Trauma-informed care involves adjustment of service delivery in order to accommodate the challenges faced by clients due to intimate partner violence, household dysfunction, and abuse connected with, for example, sexual and gender identity, gender, and race. Traumas can manifest physically, mentally, and/or behaviorally and can be addressed by services that help enhance engagement in HIV care.
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- HIV Quality Measures Module
The HIV Quality Measures Module (HIVQM) is a tool within the RSR portal that allows recipients to enter aggregate data on the HRSA HAB Performance Measures. Use of the HIVQM is voluntary.
HIVQM provides recipients and their subrecipients an easy-to-use and structured platform to continually monitor their performance in serving clients, particularly in access to care and the provision of quality HIV services. It may be helpful to recipients and subrecipients as they set goals for performance measures and quality improvement projects. Finally, it also allows recipients to obtain reports that compare providers regionally and nationally against other providers.
HRSA expects the HIVQM to support clinical quality management, performance measurement, service delivery, and client monitoring at both the recipient and client levels, enhancing the quality and utility of the submitted data.
- Ending the HIV Epidemic Initiative
The Ending the HIV Epidemic (EHE) Initiative is a collaborative effort across U.S. federal agencies to reduce the number of new HIV infections in the United States by 75 percent by 2025, and then by at least 90 percent by 2030, for an estimated 250,000 total HIV infections averted. The Ryan White HIV/AIDS Program is a key player in this effort. Many recipients and TA providers have received funding for intensive local and regional program planning, coordination, and implementation activities. Access the latest RWHAP data reports and slide decks, including the EHE Data Report.
See AHEAD.HIV.gov to track the initiative's progress and access TAP-in TA/training for EHE jurisdictions.
- Data Integration
Data systems and integration training and technical assistance (T/TA) to address needs related to how and where data are collected and stored as well as how data are linked or mapped across multiple systems. T/TA topics include, and are not limited to:
- Linking data from multiple sources (e.g. EHRs, RSR/ADR-Ready Systems, HIV surveillance)
- Enhancing data-related capacity and infrastructure
The resources on this page on will help you develop data integration processes, implement best practices, and understand lessons learned and pitfalls to avoid in data integration. Reach out to the DISQ Team for specialized assistance related to data integration.
- Program Terms Report/Allocation Report & Expenditures Report
The RWHAP Program Terms Report (PTR)/Allocations Report and RWHAP Expenditures Report document how RWHAP recipients allocate and subsequently expend funds for each budget period. This page contains resources to help recipients complete these reports.
- Grantee Contract Management System (GCMS)
The Grantee Contract Management System (GCMS) is derived from the RSR Grantee Report and is a provider contract data entry system used to pre-populate several of HAB’s deliverables including the Ryan White Services Report (RSR), the Consolidated List of Contractors (CLC) Report, and the Allocations portion of the Allocations and Expenditures Report. Use of the GCMS eliminates the need for users to re-enter data into multiple reports.
- Medicare
These tools and resources are intended to provide RWHAP managers, staff, and enrollment assisters with an overview of Medicare eligibility and coverage, including prescription drugs, for RWHAP clients and people with HIV.
- Data & Reporting
Ryan White HIV/AIDS Program (RWHAP) recipients and sub-recipients (funded by Parts A through D) collect and report client-level data. These data are used to monitor the effectiveness of RWHAP services and progress toward national HIV/AIDS goals, including addressing disparities among communities of color.
Technical assistance is available to recipients to help them to collect and report data appropriately.
- Sign up to receive e-mail updates.
- Visit the Data Forums to share experiences and learn from peers.
- Newbies: See Roadmap: New to the RSR.
- Ryan White Services Report (RSR)
The Ryan White HIV/AIDS Program Services Report (RSR) is the HRSA HIV/AIDS Bureau's client-level data reporting system. All (Parts A through F) funded recipients (grantees) and sub-recipients (providers) must submit an RSR data report each year via the online system.
Are you new to the RSR? Review the RSR Roadmap to get up to speed and access the RSR timeline.
- ADAP Data Report (ADR)
The ADAP Data Report (ADR) is an annual reporting requirement for AIDS Drug Assistance Programs (ADAPs) to provide client-level data on individuals served, services being delivered, and costs associated with these services. Data are used to monitor client health outcomes, monitor ADAP activities in relation to HIV needs across the U.S. and track progress in relation to national HIV/AIDS goals. The ADR's two components are the: Grantee Report (basic information about recipient characteristics and policies) and Client Report (or client-level data).
- See the HRSA HAB Website for additional information, including the latest RWHAP data reports and slide decks.
- See the ADR submission timeline.
- Ryan White HIV/AIDS Program & Parts
The nation's HIV/AIDS care needs vary across geographic regions, populations, and services. HRSA's Ryan White HIV/AIDS Program (RWHAP) is a federal program that funds agencies to deliver HIV care.
The RWHAP is comprised of multiple programs (called Parts) to meet these diverse needs. While the Parts vary in their focus, each follows a common the set of HRSA HIV/AIDS Bureau standards that are designed to focus all Ryan White programs on effective and efficient delivery of HIV/AIDS care. These drivers include HIV/AIDS care guidelines and clinical protocols; program planning and implementation requirements; quality/performance measures; data reporting systems; technical assistance and training services; and grants management and monitoring processes.
- RWHAP programs can contact HRSA project officers and technical assistance and training partners for support.
- Use the RWHAP Program Locator (map and drop-down menu by state) to find a RWHAP contact. This includes RWHAP funded agencies (recipients) that deliver HIV care and support services, Part A Planning Councils, and Ending the HIV Epidemic contacts.
- Oral Health Care
Oral health care includes diagnostic, preventive, and therapeutic services provided by a dental health care professional licensed to provide health care in the State or jurisdiction, including general dental practitioners, dental specialists, and dental hygienists, as well as licensed and trained and dental assistants. The Ryan White HIV/AIDS Program supports oral health services through all program parts as well as the Part F Dental Reimbursement Program (DRP) and Community-Based Dental Partnership Program (CBDPP). See the Program Locator for details.
- Substance Use & Addiction
Under Ryan White HIV/AIDS Program funding, substance abuse services (outpatient) are medical or other treatment and/or counseling to address substance abuse problems (i.e., alcohol and/or legal and illegal drugs) in an outpatient setting by a physician or under the supervision of a physician, or by other qualified personnel.
- Mental & Behavioral Health
Mental health services are psychological and psychiatric treatment and counseling services for individuals with a diagnosed mental illness. They are conducted in a group or individual setting, and provided by a mental health professional licensed or authorized within the State to render such services. Such professionals typically include psychiatrists, psychologists, and licensed clinical social workers.
- Outpatient Medical Care
Outpatient/ambulatory medical care (OAMC) includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician‘s assistant, clinical nurse specialist, nurse practitioner, or other health care professional who is certified in his or her jurisdiction to prescribe antiretroviral (ARV) therapy in an outpatient setting. These settings include clinics, medical offices, and mobile vans where clients generally do not stay overnight. Emergency room services are not considered outpatient settings.
Services include diagnostic testing, early intervention and risk assessment, preventive care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, education and counseling on health issues, well-baby care, continuing care and management of chronic conditions, and referral to and provision of specialty care (includes all medical subspecialties). Primary medical care for the treatment of HIV infection includes the provision of care that is consistent with the PHS‘s guidelines. Such care must include access to ARV and other drug therapies, including prophylaxis and treatment of opportunistic infections and combination ARV therapies.
Early Intervention Services provided by Ryan White Parts C and D programs are reported under outpatient/ambulatory medical care.
- Antiretroviral Treatment
Antiretroviral treatment that results in full viral load suppression is clinically beneficial (making it possible to manage HIV as a chronic condition) and significantly reduces the risk of HIV transmission. Federal expert panels now recommend early treatment for anyone living with HIV, and though there are relatively simple regimens available, patients must adhere to them for a lifetime. Monitoring and managing treatment success is a complex task for clinicians. Finally, despite the many advances in recent years, there is still much that is not understood about the long term impact of HIV and HIV medications.
- Hepatitis
Liver disease that is tied to Hepatitis C (HCV) infection is a leading cause of death among HIV-infected individuals. Hepatitis B is also a major challenge for many people with HIV. Ryan White-funded clinics are taking on a greater role in not only managing HCV disease but also providing HCV treatments.
- Case Management
Case management is a service category with varied models and definitions that is designed to link clients to medical and support services. Ryan White defines medical case management (including treatment adherence) as a range of client-centered services that link clients with health care, psychosocial, and other services provided by trained professionals, including both medically credentialed and other health care staff. Medical case management is considered to be a core medical service for purposes of Ryan White funding requirements to allocate a set percentage of funds to core medical services.
- CAREWare
This free, HRSA-supported software can be used to manage HIV/AIDS care service data and submit the RSR. In addition to tools on this page, access the CAREWare webpage on the HRSA HAB website for software downloads, version updates, quick start manuals, medication imports.
Need help ugrading to CAREWare 6? Submit a TA request.
- Retaining in Care
Engagement in HIV/AIDS care falls along a continuum, from not being in care at all to being fully engaged, with interim points that reflect inconsistent and non-engagement in care. Varied interventions can enhance care engagement, including peer support, motivational interviewing, and case management. HRSA HAB through the SPNS program and other initiatives identify and evaluate innovative retention approaches, and produce replication materials for those showing the most promise. Many of these interventions focus on populations at most need, including youth, transgender women, and women and MSM of color.