Native Hawaiian prenatal spa and birthing clinic copyright sample
Native Hawaiian Prenatal Spa and Clinic
1888. Kalakaua Ave STE C312
Honolulu, Hawaii 96815
National Institutes of Health
9000. Rockville Pike
Bethesda, MD 20892
To: Patricia Kaneshiro, Grants Administrator
From: Anthony Wallace, Executive Administrator/Sr. Healthcare Broker
Dear Grants Administrator,
My name is Anthony Wallace and I am the executive administrator of Native
Hawaiian Spa and Birthing Center, located in Honolulu, Hawaii. I am inquiring about
your grant hosted on the grants.gov website. The title of the grants is pregnancy
women with disabilities, opportunity number PAR-11-259. This grant opportunity
will service the growing population Oahu, Maui, and Kauai counties.
Native Hawaiian Spa and Birthing Center is a non-profit organization that is
minority owned and operated with the intent to render maternity care, birthing
education, and ante and post partum care in the patients’ home. We want to expand
our network by including those with disabilities by educating and employing
specialized nurses to conduct maternity care without the patient being in the hospital
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Grant funding will help those that are considered low-income or socially-
economically challenged by providing quality health care by experienced
professionals. According to the American Disability Act, “Rehabilitation prohibits
discrimination on the bases of disability in programs that are federally funded or
conducted by governmental agencies” (United States Department of Justice , 2009).
Our agency also provides network resources for those that are considered socially
economically challenged such as state counseling, free charity care clinics, and food
pantries just to name a few.
We are seeking funding for this program to commence in the summer of 2014.
The funding will be used to implement and sustain the program within Oahu. We are
seeking to expand the program to other islands and counties outside of Oahu tourist
district. We are requesting a full announcement and any additional requirement to
meet the minimum qualifications to become a grantee. If you have any additional
questions, please feel free to contact our office at (808) 555-1234.
Take care and be in good health,
Anthony Wallace, ACHE
Native Hawaiian Spa and Birthing Center
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Pregnancy in Women with Disabilities
Opportunity Number PAR-11-259
National Institutes of Health Grant
Requested Amount $150,000.00
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Goal and Objective
The goals and objectives of the program will define our care models that our
agency will use to care for individuals within the community. We are seeking
funding to initiate and sustain our program for those patients that are considered
social-economically challenged. Our program goals and objective will reflect our
mission statement to the community at large and the state, which governs midwives.
The agency will properly screen and assess those patients that may qualify
for state funded programs such as WIC, AFCD, or SNAP food stamps
The agency will provide local transportation to and from the spa for prenatal
treatments and clinic visits.
The agency will provide public health education and measurements on
compliance and retention learning.
Our agency will provide a safe and reliable service to those that are on our
We will conduct research and formulate outreach programs with information
from QSEN as a foundational guide for our staff midwives.
Our agency will promote patient-centered care throughout our care planning
The care planning and delivery of services will have a slight opposition to
conventional maternity care due to our mission statement and the foundations of
Naturopathic care. Our mission statement is to discover unwanted health habits with
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respect to the patients’ culture and personal beliefs and shed God’s answers to
ultimate health as a beacon of light.
Statement of Need
We are seeking funds to create and initiate our maternity program geared to
educating and providing care to those Hawaiians that are physically disabled.
Hawaii is an island of fantasy and beauty; therefore, most do not realize that Hawaii
is a state that is suffering economically. There is a limited amount of resources for
disabled citizens of Hawaii, yet a pregnant woman who is disabled may face
disadvantages based on social norms and stereotypes. According to the United
States Census Bureau of 2013, there were 1,404,054 people living in Hawaii
(United State Census Bureau, 2011). The demographic in the chart shows the need
for viable health care resources on the islands.
U.S. Census Demographics in Hawaii
White Black Native Hawaiian Hispanic
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This chart represents the total demographic population of Hawaii. This chart
will be used to conduct a community needs assessment to determine the types of
services that we can offer the community, the types of cultures our agency services,
and the impact of rendered services. The demographic chart clearly displays that our
agency needs to offer care with sensitivity to culture and respect for natural health.
We chose Hawaii because of its natural habitat and its respect for natural health
The chart below represents the income level of the native counterparts in
Hawaii. As spoken before, Hawaii can become a very expensive place to live and
raise children. The land is beautiful, but at a cost that many find its citizens poor and
out on the street. There are very few industries, in which most will consider gaining
certifications or degrees to gain employment. The employment industries who are
most considered to have a promising financial stability are tourism, hotel and
hospitality, ocean sciences, spa sciences, and restaurant. Back on the mainland,
people can venture into many industries, but in Hawaii, there are fine line choices in
In Hawaii, 10.8% of the population is living below poverty level (United State
Census Bureau, 2011). Tourists that come to Hawaii never see the real Hawaii.
Some Hawaiians sleep in the national parks, forest, or open fields. Most Hawaiian
survive by performing in street shows or hula shows to pay their rent at the YMCA.
Most come to the Hawaiian Islands to chase a dream of living in paradise, but it
comes at a steep price.
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The economic housing market in Hawaii as of 2013 is a minimum of
$517,000.00 and this is for your typical frame house. On the main land, this house
may cost roughly $50,000.00 depending on the location and in which the house is
located. The median income as of 2013 is $67,492.00 and that is the minimum
income that will keep a family above the poverty line. The population of disabled
pregnant women may become a burden on society resources because of the
limitations of mobility or mental capacity. Adjusting to a handicap can become an
emotional rollercoaster, but our agency will provide the counseling needed to
mentally prepare the women for the expectation of the birthing process and welfare
of the child.
Our targeted population is females within the age brackets of 15 – 20 years of
age. We will accept patients beyond the age bracket, but the grant monies used will
be targeted for this population. The total population of pregnant disabled Hawaiians
is unknown to the public, but the statistics of teen pregnancies are available to the
public for review.
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The chart below also represents teen pregnancies, but it gives demographical
references to the population that is most affected.
The statistics were taken from the reproductive health website hosted by the
United States department of health and human services (US Department of Health
Female Preganacies in Hawaii
Hawaii Teen Pregnancy Demographics
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and Human Services , 2013). The statistics show that the Asian population will
benefit most by the programs objectives. The Asian population is the largest
population of pregnancies in the Hawaiian Islands. Our agency wants to incorporate
healthy lifestyle teaching by incorporating patient-centered care models,
collaboration between other health agencies to establish a vital link to continuity in
care, provide safety for practitioners and patients, and establish a quality care
system to effectively ensure program goals and objectives meet the community’s
needs (QSEN Institute, 2013).
The impact of our goals will reduce the amounts of teen pregnancies in
Hawaii. Our agency will conduct public health seminars for females that are
disabled and at risk for pregnancy. Focusing on the grant criteria, our agency will
incorporate goals and objectives based on the families that we presently serve.
Every care plan is customized with the patient-centered care model in mind (QSEN
Institute, 2013). Programs such as this one do not exist in the counties of Oahu,
Maui, and Kauai. This program will enable the patients to live independently
without the need of health care services.
The agency embraces the philosophy of natural healing by linking
conventional and naturopathic interventions together to accomplish the goal of
independent living for both mother and baby. The impact of our efforts will also
enable us to serve the community without the need to cut other services for the sake
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Native Hawaiian Spa and Birthing Clinic will sustain its funding by
accepting major insurance carriers such as Blue Cross Blue Shield and state
insurance such as Medicaid. The research supports our target population of
adolescent to early adult females. Our agency is requesting $150,000.00 USD to
implement the program as major insurance carriers may take weeks to reimburse the
agency for services rendered. The funds will be used to implement the program,
open depression accounts, and establish charity funds for those patient that may
qualify based on income.
The spa is open to all demographics, but the grant money will be used to
enhance the lives of many disabled women who desire to have children. To save
funds, the agency will employ subcontractors from other agencies that will provide
physical and occupation therapy to patients on our services. By taking this action,
our agency will save money in labor cost, DME material, and reimbursements in
travel time and other expenses.
The spa will sustain its programs by renewal grants funding, private
donations, and payments from major insurance carriers and state funded Medicaid.
Native Spa agency is nationally accredited by JACHO to accpet Medicare funding
for other services within the clinic such as prescribed aesthetician treatments for
psoriasis and message therapy for prevention of breach deliveries.
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Spa and Birthing Clinic, Inc
Monthly Profit Loss and Gain
Total Expenses Accounts Receivables
Rent 5,000 Grants 150,000
Utilities 480 Foundations 40,000
9,000 Insurance 100,000
Supplies 700 Donations 3,000.00
Onsite Petty cash 300
Property Taxes 8,000.00
Total Liabilities (23,680.00) Profit gain 29,300.00
Net profit 5,620.00
The budget is a snap shot of the present state of our program. The grant
section is a Hawaii state grant for midwives. We want to incorporate more funding
into our existing program that will include caring for pregnant disabled individuals
in Oahu. The grants that we are seeking will add more stability to our present
program as we expand our mission to other parts of the Hawaiian Islands.
The facilities space that we are presently renting will be essential to our
program. The space that is located next door will be an addition to our present
space. The space that is available for rent has more square footage that can
accommodate more patients that are in need of services. The space is multi versatile
and dimensional that can be used for group counseling services or classroom space
for birthing and wellness simulation for home living.
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The program will target disabled youths that are pregnant and meet financial
criteria that categorizes them as socially-economically disadvantaged. The program
has three stages in operation. First being the research, then initiation and
implementation of the plan, and lastly evaluation and monitoring. The program
implementation is listed below as follows,
The goals and objective will be met by hiring expert staff to administrate over the
program. The administrator will assign the program administration and evaluation
duties to a registered nurse who possesses a doctor of nursing practice degree. The
administrator over the program will assign tasks closely related to a formal study.
The project will be evaluated and monitored quarterly over a period of one year.
The program will be divided into sub blocks that will give the administrator snap
Evaluate the goals and objectives
to ensure the program has satisfied
Implement the program with
expert teams to ensure quality and
committment to the patients.
Formulation of data and
establishing program to meet the
Foundational research and
discovery of health problems.
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shots of the demographic of all patients, service upgrade and downgrades, and
evaluation of goals and objectives.
The project will have an organizational structure that will enable those that
have expert power to lead the team. Organizational structure will permit allied
health, nursing, and auxiliary professionals to commit to a scope of practice and
The program will be evaluated for quality, financial stability, and risk
management every 90 days. Native Hawaiian spa is aimed to catching healthcare
waste. We do not want to offer services to clients that do not need them. According
to Nash, Healthcare cost consume one-sixth of our nation’s gross domestic products,
accounting for some $2.3 trillion annually in medically related expenditures and
significantly more in health related productivity losses (Nash et al, 2011).
Marketing and other
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We want to make our healthcare program assessable, affordable, and reliable
for those patients that meet the financial obligation to receive care from our
All documents have been submitted on the grants.gov website to support our
grant funding. The enclosures will include our small business organizational
structure and our banking information for electronic deposits. The grant criteria in
meeting the minimal requirements only specified the application and the narrative
statements. The enclosure that were scanned on the government website are facility
brochures, pricing list, 501 C 3 certification, and our contact information with the
local state government.
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EVALUATION MATRIX TEMPLATE
(Summary of an Evaluation Plan)
Title of Program to be Evaluated
Pregnancy in Women with Disabilities
Evaluation Questions or Objectives Evaluate the need for independent living
and maternity education with pregnant
disabled females in Oahu, Honolulu
County. The goal is to expand the program
to the other Hawaiian Island due to the
Information Required Our agency has sought the information that
is needed to apply for the grant to cover the
expenses of an Island health care program.
The grantor is requiring that the agency
informed them of the need for this program
and the criteria that will be used to either
eradicate the problem or build
infrastructures to a solution.
Information Source The information about the issue at hand
came from the Hawaii.gov website and the
United States Health and Human Service
Method for Collecting Information Our agency will conduct valid testing by
participants that qualify based on income
requirements. We will collect data by face-
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to-face interviews and informal surveys.
Information Collection Arrangements
By whom: The assigned employee, which
may include the administrator of the
program and the medical assistants.
Conditions: Electronic computer gathering
with rating scales. Either the patients will
come into the facility or we will conduct the
short survey in their homes.
When: The program is separated in sub
quarter blocks. The measurement will give
our evaluators a snap shot in quality
delivery, maintenance of health integrity,
and collaboration with other service
Analysis Procedures The agency will seek electronic
measurement systems to ensure accuracy of
the raw data collected.
The data will be interpreted and forwarded
to the facility administrator for immediate
decision as to changes in the program or
disqualify the program.
Risk management analysis and financial test
will be conducted and reviewed to ensure
that the program is within limits of the
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Interpretation Procedures The data is then interpreted by the
administrator of the program and then
forwarded to the facility administrator and
the IRB. The manager of the program will
receive a program goal and objective
change model or a permission to precede
letter to continue to the study.
Reporting of Information Once the final report is generated and the
program goals and objectives have been
met, the program grant writer will continue
to apply for grants in this area of study. The
program will become a permanent program
in our organization.
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Carter, B. (2013). Great prenancy exercise. Prenatal Yoga, pg 1. Retrieved from
Prenatal Exercise. http://www.babycenter.com/pregnancy-exercises
Pender, N. M. (2011). Health promotion in nursing practice 6th
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QSEN Institute. (2013). Graduate level QSEN competencies: Knowledge, skill and
attitiude. Retrieved from Quality Safety Education for Nurses:
United State Census Bureau. (2011). State and county quick facts. Washington D.C.:
United State Census.
United States Department of Justice. (2009). A guide to disability rights and laws .
Retrieved from US Department of Justice Civil Rights Division : Retrieved
US Department of Health and Human Services.(2013).Reproductive health .
Retrieved from Office of Adolensant Health: Retreieved from