Opportunity Information: Apply for HRSA 19 039
The Enhancing Linkage of STI and HIV Surveillance Data in the Ryan White HIV/AIDS Program (RWHAP) opportunity (HRSA-19-039) is a HRSA discretionary grant designed as a health information technology capacity-building demonstration project. Its central goal is to improve linkage to HIV care, re-engagement in care for people who have fallen out of care, and overall health outcomes for people living with HIV (PLWH) who receive services through the Ryan White HIV/AIDS Program. The project is built on the idea that stronger, more routine sharing of surveillance information between sexually transmitted infection (STI) programs and HIV surveillance programs can help clinics and public health partners identify PLWH who may need timely outreach, clinical follow-up, and additional support services.
Rather than directly funding multiple health departments as primary awardees, HRSA plans to fund one Technical Assistance Provider (TAP). The TAP is expected to identify and recruit participating jurisdictions (state, city, and/or local health departments) and then provide hands-on programmatic technical assistance to help them create or improve cross-program data sharing between STI surveillance and HIV surveillance systems. A major emphasis is on overcoming real-world barriers that commonly block data sharing, such as differing data systems, legal or policy constraints, confidentiality concerns, staffing limitations, workflow gaps, and inconsistent inter-department agreements. The TAP will assess these jurisdiction-specific barriers and develop practical tools, templates, and approaches that jurisdictions can adopt to make data matching and sharing more routine and operationally sustainable.
A core deliverable of the effort is the ability to electronically match person-level STI and HIV surveillance data for key STIs, specifically chlamydia, gonorrhea, and/or syphilis. The opportunity prioritizes jurisdictions where STI burden is high and HIV burden is also high, using CDC surveillance products as reference points (the CDC 2017 STD Surveillance Report for STI rates and the CDC 2016 HIV Surveillance Report for HIV prevalence or new diagnoses). The targeted jurisdictions are those that currently match STI and HIV surveillance data less frequently than monthly or not at all, and that also lack a mechanism to conduct follow-up actions based on those matches, such as systematic linkage-to-care outreach or re-engagement activities. In other words, HRSA is aiming this project at places where the need is clear and where a relatively focused HIT and workflow intervention could meaningfully change practice.
The reason HRSA is investing in this kind of data linkage is tied to both clinical outcomes and prevention impact. STI co-infection among PLWH has been associated with poorer HIV-related clinical markers, including decreased CD4 cell counts and increased HIV viral load, which can worsen individual health outcomes and increase the risk of HIV transmission to HIV-negative partners. By ensuring that STI and HIV surveillance information is connected and used operationally, RWHAP clinics and their partners can more quickly identify PLWH who have a current STI diagnosis, assess whether they are engaged in HIV care, and prioritize outreach and services accordingly. The expectation is that more frequent and reliable data sharing will sharpen clinic decision-making about how to allocate limited staff time and supportive resources, focusing efforts on people most likely to benefit from immediate linkage or re-engagement interventions.
The TAP is also expected to coordinate with an external evaluator funded separately by HRSA. That evaluator will assess the project’s overall effectiveness and impact, while the TAP supports implementation on the ground. The project is framed as aligning with HRSA’s clinical priority of "transforming the workforce," since better-integrated surveillance data and better targeting can help providers and care teams work more efficiently, direct outreach where it matters most, and close gaps in care for PLWH who are diagnosed with STIs.
Administratively, this is a HRSA grant under CFDA 93.928, with one expected award listed in the source information, reflecting the single TAP model. The opportunity was originally posted January 7, 2019, with an original closing date of April 8, 2019. While the notice lists an award ceiling of 0 in the summary fields provided, the narrative makes clear the intent to fund a single technical assistance provider that will, in turn, support selected jurisdictions to improve STI and HIV surveillance data matching and to translate those data into actionable linkage-to-care and re-engagement activities within the RWHAP ecosystem.Apply for HRSA 19 039
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Enhancing Linkage of STI and HIV Surveillance Data in the Ryan White HIV/AIDS Program (RWHAP)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.928.
- This funding opportunity was created on Jan 07, 2019.
- Applicants must submit their applications by Apr 08, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the Enhancing Linkage of STI and HIV Surveillance Data in the Ryan White HIV/AIDS Program (RWHAP) opportunity (HRSA-19-039)?
HRSA-19-039 is a HRSA discretionary grant set up as a health information technology (HIT) capacity-building demonstration project. The focus is to strengthen how sexually transmitted infection (STI) surveillance data and HIV surveillance data are shared and used, so partners can better support people living with HIV (PLWH) served by the Ryan White HIV/AIDS Program (RWHAP).
What is the main goal of this grant opportunity?
The central goal is to improve linkage to HIV care, re-engagement in care for people who have fallen out of care, and overall health outcomes for PLWH receiving RWHAP services. The opportunity is built on the idea that routine, operational data sharing between STI programs and HIV surveillance programs can help identify PLWH who need timely outreach, clinical follow-up, and supportive services.
How does linking STI and HIV surveillance data help improve HIV care outcomes?
By connecting STI and HIV surveillance information and using it in day-to-day operations, clinics and public health partners can identify PLWH with a current STI diagnosis, determine whether they are engaged in HIV care, and prioritize outreach and services. The intent is that more frequent and reliable data sharing improves decision-making and helps direct limited staff time and resources toward people most likely to benefit from immediate linkage-to-care or re-engagement interventions.
Why is HRSA investing in STI/HIV surveillance data linkage?
The opportunity notes that STI co-infection among PLWH has been associated with poorer HIV-related clinical markers, including decreased CD4 cell counts and increased HIV viral load. These changes can worsen individual health outcomes and increase the risk of HIV transmission to HIV-negative partners. HRSA is investing in surveillance linkage so STI diagnoses can more quickly trigger appropriate HIV care follow-up and support.
Who does HRSA plan to fund under this opportunity?
Rather than funding multiple health departments as direct award recipients, HRSA plans to fund one Technical Assistance Provider (TAP). This single TAP model is intended to support multiple participating jurisdictions by providing hands-on programmatic technical assistance.
What is a Technical Assistance Provider (TAP) expected to do in this project?
The TAP is expected to identify and recruit participating jurisdictions (state, city, and/or local health departments) and then help them create or improve cross-program data sharing between STI surveillance and HIV surveillance systems. The TAP is also expected to develop practical tools, templates, and approaches that jurisdictions can adopt to make data matching and sharing more routine and operationally sustainable.
What kinds of barriers is the TAP expected to help jurisdictions overcome?
The opportunity highlights common real-world barriers to data sharing, including differing data systems, legal or policy constraints, confidentiality concerns, staffing limitations, workflow gaps, and inconsistent inter-department agreements. The TAP is expected to assess jurisdiction-specific barriers and support practical solutions to make data sharing workable and routine.
What is a core deliverable for participating jurisdictions?
A core deliverable is the ability to electronically match person-level STI and HIV surveillance data for key STIs. The opportunity specifically calls out chlamydia, gonorrhea, and/or syphilis as the primary STI data types for matching.
Which STIs are specifically included in the surveillance data matching effort?
The opportunity specifically focuses on chlamydia, gonorrhea, and/or syphilis for electronic person-level matching between STI and HIV surveillance data.
How often are jurisdictions currently matching STI and HIV surveillance data, and what does HRSA want to change?
The opportunity targets jurisdictions that currently match STI and HIV surveillance data less frequently than monthly or not at all. The project is designed to help move these jurisdictions toward more routine, operational matching and sharing so data can be used for timely follow-up actions.
What types of follow-up actions does HRSA expect jurisdictions to take based on data matches?
The opportunity describes follow-up actions such as systematic linkage-to-care outreach and re-engagement activities for people who are out of care. The emphasis is on translating matched surveillance data into actionable outreach, clinical follow-up, and supportive services within the RWHAP ecosystem.
Which jurisdictions are prioritized for recruitment and support?
The opportunity prioritizes jurisdictions where both STI burden and HIV burden are high. It also targets places where STI and HIV surveillance matching is less frequent than monthly (or not done at all) and where there is no established mechanism to take follow-up action based on matches.
What sources are used as reference points for determining high STI and high HIV burden?
The opportunity references CDC surveillance products as benchmarks: the CDC 2017 STD Surveillance Report for STI rates and the CDC 2016 HIV Surveillance Report for HIV prevalence or new diagnoses.
Is this opportunity intended to directly fund multiple health departments?
No. The opportunity description indicates HRSA plans to fund one TAP, and the TAP will recruit and support participating jurisdictions. The jurisdictions are not described as primary awardees under this single-award model.
How does this project relate to HRSA priorities?
The project is described as aligning with HRSA's clinical priority of "transforming the workforce." The rationale is that better-integrated surveillance data and better targeting can help care teams work more efficiently, focus outreach where it matters most, and close gaps in care for PLWH diagnosed with STIs.
Is there an evaluation component to this project?
Yes. The TAP is expected to coordinate with an external evaluator funded separately by HRSA. That evaluator will assess the project’s overall effectiveness and impact, while the TAP supports implementation and technical assistance for participating jurisdictions.
What is the CFDA number for this HRSA grant?
The opportunity is listed under CFDA 93.928.
How many awards are expected under this opportunity?
The source information indicates one expected award, consistent with the single Technical Assistance Provider (TAP) model described in the narrative.
When was the opportunity posted and when did it close?
The opportunity was originally posted on January 7, 2019, with an original closing date of April 8, 2019.
What is the stated funding ceiling for this opportunity?
The summary fields provided list an award ceiling of 0. However, the narrative description indicates HRSA intended to fund a single Technical Assistance Provider (TAP) to support selected jurisdictions with surveillance data matching and follow-up workflows.
What does HRSA mean by making data sharing "routine" and "operationally sustainable"?
Based on the opportunity description, the goal is for jurisdictions to move beyond ad hoc or infrequent matching and instead adopt repeatable processes, agreements, and workflows that support ongoing electronic person-level matching and practical use of those results for linkage-to-care and re-engagement actions.
What kinds of outputs might the TAP develop to support jurisdictions?
The opportunity states the TAP will develop practical tools, templates, and approaches to address barriers to cross-program data sharing and help jurisdictions implement and maintain routine STI/HIV surveillance matching and follow-up processes.
Who is the intended population that benefits from this project?
The intended beneficiaries are people living with HIV (PLWH) who receive services through the Ryan White HIV/AIDS Program (RWHAP), particularly those who have a current STI diagnosis and may need timely outreach, clinical follow-up, linkage to care, or re-engagement in care.
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