Health Information Technology
Request for Grant Applications
Applicant Conference
October 25, 2005
10:00am - 1:00pm
Conference Panelists








Bill Schroth - Moderator
Anna Colello - Evaluation Co-Chair
Ellen Flink - Evaluation Co-Chair
Marybeth Hefner-DOH Grants Administrator
Dennis Kling - DOH - Reimbursement
Bob Veino - DOH - Legal
Lora LeFebvre - DASNY - Finance
Sara Richards - DASNY - Legal
HEAL NY - Phase I





Support Federal Strategic HIT Plan
Broad definition of Clinical Data Information
Sharing Projects
Principle: Large public interest in building
clinical data sharing infrastructure
Majority of funds to existing stakeholders
Show community benefit and support
Financial Issues


Funding for capital costs - Statutory
50% match funds required
–
–

Financial viability
–
–

Leverage grants
“Skin in the game”
Real implementation, not temporary
Encourage payer involvement
Financially distressed entities
–
70% match and preference
Multi-Stakeholders / Community
Buy-in




Across corporate/stakeholder boundaries
Minimum requirements
The more the merrier
Openness to new stakeholders
Technology




Existing standards
Standards & certification RFPs
Interoperability
Choice of platforms/vendors
Regional Allocations





HEAL NY totals $1 billion
Phase I is $52.875 million, about 5%
Not a concern for applicants
Evaluation combines project quality with
geographic distribution
Right to alter grant/project size
Capital Costs and Matching Funds

Project Phases
– Preliminary design phase
– Software development phase
– Post-implementation/operational phase
Preliminary Design Phase



Costs apply only to matching costs
Direct costs only
Must be incurred 2/1/05 or later
Software Development Phase




Costs can apply to match or be reimbursable
Direct costs only
If used for match, must be incurred 2/1/05 or
later
If used for reimbursement, must be incurred
after contract start
Post-Implementation / Operational
Phase



Costs apply only to matching costs
Direct costs only
Must be incurred 2/1/05 or later
Examples of Allowed Costs






Payroll for staff directly involved
Payroll related costs (employee benefits)
Travel for direct staff
Hardware
Software purchase - specific to project
Software development by third party
Frequently Asked Questions
Applicants
1. Must be an eligible entity
2. May be part of more than one application
3. May be Clinical Information Data Exchange made
up of “3.2” eligible entities
4. Must share electronic clinical data with stakeholder
of different category/ownership
5. Letter/Agreement/MOU between eligible applicant
and stakeholder satisfies the commitment
requirement
Stakeholders



Same entities are eligible applicants with the
addition of adult homes, with assisted living
programs “ALP”, licensed home care
agencies, hospice, payers, pharmacies
Must be medical entity to qualify and the
more appropriate organizations that partner
the better
May be part of multiple applications
Project Categories



Project to develop community-wide clinical
data sharing
E Prescription Capabilities
Electronic Medical Records
1. Project can be more than one category
2. Scanned documents don’t meet test of Electronic
Medical Record because lack interoperability
3. Funding request cannot be for EMR within one
health system regardless of number of sites
Financially Distressed



“Significant role” in project determined by
what is described on case by case basis
Financial viability of the project as a whole
despite financially distressed as stakeholder
Negative impact of financially distressed is
balanced by greater portion of grant funding
(70% instead of 50%)
Technology



National standards and certification
processes are expected to be operational
before end of grant
Certification statements required that
applicant will become certified within six
months of standards becoming operational
Information technology projects not
telemedicine
Requirement to Certify that:






I will make every effort to ensure that the applicant will be consistent with the
goals and recommendations, when available, of the Commission on Health Care
Facilities in the Twenty-First Century, as established pursuant to Section 31 of
Part E of Chapter 63 of the Laws of 2005.
I will make every effort to ensure that the applicant will design a project which is
interoperable and adheres to the national standards for their type of Project.
I certify that the work covered by the Grant Disbursement Agreements (“GDAs”)
shall be deemed “public work” subject to and in accordance with Articles 8, 9 and
10 of the Labor Law, if applicable.
I certify that the applicant will collaborate with other grant recipients in their region
and with the Department of Health on the development of statewide standards.
I certify that the information contained in this application and attached materials
are accurate and true.
I certify that the funds received pursuant to subdivision 1 of section 2818 of the
Public Health Law will be expended solely for the purposes for which the monies
were awarded under the RGA for __________________________________.
(Name of Facility)
Evaluation Criteria






Project Description
Quality Component
Technology
Community Buy In
Project Monitoring and Evaluation
Project Finances
Evaluation Criteria (cont.)




The Technical component is worth 80% and
the Financial component is worth 20%
Within the technical component, the areas of
most importance are: quality, technology and
community buy-in/commitment
The technical component and financial
component will be reviewed by separate
teams
An approval committee will make the final
award determinations
Award Criteria Considerations






Strength and scope of overall Project
Availability of funds
Responsiveness to the goals and objectives
of HEAL NY and the RGA
Evidence of substantial applicant
organizational capability, support and
commitment
Potential impact of the project on the
community or populations served
Financial commitment and viability
Submitting the Application

Applications must be prepared using the forms on
the website, including the budget and certification.
Attachments can be found at:
http://www.health.state.ny.us/funding/rfa/0508190240/index.htm

Applications should be submitted to:
Fred Genier
Director, Grants and Procurement Section
New York State Department of Health
Room 13255 Corning Tower
Albany, New York 122237-0016
Key Dates

Application Receipt Date: November 30, 2005

Anticipated Award Date: January 2006

Anticipated Contract Date: March 2006
Next Steps


The Question and Answer period has been
extended to cob on Friday, October 28, 2005
The Q & A document will be posted by
November 7, 2005 on the website at:
http://www.health.state.ny.us/funding/rfa/0508190240/index.htm

Any other questions regarding the application
process can be sent to:
[email protected]
Thank you