WELCOME CEI RFA Applicant Conference December 14 2007

WELCOME CEI RFA Applicant Conference December 14, 2007

STAFF of the DAY Bruce Agins, MD, MPH – Medical Director of the AIDS Institute n Eunmee Chun, MD – Clinical Director – CEI n Howard Lavigne – Deputy Director – CEI n Dawn Marble-Biernacki, MBA – OMD Fiscal Administrator (Albany Site Facilitator) n Elizabeth Fairweather – Assistant Director of AI Administration & Contracts n

AGENDA Welcome & Background n Applicant Eligibility Requirements and Preferences n Administrative Requirements n Scope of Program: Description of Centers n Completing the Application n Review Process n Questions n

Background

Minimum Eligibility Requirements n Applications will be accepted from the following not-for profit organizations: n Designated AIDS Centers n Academic Medical Centers n Special Needs Plans (SNPs) n *Community-based & professional organizations may apply for Center F only (Resource, Referral and Evaluation) n Applicants must be located in New York State.

General Program Requirements n n n n Staff experience and skill providing HIV clinical education Ability to integrate clinical education priorities and AI HIV Guidelines Organizational structure Ability to form collaborative relationships with other organizations Participation in CEI program meetings Quality Management Program and fiscal reporting to the AIDS Institute

Preferred Eligibility Requirements Center A: Clin Ed for Upstate Providers n n n Experience providing HIV clinical care and clinical education Organizational capacity and resources to plan, develop and implement HIV clinical education throughout upstate NY **Applicants must be located in one of the upstate counties listed in Attachment 10

Preferred Eligibility Requirements Center B: PEP, Testing & Diagnosis n n Experience providing HIV clinical care and clinical education Organizational capacity and resources to plan, develop and implement HIV clinical education throughout NYS Experience providing education and consultation about PEP for adults, adolescents and children Expertise in HIV testing technology

Preferred Eligibility Requirements Center C: Prevention & Substance Use n n n Experience providing HIV clinical care and clinical education Organizational capacity and resources to plan, develop and implement HIV clinical education throughout NYS Experience providing HIV clinical education about prevention and substance abuse

Preferred Eligibility Requirements Center D: Mental Health n n n Experience providing HIV clinical care and clinical education Organizational capacity and resources to plan, develop and implement HIV clinical education throughout NYS Established HIV mental health education and training program

Preferred Eligibility Requirements Center E: Technology n Technical expertise and capacity to develop a multi- media, web-based educational program

Preferred Eligibility Requirements Center F: Resource, Referral, Evaluation No Preferred Eligibility Requirements n See Minimum Eligibility Requirements: Non-profit DAC, academic medical center, SNP, community-based organization or professional organization n

Center A: Clin Ed for Upstate Providers Award Amount: $400, 000 n Target Audience: n Frontline HIV primary care providers - outpatient n AI-funded health centers that have received continuous CEI training and education n Upstate counties listed in Attachment 10, with the exception of Westchester and Rockland counties n Members of the clinical team: physicians, PAs, NPs, RNs, dentists, pharmacists n

Clin Ed for Upstate Providers (cont’d) n Location of clinical education activity: n n n On-site trainings as often as possible Regional conferences and workshops (up to 50%) Clinical Education Model: n n n Brief educational assessments CME credits Didactic instruction and case-based lectures AI HIV Clinical Guidelines Coordination with other CEI Centers

Clin Ed for Upstate Providers (cont’d) n Curriculum: Clinical management of HIV disease n Diagnosis and management of OIs and other complications n Diagnosis, management, prevention of STIs n Gynecologic and obstetric care n Adolescent and pediatric care n n CEI Line: Toll-free, state-wide, 24 -hour telephone consultation line

Clin Ed for Upstate Providers (cont’d) n Program Staff: Medical Director n Clinical Education Manager n

Center B: PEP, Testing and Diagnosis Award Amount: $300, 000 n Target Audience: n Emergency Rooms n Urgent Care Centers n Occupational Health Departments n Family planning clinics n STD clinics n Local Health Departments n Other n

PEP, Testing and Diagnosis (cont’d) n Target Audience, cont. n n Members of the clinical team: Physicians, PAs, NPs, RNs, dentists, pharmacists Location of clinical education activity: On-site at trainees’ facility n Conference, lectures, workshops n

PEP, Testing and Diagnosis (cont’d) n Clinical Education Model: Outreach and promotion to reach a wide range of care providers in different settings n Consistency with AI HIV Clinical Guidelines and OSHA protocols n CME credits n Collaboration with other CEI centers and professional organizations n Program evaluation, Quality Management n

PEP, Testing and Diagnosis (cont’d) n Curriculum: Integration of HIV testing into routine health care for adults and adolescents n HIV testing technology n Identification and management of acute HIV infection n Management of PEP and n. PEP for adults, adolescents and children n Policy issues n

PEP, Testing and Diagnosis (cont’d) n PEP-Line: State-wide, toll-free, 24 -hour consultative support for management of PEP and n. PEP n Response required within 20 minutes n n Program Staff: Medical Director n Clinical Education Manager n

Center C: Prevention & Substance Use Award Amount: $300, 000 n Target Audience: n Frontline HIV primary care providers in outpatient settings n Members of the clinical team: Physicians, PAs, NPs, RNs, dentists, pharmacists n n Location of clinical education activity: On-site at trainees’ facility n Conference, lectures, workshops n

Prevention & Substance Use (cont’d) n Clinical Education Model: Outreach and promotion n Development of education plan n CME credits n Didactic instruction and case-based lectures n Collaboration with other CEI centers and professional organizations n Program evaluation, Quality Management n

Prevention & Substance Use (cont’d) n Curriculum: Prevention Integration of prevention into primary care n Conducting risk assessments n Evidence-based prevention interventions n Provider communication skills n Prevention of secondary disease n

Prevention & Substance Use (cont’d) n Curriculum: Substance Use Diagnosis and screening for substance use and abuse n Substance use treatment modalities n Management of alcohol use and abuse n Smoking Cessation n Drug-drug interactions n Behavioral interventions n Adherence n Substance use and mental illness n

Prevention & Substance Use (cont’d) n Program Staff: Medical Director n Clinical Education Manager n

Center D: Mental Health Award Amount: $100, 000 n Target Audience: n Frontline HIV primary care providers in outpatient settings n Members of the clinical team: Physicians, PAs, NPs, RNs, dentists, pharmacists n n Location of clinical education activity: On-site at trainees’ facility n Conference, lectures, workshops n

Mental Health (cont’d) n Clinical Education Model: Outreach and promotion n Development of education plan n CME credits n Didactic instruction and case-based lectures n Collaboration with other CEI centers and professional organizations n Program evaluation, Quality Management n

Mental Health (cont’d) n Curriculum: Screening for mental health disorders n Mental illness and personality disorders n PTSD n Depression and suicide n Managing difficult behaviors n SPMI n Adherence n Medication interactions n Health care system issues n

Mental Health (cont’d) n Program Staff: Medical Director n Clinical Education Manager n

Center E: Technology n Award Amount: $343, 000 n Website Development: www. hivguidelines. org, hosted by Johns Hopkins n Expand current CEI section of website using existing web interface n Design organizational framework, edit, maintain and update content n Assist other centers in developing and posting materials to website n

Technology (cont’d) n Multi-Media Clinical Education materials: Integrate emerging clinical education priorities and AI HIV Clinical Guidelines n Develop webcasts, slide sets and other modalities n CME credits n n Target Audience: n Clinicians providing HIV care who are able to access the internet

Technology (cont’d) n Content: Clinical topics covered by AI HIV Clinical Guidelines n Clinical education and training information (in collaboration with Resource, Referral and Evaluation Center) n n Outreach: n Develop an outreach plan to increase provider awareness of the site with mechanisms to update users on new site content

Technology (cont’d) n Program Staff: Administrative Director n Project Manager n Production Manager n

Center F: Resource, Referral, Evaluation n Award Amount: $150, 000 n HIV Education and Training Resources: Centralized information source of HIV education and training opportunities throughout the state: CEI, AETC, grand rounds, conferences and workshops by professional organizations, etc. n Toll-free phone line and email account n Outreach n

Center F: Resource, Referral, Evaluation n Referrals: Solicit and manage requests from communitybased providers n Assist in developing an agency-based education plan for staff n n Resource Guide: n Develop and AIDS Clinical education and training resource guide for providers

Resource, Referral, Evaluation (cont’d) n CEI Program Evaluation: Development of the evaluation methodology to assess outcomes and impact of clinical education provided by CEI n Standardize data collection instruments, develop protocols for data submission, quality assurance procedures, report on aggregate data n Update existing CEI reporting database n

Resource, Referral, Evaluation (cont’d) n Program Staff: n Program Manager

Completing the Application n General Format: Application should not exceed twenty-five (25) double-spaced pages n Page limit does not include budget, budget justification, and all attachments n 12 -pitch type font n One-inch margins on all sides n **Non-compliance with format requirements may result in the deduction of up to 5 points n

Completing the Application Components 1. 2. 3. 4. 5. 6. Program Summary Agency Description & Mission Statement of Need Program Activities Evaluation Budget

Completing the Application n Respond to each of the statements and questions in the Application Instructions for Centers ( Section VII-B. ) n Number/letter your narrative to correspond to each statement and question in the order presented.

Completing the Application Additional Required Documents n n n n Application Cover Sheet (Attachment 2) Letter of Commitment Letters of Commitment from any subcontractors Staff Form (Attachment 4) Budget Forms (Attachment 5) Budget Justification Narrative Vendor Responsibility Questionnaire and Attestation

Completing the Application Additional Required Documents (cont’d) n n n Application Checklist (Note: Error) Curriculum Vitae for all program staff Timeline for program implementation and clinical education activities Letters of Agreement from collaborating organizations Policy and Procedure for management of CEI-Line (A) Policy and Procedure for management of PEP-Line

Review Process 1. 2. 3. 4. 5. 6. Program Summary Not Scored Agency Description & Mission 10 points Statement of Need 10 points Program Activities 50 points Evaluation 10 points Budget 20 points

Review Process n n Applications will be reviewed and evaluated using an objective rating system reflective of the required items specified for each section. A panel convened by the AIDS Institute will conduct a review of applications from eligible applicants. The review team will base its scoring on the maximum points indicated for each section. Application with the highest acceptable score for each Center will receive the award.

Review Process n Reviewers will consider the following factors: Clarity of applications n Responsiveness to the RFA n Agency capacity n Demonstration of sound training plan n Applicants access to target audience n Comprehensiveness of program design n Appropriateness of evaluation strategy n Justification for costs in budget n