Opportunity Information: Apply for HRSA 14 055
Apply for HRSA 14 055
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "System level Workforce Capacity Building for Integrating HIV Primary Care in Community Health Care Settings Demonstration Sites" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.928 Special Projects of National Significance.
- This funding opportunity was created on Jan 10, 2014 and posted on Jan 10, 2014.
- Applicants must submit their applications by Mar 10, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $4,500,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 15 candidate(s).
- Eligible applicants include: Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Native American tribal governments (Federally recognized) Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal organizations (other than Federally recognized tribal governments).
- Eligible demonstration site applicants must be public or private non profit entities. Eligible entities include organizations that receive funding under Ryan White HIV/AIDS Treatment Extension Act of 2009 community health centers receiving support under Section 330 of the PHS Act and/or federally qualified health centers as described in Title XIX, Section 1905 of the Social Security Act faith based and community based organizations and Indian Tribes or tribal organizations with or without federal recognition.
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Opportunity Summary:
The HRSA grant opportunity HRSA-14-055 funds a Ryan White HIV/AIDS Program Special Projects of National Significance (SPNS) multi-site initiative focused on strengthening workforce capacity so HIV primary care can be better integrated into community-based health care settings. The central idea is to help organizations that already provide Ryan White-funded HIV services redesign how their staffing and care teams function at the system level, so they can deliver high-quality, sustainable HIV treatment and comprehensive care even as the health care environment changes and HIV specialist physician shortages grow. Rather than funding isolated trainings or short-term fixes, the program emphasizes practice-wide workforce redesign and measurable improvements across the HIV Care Continuum, including stronger linkage to care, retention in care, and viral load suppression for people living with HIV (PLWH).
Eligible applicants are public or private nonprofit entities tied to the Ryan White HIV/AIDS Treatment Extension Act of 2009 funding structure. This includes Community Health Centers supported under Section 330 of the Public Health Service Act, Federally Qualified Health Centers (FQHCs) as defined in Title XIX, Section 1905 of the Social Security Act, faith-based and community-based organizations, and Indian Tribes or tribal organizations (with or without federal recognition). The eligibility language also highlights 501(c)(3) nonprofits (excluding institutions of higher education) and tribal governments or tribal organizations as potential applicants, so long as they meet the Ryan White-related eligibility expectations described in the announcement.
The projects funded under this opportunity are “demonstration sites,” meaning awardees are expected to actively design, implement, and evaluate system-level workforce changes, not just deliver services as usual. Applicants must propose innovative and practical strategies that improve efficiency and sustainability while also improving patient outcomes. HRSA frames these strategies as Practice Transformative Models (PTMs), which are essentially structured approaches to reorganizing care delivery and staff roles to get better results with the available workforce. Examples mentioned in the announcement include task shifting or physician extension models (moving appropriate responsibilities to other qualified team members), redesigning patient navigation, restructuring staffing to align with patient-centered medical home standards, integrating community health workers into the clinical team, and adopting interprofessional, team-based care models. The expectation is that these approaches will help clinics and community providers make smarter use of human resources while maintaining or improving quality, access, and outcomes for vulnerable populations.
A major required component is participation in a coordinated, multi-site evaluation over a four-year project period. This evaluation is led by an Evaluation and Technical Assistance Center (ETAC), funded through a separate HRSA announcement (HRSA-14-058). Demonstration sites must cooperate with the ETAC to supply data, participate in evaluation activities, and help identify which workforce redesign approaches actually work in real-world settings. The purpose of this is not only local improvement, but national learning: the ETAC will document successful PTMs and best practices so they can be disseminated, replicated, and scaled by other organizations across the country.
Awardees also must partner with their regional Ryan White HIV/AIDS Program AIDS Education and Training Center (AETC) for clinical training activities. This reinforces that the initiative is not purely operational; it combines structural workforce changes with targeted training support so teams can successfully take on redesigned roles and deliver integrated HIV primary care more effectively.
From a funding and administrative standpoint, this is a discretionary grant program under CFDA 93.928 (Special Projects of National Significance). HRSA anticipated making about 15 awards, with an estimated total funding amount of $4.5 million. The posting date was January 10, 2014, with a closing date of March 10, 2014, and no cost sharing or matching requirement. While the announcement lists award floor and ceiling as zero (often a formatting artifact in archived listings), the overall funding and expected number of awards indicate a competitive, multi-award demonstration initiative.
Overall, the grant is designed to help Ryan White-funded community providers respond to a shifting health care landscape by modernizing workforce structures and care team models, integrating HIV services more effectively into primary care and community health settings, and producing evidence on what staffing and workflow changes most reliably improve outcomes along the HIV Care Continuum. The broader public health aim is straightforward: build a better-prepared, more efficient HIV primary care workforce that can identify, link, and retain PLWH in care and ultimately increase rates of viral suppression, supporting the long-term goal of dramatically reducing HIV-related illness and transmission.
HRSA-14-055 (Ryan White SPNS Workforce Capacity) FAQs
1) What is HRSA-14-055?
HRSA-14-055 is a Health Resources and Services Administration (HRSA) grant opportunity under the Ryan White HIV/AIDS Program Special Projects of National Significance (SPNS). It funds a multi-site initiative focused on strengthening workforce capacity so HIV primary care can be better integrated into community-based health care settings.
2) What is the main purpose of this grant?
The purpose is to help organizations that already provide Ryan White-funded HIV services redesign staffing and care team functions at the system level. The aim is to improve efficiency, sustainability, and patient outcomes across the HIV Care Continuum, especially as the health care environment changes and shortages of HIV specialist physicians increase.
3) What problem is this initiative trying to address?
The initiative addresses the need for a better-prepared HIV primary care workforce and more sustainable care delivery models in community settings. It emphasizes system-level workforce redesign rather than isolated trainings or short-term fixes, with a focus on improving linkage to care, retention in care, and viral load suppression for people living with HIV (PLWH).
4) What types of organizations are eligible to apply?
Eligible applicants are public or private nonprofit entities tied to the Ryan White HIV/AIDS Treatment Extension Act of 2009 funding structure. Examples include:
- Community Health Centers supported under Section 330 of the Public Health Service Act
- Federally Qualified Health Centers (FQHCs) as defined in Title XIX, Section 1905 of the Social Security Act
- Faith-based organizations and community-based organizations
- Indian Tribes and tribal organizations (with or without federal recognition)
- 501(c)(3) nonprofits (excluding institutions of higher education), and tribal governments or tribal organizations, as long as Ryan White-related eligibility expectations described in the announcement are met
5) Does an applicant need to already provide Ryan White-funded HIV services?
Yes. The opportunity is framed around helping organizations that already provide Ryan White-funded HIV services redesign their workforce and care teams to integrate HIV primary care more effectively into community-based settings.
6) What does HRSA mean by “demonstration sites”?
Projects funded under HRSA-14-055 are “demonstration sites.” Awardees are expected to actively design, implement, and evaluate system-level workforce changes. The grant is not intended to support “services as usual” without meaningful redesign and measurement.
7) What kinds of projects or approaches does HRSA want to fund?
Applicants must propose innovative and practical strategies that improve efficiency and sustainability while improving patient outcomes. HRSA describes these strategies as Practice Transformative Models (PTMs), which are structured approaches to reorganizing care delivery and staff roles to achieve better results with the available workforce.
8) What are Practice Transformative Models (PTMs) in this announcement?
PTMs are structured workforce and workflow redesign approaches intended to modernize care delivery and staffing roles. The goal is to make smarter use of human resources while maintaining or improving quality, access, and outcomes for vulnerable populations.
9) What are examples of PTMs mentioned in the opportunity?
Examples described in the announcement include:
- Task shifting or physician extension models (moving appropriate responsibilities to other qualified team members)
- Redesigning patient navigation
- Restructuring staffing to align with patient-centered medical home standards
- Integrating community health workers into the clinical team
- Adopting interprofessional, team-based care models
10) Is the grant focused on training only?
No. The grant emphasizes practice-wide workforce redesign and measurable improvements rather than isolated trainings or short-term fixes. However, training is still a required component through partnership with the regional Ryan White HIV/AIDS Program AIDS Education and Training Center (AETC).
11) What outcomes is the initiative trying to improve?
The initiative targets measurable improvements across the HIV Care Continuum, including stronger linkage to care, better retention in care, and improved viral load suppression for PLWH.
12) How long is the project period?
The opportunity describes participation in a coordinated, multi-site evaluation over a four-year project period.
13) Is participation in a national evaluation required?
Yes. A major required component is participation in a coordinated, multi-site evaluation. Demonstration sites must cooperate with the Evaluation and Technical Assistance Center (ETAC) to supply data, participate in evaluation activities, and help identify which workforce redesign approaches work in real-world settings.
14) What is the ETAC and what role does it play?
The Evaluation and Technical Assistance Center (ETAC) leads the multi-site evaluation and is funded under a separate HRSA announcement (HRSA-14-058). The ETAC documents successful PTMs and best practices so they can be disseminated, replicated, and scaled by other organizations nationally.
15) What does cooperation with the ETAC involve?
Based on the announcement description, cooperation includes supplying data, participating in evaluation activities, and contributing to identification and documentation of effective workforce redesign approaches (PTMs) for broader dissemination.
16) Why does HRSA require a multi-site evaluation?
The evaluation supports both local improvement and national learning. HRSA’s intent is to determine which workforce redesign approaches reliably improve outcomes along the HIV Care Continuum and to share best practices so other organizations can replicate and scale successful models.
17) Is partnership with an AIDS Education and Training Center (AETC) required?
Yes. Awardees must partner with their regional Ryan White HIV/AIDS Program AIDS Education and Training Center (AETC) for clinical training activities to support redesigned roles and delivery of integrated HIV primary care.
18) What is the funding program and CFDA number?
This is a discretionary grant program under CFDA 93.928, Special Projects of National Significance (SPNS).
19) How much funding did HRSA anticipate awarding and how many awards?
HRSA anticipated making about 15 awards, with an estimated total funding amount of $4.5 million.
20) Is there a cost sharing or matching requirement?
No. The announcement specifies no cost sharing or matching requirement.
21) What were the posting and closing dates listed for this opportunity?
The posting date was January 10, 2014, and the closing date was March 10, 2014.
22) The award floor and ceiling show as zero. What does that mean here?
The announcement notes that the award floor and ceiling are listed as zero, which is often a formatting artifact in archived listings. The overall estimated total funding amount ($4.5 million) and expected number of awards (about 15) indicate a competitive, multi-award demonstration initiative.
23) Where are these projects expected to operate (clinical setting focus)?
The initiative focuses on integrating HIV primary care into community-based health care settings, particularly within organizations already providing Ryan White-funded HIV services (such as community health centers, FQHCs, and community-based providers).
24) What is the broader public health goal of HRSA-14-055?
The broader goal is to build a more efficient and better-prepared HIV primary care workforce that can identify, link, and retain PLWH in care and increase rates of viral suppression, supporting long-term reduction in HIV-related illness and transmission.
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