Grant acquisition and management

Case Study: “Arizona Grants Manager on the Spot” by Gary Crum, Ph.D.
Your county in rural Arizona has a major, chronic social problem: you have a sizable migrant worker population every month of the year, depending on which crops are
ready for planting and harvesting, but virtually no local health care providers are willing to treat them since many of the workers are undocumented or are otherwise
not eligible for government assistance. Some are under-insured; in other words, they have some insurance help, but the payments are not high enough to attract many
doctors to serve them. Besides, there are few local doctors around there anyway.
The local government through the county health department has therefore applied for two major grants. One is a construction grant from a federal agency and the other
is a personnel/operational grant from a local charitable foundation. With these two grants, the county hopes to build a new clinic building and to initiate a clinic
program to serve the health needs of its poor migrant workers. The multimillion-dollar project is as follows:
A. With Federal Funds to be furnished in three payments over 18 months from date of funding:
1. Construction of the clinic building of 6,000 square feet and small parking lot, including purchasing lab equipment and an X-ray machine
B. With local foundation funds allocated to the county in five yearly payments (to start 15 months after the federal funds are received to allow the personnel and
equipment to be in place as soon as possible after the building is projected to be finished):
1. Hiring of two primary care physicians and four nurses (RNs and LPNs)
2. Hiring of two billing clerks and two secretaries/scheduling clerks
3. Hiring of maintenance/janitor personnel (1.2 Full Time Equivalents)
4. Support of the cost of keeping the clinic solvent while it serves nonpaying (and low paying Medicaid) patients for at least the first five years of operation
The federal funds were received—and the Foundation also pledged in writing its future funds after sending the first year’s allocation to allow the county to begin
recruiting personnel when appropriate. Much jubilation is felt in the community with the news of the success of these two grant applications, and especially among the
migrant workers.