Funding Opportunity: Capital Infrastructure in Support of Team-based Comprehensive Primary Care

Funding Overview

This funding opportunity is designed to improve the capacity of clinics to serve more Coloradans with high-quality, comprehensive and integrated primary care centered on patients’ preferences, needs and values. It will provide planning assistance and shovel-ready capital funding to safety net practices in Colorado in support of increased access to team-based, comprehensive primary care.

There are two ways clinics can apply for funding under this funding opportunity – planning assistance or shovel-ready capital projects.

Proposed programs and/or projects must reflect the Foundation’s cornerstones, as our work is grounded in serving Coloradans who have low income and historically have had less power or privilege, putting the creation of health equity at the center of everything we do, and being informed by the community and those we exist to serve.

Have questions? We’re here to talk through your ideas and encourage you to connect with us before applying for funding. If you’re not already connected with a program officer, please reach out to us by email or phone at 303-953-3600.

Focus Area
Maintain Healthy Bodies
Grant Deadlines

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Have questions? Contact your Program Officer for more information.

Planning Assistance to Implement Team-based Care

Clinics can apply for a planning grant of up to $15,000 to receive a maximum of 12 months of team-based care focused coaching and training to implement this foundational and evidence-based model of care. The planning grant is to support the clinic’s administrative expenses and/or personnel time for staff to participate in coaching and training with JSI Research & Training Institute, Inc. (JSI). A clinic applying for a planning grant in this funding period can apply for a capital grant in a future period. Planning grants will only be available for the following grant deadlines: June 15, 2019, Oct. 15, 2019, Feb. 15, 2020.

The Foundation is working in partnership with JSI to offer planning support. It is essential for grantees planning to make changes to their physical layout in support of team-based care to have the four foundational blocks of team-based care in place:

  1. Leadership that is engaged and committed to team-based care
  2. Empanelment – matching patients to primary care providers (PCPs) and care teams to improve relationships and continuity of care
  3. A process to conduct data-driven quality improvement
  4. Established care teams

For clinics that do not yet have the team-based care foundational blocks in place, they can request a planning grant to work with JSI for up to 12 months. If approved, JSI will support the organization in:

  • Implementing the foundational blocks for team-based care through regular coaching and faculty support
  • Developing a plan for implementing and sustaining the team-based care model

Once the planning period ends, the organization will be assessed by JSI for readiness to apply for a shovel-ready capital infrastructure grant.

Shovel-ready Capital Projects

Clinics that have already implemented a team-based care model can apply for a capital grant of up to $300,000. Clinics will need to demonstrate the team-based care foundational blocks are in place or are well on their way toward implementation of the foundational blocks.

 

Criteria for Planning Assistance and Shovel-ready Capital Projects

To be considered for funding, clinics must meet the following criteria:

  • Alignment with the Foundation’s cornerstones that advance our efforts to bring health in reach for all Coloradans
  • Must be a nonprofit clinic or public agency that provides comprehensive primary care services to a significant population of patients who are living on low income and are uninsured and/or underinsured. For-profit clinics will also be eligible to apply for the primary care capital funding, provided they meet the criteria and can also demonstrate an active caseload of at least 40 percent of Medicaid clients with a low profit margin.
  • Provides integrated health care services through teams composed of behavioral, physical and/or oral health care providers

Preference will be given to organizations with programs/projects that:

  • Are serving patients in rural and/or frontier communities in Colorado. The Foundation follows the Colorado Rural Health Center’s definition of rural and frontier:

    Rural – a non-metropolitan county with no cities over 50,000 residents

    Frontier – a county that has a population density of 6 or fewer residents per square mile

Examples of team-based care projects considered for funding

  • Planning assistance to implement or strengthen a team-based care model at the clinic
  • Facility acquisition, construction, renovation or expansion
  • Medical and office equipment purchases
  • Hardware, software, installation and technical assistance costs associated with health information technology systems
  • Operating expenses associated with physical or information technology expansions/improvements

Additional Attachments for Planning Assistance

We ask clinics applying for planning assistance to also submit as attachments to their proposal the following:

  1. A letter of commitment from executive leadership that they strongly support the implementation of a team-based care model at their clinic
  2. Demonstrate there is a functional Electronic Health Record system by explaining the current process for report generation, data analysis and ongoing population health management

 

Additional Attachments for Shovel-ready Capital Projects

All proposals submitted through this funding opportunity for shovel-ready capital projects will be initially assessed by JSI on where the clinic is at in implementing team-based care and if the four foundational blocks are in place. We ask clinics operating in a team-based care model to also submit as attachments to their proposal the following:

  1. A letter of commitment from executive leadership that the clinic operates in a team-based care environment
  2. An explanation of the organization’s clinical and non-clinical team structure (e.g., pod breakout and composition) and a description of its quality improvement structure
  3. An empanelment and continuity report (provider, team and/or practice level)
  4. Demonstrate there is a functional Electronic Health Record system by explaining the current process for report generation, data analysis and ongoing population health management
  5. Schematics for capital infrastructure changes, if completed. (If not yet completed, JSI will review when and if funding is approved.)

JSI will share their final assessment with the Foundation. For shovel-ready capital requests, if the clinic is deemed ready the proposal will then continue on for due diligence.

JSI staff is available before the upcoming June 15 deadline to answer questions related to the additional documentation requirements listed above. Please contact Alexia Eslan at 303-262-4319 for more information.

Access examples of these attachments here

Measurable Reach

Applicants will be asked to indicate how their work will increase the number of people accessing comprehensive primary care services within one year at the end of the capital enhancement.

Definitions:

Comprehensive primary care: The Foundation has adopted the Institute of Medicine’s definition, which is “primary care is the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.” Furthermore, integrated refers to physical, behavioral and oral health and the Foundation’s definition also encompasses reproductive health services provided within the integrated setting.

Team-based care: Defined by the National Academy of Medicine as “the provision of health services to individuals, families, and/or their communities by at least two health providers who work collaboratively with patients and their caregivers – to the extent preferred by each patient – to accomplish shared goals within and across settings to achieve, coordinated, high-quality care.” There are five core principles: shared goals, clear roles, mutual trust, effective communication and measurable processes and outcomes.

We often partner with third-party evaluators, contractors and other organizations over the course of our work with applicants and grantees. Your application and its attachments may be shared with these individuals or entities during the review process and grant cycle. All third-party organizations partnering with the Foundation have signed a confidentiality agreement and will not use or share the information for purposes outside of the scope of work specific to the grant application or grant award. If you have any concerns or would like additional information, please email grants@coloradohealth.org or call our senior director of Grantmaking Operations at 303-953-3600.

Funding Opportunity

Our funding opportunities focus on specific needs aligned with a particular priority within our focus areas. These vary for each funding deadline (Feb. 15, June 15 and Oct. 15). Applicants will be required to address detailed criteria specific to that funding opportunity. Grant funding is highly competitive within the pool of applicants for each individual funding opportunity.

We encourage all applicants to sign up in our grants management system by June 8 to confirm registration is complete in advance of submitting a grant application. Apply for funding by 5 p.m. MDT on June 15, 2019.