Comprehensive HIV Prevention Services

Request for Proposal Pre-Proposal Conference

Friday, June 28, 201310:00am

8000 N. Stadium Drive, 4th FloorHouston, TX 77054

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Agenda• Opening and Introduction of City of

Houston Department of Health and Human Services staff

• General Information and Purpose of a Pre-Proposal Conference

• Overview of RFP Process• Houston HIV Epidemiological Overview• Overview of RFP Content• Questions and Answers

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Important Dates

• Date of RFP Issued June 7, 2013• Letter of Intent to Apply June 14, 2013• Pre-Proposal Conference June 28, 2013• Questions Due to COH July 3, 2013• Proposals Due from Offerors July 17, 2013

– 2:00pm CST

• Council Agenda Date (estimated) November 13, 2013

• Contract Start Date (estimated) January 1, 2014

RFP Page 12

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Funding Opportunity Description

• Funding support through CDC PS12-1201– HIV Prevention Projects for Health Departments and City of Houston Community Development Block Grant Funds (CDBG)

• Required and Recommended CDC Components for Comprehensive HIV Prevention

• Funding Project Period (estimated): January 1, 2014 through December 31, 2014

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Funding Opportunity Description

• Funds under this RFP are being made available to support the National HIV/AIDS Strategy, CDC’s High Impact HIV Prevention and the Houston Area Comprehensive HIV Prevention and Care Services Plan for 2012 through 2014 – The plan is available on the Houston

Department of Health and Human Services website: http://www.houstontx.gov/health/HIV-STD/preventionplanning.html

National HIV/AIDS Strategy For The United States, July 2010

• On July 13, 2010, the White House released the National HIV/AIDS Strategy (NHAS). This ambitious plan is the nation’s first-ever comprehensive coordinated HIV/AIDS roadmap with clear and measurable targets to be achieved by 2015.

• Intended to refocus existing efforts and deliver better results within current funding levels, as well as make the case for new investments.

• It is also a new attempt to set clear priorities and provide leadership for all public and private stake-holders to align their efforts toward a common purpose.

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Three Primary Goals of the Strategy

• Reducing the number of people who become infected with HIV;

• Increasing access to care and optimizing health outcomes for people living with HIV; and,

• Reducing HIV-related health disparities

**Achieve a more coordinated national (LOCAL) response

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Funding Opportunity Description

• Goals:– Focus HIV prevention efforts in communities where HIV is most

heavily concentrated to achieve the greatest impact in decreasing the risks of acquiring HIV.

– Increase HIV testing.– Increase access to care and improve health outcomes for

people living with HIV by linking them to continuous and coordinated quality care and much needed medical, prevention and social services.

– Increase awareness and educate communities about HIV and STDs and how to prevent transmission.

– Expand targeted efforts to prevent infections using a combination of effective, evidence-based approaches, including delivery of integrated and coordinated biomedical, behavioral, and structural HIV prevention interventions.

– Reduce HIV-related disparities and promote health equity.

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Prioritized Risk Groups• Priority Populations for the 2012-2014

Houston Area for HIV Prevention as outlined in the Prevention and Care Services Plan are: – Men– HIV+ Individuals– Needle-sharing, incl. Injection Drug Users (IDU)– Transgender– Women, incl. pregnant women and those of

childbearing age– Youth (age 13 – 24), incl. Adolescents (age 13

-17)RFP Page 19

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Available Funding

• Approximately The HDHHS Bureau of HIV/STD and Viral Hepatitis Prevention plans to purchase HIV/STD Prevention Services totaling approximately $2 million under this RFP.

• Funding in subsequent years are contingent upon:– Availability of funding– Acceptable programmatic and fiscal

performance– Houston Area Comprehensive Plan strategies

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Minimum Mandatory Eligibility Requirements

1. Proposer is a public entity, or a university or research institution, or a 501(c)(3) private non-profit provider. One of the following documents must be included among the proposal attachments as acceptable evidence of non-profit status:– A copy of a currently valid IRS tax exemption certificate;– A reference to the applicant organization’s listing in the

Internal Revenue Service’s most recent list of tax-exempt organizations described in Section 501(c)(3) of the IRS Code; or

– A statement from a state taxing body, State Attorney General, or other appropriate state official certifying that the applicant organization has a non-profit status and that none of the net earnings accrue to any private shareholders or individuals.

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Minimum Mandatory Eligibility Requirements

2. Proposer must certify intent to comply with all applicable local, State and federal client-level reporting requirements, including, but not limited to, intent to use the Electronic Client-Level Integrated Prevention System (ECLIPS).

3. Proposer must certify intent to deliver HIV/STD Prevention Services at hours that maximize service delivery and are consistent with client need. Evening service delivery hours will be necessary as will be a departure from the traditional 9:00 am to 5:00 pm Monday through Friday service delivery schedule;

4. Proposer must comply with the proposal format and requirements set forth in the Proposal Submission Requirements section of this RFP.

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Four Category ComponentsCATEGORY 1: HIV Health Education/Risk Reduction Counseling ($300,000)

– two (2) and three (3) programs between $100,000 and $200,000

CATEGORY 2: HIV Counseling, Testing and Referral Services including Syphilis Elimination ($1,100,000)

– Up to three (3) HIV testing programs in clinic-based (traditional) settings between $100,000 and $150,000 each.

– Up to five (5) HIV testing programs in community-based venues (non-traditional settings) between $100,000 and $150,000 each.

– Up to five (5) HIV testing programs in outreach settings including mass testing day events (non-traditional settings) between $100,000 and $150,000 each.

CATEGORY 3: Social Marketing ($300,000) – up to two (2) social marketing projects

CATEGORY 4: School-Based Programs ($300,000) – up to two (2) school-based structural intervention prevention programs

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Category 1: Health Education/Risk Reduction

• Includes outreach, individual-level interventions, group-level interventions and community-level interventions consistent with the definitions and descriptions provided below.

• Intended to increase knowledge, awareness and skills to decrease the prevalence of HIV risk behaviors, to maintain and reinforce risk reduction behaviors and create community norms and values that support HIV risk reduction efforts, learning of one’s HIV status and disclosure of HIV status, when appropriate.

• Will secondarily serve as a vehicle to refer HIV at risk persons of unknown HIV status to available HIV counseling and testing, and social support services.

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Category 1: Health Education/Risk Reduction

HE/RR Definitions:•Tailoring Services Based on HIV Status•Recruitment•Individual-Level Interventions

– Risk-Reduction Counseling– One-on-One Internet Risk Reduction Counseling

•Group-Level Interventions (scalable)– Group Risk-Reduction Counseling

– Peer Health Education•Community-Level Interventions

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Category 2: HIV Counseling, Testing, and Referral Services including Syphilis

Elimination

Includes the following:

•Risk assessment, rapid and conventional HIV-antibody testing, disclosure counseling, post-disclosure counseling, partner counseling, referral services and social networks targeted to persons of unknown HIV status.

•Funding under this category will emphasize confidential HIV testing services and will support HIV testing in settings such as community-based venues, outreach settings, and mass testing days. All HIV CTR programs will be required to concurrently test for Syphilis when testing for HIV.

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Category 2: HIV Counseling, Testing, and Referral Services including Syphilis

Elimination

CTR Definitions

•Components of CTR–Risk Assessment–Prevention Counseling (Initial) Session–HIV Test–Disclosure Counseling (Follow-Up) Session–Post-Disclosure Counseling Session –Partner Elicitation–Linked Referrals

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Category 2: HIV Counseling, Testing, and Referral Services including Syphilis

Elimination

CTR Definitions

•CTR Interventions–Targeted HIV Screening–Protocol-Based Counseling

•De-Linking Counseling and Testing•HIV Testing Technologies

–Conventional HIV Testing–Rapid HIV Testing

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Category 2: HIV Counseling, Testing, and Referral Services including Syphilis

Elimination

Settings for CTR Services:

•Community-Based– Outreach– Mass Testing Days

•Partner Services–Partner Elicitation–Partner Notification (HDHHS only)

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CATEGORY 3: Social Marketing

• Designed to alter HIV testing and risk reduction behaviors, correct misperceptions and misinformation, and create a supportive environment for communication about what it means to be HIV-positive or HIV-negative.

• This intervention addresses the community norms and other barriers preventing individuals from testing or accessing needed services, including: 1) fear of the impact of an HIV diagnosis, 2) lack of knowledge about testing sites and procedures, and 3) lack of knowledge about the health care system.

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CATEGORY 3: Social Marketing

• Audience Segmentation and Profiling

• 4 “P’s” Analysis

• Emphasize Product Benefits

• Constant Consumer Feedback

• Social Marketing Guidelines–Simplicity–Advisory Panel–Narrative

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CATEGORY 4: School-Based Programs

• May include the development and provision of an innovative HIV/AIDS training program that increases broad school-based support for HIV/AIDS education among school administration, teachers and medical staff, school boards, parent-teacher organizations and parents for comprehensive HIV education and prevention activities for students

• May be done throughout Harris County

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Formatting Instructions• 8.5 by 11-inch paper• Electronically generated• Seven (7) copies of the Proposal,

including one (1) printed original signed in BLUE ink

• Signed by the legal authorized individual to bind the offeror

• Submission in a sealed envelope

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Formatting Instructions

• Organize the application as outlined within this RFP including section and sub-section labels

• Include a table of contents reflecting major categories and corresponding page numbers

• Attach only supporting documentation requested or directly related to the application

• Sequentially number the entire application including all attachments

• No faxes will be accepted

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Evaluation of Applications—Application Scoring

• Evaluation Criteria– Proposed Strategy and Operational Plan

20pts– Expertise/Experience/Qualifications 20pts– Conformance with RFP Requirements 15pts– Financial Strength of Offeror 15pts– Cost 20pts– M/WBE Participation 5pts– Houston First 5pts

Total 100pts

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Submittal Location

City Secretary’s OfficeCity Hall Annex, Public Level900 Bagby StreetHouston, Texas 77002Attn: Marlene McNeese-Ward

*Do Not bring to N. Stadium Drive*May submit by either mail or personal delivery *May submit prior to the deadline

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Successful Applicants will be required to:

• Provide complete and accurate information before contract execution

• Submit quarterly, annual and final progress reports by the required due date

• Submit invoice reimbursement requests at least once per month via ECLIPS

• Participate in all evaluation and quality assurance activities coordinate by the Division

• Comply with CDC HIV Content Guidelines

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Contact Information• Marlene McNeese-Ward-Bureau

Chief of HIV/STD and Viral Hepatitis Prevention, HDHHS Division of Community Health Services– 832.393.4735– Marlene.mcneese-ward@houstontx.gov

Requests for additional information or questions should be addressed to contact listed above no later than July 3, 2013 at 5:00pm CST.

Good Luck and Happy Writing!