Ryan White Core Medical Service Provision: An Examination of the Challenges and Processes of Implementation

Dates: 2007-2008

Geographic Scope: Nationwide

Client(s): HRSA - HAB

Services: Health Care & Public Health Planning, Applied Research & Evaluation, Health Systems Transformation

Technical Expertise: HIV & Infectious Diseases


JSI was contracted by HRSA HIV/AIDS Bureau to conduct a one-year examination of the challenges and processes for implementing the core medical service provision among Ryan White Program grantees. JSI conducted case studies with six grantees across the country (two each Part A, B, and C) to (1) examine how the provision impacted the structure of the grantee service system, (2) identify disruptions in the continuity of care that impeded grantee/provider ability to respond to clients' needs, (3) assess the effects of the provision on the diversity of the provider community, and (4) generate recommended policy and program guidance for implementing the provision. JSI developed a final report that described the grantees' experiences with the provision, the challenges and impacts of its implementation, and recommendations for assisting grantees with meeting this legislative requirement. The project results were presented at the August 2008 Ryan White All Grantees Meeting (Washington, DC) and to HRSA HIV/AIDS Bureau staff in September 2008.