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Career pathways programs have developed over the past decade as a comprehensive framework of adult developmental and vocational education and supportive services designed to address the challenge of providing post-secondary skills training to low-income and educationally disadvantaged populations.

An Introduction to the Tribal Health Profession Opportunity Grants (HPOG) and Evaluation

This report reviews the literature on the policy context of the Health Profession Opportunity Grants (HPOG) program, and the challenges and opportunities related to developing healthcare occupational training and support programs. It discusses the structure of the healthcare industry and trends in healthcare employment, implications of the Affordable Care Act (ACA) for entry-level employment in healthcare, and resulting challenges and opportunities for training programs. The report was developed as part of the HPOG Implementation, Systems and Outcome Project, which is being led by Abt Associates in partnership with the Urban Institute.

The Health Profession Opportunity Grants (HPOG) were first awarded in 2010 to 32 grantee organizations across 23 states.  The grantees, which include post-secondary education institutions, Workforce Investment Boards, state and local government agencies, community-based organizations, Indian tribes and tribal organizations, will receive funding through September 2015.  In June 2015, HPOG delivered the HPOG Program and Evaluation Portfolio Interim Report to Congress. The report provides a summary of the significant activities, outcomes and accomplishments of the HPOG program during its first three fiscal years, from 2010 to 2013. The information contained in the report was gathered from an analysis of participant performance, an outcome study of a sub-set of participants and an evaluation of the tribal grantees.  The report also outlines key aspects of the HPOG program, such as its career pathways framework, fundamental program components, employment outcomes and ongoing evaluation and research initiatives.

This report presents key findings from the evaluation of the first round of the Tribal Health Profession Opportunity Grants (HPOG) Program. These findings show that all five of the Tribal HPOG grantees established programs that led to healthcare training completion and employment.

The report includes findings on programs’ structures, processes, and outcomes, and insights related to these findings. The evaluation team worked to conduct a culturally responsive evaluation by receiving input from partners, advisors, and grantees throughout the evaluation.

This report presents findings from the Systems Change Analysis of the 27 non-tribal HPOG grantees funded in 2010, which operated 49 programs. This study addresses the major research question: What changes to the service delivery system are associated with program implementation? For detailed information, review the Systems Change under the Health Profession Opportunity Grants Program Report.

Take a look at life outside the classroom for the average HPOG 2.0 participant at the time of enrollment with the newest infographic from HPOG.

To receive authorization to access GrantSolutions, you will need to fill out the Grantee User Request Form, which can be found on the Getting Started — Request a User Account Visit disclaimer page page of the GrantSolutions Visit disclaimer page website. Once there, follow the instructions for “Recipient User.”

In general, grantees are allowed a certain degree of latitude to re-budget within and between budget categories to meet unanticipated needs and to make other types of post-award changes; provided the budget changes are for activities detailed in the approved program narrative for that budget period and do not meet one or more of the below prior approval requirements:

The 45 CFR Part 75.308 Visit disclaimer page states that written approval is required from ACF prior to grantees implementing a budget modification for any of the following:

  1. Change in scope or objective of the project or program (even if there is no associated budget revision requiring prior written approval).
  2. Change in key personnel (This would include the Program Director (PD) or Authorized Official (AO) named in the notice of grant award.)
  3. The absence/disengagement from the project of key personnel for more than 3 months or 25% of his/her time
  4. The inclusion, unless waived by the HHS awarding agency, of costs that require prior approval in accordance with subpart E of 45 CFR 75, or 45 CFR 75 Appendix IX of this part, or 48 CFR part 31, as applicable. (This would include items such as alternation and renovation of real property and equipment not previously approved.)
  5. The transfer of funds budgeted for participant support costs as defined in 45 CFR 75.2 to other categories of expense.
  6. Transfer or contracting out work not approved in application
  7. Changes in the amount of approved cost-sharing or matching provided by the non-Federal entity.
  8. The need arises for additional Federal funds to complete the project.
  9. The inclusion of research patient care costs in research awards made for the performance of research work.
  10. The provision of subawards by a pass-through entity on fixed amounts up to the Simplified Acquisition Threshold, provided that the subawards meet the requirements for fixed amount awards in 45 CFR 75.201. See 45 CFR 75.353.
  11. The recipient wishes to dispose of, replace, or encumber title to real property, equipment, or intangible property that are acquired or improved with a Federal award. See 45 CFR 75.318, 75.320, 75.322, and 75.323.
  12. Significant Rebudgeting — Transfer of direct costs of 25% or more of total costs of the last approved award is considered significant rebudgeting.
  13. Carryover of Unobligated Balances

Please contact your program specialist if you have any questions about this.

To officially notify OFA and change the Program Contact/Project Director (PI/PD) for your grant, you will need to do the following:

  • Log in to GrantSolutions Visit disclaimer page
  • Click on “Manage Amendments”
  • Click on “New”
  • On the page “Select Amendment Type,” you should choose “Change in PI/PD (Type 6)” and then hit “Create Amendment.”
  • Please provide the following information in the fields listed in the Application Control Checklist:
    • Change in Project Director — This is an online form that should be completed. Click “Enter Online.” Then, on the “New Project Director” line, click “Add Project Director” (if this person has not previously been a project director for this program. Otherwise, you can use the drop down menu to select them). Enter all of the required fields (denoted with a red asterisk) with the new Project Director’s information. After inputting all of this individual’s information, please validate the address by clicking “Validate Address.” Once the address is validated, please click on “Save.”
    • SF-424 Application for Federal Assistance — This is an online form that should be completed. Click “Enter Online.” Complete all of the fields, remembering to update Section f “Name and contact information of person to be contacted on matters involving this application” with the name, telephone number and email address of the new Project Director. Then, click “Save.”
    • Cover Letter Upload — Upload a letter on your organization’s official letterhead that provides the name, phone number and email address of the new Project Director. This letter should be signed by the Authorized Representative. You will upload this by clicking on “Upload Files” and following the instructions.
      • The resume of the new Project Director should also be uploaded in this section. You will upload this by clicking on “Upload Files” and following the instructions.
  • Go to the Grant Solutions Getting Started page Visit disclaimer page and follow the “Recipient User” guidance. Complete the Recipient/ Grantee User Account Request Form and Security Compliance Statement, and upload as an attachment item by clicking on “Upload Files” and following the instructions. In addition, please send via email to the Grant Solutions Support Center (help@grantsolutions.gov).
  • Once you have performed the above mentioned tasks, you will click on “Verify Submission.” Another box will pop up asking you to confirm that you want to complete this amendment, and you will select “yes” or “save.”
  • If you have any questions about this process, please contact your program specialist.

To officially notify OFA and change the Authorized Representative (AO) for your grant, you will need to do the following:

  • Log in to GrantSolutions Visit disclaimer page
  • Click on “Manage Amendments”
  • Click on “New”
  • On the page “Select Amendment Type,” you should choose “Change in Grantee Authorizing Official (Type 6)” and then hit “Create Amendment.”
  • Please provide the following information in the fields listed in the Application Control Checklist:
    • SF-424 Application for Federal Assistance — This is an online form that should be completed. Click “Enter Online.” Complete all of the fields, remembering to update #21 Authorized Representative with the name, telephone number and email address of the new Authorized Representative. The Authorized Representative will need to sign this form by typing in their name in the “Signature of Authorized Representative” field and typing in the date. Then, click “Save.”
    • Cover Letter Upload — Upload a letter on your organization’s official letterhead that provides the name, phone number and email address of the new Authorized Representative. This letter should be signed by the Authorized Representative (or another official that is higher ranking than the Authorized Representative). You will upload this by clicking on “Upload Files” and following the instructions.
  • Go to the Grant Solutions Getting Started page Visit disclaimer page and follow the “Recipient User” guidance. Complete the Recipient/ Grantee User Account Request Form and Security Compliance Statement, and upload as an attachment by clicking on “Upload Files” and following the instructions. In addition, please send via email to the Grant Solutions Support Center (help@grantsolutions.gov).
  • Once you have performed the above mentioned tasks, you will click on “Verify Submission.” Another box will pop up asking you to confirm that you want to complete this amendment, and you will select “yes” or “save.”
  • If you have any questions about this process, please contact your program specialist.