Healthy Greenville Grant Initiative. Request for Proposal (RFP)

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Healthy Greenville 2036 2017 Grant Initiative Request for Proposal (RFP) Issue Date: April 19, 2017 Funding for Healthy Greenville 2036 is provided by:

Table of Contents Key Dates... 2 About Healthy Greenville 2036... 3 Vision, Mission, Guiding Principles... 4 Vision... 4 Mission... 4 Guiding Principles... 4 Strategies to Accomplish Goals... 5 B. Evaluate our grantmaking and report results to the community.... 5 C. Communicate with the community about Healthy Greenville 2036... 5 Eligibility... 8 Letter of Intent Deadline: May 15, 2017... 9 Full Application... 9 Allowable Costs for Grant Budget... 10 Questions... 11 Key Dates April 19, 2017 RFP Released April 24, 26, 27, 2017 Community Information Meetings for Prospective Applicants May 15, 2017 Deadline to Submit Letter of Intent Mid-June, 2017 Notification of Invitation to Submit Grant Application August 1, 2017 Grant Application Deadline Mid-September, 2017 Grants Begin October 1, 2018 First Grant Reports Due 2

About Healthy Greenville 2036 Greenville Health System (GHS) has had a longstanding commitment to the health and wellbeing of the communities it serves. It has recently deepened this commitment by providing in its lease with the Greenville Health Authority (GHA) that it will provide $4 million each year for the next 20 years to GHA which will administer a grants program to support health-related care, health research and health education initiatives benefiting the residents of Greenville County. The program is titled, Healthy Greenville 2036. This $80 million investment in the health of Greenville County s residents is equal to the amount that Greenville County taxpayers paid toward the formation and building of the Greenville Hospital System (GHS) from 1947 to 1997; the last year that GHS received tax dollars from government sources was 1997. Since 1947, more than $2 billion in capital investments have been made by GHS in the form of buildings and equipment to provide health care for the community. Less than 3% of this overall investment derived from taxpayer dollars. The $80 million investment in Healthy Greenville 2036 reinforces the GHS commitment to being a safety net provider for Greenville County. GHS level of uncompensated care averages $178 million a year; this will not change in the future. The Greenville Health Authority appointed a Community Initiatives Task Force in September 2016 to develop a strategic plan and process for an impactful administration of the grants. Task force members included GHA Trustees, community leaders, and academic experts, who consulted with stakeholders in the community as well as experts who contributed their knowledge to the process of developing a grantmaking initiative that would serve the health needs of Greenville County. The Community Initiatives Task Force spent more than 350 collective man hours to develop processes and procedures to ensure that the grantmaking would be evidencebased and aligned with the needs of Greenville County. The task force developed guiding principles that call for the utilization of the Community Health Needs Assessment (CHNA) as the foundation for the grantmaking, with measurement of community health progress documented by the County Health Rankings, a project of the Robert Wood Johnson Foundation. All recommendations generated by the task force focused on maximizing the effectiveness and impact of the grant dollars available during the next 20 years. The task force completed its work in April 2017 by delivering comprehensive recommendations to submit to the Grants Committee of the GHA Board of Trustees to continue the work of implementing the grantmaking initiative. The Grants Committee anticipates bringing recommendations about the grantmaking initiative, named Healthy Greenville 2036, to the Board of Trustees at its meeting on April 18, 2017. Following approval by the Board of Trustees, Healthy Greenville 2036 will communicate the process to apply for a grant, including a detailed timeline. The grantmaking will be driven by a Request for Proposal (RFP) that tracks to the 3

grantmaking initiative s desired outcomes. Interested organizations will be invited to submit letters of intent outlining their ideas. Following evaluation of the letters of intent, select organizations will be invited to submit a full application for funding. Funding will be awarded to those applicants who best meet the criteria outlined in the RFP, who demonstrate a track record of success with other health-related programs, and who are able to articulate how their program/project will move Greenville County toward our bold vision of being the healthiest county in America by 2036. To be eligible to receive a grant, an organization must be a 501(c)(3) nonprofit organization, a government agency, an academic institution, or a collaborative combination of these types of organizations. Collaboration is welcomed and encouraged. Programs and projects must directly benefit residents of Greenville County, South Carolina. The minimum grant will be $250,000 per year, with multi-year requests encouraged. Healthy Greenville 2036 will be launching a website and a Facebook page that will facilitate answering questions and encouraging submissions of letters of intent. Vision, Mission, Guiding Principles Vision By 2036, Greenville County is the healthiest county in America. Mission Fund health-related care, health research, and health education that improves the health of Greenville County residents. Guiding Principles Healthy Greenville 2036 is committed to transparency in the grantmaking process and communications about that process. The focus areas of the GHS Community Health Needs Assessment will guide our grantmaking. The County Health Rankings for Greenville County will guide our data gathering and measurement of progress. Grantmaking decisions will be based on merit and directly tied to the eligibility and criteria outlined in requests for proposals issued by Healthy Greenville 2036. Applicants will describe how they will achieve the desired results of the initiative, with both annual and long-term measures of success. Collaborative, cross-functional, multi-year projects are encouraged. 4

New and existing programs/projects will receive equal weight if applicants can demonstrate a track record of success. All funded work must be trackable and measurable. Strategies to Accomplish Goals A. Make grants of at least $250,000 each to eligible organizations. This amount may be granted over multiple years. a. Employ a Request for Proposal process that asks for letters of intent to qualify ideas b. Utilize County Health Rankings and Greenville County Community Health Needs Assessment information to inform grantmaking c. As the initiative ages, adjust the grantmaking as learning accrues from the evaluation of the grantmaking d. The GHA Grants Committee will make recommendations to the GHA board following the grant review process (see Appendix C) e. The Grants Committee will assure a modest contingency fund is set aside each year to be able to support the initiative f. Capital funding will be considered if it meets the criteria and furthers the goals of Healthy Greenville 2036 B. Evaluate our grantmaking and report results to the community. a. Evaluator will be engaged by Healthy Greenville 2036 b. Grantees will be trained in reporting methodology c. Grantees will report their progress annually C. Communicate with the community about Healthy Greenville 2036. a. Deliver key messages to the community about Healthy Greenville 2036 b. Make specific outreach to community groups c. Hold information meetings about initiative in April, 2017 d. Create and launch a website by April 30, 2017 5

e. Utilize a Facebook page to communicate until website is ready f. Deliver a report card to the community beginning in October, 2018 Measures of Success for Healthy Greenville 2036 Healthy Greenville 2036 will make grants that improve at least one of the four focus areas* of the 2016 Community Health Needs Assessment (CHNA) of the Greenville Health System: 1. Access to Healthcare 2. Social Determinants of Health 3. Mental/Behavioral Health 4. *Focus areas will be updated to reflect the most current CHNA as it is updated from time to time. Advancement of community health in these four areas will be measured by Greenville County s ranking among all counties in the U.S. Measurement of progress will utilize the County Health Rankings, a project of the Robert Wood Johnson Foundation that tracks the health of residents in all U.S. counties (www.countyhealthrankings.org). Element of the County Health Rankings Greenville County Top US Performers Focus Areas of the 2016 Community Health Needs Assessment (CHNA)* Related to this Element of the County Health Rankings Priorities for GHA s Commitment to the Community Premature Death 7,000 5,200 Poor or Fair Health Poor Physical Health Days Poor Mental Health Days 14% 12% 3.4 3.0 3.9 3.0 Low birthweight 9% 6% Adult Smoking 15% 14% Adult Obesity 28% 26% Mental/Behavioral Health; Mental/Behavioral Health; Access to Healthcare; Mental/Behavioral Health Social Mental/Behavioral Health Mental/Behavioral Health; Health-related Care 6

Element of the County Health Rankings Greenville County Top US Performers Focus Areas of the 2016 Community Health Needs Assessment (CHNA)* Related to this Element of the County Health Rankings Priorities for GHA s Commitment to the Community Physical Inactivity 22% 19% Access to Exercise Opportunities Excessive Drinking Alcohol-Impaired Driving Deaths Sexuallytransmitted Infection 82% 91% Social Healthy Eating & Exercise Social Healthy Eating & Exercise 17% 12% Mental/Behavioral Health 39% 13% Mental/Behavioral Health 528.8 145.5 Teen births 37 17 Determinants of Health Determinants of Health Uninsured 15% 8% Social Determinants of Health Primary Care Physicians 1 980:1 1040:1 Access to Healthcare; Social Determinants of Health Health related-care Mental Health Providers 560:1 360:1 Access to healthcare; Mental/Behavioral Health; social determinants Mammography Screening 68% 71% Access to Healthcare; Social Determinants of Health Diabetes Monitoring 87% 91% *CHNA and focus areas will be updated from time to time. 1 Maintenance of an acceptable number will be important in future years. 7

Eligibility These types of organizations are eligible to apply for a grant from Healthy Greenville 2036. Nonprofit organizations with 501(c)3 tax exempt status Community Based Healthcare providers regardless of affiliation (including GHS) Non-GHS hospitals regardless of affiliation Academic institution School College University Coalitions or collaboratives Government agencies Any budget size organization is eligible to apply. Collaboration among two or more organizations is welcomed and encouraged. Requests for multi-year grants are welcomed and encouraged. Ongoing funding is predicated on satisfactory progress Requests to fund indirect costs will be considered on a case-by-case basis. Successful applicants will: Have a track record of results on previous projects or programs; Propose an existing or new program/project that aligns with our goals and addresses at least one of Healthy Greenville 2036 s key measures of success; Provide anticipated outcomes for the project or program; Provide a detailed budget for their project or program; Be a financially sustainable program and organization; and Submit their letters of intent and applications by the deadline; incomplete or late applications will not be reviewed. These types of organizations are not eligible to apply for a grant from Healthy Greenville 2036: Nonprofit organizations who do not have 501(c)(3) tax exempt status For-profit entities Programs not located in Greenville County 8

Letter of Intent Deadline: May 15, 2017 Organizations interested in receiving funding are required to submit a letter of intent. The letter of intent is limited to no more than 2 pages and must briefly describe: A. Your organization s project or program idea, including which of Healthy Greenville 2036 s goals and measures of success that your idea will address. B. At least one anticipated outcome (measurable result) from your project or program. How will the result(s) of your project improve health measures for Greenville County? C. Any/all collaborative partners, if applicable. D. The dollar amount of your request and a description of how funds will be used. Submit your letter of intent to: https://grantinterface.com/logon?urlkey=healthygreenville2036 Following a thorough review of the letters of intent by peer experts and the grants committee, Healthy Greenville 2036 will invite selected organizations to submit a full grant application. Notification to invited organizations will be made no later than June 8, 2017, with instructions to selected organizations about submitting a full application via Healthy Greenville 2036 s online grants system. Grant applications are due no later than 5:00 PM eastern time on August 1, 2017. Incomplete applications will not be reviewed. Full Application If invited 2 to submit a full application, organizations must submit the following information. A. Applicant Organization Information a. Contact information b. Vision and Mission statements c. Key organizational goals d. Major accomplishments e. Budget f. Community representation g. IRS tax determination letter verifying 501(c)(3) status 2 Invitation to submit a full application does not guarantee an award of a grant. 9

B. A narrative description and detailed budget for the project/program that you are seeking funding for. a. Building on your letter of intent, describe: i. Anticipated measurable outcomes (results) of your project ii. A plan for your project/program, including goals, benchmark measures, strategies to achieve the goals, and timeline iii. Name, title, and background of the people leading the project iv. Description of any contractors/vendors that will be engaged in your project (with costs included in the project budget) v. If it is a collaborative project, a description of which organization will be the fiscal agent for the project, how the collaborative partners will work together and govern the project, the role of each organization, and how the budget will be distributed among the fiscal agent organization and the partner organizations (if applicable) vi. A sustainability plan for continuation of the program/project beyond the time horizon of the grant period. Tell us how you will fund the project after the period of our grant funding. Allowable Costs for Grant Budget Program costs can include expenditures on activities related to the functions of the project, including: Contractor/vendor fees for work pertaining to the project Strategies and methods to achieve the project s goals Personnel who will manage or work on the project Indirect costs will be considered on a case-by-case basis 10

Key Dates April 19, 2017 RFP Released April 24, 26, 27, 2017 Community Information Meetings for Prospective Applicants May 15, 2017 Deadline to Submit Letter of Intent Mid-June, 2017 Notification of Invitation to Submit Grant Application August 1, 2017 Grant Application Deadline Mid-September, 2017 Grants Begin October 1, 2018 First Grant Reports Due Questions Please refer to: https://grantinterface.com/logon?urlkey=healthygreenville2036 11