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  Funding Opportunity Details
 
 -140630-State Innovation Model Community Care Coalition Initiative RFP 58816015
  Health Care Delivery Systems
  Application Deadline: 02/01/2016 4:00 PM
 
 
Award Amount Range: Not Applicable
Project Start Date: 03/07/2016
Project End Date: 01/31/2017
Award Announcement Date: 02/19/2016
Eligible Applicant: Refer to RFP
Program Officer: Stacey Hewitt
Phone: 515-281-3018 x
Email: stacey.hewitt@idph.iowa.gov
Categorical Area: Community Development, Health, Prevention/Treatment
 
 
Description
 
 

It is the responsibility of the Applicant to review all attachments listed in the section below, including the Request for Proposal (RFP).

The issuance of the RFP in no way constitutes a committment by IDPH to award a contract.

Excerpts from the RFP:

1.01     Purpose

The purpose of this Request for Proposal (RFP) 58816015 is to solicit applications that will enable the Iowa Department of Public Health (IDPH) to select the most qualified applicant to lead Community Care Coalition (C3) initiatives that address local needs through community partnerships and the utilization of shared community resources.

 

 

RFP Section 1.02 Project Period/Contract Term is amended as follows:

 

 

 

“The project period shall be from February 1March 7, 2016 to January 31, 2019.

 

 

 

IDPH expects the initial contract period to be a one year an eleven month term from February 1March 7, 2016 to January 31, 2017. IDPH shall have the option to renew the contract at its sole discretion for up to two additional one (1) year terms subject to review of the continuation application, contractor performance and compliance with the terms and conditions of the contract, availability of funds, program modifications, or any other grounds determined by IDPH to be in IDPH’s best interests.

 

 

 

The issuance of this RFP in no way constitutes a commitment by IDPH to award a contract.”

 

 

1.03     Eligibility Requirements

Applicants must meet each of the following eligibility requirements for consideration.

Eligible Applicants

Eligible applicants include nonprofit organizations, governmental agencies, and educational institutions.

Electronic Communication Requirements

Applicant is required to maintain and provide to IDPH, upon application, a current and valid email account for electronic communications with IDPH.

Official email communication from IDPH regarding this application will be issued from

iowa.grants@webgrantsmail.com.  Applicants are required to assure these communications are received and responded to accordingly.

1.04    Service Delivery Area

The service area is the counties within the state of Iowa. Applicants may choose to apply for one or more contiguous county/counties to develop or implement a C3 initiativeRegardless of the number of counties applied for in an applicant’s service area, only one application will be completed and submitted. If multiple applications are received that identify the same county, only one contract will be awarded by IDPH to serve that county. 

1.05 Available Funds

The source of funding is federal State Innovation Model funding from the Centers for Medicare and Medicaid Services.

IDPH has approximately $2.2M for up to 10 awards. Of this amount, approximately $1.9M will be available for Community Care Coalitions (C3) and approximately $265,000 will be available for Social Determinants of Health initiatives. Actual total awards and individual contract funding levels may vary from that listed or funding may be withdrawn completely, depending on availability of funding or any other grounds determined by IDPH to be in IDPH’s best interests.

 

1.06     Schedule of Events (All times and dates listed are local Iowa time.)

 

 

 

The following dates are set forth for informational purposes. IDPH reserves the right to change them.

 

 

 

EVENT

DATE

RFP Issued

November 3, 2015

Written Questions and Responses

 

Round 1 Questions Due

Responses Posted By:

November 12, 2015

November 19, 2015

Round 2 Questions Due

Responses Posted By:

November 27, 2015

December 4, 2015

Final Questions Due

Responses Posted By:

December 10, 2015

December 17, 2015

Applications Due

December 23, 2015 February 1, 2016

Post Notice of Intent to Award

January 20, 2016  February 19, 2016

 

 

 

 

 
 
 
 Attachments
 
 Click on the File Name to open attachment
 
Description File Name File Size
A State Innovation Model Community Care Coalition Initiative RFP 58816015.pdf A State Innovation Model Community Care Coalition Initiative RFP 58816015.pdf 168 KB
B IowaGrants Registration Instructions Updated 2016.pdf B IowaGrants Registration Instructions Updated 2016.pdf 874 KB
C IDPH Application Instruction Guidance C IDPH Application Instruction Guidance 1.29.15.pdf 2.0 MB
D Draft SIM C3 Development Initiative Contract Revised 1.15.16.pdf D Draft SIM C3 Development Initiative Contract Revised 1.15.16.pdf 90 KB
E Draft SIM C3 Implementation Contract Revised 1.15.16.pdf E Draft SIM C3 Implementation Contract Revised 1.15.16.pdf 90 KB
F Draft SIM C3 RFP Score Tool.pdf F Draft SIM C3 RFP Score Tool.pdf 91 KB
G Amendment 1 to SIM C3 RFP 58816015 posted 12.15.15 G Amendment 1 to SIM C3 RFP 58816015 posted 12.15.15.pdf 58 KB
H Amendment 2 to SIM C3 RFP 58816015 posted 12.23.15 H Amendment 2 to SIM C3 RFP 58816015 posted 12.23.15.pdf 66 KB
I Amendment 3 to SIM C3 RFP 58816015 posted 1.15.16.pdf I Amendment 3 to SIM C3 RFP 58816015 posted 1.15.16.pdf 63 KB
J SIM C3 Diagram added to Attachments 1.15.16 with Amendment 3.pdf J SIM C3 Diagram added to Attachments 1.15.16 with Amendment 3.pdf 269 KB
 
 
 Website Links
 
 Click on the URL to go to website
 
URL Description
https://idph.iowa.gov/finance/funding-opportunities/general-conditions IDPH General Conditions
http://www.rwjf.org/en/our-topics/topics/social-determinants-of-health.html Information on social determinants of health
http://dhs.iowa.gov/ime/about/state-innovation-models/testing-grant Iowa Department of Human Services State Innovation Model Testing Grant website
http://idph.iowa.gov/SIM Iowa Statewide Strategic Plans
 
 
Questions
 
 
Submitted Date Question Answer
11/09/2015 Is $2.2 million available over three years, or available each year (for a total of $6.6 million over three years)? What is the max amount of funding we can request each year? For instance, assuming $2.2 million available over three years; divided by 10 awards is $220,000 per award; divided by 3 years is $73,333. So, is $73,333 the max applicants can request each year? Are applicants required to propose a three year project, or, can we elect to submit a grant to utilize all funding in one or two years? The total funding amount available (approximately $2.2M) is for all awards the IDPH will make (up to 10) for the first contract year. IDPH did not put a maximum amount per award since this is the first year these funds are available and the amounts needed per application may vary depending on multiple factors, including service area applied for. The amount of the individual award (contract amount for year 1) will depend on each individual application and number of successful applicants. This funding is for year 1 only. The project application is also for year 1 only. Successful applicants will be required to write a non-competitive continuation application for work plans and funding in years 2 and 3; and the available funding for these years has not yet been determined.
11/12/2015 Is it required that all Developmental Initiatives include Tobacco, Obesity and Diabetes? Our program was designed to help those with depression. Should this now include depression AND tobacco, obesity and diabetes? Yes. The SIM project must address tobacco, obesity, and diabetes at a minimum. Applicants may address additional areas as identified in their CHNA/HIP such as depression. Applicants are also encouraged to incorporate additional strategies as identified in section 2.02 of the RFP.
11/12/2015 There is an emphasis throughout the RFP and on the sample scoring tool that the initiative must address tobacco, diabetes, obesity, as well as any other priority identified in the CHNA/HIP. However, in section 2.02, paragraph #2 states: ...SIM initiatives are also encouraged to address the following supplemental strategies, medication safety and effectiveness, patient and family engagement, community resource coordination, social determinants of health, hospital acquired infections, and obstetrics. Can you confirm that Action Plans will need to incorporate all of the SIM focus areas, not just limited to tobacco, diabetes, obesity and our community's CHNA/HIP priorities (as well as social determinants of health)? Thank you so much for that clarification. The required areas are tobacco, obesity, and diabetes. Applicants may also choose to address additional areas as determined by their CHNA/HIP. Applicants are encouraged to incorporate additional strategies outlined in section 2.02 of the RFP (medication safety and effectiveness, patient and family engagement, community resource coordination, etc.) to support their activity plan.
11/12/2015 If the total available funds for 10 awards is $2.2M, is there a maximum amount of an award? Is the award split and distributed over the 3 year contract term or depending on the project can the total amount of the award be received during the first year? The total funding amount available ($2.2M) is for all awards the IDPH will make (up to 10) for the first contract year. IDPH did not put a maximum amount per award since this is the first year these funds are available and the amounts needed per application may vary depending on multiple factors, including service area applied for. The amount of the individual award (contract amount for year 1) will depend on each individual application and number of successful applicants. This funding is for year 1 only. Successful applicants will be required to write a non-competitive continuation application for funding in years 2 and 3.
11/12/2015 Does the SIM project need to address all 3 conditions (diabetes, tobacco and obesity)? or at least one of those conditions? Yes. The SIM project must address all three conditions at a minimum. Applicants are encouraged to use the strategies as outlined in section 2.02 of the RFP.
11/18/2015 Could the funding be used to pay for direct program service to the target population that would address the priorities (e.g. education for tobacco cessation, fall prevention, diabetes education, etc.)? C3 initiatives will be expected to implement systems-level change strategies to support the provision of direct service coordination and promote sustainability. SIM funds may not be used to provide services that are already funded through Medicare, Medicaid, and/or CHIP, per section 2.04 of the RFP, page 21. Program services to address the priorities must be based on the Iowa Statewide Strategic Plan. More information on the state plans can be found in the "Website Links" section of the RFP.
11/18/2015 On page 21 of the RFP, it states that no funds awarded may be used to provide individuals with services that are already funded through Medicare, Medicaid, CHIP. If the reimbursement is so inadequate to change behavior, could this funding be used to help pay for services? An example would be, for diabetes self management education, reimbursement is for 1 hour individual and 9 hours in a group. The service cannot duplicate or supplant existing efforts and reimbursements. Considerations should be given to the scope of work for the proposed project and the corresponding budget. Programming for diabetes prevention and education should be based on the Diabetes Statewide Strategic Plan. More information on the Iowa Statewide Strategic Plans can be found in the "Website Links" section of the RFP.
11/18/2015 1. Can you better define Equipment, #3 under Direct Costs, as it is not an allowable purchase? 2. Would Tele-Health Medicine delivery systems be an information technology-related expense and allowable? 3. Is real estate an allowable expense, for example purchasing of a building for program use? 1. Equipment is any item costing $5,000 or more and having an anticipated life of one year or more, as stated in the IDPH General Conditions, Section 4.a.

2. The service cannot duplicate existing efforts and reimbursements and must not exceed the cost of equipment per the definition in the IDPH General Conditions, Section 4.a. While it may be an allowable expense, C3 initiatives will be expected to implement systems-level change strategies to support the provision of direct service coordination and promote sustainability.

3. Purchase of real estate is not an allowable expense.

11/24/2015 Are applicants required to have a SDH component in their program and budget? Yes, applicants are required to have a separate budget and action plan to address social determinants of health per RFP section 2.2, page 20, and section 2.04.
11/24/2015 If it is required to have a SDH component, what is the rationale for having those 2 separate? Can you clarify what that looks like with an example? The state SIM application to the federal funder includes a separate budget for social determinants of health. Applicants are required to develop a separate budget to align with the state SIM application, though funds from the C3 Budget may also be used to support work on the SDH. A separate action plan is also required in order to align with the budget. Integration of social determinants of health activities and the C3 program is encouraged. It is at the discretion of the applicant how the SDH budget and application are developed. For more information on SDH, please refer to the "Website Links" section of the RFP for the Robert Wood Johnson Foundation.
11/25/2015 If we are applying for a Developmental grant, do we have to name a specific C3 Director if the coalition is not yet formed? If so, can we name an interim C3 Director, such as the grant writing committee chairperson? The applicant must have a C3 Project Director identified in the Key Personnel form. Applicants may assign an interim director and indicate this in the application form.
11/25/2015 For Developmental Grants, do you expect the majority of the work during the initial contract period to focus on coalition development and planning (around the focus areas), rather than the implementation of specific programming? Yes. Developmental grantees may begin implementation of specific programming at any time during the contract period as long as implementation is underway by the end of year 1.
11/25/2015 This RFP references participation in 3 learning collaborative events that will be conducted by IHC. We would like to reflect associated expenses within our budget. Can you tell us the duration of these events, whether travel will be required (and if so, where the events will be held) as opposed to an online forum, whether there are registration fees, and how many participants will be required? Also, do you expect that these expenses would be reflected in the C3 program budget or the SDH budget? The learning collaborative events will each be one full-day training in the Des Moines metro area. There will not be registration fees, and lunch will not be included for any of the events. The C3 Project Director is required to attend the learning collaborative events, and additional key personnel as outlined in section 3.02 of the RFP may attend as well. Grantees are strongly encouraged to also send a small team of steering committee members and/or C3 partners. Expenses associated with attending these events should be reflected in the C3 program budget, and applicants may allocate a small portion to the social determinants of health budget.
11/25/2015 Aside from this question and answer forum, what other outreach events are scheduled in which IDPH staff is providing information about this C3 opportunity? The Question and Answer function is the method in which IDPH will provide information on the RFP while it is in open competition.
11/25/2015 In the scoring tool, the C3 Budget is evaluated in part on the criterion, “Applicant does not exceed funding amount available for each project”. Since IDPH has provided no budget limit per project, how is this criterion being evaluated? This was an oversight. The statement “Applicant does not exceed funding amount available for each project.” will be removed from the final scoring tool.
11/25/2015 In the past, the budget requirements provided different caps and emphasis for demonstration and implementation projects. Can we assume that demonstration and implementation projects are receiving “equal” budget consideration (or demonstration budgets can be equal to or greater than funding for implementation budgets of similar scale)? In the past, implementation budgets were allowed greater budget levels. IDPH has not set maximum or minimum amounts for developmental and implementation grants since this is the first year these funds are available. In addition, the amount needed per application may vary depending on multiple factors such as service area and scope of work. The amount of the developmental and implementation awards (contract amount for year 1) will depend on each individual application and the number of successful applicants.
11/25/2015 We are seeking clarity around the definition of development and implementation initiatives to assure that we apply under the correct description. To be considered an implementation initiative, applicants are required to provide evidence that their initiatives are fully developed, community partners are united, and that the proposal aligns with the guidance requirements below. What is the definition of “fully developed”? Applicants should refer to the Implementation Initiatives as outlined in section 2.02 of the RFP, page 19. An applicant applying for an implementation initiative should demonstrate a fully developed initiative through a clear action plan to address social determinants of health, incorporating the local public health CHNA/HIP, existing partnerships with health and human service partners, a fully formed steering committee, and an existing outline or flow chart as to how referrals are made between key partners.
11/25/2015 This RFP separates C3 initiative efforts from SDH efforts and the evaluation tool weights each action plan equally. Our project embeds SDH efforts within the C3 initiative. For the C3 budget and the SDH budget, may the same personnel be used? Because efforts are interrelated and both are intended to achieve triple aim outcomes, is it intended that the SDH action plan complements the C3 population health action plan? Yes, applicants may use FTEs from the C3 program budget for SDH activities. This does not need to be duplicated in the SDH budget, but should be reflected in the activity plan. The SDH activity plan should complement the C3 action plan.
11/25/2015 SIM C3 Partners – In the table, for the field “what role will the community partner plan in the C3 project?”, the following drop down options are provided: Informed/Engaged; Referral Source; Contractual Relationship. How do we respond when more than one category applies? The field in the form has been revised to include a multi-select option. If community partners fall into more than one role, applicants should select all application roles and use the comment field to clarify multiple roles.
11/25/2015 SIM C3 Partners – In the table, what does “commitment” mean within the field “Do you have a commitment from this community partner for this project?”? What evidence do we need to possess to demonstrate this commitment? There is no requirement for proof of commitment. Applicants who have an existing agreement, formal or informal, should indicate they do have commitment from the partner. The comment box can be used to provide additional detail.
11/25/2015 C3 Partners – The application asks: “How many of the primary care providers and health systems including independent and safety net providers (such as free clinics and FQHCs), do you have formal contractual relationships with? Describe the relationship with each.” Please define formal contractual relationship. Does this include MOUs or does there need to be an exchange of money associated with these contracts? Any written agreement is sufficient for this section, including MOUs and contracts with or without money associated with them.
11/25/2015 Can a project solely focus on SDHs? Social Determinants of Health should be integrated throughout the C3 initiative's work in coordinating health and social services across care settings and systems of care. In addition to addressing Social Determinants of Health, as stated in the RFP, section 2.02, applicants are required to address the three target areas of tobacco, obesity, and diabetes.
11/25/2015 Will IDPH consider partially funding projects? Applicants must implement all required components of the RFP. This project may be supported by funding from other initiatives and sources. Funding awarded under this RFP cannot be used to fund other projects outside of the RFP requirements.
12/01/2015 While creating SMART objectives, I am looking for meaningful rationale/objective measures that change (improvement) can be measured within one year....For example if my objective was something like "By January 31, 2017 the percentage of adult Iowans who report being a smoker will decrease to 17%." My measure would be utilization of BRFSS data, current rate is 18.5% but data reflecting my project period would not be available at the end of 1/31/17...If we had such an objective how is reporting laid out? Perhaps we are off the mark here? I'm finding the case to be much of the data is not readily available year to year unless collected internally and is therefore perhaps not as robust as we would like to see for a project of this magnitude. It is at the applicant's discretion as to how they propose to measure progress. Grantees may use existing state and federal data, internal program data, or process data.
12/01/2015 We want to include HAI, med safety and obstetrical care in our action plans...when creating smart objectives the focus areas in the drop down are limited to tobacco, obesity, diabetes and CHNA/HIP. Should we identify HAI, med safety and ob care as CHNA/HIP focus area even if they are not areas identified in local CHNA/HIP but clearly is a statewide issue and priority? Please advise. Applicants wishing to include supplemental strategies that are not required and that are not in the local public health's CHNA/HIP should integrate these strategies with the activities addressing the required focus areas.
12/04/2015 Is there a way to multi select focus/topic areas when adding the smart objectives? If I have an objective that addresses multiple focus areas do I need to list that same objective under each area or can i select more than one at a time? Same question for actions that address multiple objectives... There is not a multi-select option for this form, therefore you will need to list the objective and/or activity under each area.
12/09/2015 Page 25 of the RFP indicates in the following headings "SIM C3 Population Health Action Plan" and "SIM C3 Social Determinanats of Health Action Plan" that the forms require applicants to identify the service area...is there a specific location in the objectives or action steps the service area needs to be noted? Our proposal involves a large service area and adding each county to the objective rationale or in the action steps is not possible due to the character restrictions and needing to provide other information in those same fields. The activity plan forms have been modified to include the service area for each activity. In addition, a new form has been added for applicants to identify the service area.
12/09/2015 In the SIM C3 Initiative Overview narrative the last field for: Describe how the C3 project will build on current resources such as primary care, hospitals, health homes, social services, public health, mental health, and non-profit community resources. Is this for implementation applicants only or both implementation and development applicants. This information needs to be included in both developmental and implementation applications.
12/09/2015 When completing the steering committee as a developmental entity, it seems to require completion of implementation boxes as well? How do we get around that if we are applying as a developmental grant. For the required fields in the "For Implementation Applicants Only" section, developmental applicants may type "N/A" into each field. Implementation applicants must complete these fields.
12/09/2015 Are letters of support required from partners and/or steering committee members? Letters of support are not required from partners or steering committee members.
12/09/2015 For the SIM C3 project overview, near the bottom of the page, are developmental projects required to have a flow chart or outline of process? Developmental projects are not required to have a flow chart or outline of the referral process. If developmental applicants have a flow chart or outline they may upload it into iowagrants.gov.
12/09/2015 Does the purchase of software or web based systems fall under IDPH general conditions Section 4.a? This seems to refer to equipment? Yes, if software or web-based systems cost more than $5,000 and have an anticipated life of more than 1 year, they would fall under general conditions section 4.a., and would not be allowable.
12/09/2015 How would an applicant handle not having names of new committee members that fall under the proposed steering committee membership to be invited? Does a developmental application need to spell out persons to be invited or merely agencies during the developmental phase? In the Steering Committee form, applicants may indicate "to be determined" under "Member Name" and include only the agency information if the committee member has not yet been identified.
12/10/2015 As a Developmental community, we have not yet selected a permanent C3 Project Director and need to identify an interim Project Director. Is it acceptable to pay that interim director a stipend for the work s/he will complete prior to hiring the permanent director? If it is acceptable, should that stipend be considered a "subcontract" expense? If the interim C3 Project Director is an employee of the applicant, their compensation does not need to be a subcontract and should be listed in the budget as a salaried employee. If the Project Director will be a contracted employee (within the agency or through an external agency), this needs to be included as a subcontract.
12/10/2015 The question: "Describe how the C3 project will build on current resources such as primary care, hospitals, health homes, social services, public health, mental health, and non-profit community resources" - is for Implementation applicants only, correct? This information needs to be included in both developmental and implementation applications.
12/10/2015 In writing SMART objectives for the action plans, should we present them as 1-year goals or 3-year goals since the project period is expected to be February 1, 2016-January 31, 2019? For example, should the objective be: By January (2017 or 2019), the percentage of XX county residents who are obese will decrease by X%. The action plans will cover the contract year only - February 1, 2016 through January 31, 2017. Applicants will write a non-competitive continuation application for each contract year of the project period.
12/10/2015 Can we allocate all of the FTE time in the C3 budget, and utilize the social determinants of health budget for other expenses (with the understanding that C3 staff will be in charge of implementing the SDOH activities), or does staff time need to be represented in both budgets? Yes, all FTEs may be included in the C3 budget, and the social determinants of health budget may be used for other expenses.
12/10/2015 In our project action plans, do we need to reference the strategy or tactic number from the respective state-wide plans, or are we simply encouraged to utilize strategies included in those state-wide plans? Applicants do not need to include strategy or tactic numbers in the application. Applicants are strongly encouraged to use strategies from the state-wide plans.
 
 
 
 
 
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