FUNDING OPPORTUNITY-SPECIFIC REQUIREMENTS. CORE HIV PREVENTION A. Implement the following four components of a core HIV prevention program: 1. Engagement of groups and communities to be served; 2. Condom distribution; 3. Focused HIV and syphilis testing and tailored health education; and 4. Linkage/enrollment in medical care for clients who are living with HIV, and referral to PrEP and nPEP and other needed services for clients with a negative HIV test result who are at a higher risk for acquiring HIV. B. Provide outreach and education to the priority population(s) identified in the approved Work Plan. X. Xxxxxx in active recruitment and outreach strategies that include traditional outreach, social network activities, and the use of social media platforms. D. Maintain a Community Advisory Board to assist with programmatic decision-making. E. Maintain a condom distribution program with the essential elements described in the DSHS POPS (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/). X. Xxxxxxxxx and maintain focused HIV testing programs that expand the availability of HIV testing to the proposed priority populations. Grantee must use a combination of strategies to encourage testing, such as offering testing in a variety of settings, providing testing to couples, using tangible reinforcements, or using text messages or other electronic communication to provide testing reminders. G. Ensure that syphilis testing is provided to all individuals testing for HIV unless the client refuses. Grantee will consider collecting specimens for: 1. Other Sexually Transmitted Infections (STI) (including specimens for extragenital screening for chlamydia and gonorrhea); and/or 2. Hepatitis C antibody testing for vulnerable populations. H. Maintain an active Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver if performing rapid testing. I. Ensure that HIV testing programs include all required components of a testing session as described in the appropriate DSHS POPS (see Section I: General Requirements for All Grantees). J. Implement testing processes that follow the requirements in DSHS Policy 2013.02 (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/policy/policies/2013-02.shtm). K. If at-home HIV testing is offered, create and maintain policies and procedures to support implementation (see Section I: General Requirements for All Grantees). Policies and procedures must be approved by DSHS prior to implementation. L. Ensure that all pregnant women who do not report being in prenatal care are actively referred to prenatal care. M. Ensure clients receive their HIV test results in a timely and appropriate manner. N. Ensure that clients with negative HIV test results receive information on PrEP and nPEP. If the client is eligible for PrEP or nPEP services, provide an active referral to these services. O. Ensure referrals are made to any needed health and social services as appropriate. P. All individuals receiving a positive HIV test result must be offered the opportunity for face- to-face encounter in accordance with Texas Health and Safety Code §81.109. Q. Facilitate initial linkage to care within 30 days for newly diagnosed clients and facilitate engagement in care within 30 days for previously diagnosed clients who are not currently in care for their HIV infections. Grantee is responsible for confirming clients are linked to care. R. Address barriers to successful linkage to HIV medical care and coordinate with area providers that offer services to facilitate access to HIV-related care.
Appears in 4 contracts
Samples: Hiv Prevention Contract, Hiv Prevention Contract, Hiv Prevention Contract
FUNDING OPPORTUNITY-SPECIFIC REQUIREMENTS. CORE HIV PREVENTION
A. Implement the following four components of a core HIV prevention program:
1. Engagement of groups and communities to be served;
2. Condom distribution;
3. Focused HIV and syphilis testing and tailored health education; and
4. Linkage/enrollment in medical care for clients who are living with HIV, and referral to PrEP and nPEP and other needed services for clients with a negative HIV test result who are at a higher risk for acquiring HIV.
B. Provide outreach and education to the priority population(s) identified in the approved Work Plan.
X. Xxxxxx C. Engage in active recruitment and outreach strategies that include traditional outreach, social network activities, and the use of social media platforms.
D. Maintain a Community Advisory Board to assist with programmatic decision-making.
E. Maintain a condom distribution program with the essential elements described in the DSHS POPS (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/).
X. Xxxxxxxxx F. Establish and maintain focused HIV testing programs that expand the availability of HIV testing to the proposed priority populations. Grantee must use a combination of strategies to encourage testing, such as offering testing in a variety of settings, providing testing to couples, using tangible reinforcements, or using text messages or other electronic communication to provide testing reminders.
G. Ensure that syphilis testing is provided to all individuals testing for HIV unless the client refuses. Grantee will consider collecting specimens for:
1. Other Sexually Transmitted Infections (STI) (including specimens for extragenital screening for chlamydia and gonorrhea); and/or
2. Hepatitis C antibody testing for vulnerable populations.
H. Maintain an active Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver if performing rapid testing.
I. Ensure that HIV testing programs include all required components of a testing session as described in the appropriate DSHS POPS (see Section I: General Requirements for All Grantees).
J. Implement testing processes that follow the requirements in DSHS Policy 2013.02 (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/policy/policies/2013-02.shtm).
K. If at-home HIV testing is offered, create and maintain policies and procedures to support implementation (see Section I: General Requirements for All Grantees). Policies and procedures must be approved by DSHS prior to implementation.
L. Ensure that all pregnant women who do not report being in prenatal care are actively referred to prenatal care.
M. Ensure clients receive their HIV test results in a timely and appropriate manner.
N. Ensure that clients with negative HIV test results receive information on PrEP and nPEP. If the client is eligible for PrEP or nPEP services, provide an active referral to these services.
O. Ensure referrals are made to any needed health and social services as appropriate.
P. All individuals receiving a positive HIV test result must be offered the opportunity for face- to-face encounter in accordance with Texas Health and Safety Code §81.109.
Q. Facilitate initial linkage to care within 30 days for newly diagnosed clients and facilitate engagement in care within 30 days for previously diagnosed clients who are not currently in care for their HIV infections. Grantee is responsible for confirming clients are linked to care.
R. Address barriers to successful linkage to HIV medical care and coordinate with area providers that offer services to facilitate access to HIV-related care. Grantee will:
A. Deliver each of the program components listed below:
1. Promotion of PrEP/nPEP through community education and awareness activities;
2. Promotion of adoption of PrEP/nPEP by local clinical providers; and
3. Delivery of PrEP/nPEP clinical and client support services.
B. Tailor education and recruitment efforts to the priority population(s) identified in the approved Work Plan.
C. Assess awareness of PrEP/nPEP and barriers to use in each priority population.
D. Raise awareness of PrEP and nPEP and address barriers to these services, and engage in active client outreach and recruitment, which must include online and social media activities.
E. Create or expand existing partnerships with community-based organizations (CBOs), LGBT organizations, private health care providers, clinics, Disease Intervention Specialists (DIS), and community health centers to increase access to PrEP and nPEP.
F. Maintain a Community Advisory Board to assist with programmatic decision-making.
G. Undertake activities to increase the number of clinical providers in the community who prescribe PrEP or nPEP.
H. Implement supportive services and activities using patient flows and staff roles that best serve clients and best fit their organizational structure and staffing.
I. Provide PrEP and nPEP services in accordance with the most current Centers for Disease Control and Prevention (CDC) guidelines for PrEP and nPEP.
J. Conduct initial and follow-up laboratory testing as recommended in treatment guidelines, with more frequent STI testing as needed. Grantee must prescribe medications following treatment guidelines.
K. Develop patient care protocols, policies, and procedures, and share these with other stakeholders and providers.
L. Track clients who have completed their nPEP regimen and how they will be linked to PrEP services.
M. Ensure that clinical PrEP and nPEP services include formal intake and eligibility determination processes.
N. Ensure clients receive basic education on PrEP and nPEP, including the pros and cons of PrEP/nPEP, side effects and long-term safety, and other HIV prevention options.
O. Provide clinical services staff appropriate supervision.
P. Ensure client supportive activities (including individualized plans to promote adherence) wrap around PrEP and nPEP clinical services and increase the likelihood that clients will use PrEP and/or nPEP effectively and safely.
Q. Ensure staff assist with obtaining treatment medications. This includes understanding how pharmacy benefits are typically structured in public and private insurance plans and being able to assist clients with accessing these benefits. For uninsured clients, staff must aid with applying to local medical assistance programs or patient assistance programs offered by drug manufacturers and should screen for eligibility for public insurance.
R. Assess client needs for HIV prevention, medical services, and social services by examining social and ecological factors that increase vulnerability to HIV.
Appears in 2 contracts
Samples: Hiv Prevention Contract, Hiv Prevention Services Contract
FUNDING OPPORTUNITY-SPECIFIC REQUIREMENTS. CORE HIV PREVENTION
A. Implement the following four components of a core HIV prevention program:
1. Engagement of groups and communities to be served;
2. Condom distribution;
3. Focused HIV and syphilis testing and tailored health education; and
4. Linkage/enrollment in medical care for clients who are living with HIV, and referral to PrEP and nPEP and other needed services for clients with a negative HIV test result who are at a higher risk for acquiring HIV.
B. Provide outreach and education to the priority population(s) identified in the approved Work Plan.
X. Xxxxxx C. Engage in active recruitment and outreach strategies that include traditional outreach, social network activities, and the use of social media platforms.
D. Maintain a Community Advisory Board to assist with programmatic decision-making.
E. Maintain a condom distribution program with the essential elements described in the DSHS POPS (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/).
X. Xxxxxxxxx F. Establish and maintain focused HIV testing programs that expand the availability of HIV testing to the proposed priority populations. Grantee must use a combination of strategies to encourage testing, such as offering testing in a variety of settings, providing testing to couples, using tangible reinforcements, or using text messages or other electronic communication to provide testing reminders.
G. Ensure that syphilis testing is provided to all individuals testing for HIV unless the client refuses. Grantee will consider collecting specimens for:
1. Other Sexually Transmitted Infections (STI) (including specimens for extragenital screening for chlamydia and gonorrhea); and/or
2. Hepatitis C antibody testing for vulnerable populations.
H. Maintain an active Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver if performing rapid testing.
I. Ensure that HIV testing programs include all required components of a testing session as described in the appropriate DSHS POPS (see Section I: General Requirements for All Grantees).
J. Implement testing processes that follow the requirements in DSHS Policy 2013.02 (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/policy/policies/2013-02.shtm).
K. If at-home HIV testing is offered, create and maintain policies and procedures to support implementation (see Section I: General Requirements for All Grantees). Policies and procedures must be approved by DSHS prior to implementation.
L. Ensure that all pregnant women who do not report being in prenatal care are actively referred to prenatal care.
M. Ensure clients receive their HIV test results in a timely and appropriate manner.
N. Ensure that clients with negative HIV test results receive information on PrEP and nPEP. If the client is eligible for PrEP or nPEP services, provide an active referral to these services.
O. Ensure referrals are made to any needed health and social services as appropriate.
P. All individuals receiving a positive HIV test result must be offered the opportunity for face- to-face encounter in accordance with Texas Health and Safety Code §81.109.
Q. Facilitate initial linkage to care within 30 days for newly diagnosed clients and facilitate engagement in care within 30 days for previously diagnosed clients who are not currently in care for their HIV infections. Grantee is responsible for confirming clients are linked to care.
R. Address barriers to successful linkage to HIV medical care and coordinate with area providers that offer services to facilitate access to HIV-related care.
Appears in 2 contracts
FUNDING OPPORTUNITY-SPECIFIC REQUIREMENTS. CORE HIV PREVENTION
A. Implement the following four components of a core HIV prevention program:
1. Engagement of groups and communities to be served;
2. Condom distribution;
3. Focused HIV and syphilis testing and tailored health education; and
4. Linkage/enrollment in medical care for clients who are living with HIV, and referral to PrEP and nPEP and other needed services for clients with a negative HIV test result who are at a higher risk for acquiring HIV.
B. Provide outreach and education to the priority population(s) identified in the approved Work Plan.
X. Xxxxxx in active recruitment and outreach strategies that include traditional outreach, social network activities, and the use of social media platforms.
D. Maintain a Community Advisory Board to assist with programmatic decision-making.
E. Maintain a condom distribution program with the essential elements described in the DSHS POPS (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/).
X. Xxxxxxxxx and maintain focused HIV testing programs that expand the availability of HIV testing to the proposed priority populations. Grantee must use a combination of strategies to encourage testing, such as offering testing in a variety of settings, providing testing to couples, using tangible reinforcements, or using text messages or other electronic communication to provide testing reminders.
G. Ensure that syphilis testing is provided to all individuals testing for HIV unless the client refuses. Grantee will consider collecting specimens for:
1. Other Sexually Transmitted Infections (STI) (including specimens for extragenital screening for chlamydia and gonorrhea); and/or
2. Hepatitis C antibody testing for vulnerable populations.
H. Maintain an active Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver if performing rapid testing.
I. Ensure that HIV testing programs include all required components of a testing session as described in the appropriate DSHS POPS (see Section I: General Requirements for All Grantees).
J. Implement testing processes that follow the requirements in DSHS Policy 2013.02 (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/policy/policies/2013-02.shtm).
K. If at-home HIV testing is offered, create and maintain policies and procedures to support implementation (see Section I: General Requirements for All Grantees). Policies and procedures must be approved by DSHS prior to implementation.
L. Ensure that all pregnant women who do not report being in prenatal care are actively referred to prenatal care.
M. Ensure clients receive their HIV test results in a timely and appropriate manner.
N. Ensure that clients with negative HIV test results receive information on PrEP and nPEP. If the client is eligible for PrEP or nPEP services, provide an active referral to these services.
O. Ensure referrals are made to any needed health and social services as appropriate.
P. All individuals receiving a positive HIV test result must be offered the opportunity for face- to-face encounter in accordance with Texas Health and Safety Code §81.109.
Q. Facilitate initial linkage to care within 30 days for newly diagnosed clients and facilitate engagement in care within 30 days for previously diagnosed clients who are not currently in care for their HIV infections. Grantee is responsible for confirming clients are linked to care.
R. Address barriers to successful linkage to HIV medical care and coordinate with area providers that offer services to facilitate access to HIV-related care. Grantee will:
A. Provide justification to, and obtain written approval from, DSHS prior to the customization, tailoring and/or adaptation of the curriculum, priority population(s), activities, number of sessions, etc., of an intervention.
B. Perform recruitment activities with the appropriate priority population(s) for purposes of recruitment into interventions. Refer to DSHS HIV and STD Program Operating Procedures and Standards (POPS) for information about recruitment.
C. Provide evidence-based or “home-grown” interventions for the priority population(s) in accordance with an approved Work Plan and DSHS HIV and STD POPS, including any revisions, located at xxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/default.shtm, and The Effective Interventions website located at xxxxx://xxx.xxx.xxx/hiv/effective- interventions/index.html.
D. Supplement and not duplicate existing prevention activities in their community.
E. Not duplicate or displace existing programs operated within HIV-related medical care systems and must collaborate with providers of medical care to assure that the proposed services are well integrated into community systems of care.
F. Maintain a Community Advisory Board to assist with programmatic decision-making. Grantee will:
A. Implement projects to reduce HIV acquisition and transmission that act at the community level and/or systems level. This work must reduce health inequities and new HIV infections by directly addressing the social determinants of health such as stigma, lack of social support, or policies or organizational practices that create barriers to prevention and treatment.
B. Implement one or both of the following:
1. Community-level interventions that aim to improve health by changing community norms and attitudes, community awareness, and community behavior of priority population(s); and/or
2. System interventions that aim to improve health by changing policies, health system/organizational practices, and power structures.
C. Focus interventions and activities on one or more of the outcomes below:
1. Strengthening community involvement in HIV prevention efforts by increasing a sense of community ownership, participation, and collaboration in HIV prevention activities;
2. Increasing local coordination and collaboration among community members, groups, organizations, and sectors (e.g., private businesses, public institutions);
3. Increasing community support, education, and dialogue;
4. Creating an environment in which people of color, LGBTQ individuals, youth, and other marginalized populations are empowered to reduce the risk of HIV acquisition and barriers to accessing HIV prevention are reduced/eliminated;
5. Elimination of structural, social, and economic barriers related to health care;
6. Improved health outcomes for LGBTQ communities and people of color; and
7. Increased participation in HIV-related care and PrEP/nPEP.
D. Ensure that activities are focused on or designed to primarily benefit the priority population(s) as per the approved Work Plan.
E. For intervention-based projects, provide evidence-based or “home-grown” interventions for the priority population(s) in accordance with an approved Work Plan and DSHS HIV and STD POPS, including any revisions, located at xxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/default.shtm, and The Effective Interventions website located at xxxxx://xxx.xxx.xxx/hiv/effective-interventions/index.html.
F. For community mobilization projects, establish networks and collaborations necessary to mount a community-wide response to the HIV epidemic in their local area to engage individuals, groups, organizations, and the public and private sectors of the community to increase awareness and act to reduce the number of new HIV infections.
G. Ensure system-level interventions are designed to change policies, social or organizational structures, or standard operating procedures to increase access and relevance of services, and remove barriers to prevention, testing, and treatment services.
X. Xxxxxx needs, resources and/or practices prior to implementation of the proposed interventions. The assessment design and implementation must be guided by stakeholders and persons with experience in formal assessment. If the program has conducted a recent assessment or such information from their current work with community-level interventions, mobilization, or systems interventions is available, this may satisfy requirements, but the decision to require a new or supplemental assessment from Grantee is at the sole discretion of DSHS.
I. Develop a plan that summarizes major activities with milestones and goals. Monitor and report on progress as per the approved Work Plan.
J. If new information about community needs and resources becomes available, provide justification to, and obtain written approval from, DSHS prior to the customization, tailoring and/or adaptation of the approved Work Plan, priority population(s), activities, number of sessions, etc., of an intervention.
K. Maintain mechanisms for community or stakeholder engagement, such as Community Advisory Boards.
X. Xxxxx out activities as per the approved Work Plan and conduct periodic assessments of progress that follows a formal evaluation plan. The evaluation plan should include measures, data collection protocols, data analysis, and a process for program modification based on monitoring results.
Appears in 1 contract
Samples: Hiv Prevention Contract
FUNDING OPPORTUNITY-SPECIFIC REQUIREMENTS. CORE A. Core HIV PREVENTIONPrevention
A. 1. Implement the following four components of a core HIV prevention program:
1. a. Engagement of groups and communities to be served;
2. b. Condom distribution;
3. c. Focused HIV and syphilis testing and tailored health education; and
4. d. Linkage/enrollment in medical care for clients who are living with HIV, and referral to PrEP and nPEP and other needed services for clients with a negative HIV test result who are at a higher risk for acquiring HIV.;
B. 2. Provide outreach and education to the priority population(s) identified in the approved Work Plan.;
X. Xxxxxx 3. Engage in active recruitment and outreach strategies that include traditional outreach, social network activities, and the use of social media platforms.;
D. 4. Maintain a Community Advisory Board to assist with programmatic decision-decision- making.;
E. 5. Maintain a condom distribution program with the essential elements described in the DSHS POPS (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/).;
X. Xxxxxxxxx 6. Establish and maintain focused HIV testing programs that expand the availability of HIV testing to the proposed priority populationspopulation(s). Grantee must use a combination of strategies to encourage testing, such as offering testing in a variety of settings, providing testing to couples, using tangible reinforcements, or using text messages or other electronic communication to provide testing reminders.;
G. 7. Ensure that syphilis testing is provided to all individuals testing for HIV unless the client refuses. Grantee will shall consider collecting specimens for:
1. a. Other Sexually Transmitted Infections (STI) (including specimens for extragenital screening for chlamydia and gonorrhea); and/or
2. b. Hepatitis C antibody testing for vulnerable populations.population(s);
H. 8. Maintain an active Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver if performing rapid testing.;
I. 9. Ensure that HIV testing programs include all required components of a testing session as described in the appropriate DSHS POPS (see Section I: General Requirements for All Grantees).;
J. 10. Implement testing processes that follow the requirements in DSHS Policy 2013.02 (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/policy/policies/2013-02.shtm).;
K. 11. If at-home HIV testing is offered, create and maintain policies and procedures to support implementation implementation. (see See Section I: General Requirements for All Grantees). Policies and procedures must be approved by DSHS prior to implementation.;
L. 12. Ensure that all pregnant women who do not report being in prenatal care are actively referred to prenatal care.;
M. 13. Ensure that clients receive their HIV test results in a timely and appropriate manner.;
N. 14. Ensure that clients with negative HIV test results receive information on PrEP and nPEP. If the client is eligible for PrEP or nPEP servicesservice, provide an active referral to these services.;
O. 15. Ensure that referrals are made to any needed health and social services as appropriate.;
P. All 16. Ensure that all individuals receiving a positive HIV test result must be is offered the opportunity for face- a face-to-face encounter in accordance with Texas Health and Safety Code §81.109.;
Q. 17. Facilitate initial linkage to care within 30 days for newly diagnosed clients and facilitate engagement in care within 30 days for previously diagnosed clients who are not currently in care for their HIV infections. Grantee is responsible for confirming clients are linked to care.; and
R. 18. Address barriers to successful linkage to HIV medical care and coordinate with area providers that offer services to facilitate access to HIV-related care.
Appears in 1 contract
Samples: Contract
FUNDING OPPORTUNITY-SPECIFIC REQUIREMENTS. CORE HIV PREVENTION
A. Implement the following four components of a core HIV prevention program:
1. Engagement of groups and communities to be served;
2. Condom distribution;
3. Focused HIV and syphilis testing and tailored health education; and
4. Linkage/enrollment in medical care for clients who are living with HIV, and referral to PrEP and nPEP and other needed services for clients with a negative HIV test result who are at a higher risk for acquiring HIV.
B. Provide outreach and education to the priority population(s) identified in the approved Work Plan.
X. Xxxxxx in active recruitment and outreach strategies that include traditional outreach, social network activities, and the use of social media platforms.
D. Maintain a Community Advisory Board to assist with programmatic decision-making.
E. Maintain a condom distribution program with the essential elements described in the DSHS POPS (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/).
X. Xxxxxxxxx and maintain focused HIV testing programs that expand the availability of HIV testing to the proposed priority populations. Grantee must use a combination of strategies to encourage testing, such as offering testing in a variety of settings, providing testing to couples, using tangible reinforcements, or using text messages or other electronic communication to provide testing reminders.
G. Ensure that syphilis testing is provided to all individuals testing for HIV unless the client refuses. Grantee will consider collecting specimens for:
1. Other Sexually Transmitted Infections (STI) (including specimens for extragenital screening for chlamydia and gonorrhea); and/or
2. Hepatitis C antibody testing for vulnerable populations.
H. Maintain an active Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver if performing rapid testing.
I. Ensure that HIV testing programs include all required components of a testing session as described in the appropriate DSHS POPS (see Section I: General Requirements for All Grantees).
J. Implement testing processes that follow the requirements in DSHS Policy 2013.02 (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/policy/policies/2013-02.shtm).
K. If at-home HIV testing is offered, create and maintain policies and procedures to support implementation (see Section I: General Requirements for All Grantees). Policies and procedures must be approved by DSHS prior to implementation.
L. Ensure that all pregnant women who do not report being in prenatal care are actively referred to prenatal care.
M. Ensure clients receive their HIV test results in a timely and appropriate manner.
N. Ensure that clients with negative HIV test results receive information on PrEP and nPEP. If the client is eligible for PrEP or nPEP services, provide an active referral to these services.
O. Ensure referrals are made to any needed health and social services as appropriate.
P. All individuals receiving a positive HIV test result must be offered the opportunity for face- to-face encounter in accordance with Texas Health and Safety Code §81.109.
Q. Facilitate initial linkage to care within 30 days for newly diagnosed clients and facilitate engagement in care within 30 days for previously diagnosed clients who are not currently in care for their HIV infections. Grantee is responsible for confirming clients are linked to care.
R. Address barriers to successful linkage to HIV medical care and coordinate with area providers that offer services to facilitate access to HIV-related care. Grantee will:
A. Deliver each of the program components listed below:
1. Promotion of PrEP/nPEP through community education and awareness activities;
2. Promotion of adoption of PrEP/nPEP by local clinical providers; and
3. Delivery of PrEP/nPEP clinical and client support services.
B. Tailor education and recruitment efforts to the priority population(s) identified in the approved Work Plan.
C. Assess awareness of PrEP/nPEP and barriers to use in each priority population.
X. Xxxxx awareness of PrEP and nPEP and address barriers to these services, and engage in active client outreach and recruitment, which must include online and social media activities.
E. Create or expand existing partnerships with community-based organizations (CBOs), LGBT organizations, private health care providers, clinics, Disease Intervention Specialists (DIS), and community health centers to increase access to PrEP and nPEP.
F. Maintain a Community Advisory Board to assist with programmatic decision-making.
G. Undertake activities to increase the number of clinical providers in the community who prescribe PrEP or nPEP.
H. Implement supportive services and activities using patient flows and staff roles that best serve clients and best fit their organizational structure and staffing.
I. Provide PrEP and nPEP services in accordance with the most current Centers for Disease Control and Prevention (CDC) guidelines for PrEP and nPEP.
J. Conduct initial and follow-up laboratory testing as recommended in treatment guidelines, with more frequent STI testing as needed. Grantee must prescribe medications following treatment guidelines.
K. Develop patient care protocols, policies, and procedures, and share these with other stakeholders and providers.
L. Track clients who have completed their nPEP regimen and how they will be linked to PrEP services.
M. Ensure that clinical PrEP and nPEP services include formal intake and eligibility determination processes.
N. Ensure clients receive basic education on PrEP and nPEP, including the pros and cons of PrEP/nPEP, side effects and long-term safety, and other HIV prevention options.
O. Provide clinical services staff appropriate supervision.
P. Ensure client supportive activities (including individualized plans to promote adherence) wrap around PrEP and nPEP clinical services and increase the likelihood that clients will use PrEP and/or nPEP effectively and safely.
Q. Ensure staff assist with obtaining treatment medications. This includes understanding how pharmacy benefits are typically structured in public and private insurance plans and being able to assist clients with accessing these benefits. For uninsured clients, staff must aid with applying to local medical assistance programs or patient assistance programs offered by drug manufacturers and should screen for eligibility for public insurance.
R. Assess client needs for HIV prevention, medical services, and social services by examining social and ecological factors that increase vulnerability to HIV. Grantee will:
A. Provide justification to, and obtain written approval from, DSHS prior to the customization, tailoring and/or adaptation of the curriculum, priority population(s), activities, number of sessions, etc., of an intervention.
B. Perform recruitment activities with the appropriate priority population(s) for purposes of recruitment into interventions. Refer to DSHS HIV and STD Program Operating Procedures and Standards (POPS) for information about recruitment.
C. Provide evidence-based or “home-grown” interventions for the priority population(s) in accordance with an approved Work Plan and DSHS HIV and STD POPS, including any revisions, located at xxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/default.shtm, and The Effective Interventions website located at xxxxx://xxx.xxx.xxx/hiv/effective- interventions/index.html.
D. Supplement and not duplicate existing prevention activities in their community.
E. Not duplicate or displace existing programs operated within HIV-related medical care systems and must collaborate with providers of medical care to assure that the proposed services are well integrated into community systems of care.
F. Maintain a Community Advisory Board to assist with programmatic decision-making. Grantee will:
A. Implement projects to reduce HIV acquisition and transmission that act at the community level and/or systems level. This work must reduce health inequities and new HIV infections by directly addressing the social determinants of health such as stigma, lack of social support, or policies or organizational practices that create barriers to prevention and treatment.
B. Implement one or both of the following:
1. Community-level interventions that aim to improve health by changing community norms and attitudes, community awareness, and community behavior of priority population(s); and/or
2. System interventions that aim to improve health by changing policies, health system/organizational practices, and power structures.
C. Focus interventions and activities on one or more of the outcomes below:
1. Strengthening community involvement in HIV prevention efforts by increasing a sense of community ownership, participation, and collaboration in HIV prevention activities;
2. Increasing local coordination and collaboration among community members, groups, organizations, and sectors (e.g., private businesses, public institutions);
3. Increasing community support, education, and dialogue;
4. Creating an environment in which people of color, LGBTQ individuals, youth, and other marginalized populations are empowered to reduce the risk of HIV acquisition and barriers to accessing HIV prevention are reduced/eliminated;
5. Elimination of structural, social, and economic barriers related to health care;
6. Improved health outcomes for LGBTQ communities and people of color; and
7. Increased participation in HIV-related care and PrEP/nPEP.
D. Ensure that activities are focused on or designed to primarily benefit the priority population(s) as per the approved Work Plan.
E. For intervention-based projects, provide evidence-based or “home-grown” interventions for the priority population(s) in accordance with an approved Work Plan and DSHS HIV and STD POPS, including any revisions, located at xxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/default.shtm, and The Effective Interventions website located at xxxxx://xxx.xxx.xxx/hiv/effective-interventions/index.html.
F. For community mobilization projects, establish networks and collaborations necessary to mount a community-wide response to the HIV epidemic in their local area to engage individuals, groups, organizations, and the public and private sectors of the community to increase awareness and act to reduce the number of new HIV infections.
G. Ensure system-level interventions are designed to change policies, social or organizational structures, or standard operating procedures to increase access and relevance of services, and remove barriers to prevention, testing, and treatment services.
X. Xxxxxx needs, resources and/or practices prior to implementation of the proposed interventions. The assessment design and implementation must be guided by stakeholders and persons with experience in formal assessment. If the program has conducted a recent assessment or such information from their current work with community-level interventions, mobilization, or systems interventions is available, this may satisfy requirements, but the decision to require a new or supplemental assessment from Grantee is at the sole discretion of DSHS.
I. Develop a plan that summarizes major activities with milestones and goals. Monitor and report on progress as per the approved Work Plan.
J. If new information about community needs and resources becomes available, provide justification to, and obtain written approval from, DSHS prior to the customization, tailoring and/or adaptation of the approved Work Plan, priority population(s), activities, number of sessions, etc., of an intervention.
K. Maintain mechanisms for community or stakeholder engagement, such as Community Advisory Boards.
X. Xxxxx out activities as per the approved Work Plan and conduct periodic assessments of progress that follows a formal evaluation plan. The evaluation plan should include measures, data collection protocols, data analysis, and a process for program modification based on monitoring results.
Appears in 1 contract
Samples: Hiv Prevention Contract
FUNDING OPPORTUNITY-SPECIFIC REQUIREMENTS. CORE HIV PREVENTION
A. Implement the following four components of a core HIV prevention program:
1. Engagement of groups and communities to be served;
2. Condom distribution;
3. Focused HIV and syphilis testing and tailored health education; and
4. Linkage/enrollment in medical care for clients who are living with HIV, and referral to PrEP and nPEP and other needed services for clients with a negative HIV test result who are at a higher risk for acquiring HIV.
B. Provide outreach and education to the priority population(s) identified in the approved Work Plan.
X. Xxxxxx in active recruitment and outreach strategies that include traditional outreach, social network activities, and the use of social media platforms.
D. Maintain a Community Advisory Board to assist with programmatic decision-making.
E. Maintain a condom distribution program with the essential elements described in the DSHS POPS (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/pops/).
X. Xxxxxxxxx and maintain focused HIV testing programs that expand the availability of HIV testing to the proposed priority populations. Grantee must use a combination of strategies to encourage testing, such as offering testing in a variety of settings, providing testing to couples, using tangible reinforcements, or using text messages or other electronic communication to provide testing reminders.
G. Ensure that syphilis testing is provided to all individuals testing for HIV unless the client refuses. Grantee will consider collecting specimens for:
1. Other Sexually Transmitted Infections (STI) (including specimens for extragenital screening for chlamydia and gonorrhea); and/or
2. Hepatitis C antibody testing for vulnerable populations.
H. Maintain an active Clinical Laboratory Improvement Amendment (CLIA) Certificate of Waiver if performing rapid testing.
I. Ensure that HIV testing programs include all required components of a testing session as described in the appropriate DSHS POPS (see Section I: General Requirements for All Grantees).
J. Implement testing processes that follow the requirements in DSHS Policy 2013.02 (xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/policy/policies/2013-02.shtm).
K. If at-home HIV testing is offered, create and maintain policies and procedures to support implementation (see Section I: General Requirements for All Grantees). Policies and procedures must be approved by DSHS prior to implementation.
L. Ensure that all pregnant women who do not report being in prenatal care are actively referred to prenatal care.
M. Ensure clients receive their HIV test results in a timely and appropriate manner.
N. Ensure that clients with negative HIV test results receive information on PrEP and nPEP. If the client is eligible for PrEP or nPEP services, provide an active referral to these services.
O. Ensure referrals are made to any needed health and social services as appropriate.
P. All individuals receiving a positive HIV test result must be offered the opportunity for face- to-face encounter in accordance with Texas Health and Safety Code §81.109.
Q. Facilitate initial linkage to care within 30 days for newly diagnosed clients and facilitate engagement in care within 30 days for previously diagnosed clients who are not currently in care for their HIV infections. Grantee is responsible for confirming clients are linked to care.
R. Address barriers to successful linkage to HIV medical care and coordinate with area providers that offer services to facilitate access to HIV-related care. Grantee will:
A. Deliver each of the program components listed below:
1. Promotion of PrEP/nPEP through community education and awareness activities;
2. Promotion of adoption of PrEP/nPEP by local clinical providers; and
3. Delivery of PrEP/nPEP clinical and client support services.
B. Tailor education and recruitment efforts to the priority population(s) identified in the approved Work Plan.
C. Assess awareness of PrEP/nPEP and barriers to use in each priority population.
X. Xxxxx awareness of PrEP and nPEP and address barriers to these services, and engage in active client outreach and recruitment, which must include online and social media activities.
E. Create or expand existing partnerships with community-based organizations (CBOs), LGBT organizations, private health care providers, clinics, Disease Intervention Specialists (DIS), and community health centers to increase access to PrEP and nPEP.
F. Maintain a Community Advisory Board to assist with programmatic decision-making.
G. Undertake activities to increase the number of clinical providers in the community who prescribe PrEP or nPEP.
H. Implement supportive services and activities using patient flows and staff roles that best serve clients and best fit their organizational structure and staffing.
I. Provide PrEP and nPEP services in accordance with the most current Centers for Disease Control and Prevention (CDC) guidelines for PrEP and nPEP.
J. Conduct initial and follow-up laboratory testing as recommended in treatment guidelines, with more frequent STI testing as needed. Grantee must prescribe medications following treatment guidelines.
K. Develop patient care protocols, policies, and procedures, and share these with other stakeholders and providers.
L. Track clients who have completed their nPEP regimen and how they will be linked to PrEP services.
M. Ensure that clinical PrEP and nPEP services include formal intake and eligibility determination processes.
N. Ensure clients receive basic education on PrEP and nPEP, including the pros and cons of PrEP/nPEP, side effects and long-term safety, and other HIV prevention options.
O. Provide clinical services staff appropriate supervision.
P. Ensure client supportive activities (including individualized plans to promote adherence) wrap around PrEP and nPEP clinical services and increase the likelihood that clients will use PrEP and/or nPEP effectively and safely.
Q. Ensure staff assist with obtaining treatment medications. This includes understanding how pharmacy benefits are typically structured in public and private insurance plans and being able to assist clients with accessing these benefits. For uninsured clients, staff must aid with applying to local medical assistance programs or patient assistance programs offered by drug manufacturers and should screen for eligibility for public insurance.
R. Assess client needs for HIV prevention, medical services, and social services by examining social and ecological factors that increase vulnerability to HIV.
Appears in 1 contract
Samples: Hiv Prevention Contract
