Health Department Grant: CoRECT

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This health department grant, known as the Cooperative Re-Engagement Controlled Trial (CoRECT), aims to evaluate an intervention to identify HIV-infected individuals who are out-of-care and re-engage them in HIV medical care. The trial will assess if an active health department field services intervention leads to increased re-engagement in care, retention in care, and HIV viral load suppression compared to usual linkage and engagement services. The project will demonstrate the feasibility of a collaborative health department-clinic approach to addressing individuals who have fallen out of HIV care, ultimately improving individual health outcomes and reducing community HIV transmission. Closing date: Jan 16, 2014.

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Opportunity ID: 247796

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General Information

Document Type:: Grants Notice
Funding Opportunity Number:: RFA-PS-14-001
Funding Opportunity Title:: The Cooperative Re-Engagement Controlled Trial (CoRECT)
Opportunity Category:: Discretionary
Opportunity Category Explanation::
Funding Instrument Type::
Category of Funding Activity:: Health
Category Explanation::
Expected Number of Awards:: 3
Assistance Listings Number(s):: 93.943 — Epidemiologic Research Studies of Acquired Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) Infec
Cost Sharing or Matching Requirement:: No
Version:: Synopsis 3
Posted Date:: Nov 18, 2013
Last Updated Date:: Jan 08, 2014
Original Closing Date for Applications:: Jan 16, 2014
Current Closing Date for Applications:: Jan 16, 2014
Archive Date:: Feb 15, 2014
Estimated Total Program Funding:: $ 6,900,000
Award Ceiling:: $2,300,000
Award Floor:: $2,000,000

Eligibility

Eligible Applicants:: Others (see text field entitled “Additional Information on Eligibility” for clarification)
Additional Information on Eligibility:: The following organizations are eligible to apply:
Competition is limited to state, local, and territorial health departments that are independently funded by CDC to perform HIV surveillance or their Bona Fide Agents. Funding decisions may also consider geographic diversity (e.g., applications that increase the diversity of geographic regions defined by the Department of Health and Human Services (http://www.hhs.gov/about/regionmap.html) represented in the program in order to maximize the program’s flexibility in addressing evolving public health research needs related to HIV that may vary by geographic region. Competition is further limited to health departments who meet the three special eligibility criteria listed in Section III.3 below.
3. Special Eligibility Requirements:
a. Applicants must have complete HIV laboratory reporting of CD4 and viral load test results, defined as follows3:
i. The jurisdiction’s laws/regulations require the reporting of all CD4 and viral load results to the state/city health department
ii. A minimum of 95% of HIV-related test results from laboratories that perform HIV-related testing for each area are being reported to the state/city health department
iii. The jurisdiction is reporting at least 95% of all CD4 and viral load test results to CDC as of this application’s deadline date.
b. Applicants may not be a grantee of The Care and Prevention in the United States (CAPUS) Demonstration Project (FOA # CDC-RFA-PS12-1210), information available at: http://www.cdc.gov/hiv/prevention/demonstration/capus/index.html
c. Applicants must have more than 10,000 adults and adolescents living with diagnosed HIV infection, year-end 2010, in their jurisdiction based on estimates in CDC’s HIV Surveillance. Report available at: http://www.cdc.gov/hiv/library/reports/surveillance/index.html
As of July 19, 2013, the eligible states are Massachusetts, Michigan, New York (excluding New York City), South Carolina, and Washington. The eligible local health departments are the District of Columbia, Los Angeles County, New York City, Philadelphia, and San Francisco (Table 1). State and local health departments are responsible for and have authority to conduct HIV surveillance and to provide linkage to HIV medical care for all HIV-infected individuals within their jurisdiction. Eligibility for this FOA is limited to state and local health departments because a critical component of this study includes the use of state and local health department surveillance data and the provision of field services by health department trained personnel with the relevant field services training to locate, contact, and provide assistance (i.e., appointment date and transport) to link people to HIV medical care.

Additional Information

Agency Name:: Centers for Disease Control and Prevention – ERA
Description:: HIV antiretroviral therapy (ART) can durably suppress the plasma HIV viral load which restores and preserves immunologic function. Effective ART improves individual survival and quality of life and dramatically reduces further HIV transmission making it a priority for both individual health and community public health. Within the United States, the largest lost opportunity to achieve a suppressed viral load occurs among individuals who have failed linkage to or retention in HIV medical care. Health department demonstration projects have suggested that good partnerships and information exchange between health departments and HIV clinics are essential to linkage/re-engagement programs. The Cooperative Re-Engagement Controlled Trial (CoRECT) will evaluate an intervention to identify HIV-infected persons who are out-of-care and engage them in HIV care. Health department laboratory surveillance data and clinic appointment data will be shared at monthly case conferences to define recent out-of-care HIV infected individuals. These individuals will be randomized to receive an active health department field services intervention or usual linkage and engagement in care services. The active intervention activities will include field services to locate, contact, and provide assistance, including a same-day appointment to access HIV medical care. CoRECT will evaluate if the active intervention resulted in increased re-engagement in care, retention in care, and HIV viral load suppression as compared with usual linkage and engagement in care services. Ultimately the trial will demonstrate the feasibility of a joint health department – clinic intervention to identify recently out-of-care individuals and the effectiveness of an active health department intervention to (re-)engage these individuals in HIV medical care.
Link to Additional Information::
Grantor Contact Information:: If you have difficulty accessing the full announcement electronically, please contact:

Version History

Version Modification Description Updated Date
Synopsis 3 The Application Instructions have been amended to delete the following information: Page 49 under D. Other Tips – Deleted – All responses to Objectives should be written in “SMART” format, which means that they should be specific, measurable, appropriate, realistic, and time-based.” Jan 08, 2014
Synopsis 2 The Application Instructions/Full Announcement has been updated to include changes to the Eligibility and Application Review Informaton. A summary of the conference call held on December 5, 2013 for potential applicants has also been included.
Synopsis 1

Package Status

Below are CLOSED Opportunity Package(s) no longer available for this Funding Opportunity:

Package No: 1

Assistance Listings: 93.943
Competition ID: NCHHSTP-R
Competition Title: NCHHSTP-R
Opportunity Package ID: PKG00189633
Opening Date: Nov 18, 2013
Closing Date: Jan 16, 2014
Agency Contact Information:: CDC
Who Can Apply:: Organization Applicants
mendatory_forms SF424 (R & R) [V1.2]
Project/Performance Site Location(s) [V1.4]
Research And Related Other Project Information [V1.3]
Research And Related Senior/Key Person Profile (Expanded) [V1.2]
Research & Related Budget [V1.1]
PHS 398 Cover Page Supplement [V1.4]
PHS 398 Research Plan [V1.3]
PHS 398 Checklist [V1.3]
optional_forms R & R Subaward Budget Attachment(s) Form 5 YR 30 ATT [V1.2]
PHS Cover Letter [V1.2]

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Packages

Assistance Listings Competition ID Competition Title Opportunity Package ID Opening Date Closing Date Actions Who Can Apply:
93.943 NCHHSTP-R NCHHSTP-R PKG00189633 Nov 18, 2013 Jan 16, 2014 View CDC Organization Applicants

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