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 - Selecting the status of preceptor competency assessment

Note
Select all that apply.

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.

PC-1 - Entering Enrollment Information

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

Blocks 3, 3a and 3b on the PC-1 subform apply to all records and capture enrollment information about the students enrolled in degree programs where BHW-funded financial awards were provided during the annual reporting period.

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, enter the total number of students 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, enter the number of students 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, enter the number of students from disadvantaged backgrounds who participated in the degree program during the current reporting period but were not underrepresented minorities.

Note
For the total enrollee count (Block 3), DO include students who went on to graduate from the certificate program in the current reporting period but do NOT include students who discontinued prior to graduation (i.e., attrition). Attrition counts will be captured separately in Block 9.

Reference
Refer to the glossary for a definitions of disadvantaged background.

Example: The John Doe School of Nursing had a total of 27 students enrolled in the NP program with a focus area in Family. The school used BHW funds to provide traineeships to 3 out of the 27 students in the program during the annual reporting period. During this period, 2 students permanently left the degree program before completion.

In Block 3 of this form, the John Doe School of Nursing would enter 25.

Example: The John Doe School of Nursing had a total of 25 students maintain enrollment in the NP program with a focus area in Family during the annual reporting period. Among the 25 students enrolled in this degree program, 15 are underrepresented minorities.

In Block 3a, the John Doe School of Nursing would enter 15.

Example: The John Doe School of Nursing had a total of 25 students maintain enrollment in the NP program with a focus area in Family during the annual reporting period. Among the 25 students enrolled in this degree program, a total of 10 students are from disadvantaged backgrounds. Six (6) out of the 10 students from a disadvantaged background are also underrepresented minorities.

In Block 3b, the John Doe School of Nursing would enter 4.

PC-1 - Entering Graduate Information

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

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 students who graduated from their degree program during the current reporting period. Count all students 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 students 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 John Doe School of Nursing had a total of 25 students maintain enrollment in the NP program with a focus area in Family during the annual reporting period. Among the 25 students enrolled in this degree program, a total of 8 students completed all degree requirements and graduated during this period.

In Block 8, the John Doe School of Nursing would enter 8.

Example: The John Doe School of Nursing had a total of 25 students maintain enrollment in the NP program with a focus area in Family during the annual reporting period. Among the 25 students enrolled in this degree program, a total of 8 completed all degree requirements and graduated during this period. Four (4) out of the 8 students who graduated are underrepresented minorities.

In Block 8a, the John Doe School of Nursing would enter 4.

PC-1 - Entering Attrition Information

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

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 students who permanently left their degree programs before completion during the current reporting period. Count all students 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 students who permanently left their degree programs before completion during the current reporting period and were underrepresented minorities.

Note
Column 13 (Block 9a) is a subset of Column 12 (Block 9). The total entered in Column 12 (Block 9) is exclusive of the total number of students Column 7 (Block 3).

Example: The John Doe School of Nursing had a total of 27 students enrolled in the NP program with a focus area in Family. The school used BHW funds to provide traineeships to 3 out of the 27 students in the program during the annual reporting period. During this period, 2 students permanently left the degree program before completion.

In Block 9 of this form, the John Doe School of Nursing would enter 2.

Example: The John Doe School of Nursing had a total of 27 students enrolled in the NP program with a focus area in Family. The school used BHW funds to provide traineeships to 3 out of the 27 students in the program during the annual reporting period. During this period, 2 students permanently left the degree program before completion and none who left were underrepresented minorities.

In Block 9a of this form, the John Doe School of Nursing would enter 0. The completed PC-1 subform for the John Doe School of Nursing would like identical to the image below.

Figure 5. Example of 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 - Selecting the status of preceptor competency assessment

PC-1 - Selecting the status of preceptor competency assessment

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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