Kaiser Permanente in the Community Santa Cruz County

Kaiser Permanente in the Community Santa Cruz County Grant Information Session June 2, 2017

Welcome Stephan Wahl Community Health and Benefit Manager Kaiser Permanente Medical Centers Redwood City, San Jose, Santa Clara & Santa Cruz Nicole Lezin Consultant to Kaiser Permanente Santa Cruz, CA

Kaiser Permanente in the Community: Today’s Agenda • Overview of Kaiser Permanente’s Mission and Funding Priorities • Priorities, Strategies, and Outcomes • The Application Process • Q&A

Kaiser Permanente in the Community: Our Mission Kaiser Permanente’s mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve.

Kaiser Permanente in the Community: Funding Priorities • Healthy Eating Active Living (HEAL) • Mental Health and Wellness • Community and Family Safety • Access to Care and Coverage

Kaiser Permanente in the Community: Funding Priorities • Align with Kaiser Permanente’s mission • Are consistent with other Northern California Community Health Needs Assessments (CHNAs) • Meet priority health and social needs in Santa Cruz County and align with other local prioritysetting efforts

Kaiser Permanente in the Community: HEAL Goals, Strategies, and Outcomes

Kaiser Permanente in the Community: Mental Health and Wellness Goals, Strategies, and Outcomes

Kaiser Permanente in the Community: Community and Family Safety Goals, Strategies, and Outcomes

Kaiser Permanente in the Community: Access to Care and Coverage Goals, Strategies, and Outcomes

Kaiser Permanente in the Community: Eligibility Guidelines Kaiser Permanente will consider funding requests from: • • Non-profit 501(c)3 organizations Government or public 509(a) agencies Organizations should serve underserved populations in Santa Cruz County AND meet one of the four funding priority areas: • Health Eating Active Living (HEAL) • Mental Health and Wellness • Community and Family Safety • Access to Care and Coverage

Kaiser Permanente in the Community: Timeline May 24, 2017 RFP Announced June 2 and June 6, 2017 Webinars for Applicants June 30, 2017 Applications due by 5: 00 p. m. August 9, 2017 Awards Announced

Kaiser Permanente in the Community: Criteria Applicants’ proposals should: • Support at least one of the four priority needs • Support the applicant organization’s vision and mission • Demonstrate a proven track record of success within the priority need area • Emphasize collaboration with other stakeholders aiming for system-wide impacts • Target a need within an underserved population • Show activities will be tracked and measured • Offer a clear, detailed work plan with process and impact objectives • Indicate the evidence base for the strategy chosen, and • Present a reasonable budget

Kaiser Permanente in the Community: How to Apply • Follow the link on the email/web page for Santa Cruz County to create a login name and password (1 per applicant organization, please!) • You’ll get a login confirmation e-mail; follow the instructions. Note that you’ll be directed to a different web site than the one you used to create a login/password.

Preparing Your Application Your application will include four types of information: • Information that is entered in fields. • Information in other document formats (e. g. , Word documents or PDFs) that will be uploaded as attachments to your application. • Completed workplan and budget templates that you can download and work on separately. • Partnership agreements (if applicable) that are e-mailed separately, instead of being entered or uploaded.

Kaiser Permanente in the Community: Grant Application Outline 1) Organization Information 2) Compliance 3) Basic Project Information 4) Project Description 5) Evaluation

Basic Information

Organization Leadership

Organization Information

Organization Information

Demographics of Population Served

Hospital Service Area Selection

Organization Tax Info

Organization Tax Info • Letterhead must have the address that the grant check will be made out to • If requesting an amount equal to or above $25, 000, please upload your Form 990

Compliance Verification

Compliance Verification

Fiscal Agent

Fiscal Agent • Request on letterhead must include the address of Fiscal Agent • Request should clearly state that the Fiscal Agent is sponsoring your organization

Project Information

Project Info - Project Summary Example of Project Summary: The Women’s Center will implement the Survivor Empowerment Program, providing domestic violence (DV) survivors with computer and financial literacy training, professional development classes, and English as a Second Language (ESL) tutoring. The goal of the program is empower DV survivors so they have the skills and self-confidence to succeed.

Project Information

Project Contact Information

Health Needs

Health Needs

Project Description

Project Description

Project Description

Goals Goal: Timeless, unbounded statement that describes the condition or attribute we seek to attain Formula: To (verb) + (what) + (among whom) + (where) Examples: 1) To increase physical activity among African American seniors in East Palo Alto. 2) To improve college readiness among students in Oakland.

Process vs. Outcome Objectives Process Objective: describes what you are doing and how you will do it (participants, interactions, and activities) Outcome Objective: specifies the meaningful change for program participants or for communities as a result of your program existing * Both process and outcome objectives should be written as SMART objectives.

SMART Objectives Specific - Details exactly what needs to be done Measurable - Achievement of progress can be measured Achievable - Objective is accepted by those responsible for achieving it Relevant - Objective leads to desirable results Time-bound - Time period for achievement is clearly stated

SMART Objectives: Measurable, attainable milestones we want to achieve by a specific point in time on the way to accomplishing the goal Formula: Individuals participating (#) in the program change in some way (#) by some date. Who Where What When

SMART Process Objectives Examples: 1) By June 2017, the Community Action Team will train at least 15 Tenderloin childcare providers on non-violent child rearing practices. 2) By June 2017, The Wellness Committee at Jackson High School will implement a new School Wellness policy that focuses on nutrition guidelines for school lunches and physical activity requirements.

SMART Outcome Objectives Examples: 1) At the end of the 6 week program, average daily physical activity levels will have increased by 10% from baseline for all students participating in the HOOPS basketball program. 2) By May 31, 2018, student suspensions at Jackson High School will have decreased by 15% as a result of the STAR program.

Project Outcomes

Project Outcomes Example of Outcome Statement: Example 1: By the end of the grant the STAR program will reach 200 domestic violence survivors. Participants will complete courses in personal finances, debt management, and how to create a budget. As a result of the program, participants will increase their self confidence and develop personal strengths and skills, including improved resume-writing and interviewing skills that they can use to find apply for jobs.

Project Outcomes Example of Outcome Statement: Example 2: By the end of the grant Jackson County Parks and Recreation will have three playgrounds designed and built by 100 community volunteers. Once built these playgrounds will serve 8, 100 children and family members a year. This project will ensure that high need communities have increased access to safe public spaces for recreation and physical activity.

Communication

Required Documents Checklist ü Request on organization’s letterhead ü Request on fiscal agent’s letterhead (if there is a fiscal agent) ü Tax-exempt status letter (e. g. , IRS letter, IRS Form 1023, notarized CFO/CPA letter, IRS affirmation letter, copy of statute/enabling legislation) ü List of governing body members (e. g. , Board of Directors) ü List of project staff and volunteers ü IRS Form 990 (if request is for $25, 000 or more) ü Audited financial statements (unless annual operating budget is below $750, 000) ü Partnership agreement (if applicable)

Questions? E-mail your questions to: South. Bay. Grants@kp. org Check the website for updates to Frequently Asked Questions (FAQs): https: //share. kaiserpermanente. org/article/santa-cruz-county/ Listen to a recorded Webinar reviewing the online application process: https: //kponline. webex. com/kponline/lsr. php? RCID=226 f 9 b 05 ac 514 ce 7 a 602 5 ef 07 dfb 9 e 87 Still have questions? Stephan Wahl Stephan. Wahl@kp. org

For more information: www. kp. org/communitybenefit/ncal