1. HAB Division of Training and Capacity Development Regional AIDS Education and Training Centers Program (AETC) Cooperative Agreement HRSA-15-032 Pre-Orientation Review Call Rupali Doshi, Jewel Bazilio-Bellegarde, Andrea Knox April 1, 2015

2. Call Agenda and Objectives  HIV/AIDS Bureau Mission  DTCD Mission  Program Background  National HIV/AIDS Strategy  AETC Program Purpose  Program Requirements and Expectations  Summary of Funding  Review and Selection Process  Questions and Answers 2

3. HIV/AIDS Bureau 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/AIDS and their families

4. Division of Training and Capacity Development (DTCD) 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 4

5. 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. 5 Background

6. 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 6 Background

7.  National AETCs that support & complement Regional AETCs National Coordinating Resource Center (NCRC) National Evaluation Center (NEC) National HIV/AIDS Clinicians’ 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) 7 Collaborations

8. Reduce new HIV infections Increase access to care and improve health outcomes for people living with HIV Reduce HIV-related health disparities Coordinated national response to HIV epidemic National HIV/AIDS Strategy

9. Cheever L. Clinical Infectious Diseases 2007;44:1500-2. 9

10. Estimated percentage of persons living with HIV infection,* by outcome along the HIV care continuum — United States, 2011 Denominator = 1.2 million persons living with HIV MMWR November 28, 2014 80% of newly diagnosed PLWH are linked to care within 3 months HIV Care Continuum 10

11.  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 11

12.  Training novice providers who are not currently providing HIV care and low volume providers who need support to provide high quality HIV care  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 Regional AETCs Areas of Focus 12

13. Regional AETCs 13 Frontier AETC Combine 8 & 10 Midwest AETC Combine 5 & 7 Pacific AETC South Central AETC Southeast AETC Mid-Atlantic AETC Northeast/ Caribbean AETC New England AETC

14. 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 14

15. Program Requirements  Identify HIV/AIDS education and training needs of health care professionals in their region by:  Conducting an annual analysis  Building and maintaining strategic partnership networks  Analyzing the HIV workforce continuum from pre-service to in-service training  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 to assist grantees to improve 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.  Identify and disseminate models of care and effective practices that improve patient outcomes in various clinical settings. 15

16. Program Requirements  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. 16

17. Project Narrative Introduction Needs Assessment Methodology Work Plan (Attachment 1) Resolution of Challenges Evaluation and Technical Support Capacity Organizational Information. 17

18. Evaluation Plan  Describe activities including approaches to training and technical assistance dissemination  Identify and document research and best practices of HIV education, training and clinical consultation practices including methodologies and tools used in training needs assessment, continuous quality improvement for training  Describe activities designed to monitor and ensure quality administrative and fiscal management  Describe activities to manage, collect, utilize and report program data  Provide outcome information for this project 18

19. Summary of Funding Opportunity  Approximately $25,500,000 is expected to be available annually to fund 8 grantees. Applicants may apply for a ceiling amount based upon the region for which they are applying.  Project Period: July 1, 2015 – June 30, 2019 (4 years)  Funding beyond the first year is dependent on:  Availability of appropriated funds in subsequent fiscal years  Grantee satisfactory performance  Decision that funding is in the best interest of the Federal government  Minority AIDS Initiative (MAI): Approximately 20% of the funds are made available through the MAI to support education, training and technical assistance activities aimed at building the capacity of minority patients and minority-serving health care professionals. 19

20. Funds cannot be used for:  International HIV/AIDS activities  To supplant funds for educational efforts which should be supported by private industry or other public agencies  Purchase of food whether for conferences or meetings, for meals, light refreshments or beverages for Federal or non-Federal participants Funding Restrictions 20

21. Review Criteria  100 points total 1.Need – 10 points 2.Response – 30 points 3.Evaluative Measures – 10 points 4.Impact – 15 points 5.Resources/Capabilities – 25 points 6.Support Requested – 10 points 21

22. Review and Selection Process Funding Preference/Consideration  Please see Section 5.3 of HRSA’s SF-424 Application Guide.  Funding Preferences:  Qualification 1: Training of Minority Serving Health Professionals  Qualification 2: Training of Minority Health Professionals  Qualification 3: Training for Treatment of Hepatitis B or C Co-infection with HIV 22

23. Attachments  Attachment 1 – Work Plan  Attachment 2 – Position Descriptions for Key Personnel  Attachment 3 – Biographical Sketches of Key Personnel  Attachment 4 – Signed and Dated Letters of Support, Memoranda of Agreement, Descriptions of Contracts  Attachment 5 – Project Organizational Chart  Attachment 6 – Projected Number of Trainees  Attachment 7 – Request for Funding Preference  Attachment 8 – Line Item Budgets for Years 1-4  Attachment 9 – Logic Model  Attachment 10 – Other relevant documents 23

24. Contact Information Jewel Bazilio-Bellegarde Acting Branch Chief, HIV Education Branch, Division of Training and Capacity Development Jbazilio-bellegarde@hrsa.gov (301) 443-1049