REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS PROGRAM

1
REQUEST FOR APPLICATIONS NYS DEMENTIA GRANTS
PROGRAM

• INFORMATION MEETING
• October 27, 2006
• Krause Center
• 2212 Burdett Avenue
• Troy, NY 12180
• 100 - 400 PM

2
TIMEFRAMES

• Letters of intent (11/10/06)
• Application deadline (1/27/07)
• NOTE DEADLINE CHANGE TO 1/27/07
• Application review and scoring (2/07 -- 6/07)
• Award announcement (8/07)
• Contract assembly and execution
• (8/07 - 11/07)
• Contract start date and term (1/1/08 - 12/31/10)

3
WHO IS ELIGIBLE TO APPLY?

• ONLY NYS Article 28 nursing homes are eligible
  to apply.
• NHs that currently have dementia grant awards or
  have been awarded dementia grant funds in the
  past are still eligible to apply

4
SUB-CONTRACTORS

• Applicants may sub-contract with other nursing
  homes, organizations, consultants, etc., and pay
  them grant funds.

5
AWARD CAPS

• Three year contracts
• Capped at an average of 300,00/year
• Total grant award cannot exceed 900,00
• Paid through an adjustment to your Medicaid rate.
• Same rate add-on for all three years

6
PROGRAM OBJECTIVES

• 1. Disseminate evidence-based best practices into
  NHs that have not yet adopted them such that the
  NHs sustain the best practice over time.

7
PROGRAM OBJECTIVES, Contd.

• 2.Develop an evidence-based best practice.

8
OPTIONAL DELIVERABLE

• High quality training and implementation
  materials
• in-service training materials for all staff
• implementation guidance
• implementation documentation forms
• etc.

9
CHANGE TO RFA REQUIRED DELIVERABLE

• Projects are required to participate and present
  in the biennial statewide dementia conference

10
EVALUATION

• Must be done regardless of which objective your
  application addresses
• Is worth 30 of the 75 technical points
• Is a critical component of your project
• Must focus on measureable resident outcomes
• Should include a solid CEA

11
MEASUREABLE RESIDENT OUTCOMES

• Required by the RFA
• Application must make the case that the
  intevention or best practice will produce the
  measureable resident outcomes
• May also measure staff and family outcomes
• If resident outcomes are process measures, such
  as number of ER or hospital visits, must still
  specify resident outcomes that address why such
  decreases are a desired outcome. For example, is
  there a decrease in infections and other
  preventable conditions?

12
RESIDENT SAMPLE

• Can include only residents with dementia,
  although other residents can participate in the
  project
• Clarification to RFA a cognitive impairment
  screen can be used to identify residents who
  possibly or probably have dementia

13
SUGGESTED READING

• Journal of Clinical Epidemiology, 2006. Scaling
  the Mini-Mental State Examination using item
  response theory, J. Teresi.
• Neurology 54(4)827, February 22, 2000. Memory
  impairment on free and cued selective reminding
  predicts dementia. Grober, Ellen PhD Lipton,
  Richard B. MD Hall, Charles PhD Crystal, Howard
  MD.
• Research on Aging 22(6), November 2000, 738-773.
  Applications of Item Response Theory to the
  Examination of the Psychometric Properties and
  Differential Item Functioning of the
  Comprehensive Assessment and Referral Evaluation
  Dementia Diagnostic Scale Among Samples of
  Latino, African American, and White Non-Latino
  Elderly. J. Teresi, M. Kleinman, K.
  Ocepek-Welikson, M. Ramirez, B. Gurland, R.
  Lantigua, D. Holmes.

14
MEASUREMENT ISSUES

• Determine resident outcome variables
• Review the literature and select the best
  measures for each variable
• Review the data collection tool for each measure
• Determine required qualifications for those who
  will collect the data for each measure
• Train data collectors to pre-determined standards
  on the data collection tools

15
INSTITUTIONAL REVIEW BOARD

• NHs whose projects require IRB review and
  approval cannot use the DOH IRB
• If approval is denied, the project cannot be
  funded
• If appropriate, structure your project as a
  quality assurance or quality improvement project

16
BUDGET AND ALLOWABLE COSTS

• Expenses already reimbursed through your Medicaid
  rate are not allowable
• Indirect rate - not allowed for nursing homes -
  must be itemized and justified
• Managing consortia and administering grant funds
  within a consortium
• IRB
• Fixed and movable capital
• Training materials

17
SCORING CRITERIA

• Interventions that will result in lower
  scores
• weak or unclear causal relationship w/ resident
  outcomes
• NHs wouldnt implement absent outside funding
• will benefit very small sub-sets of the NH
  population w/ dementia

18
SCORING CRITERIA, CONTD

• Project and evaluation work plans
• Project and evaluation staffing
• Sustainability

19
PREFERENCE POINTS

• Up to 5 points for training and implementation
  materials
• Up to 5 points for consortium of facilities
  (i.e., NHs and ACFs)