This is an invitation to parties interested in submitting proposals to the Center for Medicare & Medicaid Center Innovation‘s (CMMI) “Health Care Innovation Challenge,” for the development and deployment of “community-based paramedic models” to join a multi-faceted, collaborative effort to spread the innovation of community paramedicine. The Community ParamedicTM (CP) Innovation Challenge Collaborative (CPICC) is being formed with the sole purpose of facilitating the sharing of information, resources and assistance in order to to extend the reach of this tried and true model. It will also hopefully increase the total potential for funding due to the connection and continuity of all participating applicants.
The CPICC is a voluntary national collaborative of varying organizations interested in deploying community paramedicine within the next three years. Participants in the CPICC must agree to share blinded outcomes and return data as well as lessons learned with all collaborative participants. This collective information can then be used for benchmarking and improving all participant programs as well as shared with the CMMI, other payers and policy makers. Members of the CPICC are also asked to support and utilize the North Central EMS Institute[i] (NCEMSI) as it continues to develop as the national technical assistance center for community paramedicine.
Recommended Phasing of Applications
The CMMI is expecting the first round of funding to be awarded to programs that will have measurable interventions in place by September 30, 2012 and preference will be given to those applicants that can do so even earlier. With that in mind, only those applicants that are able to meet this rigorous timeline are encouraged to apply in the first round. A second round of funding is anticipated to be announced in August, 2012. It is therefore recommended that:
· Round One applicants should have Community Paramedics deployed and providing care by September 30, 2012 with preference to earlier
· Round Two applicants should plan to have Community Paramedics deployed and providing care by February 2013 with preference to earlier
Participation in CPICC and Applications to CMMI
Any organization, system, local government or other convening party applying to the Health Care Innovation Challenge to develop and/or deploy, “community-based paramedic models,” is invited to participate in the CPICC. Interested parties are encouraged to apply to the CMMI in one or more of the following ways:
a. As individual applicants (local EMS agencies, governments, hospitals, etc.) representing one community paramedicine demonstration site apply directly to CMMI.
b. Applicants that represent a collection of Community Paramedic demonstration sites within a region, state or states that are applying collectively. The CMMI recognize these potential collective applicants as “Awardee-Conveners,” which receive the award for all work and then distribute funds out to individual sites.
c. The North Central EMS Institute (NCEMSI) will submit applications as both a:
1. “Awardee-Convener” for any of the above applicants that would like to participate in a national, multi-site application where the funding will go to NCEMSI and be distributed from there to the individual sites, and
2. “Facilitator-Convener” for ALL participants in the CPICC to receive funding directly from CMMI, and to support it as a technical assistance center.
Requirements of CPICC Participants
This is anticipated to be a highly competitive grant with many competing programs and agendas. In order to present a cohesive set of applications to the CMMI for as many different Community Paramedic sites as possible there is a need to align goals, objectives, budgets and outcomes as much as possible. All applicants are asked to:
1) Self identify in the application as being part of the CPICC
2) Utilize a common, minimum set of financial and clinical outcome measures to track impact of the program. These will be developed with assistance from NCEMSI with input from all CPICC members.
3) Utilize similar methodologies and algorithms for developing budget and cost impact analysis. These will also be developed with assistance from NCEMSI along with input from all CPICC members.
4) Utilize the NCEMSI Community Paramedic curriculum (version 3) that will be provided free of charge to a local or national accredited academic institution for implementation
5) Provide written support for an NCEMSI national community paramedicine technical assistance center to be supported with CMMI grant funding to spread the innovation of community paramedicine during and after this grant period. The NCEMSI currently has this expertise, and it can be expanded and guaranteed for the future through this action. Applicants are asked to identify a proportionate share of their grant budget to be used to purchase this technical assistance.
Timeline for CPICC Participants
1) ASAP: Potential applicants must obtain a Dun and Bradstreet (D&B) Data Universal Numbering System (DUNS) number and register on www.grants.gov and with the Central Contracting Registration (CCR) at www.ccr.gov. This is required for applying January 27, 2012 and completing all three steps may take an extended period of time.
2) Potential applicants that would like to be a part of a joint application through the NCEMSI as the “Awardee-Conveener” must contact the NCEMSI through their website (www.ncemsi.org) ASAP to coordinate the application.
3) All applicants are asked to provide a general letter of support to NCEMSI as soon as possible to support its general application to serve as a technical resource center. These letters of support should be sent by December 16 in order to meet the December 19 deadline which is described next.
4) ALL applicants MUST provide a non-binding Letter of Intent (LOI) to the Innovation Center by December 19, 2011, by 11:59 p.m. Eastern Time. Applying organizations may submit more than one LOI.
[i] The North Central EMS Institute (NCEMSI) has been at the heart of formalizing the community paramedicine nationally and internationally, including developing and free deployment of an internationally standardized Community Paramedic curriculum; advocating to CMS and others for the development of community paramedicine pilot funding opportunities; and, providing technical assistance to sites and states that are working to deploy Community Paramedic models.