hab division of training and capacity development regional aids education and training centers...
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HAB Division of Training and Capacity Development
Regional AIDS Education and Training Centers Program
(AETC) Cooperative Agreement
HRSA-15-032Pre-Orientation Review
CallRupali Doshi, Jewel Bazilio-Bellegarde, Andrea
KnoxApril 1, 2015
Call Agenda and Objectives
HIV/AIDS Bureau Mission
DTCD Mission
Program Background
National HIV/AIDS Strategy
AETC Program Purpose
Program Requirements and Expectations
Summary of Funding
Review and Selection Process
Questions and Answers
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HIV/AIDS Bureau
VisionOptimal HIV/AIDS care and treatment
for all
MissionProvide leadership and resources to
assure access to and retention in high quality, integrated care and treatment services for vulnerable people living
with HIV/AIDS and their families
Division of Training and Capacity Development (DTCD)
Mission
Strengthen and transform health care systems by supporting the development of
leadership, evaluation, training and capacity development to assure the provision of high quality HIV/AIDS
prevention, care and treatment services
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AIDS Education and Training Centers Program (AETC Program)
Professional training arm of Ryan White HIV/AIDS Program
Most recently reauthorized as the Ryan White Treatment Extension Act of 2009
Aligns with goals of the National HIV/AIDS Strategy (NHAS):
1. Decrease HIV incidence
2. Increase access to care and optimize health outcomes for people living with HIV
3. Reduce HIV-related health disparities
Supports the goals of NHAS and the Affordable Care Act by providing training, education, and technical assistance to strengthen the delivery of services and quality of care along the HIV care continuum.
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Background
AIDS Education and Training Centers Program (AETC Program)
Provides training, education, clinical consultation and technical assistance to health professionals who care for people living with HIV or at high risk of HIV, with an emphasis on minority or minority serving professionals
A national network of educators and trainers with expertise in clinical diagnosis, treatment and management of patients with HIV and its related health conditions
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Background
National AETCs that support & complement Regional AETCs
National Coordinating Resource Center (NCRC)
National Evaluation Center (NEC)
National HIV/AIDS Clinicians’ Consultation Center (NCCC)
Other Partners
Ryan White HIV/AIDS Program Part A, Part B, Part C, and Part D grantees and planning bodies
The Special Projects of National Significance (SPNS)
National Quality Center (NQC)
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Collaborations
• Reduce new HIV infections
• Increase access to care and improve health outcomes for people living with HIV
• Reduce HIV-related health disparities
• Coordinated national response to HIV epidemic
National HIV/AIDS Strategy
Cheever L. Clinical Infectious Diseases 2007;44:1500-2. 9
Estimated percentage of persons living with HIV infection,* by outcome along the HIV care
continuum — United States, 2011 Denominator = 1.2 million persons living with HIV
MMWR November 28, 2014
80% of newly
diagnosed PLWH
are linked to
care within 3 months
HIV Care Continuum
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This HRSA award will fund one (1) Regional AIDS Education Training Center in each of eight (8) regions to:
Increase the size and strengthen the skills of the HIV clinical workforce in the United States with an emphasis on racial and ethnic minority groups and minority-serving health care professionals
Improve outcomes along the HIV care continuum, including diagnosis, linkage, retention and viral suppression, in alignment with the National HIV/AIDS Strategy, through training and technical assistance
Purpose of Regional AETCs
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Training novice providers who are not currently providing HIV care and low volume providers who need support to provide high quality HIV care
Assisting current HIV providers in Practice Transformation to improve patient outcomes along the care continuum
Collaborating with accredited schools to integrate HIV care and treatment in the education of inter-professional teams of pre-professionals
Regional AETCs Areas of Focus
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Regional AETCs
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Frontier AETCCombine 8 & 10
Midwest AETCCombine 5 & 7
Pacific AETC
South Central AETC
Southeast AETC
Mid-AtlanticAETC
Northeast/Caribbean
AETC
New EnglandAETC
To ensure that areas with the greatest incidence of HIV/AIDS receive adequate support, HRSA has divided US and its jurisdictions into 8 regions that align with the Health and Human Service Regions:
New England AETC: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont
Northeast/Caribbean AETC: New Jersey, New York, Puerto Rico, and the Virgin Islands
Mid-Atlantic AETC: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia
Southeast AETC: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee
Midwest AETC: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio, Wisconsin
South Central AETC: Arkansas, Louisiana, New Mexico, Oklahoma, Texas
Frontier AETC: Alaska, Colorado, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming
Pacific AETC: Arizona, California, Hawai’i, Nevada, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Marshall Islands, and Republic of Palau
Organizational Structure
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Program Requirements Identify HIV/AIDS education and training needs of health care professionals in
their region by:
Conducting an annual analysis
Building and maintaining strategic partnership networks
Analyzing the HIV workforce continuum from pre-service to in-service training
Train and provide technical assistance to health care professionals, inter-professional health teams and health care organizations.
Focus efforts on assisting providers with practice transformation to assist grantees to improve patient outcomes along the HIV continuum.
Train the faculty of health professions schools, graduate departments or other programs to better equip them to teach their students to address the health care needs of PLWH.
Identify and disseminate models of care and effective practices that improve patient outcomes in various clinical settings.
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Program Requirements
Create and support partnerships with health care organizations providing direct patient care at the local level, particularly Federally Qualified Health Centers that are not providing HIV care.
Work collaboratively within the AETC Network including the national components of the AETC Program.
Develop and implement a comprehensive evaluation plan to measure the impact of education, training and technical assistance activities on trainees’ knowledge, skills and behaviors.
Develop and implement a quality management plan to improve AETC services and outcomes.
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Project Narrative
Introduction
Needs Assessment
Methodology
Work Plan (Attachment 1)
Resolution of Challenges
Evaluation and Technical Support Capacity
Organizational Information
.
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Evaluation Plan
Describe activities including approaches to training and technical assistance dissemination
Identify and document research and best practices of HIV education, training and clinical consultation practices including methodologies and tools used in training needs assessment, continuous quality improvement for training
Describe activities designed to monitor and ensure quality administrative and fiscal management
Describe activities to manage, collect, utilize and report program data
Provide outcome information for this project
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Summary of Funding Opportunity Approximately $25,500,000 is expected to be available annually to fund 8
grantees. Applicants may apply for a ceiling amount based upon the region for which they are applying.
Project Period: July 1, 2015 – June 30, 2019 (4 years)
Funding beyond the first year is dependent on:
Availability of appropriated funds in subsequent fiscal years
Grantee satisfactory performance
Decision that funding is in the best interest of the Federal government
Minority AIDS Initiative (MAI): Approximately 20% of the funds are made available through the MAI to support education, training and technical assistance activities aimed at building the capacity of minority patients and minority-serving health care professionals.
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Funds cannot be used for:International HIV/AIDS activities
To supplant funds for educational efforts which should be supported by private industry or other public agencies
Purchase of food whether for conferences or meetings, for meals, light refreshments or beverages for Federal or non-Federal participants
Funding Restrictions
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Review Criteria
100 points total
1. Need – 10 points
2. Response – 30 points
3. Evaluative Measures – 10 points
4. Impact – 15 points
5. Resources/Capabilities – 25 points
6. Support Requested – 10 points
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Review and Selection ProcessFunding Preference/Consideration
Please see Section 5.3 of HRSA’s SF-424 Application Guide.
Funding Preferences:Qualification 1: Training of Minority Serving
Health ProfessionalsQualification 2: Training of Minority Health
ProfessionalsQualification 3: Training for Treatment of
Hepatitis B or C Co-infection with HIV
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Attachments Attachment 1 – Work Plan
Attachment 2 – Position Descriptions for Key Personnel
Attachment 3 – Biographical Sketches of Key Personnel
Attachment 4 – Signed and Dated Letters of Support, Memoranda of Agreement, Descriptions of Contracts
Attachment 5 – Project Organizational Chart
Attachment 6 – Projected Number of Trainees
Attachment 7 – Request for Funding Preference
Attachment 8 – Line Item Budgets for Years 1-4
Attachment 9 – Logic Model
Attachment 10 – Other relevant documents
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Contact Information
Jewel Bazilio-BellegardeActing Branch Chief, HIV
Education Branch, Division of Training and Capacity
(301) 443-1049