EquipCare - IPC - Period 1 (2020)

EquipCare BC Period 3

Safety | Quality Improvement | Infection Prevention & Control
You are about to begin your application.

Multiple sites require separate applications. Joint assisted living/long-term care applications are permitted only if communities are located at the same physical location.

You may save your work and continue later by pressing the 'Save' button at any time.

If you have any questions as you navigate the application process, please contact Snezana Ristovski, Director of Programs, at snezana@bccare.ca.

To begin, please read and accept the terms and conditions below.
Please check the box to agree to the official Terms & Conditions:*

Applicant Information
Name:*

First NameLast Name
Role:*
(e.g. Office Manager)
E-mail:*

Confirmation Email
Primary phone:*
Ext.:
Secondary phone:
Ext.:
Recommended:

I would like to provide the information of a secondary contact assisting me with my application, or who you can communicate with in the event of my absence
Please provide the contact information of a secondary or alternative representative assisting you with the application.
Name:*

First NameLast Name
Role:*
(e.g. Office Manager)
E-mail:*
Primary phone:*
Ext.:
Secondary phone:
Ext.:
Is there another contact at your organization responsible for submitting invoices and receipts, and/or coordinating payments of the grant funding?*

YesNo
Please provide the contact information of the representative coordinating and submitting your invoices and receipts for grant funding.
Name:*

First NameLast Name
Role:*
(e.g. Office Manager)
E-mail:*
Primary phone:*
Ext.:
Secondary phone:
Ext.:

Organization Information
Parent organization name, if applicable:
Residence name:*
Residence address:*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Additional Organization Information
Are your operations:*

For profitNon-profit
Is your organization a member of any industry Associations?*

YesNo
We are a member of... (Select all that apply):*

BC Care Providers AssociationEngAge BCDenominational Health AssociationOther: Enter Association name

Funding Application
Please follow the steps below to get started.

Click here for a complete list of items eligible for Period 3 funding.
Step 1: Calculate Your Up-To Eligibility
What funding category are you applying for?:*

Seniors' assisted livingSeniors' long-term careBoth of the above (at one location)

* Note: Every cell above must have a numeric entry. Please enter "0" for any of the above that are not applicable to your residence (e.g. private pay LTC beds).
Eligible up-to funding for seniors' assisted living:
Eligible up-to funding for seniors' long-term care:
TOTAL combined up-to eligible funding amount:
Note: Your total eligible up-to funding eligibility amount cannot exceed your total funding request.
Before You Begin Step 2...
For your reference, items in the table below are assigned a letter representing the corresponding funding category:

Infection Prevention & Control:

A = Personal Protective Equipment
B = Environmental Cleaning, Waste Management, Housekeeping & Laundry
C = Hygiene
D = Respiratory
E = Resident Infection Prevention
F = Food Services
G = Furniture & Accessories
H = Storage & Spatial Separation
I = Medical, Screening & Vital Sign Devices
J = Signage
K = Equipment
L = Staff Education
M = Sensory
N = Technology

Safety & Quality of Life

O = Mobility
P = Prevention or Urgent Response
Q = Medical Devices
R = Furniture & Accessories
S = Laundry
T = Bathing
U = Transportation
V = Physical Therapy
W = Sensory Therapy
X = Temperature Control
Y = Communication
Step 2: Item Funding Request
Tip: If you submit items of larger amounts, it may save you time in submitting less invoices and receipts.

*Includes the cost of shipping and taxes.
Total purchase(s) amount:
Total requested funding amount:

*Includes the cost of shipping and taxes.
Total purchase(s) amount:
Total requested funding amount:
Please check the option below to confirm:*

I attest that the funding requested is not being duplicated through warranties, programs, grants, subsidies or other financial resources.
Please upload any supporting documentation for the application**:

Tip: Press and hold the CTRL button to select multiple files. Only PDF, JPG, JPEG, PNG or GIF file formats are accepted. The maximum accepted file size per document is 5 MB.
Cancelof
**Purchase Order and Quotes: Not required but can help you in your estimates.

Receipts: Invoices can be submitted but payments and receipts cannot be dated prior to the start of the 3rd period (April 1st, 2021).

Licenses: If this is your first application or the number of suites or beds has changed, providing your license will assist in a more expedient adjudication confirming capacity for your up-to eligible limit amount.
If you cannot find your request in the eligible list of items, please provide details separately in the box below for consideration:
Please identify your requested items will assist your organization with meeting intended program outcomes. Please include detailed item descriptions, including quantity in units, purchase amount and funding requested.
Additional Information
Do you have any additional information regarding your request?
Intended Outcomes

Your answers will assist in providing information for future funding requests.
Please mark the intended outcomes that apply to your grant request (select all that apply):*

Augment funds for for purchase of necessary IPC supplies, including PPEMinimize risk of infection, spread of infection, and outbreaksReduce falls and injuries from fallsReduce employee MSI injuries and/or claimsReduce skin degradation, development of pressure ulcersEnhance dignity and care of residents, improve resident/family satisfactionImprove turnaround time or accuracy of resident assessmentPotentially reduce hospital transfersReduce the risk of elopement from the residence/care homeIncrease resident engagement in physical and social activitiesReduce responsive behaviours, worsening moods, and aggression rates without the use of medicationEnable remote visits with family, friends, and physicansOther: Please enter intended outcomes

Quick Survey

We value your feedback.
Please rate your overall application experience:*
What would you like to see improved?*
Any additional feedback?
By clicking the submit button, you are certifying that all information contained in your EquipCare BC application is true and correct to the best of your knowledge, and that you are the person completing this application as an authorized representative on behalf of your organization.

By submitting, you also certify your application is solely for items that will not be receiving/are not already receiving any funding from other sources, as per EquipCare BC's Guiding Principle #3.
Should be Empty:

	Total # of AL units	# of AL units currently occupied
# Publicly funded
# Private pay

	Total # of LTC beds	# of LTC beds currently occupied
# Publicly funded
# Private pay

	Item Description	Quantity (in units)	Purchase Amount*	Requested Funding Amount*
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	Item Description	Quantity (in units)	Purchase Amount*	Requested Funding Amount*
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EquipCare BC Period 3

Eligibility Pre-Screen

Eligibility Type

Applicant Information

Organization Information

Additional Organization Information

Funding Application

Step 1: Calculate Your Up-To Eligibility

Before You Begin Step 2...

Step 2: Item Funding Request

Additional Information

Intended Outcomes

Quick Survey