Jeffrey Hitt, M.Ed. Director, Infectious Disease Prevention and Health Services Bureau Maryland Department of Health & Mental Hygiene Presentation to the Baltimore Part A Planning Council June 16, 2015 1
MISSION The mission of the is to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations. VISION The envisions a future in which all Marylanders and their families enjoy optimal health and wellbeing. 2
Health Resources and Services Administration (HRSA) Ryan White Part B AIDS Drug Assistance Program (ADAP) Minority AIDS Initiative (MAI) Housing and Urban Development (HUD) Housing Opportunities for People with AIDS (HOPWA) State Special Funds 3
Region Regional Allocation Percent Regional Allocation Amount Central: Baltimore City 46% $7,940,999 Counties 12% $2,094,231 Subtotal 58% $10,035,230 Eastern 11% $1,904,961 Southern 2% $416,433 Suburban 21% $3,625,092 Western 7% $1,174,970 Total 100% $17,156,686
Support Core Outpa+ent/Ambulatory Medical Care $1,410,494 Medical Case Management $1,126,266 Mental Health Services $421,640 Substance Abuse $191,206 Oral Health Care $690,408 Subtotal $3,840,014 Non- Medical Case Management $1,365,894 Psychosocial $496,469 Treatment Adherence Counseling $1,417,880 Outreach $820,742 Subtotal $4,100,985 Bal$more City Total $7,940,999
Outpa+ent/ Ambulatory Medical Care $0 Medical Case Management $1,126,028 Mental Health Services $0 Substance Abuse $0 Oral Health Care $0 Medical Nutri+on Therapy $10,800 Subtotal $1,136,828 Housing Services $90,744 Emergency Financial Assistance $182,972 Non- Medical Case Management $612,641 Psychosocial $71,046 Subtotal $957,403 Surrounding Coun$es Total $2,094,231 Core Support
BALTIMORE EMA County Enrolled Clients [over course of year] Pharmacy Drug Claims $ Pharmacy Clients Insurance Premium $ MADAP Plus Clients Anne Arundel 337 $1,562,970 282 $553,393 158 Bal+more 816 $3,640,835 687 $1,228,137 358 Bal+more City 2,942 $10,923,255 2,358 $3,243,191 1,130 Carroll 38 $170,067 34 $71,726 20 Harford 148 $624,762 119 $288,222 86 Howard 172 $816,549 148 $286,898 86 Queen Annes 12 $22,918 9 $30,044 9 Total 4,465 $17,761,355 3,637 $5,701,611 1,847
Centers for Disease Control & Prevention (CDC) HIV Prevention Cooperative Agreement STI Prevention Cooperative Agreement Partnerships for Care* Substance Abuse & Mental Health Services Administration (SAMHSA) Portion of CSAT Block Grant awarded to BHA State General Funds *Parallel funding from HRSA s Bureau of Primary Health Care to three FQHCs in Baltimore City. 8
HIV Prevention Service/Program Approx Amt HIV Testing and Linkage to Care $500,000 HIV/STI Partner Services $410,000 Partnerships for Care $150,000 Sexual Health Integration Initiative $975,000 Needle Exchange $290,000 Total $1,785,000 9
Jurisdiction # of HIV Tests # of Newly- Diagnosed PLWH Anne Arundel County 642 5 Baltimore County 3,601 18 Carroll County 654 0 Harford County 726 2 Howard County 1,033 3 Queen Anne s County 32 1 EMA Total 6,688 29 Twenty-six (90%) of the newly-diagnosed PLWH were linked to HIV medical care within 90 days of diagnosis. 10
Jeffrey Hitt jeffrey.hitt@maryland.gov Thanks to staff: Terry Hawkins, Mary Bahr, Barbara Conrad, Kip Castner, Jenna McCall, Hope Cassidy- Stewart, Hope Russell 11
http://phpa.dhmh.maryland.gov 12