Opportunity Information: Apply for HRSA 14 058
Apply for HRSA 14 058
- 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 Healthcare Settings Evaluation and Technical Assistance Center Cooperative Agreement" 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 $550,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $550,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments County governments Others (see text field entitled Additional Information on Eligibility for clarification) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Native American tribal governments (Federally recognized) Native American tribal organizations (other than Federally recognized tribal governments) City or township governments.
- Community Health Centers receiving support under Section 330 of the PHS Act and Federally qualified health centers as described in Title XIX, Section 1905 of the Social Security Act faith based and community based organizations.
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Opportunity Summary:
The Health Resources and Services Administration (HRSA) released this FY 2014 grant opportunity (HRSA-14-058) to fund one organization to operate as an Evaluation and Technical Assistance Center (ETAC) under the Ryan White HIV/AIDS Program Special Projects of National Significance (SPNS). The overall purpose is to strengthen workforce capacity in community-based healthcare settings so HIV primary care can be better integrated into routine primary care, especially in organizations serving vulnerable and underserved populations. Rather than funding multiple service sites directly through this announcement, HRSA intended to fund a single national-level ETAC that would support and study a separate set of up to 15 demonstration projects funded under another announcement (HRSA-14-055).
At the center of the initiative is the idea that many communities face a growing mismatch between HIV care needs and the supply of HIV specialist physicians. HRSA designed this project to help clinics and community healthcare providers respond by changing how care teams are structured and how work is distributed across roles. The demonstration sites were expected to implement "Practice Transformative Models" (PTMs), meaning practical, system-level staffing and workflow changes that make care more efficient while improving outcomes along the HIV Care Continuum. Examples mentioned include task shifting (moving appropriate responsibilities to other qualified team members), physician extension models, patient navigation, restructuring staffing to meet patient-centered medical home standards, integrating community health workers into the care team, and broader interprofessional team-based care approaches. The intended result is a workforce that is more prepared to identify people living with HIV (PLWH), link them to care, keep them engaged in care, and support viral load suppression.
The ETAC role is framed as having three major responsibilities across the life of the initiative. First, the ETAC must provide ongoing technical assistance to the demonstration projects, helping sites design, implement, and refine their PTMs and troubleshoot barriers as they attempt system-level change. Second, the ETAC must conduct a rigorous, multi-site evaluation of both implementation and outcomes, looking at how well these staffing and workforce models work in real-world primary care and community health settings. HRSA emphasized that applicants should propose a theory-based evaluation design, meaning the ETAC should lay out a clear logic model for how each PTM is expected to produce improvements (for example, better role alignment leading to more timely visits, improved retention, and ultimately higher viral suppression rates). Third, the ETAC must lead publication and dissemination, coordinating the production of products that allow other organizations to replicate successful models, understand lessons learned, and adopt best practices.
A key expectation in the evaluation is that it should not only measure outcomes, but also account for the changing healthcare environment and the real-world conditions that affect whether workforce models can succeed and be replicated elsewhere. That includes factors such as shifting reimbursement and delivery system reforms, evolving primary care expectations, organizational readiness for change, and local workforce availability. In other words, HRSA wanted the ETAC to help determine not just whether a model works, but under what circumstances it works, what it costs in time and staffing, what implementation supports are needed, and what barriers commonly arise when attempting to integrate HIV care into broader primary care workflows.
This was offered as a cooperative agreement, which signals substantial federal involvement during the project period. The ETAC would be expected to work closely with the SPNS program, particularly around evaluation planning, data collection expectations, and cross-site coordination. The project was designed for up to four years of support, with one expected award. Estimated total funding was $550,000, with an award ceiling of $550,000 and no cost sharing or matching requirement.
Eligibility was broad across public and nonprofit sectors and included state and local governments, 501(c)(3) nonprofits (other than institutions of higher education), tribal governments and tribal organizations, and other entities described in the announcement. The eligibility information also specifically referenced community health centers supported under Section 330 of the Public Health Service Act, federally qualified health centers as described in Medicaid law, and faith-based and community-based organizations, reflecting the program focus on community healthcare settings.
In practical terms, this opportunity funded the backbone organization responsible for making a national, multi-site workforce transformation initiative coherent and useful: helping sites implement complex staffing changes, producing credible evidence on what improves HIV care continuum outcomes, and packaging those findings into guidance that other clinics can adopt. The broader policy goal is to expand access to well-trained and diverse HIV care teams, reduce reliance on scarce specialists by using team-based approaches more effectively, and improve the likelihood that PLWH move successfully through diagnosis, linkage, retention, treatment, and viral suppression, supporting the longer-term vision of dramatically reducing new infections and HIV-related morbidity. Key dates for this archived opportunity were a posted date of January 10, 2014 and a closing date of March 10, 2014.
FAQs: HRSA Ryan White HIV/AIDS Program SPNS ETAC Grant (HRSA-14-058, FY 2014)
What is this grant opportunity (HRSA-14-058) funding?
This opportunity funded one organization to operate as a national Evaluation and Technical Assistance Center (ETAC) under the Ryan White HIV/AIDS Program Special Projects of National Significance (SPNS). The ETAC was intended to strengthen workforce capacity in community-based healthcare settings so HIV primary care can be better integrated into routine primary care, especially in organizations serving vulnerable and underserved populations.
How many awards were expected under this announcement?
HRSA expected to make one award.
What is the total funding amount and maximum award size?
The estimated total funding was $550,000, and the award ceiling was $550,000.
Is cost sharing or matching required?
No. There was no cost sharing or matching requirement.
What is the project period (duration of support)?
The project was designed for up to four years of support.
What type of funding mechanism is this?
This opportunity was offered as a cooperative agreement, meaning substantial federal involvement was expected during the project period.
What does "cooperative agreement" imply for how the work is carried out?
A cooperative agreement signals that the ETAC would be expected to work closely with HRSA SPNS staff, particularly around evaluation planning, data collection expectations, and cross-site coordination.
What is the central problem this initiative is trying to address?
The initiative is centered on a growing mismatch in many communities between HIV care needs and the supply of HIV specialist physicians. The project focuses on helping clinics respond by changing care team structures and distributing work across roles more effectively.
What are "Practice Transformative Models" (PTMs) in this initiative?
PTMs refer to practical, system-level staffing and workflow changes intended to make care more efficient while improving outcomes along the HIV Care Continuum. These are real-world changes to how teams function in primary care and community health settings.
What are examples of PTMs mentioned in the announcement?
Examples described include task shifting, physician extension models, patient navigation, restructuring staffing to meet patient-centered medical home standards, integrating community health workers into the care team, and broader interprofessional team-based care approaches.
Is this grant directly funding clinics to provide services?
No. HRSA did not intend to fund multiple service sites directly through this announcement. Instead, HRSA intended to fund a single national-level ETAC.
If this grant does not fund service sites, who does the ETAC support?
The ETAC was intended to support and study a separate set of up to 15 demonstration projects funded under another announcement (HRSA-14-055).
What are the ETAC's main responsibilities?
The ETAC role was described as having three major responsibilities across the life of the initiative: (1) provide ongoing technical assistance to demonstration projects, (2) conduct a rigorous, multi-site evaluation of implementation and outcomes, and (3) lead publication and dissemination so others can replicate successful models and adopt best practices.
What kinds of technical assistance was the ETAC expected to provide?
The ETAC was expected to help demonstration sites design, implement, and refine their PTMs, and to troubleshoot barriers that arise when attempting system-level change in staffing and workflows.
What is meant by a "rigorous, multi-site evaluation" in this context?
The evaluation was expected to examine both implementation (how models are put into practice across different settings) and outcomes (how well staffing and workforce models perform in real-world primary care and community health environments).
Was the ETAC expected to use a specific evaluation approach?
HRSA emphasized that applicants should propose a theory-based evaluation design, including a clear logic model explaining how each PTM is expected to lead to improvements (for example, better role alignment leading to more timely visits, improved retention, and higher viral suppression).
What outcomes was the initiative trying to improve?
The intended result was a workforce more prepared to identify people living with HIV (PLWH), link them to care, keep them engaged in care, and support viral load suppression. The broader focus is on improving outcomes along the HIV Care Continuum.
What is the HIV Care Continuum focus described in the opportunity?
The initiative emphasizes steps such as identification/diagnosis of PLWH, linkage to care, retention/engagement in care, treatment, and achieving viral load suppression.
Did HRSA expect the evaluation to consider real-world context and change over time?
Yes. HRSA expected the evaluation to account for the changing healthcare environment and conditions that affect whether workforce models can succeed and be replicated elsewhere.
What contextual factors did HRSA want considered in the evaluation?
Examples include shifting reimbursement and delivery system reforms, evolving primary care expectations, organizational readiness for change, and local workforce availability.
Beyond "does it work," what else was the evaluation expected to determine?
HRSA wanted the ETAC to help determine under what circumstances a model works, what it costs in time and staffing, what implementation supports are needed, and what barriers commonly arise when integrating HIV care into broader primary care workflows.
What was the ETAC expected to do around dissemination and publication?
The ETAC was expected to coordinate publication and dissemination and produce products that enable other organizations to replicate successful models, understand lessons learned, and adopt best practices.
Who was eligible to apply?
Eligibility was broad across public and nonprofit sectors and included state and local governments, 501(c)(3) nonprofits (other than institutions of higher education), tribal governments and tribal organizations, and other entities described in the announcement.
Were community health centers and federally qualified health centers specifically referenced in eligibility?
Yes. The eligibility information specifically referenced community health centers supported under Section 330 of the Public Health Service Act and federally qualified health centers as described in Medicaid law.
Were faith-based and community-based organizations included?
Yes. Faith-based and community-based organizations were explicitly referenced, consistent with the focus on community healthcare settings.
What is the relationship between HRSA-14-058 and HRSA-14-055?
HRSA-14-058 was for the national ETAC. The ETAC would support and evaluate up to 15 demonstration projects that were funded under a separate announcement, HRSA-14-055.
What is the practical purpose of funding an ETAC rather than multiple sites under this announcement?
The intent was to fund a backbone organization responsible for making a national, multi-site workforce transformation initiative coherent and useful by supporting implementation, producing credible evidence, and packaging findings into guidance other clinics can adopt.
What broader policy goal is tied to this initiative?
The broader goal is to expand access to well-trained and diverse HIV care teams, reduce reliance on scarce specialists by improving team-based approaches, and increase the likelihood that PLWH move successfully through diagnosis, linkage, retention, treatment, and viral suppression, supporting a longer-term vision of reducing new infections and HIV-related morbidity.
What were the key dates for this opportunity?
The posted date was January 10, 2014, and the closing date was March 10, 2014.
Is this opportunity current or archived?
Based on the FY 2014 timing and the listed 2014 posted and closing dates, the opportunity is described as an archived opportunity.
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