Ryan White HIV/AIDS Part D Grants for Coordinated HIV Services and Access to Research for Women, Infants, Children and Youth (WICY) Competing Supplemental Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau, Division of Community HIV/AIDS Programs Director: Mahyar Mofidi, DMD, Ph.D.
2 Agenda • HRSA-16-087 FOA, SF-424 Application Guide • Acronyms • Overview of Ryan White HIV/AIDS Part D Program • NHAS 2020 and HIV Care Continuum • Allowable Activities • Application Structure/Sections • Budget • Funding Restrictions • Attachments • Application Review by HRSA • Grant Writing and Submission Tips • Q & A
3 Acronyms • Application • EIS Early Intervention Services Guide SF-424 Application • FOA Funding Opportunity Guide Announcement • CQM Clinical Quality • GMS Grants Management Management • DUNS Specialist Data Universal Numbering System • HAB HIV/AIDS Bureau • EHB Electronic Handbook • PO Project Officer • NHAS National HIV AIDS • RWHAP Ryan White HIV/AIDS Strategy Program • EHR Electronic Health Records • SAM System for Award • MIS Management Management Information System • WICY Women, Infant, Children, and Youth
4 Funding Opportunity Announcement (FOA) HRSA-16-087 • This FOA solicits applications from existing Part D recipients under the Ryan White HIV/AIDS Program (RWHAP) Part D Program. • Awards will support recipients ’ efforts to strengthen their organizational interventions to improve health outcomes along the HIV care continuum. • Project Period is August 1, 2016 – July 31, 2017
5 Funding Opportunity Announcement (FOA) HRSA-16-087 PURPOSE To assist currently funded RWHAP Part D WICY recipients in their efforts to strengthen innovative organizational interventions and program infrastructure to improve health outcomes along the HIV care continuum and consistent with the National HIV/AIDS Strategy 2020. Applicants may propose one activity in either: 1) HIV Care Innovation OR 2) Infrastructure Development Please refer to pages 1 to 3 of the FOA.
6 Announcement Guidance Two Components of the HRSA 16-087 Announcement 1) Program Specific Instructions • Part D Supplemental FOA HRSA-16- 087 (“FOA”) 2) HRSA’s General Guidance • SF 424 Application Guide (“Application Guide”) • Links are found throughout the FOA (beginning pp. ii and 7; the August 2015 version is the most current)
7 National Strategy National HIV/AIDS Strategy: Updated to 2020 • The National HIV/AIDS Strategy for the United States: Updated to 2020 (NHAS 2020) is a five-year plan that details principles, priorities, and actions to guide the national response to the HIV epidemic. To the extent possible, program activities should strive to support the four primary goals of NHAS 2020: • Reduce new HIV infections • Increase access to care and optimizing health outcomes for people living with HIV • Reduce HIV-related health disparities and health inequities; and • Achieve a more coordinated national response to the HIV epidemic.
8 HIV Care Continuum Source: NHAS 2020
9 FY2016 Part D Supplemental Awards • Applicants may propose one activity that will fill gaps identified in its HIV care continuum for underserved WICY living with HIV/AIDS in the recipient’s current service area. • Applicants may request funding amounts of up to $100,000 for the one year project period (8/1/16-7/31/17). • Applicants may propose an expansion of activities currently supported with Part D supplemental funding; however, the same activity proposed and funded in FY 2015 will not be considered for funding in FY 2016. • Only specific short-term (one year) activities will be funded under this announcement. Please refer to pages 1 to 3 of the FOA.
10 Funding for Only One Activity under the FY 2016 Part D Supplemental Award 1. HIV Care Innovation: • HIV Case Finding; • Motivational Interviewing; • Patient-Based Treatment Adherence; or • Patient Chronic Disease Self-Management. OR 2. Infrastructure Development: • Electronic Health Records (EHR); • Financial Management Systems; or • Management Information System.
11 Addressing the HIV Care Continuum • Applicants must provide baseline data (by calendar years 2014 and 2015) for each stage of the HIV care continuum. • Proposed activities must be linked directly to specific point(s) along the HIV care continuum, with a target level of improvement. (Example: increasing viral load suppression from baseline 50% to 60%.) • The use of HHS Common HIV Core Indicators/HAB HIV performance measures is strongly encouraged.
12 HIV Care Innovation HIV Case Finding • Train designated staff in HIV case finding techniques through local health departments and/or CDC-funded training centers (http://nnptc.org) and apply these skills in the clinical setting to link persons into HIV primary care after HIV testing to address the stages of the HIV care continuum. • Identify the stage of the HIV care continuum (pick one): (1) Linkage to HIV medical care or (2) Retention in HIV medical care.
13 HIV Care Innovation Motivational Interviewing • Train staff in Motivational Interviewing through the local AIDS Education and Training Center (AETC) or other resources to engage patients in HIV care. • Work with both staff and patients on retention in care and apply the training in the clinical setting to address the stages of the HIV care continuum. • Identify the stage of the HIV care continuum (select one): (1) Linkage to HIV medical care; (2) Retention in HIV medical care; or (3) Appropriate prescription of Antiretroviral Therapy (ART).
14 HIV Care Innovation Patient-Based Treatment Adherence • Implement an innovative, patient-based treatment adherence program to provide long term adherence support for chronically non-adherent patients and apply the program to address the stages of the HIV care continuum. • Identify the stage of the HIV care continuum (select one): (1) Appropriate prescription of ART or (2) Achieving a high HIV viral load suppression rate.
15 HIV Care Innovation Patient Chronic Disease Self-Management • Institute a clinic-wide Chronic Disease Management Program for HIV/AIDS based on the Stanford program or other resources for patient self-management to engage patients in long-term disease control and apply the program to address the stages of the HIV care continuum. • Identify the stage of the HIV care continuum (select one): (1) Retention in HIV medical care or (2) Achieving a high HIV viral load suppression rate.
16 Infrastructure Development Electronic Health Records (EHR) • Purchasing and implementing an EHR system to improve the quality, safety, and efficiency of patient health care. • Identify the stage of the HIV care continuum (select one): (1) Linkage to HIV medical care; (2) Retention in HIV medical care; (3) Appropriate prescription of ART; or (4) Achieving a high HIV viral load suppression rate.
17 Infrastructure Development Financial Management System • Purchasing and implementing a financial accounting system or software capable of managing multiple sources of funding for HIV primary care services, as well as actual expenses by line item and enhancing the billing process for third-party reimbursement. • Identify the stage of the HIV Care Continuum (select one): (1) Linkage to HIV medical care; (2) Retention in HIV medical care; or (3) Achieving a high HIV viral load suppression rate.
18 Infrastructure Development Management Information System • Identifying, establishing and strengthening administrative, managerial, and management information system (MIS) structures to offer, enhance, or expand comprehensive HIV primary healthcare, especially in the context of the Affordable Care Act. • Identify the stage of the HIV care continuum (pick one): (1) Linkage to HIV medical care; (2) Retention in HIV medical care; (3) Appropriate prescription of ART; or (4) Achieving a high HIV viral load suppression rate.
19 Application Structure Applicants must include the following sections in their application: • Budget • Project Abstract • Budget Justification • Project Narrative • Introduction Narrative • Needs Assessment • Attachments (5) • Methodology • Work Plan • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information
20 Abstract Include: • Project Title: FY16 Part D WICY Supplemental • Requirements listed in the SF-424 Application Guide • Summary of the proposed activity • Include the specific stage in the HIV care continuum to be addressed by the activity • Amount requested (up to $100,000) * Note: Abstract must be single-spaced and no more than one page in length. See page 7 in the FOA and page 41 in the Application Guide.
21 Project Narrative Major Sections: • Introduction • Needs Assessment • Methodology • Work Plan • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information See pages 8-12 in the FOA.
22 Introduction • Briefly describe the purpose of the application. • Clearly state the proposed activity – within HIV Care Innovation or Infrastructure Development. • Explain why it is needed and how health outcomes along the HIV care continuum will improve. • Address how the proposed project will meet one or more of the NHAS 2020 goals.
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