Pre-Application Technical Assistance Webinar System-level Workforce Capacity Building for Integrating HIV Primary Care in Community Health Care Settings Evaluation and Technical Assistance Center Competitive Cooperative Agreement HRSA-14-058 January 30, 2014, 2:00 4:00 PM EDT Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Division of Training and Capacity Development Special Projects of National Significance (SPNS)
Welcome and Introductions Today s Presenters Melinda Tinsley SPNS Project Officer Adan Cajina SPNS Branch Chief Renetta Boyd SPNS Project Officer 2
Call Agenda New FY14 Streamlined FOA Guide and FOA Special Projects of National Significance (SPNS) Background Purpose, Goals and Objectives Summary of Funding Eligibility Program Expectations Application: FOA Summary, Eligibility, Application Process, and Application Format Overview of Major Application Sections Review Criteria and Selection Process Application Submission Contacts Questions and Answers 3
HRSA s New Streamlined FY14 FOA New streamlined funding opportunity announcement (FOA) FOA focuses on the program-related content, including goals, expectations, and requirements of the program SF424 Application Guide contains general instructions (e.g., how to submit the application through Grants.gov, format requirements), and Policies, Assurances and Reporting Requirements, which apply to all HRSA funded programs Applicants must use both the FOA and the SF424 Application Guide to successfully complete and submit an application 4
HRSA s New Streamlined FY14 FOA General boiler plate language in the FOA now located within the SF424 Application Guide www.hrsa.gov/grants/apply/applicationguide/sf424guide.pdf In various sections of the FOA, the SF424 Application Guide will be referenced Applicants must read the FOA and reference the SF424 Application Guide to successfully complete and submit an application 5
Background: Special Projects of National Significance SPNS is a component of the Ryan White HIV/AIDS Program (RWHAP), funded under Part F of the Ryan White HIV/AIDS Treatment Extension Act SPNS Program supports the development of innovative models of HIV care to quickly respond to the emerging needs of clients served by RWHAP SPNS evaluates the effectiveness of these models design, implementation, utilization, cost, and health related outcomes, while promoting dissemination and replication of successful models SPNS mission is to improve HIV service delivery through demonstration projects and evaluation focused on primarily underserved, underinsured and uninsured populations 6
NHAS and HIV Care Continuum Aligns with Goals 2 & 3 of the National HIV/AIDS Strategy (NHAS): To increase access to care and improve health outcomes of people living with HIV/AIDS; and to reduce HIVrelated health disparities Aligns with HIV Care Continuum Initiative: Directs Federal agencies to prioritize the continuum of HIV care by accelerating efforts and directing existing Federal resources to increase HIV testing, services, and treatment, while improving patient access 7
Purpose System-level Workforce Capacity Building for Integrating HIV Primary Care in Community Health Care Settings Evaluation and Technical Assistance Center (ETAC) (HRSA-14-058) FOA The ETAC will be expected to fulfill three important functions for this SPNS initiative: 1. Provide technical assistance to the demonstration projects over the course of the initiative; 2. Conduct a rigorous multi-site evaluation of the implementation and outcomes of the Practice Transformative Models (PTMs); and 3. Lead and coordinate efforts for publication and dissemination of successful models, lessons learned, and other findings from the initiative. 8
Purpose ETAC Support of Demonstration Projects The demonstration project initiative will support organizations to promote the design, implementation, and evaluation of: System-level change in staffing structures that improve health outcomes along the HIV Care Continuum Workforce capacity of demonstration project organizations providing HIV treatment 9
Goals and Objectives System-level Workforce Capacity Building for Integrating HIV Primary Care in Community Health Care Settings (HRSA-14-058) FOA ETAC applicants should read the requirements for the Demonstration Sites under Announcement Number HRSA-14-055 to better understand program expectations 10
Goals and Objectives System-level Workforce Capacity Building for Integrating HIV Primary Care in Community Health Care Settings (HRSA-14-058) FOA Practice Transformative Models - examples: o Task shifting or physician extension o Patient Navigation o Patient Centered Medical Homes o Integration of Community Health Workers 11
HRSA-14-058 Cooperative Agreement Applicants may apply for a ceiling amount of $550,000 per year One (1) Cooperative Agreement is expected be awarded FY 2014 - FY 2017 Summary of Funding Closing Date: 3/10/2014 12
Eligibility HRSA 14-058 Academic institutions Non-profit organizations including faith-based organizations Those eligible for funding under Parts A-D of Title XXVI of the Public Health Service (PHS) Act District of Columbia, Puerto Rico, Virgin Islands Guam, American Samoa Northern Mariana Islands The Republic of Palau, the Federated States of Micronesia The Republic of the Marshall Islands Indian Tribes or tribal organizations 13
Application Format As outlined in Section 4 of SF-424 Application Guide (pgs. 25 35), your application must include the following: i. Application Face Page ii. Intergovernmental Review iii. Table of Contents iv.budget v. Budget Justification Narrative vi. Staffing Plan vii. Assurances viii.certifications ix. Project Abstract x. Project Narrative xi. Attachments Items in RED will be highlighted 14
Project Abstract The Project Abstract is a brief summary of the application (proposed project, services, needs, and population to be served). It must be single-spaced and limited to one page in length. Place the following at the top of the abstract: o Project Title o Applicant Organization Name o Address o Project Director Name o Contact Phone Numbers o Email Address o Web Site Address, if applicable 15
Application Project Narrative Introduction Needs Assessment Methodology Work Plan Resolution of Challenges Evaluation and Technical Support Capacity Organizational Information Budget / Budget Narrative Review Criterion Need Need Response, Evaluative Measures and Impact Response Response Resource/Capabilities Resource/Capabilities Support Requested 16
Data Requirements Measure Numerator Denominator HIV Positivity Linkage to HIV Medical Care Retention in HIV Medical Care Antiretroviral Therapy (ART) Viral Load Suppression Number of HIV positive tests in the 12- month measurement period Number of persons who attended a routine HIV medical care visit within 3 months of HIV diagnosis Number of persons with an HIV diagnosis who had at least one HIV medical care visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between the first medical visit in the prior 6 month period and the last medical visit in the subsequent 6 month period Number of persons with an HIV diagnosis who are prescribed ART in the 12-month measurement period Number of persons with an HIV diagnosis with a viral load <200 copies/ml at last test in the 12 month measurement period HHS Common HIV Indicators Number of HIV tests conducted in the 12-month measurement period Number of persons with an HIV diagnosis in 12-month measurement period Number of persons with an HIV diagnosis with at least one HIV medical care visit in the first 6 months of the 24 month measurement period Number of persons with an HIV diagnosis and who had at least one HIV medical care visit in the 12-month measurement period Number of persons with an HIV diagnosis and who had at least one HIV medical care visit in the 12-month measurement period 17
Work Plan Your work plan should include objectives and key action steps that are: SPECIFIC MEASUREABLE ACHIEVABLE REALISTIC & TIME FRAMED 18
Review Criteria Review Criteria are used to review and rank applications. For this FOA, SPNS has 6 review criteria: Criterion 1: Need 10 points Criterion 2: Response : Criterion 3: Evaluative Measures Criterion 4: Impact Criterion 5: Resources/Capabilities Criterion 6: Support Requested TOTAL 30 points 30 points 10 points 10 points 10 points 100 points 19
Review Selection Process Division of Independent Review (DIR) is responsible for managing objective reviews within HRSA Applications competing for Federal funds receive an objective and independent review performed by a committee of relevant and qualified experts Applications that pass the initial HRSA eligibility screening will be reviewed and rated by a panel based on the program elements and review criteria The competitive objective review process is based solely on the merits of the application 20
Budget This FOA is for a multi-year (4-year) non-construction program. Accordingly: SF-424A: Complete Sections A-F for each year of the 4-year project period Line Item Budget: While the budget period is for one year, you must submit line item budgets for each of the 4 budget periods (Attachment 1) Budget Justification: Describe each cost element and explain how each cost contributes to meeting the project s objectives/goals 21
Funding Restrictions Complete list in FOA page 23 Not to be used to supplant or supplement concurrent Ryan White HIV/AIDS Program activities or services already funded under any other Part grants May not be used for direct services, including HIV care and counseling and testing, that are billable to third party payers 22
Attachments Attachment 1 Line Item Budgets Spreadsheet for Years 1 through 4 Attachment 2 Position Descriptions for Key Personnel Attachment 3 Attachment 4 Attachment 5 Attachment 6 Attachments 7 15 Biographical Sketches of Key Personnel Work Plan Project Organizational Chart Signed and Dated Letters of Support, Memoranda of Agreement or Understanding, and Descriptions of Proposed and Existing Contracts Other Relevant Documents, as necessary 23
Cross Walk Application Content Project Abstract SF424 Budget Budget Justification Staffing Plan SF424 Application Guide Section 4.1.ix Section 4.1.i Section 4.1.iv Section 4.1.v Section 4.1.vi Application - Attachments SF424 Application Guide Position Descriptions (Attachment 2) Section 4.1.vi Biosketches (Attachment 3) Section 4.1.vi Tips for Writing a Strong Application Section 4.7 Application Formatting Guidelines Section 4.2 24
Application Page Limit The total size of all uploaded files may not exceed the equivalent of 80 pages when printed by HRSA or a total file size of 10 MB This 80-page limit includes the abstract, project and budget narratives, attachments, and letters of commitment and support. Standard forms are NOT included in the page limit Applications that exceed the specified limits (that exceed the equivalent of 80 pages when printed by HRSA or 10 MB file size) will be deemed non-compliant 25
Application Submission How to Apply Electronic applications must be received through Grants.gov Download instructions and application package: http://www.grants.gov/web/grants/searchgrants.html?keywords=hrsa-15-058 Closing Date: March 10, 2014 at 11:59 PM ET 26
Application Assistance Grants.gov Contact Center Telephone: 1-800-518-4726 (International Callers, please dial 606-545-5035) E-mail: support@grants.gov iportal: http://grants.gov/iportal 27
SPNS Contact Adan Cajina, Chief, Demonstration and Evaluation Branch Special Projects of National Significance Parklawn Building, Room 7-74 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 443-3180 Fax: (301) 594-2511 Email: ACajina@hrsa.gov 28
OFAM Contact Brad Barney, Supervisory Grants Management Specialist HRSA Division of Grants Management Operations OFAM Parklawn Building, Room 11A-02 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 443-6916 Fax: (301) 443-6686 Email: BBarney@hrsa.gov 29
Questions and Answers 30