Sample_Compilation_Redacted.pdf

Health Resources and Services Administration

Objective Review Committee Final Summary Report

SSccoorree::

Application Number:

Application Name: .

State: CA City:

Scoring Criteria

Criterion 1: Need Strength:

The applicant organization clearly describes a demonstrated history of serving the communities in the proposed service area, is familiar with the patient and community health care needs and conducts regular needs assessments as part of its planning process.

The applicant organization provides comprehensive details on the demographics for the target population to be served.

The applicant organization clearly identifies the health disparities related to affordability and language barriers.

The application contains a clear and compelling description of the health disparities, need, and public health issues of its target population, along with high numbers of individuals who are not currently being served.

The applicant organization clearly describes the characteristics of the target population and proposed service area which extends from the Southern region up to the North Central communities of San Diego county.

Weakness:

None

Criterion 2: Response Strength:

The applicant organization provides a clear description of services at seven locations within the service area.

Section I

The application provides clear details of the staffing and required services provided at each clinic site.

The applicant organization clearly provides details on the dimensions of the facilities and services to be provided by the proposed sites.

The application describes a very diverse population with 70 percent who are best served in a language other than English. Organizational support is strongly illustrated by use of a staff of providers from the same racial and ethnic groups.

The applicant organization demonstrates that the proposed services and sites have the clinical capacity to provide the proposed services to the target population.

The applicant organization clearly identifies a sliding fee discount program and schedules, including any nominal fees, and provides assurance that services are available and accessible to all without regard for ability to pay.

Weakness:

The application does not clearly describe how the unduplicated patients projected to be served in 2020 is determined.

Criterion 3: Collaboration Strength:

The applicant organization clearly addresses its membership in the Health Centered controlled network and collaborates with other Federally Qualified Health Centers (FQHC).

The applicant organization clearly describes collaboration and coordination efforts with a variety of State and local agencies to provide services.

The applicant organization clearly demonstrates collaboration with providers to provide specialty care.

The applicant organization provides thoroughly supported evidence that it is an integral part of San Diego's health safety net, with strong collaborative partnerships and network ties with community health centers and social service agencies in the county.

Weakness:

None

Criterion 4: Evaluative Measures Strength:

The applicant organization clearly describes the role of the Chief Financial Officer (CFO) tracking and monitoring the financial performance indicators of the organization.

The application contains an assessment of an action taken to improve the monitoring and evaluation system (purchase of a new electronic health record), including a discussion of the resolution of the differences in data retrieved between the previous system and the current one.

The application provides specific and detailed description of its Quality Assurance/Quality Improvement (QA/QI) program, including patient satisfaction and grievance processes, and patient safety, including adverse events.

Weakness:

The application does not clearly describe how confidentiality and safeguards of patient records are protected.

Criterion 5: Resources/Capabilities Strength:

The applicant organization clearly justifies having over 40 years experience in providing health care to the target community.

The applicant organization provides specific and detailed information regarding the organizational structure, staffing plan and a management team that is well-qualified to operate and provide oversight of the proposed project.

Weakness:

None

Criterion 6: Governance Strength:

There are clear lines of authority form the Board to the Chief Executive Officer (CEO).

The applicant organization bylaws clearly address the governance program requirements.

The applicant organization clearly addresses with necessary detail the governing board composition, including board representation, and the requirements for board member selection and removal and board authorities, responsibilities and oversight of the project.

Weakness:

None

Criterion 7: Support Requested

The applicant organization provides a detailed budget presentation that aligns with the proposed project services, sites, staffing.

Weakness:

Priority Point question 1: Program Compliance

Priority Met: Yes Priority Point: 5 Priority point comment:

Priority Point question 2: Patient Trend Priority Met: No Priority Point: 0 Priority point comment:

Objective Review Committee Final Summary Report

SSccoorree::

Application Number:

Application Name: .

State:

Scoring Criteria

Criterion 1: Need Strength:

The applicant organization provides a comprehensive description of the service area for the project, population to be served, the unique characteristics of the population (language, health disparities, housing issues, income status, and other barriers to health care access).

The applicant organization provides a specific and comprehensive description of the proposed service area and target population based on the applicant type.

The applicant organization clearly describes and addresses an understanding of the health care needs of the target population in the service area.

PANEL DISCUSSION:

1. One reviewer feels the application does not address why there is a need to implement a program where 51.9 percent of the patients reside.

Criterion 2: Response Strength:

The applicant organization clearly describes enhancements made to its program based on assessments to better meet their clients needs.

The application clearly describes an extensive network of collaborative relationships and corresponding services to address the broad spectrum of need of the target population.

The applicant organization demonstrates with detail and evidences with clear documentation that the proposed services, sites, and clinical capacity will meet the needs of the target population.

The applicant organization clearly addresses a sliding fee discount program and schedules that insure services are available and accessible to all without regard for ability to pay.

The applicant organization addresses a well-conceived plan to serve 24,702 projected unduplicated patients in 2020.

Weakness:

None

Criterion 3: Collaboration Strength:

The applicant organization clearly describes how they will collaborate formally and informally, and coordinate services, with over 400 other community health centers, free clinics, hospitals, local and state health departments.

The applicant organization clearly identifies collaboration with other providers and programs in the service area and documents collaboration efforts with other primary care providers in the service area that serve similar patient populations.

Weakness:

None

Criterion 4: Evaluative Measures Strength:

The applicant organization describes a robust Quality Assurance/Quality Improvement (QA/QI) program that includes patient satisfaction and grievance processes, and patient safety, including adverse events.

The applicant organization clearly addresses how efforts will improve the health status of the patient population and achieve goals for the clinical priorities (Diabetes, Depression Screening and Follow-Up, Child Weight Assessment and Counseling, and Body Mass Index).

The applicant organization provides specific and comprehensive Clinical and Financial Performance Measure goals and plans for achieving such goals.

The applicant organization clearly describes how the health record system will protect confidentiality, safeguard patient records, and collect and organize data for required reporting.

None

Criterion 5: Resources/Capabilities Strength:

The applicant organization clearly describes a demonstrated history as a Federally Qualified Health Center (FQHC).

The application describes cross training of support staff (mobile unit drivers) which strongly supports efficient utilization of human resources while enhancing and strengthening the overall service delivery system.

The application describes a very effective use of tele-health for case conferencing to further enhance care that might otherwise be difficult for patients in need to obtain due to various barriers.

The application clearly outlines how the organizational structure, staffing plan and management team are appropriate for operation and oversight of the proposed project.

The applicant organization clearly identifies numerous achievements and national recognition for quality that the organization has received or is working toward.

The applicant organization describes a thoroughly developed financial accounting and control system with capacity to account for all federal award funds and expenditures in accordance with Federal Award and Cost Principles.

Weakness:

None

Criterion 6: Governance Strength:

The applicant organization provides clear and detailed documentation of its governing board composition, representation of targeted special populations, requirements for board member selection and removal and board authorities, and responsibilities and oversight of the project.

Weakness:

None

Criterion 7: Support Requested

The applicant organization provides a clear and detailed budget presentation that aligns with the proposed project services, sites, and staffing.

The application addresses potential financial challenges and clearly describes how the organization will respond to and mitigate adverse impacts.

Priority Point question 1: Program Compliance

Priority Met: No Priority Point: 0 Priority point comment:

Priority Point question 2: Patient Trend Priority Met: No Priority Point: 0 Priority point comment: