Assessing the Success of Title III Planning Grant Recipients Presented by Asta Sorensen with Jon Poe

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Assessing the Success of Title III Planning
Grant RecipientsPresented byAsta
SorensenwithJon Poehlman, Shelly Harris, Nancy
Mitchell, Tammeka Swinson, Boyd GilmanRTI
InternationalPresented atRWCA Training and
Technical Assistance Grantee Meeting August 28,
2006
3040 Cornwallis Road P.O. Box 12194
Research Triangle Park, NC 27709
Phone [phone]
e-mail asorensen_at_rti.org
Fax [phone]
RTI International is a trade name of Research
Triangle Institute
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Background

• Title III Planning Grant program provides funds
  to plan for the provision of high quality,
  comprehensive HIV primary health care services.
• Serves individuals and families affected by
  HIV/AIDS in rural or urban underserved areas and
  minority communities.
• Grant award is for up to 50,000 for one year.

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Purpose of Evaluation

• Determine the effectiveness of the Title III
  Planning Grant program
• Identify organizational and community-level
  determinants of Planning Grant recipient
  performance
• Assess the longer-term impact of the Planning
  Grants on the expansion and improvement of
  primary health care and supportive services.

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Phase I Planning Grantee Profile

• 136 organizations received Planning Grants in
  2001-2003
• 43 of these received EIS grants to establish or
  expand primary care services after implementation
  of their Planning Grants.

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Geographic Distribution of Title III Planning
Grants by Year, 20012003
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All Planning Grant Recipients and Planning Grant
Recipients that received EIS Grant by
Organization Type, 20012003
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Phase II Interviews with Key Informants

• Number of Total and Sampled Grant Recipients by
  Strata

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Primary Sample Selection Criteria for Interviews
with Key Informants (Phase II)

• Geographic diversity within the United States
• Frequency of/experience in obtaining Title III
  Planning Grants by state
• Urban vs. rural designation of the site
• Organization type and
• Year of Planning Grant award.

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Geographic Distribution of Sites Participating in
Interviews
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Number of Participating Sites by Type of
Community Served
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Number of Participating Sites by Type of Provider
Organization
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Type of Services Provided
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Activities Performed Under the Planning Grant
Program

• Assessing community needs
• Establishing advisory boards
• Forming linkages with other community service
  providers
• Evaluating existing resource capacity
• Investigating alternative funding opportunities.

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Secondary Activities Performed Under the Planning
Grant Program

• Developing a comprehensive care plan
• Strengthening technological infrastructure
• Training staff and clients.
• All but one of the 16 Planning Grant recipients
  interviewed for this study reported that their
  organizations successfully accomplished their
  initial objectives.
• Many stated that Planning Grant funds were
  critical for undertaking meaningful planning
  activities in preparation for the delivery of new
  or expanded services.

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Planning Grant Impact Short Term

• Planning Grant helped organizations to
• Improve internal organizational capacity,
• Implement key operational changes,
• Prepare effective EIS applications,
• Establish service delivery programs,
• Identify and respond to unmet needs.

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Planning Grant Impact Short Term

• A number of grantees reported specific
  improvements related to their primary care
  delivery services
• Increased capacity and ability to serve larger
  patient populations
• Extended services in evenings, weekends, and on a
  walk-in basis
• Bi-lingual providers and culturally-appropriate
  services
• Establishment of new services such as dental
  clinics.

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Planning Grant Impact Long Term

• Title III EIS grantees with a prior Planning
  Grant also reported
• Initiating HIV primary care services and
  implementing the activities necessary to deliver
  HIV/AIDS care faster and with fewer difficulties
  than those without prior Planning Grants.
• Fewer challenges and time delays in formalizing
  contracts, memoranda of understanding, and
  affiliation agreements with partner sites.
• Attaining full staffing more quickly than those
  without a Planning Grant.

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Months Required to Achieve Full Staffing after
Receiving EIS Award
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Planning Grant Impact Long Term

• Beneficial impact on those grantees that did not
  receive a
• subsequent EIS grant
• At least half reported providing the broad range
  of services similar to those grantees that
  received EIS funds.
• At least half continued to maintain established
  partnerships and advisory boards and provide
  referrals to established partners.

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Planning Grant Impact Long Term

• Beneficial impact on those grantees that did not
  receive
• a subsequent EIS grant
• At least three out of the eight successfully
  obtained external non-CARE funds to support their
  HIV service activities.
• Several reported that the activities they
  conducted under the Planning Grant made them
  realize either that the demand for services were
  already being met by available providers or that
  they can be more efficient if they partnered as a
  subcontracted provider with another Title III
  grantee.