Ryan White HIV/AIDS Part C Capacity Development Program

Transcription

1 Ryan White HIV/AIDS Part C Capacity Development Program Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau, Division of Community HIV/AIDS Programs Division Director: Mahyar Mofidi, DMD, Ph.D. Deputy Director: Stacey Evans, Ph.D.

2 2 Agenda HRSA FOA, SF-424 Application Guide Acronyms Overview of Ryan White HIV/AIDS Part C Program NHAS 2020 and HIV care continuum Allowable Activities Application Structure/Sections Budget Funding Restrictions Attachments Application Review by HRSA Application Writing and Submission Tips Q & A

3 3 Acronyms Application Guide CQM DUNS SF-424 Application Guide Clinical Quality Management Data Universal Numbering System HAB EHR MIS NHAS HIV/AIDS Bureau Electronic Health Records Management Information System National HIV/AIDS Strategy EHB EIS FOA GMS Electronic Handbook Early Intervention Services Funding Opportunity Announcement Grants Management Specialist PO PLWH RWHAP SAM Project Officer People Living with HIV Ryan White HIV/AIDS Program System for Award Management

4 Funding Opportunity Announcement (FOA) HRSA This FOA solicits applications from existing RWHAP Part C Early Intervention Services recipients. Awards will support recipients efforts to strengthen their organizational infrastructure and capacity to develop, enhance, or expand access to HIV primary health care services for PLWH. Project Period is September 1, 2016 August 31, 2017.

5 Funding Opportunity Announcement (FOA) HRSA PURPOSE To assist current Part C recipients in their efforts to strengthen their organizational infrastructure and to increase their capacity to develop, enhance, or expand access to high quality HIV primary health care services for low-income, uninsured, underinsured, and underserved people living with HIV. Applicants may propose one activity in either: 1) HIV Care Innovation OR 2) Infrastructure Development Please refer to pages 1-3 of the FOA.

6 6 Announcement Guidance Two Components of the HRSA Announcement 1) Program Specific Instructions Part C Capacity Development FOA HRSA ( FOA ) 2) HRSA s General Guidance SF 424 Application Guide ( Application Guide ) Links are found throughout the FOA (beginning pp. ii and 7

7 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 8 HIV Care Continuum Source: NHAS 2020

9 9 FY2016 Part C Capacity Development Applicants may propose one activity that will strengthen efforts to increase capacity to develop, enhance, or expand access to high quality HIV primary health care services for PLWH. Applicants may request funding amounts of up to $100,000 for the one year project period (9/1/16-8/31/17). Applicants may propose an expansion of an activity currently supported with Part C Capacity funding; however, the same activity proposed and funded in FY 2015 will not be considered for funding in FY Only specific short-term (one year) activity 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 C Capacity Development 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 11 Addressing the HIV Care Continuum Proposed activity should identify and address a specific point or points along the HIV care continuum to target for maximum impact. Applicants must provide baseline data (by calendar years 2014 and 2015) for each stage of the HIV care continuum. Applicants are asked to use the same numerators and denominators as outlined for the HHS Common HIV Core Indicators.

12 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 ( and apply these skills in the clinical setting to link persons into HIV primary care after HIV testing to address one or both of the following stages of the HIV care continuum: (1) Linkage to HIV medical care; (2) Retention in HIV medical care.

13 13 HIV Care Innovation Motivational Interviewing Train staff in Motivational Interviewing through the local AIDS Education and Training Centers (AETCs) 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 one or more of the following stages of the HIV care continuum: (1) Linkage to HIV medical care; (2) Retention in HIV medical care; (3) Appropriate prescription of Antiretroviral Therapy (ART).

14 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 one or both of the following stages of the HIV care continuum: (1) Appropriate prescription of ART; (2) HIV viral suppression.

15 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 one or both of the following stages of the HIV care continuum: (1) Retention in HIV medical care; (2) HIV viral suppression.

16 Infrastructure Development 16 Electronic Health Records (EHR) Purchasing and implementing an EHR system to improve the quality, safety, and efficiency of patient health care. Identify the specific linkages to the HIV care continuum stage(s) that will be addressed: (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 17 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. Illustrate how the activity will address one or more of the following stages of the HIV care continuum: (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.

18 Infrastructure Development 18 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. Address one or more of the following stages of the HIV care continuum that will be impacted: (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 19 Application Structure Applicants must include the following sections in their application: Project Abstract Project Narrative Introduction Needs Assessment Methodology Work Plan Resolution of Challenges Evaluation and Technical Support Capacity Organizational Information Budget Budget Justification Narrative Attachments (7)

20 20 Abstract Include: Project Title: FY16 Part C Capacity Development Program Requirements listed in the SF-424 Application Guide Summary of the proposed capacity development activity to improve health outcomes along the HIV care continuum with the specific stage(s) in the HIV care continuum to be addressed by the activity. Amount requested (up to $100,000) The statutory preference requested, if applicable. * 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 SF424 Application Guide.

21 21 Project Narrative Major Sections: Introduction Needs Assessment Methodology Work Plan Resolution of Challenges Evaluation and Technical Support Capacity Organizational Information See pages 7-11 in the FOA.

22 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. Indicate if requesting a statutory preference (see Section V of the FOA).

23 23 Needs Assessment Describe unmet need based on evaluation of the gaps in the HIV care continuum. Reference the specific proposed activity under the HIV Care Innovation or the Infrastructure Development option. Use and cite the pertinent demographic data whenever possible to support the information provided. Discuss any relevant barriers in the current service area discussed in the application. Provide CY 2014 and 2015 data for each stage of the HIV care continuum. Describe target population(s), if applicable. Describe current gaps in HIV primary care services within the current service area. Describe the barriers impacting accessing care and the HIV care continuum for the local HIV program and community.

24 Sample Table for Baseline Data 24

25 25 Sample Table Including Specific Target Populations HIV Care Continuum Stage Linkage to Care (Total) Linkage to Care (Young MSM) Retention in Care (Total) Retention in Care (Young MSM) Number on ARVs (Total) Number on ARVs (Young MSM) Viral Load less than 200 cop/ml (Total) Viral Load less than 200 cop/ml (Young MSM) Numerator/Denominator and (%) Numerator/Denominator and (%)

26 26 Methodology In this section: Propose methods that will be used to address the selected activity; Identify collaboration and coordination efforts and strategies; and Describe proposed plans for how the activity will be continued at the end of the project period. REMINDER: The selected activity must be under one of the two categories for funding under this FOA: 1. HIV Care Innovation, or 2. Infrastructure Development.

27 Methodology Collaboration and Coordination 27 Outline the partnerships for the proposed project (if applicable), and The tasks that each partner proposes to perform to address the identified needs; The responsible party of the partner; The amount of funds, if any, allocated to the partner; and Letters of Support and/or Letters of Commitment from each partner and/or collaborating entity should be included in Attachment 7.

28 Methodology Sustainability 28 Explain how the applicant will maintain or continue the efforts set forth in this project beyond the oneyear project period. Supporting maintenance of systems and newly trained staff Supporting the activity that addresses the identified gap in the HIV care continuum Also, applicants should include a description of the plan for the dissemination of information and/or products developed as a result of this funding.

29 Work Plan Part 1 Narrative 29 Separate from the table, the application should include a narrative regarding the approach to addressing the targeted activity. Applicants should list all action steps that will be necessary to implement the proposed project and accomplish the proposed objectives.

30 Work Plan Part 2 Table 30 The work plan table (Attachment 4) should contain: A Problem Statement(s) that identifies the specific stage(s) in the HIV care continuum to be addressed (1-2 sentences); A description of each Goal that corresponds to a problem statement (1-2 sentences), which identifies the specific stage(s) in the HIV care continuum to be addressed; A description of each Objective that corresponds to a goal (1 sentence) and how each objective addresses the corresponding stage(s) of the HIV care continuum; A listing of Key Action Steps for each objective (1-2 sentences); and A targeted Completion Date (Month/Year) for each objective and each action step.

31 Sample Work Plan Table 31

32 32 Resolution of Challenges Discuss any challenges likely to be encountered in designing and implementing the activity described in the work plan, and in measuring improvement in the HIV care continuum. Discuss approaches that will be used to resolve identified challenges. Challenges should be specific to the proposed activity and relate to overall goal(s) or objective(s) proposed in the work plan.

33 Evaluation and Technical Support Capacity 33 Two required components: Data Collection and Management Describe data collection system and the methods used to collect and monitor the outcomes of the proposed activity. Project Evaluation Describe the evaluation activities, including quality management, that will be used to assess the impact of the proposed project. Describe the CQM program and other resources devoted to evaluation activities for the project. Discuss the performance measures selected (HHS core/ HAB HIV indicators are recommended), timeline and expected outcomes. Discuss how evaluation results will be disseminated to staff, consumers, and the community.

34 34 Organizational Information Describe organizational skills or capabilities that contribute to the ability to implement the proposed capacity development activity. Staffing Plan (Attachment 3). Describe how the proposed activity will assist the organization in addressing the HIV care continuum in the local community. Describe how PLWH and organizations representing them are included in the decision-making process and execution of the capacity development activity.

35 35 Staffing Plan Table format is recommended. Include all key personnel (including vacant positions) and provide their role, responsibilities, credential (if applicable), and the allocated FTEs. Key personnel is defined as the Program Director and other individuals who contribute to the programmatic development or execution of a project/program in a substantive, measurable way Brief job descriptions are only required for key personnel vacancies listed limit to two pages total in length. Upload as Attachment 3. DO NOT INCLUDE RESUMES!

36 36 Sample Staffing Plan Name Mrs. Doe Education/ Credentials MPH Title Project Role Experience Program Coordinator Dr. A. Jones MD Medical Director Ms. Kona Mr. Lewis Assoc Degree MSW CQM Coordinator, Retention Specialist Medical Case Manager Oversight of grant award and project implementation Oversight of clinic staff, SOPS and CQI projects Oversight of CQM Activities Treatment adherence training 5 years as program coordinator, previously was Data/CQM Manager for same entity 15 years providing HIV primary care 4 years working in HIV clinic scheduling appointments, making referrals, medical data entry 3 years providing HIV medical case management Ms. Johnson RN Contracted Registered Dietician Treatment adherence training 20 years working as a HIV nurse and patient educator

37 37 Budget Three parts: 1. SF-424A From the Application Package 2. Specific Line Item Budget (Attachment 1) 3. Budget Justification Narrative

38 38 Budget See HRSA s SF- 424 Application Guide section 4.1.iv and v (pp ) and FOA section IV.2.iii (pp ) for instructions on preparing the budget and budget justification narrative. Upload a program-specific line item budget in a PDF format as Attachment 1.

39 39 Budget Justification Narrative Applicants should provide specific, detailed justifications for all allocated items in the program specific line item budget. For example, travel or training costs must specify the unit cost per person and the number of persons to be involved per activity. Allocations must relate to the proposed HIV care continuum activities described in the Project Narrative. If indirect costs are requested, a current negotiated cost rate agreement must be submitted as Attachment 2.

40 40 Salary Limitation Cap The Consolidated and Further Continuing Appropriations Act, 2016, Division H, 203, (P.L ) continues the Executive Level II capped salary amount that may be awarded and charged to HRSA grants and cooperative agreements. Award funds may not be used to pay more than $185,100 annually for an individual s salary (exclusive of fringe). The salary limitation also applies to subrecipients. Please see Section 4.1.iv Budget Salary Limitation of HRSA s SF-424 Application Guide for additional information.

41 41 Example: Salary Limitation Individual s full time salary: $255,000. Amount that may be claimed on the Federal grant due to the legislative salary limitation: Individual s base full time salary adjusted to Executive Level II: $185, % of time will be devoted to project Direct salary: $92,550 Fringe (25% of salary): $23, Total: $115,687.50

42 42 Cost Allowability Allowable Cost - Meets the criteria for authorized expenditures specified in the program legislation, the cost principles (45 CFR 75, Subpart E), and program policy. The costs must also be: Allocable Reasonable Necessary

43 Funding Restrictions RWHAP Part C Capacity Development Funds May Not Support: 43 Ongoing service delivery, primary medical care, research or prevention activities; The purchase of land or construction/renovation; Pre-award costs; Syringe services programs; and Payments for the provision of EIS or any such service to the extent that payment has been made or is expected to be made by another source of funding No more than 10% of the award can be used for administrative expenses. See pages of the FOA for a complete list.

44 Maintenance of Efforts (MOE) 44

45 45 Attachments A list of Attachments is found on pages in the FOA. Upload attachments in the order listed. Attachments are not to be used as a continuation of the project narrative. Unless otherwise noted, attachments count toward the 30-page limit of the application. Label each attachment clearly.

46 What is Counted Towards the Page Limit? 46 Abstract Project Narrative Work Plan Staffing Plan for Key Personnel Letters of Support and/or Commitment Line-item Budget Budget Justification Narrative All Attachments (except where noted on pages of FOA) APPLICATIONS CANNOT EXCEED 30 PAGES! Applications over the page limit will not be considered for funding.

47 47 Application Review In order to be reviewed: Applications must be submitted on time. Submission in Grants.gov by the published deadline with a confirmed validation and receipt by HRSA. Applications must be within the 30-page limit. Applications may not request more than the ceiling amount of $100,00 Applications must address the programmatic goals and requirements outlined in the FOA Ineligible and/or unresponsive applications will not be reviewed.

48 48 Application Review Applications will be reviewed based on the criteria listed in the FOA (pages 16-18) Pay careful attention to each of the six Review Criteria Do not make assumptions provide explanations Address the criteria through the relevant sections of the program narrative

49 49 Review Criteria Points 1. Need = 20 points 2. Response = 25 points 3. Evaluative Measures = 10 points 4. Impact = 15 points 5. Resources/Capabilities = 10 points 6. Support Requested = 20 points See pages in the FOA.

50 50 Application: Where is it? Located at Also found at Announcement HRSA , CFDA Application Instructions (FOA & Application Guide) Application Guide Package Adobe Reader version or later is required.

51 51 Application Submission Tips Read the FOA and the Application Guide carefully and follow instructions. Include your agency name and the name of this application on all pages (Ryan White FY16 Part C Capacity Development Program). Refer to the Application Guide, pg. 47, section 4.7. for additional Tips for Writing a Strong Application. Apply early; do not wait until the last minute in case you run into challenges! Make sure the person who can submit for your organization will be available. Ensure SAM.gov and Grants.gov registration and passwords are current immediately! Have all your PIN numbers and passwords handy!

52 52 SF-424 Application Guide Tips What is funding amount to be entered for SF-424 #18a (cover page)? Enter the requested grant amount for the one-year project/budget period Do NOT request over the $100,000 ceiling funding amount SF-424 Application Face Page is a standard form. For additional information please go to: SF 424 Application Guide Section 4.1 Where do I upload the project abstract? Upload on page 2 of the SF-424 Box #15. Select Add Attachments to upload the project abstract. See pages in the SF-424 Application Guide.

53 53 Grants.gov Contact Information When to contact Grants.gov Helpdesk Error messages Other technical issues Application DID NOT transmit to HRSA If you have any submission problems, please contact Grants.gov immediately! Electronic Submission User Guide: Grants.gov Contact Center: or or (24/7 except Federal holidays)

54 54 Tracking Grants.gov Submissions Submission Receipt Submission Receipt (receive within 2 business days) Track My Application link Submission Validation Second from Grants.gov validating your application OR Rejection with errors Grantor Agency Retrieval Third from Grants.gov HRSA has confirmed receipt of application package Grants.gov website

55 55 Tracking Grants.gov Submissions (2) Fourth is the Agency Tracking Number Assignment . Grants.gov website Refer to SF-424 Application Guide Section 3.3 An applicant must receive four (4) s to have successfully submitted an application through Grants.gov. Receipt of all four separate s may occur over a week s time. Check your SPAM folder Do not wait until the last minute to submit an application!

56 56 Four s from Grants.gov SF424 Application Guide, 8.2.5, pp

57 Grants.gov Message upon Application Upload 57 Home> Apply for Grants > Confirmation Confirmation Thank you for submitting your grant application package via Grants.gov. Your application is currently being processed by the Grants.gov system. Once your submission has been processed, Grants.gov will send messages to advise you of the progress of your application through the system. Over the next 24 to 48 hours, you should receive two s. The first will confirm receipt of your application by the Grants.gov system, and the second will indicate that the application has either been successfully validated by the system prior to transmission to the grantor agency or has been rejected due to errors. IMPORTANT NOTICE: If you do not receive a receipt confirmation and either a validation confirmation or a rejection message within 48 hours, please contact us. The Grants.gov Contact Center can be reached by at support@grants.gov, or by telephone at Always include your Grants.gov tracking number in all correspondence. The tracking numbers issued by Grants.gov look like GRANTXXXXXXXXX.

58 58 REMINDER The application must be electronically submitted through and successfully validated in Grants.gov by March 28, 2016, 11:59 pm EST. We recommend your organization to submit the application at least four business days before the due date. Grants.gov Contact Center: or (24/7 except Federal holidays)

59 59 Your questions are welcome! Applicants who need additional information may contact the HRSA contacts listed on the FOA: Program Contact Grants Contact Michelle Li Potie Pettway (301) (301) HAB TARGET Website