PC-1 | HRSA EHBs

PC-1 - Selecting Partnerships Developed Using BHW Funds

Select the Primary Purpose of the Grant Partnership(s) Developed or Enhanced using BHW Funding	Select Types of Partner Organizations for the Primary Purpose	Select Secondary Purpose(s) of the Grant Partnership(s)
(5a)	(5b)	(5c)

Figure 1. PC-1 - Selecting Partnerships Developed Using BHW Funds

Select the Primary Purpose of the Grant Partnership(s) Developed or Enhanced using BHW Funding: Select the primary purpose of the partnership used to develop or enhance the training program by clicking on the drop-down menu in column 5a and selecting the most applicable option.

Clinical/experiential training
Community outreach
Curriculum development
Didactic training
Establishing and maintaining apprenticeships
Field placements in medically underserved and/or rural areas
Interprofessional training
Job placement
Matriculation into health professions schools
Mentoring students/trainees
Providing faculty development
Providing faculty/clinical preceptors
Recruitment of trainees
Recruitment of URM/disadvantaged/rural trainees
Technical assistance
None of the above
No partnerships developed or expanded

Select Types of Partner Organizations for the Primary Purpose: Select the type(s) of organizations associated with the primary partnership purpose indicated in question 5a by clicking on the drop-down menu in column 5b and choosing all options that apply.

Academic Institution
Academic Medical Center
Area Health Education Center
Certified Community Behavioral Health Center (CCBHC)
Community Behavioral Health/Mental Health Center
Community Health Center (CHC)
Critical Access Hospital
Federal Government
FQHC or Look-Alike
Health Department (local/state/tribal)
Hospital (non-academic)
Indian Health Service (IHS)/Tribal/Urban Indian Health Center
Nursing Home
Other Clinical Health Setting
Other Community-Based Organization
Other Long-term Care Facility
Other Specialty Clinic
Private Industry
Private Practice
Residential Living Facility (including independent and assisted living)
Rural Health Clinic
School-based Clinic
State or Local Government
US Armed Forces
Veterans Affairs Healthcare (e.g. VA hospital or clinic)
N/A

Select Secondary Purpose(s) of the Grant Partnership(s): Select any additional purpose(s) of the partnerships used to develop or enhance the training program by clicking on the drop-down menu in column 5c and choosing all options that apply.

Clinical/experiential training
Community outreach
Curriculum development
Didactic training
Establishing and maintaining apprenticeships
Field placements in medically underserved and/or rural areas
Interprofessional training
Job placement
Matriculation into health professions schools
Mentoring students/trainees
Providing faculty development
Providing faculty/clinical preceptors
Recruitment of trainees
Recruitment of URM/disadvantaged/rural trainees
Technical assistance
N/A

PC-1 - Entering Enrollment Information

Warning
Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Enter Total # Enrolled (whether funded by BHW or not)	Enter Total # Enrolled (whether funded by BHW or not)	Enter Total # Enrolled (whether funded by BHW or not)
Total	URM	Disadvantaged Background and not URM
(7) Block 3	(8) Block 3a	(9) Block 3b

Figure 2. PC-1 - Entering Enrollment Information

Enter Total # Enrolled (whether funded by BHW or not): Total: For Column 7 (Block 3), enter the total number of individuals who participated in each degree program during the current reporting period. Count all students who participated, regardless of whether the student received a BHW-funded financial award.
Enter Total # Enrolled (whether funded by BHW or not): URM: For Column 8 (Block 3a), enter the number of individuals who participated in each degree program during the current reporting period who were underrepresented minorities.
Enter Total # Enrolled (whether funded by BHW or not): Disadvantaged Background and not URM: For Column 9 (Block 3b), enter the number of individuals from disadvantaged backgrounds who participated in the degree program during the current reporting period but were not underrepresented minorities.

Note
Students who permanently left their degree program before graduation (i.e., attrition) will be counted separately in Column 12 (Block 9).

Reference
Refer to the glossary for definitions of "underrepresented minority" and "disadvantaged background."

Example: The School of Dentistry had a total of 202 students enrolled in the DDS program. The school used BHW funds to provide funding to 25 students in the program during the annual reporting period. During this period, 2 students permanently left the DDS degree program before completion.
In Column 7 (Block 3), the School of Dentistry would enter 200.

Example: The School of Dentistry had a total of 200 students maintain enrollment in the DDS program during the annual reporting period. Among the 200 students enrolled in this degree program, 35 are underrepresented minorities.
In Column 8 (Block 3a), the School of Dentistry would enter 35.

Example: The School of Dentistry had a total of 200 students maintain enrollment in the DDS program during the annual reporting period. Among the 200 students enrolled in this degree program, a total of 45 students are from disadvantaged backgrounds. Twenty (20) out of the 45 students from a disadvantaged background are also underrepresented minorities.
In Column 9 (Block 3b), the School of Dentistry would enter 25.

PC-1 - Entering Graduate Information

Enter Total # Graduated/Completed (whether funded by BHW or not)	Enter Total # Graduated/Completed (whether funded by BHW or not)
Total	URM
(10) Block 8	(11) Block 8a

Figure 3. PC-1 - Entering Graduate Information

Enter Total # Graduated/Completed (whether funded by BHW or not): Total: In Column 10 (Block 8), enter the total number of individuals who graduated from their degree program during the current reporting period. Count all individuals who graduated, regardless of whether the student directly received a BHW-funded financial award.
Enter Total # Graduated/Completed (whether funded by BHW or not): URM: In Column 11 (Block 8a), enter the number of individuals who graduated from their degree program during the current reporting period and were underrepresented minorities.

Note
Students who permanently left their degree program before graduation (i.e., attrition) will be counted separately in Column 12 (Block 9).

Example: The School of Dentistry had a total of 200 students maintain enrollment in the DDS program during the annual reporting period. Among the 200 students enrolled in this degree program, a total of 50 students completed all degree requirements and graduated during this reporting period.
In Column 10 (Block 8), the School of Dentistry would enter 50.

Example: The School of Dentistry had a total of 200 students maintain enrollment in the DDS program during the annual reporting period. Among the 200 students enrolled in this degree program, a total of 50 completed all degree requirements and graduated during this period. Ten (10) out of the 50 students who graduated are underrepresented minorities.
In Column 11 (Block 8a), the School of Dentistry would enter 10.

PC-1 - Entering Attrition Information

Enter Total # Who left the Program Before Completion (whether funded by BHW or not)	Enter Total # Who left the Program Before Completion (whether funded by BHW or not)
Total	URM
(12) Block 9	(13) Block 9a

Figure 4. PC-1 - Entering Attrition Information

Enter Total # Who left the Program Before Completion (whether funded by BHW or not): Total: In Column 12 (Block 9), enter the total number of individuals who permanently left their degree programs before completion during the current reporting period. Count all individuals who permanently left their degree programs regardless of whether or not the student directly received a BHW-funded financial award.
Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: In Column 13 (Block 9a), enter the number of individuals who permanently left their degree programs before completion during the current reporting period and were underrepresented minorities.

Note
The total entered in Column 12 (Block 9) is exclusive of the total number of students Column 7 (Block 3).

Example: The School of Dentistry had a total of 202 students enrolled in the DDS program. The school used BHW funds to provide funding to 25 students in the program during the annual reporting period. During this period, 2 students permanently left the DDS degree program before completion.
In Column 12 (Block 9) of this form, the School of Dentistry would enter 2.

Example: The School of Dentistry had a total of 202 students enrolled in the DDS program. The school used BHW funds to provide funding to 25 students in the program during the annual reporting period. During this period, 2 students permanently left the DDS degree program before completion and none who left were underrepresented minorities.
In Column 13 (Block 9a) of this form, the School of Dentistry would enter 0.

Figure 5. Example of Completed PC-1 Subform

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are found, the BPMH system will automatically route you to the next required subform.

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PC-1: Program Characteristics – Degree/Diploma/Certificate Training Programs

PC-1 - Selecting Partnerships Developed Using BHW Funds

PC-1 - Selecting Partnerships Developed Using BHW Funds

PC-1 - Entering Enrollment Information

PC-1 - Entering Enrollment Information

PC-1 - Entering Graduate Information

PC-1 - Entering Graduate Information

PC-1 - Entering Attrition Information

PC-1 - Entering Attrition Information

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