Ryan White HIV/AIDS Program Part D Women, Infants, Children, and Youth (WICY) Grants Supplemental Funding

Transcription

1 Ryan White HIV/AIDS Program Part D Women, Infants, Children, and Youth (WICY) Grants Supplemental Funding Pre-Application Technical Assistance Conference Call HRSA December 19, 2017 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 HAB Vision and Mission Purpose of Funding Opportunity Award Information Eligibility Information Application and Submission Information Application Review Information Application Submission Tips Question and Answer 2

3 Acronyms Application Guide - SF-424 Application Guide AETC AIDS Education and Training Center ART Antiretroviral Therapy CQM Clinical Quality Management EHB Electronic Handbook EHR Electronic Health Records GMS Grants Management Specialist IPV Intimate Partner Violence HAB HIV/AIDS Bureau HRSA Health Resources & Services Administration MIS Management Information System NOFO Notice of Funding Opportunity PLWH People Living With HIV PrEP Pre-exposure Prophylaxis RWHAP Ryan White HIV/AIDS Program SAM System for Award Management SAMHSA Substance Abuse and Mental Health Services Administration SSP Syringe Services Programs WICY Women, Infants, Children, and Youth 3

4 HIV/AIDS Bureau Vision and Mission Vision Optimal HIV/AIDS care and treatment for all Mission Provide leadership and resources to assure access to and retention in high quality, integrated care, and treatment services for vulnerable people living with HIV and their families 4

5 Purpose To assist applicants to strengthen organizational infrastructure to respond to the changing health care landscape and/or to increase capacity to develop, enhance, or expand access to high quality family-centered HIV primary health care services for low income, uninsured, and underserved WICY living with HIV. Applicants may propose one activity in either: 1) HIV Care Innovation, or 2) Infrastructure Development Please refer to pages 1 to 3 of the NOFO 5

6 6 Award Information Approximately $3,000,000 is available to fund up to 25 grants. Applicants may submit proposals for only one of the following two categories: 1) HIV Care Innovation or 2) Infrastructure Development. Applicants may request funding amounts of up to $150,000 for the one year project period (8/1/18-7/31/19). Requests exceeding this amount will be deemed nonresponsive and will not be considered under this NOFO. Duplication of funded activities is not allowable. Applicants may propose an expansion of an activity currently supported with RWHAP Part D Supplemental or Part C Capacity Development funding; however, HRSA will not fund the same activity in FY 2018 that HRSA funded in FY Please refer to page 5 of the NOFO

7 Eligibility Information Eligibility is limited to current RWHAP Part D WICY funded recipients. Cost sharing/matching is not required for this program. Multiple applications from an organization are not allowable. Please refer to page 6 of the NOFO 7

8 Funding for Only One Activity under the FY 2018 Part D Supplemental Funding 1. HIV Care Innovation: HIV Case Finding Motivational Interviewing Patient-Based Treatment Adherence Chronic Disease Self-Management Transitioning Youth into Adult HIV Care Intimate Partner Violence (IPV) Screening & Counseling 2. Infrastructure Development (Expansion and Enhancement): Electronic Health Records (EHR) Financial Management Systems Management Information System (MIS) OR Please refer to pages 1-3 of the NOFO 8

9 HIV Care Innovation HIV Case Finding Train designated staff in HIV case finding techniques through local health departments and/or through the Centers for Disease Control and Prevention (CDC)-funded training centers ( Develop policies and procedures to apply these skills in the clinical setting to link WICY living with HIV into care after HIV testing to address one or more stages of the HIV care continuum. Please refer to page 1 of the NOFO 9

10 HIV Care Innovation Motivational Interviewing Train staff in motivational interviewing to engage patients in care. Staff may receive training through the local AIDS Education and Training Centers (AETCs) or other resources. Develop policies and procedures to facilitate staff application of the training in the clinical setting to address one or more stages of the HIV care continuum. Please refer to page 1 of the NOFO 10

11 HIV Care Innovation Patient-Based Treatment Adherence Implement an innovative patient-based treatment adherence program supported by policies and procedures to provide long-term adherence support for chronically nonadherent patients, in particular patients with mental health and substance abuse issues, to address one or more stages of the HIV care continuum. For resources addressing this topic, access the Knowledge Network ( located on the Substance Abuse and Mental Health Services Administration (SAMHSA) website. Please refer to page 2 of the NOFO 11

12 HIV Care Innovation 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 (e.g., to engage patients in longterm disease control to address one or more stages of the HIV care continuum. Develop policies and procedures to apply the program. Please refer to page 2 of the NOFO 12

13 HIV Care Innovation Transitioning Youth into Adult HIV Care Implement transition planning activities that include, but are not limited to, written policies, procedures, and staff training to assist youth in transitioning from pediatric to adult HIV medical care. Transition planning is a RWHAP Part D program requirement; therefore, this activity should focus on innovative approaches that build organizational capacity to effectively implement and manage the transition for the youth population (ages 13-24) and minimize negative impacts. The activity must address one or more of the stages of the HIV care continuum. Please refer to page 2 of the NOFO 13

14 HIV Care Innovation Intimate Partner Violence (IPV) Screening & Counseling Implement IPV screening and counseling in the clinical setting and establish referral networks to community-based social services organizations. The activity must address one or more of the stages of the HIV care continuum. Please refer to page 2 of the NOFO 14

15 Infrastructure Development Electronic Health Records (EHR) Implement enhancements to or an expansion of existing EHRs to improve the quality, safety, and efficiency of patient health care. This does not include the purchase of an EHR. Describe the plan to enhance or expand the EHR and describe how this increases the capacity of the organization to support increased quality of care for WICY living with HIV. Please refer to page 2 of the NOFO 15

16 Infrastructure Development Financial Management Systems Implement enhancements to or expansion of an existing financial accounting system or software. Develop protocols and billing policies based on the use of this enhanced system and illustrate how the activity will address and increase the capacity of the organization to respond to changes in the health care environment. Please refer to pages 2 to 3 of the NOFO 16

17 Infrastructure Development Management Information System (MIS) Identify, establish and strengthen administrative, managerial, and MIS structures to offer, enhance, or expand comprehensive HIV primary healthcare. Activity should describe how the activity will increase the capacity of the organization to respond to changes in the health care environment and support increased quality of care for WICY living with HIV. Please refer to page 3 of the NOFO 17

18 Application and Submission Information Two Components of the NOFO: 1) Program Specific Instructions Part D WICY Supplemental Funding NOFO HRSA ) HRSA s General Guidance SF 424 Application Guide ( Application Guide ). Links are found throughout the NOFO (beginning page 6) 18

19 19 Application Package Applicants must include the following: SF-424 Application for Federal Assistance Project Abstract (uploaded in box 15 of the SF-424) Project/Performance Site Location Form Project Narrative (uploaded to the Project Narrative Attachment Form) SF-424A Budget Budget Narrative (uploaded to the Budget Narrative Attachment Form) Attachments (Section IV 2. v. of NOFO) Grants.gov Lobbying Form SF-424B Assurances Key Contacts

20 Project Abstract Place the following at the top of the abstract: Project Title Applicant Organization Name Address Project Director Name Contact Phone Numbers (Voice, Fax) Address Website Address, if applicable See page 8 in the NOFO and Section 4.1 in the SF-424 Application Guide 20

21 Project Abstract Selection of one category (HIV Care Innovation or Infrastructure Development) and one activity. Summary of the proposed activity and its intended impact on how the activity will increase the ability of the organization to respond to the changing health care landscape and/or develop, enhance, or expand access to quality of HIV primary care services for low income, uninsured, and underserved WICY living with HIV. The funding amount requested for the one-year period of performance. See page 8 in the NOFO and Section 4.1 in the SF-424 Application Guide 21

22 Project Narrative Introduction Needs Assessment Methodology Work Plan Resolution of Challenges Evaluation and Technical Support Capacity Organizational Information Please refer to pages 8 to 11 in the NOFO 22

23 Project Narrative - Introduction Brief description of the purpose of the proposed activity. Clearly state the proposed activity within HIV Care Innovation or Infrastructure Development. Discuss why your local community and/or organization is in need of supplemental funds. Clearly describe how the proposed activity builds upon and furthers the objectives of the previously funded activity in maximizing impact. Please refer to page 8 in the NOFO 23

24 Project Narrative - Needs Assessment HIV Care Innovation activities: Describe and document the target population(s) and their unmet health care needs. Describe the unmet need based on your evaluation of the gaps in the HIV care continuum for your target population(s) living with HIV being served by your organization. Provide data on the five stages of the HIV care continuum for your target population(s) living with HIV using the most recent three calendar years of available data. Clearly define the numerator and the denominator for each stage. Please refer to pages 8 to 9 in the NOFO 24

25 Project Narrative - Needs Assessment For Infrastructure Development activities: Describe the gaps in organizational capacity. Provide specific information to the selected activity. Describe the impact of how these gaps or limitations are affecting the optimal provision of quality HIV primary care services. Please refer to pages 8 to 9 in the NOFO 25

26 Project Narrative - Methodology Propose methods that will be used to address the selected activity; Identify collaboration and coordination efforts and strategies; Describe proposed plans for how the activity will be continued beyond the project period; and Provide information regarding PLWH involvement in the activity, collaboration and coordination efforts, and sustainability plans. Please refer to page 9 of the NOFO 26

27 Project Narrative - Work Plan Describe the activity s goal, specify the objectives, and identify the key action steps that will be used to achieve the proposed activity for the 12-month period of performance of August 1, July 31, Applicants should list all action steps that will be necessary to implement the proposed project and accomplish the proposed objectives. Identify the measures by which you will evaluate success. Provide the above information in a table format and submit in the application as Attachment 3. Please refer to pages 9 to 10 of the NOFO 27

28 Project Narrative - Work Plan Your work plan should include objectives and key action steps that are: SPECIFIC MEASURABLE ACHIEVABLE REALISTIC & TIMELY! 28

29 Project Narrative - 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. Please refer to page 10 of the NOFO 29

30 Project Narrative Evaluation and Technical Support Capacity Data Collection and Management Describe data collection systems and the methods used to collect and monitor the outcomes of the proposed activity in the work plan. Outline how the organization will collect, manage, and analyze data. Project Evaluation Describe evaluation and CQM program activities to assess the impact. Describe the plan for the program performance evaluation that will contribute to continuous quality improvement. HHS core/hab HIV indicators are recommended. Discuss how evaluation results will be disseminated to staff, consumers, and the community. Please refer to page 10 of the NOFO 30

31 Project Narrative Organizational Information Organizational Capabilities Describe the current capabilities and expertise of your organization. Project Experience Describe particular organizational skills or capabilities contributing to the implementation of the proposed capacity development activity. Please refer to page 10 of the NOFO 31

32 Sample Staffing Plan Name Mrs. Doe Education/ Credentials MPH Title Project Role Experience Program Coordinator Dr. Jones MD Medical Director Ms. Kona Mr. Lewis Assoc Degree MSW CQM Coordinator, Retention Specialist Medical Case Manager Oversight of RWHAP 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 32

33 33 Budget Requirements Budget information consists of three parts: 1. SF-424A Budget Information for Non-Construction Programs (included in the application package) 2. Program-specific line item budget (Attachment #1) 3. Budget justification narrative See pages 11 to 12 in the NOFO, and page 31 in the SF-424 Application Guide

34 Budget Requirements: SF-424A 34

35 Budget Requirements: SF-424A 35

36 Salary Limitation Please note that effective January 8, 2017, the salary rate limitation applicable to RWHAP domestic grants and cooperative agreements increased from $185,100 to $187,000. The Consolidated Appropriations Act, 2017, Division H, 202, (P.L ), Division H, S 202 states, None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II. Please see Section 4.1.iv Budget Salary Limitation of HRSA s SF-424 Application Guide for additional information. As a reminder, RWHAP funds and program income generated by RWHAP awards may not be used to pay salaries in excess of the rate limitation. 36

37 Salary Rate Limitation Example Individual s full time salary: $255,000. Amount that may be claimed on the federal RWHAP award due to the legislative salary limitation: Individual s base full time salary adjusted to Executive Level II: $187,000 28

38 Funding Restrictions Charges that are billable to third party payors Directly provide health care services that duplicate existing services Clinical research Nursing home care Cash payments to intended recipients of RWHAP services Purchase of or improvement to land Purchase or construction of new facilities or capital improvements PrEP medications and related medical services Purchase of sterile needles and syringes as part of an SSP Development of materials designed to promote or encourage intravenous drug use or sexual activity Foreign travel Long-term activities Please refer to pages 14 to 16 of the NOFO 38

39 Attachments Provide attachments in the order specified Label each attachment clearly Unless otherwise noted, attachments count toward the application page limit. Please refer to pages 12 to 13 of the NOFO 39

40 Application Review Information The HAB s Division of Community HIV/AIDS Programs will review each application for eligibility, completeness, accuracy and compliance within the requirements outlined in the NOFO. HRSA may elect not to fund applicants with management or financial instability that directly relates to the organization s ability to implement statutory, regulatory or other requirements. Following review of all applicable information, HRSA s approving and business management officials will determine whether an award can be made, if special conditions are required, and what level of funding is appropriate. Note: Award decisions are discretionary and are not subject to appeal to any HRSA or HHS official board. Please refer to pages 16 to 18 of the NOFO 40

41 Application Review Information Review Criteria are used to review and rank applications. For this opportunity, there are 6 review criteria: Criteria Criterion 1: Need 20 Criterion 2: Response 25 Criterion 3: Evaluative Measures 10 Criterion 4: Impact 15 Criterion 5: Resources/Capabilities 10 Criterion 6: Support Requested 20 Points Total Points 100 Please refer to pages 16 to 18 of the NOFO 41

42 Application Package: Where is it? At Search by opportunity number HRSA , or CFDA The Application Guide is available at sf424guide.pdf or click the links in the NOFO Grants.gov Workspace instructional information and videos are available online at pace-overview.html 42

43 Application Submission Tips Read the NOFO and the SF-424 Application Guide carefully and follow instructions. Include your agency name and the name of this program on all pages (RWHAP Part D WICY Supplemental Funding). Refer to section 4.7 of the Application Guide 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! 43

44 44 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! Grants.gov Contact Center (24/7 except Federal holidays): , or

45 Tracking Grants.gov Submissions SF424 Application Guide, section

46 Tracking Grants.gov Submissions Fourth is the Agency Tracking Number Assignment 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! 46

47 Reminders The application must be electronically submitted through and successfully validated in Grants.gov by January 30, 2018, 11:59 pm EST. We recommend submission of the application at least four business days before the due date. Grants.gov Contact Center: or (24/7 except Federal holidays) 47

48 HRSA Contacts Applicants who need additional information may contact: Program Contact Monique G. Hitch HRSA HIV/AIDS Bureau Grants Contact Adejumoke Oladele HRSA Office of Federal Assistance Management (301) (301)

49 Q&A - Your Questions are Welcome! HAB TARGET Website