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Puerto Rico Department of Health Federal Grants Programs

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Puerto Rico Department of Health Federal Grants Programs P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015 * – PowerPoint PPT presentation

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Title: Puerto Rico Department of Health Federal Grants Programs


1
Puerto Rico Department of Health Federal Grants
Programs
2
Presenter
  • Fernando Llavona, J.D.
  • Puerto Rico Department of Health
  • Federal Affairs Office Director

3
Session Objectives
  • Overview of the Puerto Rico Department of Health
    (PRDoH) federal grant programs
  • Discuss how federal funds have provided valuable
    resources and financial assistance to diverse
    PRDoH programs in order to advance our
    operational goals

4
Puerto Rico Department of Health
The PRDoH oversees over 65 federally funded
Grants and Cooperative agreements that work to
provide diverse health services to Puerto Rico
residents. 
5
PRDoH - Office of Federal Affairs
  • Serves as the Departments liaison with the
    federal government and seeks to
  • Promote the optimal use of federal resources
  • Ensure compliance with federal regulation
  • Facilitate communication between the PRDoH and
    the federal government
  • Identify new sources of income for the PRDoH

6
Types of Funding
  • Grant - Assistance
  • Purpose is to transfer resources to recipients in
    order to accomplish a public purpose.
  • No substantial programmatic involvement is
    anticipated between the sponsor and the
    recipient.
  • Cooperative Agreement - Assistance
  • Substantial programmatic involvement between
    sponsor and recipient
  • Contract - Procurement
  • Acquire property or services with specific
    obligations for both sponsor and recipient.

7
Funding Priorities
  • The main criterion in the search for federal
    funds is
  • To increase resources to finance PRDoH priority
    projects.
  • Federal funds must be aligned with public policy
    and the PRDoH Strategic Plan.

8
Federal partnership
  • Since federal agencies will only fund those
    applications that address their administrative
    priorities
  • Grantees need to understand the priorities of
    federal agencies.
  • Share common goals.
  • Comply by the terms and conditions established by
    the grantor agency.

9
Puerto Rico Department of Health Federal Grants
- Overview
10
Secretary Auxiliary for Family Health and
Integrated Services
Oversees 29 federal programs, it provides broad
health services and resources to a population of
vulnerable families and children across Puerto
Rico.
Federal funds (yearly) 93M Population served
Island wide
11
Family Health and Integrated Services Federal
Programs Include
  • Abstinence Educ. Grant - DHHS
  • Maternal and Child Health Services Block Grant -
    HRSA
  • Infants and Toddlers with Disabilities - DOE
  • Sexual Violence Education - CDC
  • Addressing Asthma from a Public Health
    Perspective - CDC
  • Birth Defects Surveillance
  • Perinatal Health - CDC
  • Community-Based Integrated Service System - HRSA
  • Ryan White Program R.White
  • Comprehensive STD Prev. - CDC
  • Immunization and Vaccines for Children Grants -
    CDC
  • Tuberculosis Elimination and Laboratory - CDC
  • Comprehensive HIV Prev. -CDC
  • Behavioral Risk Factor Surveillance - CDC
  • Housing Opportunities for Persons with Aids - HUD
  • HIV/AIDS Intervention and Prevention - MHAASA
  • Newborn Hearing Screening HRSA
  • Community Based Integrated Service System - HRSA

12
Secretary Auxiliary for Health Promotion
Seeks to improve the health of individuals and
communities through education, behavioral change
and environmental improvement. In addition,
provides resources to enable citizens to increase
control over their health in order to improve it.
Federal funds (yearly) 3.9M Population
served Island wide
13
Secretary Auxiliary for Health PromotionFederal
Programs include
  • Preventive Health Services Block Grant - CDC
  • Diabetes Tobacco (Chronic Disease, Health
    Promotion and Surveillance - CDC
  • Grants to Support Oral Health - CDC
  • State Tobacco Compliance - FDA
  • National Association of County and City Health
    Officials (NACCHO) USDA
  •  

14
WIC - Women, Infants, and Children
  • WIC is a federally funded nutrition program.
  • Provides healthy foods, nutrition education and
    counseling, breastfeeding support, and referrals
    for health care and community services to the
    population of PR at no cost.

Awarding agency U.S Dept of Agriculture Federal
funds (yearly) Nutrition 187M
Administration 40M Population served 163,000
15
Secretary Auxiliary for Environmental Health
and Public Health Laboratory
Strives to improve those aspects of human health
that are determined by physical, chemical,
biological and social factors in the environment.
In addition, implements environmental health
policies through monitoring and control
activities.
Federal funds (yearly) 9.6M Population served
Island wide
16
Secretary Auxiliary for Environmental Health and
Public Health Laboratory
Federal Programs include
  • Drinking Water State Revolving Fund - EPA
  • Water System Supervision - EPA
  • Radiological Health Inspections - FDA
  • P.R. Food Contract - FDA
  • School Lunch Inspection -
  • Epidemiological and Lab. Capacity for Infectious
    Diseases - CDC

17
Secretary Auxiliary for Planning
  • Serves as an agency source for policy analysis.
    It performs data collection, and research and
    evaluation projects in order to attain the PRDoH
    strategic planning goals.  
  • Assists making informed public policy decisions.

Federal funds (yearly) 2.8M Population served
Island wide
18
Secretary Auxiliary for Planning
Federal Programs include
  • Vital Statistic Cooperative Program
  • Primary Care Services and Manpower Placement
  • Strengthening Public Health Infrastructure
  • "Saludable y Orgulloso" Community Outreach
    Campaigns
  • Enumeration at Birth
  • Electronic Online Verification
  • National Public Health Improvement Initiative
  •  

19
EPIDEMIOLOGY
Provides the PRDoH with Infectious disease
surveillance and outbreak investigations to
determine public health actions. Diseases such
as Influenza, Dengue, Chikungunya,
Gastrointestinal diseases, Hepatitis and VIH/AIDS.
Federal funds (yearly) 1.7M Population served
Island wide
20
Puerto Rico Health Information Network (PRHIN)
Is a web-service designed to securely exchange
healthcare related data.
Awarding agency HHS - Office of the National
Coordinator for Health Information Technology
(ONC) Federal funds 7.7M (ARRA)
21
Office of Public Health Emergency Preparedness
and Response
Awarding agency Centers for Disease Control and
Prevention (CDC)
  • Serves as operational arm of the PRDoH providing
    rapid response to public health emergencies.
  • Oversees preparedness activities in order to
    strengthen our abilities to respond to all types
    of public health incidents and build more
    resilient communities.
  • Federal Grant
  • Hospital Preparedness Program (HPP) and Public
    Health Emergency Preparedness (PHEP) cooperative
    agreement
  •  

Federal funds (yearly) 13.7M Population
served Island wide
22
Medical Services Administration Provides
services to the Medical Center (Centro Médico)
Institutions and operates the Emergency Rooms in
UPR and Trauma hospitals.
Federal Grant CDC - OPHPR Funds Hospital
Preparedness Program (HPP) and Public Health
Emergency Preparedness (PHEP) cooperative
agreement
Federal funds 1M (yearly) Population served
Island wide
23
  • The Puerto Rico Mental Health and Anti-Addiction
    Services Administration seeks to
  • Improve the quality and availability of
    prevention, treatment, and rehabilitative
    services.
  • Reduce illness, death, disability, resulting from
    substance abuse and mental illnesses.
  • Federal Grants Include
  • Substance abuse prevention and treatment block
    grant
  • PR State adolescent Treatment-Enhancement and
    Dissemination
  • Strategic Prevention Framework State initiative
    Grant (SPF SIG)
  • Proyecto Iniciativa

Federal funds 9.6M (yearly)
24
Awarding agency Department of Health and Human
Services (DHHS)
  • Medicaid is a program created by the federal
    government, but administered by the PRDoH.
  • Provides payment for medical services for
    low-income citizens.
  • Provides health coverage to 1.6M recipients in
    P.R. which include children, families, pregnant
    women, the elderly, and people with disabilities.

Sources of funding Medicaid 330M SCHIP
155M ACA 803M (yearly) / 6.4 billions
(2011-2019) Federal funds 1.3B (yearly)
25
Continuation of funds
26
Sustainability
  • In moments of economic needs, maintaining and
    increasing federal assistance is essential.
  • Actively search new sources of federal funds.
  • While we have no control regarding available
    future federal funds we do have control in how we
    administrate federal money.
  • Proper administration of current federal funds is
    essential in order to be entrusted with future
    funds.
  • Working together towards this common goal will
    put us in a better position to achieve
    sustainability. (Example streamlining our
    internal procurement process, efficiency in
    expenses and payments and effective lobbying).

27
Thank you!
Fernando Llavona, J.D. Puerto Rico
Department of Health Federal Affairs Office
Director
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