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Welcome and Orientation for Healthy Start Programs
FY2019 - FY2024Division of Healthy Start and Perinatal Services
April 25, 2019
Meeting Logistics
Please note the following:
• This session is being recorded, and will be archived for future
viewing.
• You may submit questions or comments into the chat box, which
will be included in an FAQ.
Webinar Agenda
Topic Speaker
Housekeeping Megan Hiltner
Welcome CAPT David de la Cruz, PhD, MPH, Deputy Division DirectorTiffany McNair, MD, MPH, Division Director
Introduction of Staff Program Overview
Benita Baker, MS Branch Chief
Grants Management Office LaShawna Smith and Tonya Randall
Technical Assistance and Training Resources Suz Friedrich
Welcome
CAPT David de la Cruz, PhD, MPH, Deputy Division Director
Tiffany McNair, MD, MPH, Division Director
CAPT David de la Cruz, PhD, MPHDeputy Division Director
Tiffany McNair, MD, MPHDivision Director
Introduction of the Division of Healthy Start and
Perinatal Services (DHSPS) Team
Meet the Division Senior Team!
CAPT David de la Cruz, PhD, MPHDeputy Division Director
Benita Baker, MSBranch Chief
CDR Sonsy Fermin, MSW, LCSWActing Branch Chief
Tiffany McNair, MD, MPHDivision Director
Meet the Healthy Start Team!
Ansley MarcellusDHSPS Activities:Intern PreceptorData and Evaluation
HS States: PA, VA, MD
Sandy LloydDHSPS Activities:Women’s Health & Awards Workgroup
HS States: MS, AL, TN, KY
Juliann DeStefanoDHSPS Activities:MCHB ChallengeSACIM COR
HS States: CT, MA, NJ
Christina LottieDHSPS Activities:BreastfeedingTA CenterMCHB Operations
HS States: DC, FL
Brandon WoodDHSPS Activities:Fatherhood Workgroup LeadAwards Coordinator BackupIM CoIIN Back upHS States: IL, IN
Christopher LimDHSPS Activities:COR-IM CoIIN, Evaluation, Data
HS States: SC, WV, IA
Cardora BarnesDHSPS Activities:Fatherhood WorkgroupMentor for New PO
HS States: NY, OH
Mary EmanueleDHSPS ActivitiesHS CoIINTribal & FIMR Backup
HS States: SD, WI, NC, MI
Robert WindomDHSPS Activities:Genesee County LeadHS EvaluationHS DataHS State: GA
Sandra MathoslahDHSPS Activities:FatherhoodHealthy Living
HS States: TX, LA
Monique RichardsDHSPS Activities:Awards CoordinatorIM COIIN Back up
HS States: NE, MO, AR, OK, KS, CO
Michael MuniDHSPS Activities:Genesee County LeadFatherhood Workgroup Lead
HS States: OR, CA ,AZ
Meet the Healthy Start Support Team!
Robin HarwoodDHSPS Activities:National HS Evaluation
Michelle LohDHSPS Activities:Administrative and Program SupportSACIM
Kimberly ShermanDHSPS Activities: Maternal & Women’s Health Specialist
Ashley BeltonDHSPS Activities:Screening and Treatment for Maternal Depression and Related Behavioral Disorders ProgramSafety Program for Perinatal Care Demonstration projectStates: FL, KS, LA, RI, MT, NC, VT
Kacie McLaughlinDHSPS Activities:Women’s Health Initiatives
Dawn LevinsonDHSPS Activities:Behavioral Health Advisor
Vanessa LeeDHSPS Activities:IM CoIIN Coordinator
Jessica GoldDHSPS Activities:Division Intern
Abisola OlabisiDHSPS Activities:HRSA Pathway InternData and Evaluation
Program Overview
Benita Baker, MS, Branch Chief
Federal Project Officer (PO) Role
• The PO is primarily responsible for programmatic monitoring and promotes successful fulfillment of the goals and objectives of the Federal award.
• As such, the POs serve as the grantee’s primary contact for programmatic and technical aspects of the Federal award.
• POs monitor the scientific, technical, and programmatic aspects of the grantee’s performance. POs achieve this through:• Routine communication with the grantee; reviewing reports, program outcome
data, and prior approval requests; and, providing (or directing to) Technical Assistance (TA). In addition, PO’s conduct on-site or reverse reviews.
Healthy Start Program Monitoring
Baseline monitoring is a set of minimum, but required actions that all POs conduct for every recipient to evaluate compliance with statute, regulations, and policies. These actions include: routine communication with the recipient and reviewing recipient submissions and requests.
Monitoring calls
• Federal PO will determine frequency of calls ( i.e., monthly, bi-monthly, or quarterly).
• Brief template to be filled out and submitted one week prior to call (grantees on a bi-monthly or quarterly call will submit a template).
Healthy Start Program Monitoring cont…
• Annual Reports
• Non-Competing Progress Reports
• Non-Competing Performance Reports
Changes to Program
Four approaches
• Improving women’s health
• Improving family health and wellness
• Promoting systems change
• Assuring impact and effectiveness
Service Levels
• From preconception, through pregnancy, and birth up to 18 months
Changes to Program
Number of required participants served:
• 300 pregnant women; 300 infants/children up to 18 months; preconception women; and, interconception women (combined)
• 100 fathers/male partners affiliated with Healthy Start women/infants/children
• A total of at least 700 program participants per calendar year
New Competing Performance Report (NCPR)
This report will need to be submitted by all grantees funded for the new project period; April 1, 2019-March 31, 2024.
EHB submission: Enter budget projections for the five year period, demographic data, and objectives for the performance measures for all 5 years.
NCPR cont…
When completing your NCPR the following time periods are to be used when making projections:
• Financial forms (1-4) - Budget year
• Program forms (6) - Budget year
• Performance Measures - Calendar year
NOTE (VERY IMPORTANT!): The time periods listed in the EHB will be budget year for the full report. Please follow the time period instructions above when completing your report.
Poll Question
If you did not apply for additional funding to support the hiring of clinical service providers, please check all of the reasons why:
1. Did not understand the instructions.
2. Not enough time to respond.
3. Amount of funds were insufficient to add the clinical component requirements.
4. Insufficient capacity/resources to add the clinical component requirements.
5. Needs of the population did not warrant the funding.
6. Other (please chat).
Grants Management
LaShawna Smith and Tonya Randall
Grants Management
Roles & Responsibilities: GMS
• Provides clarification on grants regulations and financial aspects of the project
• Reviews and make recommendations on continued Federal support
• Monitors compliance with grant requirements and cost policies
• Monitors receipt of all required reports and follow-up as necessary to obtain delinquent reports
• Issues Notice of Awards (Signed by the HRSA GMO)
NoA Information
Program/Grant Conditions of Award • Always require a response by a specific date – failure to respond to the
HRSA Division of Grants Management Operations in a satisfactory manner may result in an adverse action
• HRSA will remove the condition once it is met (by issuing a new NoA)
Program/Grant Terms • Generally informational and advisory by nature (e.g., uses and
limitations of funds and post award administration)
NoA Information
Standard Terms • Appears on the initial award for the budget/project period and
describes general terms and conditions of the grant
Reporting Requirements • Identifies the various reporting requirements and due dates of the
grant, such as FFRs and Progress Reports
Contacts • Identifies the Federal contacts for assistance
HRSA Electronic Handbooks (EHBs)
• All post award administration is done through EHBs
• Register for EHBs. HRSA EHBs can be accessed going to the URL: https://grants.hrsa.gov/webexternal/login.asp and clicking the “create account’ link
• Project Directors/Principal Investigators are responsible for the user management and permissions for their grant
• Need permission to access the given Grant Portfolio, login to HRSA EHBs and click on the ‘Add Portfolio’ link on the side menu.
• Assistance regarding registering with HRSA EHBs, gaining access to the Grant Portfolio, or other EHBs issues, contact the HRSA Call Center 1-877-464-4772.
Financial Reporting: Part 1
SF-425, Federal Financial Report (FFR)
• SF-272, Federal Cash Transactions Report
Part 1 - Report Federal Cash Transactions
• Top portion: sections 10.a, 10.b and 10.c
• Submit through Payment Management System (PMS)
Report is due Quarterly in PMS
Financial Reporting: Part 2
• Part 2 - Report Expenditures
• Lower portion: sections 10.d through 10.o
• Submit through the Electronic Handbook
• Report is due Annually via EHB
Prior Approval
• Change in Project Director
• Replacement of key personnel specified in the NoA
• Change of grantee organization
• Changes in Scope, Goals & Objectives
• Revisions in Budget and/or Budget Justification
• Budgeting funds to an unapproved budget category
• Prior approval not necessary if changes within budget line items do not exceed 25% of total budget
• Carry-over that exceeds 25% of a given budget period
• Any line item budget changes >25%
Carryover of unobligated balance
• Select EA option when you submit your FFR
• The options include:• Yes, for the amount covered under expanded authority• Yes, for the amount covered, and part of or entire marginal amount
over expanded authority.• No• Not Applicable
Carryover Requests
Definition• Unspent funds from one budget period to another
When to Carryover• At time of FFR submission or 30 days after
What should be included• PMS has to be current and grant conditions must be satisfied• Budget form SF-424• Budget Justification: Include a reason why you have an unobligated balance
and how you’re going to allocate funds • SF-424 or budget justification is NOT required if the grantee is within the
expanded authority guidelines of up to 25% or $250,000 (whichever is less)
Tips & Reminders
• Read your NoA carefully
• EHB is your portal
• Make sure that the contact information, including e-mail addresses, of the Business Official and person identified in the application are correct
• Submit financial reports on time
• Exercise sound fiscal responsibility
• Regularly communicate with your GMS & PO
• Maintain accuracy and currency of your information in the System for Award Management (SAM)
• OMB Circular replaced by the Uniform 2 CFR 200 codified by HHS at 45 CFR 75
• Resource: http://hrsa.gov/grants/hhsgrantspolicystatement.pdf
Introducing the
Healthy Start EPIC Center
April 25, 2019
Training and Technical Assistance
The Division of Healthy Start and Perinatal Services funds
the EPIC Center to provide you with free training and
technical assistance.
This presentation will introduce you to the available resources
to support you in delivering effective services to participants
and achieving program objectives.
EPIC Center Purpose
The EPIC Center is
building a sustainable
knowledgebase of
resources, tools and
trainings to support
Healthy Start programs
to achieve program
objectives.
Healthy Start EPIC Website Video
Training Resources
A catalog of archived
webinars is available.
e-News
Inventory of Evidence-Based Practices
216+ searchable EBPs
To improve the health of women, before, during, and after pregnancy in order to improve birth outcomes and improve infant health.
Scope
Schedule
HR Budget
Comm-unica-tions
Project manage-ment
Grants Manage
mentQuality
Risk
Built on the principles of Project
Management, EPIC has
assembled resources to help
Project Directors manage their
Healthy Start program
Project Management Tools
Certificates are e-mailed within 48 hours of course completed
Healthy Start 101
Preconception & Interconception Health
Prenatal Health
Postpartum Health
Parenting & Child Development
Scope of Practice & Core Values
Outreach
Participant Screening & Community Assessment
Health Education
Care Coordination
Participant Empowerment & Community Engagement
Meeting Training Packages
EPIC Center is creating a series of Meeting Training Packages to provide everything you need for a short (30 minute) staff development activity that you can do with your entire Healthy Start team during a staff meeting or other team meeting.
Current topics include:
• Using Preconception and Interconception Education and Services to Help Prevent Alcohol-Exposed Pregnancies
• Perinatal Depression: Screening, Support and Referral to Treatment
• Addressing Fetal Alcohol Syndrome in Native and Tribal Communities
• The Importance of Trust as a Tool for the Disclosure of Substance Use During Pregnancy
• Social Determinants of Substance Use During Pregnancy
• What I Wish for You: Community Health Workers’ Hopes for Their Healthy Start Clients
Staff Development Packages
Selected Additional Website Resources
Performance
Resource
Sheets
for all 19
benchmarks
Find a Grantee
To update your program information,
please complete the form in the chat box
and return it to EPIC.
Special Initiatives
AStEPP - Alcohol and
Substance-Exposed
Pregnancy Prevention
Initiative
Under Training tab
Resources and tools to increase
understanding of impacts of fetal
exposure to alcohol and other
drugs and capacity to engage in
effective prevention and early
identification activities with
pregnant women, mothers, and
newborns.
Healthy Living
Under Resources tab
Resources and tools to increase
awareness of environmental
influences of healthy living
behaviors, and to provide specific
ideas for Healthy Start programs
to support Healthy Living. The
initiative encourages efforts at
multiple levels: individual
(including both staff and
participants), the Healthy Start
program, and community-wide
efforts.
Maternal Mortality
Under Resources tab
Information, resources, tools, and
evidence-based practices, to use
and enhance educational, care
coordination and community
mobilization capacities to
address the overlapping risk and
protective factors that impact
both maternal and infant health.
Upcoming Webinar
April 30, 2019 – 2-3:30pm ET: Fatherhood-Male Involvement
Rap Session. Registration on http://www.healthystartepic.org
May 15, 2019 – 1-2:00pm ET: Data Brown Bag: What Healthy
Start Grantees Need to Know. Registration forthcoming
May 23, 2019 - 1-2:30pm ET: Engaging With Your State’s
Maternal Mortality Review Committee: What Healthy Start
Grantees Need to Know. Registration forthcoming
EPIC Center website: http://www.healthystartepic.org
Includes all recorded webinars, transcripts, and slide
presentations
For assistance:
Contact Us:
healthystartepic.org
1-844-225-3713, toll-free
Questions?
Contact Information
Benita Baker and Martha (Sonsy) Fermin
Branch Chiefs, Division of Healthy Start & Perinatal Services
Maternal and Child Health Bureau (MCHB)
Health Resources and Services Administration (HRSA)
Email: [email protected], [email protected]
Phone: 301.443.1461, 301.443.1504
Web: mchb.hrsa.gov
Twitter: twitter.com/HRSAgov
Facebook: facebook.com/HHS.HRSA
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