Title: Approval of Centers for Disease Control and prevention CDC Cooperative Agreement
1Approval of Centers for Disease Control and
prevention (CDC)Cooperative Agreement
- HIV Prevention Planning Council
- September 10, 2009
2- The Community Planning Groups role in HIV
prevention community planning is to - Review the health department application to CDC
for federal HIV prevention funds, including the
proposed budget, and - Develop a written response that describes whether
the health department application does or does
not, and to what degree, agree with the
priorities set forth in the comprehensive HIV
prevention plan. CDC Guidance
What is the role of HPPC?
3- Each year HPS is required to submit a letter with
the application from the HPPC to indicate that
the council has reviewed the document and whether
the council believes the application reflects the
priorities established in the HIV Prevention
Plan.
Concurrence Process
Health Department Application
Community Planning Process
HIV Prevention Plan
Program
Programmatic evaluation feedback to HPPC
What is concurrence?
4- Concurrence Concurrence means that the HPPC
agrees that the actions planned for January 1
through December 31, 2010 reflect the priorities
in the Plan. -
- Concurrence with reservations Concurrence with
reservations means that the HPPC basically
agrees with the planned actions but has some
concerns about them. The reservations/concerns
should be identified in the letter. -
- Nonconcurrence Nonconcurrence means that the
HPPC does not agree with the actions planned for
2010. A letter of nonconcurrence should describe
the particular actions with which the HPPC
disagrees. Instances of nonconcurrence are
reviewed by CDC on a case-by-case basis. After
consultation with the grantee and HPPC, CDC will
determine an appropriate course of action.
Options for Concurrence
5Timeline for HPPC review
- Thursday, June 25th Steering Meeting HPS
provided an update to the Steering Committee on
process. -
- Friday, June 26th HPS emailed overview of CDC
Cooperative Agreement to HPPC members - Thursday, July 9th HPPC Meeting HPS presented
Introduction to CDC Cooperative Agreement - Thursday, July 23rd Steering Meeting HPS
updated the Steering Committee on status of
application. - Thursday, August 13th HPPC Meeting HPS presented
overview of application to HPPC members - Thursday, August 27rd Steering Meeting Steering
Committee reviewed an update on the writing of
the application narrative. - Tuesday, September 1st Special Meeting HPS held
informal meeting to review the application
narrative. - Thursday, September 10th HPPC Meeting HPPC votes
on Letter of Concurrence
6- Part 1 Review of Narrative
7- Provides a brief overview of the process used to
develop the application. - Informs the CDC reviewers that where appropriate,
the HIV Prevention Section (HPS) wrote the
narrative in two parts - 2010 Year 1 Based on 2004 Plan and current
contracts - 2011 Year 2 Based on 2010 Plan and outcome of
Request for Proposal (RFP)
Executive Summary
Project Narrative Pages 1-2
8HIV Prevention Community Planning
- a) Provides information on how HPS works with the
HPPC to sustain and improve the three goals of
community planning. - Goal One--Community planning supports broad-based
community participation in HIV prevention
planning. - Goal Two--Community planning identifies priority
HIV prevention needs (a set of priority target
populations and interventions for each identified
target population) in each jurisdiction. - Goal Three--Community Planning ensures that HIV
prevention - resources target priority populations and
interventions set forth in the - Comprehensive HIV Prevention Plan.
Project Narrative Pages 3-7
9HIV Prevention Community Planning
- b) Indicates that information from the most
recent HIV Comprehensive Plan was provided in
Appendix Item A2 - c) Provides information on how programs funded by
HPS reflect priorities identified in the Plan. - d) Provides information on how funds are used to
support community planning. - e) Provides information on how the health
department adheres to the roles and
responsibilities identified in the CDC Community
Planning Guidance. - f) Provides information on how HPS/HPPC collect
and report community planning data.
Project Narrative Pages 7-11
10HIV Prevention Community Planning
- g) Provides information on attachments
- We need to attach the letter from the HPPC (A.1)
- Attachment A.2 Documentation of updates to the
most recent HIV Comprehensive Plan
Project Narrative Page 12
11Counseling, Testing Referral Services
- Provides information on
- The goal of our counseling, testing, linkages
services. - How efforts to identify newly infected persons
will be improved - How the provision of test results (especially
positive results) will be improved - Plans for providing and tracking the completion
of referrals for persons with positive test
results. - Describes how we will work with
- Departments of corrections to support routine
voluntary HIV screening - Medical care entities to encourage and support
routine HIV screening - Community-based organizations efforts to provide
CTRS (CTL) - How the integration of CTRS and STD services will
be - encouraged.
- How data will be collected, analyzed and used to
improve services. - We indicate here that 2011 Year 2 will be based
on 2010 Plan and outcome of RFP
Project Narrative Pages 12-19
12Partner Services
- Provides information on
- The goal of our Partner Services efforts.
- How we work with STD to reduce duplication of
activities - How HIV or STD surveillance data are utilized to
maximize efforts - What activities are provided through CBOs and
private medical providers. - Any new techniques that may be used
- How data is used to determine the scope of reach
and evaluation of services. -
Project Narrative Pages 19-22
13Prevention for HIV-Infected Persons
- Provides information on
- The goals of our Prevention with Positives
services - How HPS supports Prevention with Positives
services, what organizations and target
populations are served through CDC funds - The prioritized activities for PWP established in
the 2010 Plan - Efforts to support organizations and to
collaborate with health care providers to provide
prevention - Describe how primary care clinics will be
encouraged to integrate prevention and care
services. - Efforts to support partner services to all
persons newly diagnosed or reported with HIV will
be ensured - How data to is used to determine the scope and
reach of the programs will be collected and
analyzed, and how these data will be used to
evaluate program components in order to guide and
adjust future activities. -
Project Narrative Pages 22-29
14Health Education Risk Reduction
- Provides information on
- The goal of our Health Education/Risk Reduction
(HERR) efforts. - How HPS supports HERR, what organizations and
target populations are served through CDC funds - How services that are provided are based on
evidence-based approaches - How data that is used to determine the scope and
reach of the programs will be collected and
analyzed, and how these data will be used to
evaluate program components in order to guide and
adjust future activities. -
Project Narrative Pages 29-37
15Public Information Programs
- 2010 Year 1
- We will not be requesting funds to support public
information programs in 2010. - 2011 Year 2 Based on 2010 Plan and outcome of
RFP.
Project Narrative Page 37
16Perinatal HIV Transmission Prevention
- Describes our partnership with the Bay Area
Perinatal AIDS Center (BAPAC)
Project Narrative Pages 1-2
17Program Monitoring and Quality Assurance
- Provides information on
- How HPS plans to staff the program monitoring.
- How we will ensure that sufficient staff is
assigned to this activity and how the staff
responsible for data collection, entry, and
analysis will be adequately trained and
supported. - How we will identify and meet any technical
assistance (TA) needs associated with meeting the
monitoring requirements.
Project Narrative Pages xx
18Collaboration and Coordination
- Describe plans to collaborate and coordinate with
the following programs - STD Prevention
- CDC directly funded CBOs
- HIV/AIDS Care Programs
- Surveillance programs
- Substance use prevention and treatment programs
- Juvenile and adult criminal justice
- Hepatitis prevention
- TB clinics and programs
- Mental health departments and community mental
heath centers - Family planning and womens health
- State and local education agencies
Project Narrative Pages xx
19Additional Narrative Questions
- Provides information on
- How laboratory services are supported.
- A summary of unmet needs.
- HPS management and staffing plan.
Project Narrative Pages xx
20 21- CDC allocates 8,824,911 to San Francisco. (This
includes only the funds from CDC to SF, not State
or General Fund.) - Frequently Asked Question What is the HPSs
total HIV prevention budget? - HPS has a total prevention budget of
11,884,439. - CDC funds account for 72 of the budget. San
Francisco also receives 512,960 (4) from the
State of California to provide CTL, Hepatitis C
screening, HERR, and PwP. The City and County of
San Francisco provides 2,732,503 (24) for
prevention through the General Fund.
HPS Funding For Services
22- The first CDC budget category is Contractual
This represents contracts with community-based
prevention providers and Memoranda of
Understanding with other Department of Public
Health programs. - The total amount of the CDC award that is
contractual is 5,842,194. This represents 66 of
the CDC budget. - Frequently Asked Question Does this mean that
only 5,842,194 goes to prevention programs? - CDC funds are not the only funds for prevention.
100 of the SF General Funds and most likely100
of the State Funds will be contractual, in other
words, directly funded agencies that provide
prevention programs.
HPS Contractual Services
23Contractual Funds for HIV Prevention in San
Francisco
4
24
22020
22020
72
24TA/SP 280,524 5
PWP 1,891,438 32
CTL 1,590,522 27
HERR 2,158,109 36
HPS Funding For Prevention with CDC Funds
25- The second CDC budget category is Administrative
The total amount - of the CDC award that is administrative is
2,825,950. This represents - 32 of the CDC budget.
- Frequently Asked Question Why does such a large
portion of the - money go to administrative cost?
- The proportion of administrative to contractual
costs has remained approximately the same for the
last five years. Also, CDC dollars are the
primary resource used for administrative costs. - The overall administrative cost for HPS is 23.
State and City General Funds do not cover any
administrative costs.
SFDPH, HPS Administrative Cost
26- Breakdown of Administrative
- Salary Cost Total Salary is 2,242,950
- This includes HPS staff (community planning,
health education, program managers, counseling
and testing, evaluation, and data management) as
well as AIDS Office staff (contract management,
IS Support) and other DPH staff such as payroll,
accounting, invoice support, and other fiscal
support. - Please note that this also includes the mandatory
fringe benefits for employees.
SFDPH, HPS Administrative Cost (cont.)
27- Travel 17,000 for staff and HPPC members (USCA,
HPLS, UCHAPS, CDC meetings). - Materials and supplies 9,200
- Other Cost 59,800 , This includes rent for
office space, rental of facilities for meetings,
telephone, printing, stipends/honorariums, and
staff trainings. - Indirect Cost 496,479, this includes items such
as the cost of the building management of 25 Van
Ness, insurance, legal costs, etc
SFDPH, HPS Administrative Cost (cont.)
28