The Ryan White HIV/AIDS Program (RWHAP) Part F Special Projects of National Significance (SPNS) Program supports the development of innovative models of HIV care and treatment to quickly respond to emerging needs of RWHAP clients. Through its demonstration, implementation, and IT projects, SPNS uses implementation science to evaluate the design, implementation, utilization, cost, and health-related outcomes of treatment strategies while promoting the dissemination and replication of successful interventions. This unique program advances knowledge and skills in the delivery of health care, support services and data integration to support underserved populations. Through these special projects, RWHAP SPNS recipients implement a variety of interventions, which contribute to the advancement of public health knowledge and the goal of ending the HIV epidemic in the United States.
- FY 2021 Ryan White HIV/AIDS Program Part F SPNS Program New Grant Awards
- SPNS Program Fact Sheet (PDF - 216 KB)
- SPNS Products and CyberSPNS Bulletins
Current SPNS Initiatives
Using Innovative Intervention Strategies to Improve Health Outcomes Among People With HIV
This initiative’s purpose is to use an implementation science framework to identify, pilot test, and evaluate innovative intervention strategies in four focus areas to improve health outcomes among people with HIV. The Innovative Intervention Strategies Coordinating Center for Technical Assistance (2iS CCTA) will solicit and subaward up to 20 RWHAP-funded recipients and subrecipients (approximately five sites per focus area) to serve as implementation sites where one intervention strategy per site will be piloted. This initiative will focus on three priority populations and one area of opportunity to improve service delivery. Combined, these four focus areas are: 1) Improving HIV health outcomes for people with substance use disorder; 2) Improving HIV health outcomes for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) youth; 3) Improving HIV health outcomes for people who are or have been incarcerated; and 4) Improving HIV health outcomes by using telehealth services. The piloted intervention strategies will be evaluated by the Using Innovative Intervention Strategies to Improve Health Outcomes Among People with HIV – Evaluation Center (2iS EC).
Building Capacity to Improve Collecting and Reporting Viral Suppression Data to the Medicaid Adult Core Set
This initiative seeks to develop strategies to build capacity among HIV surveillance and Medicaid programs for reporting high-quality HIV viral suppression data to comply with HIV Viral Load Suppression measure reporting on the Medicaid Adult Core Set. HRSA awarded one System Coordination Provider (SCP) to select, fund, and work with up to 10 RWHAP Part B recipients, as well as HIV surveillance and Medicaid programs to build capacity to report high-quality HIV viral suppression data to the CMS as part of the annual state Medicaid Adult Core Set reporting. The SCP will work with state RWHAP, HIV surveillance, and Medicaid programs to develop, implement, and evaluate strategies to improve the collection and reporting of HIV viral suppression data to the Medicaid Adult Core Set. In addition, the SCP will promote the dissemination and replication of effective strategies and lessons learned for adoption across other states.
Leveraging a Data to Care Approach to Cure Hepatitis C within the Ryan White HIV/AIDS Program (RWHAP)
This demonstration project will link people with Hepatitis C Virus (HCV) and HIV within the Ryan White HIV/AIDS Program (RWHAP) to care, by leveraging existing public health surveillance with clinical data systems. A Technical Assistance Provider (TAP) organization will be funded to select and provide targeted technical assistance to up to ten (10) RWHAP Part A and/or Part B jurisdictions (i.e., state, city, and/or local health departments) to focus jurisdictional efforts on improving existing collaboration between their HCV surveillance systems and RWHAP care providers. The goal of improving collaboration between HCV and HIV surveillance systems and RWHAP providers is to facilitate the sharing of data and identification of people with HIV and HCV who are not currently receiving care. The TAP will work collaboratively with a contractor who will evaluate the overall effectiveness and impact of this project.
Building Capacity to Implement Rapid ART Start for Improved Care Engagement in in Ryan White HIV/AIDS Program (RWHAP)
This initiative supports the implementation and evaluation of “rapid start,” or the accelerated entry into HIV medical care and rapid initiation of ART for people with HIV who are newly diagnosed, new to care, or out of care. The program will fund 15 implementation sites that have the capacity and infrastructure to support rapid start implementation, but have not yet been able to, with the goal of replicating and expanding successful rapid start models. This initiative is supported through funding from the Department of Health and Human Services (HHS) Office of the Assistant Secretary for Health Minority HIV/AIDS Fund (MHAF).
Rapid Antiretroviral Therapy (ART) Start in the Ryan White HIV/AIDS Program – Dissemination Assistance Provider
This initiative will fund a single organization that will develop a compendium of promising rapid antiretroviral therapy (ART) interventions. The recipient will systematically identify and document innovative practices and procedures of rapid ART interventions and promote the dissemination of these models for replication among RWHAP and other providers serving people with HIV.
Improving Care and Treatment Coordination: Focusing on Black Women with HIV
This initiative will support up to twelve cooperative agreements for up to three years to design, implement, and evaluate the use of bundled interventions for Black women with HIV. Bundled interventions will address socio-cultural health determinants, expand the delivery and utilization of comprehensive HIV care and treatment services, support continuous engagement in care, and improve health outcomes for Black women with HIV in a culturally-sensitive and responsive manner. All demonstration sites funded under this initiative will be required to collaborate with the evaluation and technical assistance provider (ETAP), This initiative is supported through funding from the Department of Health and Human Services (HHS) Office of the Assistant Secretary for Health Minority HIV/AIDS Fund (MHAF).
Capacity Building in the Ryan White HIV/AIDS Program to Support Innovative Program Model Replication
This initiative will build and enhance the capacity of RWHAP recipients and subrecipients to replicate evidence-informed models of care/interventions among RWHAP jurisdictions using previously developed program implementation tools, manuals, and other resources. In addition, this initiative will increase system-level capacity for adopting these models of care/interventions that offer comprehensive, high-quality, culturally competent HIV screening, care, and treatment for people with HIV who are not fully engaged in primary care. By building capacity and encouraging the implementation or replication of effective models of care, the RWHAP will improve systems of care, reduce health disparities, and improve outcomes along the HIV care continuum. The Center for AIDS Prevention Studies (CAPS) of the University of California San Francisco will lead and support the dissemination and replication of evidence-informed innovative models of care/interventions in Atlanta, GA, Jackson, MS, Las Vegas, NV, and New Orleans, LA.
Enhancing Linkage of Sexually Transmitted Infection (STI) and HIV Surveillance Data in the Ryan White HIV/AIDS Program
This initiative will improve linkage, re-engagement in care, and health outcomes for people with HIV in the RWHAP. HRSA funded Georgetown University to serve as the Technical Assistance Provider (TAP) to identify and fund up to five jurisdictions (state, city, and/or local health departments) to provide programmatic technical assistance for each jurisdiction to create or improve data sharing across their STI and HIV surveillance systems, as well as an evaluation contractor to evaluate the overall effectiveness of the project. The TAP will assess jurisdictional barriers to data sharing across STI and HIV surveillance departments and develop tools to address these barriers. Improved data sharing will allow the matching of STI (chlamydia, gonorrhea, and/or syphilis cases) and HIV surveillance data, which will be used to improve the capacity of RWHAP clinics to prioritize resources for linking and re-engaging people with HIV into care. Improving the frequency of this data sharing will inform RWHAP clinics’ decision-making around allocation of resources and services to improve health outcomes of people with HIV.
Strengthening Systems of Care for People with HIV and Opioid Use Disorder
This initiative supports two entities, referred to as System Coordination Providers (SCPs), who will assist states in leveraging resources at the federal, state, and local levels for people with HIV and opioid use disorder (OUD). JSI Research and Training Institute and Yale University are serving as the SCPs for this initiative and will work across 14 state partners, which include Arizona, Connecticut, Iowa, Louisiana, Massachusetts, New Jersey, Rhode Island, Utah, Vermont, Virginia, Washington, and West Virginia. This initiative will strengthen system-level coordination and networks of care between RWHAP recipients and other federal, state and local entities funded to respond to the opioid epidemic to ensure people with HIV and OUD have access to behavioral health care, treatment, and recovery services. In addition, this initiative will build upon existing systems of care and treatment that will maximize cross-sector collaboration in order to achieve improvements in the system-level coordination and to leverage available resources for improving the health outcomes of people with HIV and OUD.
Improving Sexually Transmitted Infection Screening and Treatment among People Living with or at Risk for HIV
This three-year initiative will support the implementation and evaluation of clinical and system-level interventions to improve screening and treatment of sexually transmitted infections among low-income people living with HIV or who are at risk for HIV. The François-Xavier Bagnoud Center, Rutgers School of Nursing, will partner with clinical and systems-level institutions in Washington, DC, Florida, and Louisiana to implement, evaluate, and disseminate results and best practices of select interventions. This cooperative agreement is a collaborative effort between HRSA’s HIV/AIDS Bureau and Bureau of Primary Health Care, with input from the Centers for Disease Control and Prevention’s (CDC) Division of STD Prevention.
Evidence-Informed Approaches to Improving Health Outcomes for People Living with HIV
This three-year initiative awarded to National Alliance of State and Territorial AIDS Directors (NASTAD) will systematically identify, catalog, disseminate, and support the replication of evidence-informed approaches and interventions to engage people living with HIV (PLWH) who are out of care or at risk of not continuing care into HIV medical care. This initiative will identify acuity scales tools that will determine the likelihood of PLWH engaging or re-engaging in health care; identify data utilization interventions to actively identify and intervene with PLWH who are out of care; identify innovative service delivery models; evaluate the costs associated with each approaches/interventions; catalog the approaches and develop an implementation manual; disseminate the approaches and interventions; and support replication through technical assistance to Ryan White HIV/AIDS Program (RWHAP) and HIV health care service providers. As the Evaluation and Technical Assistance Provider (ETAP), NASTAD will evaluate and promote the effectiveness of these approaches and intervention design, implementation, utilization, cost, and health outcomes.
Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex With Men
This initiative will support the implementation and evaluation of evidence-informed models of care designed to engage, link, and retain Black Men who have Sex with Men (BMSM) in HIV medical care and supportive services. This initiative is funding eight demonstration sites for three years and one Evaluation and Technical Assistance Provider for four years to implement and evaluate four evidence-informed interventions and/or models of care. These models of care include STYLE, a youth-focused case management intervention, Linkage to Care, and Project Silk, that integrate behavioral health services with HIV care to specifically address the needs of BMSM and to improve health outcomes. The demonstration projects will disseminate lessons learned and findings to promote the uptake and replication of these models. The NORC at the University of Chicago is serving as the Evaluation and Technical Assistance Provider (ETAP) for this initiative. The ETAP will coordinate the multi-site evaluation, provide programmatic technical assistance to the demonstration sites, and lead publication and dissemination efforts. In addition, grants were awarded to eight demonstration sites for this initiative.
Improving HIV Health Outcomes through the Coordination of Supportive Employment and Housing Services
This initiative will support the design, implementation, and evaluation of innovative interventions that coordinate HIV care and treatment, housing, and employment services to improve HIV health outcomes for low-income, uninsured, and underserved people living with HIV (PLWH) in racial and ethnic minority communities. The overall goal of this coordinated services intervention is to decrease the impact of the social determinants of health (such as unmet housing or employment needs) that affect long-term HIV health outcomes for PLWH impacted by employment and housing instability in racial and ethnic minority communities. To promote long-term health and stability for PLWH, this initiative supports 12 demonstration sites across the United States that will implement, evaluate and disseminate innovative strategies for integrating HIV care, housing and employment services into a coordinated intervention and one Evaluation and Technical Assistance Provider (ETAP). This Special Projects of National Significance Program initiative is supported through the Department of Health and Human Services (HHS) Secretary’s Minority AIDS Initiative Fund.
Curing Hepatitis C among People of Color Living with HIV
This three-year initiative awarded to Yale University and the University of Texas Health Science Center San Antonio will support the expansion of Hepatitis C (HCV) prevention, testing, care, and treatment capacity; improve coordination of linkage to and retention in HCV care and treatment for people living with both HIV and HCV; and improve coordination with SAMHSA-funded substance use disorder (SUD) treatment providers to deliver behavioral health and SUD treatment support to achieve treatment completion and prevent HCV infection and re-infection. In addition, the initiative will enhance state, local and tribal health department surveillance systems to increase their capacity to monitor acute and chronic infections of HIV and HCV in areas of high populations or low-income, uninsured, and underserved racial and ethnic minorities. This Special Projects of National Significance Program initiative is supported through the Department of Health and Human Services (HHS) Minority HIV/AIDS Fund.
Using Evidence-Informed Interventions to Improve Health Outcomes among People Living with HIV (E2i)
This initiative will identify and provide support for the implementation of evidence-informed interventions to reduce HIV-related health disparities and improve health outcomes, including increasing retention in care, improving treatment adherence, and improving viral suppression for people living with HIV. Fenway Community Health Center, Inc. will serve as the Evidence-Informed Interventions Coordinating Center for Technical Assistance (E2i CCTA), and up to 24 Ryan White HIV/AIDS Program funded recipients/subrecipients will support the implementation of evidence-informed interventions. The University of California San Francisco will serve as the Evidence-Informed Interventions Evaluation Center (E2i EC) for this initiative.