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Newly Awarded Ryan White HIV/AIDS Program Cooperative Agreements and Contracts

December 6, 2018

TargetHIV

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The Health Resources and Services Administration’s (HRSA) HIV/AIDS Bureau (HAB) recently awarded three new cooperative agreements and six contracts to support the implementation of the Ryan White HIV/AIDS Program in order to improve health outcomes for low-income people living with HIV. 

Below is information about the cooperative agreement awards:

Improving Sexually Transmitted Infection Screening and Treatment among People Living with or at Risk for HIV (HRSA-18-040)

A three-year cooperative agreement was awarded to Rutgers, The State University of New Jersey. The cooperative agreement entitled “Improving Sexually Transmitted Infection Screening and Treatment among People Living with or at Risk for HIV”, will promote clinical service and system level interventions at HRSA’s Ryan White HIV/AIDS Program and/or Community Health Center Program.  The purpose is to increase and/or improve the screening and treatment of sexually transmitted infections among low-income people living with HIV or at risk for HIV. The project started on September 30, 2018 and runs through September 2021.

Evidence-Informed Approaches to Improve Health Outcomes for People Living with HIV (HRSA-18-048)

The National Alliance of State and Territorial AIDS Directors was awarded a three-year cooperative agreement entitled “Evidence-Informed Approaches to Improve Health Outcomes for People Living with HIV.”  The purpose is to systematically identify, catalog, disseminate, and support the replication of evidence-informed approaches and interventions to engage people living with HIV (PLWH) who are out of care or at risk of not continuing care. Technical assistance and support for the replication of these approaches will be offered to HIV health care service providers. This project started on September 1, 2018 and runs through August 2021. 

Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men (HRSA-18-053)

The National Opinion Research Center is the grant recipient for the cooperative agreement entitled “Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men.”  This cooperative agreement will support the implementation and evaluation of evidence-informed models of care designed to engage, link, and retain Black Men who have Sex with Men (BMSM) in HIV medical care and supportive services. These models of care include STYLE, a youth-focused case management intervention, Linkage to Care, and Project Silk, that integrate behavioral health services with HIV care to specifically address the needs of BMSM and to improve health outcomes. The demonstration projects will disseminate lessons learned and findings to promote the uptake and replication of these models. The cooperative agreement started on August 1, 2018, and runs through July 2022. 

Below is more information regarding the awarded contracts:

Chart Abstraction of Ryan White HIV/AIDS Program Recipient Clinical Data

The HIV/AIDS Bureau is implementing a significant data reporting reduction project, which aims to eliminate nine and modify four clinical variables from the Ryan White Services Report (RSR).  The objective is to develop an efficient methodology to rapidly collect high quality clinical data. Under the guidance and direction of HAB, the objective of the project is to develop and implement a methodology for the chart abstraction of clinical data from RWHAP grant recipients and providers. The clinical data included in the chart abstraction will reflect key aspects of HIV care and treatment as outlined in the HHS HIV guidelines.

Development and Management of HAB Data Dashboards and Benchmarking

HRSA HAB continues to focus on and invest in advancing data utilization to improve health outcomes for RWHAP clients. This contract will work with HAB to develop and implement a benchmarking methodology that allows for comparison of client outcomes data and Data Dashboards (internal and external) for project officers, recipients, and stakeholders to more easily access, use, and measure RWHAP client, service, and outcomes data.

Assessing Care and Health Outcomes among RWHAP Clients Who Do Not Receive Ryan White HIV/AIDS Program Funded Outpatient Ambulatory Health Services (OAHS)

The Ryan White Services Report (RSR) does not collect clinical outcome data (retention in care, ART prescription/adherence, viral suppression), for RWHAP clients who do not receive OAHS funded by the RWHAP.  This study will assess if and where these RWHAP clients are receiving OAHS, if there are unmet needs for these clients, and what their clinical outcomes are when receiving OAHS not funded by the RWHAP.  

HRSA HIV/AIDS Bureau Recipient Compilation of Best Practice Strategies and Interventions

The purpose of this project is to develop an efficient and easily accessible methodology to collect and catalogue successful and impactful activities implemented by RWHAP recipients and their sub-recipients. Activities include:

  • Develop and implement a storage mechanism (e.g., database) 
  • Develop a methodology to determine the topic areas on which activities and interventions will be focused
  • Develop a methodology to catalogue successful and impactful activities and interventions
  • Implement methodology to gather successful and impactful activities and interventions.

Bidirectional Lessons Learned all the HIV Care Continuum between the RWHAP and PEPFAR Programs

The purpose of this contract is to conduct an evaluation study of the domestic Ryan White HIV/AIDS Program and President’s Emergency Plan for AIDS Relief program. The study will identify lessons learned, successful models, interventions and experiences that can be translated into the global health arena and into the domestic HIV service delivery to improve health outcomes along the treatment cascade in the U.S and international settings. Specifically tasks will include a comprehensive literature review and report, bi-directional stakeholder workgroup meetings, and the development of a white paper.  

Measuring Unmet Need for HIV-Related Primary Medical Care

The purpose of this contract is to conduct an analysis of historical models and approaches for estimating unmet need to inform recommendations for a practical measure for estimating unmet need for HIV-related service delivery that can be implemented across RWHAP Part A and Part B grant recipients. The analysis shall include completion of a systematic review of existing models and approaches, including methods utilized, technical performance, and feasibility across RWHAP Part A and Part B grant recipients. The results of the analysis shall be used to develop a proposal of potential method(s) for estimating unmet need, and the proposed method(s) will be field-tested to verify practicality, acceptability, and feasibility. The outcome of field-testing will be utilized to develop a final methodology and corresponding guide for measuring unmet need.

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