Linkage, Re- Engagement, Retention, and Data- to- Care
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1 Linkage, Re- Engagement, Retention, and Data- to- Care Mara Michniewicz, M.P.H. Prevention Program Manager Emma Spencer, Ph.D., M.P.H. Surveillance Program Manager Building Infrastructure to Support Linkage and Re-Engagement Efforts Statewide HIV/AIDS Section Data-to-Care Initiatives Meghan Daily Community Programs Coordinator Assessing and Addressing Barriers to Retention in Care
2 State of Florida Integrated Plan: Objectives and Strategies Objectives: 1.3, 2.1, 2.2, 2.3, 2.4, 2.5, 3.1, 3.2, 3.3, and 3.4 Strategies: 1.3.C, 2.1.B, 2.1.C, 2.2.A, 2.2.C, 2.3.B, 2.3.C., 2.4.A, 2.4.B, 2.4.C, 2.5.E, 3.1.B, 3.2.B, 3.3.A, and 3.4.B
3 Florida HIV/AIDS Comprehensive Planning Network (FCPN) Meeting May 17 18, 2017 Kissimmee, FL
4 Test and rapid access to treatment (Test and Treat) Antiretroviral pre- exposure prophylaxis (PrEP) and non- occupational post- exposure prophylaxis (npep) initiatives Routine HIV and sexually transmitted disease (STD) screening in health care settings/targeted testing in non- health care settings Community outreach, engagement, and messaging
5 Strengthening Infrastructure Distribution of 25- plus regional linkage and re- engagement coordinators statewide Leveraging Ryan White (RW) Part B funds Coordination and quality assurance for linkage and re- engagement activities Local Data- to- Care activities Cross- training in Partner Services
6 Strengthening Infrastructure, continued Two new Minority AIDS Initiative (MAI) Antiretroviral Treatment and Access to Services (ARTAS) sites (Lee and Volusia County Health Departments) Targeted Outreach for Pregnant Women Act (TOPWA) perinatal programs Maintaining 7 TOPWA providers in highest incidence areas
7 Strengthening Infrastructure, continued Expansion of Department of Corrections (DOC) Prison Pre- Release Planning Program Central Florida Reception Center Role of linkage/re- engagement staff with regard to molecular HIV surveillance and response
8 Capacity Building and Training Peer Navigation Programs Collaboration with STD and Viral Hepatitis Section Enhancements to STD PRISM database to capture more accurate linkage- to- care data
9 Policy Changes Preliminary Ryan White eligibility based on rapid HIV reactive result National HIV/AIDS Strategy: 2020 Update Moving from 90- day linkage- to- care timeframe to 30- day linkage- to- care timeframe
10 Contact Information Mara Michniewicz, MPH HIV Prevention Manager HIV/AIDS Section Bureau of Communicable Diseases Florida Department of Health (850) Michelle Duncan Linkage Team Lead HIV/AIDS Section Bureau of Communicable Diseases Florida Department of Health (850)
11 Florida HIV/AIDS Comprehensive Planning Network (FCPN) Meeting May 17 18, 2017 Kissimmee, FL Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
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15 1 Enhanced HIV/AIDS Reporting System (ehars)
16 # of persons diagnosed with HIV Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 Already in care Linked to care Refused Unable to locate Moved out of state Deceased Deleted from ehars 1 Enhanced HIV/AIDS Reporting System (ehars)
17 1 Enhanced HIV/AIDS Reporting System (ehars)
18 # of persons diagnosed with HIV Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 In care Moved out of state Deceased Deleted from ehars Unknown 1 Enhanced HIV/AIDS Reporting System (ehars)
19 # of persons diagnosed with HIV and in care Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 Previous Out of State Dx <1 month 1-3 months 4-6 months 7-12 months >=1 year
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22 Contact Information Emma Spencer, PhD, MPH HIV Surveillance Manager HIV/AIDS Section Bureau of Communicable Diseases Florida Department of Health (850) Karalee Poschman, MPH CDC Surveillance Assignee to Florida HIV/AIDS Section Bureau of Communicable Diseases Florida Department of Health x2606 Division of Disease Control and Health Protection To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
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