Improving Access To Care: Using Community Health Workers to Improve - PowerPoint PPT Presentation

Improving Access To Care: Using Community Health Workers to Improve Linkage and Retention in HIV Care Pre-Application Technical Assistance Webinar Funding Opportunity Announcement HRSA-16-185 June 9, 2016 Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau, Division of Community HIV/AIDS Programs Director: Mahyar Mofidi, DMD, PhD Deputy Director: Stacey Evans, PhD

Agenda • Acronyms • HAB Mission and Secretary’s Minority AIDS Initiative Fund • Background: NHAS, the HIV Care Continuum and CHW Workforce Integration • HRSA-16-185 FOA, SF-424 Application Guide • Program Requirements and Expectations • Application Structure/Sections • Budget • Funding Restrictions • Attachments • Application Review by HRSA • Grant Writing and Submission Tips • Q & A 2

Acronyms • Application • GMS Grants Management Guide SF 424 Application Specialist Guide • HAB HIV/AIDS Bureau • CHW Community Health • Worker PO Project Officer • DCHAP Division of Community • RWHAP Ryan White HIV/AIDS HIV/AIDS Programs Program • DGMO Division of Grants • Management SAM System for Award Operations Management • DUNS Data Universal • SMAIF Secretary’s Minority AIDS Numbering System Initiative Fund • EHB Electronic Handbook • TAEC Technical Assistance and • FOA Funding Opportunity Evaluation center Announcement 3

Objective The purpose of the webinar is to assist potential applicants in preparing applications that address the requirements of the FOA HRSA-16-185. 4

Secretary’s Minority AIDS Initiative • This initiative is funded through the Secretary’s Minority AIDS Initiative funding (SMAIF) as authorized under The Consolidated Appropriations Act, 2016 (P.L. 114-113), Division H, Title II. • Established by Congress in 1999 in response to growing concern about the impact of HIV/AIDS on racial and ethnic minorities in the U.S., the Minority AIDS Initiative (MAI) includes an annual allocation of resources to HHS for the Secretary’s MAI Fund (SMAIF ). 5

Goal of HRSA-16-185 FOA The goal of this three year cooperative agreement is to increase the utilization of community health workers (CHW): • to improve access to and retention in health care; and to improve health outcomes for people living with HIV (PLWH) • by strengthening the health care workforce, • building healthier communities, and • achieving health equity among racial and ethnic minority populations. 6

CHWs and the HIV Care Continuum • The project will focus on assisting HIV medical care provider sites, particularly those funded by the Ryan White HIV/AIDS Program (RWHAP), with the support needed to integrate CHWs into an HIV multidisciplinary team model through training, direct technical assistance, and collaborative learning sessions. • The use of CHWs supports the goals of the recently updated National HIV/AIDS Strategy (NHAS 2020) • Refer to pages 3-4 of the FOA for links and more information • NOTE: HRSA-16-185 is a technical assistance project and does not support care and treatment. Source: NHAS 2020 7

Community Health Worker Workforce Integration • HRSA and the Centers for Medicare and Medicaid Services (CMS) have studied the impact of CHWs in health care settings. • Both agencies identified CHWs as contributing to improved health outcomes while increasing cost effectiveness. • CHWs can bridge the gap between the traditional health care system and the community, thereby effectively addressing the social determinants of health and improving health outcomes. • See pages 4-5 of the FOA for more information, including citations to the HRSA and CMS studies. 8

Eligibility Eligible organizations may include: • National organizations; • State, local, and Indian tribal governments; institutions of higher education; • Other non-profit organizations (including faith-based, community-based, and tribal organizations); and • Academic health science centers involved in addressing HIV-related issues on a national scope and within governmental public health structures.

Summary of Funding • The funding is for one cooperative agreement recipient. • The ceiling amount is $2,000,000 for each year of the three year project period (9/1/16-8/31/19). • Award amount includes up to $750,000 to fund up to 10 RWHAP medical provider sites as subrecipients receiving direct TA to support the development and implementation of their CHW model . • Applications requesting more than the ceiling amount will not be considered. Please refer to pages 1 to 2 and 7 of the FOA. 10

Application Guidance Two Components of the HRSA 16-185 Application 1) Program Specific Instructions • CHW FOA HRSA-16-185 (“FOA”) 2) HRSA’s General Guidance • SF-424 Application Guide (“Application Guide”) • Links are found throughout the FOA (beginning pp. ii, 8 and 9; the May 2016 version is most current) 11

12 Application Structure Applicants must include the following sections in their application: • Budget • Project Abstract • Budget Justification • Project Narrative • Introduction Narrative • Needs Assessment • Line Item Budget • Methodology • Attachments (7) • Work Plan • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information

Project Abstract • See section 4.1.ix of HRSA’s SF-424 Application Guide. (p.43) • The project abstract must also include a brief description of the proposed TAEC structure, overall project goals, and evaluation plan. 13

Project Narrative • Introduction • Needs Assessment • Methodology • Work Plan • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information See pages 9-14 in the FOA. 14

Introduction • Briefly describe the purpose of the proposed project. • Briefly describe the applicant organization and any collaborating organizations to be involved in this project. • Summarize your ability to work closely with other entities such as community-based organizations, AETCs and others to carry out successful CHW learning collaborative(s). 15

Needs Assessment The applicant should include a discussion that exhibits an expert understanding of the issues related to the activities described in this cooperative agreement. Highlights of this section include: • Summary of the literature • Issues impacting CHW implementation and effectiveness • Examples of successful CHW implementation • Promising models of care using an integrated CHW component • Approaches to CHW utilization/integration in RWHAP programs 16

Methodology Propose methods that will be used to address the stated needs and meet each of the previously described program requirements and expectations in this FOA. • Five topics must be addressed in the methodology section – detailed on pages 10-12 of the FOA. • Webinars/Webcasts • Direct Technical Assistance • Learning Collaboratives • CHW Implementation Guide • Evaluation Tool 17

Methodology- Webinars/Webcasts Discuss plans for conducting webinars/webcasts open to ANY HIV medical provider on specific topics related to community-based and peer-based CHW programs that address the service needs along the HIV care continuum. • Provide a full and clear response to: • Topic Selection • Methods used for assessing provider training needs • Methods for the development of learning concepts and formats • Marketing and dissemination to HIV providers Please refer to page 10 of the FOA. 18

Methodology-Direct Technical Assistance • Include a detailed plan for conducting a needs assessment to determine the type of direct TA required by RWHAP medical providers to develop and implement a CHW model as an integral part of the multidisciplinary medical team. • Discuss how the TA will be provided and the level of collaboration and partnership between the TAEC and selected provider sites. • Include a clear description of your sub-award process from initiation to approval, with the corresponding timelines, including the issuance of sub-awards by end of year one. 19

Methodology- Direct Technical Assistance • Describe your organizational capacity to expedite sub-awards required under this announcement within year one of the project. • Describe a process for the management of selected sub- recipients. • Describe the methodology for monitoring the performance sites. Please refer to pages 10-11 of the FOA. 20

Methodology-Learning Collaboratives • Provide a clear and full description of your approach to leading and coordinating several (minimum of four) collaborative learning sessions. • Include a plan for marketing and dissemination of information to all organizations providing HIV medical care for their participation in the collaborative(s). • Describe methods you will use to identify experts in the field of evidence- informed CHW models. 21

Methodology-Learning Collaboratives Discuss how your organization will manage site location selection and logistics, development of meeting agendas and coordination of content in collaboration with HAB for collaborative learning sessions. Note: In conjunction with HAB, the awardee will identify RWHAP medical provider sites in geographic locations with low retention and/or viral suppression rates to develop capacity on the use of CHWs in their program. Please refer to page 11 of the FOA. 22