OpportunityTitle: Part C Capacity Development Program
AdditionalInformationOnEligibility: This funding opportunity is limited to current Ryan White HIV/AIDS Part C Early Intervention Services grantees.
Description: This announcement solicits applications for the Ryan White Part C Capacity Development Grant Program. It is designed to assist public and nonprofit entities 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 people living with HIV or who are at risk of infection in underserved or rural communities. Grant funding under this program is not intended to support long-term activities. Instead, the activities should be of a short-term nature and should be completed by the end of the grant period, one year in length. This FOA is for existing Part C grantees who may submit proposals for one or both of the following activities. : The HIV/AIDS Bureau recognizes that outreach to and enrollment of Ryan White HIV/AIDS Program (RWP) clients into available health insurance is critical for the ACA implementation. Part C Ryan White grantees may apply under this Capacity Development Funding Opportunity Announcement (FOA) to support ACA related outreach and enrollment activities. The applicant may propose ACA-related activities that will build their capacity to assist clients to increase their knowledge of available ACA benefits and access those benefits. The following activities are available for funding under this ACA Related Activities Section Benefits/Eligibility Counseling Services- Developing the capacity of staff/providers to enable them to perform benefits/eligibility counseling and referral activities assisting clients to access other public and private programs for which they may be eligible. Enrollment and Linkage Services &#150; Strengthening the capacity of staff/providers to identify people with HIV, to educate them about ACA benefits, and link them into primary care. Outreach services can provide additional information on ACA benefits to help clients learn of their status and enter care. Funding for this activity should not duplicate other services or activities funded by other federal/state programs. 2. Infrastructure Development Activities: The applicant may propose infrastructure development activities that will enhance or expand a comprehensive continuum of outpatient HIV primary care services in the community. Activities shall promote organizational infrastructure development and will lead to the delivery or improvement of HIV primary care services. Electronic Health Records Purchasing and implementing Electronic Health Records to improve the quality, safety and efficiency of patient health care. Describe if you use or plan to implement an electronic health record (EHR), and whether that system is certified by the Certification Commission for Healthcare Information Technology (CCHIT). The HIV/AIDS Bureau (HAB) requires that any EHR or EHR component purchased, in whole or in part, with Federal funds meets the Office of the National Coordinator for Health Information Technology (ONC) requirements for certification. To improve the quality of clinical data collected, HAB further requires that any EHR or EHR component be configured to report appropriate clinical data electronically for HAB reporting (www.hrsa.gov/healthit/ehrguidelines.html). Additionally, the Department of Health and Human Services (HHS) has released standards for the meaningful use of Electronic Health Records. This is supported by the Centers for Medicare and Medicaid (CMS) with an incentive program for both Medicaid and Medicare providers. Clinical care providers under Ryan White Parts A [[]2604 (g) (1)], B [[]2617 (b) (F)] and C [[]2652 (b) (1)] are required to participate in state Medicaid programs. Consequently, it is expected that such grantees and providers will begin to use a certified EHR in the provision of care (www.cms.gov.ehrincentiveprograms) Funds may also be used to interface CAREWare with an existing EHR and to enhance EHR systems to proactively identify patients/clients who have fallen out of care and facilitate enrollment of new patients into the HIV care system. Purchasing and implementing Telehealth technologies to improve the quality and efficiency of patient health care. This is limited to eligible Ryan White populations for enhancing services and increasing access to care. Describe the specific purpose(s) and mode(s) of the proposed Telehealth program. In this context, organizations are allowed, but not limited to clinical and non-clinical uses, such as transmission of medical images for diagnosis, transmission of medical data for disease management, healthcare system integration, software to enhance staff capacity to use the Telehealth resources optimally, and/or client movement. Modes of Telehealth program can also range from remote patient monitoring, real-time Telehealth, and/or store and forward Telehealth. Telehealth activities may not be used for the prison/correctional setting. Financial Management Systems 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 grant line item and enhancing the billing process for third party reimbursement. The proposed system can address, but is not to be limited to, budget management topics, such as Fiscal Oversight, Sub-grantee Monitoring, and Tracking Expenditures by Cost Categories. Applicants are expected to develop protocols and billing policies based on the use of this enhanced system. Identifying, establishing and strengthening administrative, managerial, and management information system (MIS) structures to offer, enhance, or expand comprehensive HIV primary healthcare Dental Equipment for Expanding Dental Service Capacity Purchasing dental equipment for the purpose of developing, enhancing, or expanding oral health care services to people living with HIV or AIDS (i.e. creating or expanding an HIV dental operatory or clinic); Purchasing colposcopy or anoscopy equipment for the purpose of delivering or expanding cervical and anal screenings for people living with HIV or AIDS to diagnose and treat cervical and anal cancers and human papilloma virus. Funds may also be used to develop clinical policies and procedures, as well as, train staff on the use of colposcopy equipment. Grantees must demonstrate that the program has and will have sufficient medical provider time (FTE) (not funded under this funding request) on an ongoing basis to perform and maintain skills to operate equipment. In addition, grantees must demonstrate sufficient clinical need for colposcopy or anoscopy to justify the availability of the service within the Ryan White program. Grantees should provide the number of pap smears performed and the number of abnormal results annually during each year of the current project period of the Part C grant. Grantees must describe how provider skills in performing colposcopy will be maintained beyond the proposed budget period if this application is awarded. According to the statute, in making awards for this program, the Health Resources and Services Administration (HRSA) shall give preferences to entities that provide services in rural areas or to underserved populations. More information about these preferences can be found in Section V. The following are excerpts from Title XXVI of the PHS Act, as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (P.L. 111-87) (Ryan White HIV/AIDS Program), and pertain to the HIV Planning and Capacity Development Grant Program. Public Health Service Act Section 2654 (42 U.S.C. 300ff-54) MISCELLANEOUS PROVISIONS (c) PLANNINGDEVELOPMENT GRANTS (1) IN GENERAL.-The Secretary may provide planning grants to public and nonprofit private entities for purposes of A) enabling such entities to provide early intervention services; and B) assisting the entities in expanding their capacity to provide HIV/AIDS related health services, including early intervention services, in low-income communities and affected subpopulations that are underserved with respect to such services (subject to the condition that a grant pursuant to this subparagraph may not be expended to purchase or improve land, or to purchase, construct, or permanently improve, other than minor remodeling, any building or other facility). (2) REQUIREMENT.-The Secretary may only award a grant to an entity under paragraph (1) if the Secretary determines that the entity will use such grant to assist the entity in qualifying for a grant under section 2651. (3) PREFERENCE.-In awarding grants under paragraph (1), the Secretary shall give preference to entities that provide primary care services in rural areas or to underserved populations. (4) AMOUNTDURATION OF GRANTS.- (A) EARLY INTERVENTION SERVICES-a grant under paragraph (1) (A) may be made in an amount not to exceed $50,000. (B) CAPACITY DEVELOPMENT- (i)AMOUNT-a grant under paragraph (1) (B) may be made in an amount not to exceed $150,000. (ii)DURATION-The total duration of a grant under paragraph (1) (B), including any renewal, may not exceed 3 years. (5) LIMITATION-Not to exceed 5 percent of the amount appropriated for a fiscal year under section 2655 may be used to carry out this section. 1. Background This program is authorized by Section 2654 of the Public Health Service Act (PHS Act), as amended (42 USC 300ff -54). The Capacity Development Grant Program was first authorized by Congress in 2000. Rural Areas/Rural Communities Rural communities are those areas that are NOT designated a metropolitan statistical area (MSA). As defined by the Office of Management and Budget, an MSA must include one city with 50,000 or more inhabitants. MSAs are also urbanized areas (defined by the U.S. Census Bureau) with at least 50,000 or more inhabitants and a total MSA population of at least 100,000 (75,000 in New England). Rural communities may exist within the broad geographic boundaries of MSAs. For a list of those areas, refer to http://datawarehouse.hrsa.gov/RuralAdvisor. Underserved Populations Underserved populations include communities and affected subpopulations which are underserved with respect to HIV/AIDS related health services. These gaps in HIV/AIDS related health services must be defined and documented by the applicant and may include inadequate and/or unavailable services or services that do not sufficiently address the needs of particular segments of any community. The Department of Health and Human Services (DHHS), Health Resources and Services Administration (HRSA) and HAB are committed to meeting the national goals and principles described below. As you complete your application, consider how your program supports and helps to implement these goals and principles. National HIV/AIDS Strategy (NHAS) The National HIV/AIDS Strategy (NHAS) has three primary goals: 1) reducing the number of people who become infected with HIV, 2) increasing access to care and optimizing health outcomes for people living with HIV, and 3) reducing HIV-related health disparities. The NHAS states that more must be done to ensure that new prevention methods are identified and that prevention resources are more strategically deployed. Further, the NHAS recognizes the importance of getting people with HIV into care early after infection to protect their health and reduce their potential of transmitting the virus to others. HIV disproportionately affects people who have less access to prevention, care and treatment services and, as a result, often have poorer health outcomes. Therefore, the NHAS advocates adopting community-level approaches to identify people who are HIV-positive but do not know their serostatus and reduce stigma and discrimination against people living with HIV. To the extent possible, program activities should strive to support the three primary goals of the NHAS. As encouraged by the NHAS, programs should seek opportunities to increase collaboration, efficiency, and innovation in the development of program activities to ensure success of the NHAS. The NHAS also calls for improved federal coordination of HIV/AIDS programs, as evidenced by streamlining and standardizing data collection and reducing reporting requirements for grantees. Over the past year, the Office of HIV/AIDS and Infectious Disease Policy in HHS has worked with a group of Federal Agencies, National Partners and grantees to identify indicators, data systems, and elements used across HHS programs to monitor HIV prevention, treatment, care services. A set of common indicators is being implemented within 7 domains: 1) HIV testing; 2) Late HIV diagnosis; 3) Initial linkage to HIV medical care; 4) Retention/engagement in HIV medical care; 5) ARV Therapy; 6) Viral Load suppression; and 7) Housing Status. These indicators are covered under the Ryan White HIV/AIDS Program Services Report (RSR) that grantees and service providers report to HRSA on an annual basis, and thus HRSA/HAB will be positioned to calculate and report on these indicators. Part C programs should comply with Federally-approved guidelines for HIV Prevention and Treatment (see http://www.aidsinfo.nih.gov/Guidelines/Default.aspx as a reliable source for current guidelines). More information can also be found at http://www.whitehouse.gov/administration/eop/onap/nhas. HAB Guiding Principles HAB has identified four factors that have significant implications for HIV/AIDS care services and treatment, which should be considered as the application and program are developed and refined: Revise care systems to meet emerging needs, Ensure access to quality HIV/AIDS care, Coordinate Ryan White HIV/AIDS Program services with other health care delivery systems, and Evaluate the impact of Ryan White HIV/AIDS Program funds and make needed improvements.
GrantorContactEmailDescription: Contact HRSA Call Center at 877-Go4-HRSA/877-464-4772 or email CallCenter@HRSA.GOV
GrantorContactText: CallCenter@HRSA.GOV&lt;br/&gt;CallCenter@HRSA.GOV&lt;br/&gt;