WELCOME CEI RFA Applicant Conference December 14, 2007

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

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

Background

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

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

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

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

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

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

Preferred Eligibility Requirements Center E: Technology Technical expertise and capacity to develop a multi-media, web-based educational program 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 No Preferred Eligibility Requirements See Minimum Eligibility Requirements: See Minimum Eligibility Requirements: Non-profit DAC, academic medical center, SNP, community-based organization or professional organization

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Review Process Applications will be reviewed and evaluated using an objective rating system reflective of the required items specified for each section. 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. 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. 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. Application with the highest acceptable score for each Center will receive the award.

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

Important Dates Questions Due:December 28, 2007 Q & A posted:January 4, 2008 Letters of Intent:January 11, 2008 Applications Due:January 29, 2008

Questions Questions and Answers and RFA Updates will be posted on the DoH website: January 4, 2008 by 5:00pm