Health Resources and Services Administration HIV/AIDS Bureau Division of Training and Capacity Development HIV Education Branch

Pre-Application Technical Assistance Call AETC Education for Nurse Practitioners and Physician Assistants

Competitive Grant Application: #HRSA-13-253

January 31, 2013, 1:00 - 3:00 PM EST

Slide 2

Welcome and Introductions

Barbara Aranda-Naranjo Director, DTCD

Rafi Morales Deputy Director, DTCD

Diana Travieso Palow Branch Chief, DTCD

Bob Settles Sr. Policy Advisor, DTCD

Andrea Knox Project Officer, DTCD

Dieunita Gamliel Project Officer, DTCD

Adejumoke Oladele HRSA Grants Management Specialist

Slide 3

Call Agenda and Objectives

Background

Program Requirements and Expectations

Application – Format and Order

Review and Selection Process

Application Submission

Contacts

Questions & Answers

Slide 4

Background Purpose AETC Education for Nurse Practitioners and Physician Assistants

The intention of this funding opportunity is to establish Nurse Practitioner and Physician Assistant HIV/AIDS primary care specialty education tracks designed to train nurse practitioners and physician assistants in HIV/AIDS care and treatment.

Slide 5

Background HRSA Strategic Goals http://www.hrsa.gov/about/strategicplan.htm

Improve access to health care

Improve health outcomes

Improve the quality of health care

Eliminate health disparities

Improve public health & health care systems

Enhance ability of health care system to respond to Public Health emergencies

Achieve excellence in management practices

Slide 6

Background AIDS Education and Training Centers Program (AETC Program)

Professional training arm of Ryan White HIV/AIDS Program recently reauthorized as the Ryan White Treatment Extension Act of 2009.

National network of educators and trainers with expertise in clinical diagnosis, treatment and management of patients with HIV/AIDS and its related health conditions.

Focus on training and educating health professionals who treat people living with HIV/AIDS, with a special emphasis on clinicians who are themselves of minority racial/ethnic background and/or are serving minority populations, including Native Americans.

Slide 7

Background Collaboration with Regional and National AETCs

11 Regional AETCs

National centers that support & complement regional AETCs

National Multicultural Center (NMC)

National Resource Center (NRC)

National HIV/AIDS Clinicians’ Consultation Center (NCCC)

National Evaluation Center (NEC)

National Center for HIV Care in Minority Communities (NCHCMC)

Other Partners

Federal Training Centers Collaborative (FTCC)

AETCs are required to work together to enhance their individual roles and performance within this network.

Slide 8

Background Summary of Funding Opportunity

This program will provide funding during Federal fiscal years 2013-2017. Approximately $1,550,000 is expected to be available annually to fund at least five (5) grantees. Applicants may apply for a ceiling amount of up to $350,000 per year. The period of support is five (5) years.

Start Date: July 1, 2013

Project Period: July 1, 2013 – June 30, 2017

Funding beyond the first year is dependent on:

Availability of appropriated funds in subsequent fiscal years

Grantee satisfactory performance

Decision that funding is in the best interest of the Federal government

Slide 9

Primary Target: Nurse Practitioner/Physician Assistant programs

Collegiate schools of nursing,

nursing centers,

academic health centers, including allopathic or osteopathic medical schools

State or local governments,

and other public or private nonprofit entities accredited by a national nurse education accrediting agency recognized by the Secretary of the U.S. Department of Education

Background Targeted Groups

Slide 10

Background Pilot Sites program requirements

First year of funding:

Planning phase and curricula development

Years two through five (2-5) of funding:

Conducting HIV-track clinical training with Primary Care Nurse Practitioner/Physician Assistant students

* There is a HRSA/HAB expectation that the program will be financially self-sustaining by the end of the fifth year to ensure that the curricula created with FOA will continue beyond the funded project period.

Slide 11

Program Expectations

Organizational Structure

Expertise/Experience

Management Capacity

Governance

Key Organization Partnerships

Cultural Requirements

Performance Measures

Slide 12

Application Format: Section IV/Guidance

i. R&R Budget Sections (A-K)

ii. Table of Contents

iii. Application Checklist

iv. Budget

v. Budget Justification

vi. Staffing Plan and Personnel Requirements

vii. Assurances

viii. Certifications

ix. Project Abstract

x. Program Narrative

Your application includes:

Items in RED discussed in following slides.

Slide 13

Application iv: Budget

R&R Budget Section Research & Related (Sections A-K)

Detailed Budget

Budget Justification

Slide 14

Application Budget: R&R Budget Sections A&B Sample

Slide 15

Application Budget: R&R Budget Sections C-E Sample

Slide 16

Application Budget: R&R Budget Sections F-K Sample

Slide 17

Application Budget: R&R Budget Sections Explained

Detailed Budget Standard Budget Categories o Personnel costs which

includes salary + fringe benefits (Include all staff to be paid for by this grant)

o Consultants

o Travel

o Equipment

o Supplies

o Contractual (subcontractors)

o Other

o Indirect costs

Includes Detailed Budget For 12-Month Budget Period (1 page). One-year budgets for each subsequent budget period must be submitted

Slide 18

Application v: Budget Justification: R&R Budget sections A-K

Explains line items included in R&R Budget sections A-K, Detailed Budget, Year One.

Describe each cost element and explain how each cost contributes to meeting the project’s objectives/goals. Be very careful about showing how each item in the “other” category is justified.

For subsequent budget years, highlight any changes from year one or clearly indicate that there are no substantive budget changes during the project period.

MUST be concise. Do NOT use the justification to expand the project narrative.

*Don’t forget - Award funds may not be used to pay the salary of an individual at a rate in excess $179,700 (P.L. 112-74); also applies to subawards/subcontracts.

Slide 19

International training activities and travel expenses

Construction costs

To supplant training and education activities that should be provided as part of the mission of a grantee or sub-grantee institution.

To supplant funds for educational efforts that should be supported by private industry or other public agencies.

Application What Funds Cannot Be Used For

Slide 20

Application General Budget Advice

Read the FOA carefully.

Keep names, titles, and time allocations on detailed line-item budget (Standard Form R&R Budget Section forms) match the figures on the budget justification pages. This includes figures for up to five (5) years of the project.

Have more than 1 person review the submitted application. Especially have a business representative review and finalize the detailed budget figures and the budget justification pages.

Be sure the technical proposal and the budget are consistent and track to each other.

Slide 21

Application vi: Staffing Plan (Attachment 2)

Includes all staff for this project, including but not limited to: Principal Investigator

Project Director

Administrator/Dean

Faculty

Project Evaluator

Also may include other individuals who contribute to the development or execution of a project in a substantive, measurable way, whether or not they receive salaries or compensation under the grant.

Provide position name, education & experience/qualifications, rationale for time being requested for each staff position.

Slide 22

Application ix: Project Abstract *

Proposed grant project Needs to be addressed Proposed services Targeted Population Place the following at the top of the abstract:

Project Title Applicant Organization Name Address Project Director Name Contact Phone Numbers (Voice, Fax) E-Mail Address Web Site Address, if applicable *If appropriate include request for funding preferences on this page

Must be single-spaced and limited to one page in length. Include description of:

Slide 23

Application x: Program Narrative

Seven Parts:

Introduction

Needs Assessment

http://hab.hrsa.gov/stateprofiles/index.htm

Methodology

Work Plan (Attachment 1)

Resolution of Challenges

Evaluation and Technical Support Capacity

Organizational Information .

Slide 24

Application Work Plan Table Components

Attachment 1: AETC Master Work Plan Goals

Objectives

Action Steps

Staff Responsible

Timeline for Action Steps

Measurable outcomes

Please provide a work plan, in a table format with all five years included.

Application Work Plan: SAMPLE AETC Master Work Plan

GOAL 2. To XXXX

KEY NEEDS ASSESSMENT FINDINGS SUPPORTING THIS GOAL: • An ongoing XXXX

OBJECTIVE 2.1:

KEY ACTION STEPS TARGET RESPONSIBLE EVALUATION TOOL/

MEASURABLE STATUS

DATES PARTY OUTCOMES

2.1.1

OBJECTIVE 2.2:

KEY ACTION STEPS TARGET RESPONSIBLE EVALUATION TOOL/MEASURABLE STATUS

DATES PARTY OUTCOMES

2.2.1

GOAL 3. To XXXX

KEY NEEDS ASSESSMENT FINDINGS SUPPORTING THIS GOAL:

• An ongoing XXXX

OBJECTIVE 3.1:

KEY ACTION STEPS TARGET RESPONSIBLE EVALUATION TOOL/ MEASURABLE STATUS

DATES PARTY OUTCOMES

3.1.1

Slide 26

Application Work Plan: Year 1 and Beyond

Scope of work for this grant changes after year 1 of project period. Please provide Work Plan that addresses goals/objectives/action steps for activities to be conducted during that first year.

Activities in Years 2 and subsequent years, should address changes in scope of work. Please add a section on to the end of the Work Plan that indicates that it covers a certain year’s anticipated changes from Year 1.

Slide 27

Application Work Plan: Areas to Address

Reminder: include in the work plan a projection of the number of students to be enrolled in the program; The minimum number of students is outlined in the Evaluation and Technical Support section of the FOA

Slide 28

Application Work Plan: Tips

SPECIFIC

MEASURABLE

ACHIEVABLE

REALISTIC &

TIME FRAMED!

Your Work Plan should include objectives and key action steps that are:

Slide 29

Application Evaluation Plan

The evaluation plan should be used to:

Assess and modify education and training activities

Monitor and ensure quality administrative and fiscal management

Manage, collect, utilize and report program data

Provide outcome information for this project

Slide 30

Application Attachments

Attachment 1 – Work Plan

Attachment 2 – Staffing Plan

Attachment 3 – Organizational Chart

Attachment 4 – MOU/Letters of Agreement

Attachment 5 – Documentation of Accreditation

Attachment 6 – Explanation of Federal debt (where applicable)

Attachment 7 – Other Relevant Documents, as necessary

Slide 31

Review and Selection Process

The Division of Independent Review (DIR) is responsible for managing objective reviews within HRSA.

Applications competing for Federal funds receive an objective and independent review performed by a committee of experts (ORC) qualified by training and experience in particular fields or disciplines related to the program being reviewed.

Applications that pass the initial HRSA eligibility screening will be reviewed and rated by a panel based on the program elements and review criteria.

The competitive objective review process is based solely on the merits of the application. It is critical that the applicant paint a clear picture of the approach and the specific work plan proposed and the capabilities that the applicant brings to the work.

Slide 32

Review and Selection Process Review Criteria

100 points total

Need – 10 points

Response – 20 points

Evaluative Measures – 20 points

Impact – 15 points

Resources/Capabilities – 20 points

Support Requested – 15 points

Slide 33

Review and Selection Process Funding Preference/Consideration

Funding Preference

Applicants receiving preference will be placed in a more competitive position among applications that can be funded.

Request for funding preference must be specifically requested in writing in the abstract and all three criteria must be met:

Qualification 1: Training of Minority Serving Health Professionals (nurse practitioner candidates)

Qualification 2: Training of Minority Health Professionals (nurse practitioner candidates)

Qualification 3: Training for Health Professionals to Provide Treatment of Hepatitis B or C Co-infection

Funding consideration will also include the geographic coverage for all local and state jurisdictions among the pool of selected grantees so as to ensure that the program retains its national scope.

Slide 34

Application Submission Registration Requirements

Obtain a Data Universal Numbering Systems number (DUNS)

Register with the System for Award Management (SAM)

Identify the organization’s E-Business Point of Contact (E-Biz POC)

Confirm the organization’s SAM registration is active and the “Marketing Partner ID Number (M-PIN)” is current.

Register an Authorized Organization Representative (AOR)

Obtain a username and password from the Grants.gov Credential Provider

Register online at www.Grants.gov

Registration can take at least one month: Start Now!

Slide 35

Application Submission Format Requirements

The total size of all uploaded files may not exceed the equivalent of 80 pages when printed by HRSA or a total file size of approximately 10 MB.

This 80-page limit includes the abstract, project and budget narratives, attachments, and letters of commitment and support. Standard forms are NOT included in the page limit.

Applications that exceed the specified limits (that exceed the equivalent of 80 pages when printed by HRSA or 10 MB file size) will be deemed non-compliant.

Slide 36

Application Submission Grant Writing Tips

Preparing a Federal grant application can be very time consuming.

First, read the Guidance all the way through.

See the reference guide for writing a solid application, attached to the guidance.

Don’t go over the page limit (includes all pages except the forms you download). If you exceed the page limit, your application will not be reviewed.

Slide 37

Application Submission Due Date

AND, most of all, … Be On Time!

Electronic applications

must be received by:

8 PM, ET on March 22, 2013

Slide 38

Contacts

Program Questions

Diana Travieso Palow (301)443-4405 DPalow@hrsa.gov

Budget Questions Adejumoke Oladele (301)443-2441 Aoladele@hrsa.gov

TARGET Center Website: http://targethiv.com/