Meeting of the NEEDS ASSESSMENT COMMITTEE H. Daniel Castellanos, Dr.PH & Carrie Davis, Co-Chairs

Transcription

1 Meeting of the EEDS ASSESSMET COMMITTEE H. Daniel Castellanos, Dr.PH & Carrie Davis, Co-Chairs April 1, 018, 9:0AM -11:0AM LGBT Center, 08 West 1 th St. By Conference Call , Access Code # Members Present: Carrie Davis (Co-Chair), Fay Barrett, Mark Brown, Randall Bruce, Amber Casey, Billy Fields, Timothy Frasca, Jennifer Irwin, Ron Joyner, Frank Machlica, Saul Reyes, Ruben Rios-Vergara, John Schoepp, Robert Steptoe, Marcy Thompson, Maiko omogida Members Absent: Daniel Castellanos, DrPH (Co-Chair), Guillermo Garcia-Goldwyn, Carol Kunzel, Jan Carl Park Other Council Members Present: Paul Carr, Maria I. Diaz, Jesus Maldonado C DOHMH/PHS Staff Present: adine Alexander, Jose Colon-Berdecia, Maria Diaz, Kate Penrose, Cristina Rodriguez-Hart, Scott Spiegler Others Present: Karen Hagos, James Satriano Materials Distributed: Meeting Agenda /8/18 Meeting Minutes Integrated Plan HIV Prevention and Care Plan : Objectives & Indicators ew ork State CDC HRSA Integrated HIV Prevention and Care Plan The ew ork State of Integrated HIV and Mental Health Care Calendar Welcome/Introductions/Moment of Silence/Review of the Meeting Packet/Review of the Minutes: Planning Council staff Melanie Lawrence opened the meeting with introductions and reviewed the meeting packet with the committee; the minutes were approved. Randall Bruce led the committee in a moment of silence. ew ork State CDC HRSA Integrated HIV Prevention and Care Plan Presenters: Amber Casey and Karen Haggos The Integrated Plan is based on the End the Epidemic Plan and complies with the HRSA requirement for an Integrated Care and Treatment Plan. The slides can be found at the end of the digital version of these minutes. The purpose of the presentation is to review the plan and select objectives for tracking by the eeds Assessment Committee. Page 1

2 The development of the plan was coordinated with a lot of community input through a collaborative process. Addressing disparities, and ensuring that all communities are impacted by improved outcomes is critical to the plan. Ms. Hagos discussed the targets involved in the plan, and where is in terms of reaching them. Stigma measures highlight that there is a lot of work to be done in this area. The data reported is always at least a year behind. There is a buffer period added to ensure that people are appropriately included in the correct data set. The last year of data indicates movement among vulnerable populations, in that there has been a decline among MSM. There are a number of efforts happening around stigma, including various surveys that strive to measure stigma and its impacts. The statewide group that formulated the Integrated Plan will be re-convened to check in on the plan as well as deliberate how to meet the targets. Immigration measurements have been a struggle, as the data is needed, but the state does not want to create fear in the community. The data in the presentation has a two year time lag in some cases i.e. measurement of people will necessarily have to wait until time passes to accurately calculate. Callen Lorde: Best Practices for TG Care Selected Indicators for tracking by the eeds Assessment Committee are highlighted on the chart with ** Because Tri-County is outside of C, it is not possible to match data to the same extent as it is for consumers in C. This makes it difficult to include Tri-County in data analyses in meaningful way. Ryan White does not cover and is not able to fund PrEP. It does fund biomedical counseling, which can help people s partners access PrEP. We have been able to match Ryan White data with Medicaid data, but not for PrEP, since HIV+ people do not use PrEP. The committee agrees that looking at how the most vulnerable populations are impacted by the epidemic is a critical concern. The special populations chosen by the committee previously intersect directly with the indicators selected below. Most people in Ryan White have been diagnosed for a while there are not a lot of new diagnoses in the population we serve. There is good data in Ryan White on substance use. The committee agreed to formally decide on the subpopulations at a future time. Integrated Plan Indicators Indicator CTP Can Measure? Previously Measured for Comp plan? Objective 1A: By the end of 00, reduce the estimated annual number of new infections to 750. Objective 1B: By 01, increase the percentage of persons newly diagnosed with HIV who are linked to HIV medical care to 85%. umber of new HIV infections umber of new HIV diagnoses umber and percent of partners of newly diagnosed HIV positive persons who report being aware of PrEP Page

3 umber and percent of partners of newly diagnosed HIV positive persons who report being on PrEP umber of people receiving prescriptions for PrEP Concurrent Cases/Late Diagnosis Percent of newly diagnosed PLWDHI linked to HIV medical care within 0 days of diagnosis Objective A: By the end of 01, increase the percentage of individuals living with HIV infection with continuous care to 90%. Objective B: By 01, increase the percentage of individuals living with HIV infection with suppressed viral load to 80%. Percent of PLWDHI with any care Percent of PLWDHI in continuous care Percent of PLWDHI who are virally suppressed Percent of PLWDHI who progress to AIDS Objective A: By 01, reduce HIV-related disparities in communities and specific populations at high risk for HIV infection. Objective B: By 01, reduce stigma and eliminate discrimination associated with HIV status. **umber of new diagnoses in communities and specific populations at high risk for HIV infection **Viral suppression percentages in communities and specific populations at high risk for HIV infection Stigma / PLWDHI public leadership indicator to be developed Objective 4A: By 01, strengthen ongoing HIV-related collaborations with appropriate public and private sector partners. Objective 4B: By the end of 01, support the development of ew ork State regulations and policies responding to the needs of people at risk of HIV infection and people with HIV that are informed by advancements in medicine, technology, and the social sciences. umber of Gonorrhea and Syphilis infections in communities and specific populations at risk for STD infection **umber of HCV infections in communities and specific populations at high risk for HCV infection, including PWID **STD and HCV co-infection among PLWDHI* umber of Ending The Epidemic-related legislative initiatives that have been introduced in the S Legislature, the ew ork City Council, the assau County Legislature, or the Suffolk County Legislature *Only HCV co-infection is directly measurable by CTP staff HIV among the Seriously Mentally Ill The seriously/persistently mentally ill are not one of our special populations, even though virtually everyone in Ryan White has a mental health diagnosis. HIV is overrepresented in this population. There is Page

4 a large overlap with substance abuse in this population, as well. There is no mandate to provide HIV testing in these institutions. The data shows an infection rate of about 10% - overrepresented in homeless populations, as well as among incarcerated individuals. The survey the below slide is based on has been conducted for about years. A lot of alcohol and tobacco use among this population. Providers are overburdened and underfunded. This population is frequently stigmatized. Ryan White is not able to fund psychiatric care. Ryan White is set up to identify the population, address stigma, but Medicaid is the main payer. This presentation highlights a need, but not necessarily within Ryan White. From other surveys we know that this population progresses to AIDS at higher rates, and are less likely to know about PEP/PrEP. Mr. Frasca suggested we look at this issue further and do a deeper dive in the next planning cycle o public comment. Public Comment Page 4

5 Today s Objectives Brief Overview of the Guidance Review of Expectations for an Integrated Plan Community Input & Role in Integrated Plan Development Process to Develop the Plan Highlights from Final Plan Current ETE Metrics ext Steps Q&A 4 5 Page 5

6 Guidance Details Guidance includes four sections that provide a framework for HIV prevention and care: (1) prevention and care needs assessment process and results () integrated HIV prevention and care plan () monitoring and improvement (4) submission and review process 1 Page 6

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