The San Francisco HIV System of Care Presentation for HIV Health Services Planning Council February 24, 2014
1. Reduce new HIV infections 2. Increase access / improve health outcomes for PLWHA 3. Reduce HIV-related disparities 4. Achieve a more coordinated national response
Goals & Objectives of National HIV/AIDS Strategy 1. REDUCE NEW HIV INFECTIONS Lower the annual number of new infections by 25% Reduce HIV transmission by 30% Increase the percentage of people living with HIV who know their serostatus from 79% to 90% 2. INCREASE ACCESS TO CARE AND IMPROVE HEALTH OUTCOMES FOR PEOPLE LIVING WITH HIV Increase the proportion of newly diagnosed patients linked to clinical care from 65% to 85% Increase the proportion of Ryan White HIV/AIDS Program clients who are in continuous care from 73% to 80% Increase the number of Ryan White clients with permanent housing from 82% to 86% 3. REDUCE HIV-RELATED HEALTH DISPARITIES Improve access to prevention and care services for all Americans Increase the proportion of HIV-diagnosed gay and bisexual men with undetectable viral load by 20% Increase the proportion of HIV-diagnosed Blacks with undetectable viral load by 20% Increase the proportion of HIV-diagnosed Latinos with undetectable viral load by 20% 4. ACHIEVE A MORE COORDINATED NATIONAL RESPONSE Increase the coordination of HIV programs across the Federal government and between federal agencies and state, territorial, tribal, and local governments. Develop improved mechanisms to monitor and report on progress toward achieving national goals.
National HIV/AIDS Strategy Set Aside Funded Programs Category 1: Community -Based HIV Testing System of Prevention Category 2: HERR to Address Drivers Among MSM Category 8: Citywide Syringe Program Categories 4-7: Special Projects Category 3: Prevention With Positives National HIV/AIDS Strategy
San Francisco Services Continuum HIV Prevention Services Focused Activities People at Risk New Diagnoses Linkage in Care Retention in Care Viral Suppression
Magnet Black Brothers Esteem Stonewall Project Glide Health Services Saint James Infirmary AGUILAS* Mobile Testing Special events Magnet Black Brothers Esteem Stonewall Project Glide Health Services Saint James Infirmary AGUILAS* Mobile Testing Special events STOP AIDS Project Shanti Magnet Black Brothers Esteem Stonewall Project Glide Health Services Saint James Infirmary AGUILAS* Mobile Testing Special events STOP AIDS Project Shanti On-Site Testing Mobile testing On-Site Testing Mobile testing On-Site Testing Mobile testing City Clinic Special Events City Clinic LINCS City Clinic LINCS People at risk Mission Neighborhood Health Center** Special Events TransThrive IFR El/La Mobile Testing Special Events New diagnoses *SFAF Is the subcontractor providing HIV testing for AGUILAS ** MNHC is the subcontractor providing testing for IFR Mission Neighborhood Health Center** Special Events TransThrive IFR El/La Mobile Testing Special Events Linkage and retention in care Mission Neighborhood Health Center** Special Events TransThrive IFR El/La Mobile Testing Special Events Viral suppression
NHAS Seven Common Core Indicators: (Red indicates currently reported to HRSA for RW funds) HIV Positivity Late HIV Diagnosis * Linkage to HIV medical care* Retention in HIV medical care ART for people with HIV in care Suppressed viral load Housing status *Ryan White data is unable to report the Late HIV Diagnosis variables. In order to be able to report the Linkage to care, HAB will have to add two data elements 7
San Francisco Services Continuum HIV Prevention & Health Services Combined Focused Activities People at Risk New Diagnoses Linkage in Care Retention in Care Viral Suppression
HIV Health Service Categories CORE SERVICES SUPPORT SERVICES Ambulatory / Outpatient Medical Care (A/OMC) A/OMC: Centers of Excellence Mental Health Services Hospice Services Medical Case Management (including Treatment Adherence) Early Intervention Services (Therapeutic Monitoring Programs) Dental/Oral Health Care Outpatient Substance Abuse Home Health Care Home & Community-based Health Services: CMP - ACMP Housing: Emergency, Transitional, Facilities Based Care, Residential Programs & Subsidies Food Bank / Delivered Meals Psychosocial Support Emergency Financial Assistance Non-Medical Case Management (Non- Housing) Medical Detox Legal Services Residential Substance Abuse / Non- Medical Detox Outreach Referral for Health Care / Supportive Services
Alignment of HIV Services Care
HIV Prevention & Care Collaborative Efforts PWP in Centers of Excellence (CoE) PWP Providers Network PWP Best Practices Planning Council Collaborations
PWP In CoE Targeted Populations & Areas Black Health CoE Native American CoE Mission CoE Tenderloin Area CoE Chronic Care CoE
Tracey Packer Community Health Equity and Promotion Branch San Francisco Department of Public Health Bill Blum & Celinda Cantú HIV Health Services San Francisco Department of Public Health