Nurse Education, Practice, Quality and Retention- Interprofessional Collaborative Practice Program: Behavioral Health Integration

Post Date

October 16th 2015

Application Due Date

January 22nd 2016

Funding Opportunity Number

HRSA-16-068

CFDA Number(s)

93.359

Funding Instrument Type(s)

Cooperative Agreement

Funding Activity Categories

Health

https://grants.hrsa.gov/2010/Web2External/Interface/FundingCycle/ExternalView.aspx?fCycleID=080f66d6-164d-4229-9a84-0a85d5dae612

Number of Awards

16

Eligibility Categories

Other

Eligible applicants are accredited schools of nursing, health care facilities, or a partnership of such a school and facility. All applicants must possess the capacity to deliver high quality, integrated team-based, nurse-led primary care and behavioral health services to patients and their families in community-based settings. Foreign entities are not eligible for HRSA awards, unless the authorizing legislation specifically authorizes awards to foreign entities or the award is for research. ФThis exception does not extend to research training awards or construction of research facilities.

Funding

• Estimated Total Funding:

  $8000000

• Award Range:

  $0 - $0

Grant Description

This announcement solicits applications for a two-year FY 2016 Nurse Education, Practice, Quality, and Retention-Interprofessional Collaborative Practice: ФBehavioral Health Integration (NEPQR-IPCP:BHI) program to integrate interprofessional and collaborative models of behavioral health services into routine nurse-led primary care delivered in vulnerable and/or underserved/rural populations. In 2003, the New Freedom Commission on Mental Health report cited primary care as an area where patients need to receive more effective mental health assessment and treatment. ФFurther, Healthy People 2020 recommends that early interventions, including behavioral health screenings, become an essential component of primary care visits.Ф The Affordable Care Act created a federal infrastructure to integrate primary care and behavioral health services through increased access to mental health and substance abuse prevention and treatment benefits.Ф This increase in coverage also increases the demand for a competent health workforce, capable of working in an integrated setting.Ф The NEPQR-IPCP:BHI program aims to expand the evidence-based practice of integrating behavioral health providers into nurse-led primary care teams in order to increase access to care, enhance care coordination and improve patient outcomes in vulnerable and/or underserved community- based settings.Ф Program Requirements NEPQR-IPCP:BHI recipients will increase access to quality behavioral health care by delivering team-based, integrated primary care and behavioral health services in community-based settings.Ф All applicants are required to: ┤ФФФФФФФФ Practice interprofessional, integrated care in a primary care setting.Ф The primary care provider must be an advanced practice registered nurse (APRN); ┤ФФФФФФФФ ФExpand an existing nurse-led primary care team with the addition of at least one onsite full-time equivalent (FTE) licensed behavioral health provider.Ф The integrated team must include a primary care provider (APRN), behavioral health provider, care coordinator, and consulting psychiatric provider; ┤ФФФФФФФФ Describe their current level of behavioral health integration (using the SAMHSA-HRSA Center for Integrated Health Solutions six-level framework; http://www.integration.samhsa.gov/integrated-care-models/A_Standard_Framework_for_Levels_of_Integrated_Healthcare.pdf) and forecast how they will progress to higher levels of health care integration; ┤ФФФФФФФФ Propose an efficient plan to identify and treat behavioral health problems in the primary care setting.Ф Use of the following evidence-based tools are required: oФФ Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach _ to identify patients for unhealthy alcohol and substance use; and oФФ Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) approach _ to identify patients for depression; ┤ФФФФФФФФ Propose an innovative plan for achieving increased access to behavioral health services including a detailed description of how SBIRT and IMPACT will be implemented into the primary care setting;Ф ┤ФФФФФФФФ Utilize an interoperative health IT system that enables the exchange of primary care and behavioral health clinical data to assess patient and project outcomes and ensure accountable care, and allows practitioners to utilize a common set of patient records that are constantly updated and available to each member of the provider team in real time; and ┤ФФФФФФФФ Describe a rapid cycle quality improvement (RCQI) method that identifies, implements, and measures changes made to improve the projectмs performance. Successful applicants will:Ф Demonstrate a high level of need for behavioral health services within the target community/population; Implement an interprofessional collaborative practice model to deliver comprehensive, culturally competent, and integrated behavioral health services; Systematically identify and treat individuals in need of behavioral health services; and Explain how they will leverage existing behavioral health resources in and around the community to address service delivery gaps. To meet the goal of the program, award recipients are expected to use funds for the following activities: ┤ФФФФФФФФ Create more efficient and integrated practices that lead to high quality patient- and population-centered outcomes that can subsequently inform interprofessional education models; ┤ФФФФФФФФ Expand a nurse-led primary care team consisting of, at a minimum, a primary care provider (APRN), behavioral health provider, care coordinator, and consulting psychiatric provider (options include telebehavioral health); ┤ФФФФФФФФ Serve as a primary care/behavioral health integrated practicum site for interprofessional training for nursing and other health professions students; ┤ФФФФФФФФ Provide universal screening for depression and unhealthy alcohol and other drug use using SBIRT and IMPACT tools and provide necessary education and support, intervention, monitoring and follow-up; ┤ФФФФФФФФ Develop an effective referral arrangement for more intensive and/or any continuous treatment needs; ┤ФФФФФФФФ Implement rapid cycle quality improvement (RCQI) to identify, implement and measure changes made to improve the projectмs performance; ┤ФФФФФФФФ Evaluate the program, collect needed program information, and disseminate findings to appropriate audiences; ┤ФФФФФФФФ Develop a sustainable business model; and ┤ФФФФФФФФ Establish a formal arrangement for technical assistance to increase the level of behavioral health integration and enhance patient care delivery, allocated at no less than $25,000 per year. Applicants should be committed to increasing diversity in health professions programs and the health workforce. ФThis commitment helps ensure, to the extent possible, that the workforce reflects the diversity of the nation.Ф Programs should develop the competencies and skills needed for cross-cultural understanding and expand cultural fluency, recognizing that bringing people of diverse backgrounds and experiences together facilitates innovative and strategic practices that enhance the health of all people.Ф Diversity refers to the multiplicity of human differences among groups of people or individuals.Ф Increasing diversity means enhancing an individualмs, groupмs, or organizationмs cultural competence; in other words, the ability to recognize, understand, and respect the differences that may exist between groups and individuals.Ф Increasing diversity in the health care workforce requires recognition of many other dimensions including, but not limited to, sex, sexual orientation and gender identity, race, ethnicity, nationality, religion, age, cultural background, socio-economic status, disability, and language.Н

Contact Information

• Agency

  Department of Health and Human Services

• Office:

  Health Resources and Services Administration

• Agency Contact:

  Department of Health and Human Services, Health Resources and Services Administration
  kfarrell@hrsa.gov
  

• Agency Mailing Address:

  Contact Kasey Farrell at (301)443-0188 or email kfarrell@hrsa.gov

• Agency Email Address:

  kfarrell@hrsa.gov