WELCOME RYAN WHITE PLANNING COUNCIL MEETING NOVEMBER 7, 2019
At this moment, let’s take a moment of silence in remembrance of those who MOMENT OF came before us, those who SILENCE are present, and those who will come after us. 2
Please state your name for the INTRODUCTION record. S 3
GROUND RULES Be on time No Side Conversations Silence cell phones Presenters represent agencies- no personal attacks Participate Don't ask questions that accuse or assume where someone is coming from. Stick to asking questions regarding information. Be respectful Respect the option for presenters to come back with additional information or answers. Agree to disagree Send questions with more detailed explanations to the Executive Committee or PCS Ask questions Whenever possible, enjoy yourself Speak up so everyone can hear you Don’t assume everything is public knowledge Raise your hand and wait to be acknowledged by the Chair Step up, step back Don't interrupt 4
Steps in approving minutes: 1. Review minutes APPROVE 2. Make a first and second motion to MEETING approve minutes MINUTES 3. Vote October 10, 2019 All in Favor: Yes, I approve the minutes ( H-1 or on Opposed: No, I do not approve the Basecamp) minutes Abstention: Absent from previous meeting/ Decline to vote 5
Each month, the Committee Chair(s) will provide a summary of their committee's COMMITTEE activities . REPORTS You can also refer to a handout (H-2) or in your packet for written Basecamp updates . 6
Evaluations Like the food! Hate the food! Participation in activities & group assignments Microphones! ….. And more on Basecamp! 7
Knowledge Check! BRIAN HOLLIDAY, PLANNING COUNCIL CHAIR-ELECT 8
Minority AIDS Initiative Funding (MAI) LIZ RIOS, PCS PROGRAM MANAGER
DEFINITION OF MAI AND PURPOSE Objectives IDENTIFY TYPES OF MAI PROGRAMS IDENTIFY PLANNING COUNCIL’S ROLE IN ALLOCATION DISPARITIES IN HIV DIAGNOSIS IN THE EMA FROM BPHC – MAI PRESENT AND FUTURE!
ORIGINATED IN 1998 RESPONSE TO THE HIGH IMPACT OF HIV ON RACIAL & ETHNIC MINORITIES + CAPACITY AND CREATE MORE Maxine Waters, (D) CA ACCESS FOR SERVICES IN COMMUNITIES OF COLOR
Separate award Allocated to a specific strategy Targets racial and ethnic minorities, and subpopulations Key Points
MAI allocated to the same Part A allowable categories For example, MAI Medical Case Management, MAI Linguistics Additionally, can highlight specific interventions – Red Carpet Entry, Mobile Outreach Van, Data to Care Program
Improve access to HIV Improve workforce prevention and care capacity programs for racial and ethnic minorities Create opportunities for Interventions that cross collaboration promote positive health among providers outcomes for minorities
Emphasis on Health Disparities Boston EMA 2018: • Blacks make up 7% of population | 31% of new infections | 32% of overall infections • Hispanics make up 11% of the population | 25% of new | 22% overall infections
Subpopulations, such as African- Communities of color still American women and black men represent the majority of who have sex with men, new HIV infections, AIDS experience higher rates of infection. By designating MAI cases, and AIDS-related funds towards higher-risk deaths in the United States. subpopulations, this will help to curb HIV transmission among such communities.
Equity Continuum • Minorities face challenges entering, engaging in and being retained in care. • Stigma is a major barrier to care • Fear of public charge can affect health outcomes – new and developing barrier • Healthcare systems by design are challenging for people that depend on them
Take away points: 1. Which parts of the care continuum are challenging for minorities? 2. What services do people need to re-enter care? 3. What services are missing or lacking in capacity in the EMA?
MAI Procurement Update MARCOS PALMARIN, SENIOR PROGRAM COORDINATOR, BPHC
MAI: AWARD VS. EXPENDITURES Award Expenditures $1,060,000.00 $1,040,000.00 $1,020,000.00 $1,000,000.00 $980,000.00 $960,000.00 $940,000.00 $920,000.00 $900,000.00 $880,000.00 $860,000.00 FY19 FY18 FY17 FY16 FY15 Award $1,018,413.00 $1,020,308.00 $1,000,465.00 $1,048,061.00 $1,018,595.00 Expenditures $966,725.00 $935,218.00 $1,014,498.00 $953,444.00 MAI – 2015-1019
MAI FUNDED AGENCIES Non-Profits with missions that predominantly focus on the health and wellness of minority populations. Community Health Centers that are regionally located where minority populations live.
OVER THE LAST 5 YEARS… 793 60% PLWH Hispanic/ Served Latino PS utilized 91.3% more then Viral MCM/NMCM Suppression by 270,960 Rate hours
PLANS FOR MAI PROCUREMENT ❑ Six MAI categories will be out for bid starting on November 18, 2019 ❑ A webinar will be conducted on November 21, 2019 ❑ Due date for proposals will be December 20, 2019 ❑ Proposals will be evaluated by the community and by the Ryan White Services Division between December through January 2020
MAI Focus Group Activity TATIANA RAMOS, PCS
Standards of Care SARAH KURUVILLA, RWSD
FY 2020 STANDARDS OF CARE SARAH KURUVILLA, RYAN WHITE SERVICES DIVISION
The Boston EMA Standards of Care provide guidelines for Part A-funded agencies on how to implement each funded service category. This blueprint for how both core and support PURPOSE services are managed in the EMA promotes clear, efficient parameters for vital resources. The Ryan White Services Division collaborates with Planning Council to draft the document before implementation in the community.
HOW ARE THE STANDARDS ORGANIZED? Example: Medical Nutrition Therapy Each service category has: • Definition : Nutrition assessment and evaluation, dietary supplements, education Definition and counseling. Guidance • Guidance : Services provided by a licensed dietician, by referral Goal • Goal : Increase immunity, reduce nutritional deficiencies Objective • Objectives : Identify and treat nutritional deficiencies through counseling and provision of food/supplements
FOLLOWED BY MEASURES
STANDARDS ENSURE UNIFORMITY Standards are used to monitor and evaluate programs Standards ensure that a client will receive similar quality services regardless of location or agency
2020 NEWLY APPROVED SERVICE CATEGORIES Linguistic Services Other Professional Services (Legal)
The Ryan White Services Division (RWSD) works with SPEC to draft the Standards of Care (via HOW IS designated delegates). The Planning Council then votes to approve them. PLANNING COUNCIL INVOLVED? The development and implementation of the Standards of Care is reliant upon this collaboration with SPEC and the Planning Council’s vote.
October 31, 2019 T wo SPEC Committee members volunteer to work with the RWSD on FY20 Standards. October 31 – December 5, 2019 RWSD & SPEC delegates collaborate to review and finalize the Standards of Care for the two new service categories, Linguistics and OPS. December 5, 2019 THE PROCESS Proposed standards will be presented to SPEC Committee. December 12, 2019 The proposed Standards of Care will be uploaded to Basecamp for the Planning Council to review before January 16 th meeting. January 16, 2020 The RWSD will present the new Standards of Care to the full Planning Council. Following this presentation, the Planning Council will vote to approve or disapprove the FY 2020 Standards of Care.
Questions?
NH Department of Mayor's Office of MA Department of Health and Human Health and Human Public Health, Office of Services, NH Care Services - Melissa HIV/AIDS - Barry Callis Program – Chris Hector Cullinan Boston Public Health / MA Office of Medicaid Commission – Marcos – Alison Kirchgasser Palmarin for Katie Keating AGENCY REPRESENTATIVE REPORTS 36
OTHER ANNOUNCEMENTS? This is your chance to spread the word about community events, research studies, or other resources that are related to the Planning Council's work. 37
EVALUATION AND ADJOURN Please fill out your evaluation forms! 38
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