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SPNS - Special Projects of National Significance (Part F)

The Special Projects of National Significance (SPNS) Program is charged with development of innovative models of HIV treatment, in order to quickly respond to emerging  needs of clients served by Ryan White HIV/AIDS Programs.  SPNS advances knowledge and skills in the delivery of health and support services to underserved populations diagnosed with HIV infection. Through its demonstration projects, SPNS evaluates the design, implementation, utilization, cost, and health related outcomes of treatment models, while promoting dissemination and replication of successful interventions.  The SPNS program also funds projects to develop standard electronic client information data systems to improve the ability of Ryan White grantees and provider organizations to report client-level data.

To meet program goals, funded organizations must contain a strong evaluation component and disseminate information necessary for effective replication. As grantees develop innovative services, the SPNS Program provides the funding and expertise for grantees to evaluate innovations and disseminate findings to the HIV community.

SPNS Initiatives

Current priority initiatives include the following:

Systems Linkages and Access to Care for Populations at High Risk of HIV Infection Initiative [2011 - 2015]

is a multistate demonstration project and evaluation of innovative models of linkage to and retention in HIV care. The initiative funds seven demonstration states for up to four years to design, implement and evaluate innovative strategies to integrate different components of the public health system, such as surveillance, counseling and testing, and treatment, to create new and effective systems of linkages and retention in care for hard-to-reach populations who have never been in care.  Populations of interest are limited to those persons who at high risk for and/or infected with HIV but are unaware of their HIV status; are aware of their HIV infection but have never been referred to care; or are aware but have refused referral to care.

Hepatitis C Treatment Expansion Initiative [2010 - 2014]

supports organizations implementing focused interventions designed to increase access to and completion of Hepatitis C (HCV) treatment for HIV-positive patients.  About one quarter of HIV-infected persons in the U.S. are also infected with HCV.  This initiative will evaluate the effectiveness of HCV treatment models in HIV primary care settings, and share best practices with Ryan White grantees and other HIV medical providers to improve access to and quality of HCV treatment for people living with both HIV and HCV.

Enhancing Access to and Retention in Quality HIV/AIDS Care for Women of Color Initiative  [2009 - 2014]

is a multisite demonstration and evaluation of HIV/AIDS service delivery interventions for women of color. The eleven demonstration sites (in five urban and six rural locations) will implement and evaluate the effectiveness of innovative interventions designed to improve timely entry, access to and retention into quality HIV care for women of color, a population at increasing risk to HIV/AIDS. The Albert Einstein College of Medicine, the evaluation and support center for this initiative, will coordinate the multisite evaluation and provide programmatic technical assistance to the eleven demonstration sites.

Enhancing Linkages to HIV Primary Care and Services in Jail Settings [2007 - 2012]

is a multisite demonstration and evaluation of HIV service delivery interventions. This initiative funds the design, implementation, and evaluation of innovative methods for linking persons living with HIV/AIDS who are incarcerated in jails or have been recently released from local jail facilities to primary medical care and ancillary services in their communities.

HIT Capacity Building to Develop Standard Electronic Client Information Systems Initiatives [Ongoing]

support organizations funded under Parts A, B, C and D of the Ryan White HIV/AIDS Treatment and Modernization Act of 2009 to support the development of standard electronic client level data systems to improve their capacity to collect and report this data to HRSA. This ongoing initiative provides funds to organizations seeking to enhance their health information technology (HIT) infrastructure for efficient client level data collection and reporting.  The use of grant funds are limited to the acquisition and implementation of hardware, software, network and operating system components that will facilitate the reporting of client level data.

View Previous SPNS Projects and Collaborations