Assessing Care and Health Outcomes Among Ryan White HIV/AIDS Program (RWHAP) Clients Who Do Not Receive RWHAP-Funded Outpatient Ambulatory Health Services (Non-OAHS)

OMB 0906-0046

HRSA is conducting this study to understand the quality of care and viral suppression rate among the approximately 165,000 RWHAP clients for whom it does not collect clinical information. HRSA will use the findings to (1) assess care and health outcomes among its non-medical clients; (2) determine if and where these clients receive medical care; (3) identify unmet needs faced by this population; and (4) develop strategies to strengthen the coordination of services between RWHAP-funded and nonfunded providers and, thus, improve retention in care and viral suppression for all of its clients.

The latest form for Assessing Care and Health Outcomes Among Ryan White HIV/AIDS Program (RWHAP) Clients Who Do Not Receive RWHAP-Funded Outpatient Ambulatory Health Services (Non-OAHS) expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 5 Telephone Screening Form and Instruction
Form 3 Medical Record Abstraction Form and Instruction
Form 2 Client Interview Protocol Form and Instruction
Form 1 Provider Interview Protocol Form and Instruction
Attachment A8 - Type 2 Provider Intro Slides.pptx Supplementary Document
Attachment A7 - Type 1 Provider Intro Slides.pptx Supplementary Document
Attachment A6 - Introduction Letter.docx Supplementary Document
Attachment A5 - Fact_Sheet_Client.docx Supplementary Document
Attachment A4 - Fact_Sheet_Type_2_non-RWHAP_Clinical.docx Supplementary Document
Attachment A3 - Fact_Sheet_Type_1_RWHAP_Clinical_Yes_OAHS.docx Supplementary Document
Attachment A2 - Fact_Sheet_Type_1_RWHAP_Clinical_No_OAHS.docx Supplementary Document
Attachment A1 - Fact_Sheet_Type_1_RWHAP_Non-Clinical_No_OAHS.docx Supplementary Document
REVISEDFINALSupporting Statement B revised_11_5_post_omb_ convo_CLEAN.docx Supporting Statement B
REVISEDFINALSupporting Statement A_revised_12_2_2019.docx Supporting Statement A
Telephone Screening Form and Instruction
Medical Record Abstraction Form and Instruction
Client Interview Protocol Form and Instruction
Provider Interview Protocol Form and Instruction

All Historical Document Collections

201907-0906-001

Approved with change

New collection (Request for a new OMB Control Number)

2019-07-11

OMB Details

Provider Interview Protocol

Federal Enterprise Architecture: Health - Health Care Services

Form 1

B1 Provder Interview Protocols

Fillable Fileable

Form and instruction

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