Opportunity Information: Apply for HRSA 22 028
The Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Demonstration Sites grant opportunity (HRSA 22-028) is a discretionary grant program from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.928. It is designed to strengthen how HIV care systems respond to the realities of an aging HIV population, especially people ages 50 and older who often face a more complicated mix of health issues than younger patients. The core idea is to fund real-world demonstration sites that can put promising, practical approaches into place, study how well those approaches fit into routine care, and produce lessons that other providers can replicate.
This funding opportunity is one part of a three-part initiative that HRSA structured to work as a coordinated package. Alongside the demonstration sites (HRSA 22-028), HRSA also planned to fund a capacity-building provider (HRSA 22-027) and an evaluation provider (HRSA 22-029). The intention is that these three components operate in parallel and in partnership: demonstration sites implement and test emerging strategies in clinical and service settings; the capacity-building provider supports sites with training, tools, and technical assistance to help implementation succeed; and the evaluation provider helps generate consistent evidence across sites about what was implemented, how it was implemented, and what outcomes changed. All three components are expected to align their work using the HRSA HIV/AIDS Bureau (HAB) implementation science framework, which emphasizes not only whether an intervention works, but also how it gets adopted, integrated, sustained, and scaled in real practice conditions.
At the demonstration-site level, the program focuses on implementing "emerging strategies" that improve the way organizations identify and manage the complex needs of older people with HIV. That includes comprehensive screening and management of comorbidities (such as cardiovascular disease, diabetes, kidney disease, and other chronic conditions that become more common with age), geriatric conditions (for example, functional limitations, fall risk, frailty, cognitive concerns, and medication-related issues), behavioral health needs (including mental health and substance use), and broader psychosocial needs (such as housing stability, social isolation, stigma, access to supportive services, and challenges navigating multiple systems of care). The emphasis on comprehensive screening and management signals that HRSA is looking for integrated models that go beyond viral suppression alone and address whole-person aging.
A central requirement is that sites do more than simply provide services; they are also expected to learn from implementation in a structured way. Demonstration sites are meant to assess the uptake and integration of the strategies they introduce, meaning they should pay attention to whether new practices are actually being used by staff, embedded in workflows, and accepted by patients. The opportunity also calls for understanding implementation processes, including identifying and assessing specific implementation strategies. In practical terms, that can mean documenting what steps sites take to roll out changes (staff training, workflow redesign, clinical decision support, referral partnerships, patient engagement approaches, and so on), and then examining which of those steps appear to drive adoption and fidelity.
In addition, the initiative explicitly highlights the importance of context. Sites are expected to understand and document broader contextual factors that affect implementation, such as organizational capacity, staffing constraints, patient population characteristics, local service networks, reimbursement environment, and the impact of structural barriers. This kind of contextual documentation is a key feature of implementation science because it helps other jurisdictions and providers judge whether a model is likely to translate to their own setting, and what adaptations might be necessary.
Evaluation is another core element of the work. Demonstration sites, in coordination with the initiative-wide evaluation provider, are expected to evaluate the impact of the emerging strategies. While the specific measures are not listed in the short description, the program framing suggests a mix of outcomes related to health (management of comorbidities, functional or geriatric outcomes, behavioral health indicators), care processes (screening rates, referral completion, retention in care, care coordination), and patient-centered outcomes (quality of life, reduced isolation, improved access to supportive services). The goal is to move from promising ideas to evidence-backed practices that show measurable improvement for people aging with HIV.
Finally, the opportunity places strong emphasis on documentation and dissemination. Sites are expected to capture what they did in a way that can be shared, including practical tools, workflows, screening protocols, partnership models, and lessons learned. The dissemination component is meant to ensure the field benefits from the investment by giving other HIV service providers and systems concrete, transferable strategies for supporting older adults with HIV.
Administratively, the grant was posted on October 26, 2021, with an original closing date of January 25, 2022. HRSA anticipated making around 10 awards. The listing shows an award ceiling of 0, which typically indicates that a fixed maximum was not specified in that summary field rather than implying no funding; the detailed notice of funding opportunity would normally provide budget guidance and expectations. Eligibility is categorized broadly as "Others," with further clarification referenced in the full eligibility text, implying that applicants could include a range of organizations involved in HIV care and supportive services, depending on the specific criteria in the full announcement.
In short, HRSA 22-028 is about funding practice-based demonstration sites that can implement and refine integrated, aging-focused HIV care strategies, study how those strategies are adopted in real settings using an implementation science approach, measure their impact, and produce practical guidance that can be spread across the HIV care system.Apply for HRSA 22 028
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Demonstration Sites" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.928.
- This funding opportunity was created on Oct 26, 2021.
- Applicants must submit their applications by Jan 25, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 10 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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FAQs: Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Demonstration Sites (HRSA 22-028)
What is HRSA 22-028?
HRSA 22-028 is a discretionary grant program from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA). It funds real-world demonstration sites focused on improving health outcomes for people aging with HIV, especially individuals ages 50 and older.
What is the official program name for this opportunity?
The opportunity is titled Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Demonstration Sites.
What is the CFDA number associated with this grant?
The CFDA number listed for this opportunity is 93.928.
What is the main purpose of the demonstration-site program?
The purpose is to strengthen how HIV care systems respond to the realities of an aging HIV population by funding sites that implement practical, promising approaches in routine care, study how those approaches fit and function in real settings, and produce lessons and tools that other providers can replicate.
Who is the program meant to benefit?
The program is designed to benefit people aging with HIV, with a particular emphasis on adults ages 50 and older who often experience more complex, overlapping health and psychosocial needs than younger patients.
Why is there a special focus on people ages 50 and older with HIV?
The program framing highlights that older adults with HIV may face a more complicated mix of health issues, including chronic comorbidities, geriatric conditions, behavioral health needs, and psychosocial challenges that require more integrated and comprehensive care approaches.
What does HRSA mean by "demonstration sites" in this program?
Demonstration sites are real-world clinical and service settings funded to put emerging strategies into practice, observe and assess how well those strategies are integrated into routine care, evaluate impact, and document what was done so others can replicate effective approaches.
What are "emerging strategies" in the context of HRSA 22-028?
In this context, emerging strategies are practical approaches intended to improve how organizations identify and manage the complex needs of older people with HIV. The strategies emphasize comprehensive screening and management across medical, geriatric, behavioral health, and psychosocial domains.
What types of health issues are demonstration sites expected to address?
The description emphasizes comprehensive screening and management of:
- Comorbidities (e.g., cardiovascular disease, diabetes, kidney disease, and other chronic conditions more common with age)
- Geriatric conditions (e.g., functional limitations, fall risk, frailty, cognitive concerns, and medication-related issues)
- Behavioral health needs (including mental health and substance use)
- Psychosocial needs (e.g., housing stability, social isolation, stigma, access to supportive services, and navigating multiple systems of care)
Is the program focused only on HIV viral suppression?
No. The opportunity emphasizes integrated models that go beyond viral suppression alone and address whole-person aging, including chronic conditions, geriatric concerns, behavioral health, and psychosocial needs.
What is expected of sites beyond delivering services?
Sites are expected to learn from implementation in a structured way. That includes assessing uptake and integration of the new strategies, documenting implementation processes, identifying specific implementation strategies used, and evaluating impact in coordination with the initiative-wide evaluation provider.
What does "uptake and integration" mean for demonstration sites?
Uptake and integration refers to whether new practices are actually being used by staff, embedded into workflows, and accepted by patients as part of routine care rather than remaining a temporary or standalone activity.
What kinds of implementation steps might sites document?
The description gives examples such as staff training, workflow redesign, clinical decision support, building or strengthening referral partnerships, and patient engagement approaches. Sites are expected to examine which steps help drive adoption and fidelity.
What role does implementation science play in this initiative?
Implementation science is central to the initiative. The work is expected to align with the HRSA HIV/AIDS Bureau (HAB) implementation science framework, which focuses not only on whether an intervention works, but also how it gets adopted, integrated, sustained, and scaled under real practice conditions.
What is the HRSA HIV/AIDS Bureau (HAB) implementation science framework used for here?
It serves as a common organizing approach across the initiative, guiding demonstration sites (and the other initiative components) to consistently describe what was implemented, how implementation occurred, and how interventions might be sustained and expanded.
Why does the opportunity emphasize documenting "context"?
Because context helps explain why an approach worked (or did not) in a specific setting and helps other providers judge whether a model can translate to their own environment. Contextual documentation is described as a key feature of implementation science.
What kinds of contextual factors are sites expected to consider?
The description highlights factors such as organizational capacity, staffing constraints, patient population characteristics, local service networks, the reimbursement environment, and the impact of structural barriers.
What is the evaluation expectation for demonstration sites?
Demonstration sites, in coordination with the initiative-wide evaluation provider, are expected to evaluate the impact of the emerging strategies they implement.
What types of outcomes might be evaluated under this program?
While specific measures are not listed in the provided summary, the framing suggests evaluating a mix of:
- Health outcomes (e.g., comorbidity management, functional or geriatric outcomes, behavioral health indicators)
- Care process outcomes (e.g., screening rates, referral completion, retention in care, care coordination)
- Patient-centered outcomes (e.g., quality of life, reduced isolation, improved access to supportive services)
How does this grant fit into the larger HRSA initiative?
HRSA structured this as part of a three-part initiative designed to work as a coordinated package: (1) demonstration sites (HRSA 22-028), (2) a capacity-building provider (HRSA 22-027), and (3) an evaluation provider (HRSA 22-029). The intention is that all three operate in parallel and in partnership.
What does the capacity-building provider do (HRSA 22-027)?
Based on the description, the capacity-building provider supports sites with training, tools, and technical assistance to help implementation succeed.
What does the evaluation provider do (HRSA 22-029)?
Based on the description, the evaluation provider helps generate consistent evidence across sites about what was implemented, how it was implemented, and what outcomes changed.
What is the expected relationship between demonstration sites and the other initiative components?
The initiative is designed for partnership and alignment: demonstration sites implement and test strategies, the capacity-building provider supports successful implementation, and the evaluation provider supports consistent cross-site learning and evidence-building, all aligned using the HAB implementation science framework.
What is meant by "documentation and dissemination" in this program?
Sites are expected to capture what they did in a practical, shareable way, such as tools, workflows, screening protocols, partnership models, and lessons learned, so other HIV providers can adopt and adapt successful approaches.
When was HRSA 22-028 posted, and when did it close?
The grant was posted on October 26, 2021, with an original closing date of January 25, 2022.
How many awards did HRSA anticipate making?
HRSA anticipated making around 10 awards.
What is the award ceiling for this opportunity?
The listing shows an award ceiling of 0. The summary indicates this typically means a fixed maximum was not specified in that summary field, and that the detailed notice of funding opportunity would normally provide budget guidance and expectations.
Who is eligible to apply?
Eligibility is categorized broadly as "Others", with additional clarification referenced in the full eligibility text. This implies a range of organizations involved in HIV care and supportive services may be eligible, depending on the detailed criteria in the full announcement.
What is the overall goal of HRSA 22-028?
The overall goal is to move from promising ideas to evidence-backed, replicable practices that measurably improve care and outcomes for people aging with HIV, while generating practical guidance that can spread across the HIV care system.
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