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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