Opportunity Information: Apply for HRSA 12 179
Apply for HRSA 12 179
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Replication of a Public Health Information Exchange to Support Engagement in HIV Care Initiative" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.145 AIDS Education and Training Centers.
- This funding opportunity was created on Jun 27, 2012 and posted on May 16, 2012.
- Applicants must submit their applications by Jul 13, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $1,550,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $600,000.00 in funding.
- The number of recipients for this funding is limited to 3 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants are limited to Ryan White Part B funded State health department grantees of record (to include their lead administrative agencies). State Health Departments are responsible for managing the state HIV/AIDS surveillance and care systems and conducting critical HIV/AIDS surveillance, investigation, and epidemiologic activities, core requirements of this replication project. Eligible State health departments must be in States and territories where racial/ethnic minorities comprise 65 percent or more of the people living with HIV/AIDS. According to the CDC,1 these are Alabama, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Michigan, Mississippi, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, Puerto Rico, South Carolina, Texas, Virginia, and the Virgin Islands. (Louisiana, where the original LaPHIE demonstration project was conducted, is not eligible to apply).
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Opportunity Summary:
The Replication of a Public Health Information Exchange to Support Engagement in HIV Care Initiative (HRSA-12-179) was a fiscal year 2012 discretionary funding opportunity from the Health Resources and Services Administration (HRSA) offered as a cooperative agreement. It was designed as a 3-year, non-research, capacity-building demonstration project funded through the HHS Secretary's Minority AIDS Initiative. The central purpose was to raise rates of linkage to care, engagement in care, and long-term retention in care for people of color living with HIV/AIDS, with a particular emphasis on individuals who are uninsured or underinsured and who are most likely to fall through gaps between surveillance systems and clinical care.
The initiative focused on two closely related priority groups: people of color who have tested positive but are not aware of their status, and people of color with confirmed HIV diagnoses who have never successfully entered care, have refused referral, or have dropped out of care. The underlying public health problem the program aimed to address is that many individuals with HIV are known to public health surveillance programs (through lab reporting and case surveillance) but are not consistently connected to clinical services, and traditional outreach approaches can be slow or fragmented. By strengthening the flow of actionable information between public health and providers, the project sought to help frontline clinical settings identify and re-engage patients who are out of care.
Programmatically, the grant supported the statewide replication of the Louisiana Public Health Information Exchange (LaPHIE), a prior demonstration that connected HIV surveillance data with clinical electronic systems to trigger alerts when known HIV-positive individuals showed up for care. Applicants were expected to propose plans to design, develop, implement, and evaluate a comprehensive statewide public health information exchange (HIE) that links State Health Department HIV surveillance units with a mix of clinical partners across inpatient, outpatient, and emergency care settings, including hospitals and community-based clinics. A key expectation was that the exchange would enable timely transfer of HIV surveillance data to health care providers in a way that supports real-world clinical workflows, so providers can intervene during encounters and rapidly connect patients to HIV medical care and supportive services.
Collaboration requirements were explicit. Applicants had to demonstrate cooperation from their State HIV surveillance unit and identify at least three collaborating health care provider partners, with those partnerships established through formal agreements. This structure reflects the fact that surveillance units hold the data and have legal and policy responsibilities around confidentiality, while hospitals and clinics operate the electronic medical record and electronic health record systems where alerts and care coordination actions would occur. The emphasis on multiple provider partners also signaled an intent to build a truly statewide demonstration rather than a single-site pilot.
Funding was intended primarily for Health Information Technology capacity building, with a strong focus on interconnectivity and interoperability. Allowable uses included acquiring and implementing the network, hardware, and software components needed to connect state HIV surveillance data systems to provider EMR/EHR platforms and to operationalize data exchange in clinical environments. In practical terms, projects would be expected to build or configure interfaces, data matching processes, secure messaging or alerting mechanisms, and operational procedures that allow surveillance-derived information to be used appropriately by clinicians and care teams.
Because the project involved sensitive HIV surveillance data and the movement of electronic protected health information, privacy and security were core requirements rather than secondary considerations. Applications had to describe concrete capacity and procedures to protect patient privacy and electronic PHI, and they had to demonstrate adherence to the Security and Confidentiality Guidelines governing HIV surveillance data. This includes the kinds of safeguards typically required for sensitive public health data exchange: role-based access, encryption, audit logs, controlled disclosure policies, secure authentication, and clear protocols for how alerts are generated, who can see them, and how resulting outreach is documented and handled.
The opportunity anticipated making three awards, with an estimated total funding amount of $1,550,000. Individual awards were expected to fall between $400,000 (floor) and $600,000 (ceiling). There was no cost sharing or matching requirement. The program was tied to CFDA 93.145 (AIDS Education and Training Centers), even though the initiative itself was framed around public health informatics and system integration rather than training alone.
Eligibility was limited and targeted. Only Ryan White Part B funded State health department grantees of record (including their lead administrative agencies) could apply, reflecting the need for applicants to have direct responsibility for statewide HIV surveillance and care systems. In addition, eligible state health departments had to be located in states and territories where racial/ethnic minorities comprise 65 percent or more of people living with HIV/AIDS, based on CDC data. The eligible jurisdictions listed were Alabama, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Michigan, Mississippi, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, Puerto Rico, South Carolina, Texas, Virginia, and the Virgin Islands. Louisiana, where the original LaPHIE model was implemented, was specifically not eligible to apply, consistent with the grant's purpose of replication rather than continuation in the original site.
Administratively, the announcement was posted May 16, 2012, created June 27, 2012, and ultimately had a closing date of July 13, 2012 (after an original closing date of June 18, 2012). The archive date was September 11, 2012. The funding instrument was a cooperative agreement, which typically implies substantial federal involvement beyond a standard grant, such as ongoing technical collaboration, monitoring, or coordinated evaluation activities between HRSA and awardees.
Taken together, the opportunity can be summarized as a targeted federal investment to help certain high-burden states modernize and connect HIV surveillance and clinical information systems statewide, using the LaPHIE approach as a blueprint, so that providers can identify people of color living with HIV who are not in care and rapidly link or re-link them to sustained HIV treatment while maintaining strict confidentiality and data security.
Frequently Asked Questions (FAQs)
What is the Replication of a Public Health Information Exchange to Support Engagement in HIV Care Initiative (HRSA-12-179)?
It was a fiscal year 2012 discretionary funding opportunity from the Health Resources and Services Administration (HRSA). The program funded a 3-year, non-research, capacity-building demonstration project to replicate a public health information exchange model that connects HIV surveillance data with clinical care settings to improve engagement in HIV care.
What type of funding mechanism was used?
The opportunity used a cooperative agreement. This generally indicates substantial federal involvement beyond a typical grant, such as ongoing technical collaboration, monitoring, and/or coordinated evaluation activities between HRSA and awardees.
What was the overall purpose of the initiative?
The central purpose was to raise rates of linkage to care, engagement in care, and long-term retention in care for people of color living with HIV/AIDS, with a particular emphasis on individuals who are uninsured or underinsured and most likely to fall through gaps between public health surveillance systems and clinical care.
Who were the priority populations this initiative focused on?
The initiative emphasized two closely related groups of people of color: (1) individuals who have tested positive but are not aware of their HIV status, and (2) individuals with confirmed HIV diagnoses who have never successfully entered care, refused referral, or dropped out of care.
What public health problem was this program trying to solve?
The program addressed the gap between HIV surveillance and clinical care. Many individuals with HIV are known to public health surveillance programs through lab reporting and case surveillance, but are not consistently connected to clinical services. Traditional outreach can be slow or fragmented, so the initiative aimed to strengthen the flow of actionable information between public health and providers to support timely re-engagement in care.
What model was this program replicating?
The grant supported statewide replication of the Louisiana Public Health Information Exchange (LaPHIE), a prior demonstration that connected HIV surveillance data with clinical electronic systems to trigger alerts when known HIV-positive individuals showed up for care.
What was the expected project scope (statewide vs. single site)?
The expectation was a comprehensive statewide public health information exchange (HIE) demonstration rather than a single-site pilot. The requirement to include multiple provider partners reinforced the intent to build a statewide approach.
What were applicants expected to propose and deliver?
Applicants were expected to propose plans to design, develop, implement, and evaluate a comprehensive statewide public health information exchange that links State Health Department HIV surveillance units with a mix of clinical partners across inpatient, outpatient, and emergency care settings, including hospitals and community-based clinics.
What kinds of clinical partners were expected to participate?
The initiative anticipated a mix of clinical partners across inpatient, outpatient, and emergency care settings, including hospitals and community-based clinics, to ensure the exchange supported real-world clinical workflows and broader statewide reach.
How would the information exchange help providers during real-world clinical encounters?
The exchange was intended to enable timely transfer of HIV surveillance data to health care providers by integrating it into clinical workflows (for example, through alerting mechanisms when a known HIV-positive individual presents for care). This would allow providers to intervene during encounters and rapidly connect patients to HIV medical care and supportive services.
What collaboration requirements did applicants have to meet?
Applicants had to demonstrate cooperation from their State HIV surveillance unit and identify at least three collaborating health care provider partners. These partnerships were required to be established through formal agreements.
Why was cooperation from the State HIV surveillance unit required?
Surveillance units hold HIV surveillance data and have legal and policy responsibilities related to confidentiality. The program required cooperation to ensure the data exchange could be built and operated in a way that meets security and confidentiality expectations.
Why were multiple provider partners required?
Hospitals and clinics operate the EMR/EHR systems where alerts and care coordination actions would occur. Requiring at least three provider partners supported the goal of building a statewide demonstration rather than a narrow, single-partner implementation.
What was the primary intended use of grant funds?
Funding was intended primarily for Health Information Technology capacity building, with a strong emphasis on interconnectivity and interoperability between state HIV surveillance systems and provider EMR/EHR platforms.
What kinds of costs and activities were described as allowable uses?
Allowable uses included acquiring and implementing network, hardware, and software components needed to connect state HIV surveillance data systems to provider EMR/EHR platforms and to operationalize data exchange in clinical environments. In practical terms, this could include building or configuring interfaces, data matching processes, secure messaging or alerting mechanisms, and operational procedures to support appropriate clinical use.
What privacy and security expectations applied to this project?
Privacy and security were core requirements because the project involved sensitive HIV surveillance data and electronic protected health information (PHI). Applications had to describe concrete capacity and procedures to protect patient privacy and electronic PHI and demonstrate adherence to the Security and Confidentiality Guidelines governing HIV surveillance data.
What types of safeguards were expected for protecting HIV surveillance data and electronic PHI?
The announcement referenced safeguards typically required for sensitive public health data exchange, including role-based access, encryption, audit logs, controlled disclosure policies, secure authentication, and clear protocols covering how alerts are generated, who can see them, and how resulting outreach is documented and handled.
How many awards were anticipated and what was the total estimated funding?
The opportunity anticipated making three awards, with an estimated total funding amount of $1,550,000.
What was the expected award size (floor and ceiling)?
Individual awards were expected to range from $400,000 (floor) to $600,000 (ceiling).
Was cost sharing or matching required?
No. There was no cost sharing or matching requirement.
Which CFDA program was this opportunity tied to?
The opportunity was tied to CFDA 93.145 (AIDS Education and Training Centers), even though the initiative itself focused on public health informatics and system integration.
Who was eligible to apply?
Eligibility was limited to Ryan White Part B funded State health department grantees of record (including their lead administrative agencies). This reflected the need for applicants to have direct responsibility for statewide HIV surveillance and care systems.
Were there additional geographic or demographic eligibility criteria?
Yes. Eligible state health departments had to be located in states and territories where racial/ethnic minorities comprise 65 percent or more of people living with HIV/AIDS, based on CDC data.
Which states and territories were listed as eligible jurisdictions?
The eligible jurisdictions listed were Alabama, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Michigan, Mississippi, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, Puerto Rico, South Carolina, Texas, Virginia, and the Virgin Islands.
Could Louisiana apply for this funding?
No. Louisiana was specifically not eligible to apply because the grant was intended to support replication of the LaPHIE model rather than continuation in the original site.
What was the project period?
The initiative was designed as a 3-year demonstration project.
Was this a research grant?
No. It was described as a non-research, capacity-building demonstration project.
What funding source supported this initiative?
The project was funded through the HHS Secretary's Minority AIDS Initiative.
When was the funding opportunity announced and when did it close?
The announcement was posted May 16, 2012, created June 27, 2012, and had a closing date of July 13, 2012 (after an original closing date of June 18, 2012).
When was the opportunity archived?
The archive date was September 11, 2012.
What was the practical role of electronic health records (EHR/EMR) in this project?
EHR/EMR systems were the clinical platforms where alerts and care coordination actions would occur. The initiative expected applicants to connect state HIV surveillance systems to provider EHR/EMR platforms so clinicians and care teams could receive and act on timely information during patient encounters.
What outcomes was the program aiming to improve?
The stated outcomes were improved linkage to care, engagement in care, and long-term retention in care among people of color living with HIV/AIDS, particularly those who are uninsured or underinsured and most likely to experience gaps between surveillance and clinical care.
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