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#  {#section .CAP-Head-1}

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} Late Breaking News {#late-breaking-news .CAP-Head-1}

##  {#section-1 .CAP-Head-2}

## Greetings! {#greetings .CAP-Head-2}

##   {#section-2 .CAP-Head-2}

**NEW HCAP GRANTEES:** The Healthy Communities Access Program welcomes
our new HCAP grantees: Thirty-five communities across the country have
joined us! Consortia of Health Centers, private providers, hospitals,
public health departments, local governments, social service
organizations, and faith and community-based organizations are among the
many entities working together to develop and strengthen integrated
community health care delivery systems for the uninsured and
underinsured in these 35 communities in 19 states and the District of
Columbia. New grantees received over \$34 million in fiscal year 2003
new HCAP funds. For a complete list of the 35 new HCAP grantees, please
visit: [http://bphc.hrsa. gov/cap/sept03g.htm]() or
[www.capcommunity.hrsa.gov](http://www.capcommunity.hrsa.gov/).

**JUST ANNOUNCED \-- DATES FOR THE HCAP NATIONAL GRANTEE MEETING:** Mark
your calendars! The HCAP National Grantee Meeting will be held in
Washington, D.C. from January 20 through January 22, 2004. As stated in
the HCAP guidance, attendance by two to four people from your consortium
is mandatory. Further details will follow as they become available.

**STAFF UPDATE:** The Healthy Communities Access Program would like to
welcome two new Project Officers to the team. Anthony Achampong and
Amanda Ford will be taking over the HCAP Project Officer duties for
Jayne Bertovich, Judy Oliver, and eventually Christie Brown. Jayne,
Judy, and Christie will be shifting their skills and energy to the
Integrated Services Development Initiative (ISDI), the Shared Integrated
Management Information Systems (SIMIS) and Integrated Communications
Technology (ICT) grantees, also health infrastructure programs in our
Health Care Systems Branch. We are sad to see them leave the HCAP team,
but are certain they will be working hard with their grantees to help
strengthen integration of activities among health centers -- which
include some of your own partners. Our new Project Officers are excited
about working with the HCAP community and are looking forward to meeting
their grantees. Anthony will be the Project Officer for grantees in
Tennessee, Iowa, Kansas, Missouri, Nebraska, and Arizona. Amanda will be
the Project officer for grantees in Virginia, West Virginia, and North
Carolina.

**DUNS NUMBER NEEDED TO APPLY FOR FEDERAL FUNDS AFTER OCTOBER 1, 2003:**
The Office of Management and Budget has directed federal agencies to
require all applicants to provide a Dun and Bradstreet (D&B) Data
Universal Numbering System (DUNS) number when applying for Federal
grants or cooperative agreements on or after October 1, 2003. The number
will be used for tracking purposes as well as to validate address and
point of contact information. The DUNS number will be required whether
an applicant is submitting a paper or an electronic application, and
whether an applicant is applying for a new award or renewal of a current
award. The current directive does not cover non-competing continuations,
however, Phase II of the project will begin to cover those continuations
in FY 2004. Therefore, all grantees are encouraged to obtain a DUNS
number. Organizations can acquire a DUNS number at no cost by calling
the toll-free DUNS number request line at 1-866-705-5711. Further
information can be found in the Federal Register, located at:
[http://a257.g.akamaitech.net/
7/257/2422/14mar20010800/edocket.access.gpo.gov/2003/pdf/03-16356.pdf]{.underline}.

**UPDATING PRIMARY & EVALUATION CONTACTS:** HCAP maintains one list of
primary contacts for each grantee community. HCAP grantees may now
update both their primary contact and evaluation contact information
through the Data Management System (DMS), which will require using the
same user ID and password they use to access the query tools and to
print reports. Grantees will be able to view their current contact
information and make any edits/updates to this information. In naming
the primary contact, please select a person who checks their email
frequently and will share any relevant information or materials with the
rest of the CAP consortium members quickly and effectively. **For the 35
new HCAP grantees, if you have yet to do so, please submit your primary
contact information to <lhubbard@synthesisps.com> as soon as possible as
you do not yet have access to the DMS.**

**Carryover and Project Period Extension Requests:** A reminder that
Financial Status Reports (FSR) are due to the Office of Grants
Management within 90 days after the end of your Budget Period (Due on or
before: November 30, 2003) and should reflect obligations only through
8/31/03 and nothing beyond that date. Any fund obligations made from
9/1/03 through 8/31/04 will be reported against your next FSR. **Note:**
The 35 New HCAP grantees are not required to submit an FSR at this time.
Requests for carryover of unobligated balances of Federal funds from the
previous budget period (9/1/02-8/31/03) to cover allowable costs in the
current budget period (9/1/03-8/31/04) should be submitted after or
simultaneously with the submission of the FSR but prior to
expenditure/obligation of the funds. Please contact your Project Officer
for more information if you plan on requesting carryover and/or a
project period extension (extensions are generally available for up to
12 months \-- i.e.

through 8/31/04 if applicable). Completed carryover requests, project
period extension requests and FSRs should all be submitted to the Office
of Grants Management at the address listed on your Notice of Grant
Award.

Thanks!

Diana & Amanda

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# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} CAP TA Calls {#cap-ta-calls .CAP-Head-1}

## Technical Assistance Calls {#technical-assistance-calls .CAP-Head-2}

Technical assistance calls for grantees are generally held every other
Thursday from 2 to 3 PM EST. The schedule for October and November
appears below. To register, search for summaries or materials from prior
calls, or download materials for upcoming calls, please go to the CAP
Website: **www.capcommunity.hrsa.gov**. Please remember that the site is
password protected. Grantees should contact their primary contact to
receive the password. Once you register for the call, please be sure to
download the materials that will be used during the call. You should
immediately receive a confirmation note by email that includes the
call-in number for the call. If you have difficulty registering or do
not receive the call-in number, please contact Shandy at
**scampbell@mac1988.com** or call 301-468-6006 x437.

With the exception of calls related to legal issues, TA calls are
summarized and posted on the CAP website
(***www.capcommunity.hrsa.gov***). Legal issue briefs are posted on the
site under legal issues. You may also request an audiotape copy of any
previous calls (up to one month after the call) by contacting Shandy
Campbell at the email above.

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**GRANTEE NEWS**

**PATH**

*New Orleans, Louisiana*

The New Orleans HCAP, PATH (Partnership for Access to Healthcare) has
made exciting progress towards the creation of a community of caring for
the un- and underinsured of New Orleans. During the past six months,
PATH has rolled out its web-based system called *CLIQ* (**CL**inical
**I**n**Q**uiry). This system makes available real-time,
patient-centered clinical results and reports from The Medical Center Of

Louisiana (MCL) database through an intuitively

simple graphical user interface. Work continues on enhancements to this
system that lay the groundwork for its use to *actively* improve care
provided through clinician reminders, decision support, and
population-level disease management. *CLIQ* was developed with CAP funds
starting in September of 2000, and deployed during the 2003 calendar
year. Four PATH consortium members and four other community-based sites
serving the

under/uninsured are currently linked to the *CLIQ* system. More than 400
clinicians at these linked clinical locations access more than 1500
patient records and more than 6000 results and reports through CLIQ on a
daily basis. Since July 1, 2003 more than 2000 unique clinicians have
accessed patient results and reports via *CLIQ*. Perhaps the most
dramatic account of *CLIQ*'s success was reported by clinicians at the
CHCs: Since the introduction of *CLIQ,,* the availability of reports on
procedures and tests performed at the MCL has increased from less than
20 percent delivered within 10 days to 100 percent accessible within 10
minutes.

The impact of this system is expected to be substantial. The MCL alone
had more than 500,000 outpatient visits and 25,000 inpatient admissions
in 2001. When the visits of patients to more than 15 community providers
are added to those at MCL, the numbers potentially affected by these IS
advancements are considerable. In addition, during the coming year, the
State's Public Hospital system has committed resources to implement
*CLIQ* in three other Louisiana communities where they serve a similar
under/uninsured population in other medical centers. If all projections
come to pass, *CLIQ* could improve the timeliness and quality of health
care delivered to the 25 percent of the state's population that is
served by the public hospital system. For more information on this
program, please contact Clayton Williams at <cwilliams@lphi.org>

**North Idaho Partners in Care**

*Coeur D'Alene, Idaho*

Congratulations to North Idaho Partners in Care for their role in
helping to establish a new volunteer clinic in Bonner County and a
mobile clinic to help provide health services to migrant workers. The
Bonner Partners in Care Clinic is a not-for-profit clinic dedicated to
providing health care to uninsured, low-income people in Bonner County.
The focus of the clinic is on primary health care including high blood
pressure and diabetes. The clinic is open one night a week and will
treat clients on a first come first serve basis. The clinic will work
with the county to help link clients with pharmacy assistance programs
to ensure that they can access needed medications. Clients will be
screened for financial eligibility and will pay for services
accordingly. This volunteer clinic will help to increase accessibility
to health care

services for uninsured residents.

The mobile clinic that is operated by Boundary Regional Community Health
Center and the North Idaho Rural Health Consortium, with support
provided through the HCAP grant, began providing health care services to
migrant workers at farms this summer. The mobile clinic has a doctor's
exam room and a dental exam room. Migrant workers are often uninsured,
reluctant to seek health care, and lack access to services. The mobile
clinic has provided an opportunity for migrant workers to seek care that
was unattainable in the past. For more information about these programs,
please contact Karen Cotton at
[kcotton@kmcmail.kmc.org](../kcotton@kmcmail.kmc.org)

**Project Access**

*Wichita, Kansas*

Thanks to a unique partnership between the Wichita District Dental
Society, the Wichita Community Foundation, the United Methodist Health
Ministry Fund, the Knight Foundation Donor Advised Fund, the Kansas
Health Foundation and Project Access, help is on the way to the
estimated 3,000 people in Wichita that suffer from "acute dental pain"
because they lack dental insurance or money to pay a dentist. In
October, Project Access will launch a one-year project specifically
designed to deliver donated dental services to approximately 600
qualified patients in Sedgwick County.

Working through direct referrals from hospital emergency rooms in the
Wichita area, Project Access personnel will screen potential qualified
individuals and refer them to area dentists. Each volunteer dentist will
treat an average of twelve patients a year. According to the protocols
established for the test project, treatment will cover basic care such
as tooth extraction and fillings. All partners in the project agree the
next logical step should be prevention activities, but eradicating tooth
pain is the primary goal in the first phase of the project. The Project
Access Dental Initiative will screen patients,

schedule appointments and handle paperwork, mirroring its highly
successful medical assistance project that has helped over 4,205
patients in the Wichita area. Grants from the Robert Wood Johnson
Foundation and HRSA's Healthy Communities Access Program have funded
Project Access' planning phase of this project. This initiative
represents a new model in Kansas using an organized referral system of
volunteer dentists responding to severe dental

problems of hospital emergency room patients. All involved hope it will
address a critical need in the Wichita community, produce significant

outcomes and reach those least able to afford dental care. For more
information on this program, please contact Anne Nelson at [annenelson@
projectaccess.net](../annenelson@projectaccess.net) or visit the Wichita
Project Access website: <http://www.projectaccess.net/>.

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} Grant Opportunities and awarDs {#grant-opportunities-and-awards .CAP-Head-1}

**Corporation for National and Community Service: Next**

**Generation Grants**

####### Deadline: November 17, 2003 

The Corporation for National and Community Service (The Corporation) is
accepting applications for approximately \$4,000,000 to award Next
Generation Grants. These grants provide seed money for next-generation
national service organizations and are intended to help new and
established organizations develop new projects and service programs that
have the potential of becoming national in scope. The grants will fund
innovative strategies to effectively engage volunteers in service, which
result in measurable outcomes to beneficiaries and participants.

For more information, contact: Shanika Ratliff at (202) 606-5000 ext.
408 or via e-mail at <nextgeneration@cns.gov>. TDD: 202-565-2799. A
technical assistance conference call for applicants

will occur November 3, 2003, from

2:00 p.m. to 4:00 p.m. (ET). The dial-in number is 1-888-793-1858 and
the pass code is \"next generat.\" All potential applicants are strongly
encouraged to be present on the calls. Availability is limited to the
first 125 participants.

**The American Hospital Association 2004 NOVA Award**\
*Deadline: December 2, 2003*

The NOVA Award honors AHA member hospitals and health care systems for
effective, collaborative programs focused on community health status -
whether through health care, economic, or social initiatives. Because
the award requires collaboration, organizations that partner with a
hospital on a community health initiative might consider suggesting that
their hospital partner apply for the award with their support.
Applications and stories about previous winners can be found at:

[http://www.
hospitalconnect.com/aha/awards-events/awards/novaaward.html](http://www.hospitalconnect.com/aha/awards-events/awards/novaaward.html).

#  {#section-4 .CAP-Head-1}

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} conferences, programs, and other news {#conferences-programs-and-other-news .CAP-Head-1}

### 

Volunteers in Health Care Teleworkshop

*December 16^th^, 2pm EST\
*

The following VIH Teleworkshop, *Communicare: A Statewide Model of
Care,* may be of interest to grantees. During this workshop,
participants will have the opportunity to learn more about the
Communicare program in South Carolina.  Established in 1993,
Communicare is designed to provide access to health care for the working
poor of South Carolina.  The Communicare delivery system brings together
a referral network of more than 2,000 volunteer doctors, dentists, and
nurse practitioners, along with hospitals and clinics to provide health
care at no charge to Communicare patients. Additionally, Communicare has
established partnerships with eight pharmaceutical companies that have
agreed to donate their products to Communicare patients in a central
fill pharmacy.

If you are interested in hearing more about the Communicare model, would
like advice on recruiting and retaining clinical volunteers, managing
statewide networks, and approaching pharmaceutical companies for
donations, this workshop is for you. Registration for this call will
open in mid-November. For further information, please visit:

[**http://www.volunteersinhealthcare.org/**](http://www.volunteersinhealthcare.org/).

2nd Annual Faith-Health Leadership Conference

*November 12-14, 2003*, *Alexandria, VA*

HRSA and the Bureau of Primary Health Care welcome faith-based groups as
valued partners. The 2nd Annual Faith-Health Leadership Conference,
being held on November 12-14, 2003 at the Alexandria Hilton Mark Center
Hotel brings together health care providers, faith and other
community-based leaders from across America who are working to improve
and expand access to health care for millions of our fellow citizens,
especially minorities and low-income groups. It creates an opportunity
for the diverse group of participants to share information and ideas for
creating and expanding new health center sites, linking local resources,
and building coalitions. This year\'s 2 1/2 day conference will features
over 40 concurrent workshop sessions on topical areas such as: Primary
Health Care, Capacity Building and Technical Assistance, Leadership
Development, the 330 Application Process (Grant Writing), Evaluation,
and Partnership Building and Collaboration. There will also be
exhibits/poster sessions, a networking reception, and an evening
activity to include interactive, inclusive and upbeat peer-to-peer
roundtable discussions.

Register online at [www.
mcfarlandwired.com](http://www.mcfarlandwired.com/) or for more
information contact Pamela Milan, Conference Manager, by email at:

[**pmilan@
mcfarlandassociate.com**](mailto:pmilan@mcfarlandassociate.com) or by
phone at: (301) 562.5324 or 1-800-264-4684.

Linking Scholarship to Community Concerns

Community-Campus Partnerships for Health (CCPH) has been funded by the
WK Kellogg Foundation to convene a commission on Community-Engaged
Scholarship in the Health Professions to take a leadership role in
creating a more supportive culture and reward system for health
professional faculty involved in community-based participatory research,
service-learning and other forms of \"community-engaged scholarship.\"

Many prominent national organizations, including the Institute of
Medicine in its 2002 reports on the future of public health, are calling
upon health professional schools and academic health centers to be more
responsive to their communities. CCPH also welcomes suggestions of key
articles, reports, people and programs that should be considered for
this project.

Questions, comments, citations or full-text materials may be directed to
program coordinator, Jen Kauper-Brown, by e-mail at
[**jenbr@u.washington.edu**](mailto:jenbr@u.washington.edu) or by phone
at (206) 543-7954. Project updates and reports will be posted on the
CCPH website as they become available:
[**http://futurehealth.ucsf.edu/ccph/
kellogg3.html**](http://futurehealth.ucsf.edu/ccph/ kellogg3.html)

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**REPORTS AND ISSUE BRIEFS**

# Exploring State Variation in Uninsurance Rates among Low-Income Workers

Using data from the 1999 National Survey of America\'s Families, this
recent policy brief from the Urban Institute provides details of
uninsurance among low-income workers in 13 states. States with
relatively high rates of uninsurance among low-income workers tend to
have: greater than average proportions of Hispanics (both citizens and
noncitizens); workers in fair or poor health; and workers in agriculture
and construction. The research did not find differences across states in
uninsurance

among low-income workers by employer size. The brief reviews uninsurance
rates for low-income workers across 13 states by
race/ethnicity/citizenship, health status, employer size, industry, and
employment status. The brief is available at:
<http://www.urban.org/url.cfm?ID=310858>

**New Census Bureau Data on Health Insurance Coverage**

According to recent U.S. Census Bureau Data in the report *Health
Insurance Coverage in the United States: 2002*, an estimated 15.2
percent of the population had no health insurance

coverage during all of 2002, up from 14.6 percent in 2001. The number of
people with health insurance rose by 1.5 million between 2001 and 2002,
to 242.4 million, and the number of uninsured rose by 2.4 million, to
43.6 million. The proportion of insured children did not change in 2002,
remaining at 64.8 million, or 88.4 percent of all children. For the
second year in a row, the overall decrease in coverage was attributed to
a drop in the percentage (62.6 percent to 61.3 percent) of people
covered by employment-based health insurance. The percentage of people
covered by government health insurance programs rose in 2002, from 25.3
percent to 25.7 percent, largely as the result of an increase in
Medicaid coverage. The estimates in the report come from the 2001, 2002
and 2003 annual social and economic supplements to the Current
Population Survey. View the full report at: [http://www.census.gov/
prod/2003pubs/p60-223.pdf](http://www.census.gov/ prod/2003pubs/p60-223.pdf)

**Data Profiles on Chronic Conditions and the Uninsured**

The Center on an Aging Society has just released the eleventh in a
series of Data Profiles on chronic and disabling conditions. The Data
Profile *The Decade Preceding Medicare: Insurance matters for people
with chronic*

*conditions,* demonstrates that adults with chronic conditions who are
uninsured as they approach age 65 are a vulnerable population. They are
less healthy and more likely to need health care services than insured
adults the same age who have chronic conditions; are less likely to have
a regular medical doctor; and are less likely to use

preventive care and screening services. They are also more likely to use
emergency rooms for medical care.

Lack of insurance coverage substantially increases the risk that
individuals with chronic conditions will delay or not receive care. As a
result, their conditions may become worse and more costly to treat.
Uninsured adults have the highest proportion of out-of-pocket
expenditures for health care, which may affect their decisions to seek
and receive care. Prescription drugs are particularly costly, and
uninsured adults are more likely to take fewer prescription drugs due to
cost. The Data Profile is available at:
http://ihcrp.georgetown.edu/agingsociety/

pubhtml/Insurance/Insurance.html.

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**web resources**

### 

#### HRSA Pilot Mapping Tool

#### 

#### The Health Resources and Services Administration (HRSA) Pilot Mapping Tool is an easy-to-use internet mapping interface which allows users to interactively create maps that display HRSA grant awards and other data; provides applicants of HRSA\'s programs the ability to create maps to include in grant applications; and may assist grantees and other stakeholders in locating other potential partners (mental health, primary care resources, etc.) among other uses. The mapping tool also provides the ability to visualize multiple data layers interactively. The mapping tool is available at: [**http://128.206.25.202/index.html**](http://128.206.25.202/index.html) 

######## Center for Research on Minority Health

The Center for Research on Minority Health (CRMH) is only one of a few
centers in the

nation to take a holistic approach toward understanding cancer and other
health-related issues facing minorities and the medically underserved
and is the only Congressionally mandated center for research on minority
health. The mission of the CRMH is to reduce the prevalence of cancer in
ethnic minority and medically underserved populations. Through
outstanding, integrated programs in patient care, research, education
and prevention, CRMH also hopes to become a model for improving the
health of the underserved.

Many thanks to the Houston HCAP Consortium for sharing information on
the CRMH as a resource for other HCAP communities. Visit:
<http://www.mdanderson.org/departments/CRMH/> to reach various
resources, research and links on cancer in ethnic minority and medically
underserved populations.

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