DEPARTMENT OF HEALTH Division of Disease Control Bureau of HIV/AIDS Patient Care Section March 22, 2011
BUREAU OF HIV/AIDS Chief, Bureau of HIV/AIDS Tom Liberti Medical Director Jeffrey Beal, MD Biological Scientist IV Spencer Lieb Administrative Assistant II Lula Hannah Statewide Minority Coordinator Ron Henderson Program Administrator Sherry Riley Program Administrator Joe May Program Administrator Marlene LaLota Program Administrator Rebecca Grigg Program Administrator Phil Reichert Operations & Management Patient Care Prevention Surveillance Hepatitis 2
HIV/AIDS PATIENT CARE HIV/AIDS patient care activities within the Patient Care Section are designed to provide and promote community based care and support services to eligible persons living with HIV disease throughout Florida. 3
HIV PATIENT CARE Infra Structure Support Joe May Program Administrator ADMINISTRATIVE 3 UNITS COMMUNITY PROGRAMS ADAP REPORTING MEDICAL TEAM Regional 15 HIV / AIDS Program Coordinators, H.A.P.C.s 13 HIV / AIDS Contract Managers 4
HIV PATIENT CARE SERVICES Coordinated through a variety of programs... MEDICAL CARE PHARMACEUTICALS DENTAL CARE MENTAL HEALTH TREATMENT REHABILITATION SERVICES HOME HEALTH CARE CASE MANAGEMENT CONSUMABLE MEDICAL SUPPLIES IN-HOME HOSPICE DURABLE MEDICAL EQUIPMENT COUNSELING DAY OR RESPITE CARE FOOD BANK/HOME DELIVERED MEALS TRANSPORTATION SERVICES TRANSITIONAL & EMERGENCY HOUSING INSURANCE CONTINUATION RESIDENTIAL CARE PATIENT & FAMILY EDUCATION 5
RYAN WHITE PART B PROGRAMS Consortia AIDS Insurance Continuation Program AIDS Drug Assistance Program Ryan White CARE Act Passed in 1990, administered by the Health Resources & Services Administration. 6
1 Escambia AIDS Services and Education P.O. Box 13584 Pensacola, FL 32591-3584 (850) 456-7079 NORTHWEST FLORIDA AIDS CONSORTIUM CONSORTIA PROGRAMS WALTON HOLMES 2a BAY JACKSON GULF Bay AIDS Services and Information Coalition, Inc. P.O. Box 805 Panama City, FL 32402 (850) 785-1088 CENTRAL PANHANDLE AIDS NETWORK LIBERTY FRANKLIN GADSDEN WAKULLA SERVICE AREA LEON 2b Big Bend Cares, Inc. 1341 Cross Creek Way Tallahassee, FL 32301 (850) 656-2437 TAYLOR MADISON PANHANDLE AREA HIV/AIDS NETWORK HAMILTON SUWANNEE LAFAYETTE DIXIE 3/13 North Central Florida Health Planning Council 11 W. University Avenue, Suite 7 Gainesville, FL 32601 (352) 377-4404 NORTH CENTRAL FLORIDA CARE CONSORTIUM 5/6/14 Hillsborough County Health & Social Services 601 E. Kennedy Blvd. Tampa, FL 33602 (813) 272-5040 LEVY SUNCOAST AIDS NETWORK COLUMBIA UNION ALACHUA CITRUS HERNANDO Temporarily Department of Health Ft. Myers Regional Center 2295 Victoria Avenue Ft. Myers, FL 33906-6085 (941) 338-1252 PASCO BAKER BRADFORD HILLSBOROUGH MANATEE SARASOTA 8 SOUTHWEST AIDS NETWORK MARION SUMTER Monroe County Health Department 5100 W. College Road Key West, FL 33041 (305) 292-6894 NASSAU CLAY DUVAL PUTNAM LAKE POLK HARDEE DESOTO CHARLOTTE MONROE COUNTY AIDS CONSORTIUM LEE 11b ST JOHNS FLAGLER VOLUSIA SEMINOLE ORANGE HIGHLANDS GLADES COLLIER OSCEOLA HENDRY 4 MONROE Jewish Family and Community Services 3601 Cardinal Point Drive Jacksonville, FL 32257-5582 (904) 448-1933 12 FIRST COAST CARES CONSORTIUM BREVARD INDIAN RIVER ST LUCIE MARTIN PALM BEACH BROWARD DADE County of Volusia Community Services Group 123 W. Indiana Avenue DeLand, FL (904) 736-5955 VOLUSIA/FLAGLER AIDS CONSORTIUM 7 The Local Health Council of East Central Florida 1155 S. Semoran Blvd, Suite 1137 Winter Park, FL 32792 (407) 671-2005 EAST CENTRAL FLORIDA AIDS NETWORK 15 11a Treasure Coast Health Council, Inc. 5651 Corporate Way, Suite 4 West Palm Beach, FL 33407 (561) 681-6256 AIDS CONSORTIUM OF THE TREASURE COAST 9 10 AND PALM BEACH COUNTY HIV CARE COUNCIL Broward County Health Dept. 624 NW 15th Way Ft. Lauderdale, FL 33311 (305) 467-4532 SOUTH FLORIDA AIDS NETWORK OF BROWARD Disease Prevention and Care Services Department of Health 1444 Biscayne Boulevard, Suite 218 Miami, FL 33128 (305) 377-5022 SOUTH FLORIDA AIDS CONSORTIUM 7
HIV PATIENT CARE PROGRAMS AIDS Insurance Continuation Program Services: Insurance premiums for medical, dental, and vision coverage Family premiums Co-payments Deductibles Conversion fees Policy upgrades 8
HIV PATIENT CARE PROGRAMS AIDS Drug Assistance Program Available through 67 county health departments 12,000 enrollments Medication costs ~$1,000.00 / month Dideoxycytidine (DDC) 9
HIV PATIENT CARE PROGRAMS Part B Consortia AIDS Drug Assistance Program AIDS Insurance Continuation Program Emerging Communities Special Contracts CHD & Networks Housing Opportunities for People With AIDS Minority AIDS Initiative 10
HIV PATIENT CARE PROGRAMS Patient Care Networks 7 Networks (Statute) Services are planned by the networks and other partners Accessed through health clinics, hospitals, AIDS Service Organizations (ASO)s, and county health departments (General Revenue) 11
HIV PATIENT CARE PROGRAMS Housing assistance planned by the consortia Accessed through community based organizations Ten projects Funded by HUD 12
HIV PATIENT CARE PROGRAMS County Health Departments (CHDs) (General Revenue) 31 CHDs funded Services are planned by the CHDs and other partners Accessed through their own facilities and/or other community-based organizations 13
Bureau of HIV/AIDS Medical Section Dr. Jeffrey Beal Medical Director Debra Taylor Nurse Consultant Roxanne Sieks Nurse Consultant 14
Role in Bureau The primary function of the medical section is to provide guidance related to medical issues. Medical care and treatment Medications Clinical standards of practice Technical assistance to providers and clients QI / medical site visits to CHD clinics Serve as liaison for HIV and DOH organizations, committees, and workgroups. 15
Ryan White Flat Funding 2007 2008 2009 2010 Part A 69,791,744 70,817,429 67,503,982 72,984,428 Part B 116,325,376 116,146,263 116,269,183 118,435,571** Part C 10,009,713 9,713,246 7,526,095 7,335,918* Part D 7,019,701 7,093,539 7,522,963 6,629,567* Part F 2,854,951 2,854,951 8,006,179* 7,448,947* Total 206,001,485 206,625,428 206,828,402 212,804,431 ** Part B includes MAI and Supplemental funds. * Assuming level-funding
Bureau of HIV/AIDS Funding As of 01/15/09 RYAN WHITE TITLE II $ 116,146,263 MAI $ 1,108,401 PREVENTION $ 18,442,089 AATI $ 4,769,762 BEHAVIORAL $ 424,155 HOPWA $ 4,361,000 SURVEILLANCE - Core $ 2,081,889 Incidence $ 499,427 Behavioral $ 193,473 HEPATITIS $ 86,044 MORBIDITY MONITORING PROJECT $ 694,051 SPNS $ 199,999 GENERAL REVENUE AIDS $ 48,114,866 GENERAL REVENUE HEPATITIS $ 1,163,721 AIDS JAIL LINKAGE (TOBACCO GR) $ 500,000 TOBACCO HEPATITIS $ 1,833,600 GRAND TOTAL $ 200,618,750 Federal Grant Funding General Revenue Funding Tobacco Funding 17