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Enhancing HIV Health Outcomes: Evaluation & Technical Assistance

This program aims to improve HIV health outcomes through supportive employment and housing services coordination. The Evaluation and Technical Assistance Provider will lead the multi-site evaluation and provide crucial technical support.

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Enhancing HIV Health Outcomes: Evaluation & Technical Assistance

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  1. Ryan White HIV/AIDS Program Part F – Special Projects of National SignificancePre-Application Technical Assistance WebinarHRSA-17-114Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services – Evaluation and Technical Assistance ProviderJune 12, 2017 Chau Nguyen, MPH, Public Health Analyst and Corliss Heath, PhD, MPH, MDiv, Health Scientist Office of Training and Capacity Development (OTCD) Special Projects of National Significance Program (SPNS) HIV/AIDS Bureau (HAB) Health Resources and Services Administration (HRSA)

  2. Welcome and Introductions

  3. Agenda • HAB Vision and Mission • Purpose of Notice of Funding Opportunity (NOFO) • Program Expectations • Background • Award Information • Eligibility • Application and Submission Information • Application Review Information • Application Submission Tips • Question and Answer

  4. Acronyms • DOL – Department of Labor • DUNS – Data Universal Numbering System • EHB – Electronic Handbook • ETAP – Evaluation and Technical Assistance Provider • GMS – Grants Management Specialist • HAB – HIV/AIDS Bureau • HOPWA – Housing Opportunities for Persons With AIDS • HUD – Department of Housing and Urban Development • IRB – Institutional Review Board • NOFO – Notice of Funding Opportunity (formerly FOA) • OHH - Office of HIV/AIDS Housing • PLWH – People Living with HIV • PO – Project Officer • RWHAP – Ryan White HIV/AIDS Program • SAM– System for Award Management • SPNS – Special Projects of National Significance • SMAIF – Secretary’s Minority AIDS Initiative Fund • TA – Technical Assistance

  5. 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

  6. Funding and Collaboration • This HRSA/HAB initiative is in partnership with the U.S. Department of Labor and the Department of Housing and Urban Development’s Office of HIV/AIDS Housing • Supported through funding from the U.S. Department of Health and Human Services, Secretary’s Minority AIDS Initiative Fund (SMAIF) and the Special Projects of National Significance (SPNS) Program Please refer to pages i and 1-2 of the NOFO

  7. Purpose – Evaluation and Technical Assistance Provider (ETAP) • To support a single organization that will serve as the Evaluation and Technical Assistance Provider (ETAP) • To conduct a rigorous multi-site evaluation and provide technical assistance (TA) to a cohort of up to ten (10) demonstration sites (funded under a separate announcement HRSA-17-113) • To lead and coordinate the efforts for publication and dissemination of findings and lessons learned from the initiative Please refer to pages 1-2 of the NOFO

  8. Purpose Companion NOFO (HRSA-17-113): Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services – Demonstration Sites • Demonstration sites will design, implement and evaluate innovative interventions that coordinate HIV care, housing, and employment services to improve health, housing, and employment outcomes for people living with HIV (PLWH) in racial and ethnic communities • The overall goal of the initiative is to improve engagement and retention in HIV care and supportive services for PLWH impacted by social determinants of health, specifically housing and employment instability Please refer to pages 1-2 of the NOFO and HRSA-17-113 NOFO

  9. Key Definitions • HIV care servicesare defined as all of the HIV care and treatment services allowable through the Ryan White HIV/AIDS Program (RWHAP). For more information regarding RWHAP eligible services see PCN #16-02 Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds • Employment Servicesare defined as all services designed to connect individuals to employment or to improve a person’s income through employment. • Housing Servicesare defined as the full range of rental and mortgage support services offered through the U.S. Department of Housing and Urban Development (HUD), including the Housing Opportunity for Persons with AIDS Program (HOPWA), to stabilize individuals and families experiencing unstable housing or homelessness. For more information on the HOPWA program go to: https://www.hudexchange.info/programs/hopwa/ Please refer to pages 1 to2 of the NOFO

  10. Program Expectations - Employment Curriculum This project builds upon HUD and DOL’s Getting to Work Initiative utilizing the agencies knowledge and experience • Key personnel including the Principal Investigator, Project Director, and Evaluator must complete the Getting to Work: A Training Curriculum for HIV/AIDS Service Providers and Housing Providers curriculum • ETAP is responsible for collecting demonstration sites’ staff certificates of completion for this curriculum Please refer to page 2 of the NOFO

  11. Program Expectations - Multi-Site Evaluation • ETAP will design and implement a rigorous multi-site evaluation • ETAP will collect and analyze outcome, process, and cost data from the demonstration sites to assess the effectiveness of the coordinated HIV care, employment and housing interventions. • Expected outcome improvements for PLWH project participants: • Housing stability; • Rates of employment; and • Achievement of viral suppression Please refer to pages 3-4 of the NOFO

  12. Multi-Site Evaluation - Key Performance Measures • HAB Core Performance Measures • Retention in HIV Medical Care • Antiretroviral Therapy (ART) • Viral Suppression • Housing Status • HOPWA Annual Progress Report (APR) measures • Consolidated Annual Performance and Evaluation Report (CAPER) Performance Measures • Employment Status • DOL Employment and Training Administration (ETA) Common Performance Measures Please refer to pages 3-5 of the NOFO

  13. Program Expectations - Multi-Site Evaluation • Rapid and Ongoing Evaluation: • The ETAP must rapidly design and deploy a multi-site evaluation methodology within six (6) months of receiving the award. • The ETAP will monitor the progress of the demonstration sites in their collection and reporting of evaluation data to assure its timely completion and quality. • Additional Multi-Site Evaluation-related ETAP Responsibilities: • Data Portal and Security • Website • Evaluation-related TA • Institutional Review Board (IRB) • Human Subjects Protection • Focused Evaluation Studies Please refer to pages 9-11 of the NOFO

  14. Program Expectations – Providing Technical Assistance (TA) • ETAP will coordinate and provide TA to the Demonstration Sites: • TA Needs – teleconferences, webinars • Intervention Manuals • Site Visits • Annual Meeting – lead and coordinate • Additional TA to RWHAP recipients and subrecipients • ETAP will also develop tools and TA resources to help other RWHAP recipients/subrecipients implement and/or coordinate employment services at the state and federal levels . Please refer to pages 2 and 11 of the NOFO

  15. Program Expectations – Dissemination • The ETAP will lead and coordinate dissemination of findings and lessons learned: • Monograph and Intervenion Manual • Publications • Dissemination • Replication Please refer to page 12 of the NOFO

  16. Program Expectations • ETAP must demonstrate knowledge of: • Needs of PLWH experiencing unstable housing • Employment barriers, limited employment and training opportunities • Coordinated models of care that impact health, housing and employment disparities outcomes for PLWH • RWHAP, HOPWA and DOL funding structures, regulations and delivery systems, either directly or through partnerships The ETAP is encouraged to collaborate with partner organizations, as needed, to meet these responsibilities, program expectations and competencies. Please refer to pages 2-3 and 12 of the NOFO

  17. Background • Social determinants of health such as poverty, housing, and employment are associated with HIV-related health disparities • Of 533,000 clients received services from RWHAP-funded providers: • The majority were from racial/ethnic minority populations (47% African American; 23% Hispanic/Latino) • ~65% of RWHAP clients were living at or below the federal poverty level (FPL) • An estimated 45-70% of PLWH remain unemployed, and among these as much as 40% feel ready and able to work Please refer to page 6 to 7 of the NOFO

  18. Ryan White Services Report*, 2015RWHAP Clients by Housing Status *Source: HRSA. Ryan White HIV/AIDS Program Annual Client-Level Data Report 2015. Does not include clients receiving only AIDS Drug Assistance Program services

  19. HIV, Homelessness, & Suppression Ryan White Services Report, 2015Viral Suppression by Housing Status Note: N represents the total number of clients in the specific subpopulation. Viral suppression: ≥1 OAMC visit during the calendar year and ≥1 viral load reported, with the last viral load result <200 copies/mL.

  20. Award Information • Funding will be provided through a cooperative agreement. • Approximately $700,000 is available to fund one (1) applicant • Applicants may request funding amounts of up to $700,000 for each year of the 3-year project period (September 30, 2017 – September 29, 2020) • Requests exceeding this amount will be deemed nonresponsive and will not be considered • Funding beyond the first year is dependent on the availability of appropriated funds Please refer to pages 12-13 of the NOFO

  21. Eligibility Information • Eligible applicants include entities eligible for funding under Parts A – D of Title XXVI of the Public Health Service Act as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 • Eligible applicants also include public health departments and institutions of higher education, state and local governments, nonprofit organizations, faith-based and community-based organizations, tribes, and tribal organizations • Foreign entities are not eligible to apply • Cost sharing/matching is not required Please refer to page 13 of the NOFO

  22. Application and Submission Information Two Components of the NOFO: • HRSA-17-114 (Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services–Evaluation and Technical Assistance Provider) focuses on the program-specific content, including goals, expectations, and requirements of the program • HRSA’s General Instructions • SF 424 Application Guide(“Application Guide”) • Links are found throughout the NOFO Applicants must use both HRSA-17-114 NOFO andthe SF424 Application Guide to successfully complete and submit an application

  23. 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

  24. Project Abstract Summary of application At top of abstract: • Project Title, Applicant Organization Name, Address, Project Director Name, Contact Phone Numbers (Voice, Fax), Email Address, Website Address, if applicable. • Note: Abstract must be single-spaced and no more than one page in length. See pages 15 in the NOFO and 37 in the SF424 Application Guide

  25. Project Narrative The Project Narrative provides a comprehensive framework and description of all aspects of the proposed project. It contains the following seven (7) sections: • Introduction • Needs Assessment • Methodology • Work Plan • Resolution of Challenges • Evaluation and Technical Support Capacity • Organizational Information • Note – In order for reviewers to understand your proposal, ensure that the Project Narrative is succinct, self-explanatory and well-organized. Please refer to pages 15to20in the NOFO

  26. Project Narrative –Submission Notes • In order for reviewers to understand your proposal, ensure that the Project Narrative is succinct, self-explanatory and well-organized. • Clearly label all sections • Respond to all of the questions within each of the sections. • Follow all submission guidelines as listed in the NOFO • Follow all submission guidelines and tips as outlined in SF424 Application Guide Please refer to pages 15 to 20 in the NOFO and pages 37 to 42 in the SF424 Application Guide

  27. Budget Requirements This NOFO is for a multi-year (3-year) non-construction program. Budget information consists of three parts: • SF-424A: Complete Sections A-F for each year of the project period (included in the application package) • Line Item Budget: While the budget period is for one year, you must submit line item budgets for each of the 3 budget periods(Attachment 1) • Budget justification: Describe each cost element and explain how each cost contributes to meeting the project’s objectives/goals. See pages 20 to 21 in the NOFO, and31to34 in the SF424 Application Guide

  28. Budget Requirements: SF-424A

  29. Budget Requirements: SF-424A

  30. Budget Requirements: SF-424A

  31. 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, (P.L. 115-31) Division H, § 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.

  32. 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

  33. Funding Restrictions In addition to the general restrictions included in Section 4.1.iv of the SF-424Application Guide, funds may not be used for the following: • Charges billable to third party payers (e.g., private health insurance, prepaid health plans, Medicaid, Medicare, HUD, etc.); • To directly provide housing or health care services (e.g., HIV care, counseling and testing); • Cash payments to intended RWHAP clients; • Pre-Exposure Prophylaxis (PrEP) or Post-Exposure Prophylaxis (PEP) medications or the related medical services. • Syringe Services Programs (SSPs). • To develop materials designed to directly promote or encourage, intravenous drug use or sexual activity, whether homosexual or heterosexual. • Purchase, construction of new facilities or capital improvements to existing facilities; • Purchase or improvement to land; • Purchase vehicles; and/or • International travel Please refer to pages 23 to 24 of the NOFO

  34. Attachments • List of Attachments can be found in Section IV. 2. v. of the NOFO • Attachment 1: Line Item Budgets Spreadsheets for Years 1 through 3 (required) • Attachment 2: Work Plan (required) • Attachment 3: Staffing Plan (required) • Attachment 4: Job Descriptions for Key Personnel (required) Attachment 5: Biographical Sketches of Key Personnel (required) • Attachment 6: Letters of Agreement, Memoranda of Understanding, and/or Description of Proposed/Existing Contracts, project-specific (if applicable) • Logic Model (required) • Attachment 7: Project Organizational Chart (required) • Attachments 8-10: Other Relevant Documents (as applicable) • Please refer to pages 21 to22of the NOFO

  35. Attachments • List of Attachments can be found in Section IV. 2. v. of the NOFO • Upload attachments in the order specified to the Attachments Form in the application package • Label each attachment clearly • Unless otherwise noted, attachments counttoward the page limit • Please refer to pages 21 to 22of the NOFO

  36. Attachment 1 | Line Item Budget (Years 1-3; Required) Please refer to pages 20 to21of the NOFO

  37. Attachment 2 | Work Plan (Required) Recommend providing work plan in a table format • Goals • Objectives • Action Steps • Staff Responsible • Timeline for Action Steps • Measurable Outcomes Your Work Plan should include objectives and key action steps that are: SPECIFIC MEASUREABLE ACHIEVABLE REALISTIC & TIME FRAMED Please refer to page to18, 21, and page 26-27 of the NOFO

  38. Attachment 3 | Staffing Plan (Required) Sample below only Please refer to page 14, 15 and 21 of the NOFO

  39. Attachment 4 | Job Descriptions for Key Personnel (Required) • Include job descriptions for key personnel responsible for project activities. • Include the role, responsibilities, and qualifications of proposed personnel (including consultants and contractors). • Keep each job description to one page in length as much as possible. Please refer to page 22 of the NOFO and Section 4.1.viof the SF-424 Application Guide

  40. Attachment 5 | Biographical Sketches (Required) • Include biographical sketches for persons occupying the key positions described in Attachments 3 and 4,not to exceed two pages in length per person. • Biosketchesfor any key employed personnel that will be assigned to work on the proposed project must be included. • Biosketchesshould include training and experience working with the populations served by your programs. • In the event that a biographical sketch is included for an identified individual who is not yet hired, please include a letter of commitment from that person with the biographical sketch. Please refer to page 22 of the NOFO and Section 4.1.vi of the SF-424 Application Guide

  41. Attachment 6 | Letters of Agreement, Memoranda of Understanding, and/or Description(s) of Proposed/Existing Contracts (if applicable) • Provide documents that describe working relationships between your organization and other entities cited in your proposal. • Documents that confirm actual or pending contractual agreements should clearly describe the roles of the contractors and any deliverables • Letters of agreement must be dated. • If the applicant does not plan to contract or leverage resources or personnel to meet the requirements listed in the NOFO, then no letters of agreement, memoranda of understanding, or additional descriptions are required. Please refer to page 22 of the NOFO

  42. Attachment 7 | Project Organizational Chart • The Project Organizational Chart should be a one-page figure. • Depict the project structure of the ETAP, not the entire organization. • Include subrecipients, contractors and other significant collaborators, if applicable. Please refer to page 19 and 22 of the NOFO

  43. Application Review Information • HRSA’s Division of Independent Review (DIR) is responsible for managing the objective and independent application review performed by a committee of qualified experts • Applications will be reviewed and rated based on the review criteria in Section V of the NOFO if they • are submitted by the published deadline • do not exceed the page limit • do not request more than the ceiling amount, and • pass the initial HRSA eligibility and completeness screening • The competitive objective review process is based solely on the merits of your application.  It is critical that you paint a clear picture of your proposed project and the capabilities that your organization brings to the work

  44. Application Review |Criteria • Review Criteria are used to review and rank applications. For this opportunity, there are 6 review criteria: Please refer to pages 25 to28 of the NOFO

  45. Application Package: Where is it? • On HRSA’s website at www.hrsa.gov/grants • Click on the NOFO “apply at Grants.gov” link • At www.grants.gov • Search by opportunity number, or • CFDA • The Application Guide is available at https://www.hrsa.gov/grants/apply/applicationguide/sf424guide.pdf or click the links in the NOFO

  46. 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 [insert name]Program). • 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!

  47. 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): • 1-800-518-4726, or • support@grants.gov, or • https://grants-portal.psc.gov/Welcome.aspx?pt=Grants

  48. Tracking Grants.gov Submissions SF424 Application Guide, section 8.2.5

  49. Grants.gov Message upon Application Upload • Thank you for submitting your grant application package via Grants.gov. Your application is currently being processed by the Grants.gov system. Once your submission has been processed, Grants.gov will send email messages to advise you of the progress of your application through the system. Over the next 24 to 48 hours, you should receive two emails. The first will confirm receipt of your application by the Grants.gov system, and the second will indicate that the application has either been successfully validated by the system prior to transmission to the grantor agency or has been rejected due to errors.” • “IMPORTANT NOTICE: If you do not receive a receipt confirmation and either a validation confirmation or a rejection email message within 48 hours, please contact us. The Grants.gov Contact Center can be reached by email at support@grants.gov, or by telephone at 1-800-518-4726. Always include your Grants.gov tracking number in all correspondence. The tracking numbers issued by Grants.gov look like GRANTXXXXXXXXX.”

  50. Reminders • Optional: Applicants encouraged to send a Letter of Intent to apply via email by June 16, 2017 • Email to HRSADSO@hrsa.gov • HRSA will not acknowledge receipt of letters • Include a brief description of the proposal • Your application must be electronically submitted through and successfully validated by Grants.gov no later than July 24, 2017, 11:59 pm ET.

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