevention - Michael Renner, Program Officer, 314.345.5533 (toll-
   free 800.655.5560) or mrenner@mffh.org
   Services Delivery - Kristy Klein Davis, Program Officer, 314.345.5591 (toll-free
   800.655.5560) or kdavis@mffh.org
   Systems Development: Health Literacy - Thomas Adams, Program Officer, 314.345.5534
   (toll-free 800.655.5560) or tadams@mffh.org


For technical questions related to the online application system, contact Jenny Minelli at
314.345.5531 or e-mail jminelli@mffh.org.


Application Checklist

Applications that do not contain all of the required documentation will not be reviewed unless an
applicant has obtained approval from MFH prior to submission. Incomplete applications will not
be advanced to consideration for funding.


Online applications must contain all of the items listed below. Applicants are required to
electronically attach the following documents when submitting an application. Further
instructions are provided in the online application.




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                                                                                    2012 Mini-Grants



 Application cover sheet. Complete and attach to the online application an Application
    Cover Sheet with all spaces completed.
 Application narrative. The narrative should answer all questions asked in the individual
    program descriptions (see Attachments B, C and D). Narratives should use 11-point font
    and be no longer than three (3) double-spaced pages (excluding required attachments).
 Project budget. Complete and attach the Mini-Grant Budget Worksheet on page 7. MFH
    funding is limited to the funding categories listed in the Budget Worksheet. For each type of
    expense enter a brief description and the estimated expense.
       Example:
       Compensation           200 staff hours at $25/hour          $5,000


Supporting Documentation
 List of board members. Attach a list of current board members.
   Form 990. Attach the most recent Form 990, issued less than 15 months prior to date of
    application submission.




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                                                                                                                             2012 Mini-Grants



                                    Must be signed and uploaded to online application
                                                                                                                          For Internal Use Only:
Missouri Foundation for Health                                                                                            Date Received:
                                                                                                                          ______________
Mini-Grant Program - 2012                                                                                                 Reference Number:
(This form must be signed and uploaded to online                                                                          _____________
application)
Name of Applicant Organization:                                               Legal Name (if different from Applicant):




Address:                                                                      County:               City:                 State:        ZIP:




Primary Contact and Title:                Telephone (area code):              Fax (area code):                    E-mail Address:




Secondary Contact and Title:              Telephone (area code):              Fax (area code):                    E-mail Address:




Federal Tax ID (EIN) Number:        Organization Website:                     Project Title:




Choose which mini-grant program you are applying for: (if applying for more than one, each must have a separate application)

 Community Health and Prevention                            Services Delivery                 Systems Development-Health Literacy
      (Attachment B)                                               (Attachment C)                                (Attachment D)


Printed name and title of person authorized by organization’s governing board to sign grant award agreement if application is approved by MFH.
                                                                                      Title:




Printed name and title of organization’s Chief Executive Officer (CEO):                   Title:




Signature of CEO:                                                                          Date:




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                                                                     2012 Mini-Grants




                             MINI-GRANT BUDGET WORKSHEET


PROJECT TITLE:




                                                                      Estimated
Expense Type                          Brief Description of Expense    Expense


Compensation, Staff                                                              $0


Consultant/Contract Labor*                                                       $0


Equipment/Supplies                                                               $0


Printing                                                                         $0


Travel                                                                           $0


 Total                                                                           $0




* If greater than $5,000, attach contractor proposal.




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                                                                                     2012 Mini-Grants




Attachment A

                ALLOWABLE/EXCLUDED COSTS AND ACTIVITIES:
                                 MINI-GRANT PROGRAMS
This document is part of MFH’s general funding guidelines and outlines the allowable and
excluded costs and activities associated with MFH’s mini-grant funding programs. Information
regarding specific allowable and excluded costs and activities are outlined in each program
description (Attachments B, C and D).


Allowable Costs and Activities
MFH will consider funding the following types of activities and expenses as part of a proposed
project:
    » Compensation for existing staff.
    » Minor equipment.
    » Printing, publications and media projects.
    » Supplies.
    » Travel.
    » Consultation related to individual project objectives.


Limited Allowable Costs and Activities
MFH will consider funding the following types of activities and expenses, subject to the
limitations stated:
    » Benefits & Payroll Taxes: MFH recognizes that benefits such as health insurance, life
       insurance, retirement, etc., are commonly provided to full-time employees, and that
       payroll taxes are required by statute. Accordingly, benefits and payroll tax expense can
       be included in a project subject to these limits:
       –   Full-time employee with annual salary up to $30,000: Up to 32% of salary
       –   Full-time employee with annual salary $30,001-$60,000: Up to 25% of salary
       –   Full-time employee with annual salary above $60,000: Up to 15% of salary
       –   Part-time employees: Up to 10% of salary
    » Social Services: Although MFH views health as a broad and inclusive concept, funded
       projects combining health and social services elements must have a strong health
       component. Projects must clearly identify and quantify health outcomes, and the majority


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                                                                                     2012 Mini-Grants



      of the funding requested must be for expenditures clearly identified with health service
      delivery or prevention of disease.


Excluded Costs and Activities
MFH will not fund the following types of activities and expenses:
   » New staff positions.
   » Ongoing expenses for existing programs.
   » Annual appeals and other fund-raising events.
   » Basic biomedical research not part of an MFH-defined grant program.
   » Capital campaigns.
   » Direct support of an individual's medical care, education or training.
   » Endowment building and development campaigns.
   » Existing deficits incurred outside any MFH-funded project.
   » Lobbying of any kind.
   » Purchase of health insurance for individuals or groups, other than as a part of employee
      fringe benefits on approved projects.
   » Real estate acquisition.
   » Religious efforts.
   » Research on drug therapies or medical devices.
   » Restoration of funding cuts by government or other organizations.
   » Expansion of existing public insurance programs.




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                                                                                   2012 Mini-Grants



Attachment B
              Community Health and Prevention (CHP) Mini-Grants

The long-term goal of MFH’ Community Health and Prevention (CHP) funding area is to help
“establish communities where good health, healthy behaviors, and the healthy choice are the
norm.” Many times small amounts of funding can help create significant change and make an
impact on community health issues.


Project Parameters
The CHP mini-grant program provides support to organizations conducting short-term, targeted
community health and prevention efforts aligned with one or more of the CHP outcomes below:
   1. Lower rates of tobacco use.
   2. Better access to safe environments for physical activity.
   3. Decreased exposure of children to violence.
   4. Reduction in illicit drug use by youth.
   5. Improved access to, and consumption of, fresh fruits and vegetables.
   6. Lower rates of sexually transmitted infections (STIs), including HIV/AIDS.
   7. Lower rates of suicide attempts by adolescents.


Funding Guidelines
A total of $200,000 has been allocated for CHP mini-grants. Applicants may request between
$1,000 and $10,000. Funding is for one year from the time of grant award. The mini-grant
program does not provide support for:
   » New project-related staff positions.
   » Major equipment or capital campaigns.
   » Ongoing operating expenses of existing programs.


Application Narrative
The page limit is three double-spaced pages in 11-point font. Use the outline headings below to
clearly and succinctly describe the proposed project.
   1. Brief Description of the Organization: (approximately ½-page)
       Describe what the organization does, its health-related programming experience and
       any significant health-related accomplishments.




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                                                                               2012 Mini-Grants



2. Description of the Proposed Project: (approximately 2½ pages)
   a. Need of the Community. Describe the community health issue and need that the
      project will address.
   b. Purpose of Project
      » Describe the project, its goals and the target population.
      » Describe how the project will accomplish its goals.
      » Describe the anticipated impact the project will have on the target population.




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                                                                                        2012 Mini-Grants




Attachment C
                              Services Delivery Mini-Grants

Growing concern over costs of medical care, waste and errors, access to care, and population
health have led to the development of new care models in health care systems nationwide.
Both the Centers for Medicare and Medicaid Services (CMS) and the Institute for Healthcare
Improvement (IHI) have launched major initiatives. CMS’s Three Part Aim and IHI’s Triple Aim
initiatives encourage health systems to create solutions that simultaneously address three key
objectives: improved health care for individuals, better health outcomes for populations, and
lower costs. Pursuing these objectives together allows health care organizations to identify and
resolve problems, such as poor care coordination and overuse of medical services, and also
focus attention and resources on activities that have the greatest impact on health.

The three-part model can be challenging to implement because physicians and hospitals have
historically focused on acute and specialized care of individuals rather than on primary and
preventive care and the health of a population. While challenging, successful implementation
may ultimately result in healthier communities with lower overall health care costs.

Project Parameters
Mini-grant funding is available for short-term, targeted projects to assist organizations in their
progress towards the objectives described in the three-part model. Applicants must identify at
least one model objective and state how the requested funding will impact that objective:
   » Improved health care for individuals.
   » Better health outcomes for populations.
   » Lower health care costs.

A sample project for each objective is described below:
   » Improved health care for individuals: To provide more comprehensive services to
      clients, a behavioral health center requests $8,000 to establish a quality improvement
      plan and provide clinical staff with training and ongoing coaching on evidence-based
      practices in the treatment of co-occurring disorders.

   » Better health outcomes for populations: To reduce incidence of seasonal influenza, a
      Federally Qualified Health Center requests $6,000 to implement a flu vaccine and
      education campaign in partnership with the local public health department.




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                                                                                                     2012 Mini-Grants



    » Lower health care costs: To better serve its patient population and reduce the overall
       cost of care, a community health center is working on becoming a Patient Centered
       Medical Home (PCMH). The $2,000 in funding requested will cover the survey tool and
       licensure fees associated with achieving PCMH Level One recognition.

Funding Guidelines
A total of $200,000 has been allocated for Services Delivery mini-grants. Applicants may
request between $1,000 and $10,000. Funding is for one year from the time of grant award.
The mini-grant program does not provide support for:
    » New project-related staff positions.
    » Major equipment or capital campaigns.
    » Ongoing operating expenses of existing programs.

Application Narrative
The page limit is three double-spaced pages in 11-point font. Use the outline headings below to
clearly and succinctly describe the proposed project.
    1. Brief Description of the Organization: (approximately ½-page)
    Describe what the organization does, its health-related programming experience and any
    significant health related accomplishments.

    2. Description of the Proposed Project: (approximately 2½-pages)
        a. Community Need. Describe the need and/or issue the project will address.
        b. Purpose of Project
             » Describe the project and the targeted objective(s).
             » Describe how the project will address the objective(s) and be implemented.
             » Describe the anticipated impact the project will have on the target population.

Resources
Websites:
The CMS Innovation Center. Center for Medicare & Medicaid Services. http://innovations.cms.gov/

Triple Aim: The Best Care for the Whole Population at the Lowest Cost. Institute for Healthcare Improvement.
http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx

Articles:
Kindig, D. and Whittington, J. (November 16, 2011). Triple Aim: Accelerating and Sustaining Collective Regional
Action. Retrieved from: http://www.improvingpopulationhealth.org/blog/2011/11/triple-aim-accelerating-and-
sustaining-collective-regional-action.html

McCarthy, D. and Klein, S. (July 22, 2010). The Triple Aim Journey: Improving Population Health and Patients’
Experience of Care, While Reducing Costs. The Commonwealth Fund. Retrieved from:
http://www.commonwealthfund.org/Publications/Case-Studies/2010/Jul/Triple-Aim-Improving-Population-Health.aspx

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                                                                                       2012 Mini-Grants




Attachment D
                Systems Development - Health Literacy Mini-Grants

Health literacy is defined as "the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make appropriate
health decisions".1 Patients with low health literacy may not understand disease processes, test
results, and medication directives and, as a result, are less likely to seek preventive services
and more likely to report poorer health status.2 Limited health literacy contributes to negative
health outcomes, including death, suffering, higher health care costs, and health disparities and
costs the Missouri economy between $3.3 billion and $7.5 billion annually.3

One requirement of an effective health care system is an increase in the health literacy skills of
individuals and the abilities of health care providers to support all health consumers regardless
of their level of health literacy. Mini-grant opportunities for Systems Development - Health
Literacy will support targeted projects focusing on health literacy efforts.

Project Parameters
Funding is available to assist organizations in starting, expanding or enhancing their health
literacy efforts. Funds may be used for short-term, one-time, targeted projects or to purchase
health literacy materials addressing at least one of the following outcomes:
   » Increased capacity of health providers to respond to consumers with different health
     literacy levels.
   » Increased awareness of health literacy’s role on health outcomes by health care providers
     and consumers.
   » Increased health literacy knowledge and skills by the health care provider and consumer.

Sample projects may include, but are not limited to, the following:
   » Conducting an environmental scan.
   »   Organizational change planning.
   »   Printing plain language brochures.
   »   Hosting a training workshop.
   »   Hiring a consultant to provide capacity-building technical assistance for a specific health
       literacy problem.

Funding Guidelines
A total of $200,000 has been allocated for Health Literacy mini-grants. Applicants may request
a maximum of $20,000. Funding is for one year from the time of grant award. The amount


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                                                                                                     2012 Mini-Grants



requested must be in line with the requirements to carry out and justify the goals and objectives
of the project. The mini-grant program does not provide support for:
    » New project-related staff positions.
    » Major equipment or capital campaigns.
    » Ongoing operating expenses of existing programs.

Application Narrative
The page limit is three double-spaced pages in 11-point font. Use the outline headings below to
clearly and succinctly describe the proposed project.
    1. Brief Description of the Organization: (approximately ½-page)
         Describe what the organization does, its health-related programming experience and
         any significant health-related accomplishments.

    2. Description of the Proposed Project: (approximately 2½-pages)
         a. Need of the Community. Describe the health literacy issue and need that the
             project will address.
         b. Purpose of Project
             » Describe the project and why it was selected.
             » Describe the project’s goals and target population.
             » Explain the evidence-based practice(s) or promising strategies to be
               implemented, including key features and why it is better than current practices.
             » Describe how the project will address the identified goals and be implemented.
             » Estimate the total number of people to be served through the project.

NOTE: Health Literacy Missouri (HLM) is a resource for organizations working on health literacy
projects. HLM offers trainings, plain language services and technical assistance to MFH
grantees at no charge. This includes helping to improve how health tools can most benefit a
project and assistance in planning, promoting and implementing the project idea. For more
information, contact Michelle Roberts, at 314.361.9400 or mroberts@healthliteracymissouri.org.

References
U.S. Department of Health and Human Services. (2000). Healthy People 2010. Washington, DC: U.S. Government
Printing Office. Originally developed for Ratzan SC, Parker RM. 2000. Introduction. In National Library of Medicine
Current Bibliographies in Medicine: Health Literacy.
2
 Berkman ND, DeWalt DA, Pignone MP, Sheridan SL, Lohr KN, Lux L, Sutton SF, Swinson T, Bonito AJ. Literacy
and Health Outcomes. (2004). Evidence Report/Technology Assessment No. 87. AHRQ Publication No. 04-E007-2.
Rockville, MD: Agency for Healthcare Research and Quality. January 2004. Retrieved December 13, 2011 at
http://www.ncbi.nlm.nih.gov/books/NBK37134/.

 Vernon, John A. The High Economic Cost of Low Health Literacy in Missouri. (2008). Retrieved January 10, 2012 at
http://www.mffh.org/mm/files/vernon.pdf


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