HAB Office of HIV/AIDS Training and Capacity Development

Regional AIDS Education and Training Centers Program

(AETC) Cooperative Agreement

HRSA-15-154Pre-Orientation Review

CallJewel Bazilio-Bellegarde, Andrea Knox, Dieunita

GamlielJuly 29, 2015

Call Agenda and Objectives

HIV/AIDS Bureau Mission

OTCD 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

Office of Training and Capacity Development (OTCD)

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 Clinician 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

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, with an emphasis on minority and minority-serving professionals

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

Primary Areas of Focus Include

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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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Summary of Funding

This program will provide funding during Federal fiscal years 2015 - 2018. Applicants may apply for a ceiling amount based upon the region for which they are applying. The ceiling amount includes funds for:

AETC Program Activities (Training & TA, Practice Transformation, Interprofessional Education)

MAI activities (such as those that target populations on the US Mexico Border and American Indian/Alaska Natives)

CDC HIV Testing Initiative

Project Period: September 1, 2015 – June 30, 2019 (3 years 10 months)

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Comprehensive assessment of HIV diagnosis, treatment, and prevention-related training needs (as distinct from the Project Narrative Needs Assessment in Section IV.ii) to be completed in collaboration with other Federal Training Center Collaborative partners during the first 10-month budget period.

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 that will lead to improving 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.

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Identify and disseminate models of care and effective practices that improve patient outcomes in various clinical settings.

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 Abstract

Applicant’s contact information

Proposed project

Needs to be addressed

Proposed services

Targeted Population

Must be single-spaced and limited to one page in length. Include description of:

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Program Narrative – 7 Parts

Introduction

Needs Assessment

Methodology

Work Plan

Resolution of Challenges

Evaluation and Technical Support Capacity

Organizational Information

.

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Program Narrative – Introduction

Description of the geographic area Demonstrate understanding of HIV epidemic

and care delivery system in the region HIV treatment options and associated

challenges as well as their impact on the education and training needs of the region’s health care professionals

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Program Narrative – Needs Assessment A preliminary statement of need for the AETC program A description of how gaps and support needs with regard

to HIV knowledge, skills and ability of health care professionals in the region will be identified

A description of how training needs of the HIV workforce in the region will be assessed

A description of how relevancy and timeliness of education, training and technical assistance will be ensured

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Program Narrative – Methodology Propose to address the stated needs and meet

each of the described program requirements and expectations in each category Training and Technical Assistance (modalities) Practice Transformation HIV Interprofessional Education Minority AIDS Initiative CDC Testing (optional) Quality Management

.

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Training and Technical Assistance Modalities Include:

Didactic presentations Interactive presentations Communities of practice Self-study Clinical preceptorships Clinical consultation Coaching for organizational capacity building 20

Practice Transformation Project (PT)Each Regional AETC will be required to include PT in their workplan and budget For this project, each region must identify:

(1) at least 3 community health centers (CHCs), that are not funded by the Ryan White Program as a grant recipient or subrecipient(2) at least 3 Ryan White funded Part A and/or B subrecipients, to implement a longitudinal project over the life of the cooperative agreement

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Practice Transformation Project The clinical sites may work directly with regional AETC and/or

regional partner Year 1 (10 months): Determining clinical site’s

organizational and training needs; Planning and strategizing the training approach; Developing an evaluation plan

Year 2-4: Implementing the Practice Transformation Project Year 4: Focus on analysis of data collection and evaluation

of the overall project. This requires collaboration with AETC NEC

PT project is to be included in line item budget (Attachment 8)22

HIV Interprofessional Education (IPE) Project Each AETC will be required to develop IPE program and partner

with an accredited school IPE Programs must incorporate hands-on clinical learning

opportunities and opportunities for students to reflect on learning activities

Students must demonstrate IPE competencies Year 1 (10 months): Planning with committed schools and

strategizing the collaborative approach Year 2-4: Implementing the HIV IPE Project with continuous

quality improvement, evaluation and analysis of data IPE project is to be included in line item budget (Attachment 8)

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Minority AIDS Initiative Each AETC must include activities and programs

aimed at building the capacity of minority providers and minority-serving health care professionals.

Innovative projects involving training of minority health care professionals and allied health care professionals and/or those who serve racial and ethnic minorities

Capacity building with community based clinical care organizations

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Centers for Disease Control and Prevention Expanded HIV Testing Funding for this project depends on the availability of

funds from the Centers for Disease Control and Prevention.

If awarded these funds, the AETC will disseminate funds to the CDC-defined jurisdictions in a manner consistent with need.

Prepare a separate budget for the CDC (see budget template)

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Program Narrative – MethodologyFor each activity there should be alignment with the narrative, program-specific line item budget, budget justification and work planTraining and Technical Assistance (modalities)Practice TransformationHIV Interprofessional EducationMinority AIDS InitiativeCDC Testing (optional)Quality Management

.

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Work Plan Narrative

Applicants must describe activities or steps that will be used to achieve each of the action steps proposed in the methodology section– Use a timeline– Include goals for the program– Identify objectives and action steps

Attachment 9 Required Logic Model27

Work Plan Table Components- REQUIRED Attachment 1: AETC Master Work Plan Goals Objectives Action Steps Staff Responsible Timeline for Action Steps Measurable outcomesProvide a work plan in a table format for the 3 year and

10-month project period

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Resolution of Challenges

Discuss challenges that are likely to be encountered in designing and implementing the activities described in the work plan, and approaches that will be used to resolve such challenges

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Evaluation and Technical Support Capacity

The evaluation plan should: Include standardized methods to monitor and

evaluate program activities Ensure that HIV expertise is maintained among

faculty Ensure consistency with HIV treatment guidelines Manage, collect, utilize and report program data,

including outcome information, for this project30

Organizational Information Describe the mission of the applicant

organization How the AETC Program fits within the scope

of organization’s mission Describe organization’s structure and capacity

(staff, administrative and fiscal oversight, expertise, governance and key collaborations)

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Application iv: Budget

Budget Section (Sections A-F)Detailed BudgetBudget Justification

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Budget: Section A - Budget Summary

AETC

MAI

CDC HIV Testing Initiative

93.145 $2,336,000

$584,000

$80,000

$2,336,000

$584,000

$80,000

$3,000,000 $3,000,000

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Budget: Section B - Budget Categories

AETC MAI

CDC HIV Testing Initiative

$2,336,000 $584,000 $80,000 $3,000,000

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NEW EXAMPLE of Program-specific line-item budget

 

Practice Transformation Project (at least

40%)

IPE Project (at least 10%)

CDC HIV Testing Initiative

Annual Salary

FTEFring

eAETC Base

MAI (20%)

TOTAL Training Admin Training Admin Training Admin

Principal Investigator

$ 100,000

0.60 $

50,000 $

10,000 $

60,000 $

10,000 $

10,000 $

10,000 $

10,000 $ 6,000

TOTAL PERSONNEL

   

Consultant Costs

   

Speakers/Honoraria

   

TOTAL CONSULTANTS

   

TOTAL DIRECT COSTS

   

INDIRECT COSTS (Not to exceed 8%)

   

TOTAL DIRECT AND INDIRECT COSTS

   

The total cost amount for the Regional AETC base, Practice Transformation Project, IPE Project, MAI, and CDC HIV Testing Initiative must not exceed the total cost regional ceiling amount reflected in the table under Section II

AETC Base and MAI funds can be used for any of the program activities.

Each stand-alone program activity should have its own 2 columns (training and administrative).

Budget: Budget Sections Explained Detailed BudgetStandard Budget Categories

o Personnel (Include all staff to be paid for by this cooperative agreement)

o Fringe benefitso Travelo Equipmento Supplieso Contractual (subcontractors)o Other o Total direct charges (sum of 6a-

6h)o Indirect chargeso Totals (6i- 6j)

Includes Detailed Budget

For 10-Month Budget Period (1 page). One-year budgets for each subsequent budget period must be submitted.

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Budget Justification: Budget Section B a - k Explains line items included in Budget section B a - k,

Detailed Budget, Year One. Describe each cost element and explain how each cost

contributes to meeting the project’s objectives/goals. Be very careful about showing how each item in the “other” category is justified.

For subsequent budget years, highlight any changes from year one or clearly indicate that there are no substantive budget changes during the project period.

MUST be concise. Do NOT use the justification to expand the project narrative.

*Don’t forget - Award funds may not be used to pay the salary of an individual at a rate in excess $183,300 (P.L. 113-235); also applies to subawards/subcontracts.

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International training activities International travel expenses Construction costs To support training and education activities that

should be provided as part of the mission of a recipient or subrecipient institution

Educational efforts that should be supported by private industry or other public agencies

Funds Cannot Be Used For

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Staffing and Minimum Full Time Equivalent (FTE) RequirementIncludes all staff for this project, including but not

limited to:Project Director, .5 to 1.0 FTEClinical Director, 10% FTEFiscal Representative Oral Health DirectorEvaluatorData Manager

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Attachments Attachment 1 – Work Plan (required)

Attachment 2 – Position Descriptions for Key Personnel (required)

Attachment 3 – Biographical Sketches of Key Personnel (required)

Attachment 4 – Signed and Dated Letters of Support, Memoranda of Agreement, Descriptions of Contracts (optional)

Attachment 5 – Project Organizational Chart (required)

Attachment 6 – Projected Number of Trainees (required)

Attachment 7 – Request for Funding Preference (required if applicable)

Attachment 8 – Line Item Budgets for Years 1 (10 months) 2-4 (required)

Attachment 9 – Logic Model (required)

Attachment 10 – Other relevant documents (optional)

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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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Contact Information

Sherrillyn Crooks, PA-CBranch Chief, HIV Education Branch, Office of HIV/AIDS

Training & Capacity Development

scrooks@hrsa.gov(301) 443-7662