Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Evaluation Provider | HRSA 22 029

Opportunity Information: Apply for HRSA 22 029

Emerging Strategies to Improve Health Outcomes for People Aging with HIV: Evaluation Provider (HRSA 22-029) is a discretionary cooperative agreement funding opportunity from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), under CFDA 93.928. It was created on October 26, 2021, with an original closing date of January 25, 2022. HRSA anticipated making one award under this specific notice. The award ceiling is listed as 0 in the source data, which typically signals that applicants should rely on the full announcement for budget expectations and constraints rather than a fixed published cap in the summary field. Eligibility is broadly described as "Others," with additional eligibility details referenced in the full notice.

This opportunity is one part of a three-piece national initiative focused on improving health outcomes for people living with HIV who are age 50 and older. The overall initiative funds (1) a capacity-building provider (HRSA-22-027), (2) multiple demonstration sites (HRSA-22-028), and (3) this evaluation provider (HRSA-22-029). The evaluation provider is meant to function as the cross-site learning and assessment backbone of the project, working in close coordination with the capacity-building organization and the funded demonstration sites. Because the funding instrument is a cooperative agreement, HRSA expects substantial federal involvement during the project period, meaning the awardee will collaborate actively with HRSA rather than operating with minimal federal interaction.

The work across all three components is organized around the HRSA HIV/AIDS Bureau (HAB) Implementation Science Framework (HAB IS). In practical terms, that means the initiative is not only about introducing promising clinical and service delivery approaches, but also about systematically studying how those approaches are adopted, integrated, and sustained in real-world HIV care settings. The emerging strategies to be implemented are centered on comprehensive screening and management for issues that commonly affect older adults with HIV, including comorbid medical conditions, geriatric conditions, behavioral health concerns, and psychosocial needs. The target population is explicitly people aged 50 and older with HIV, reflecting the growing number of individuals who are living longer with HIV and experiencing more complex, age-associated health and social service needs.

As the evaluation provider, the awardee is expected to assess how well these emerging strategies are taken up and incorporated into routine practice across the demonstration sites. That includes examining the degree of integration into workflows and service models, identifying what is working and what is not, and determining where implementation support or adaptation is needed. The evaluation scope also emphasizes understanding the implementation process itself, including analyzing which specific implementation strategies are used (for example, training approaches, workflow redesign, clinical decision supports, partnerships, or referral pathways) and how those strategies influence adoption and fidelity.

A major element of the evaluation role is documenting the broader contextual factors that shape implementation success or challenges. These contextual influences can include organizational capacity, staffing and workforce constraints, clinic infrastructure, community resources, patient demographics and needs, local policy environments, and other real-world conditions that affect whether an intervention can be delivered as intended and sustained over time. Alongside process and context evaluation, the initiative calls for assessing the impact of the emerging strategies, meaning the evaluation provider should help determine what changes occur as a result of implementation, such as improvements in screening rates, better management of comorbidities, stronger behavioral health connections, improved psychosocial supports, and ultimately better health outcomes for older people with HIV.

Finally, the initiative places clear value on translating learning into practice beyond the funded sites. The evaluation provider is therefore expected to support documentation, synthesis, and dissemination of the emerging strategies and lessons learned, helping HRSA and the broader HIV service community understand what was implemented, how it was implemented, under what conditions it worked best, and what other programs would need to replicate or adapt the approaches. In short, HRSA 22-029 funds a single entity to serve as the central evaluator and learning partner within a coordinated national effort, ensuring that implementation is rigorously studied and that practical, transferable knowledge is produced for improving care for people aging with HIV.

• 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: Evaluation Provider" 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 1 candidate(s).
• Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).

Apply for HRSA 22 029

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