U.S. Department of Health and Human Services: Ryan White HIV/AIDS Program Part C Capacity Development Program
The Ryan White HIV/AIDS Program Capacity Development Program seeks to strengthen organizational infrastructure to respond to the changing health care landscape and to increase capacity to develop, enhance, or expand access to quality HIV primary healthcare services for low income, uninsured, and underserved people living with HIV (PLWH).
The proposed activity should be of a short-term nature and should be completed by the end of the one-year period of performance. Applicants may submit proposals for only one of the following two categories:
1. HIV Care Innovation: This category supports progress along the HIV care continuum to improve the health and life span of PLWH and prevent onward transmission of HIV to others. The stages in the HIV care continuum are: diagnosis of HIV infection, linkage to care, retention in HIV medical care, appropriate prescription of antiretroviral therapy, and, ultimately, HIV viral suppression. The selected activity should target populations that are disproportionately affected by the HIV epidemic and are experiencing poor health outcomes. Applicants may select one of the five activities listed below:
- HIV Case Finding: Train designated staff in HIV case finding techniques through local health departments and/or through Centers for Disease Control and Prevention (CDC)-funded training centers (http://www.nnptc.org/). Develop policies and procedures to apply these skills in the clinical setting to link PLWH into care after HIV testing to address one or more stages of the HIV care continuum.
- 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.
- Patient-Based Treatment Adherence: Implement a patient-based treatment adherence program supported by policies and procedures to provide long-term adherence support for chronically non-adherent patients, in particular patients with mental health and substance abuse issues, to address one or more stages of the HIV care continuum.
- Chronic Disease Self-Management: Institute a clinic-wide chronic disease management program for HIV/AIDS based on the Stanford program (http://patienteducation.stanford.edu/programs/psmp.html) or other resources for patient self-management (e.g., http://www.ahrq.gov/research/findings/final-reports/ptmgmt/index.html) to engage patients in long-term disease control to address one or more stages of the HIV care continuum. Develop policies and procedures to apply the program.
- 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.
2. Infrastructure Development: This category supports organizational development and will increase the capacity of organizations to respond to changes in the health care environment. Applicants applying under this category may select one of the three activities listed below:
- Electronic Health Records (EHR): Implement enhancements to or an expansion of existing EHRs to improve the quality, safety, and efficiency of patient health care. 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 PLWH.
- Financial Management Systems: Implement enhancements to or an expansion of an existing financial accounting system or software capable of managing multiple sources of funding for HIV primary care services, expenses by line item, and the billing process for third party reimbursement. The proposed system can address budget management issues such as fiscal oversight, tracking source and use of program income, subrecipient monitoring, tracking expenditures by cost categories, and other provisions. Applicants must develop protocols and billing policies based on the use of this enhanced system.
- Management Information System: Identify, establish, and strengthen administrative, managerial, and management information system (MIS) structures to offer, enhance, or expand comprehensive HIV primary health care. This activity may include enhancements to interface with existing electronic health records specifically to improve data collection, reporting, and quality improvement activities.
Preference will be given to entities that provide primary care services in rural areas or to underserved populations.
Amount: A total of $2,250,000 is available to award up to 15 grants that range up to $150,000. The project period is for one year.
Eligibility: Public and nonprofit private entities, faith-based and community-based organizations, and tribes and tribal organizations.
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