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H H S Department of Health and Human Services
Health Resources and Services Administration
HIV/AIDS Programs

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SPNS - Special Projects of National Significance (Part F)

 

The Special Projects of National Significance (SPNS) Program supports the 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 care 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 the dissemination and replication of successful interventions. The SPNS program also funds projects to build capacity in the HIT systems of Ryan White grantees and provider organizations to report client-level data and to improve health outcomes along the HIV Care Continuum.

SPNS Program Fact Sheet

CyberSPNS Bulletins

SPNS Initiatives

Current priority initiatives include the following:

System-level Workforce Capacity Building for Integrating HIV Primary Care in Community Health Care Settings [2014 - 2018]

is a multi-site demonstration and evaluation of system-level changes in staffing structures to improve health outcomes along the HIV Care Continuum. The initiative's fifteen demonstration sites for four years to promote the design, implementation, and evaluation of innovative strategies to increase organizations’ workforce capacities and achieve efficient and sustainable service delivery practices that both optimize human resources and improve quality outcomes. The demonstration projects will implement and evaluate innovative Practice Transformative Models (PTMs) for the delivery of HIV treatment and comprehensive care services in order to better respond to the changing healthcare landscape, marked by shortages of HIV primary care physicians and increasing demand for access to quality HIV services. Evaluation of these innovative PTMs will identify best practices and methods to support other organizations to adapt and re-align their workforces, as well as factors that increase the potential for successful integration of HIV care into primary care and community healthcare settings serving vulnerable populations. The University of California at San Francisco is serving as the Evaluation and Technical Assistance Center (ETAC) for this initiative. The ETAC will coordinate the multi-site evaluation; provide programmatic technical assistance to the demonstration sites; and lead publication and dissemination efforts of best practices and lessons learned.

Health Information Technology (HIT) Capacity Building for Monitoring and Improving Health Outcomes along the HIV Care Continuum Initiative [2014 - 2017]

supports organizations funded under Parts A and B of the Ryan White HIV/AIDS Program in the enhancement of health information technology (HIT) systems in their State or Eligible Metropolitan Area (EMA) or Transitional Grant Area (TGA) jurisdictions. The enhanced HIT systems will fully integrate and utilize relevant measures of HIV treatment, surveillance and laboratory data to allow for more efficient collection, monitoring and tracking of health outcomes of people living with HIV (PLWH) along the HIV Care Continuum.

Culturally Appropriate Interventions of Outreach, Access and Retention among Latino(a) Populations [2013 - 2018]

is a multisite demonstration and evaluation of culturally specific service delivery models focused on improving health outcomes among Latinos/as living with HIV disease. The initiative's ten demonstration sites will design, implement and evaluate innovative methods to identify Latinos/as who are at high risk or living with HIV, and improve their access, timely entry and retention in quality HIV primary care. This initiative is one of the first public health adaptations of the transnational approach, with interventions targeting HIV-infected Latino/a subpopulations living in the US that are specific to their country or place of origin. The University of California at San Francisco's Center for AIDS Prevention Studies will serve as the Evaluation and Technical Assistance Center for this initiative, coordinating the multisite evaluation and providing technical assistance to the demonstration sites.

Building a Medical Home for Multiply Diagnosed HIV-positive Homeless Populations [2012 – 2017]

is a multisite demonstration and evaluation of HIV/AIDS service delivery interventions for homeless people living with HIV infection. The nine demonstration sites will implement and evaluate the effectiveness innovative interventions to improve timely entry, engagement and retention in HIV care and supportive services for HIV positive homeless populations. Boston University School of Public Health is teaming with Boston Health Care for the Homeless Program as MEDHEART, the Medical Home Evaluation And Research Team, which will serve as the Evaluation and Technical Assistance Center for this initiative. MEDHEART will coordinate the multisite evaluation and provide programmatic technical assistance to the nine demonstration sites.

Enhancing Engagement and Retention in Quality HIV Care for Transgender Women of Color Initiative [2012 – 2017]

is a multisite demonstration and evaluation of HIV/AIDS service delivery interventions for transgender women of color. The nine demonstration sites will implement and evaluate the effectiveness of innovative interventions designed to improve timely entry, access to and retention into quality HIV primary care for transgender women of color, a population at very high risk of HIV infection. The University of California at San Francisco, the Transgender Evaluation and Technical Assistance Center (TETAC), will coordinate the multisite evaluation and provide programmatic and evaluation technical assistance to the nine demonstration sites.

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.

View Previous SPNS Projects and Collaborations

Part F - SPNS Resources

A Living History: Get the Back Story Image.

The SPNS program began with some of the first Federal grants to target adolescents and women living with HIV, and over the years, initiatives have been developed to reflect the evolution of the epidemic and the health care arena.



Part F - SPNS Products and Publications

iHiP Exit Disclaimer

Products from SPNS Initiatives

Technical Assistance TARGET Center Library Exit Disclaimer

SPNS Funding Opportunities

Coming soon ! See Grants.gov for the most current information and to apply for new SPNS grants under Catalog of Federal Domestic Assistance (CFDA) Number: 93.928.

SPNS Staff

Adan Cajina
Branch Chief
acajina at hrsa.gov
301-443-3180

Pamela Belton
Public Health Analyst
pbelton at hrsa.gov
301-443-4461

Renetta Boyd
Public Health Analyst
rboyd at hrsa.gov
301-443-4549

Chau Nguyen
Public Health Analyst
cnguyen1 at hrsa.gov
301-443-5785

Natalie Solomon
Public Health Analyst
nsolomon at hrsa.gov
301-443-7753

Melinda Tinsley
Public Health Analyst
mtinsley1 at hrsa.gov
301-443-3496

Jessica Xavier
Public Health Analyst
jxavier at hrsa.gov
301-443-0833