HIV Planning CouncilApril 10, 2024

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Priority Setting and Resource Allocation • Slides for Module 5 Training Objectives 01 Following the training, participants will be able to: 02 Explain PSRA Importance and Context: 03 Explain Priority Setting, Resource Allocation, and Directives: Legislative Language on PSRA DUTIES The planning council shall: “establish priorities for the allocation of funds within the eligible area, including how best to meet each such priority and additional factors that a grantee should consider in allocating funds under a grant” §2602(b)(4)(C) PSRA: A PC/PB Responsibility Planning council is the decision maker about the use of RWHAP Part A program funds – at least 85% of the total grant award Recipient must manage procurement so that funds are spent on services in the amounts determined by the PC Funds can be moved among service categories only with PC approval Planning body sets priorities and recommends allocations and directives to the recipient HRSA/HAB Expectations for PSRA There are many “right ways” to carry out PSRA Process should be: Appropriate for your EMA or TGA Carefully considered and discussed Based on agreed-upon principles and criteria Documented in writing Followed consistently Reviewed annually and updated as needed HRSA/HAB Expectations for PSRA (cont.) The entire PC/PB participates actively in decisions about priority setting and resource allocation Decisions are made based on data, not anecdotal information or “impassioned pleas” PC reviews many types of data and directly links decision making to these data Meetings are open, but practices regarding public comment vary, and only vetted PC/PB members vote Conflict of interest is managed Both the actual process and results of PRSA are documented in writing HRSA/HAB Expectations for Priority Setting Priorities are developed based on service needs of all PLWH in the EMA or TGA, regardless of: Who they are Where they live PC/PB must establish a sound, fair process for priority setting and ensure that decisions are data based Services prioritized must be from those listed in the legislation and described by HRSA/HAB as fundable through RWHAP Part A HRSA/HAB Expectations for Priority Setting (cont.) Priority is based on the importance of services to diverse PLWH living in the EMA or TGA – which services should be a part of the comprehensive system of quality care Decisions on priorities should not consider sources or amounts of funding for these services Even if the PC/PB cannot fund all prioritized services, additional resources could become available – or other funding for an important service might be lost A PC/PB should never allocate funds to a service category that is not prioritized