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Monday, November 26
 

3:00pm

 
Tuesday, November 27
 

7:00am

8:30am

Plenary Session #1
Speakers
avatar for Deborah Parham Hopson, Ph.D., R.N., FAAN

Deborah Parham Hopson, Ph.D., R.N., FAAN

Associate Administrator for HIV/AIDS Bureau Health Resources and Services Administration, U.S. Department of Health and Human Services
Deborah Parham Hopson was appointed associate administrator for HIV/AIDS in the U.S. Department of Health and Human Services' Health Resources and Services Administration (HRSA) on July 29, 2002. HRSA works to fill in the health care gaps for people who live outside the economic... Read More →
avatar for Harold W. Jaffe, MD, MA

Harold W. Jaffe, MD, MA

Associate Director for Science, Centers for Disease Control and Prevention
Dr. Jaffe received his undergraduate degree in genetics from the University of California, Berkeley, and his medical degree from the University of California, Los Angeles.  He trained in internal medicine at the UCLA Medical Center and in infectious diseases at the University... Read More →
avatar for James W. Curran, MD, MPH

James W. Curran, MD, MPH

Dean, Rollins School of Public Health, Emory University
In 1995 James W. Curran was appointed professor of epidemiology and dean of the Rollins School of Public Health.   Graduating from the University of Notre Dame, he received his MD from the University of Michigan and a master of public health from Harvard University. In 1981 Dr... Read More →
avatar for Mary Wakefield, Ph.D., R.N.

Mary Wakefield, Ph.D., R.N.

Administrator, Health Resources and Services Administration, U.S. Department of Health and Human Services
Mary Wakefield, Ph.D., R.N., was named administrator of the Health Resources and Services Administration (HRSA) by President Barack Obama on February 20, 2009. HRSA is an agency of the U.S. Department of Health and Human Services. HRSA works to fill in the health care gaps for... Read More →


Tuesday November 27, 2012 8:30am - 10:00am
Marriott Ballroom

10:15am

A-01 - Cancelled

Those attending this session will have the opportunity to hear Ryan White's story as told by his mom, Jeanne White Ginder. Hear about Ryan's personal struggles, his ability to rise above multiple barriers, and how he became a national spokesman and forever changed the public's perception of AIDS. Mrs. White Ginder will provide insight into how the original Ryan White legislation passed, and will talk about the 2009 Reauthorization. There will be time for questions and answers during this session.

Learning Objectives:

  • By the end of the session, participations will understand the role of Ryan White in raising awareness of HIV/AIDS in the United States.
  • Participants will be able to identify how the initial Ryan White legislation came into being.
  • By the end of the session, participants will be able to describe the history of the Ryan White legislation.

Speakers
JW

Jeanne White Ginder

Jeanne White Ginder is the mother of Ryan White, and a national speaker on HIV/AIDS issues and policies.


Tuesday November 27, 2012 10:15am - 11:45am
Washington 1

10:15am

A-02 - Supporting National HIV/AIDS Strategies: Domestic and International Lessons Learned (CE)

HRSA’s AIDS Education and Training Centers (AETC) programs have developed multiple interventions to support national HIV/AIDS strategies (NHAS), both in the US and Internationally.  This panel presentation will highlight three aspects of those interventions as they focus on developing a competent HIV healthcare workforce:  1) the coordinated response of the domestic AETC program linked to the three goals of the US NHAS, 2) relevant best practice examples of the International Training and Education Center for Health (the International AETC) across 14 countries, and 3) a training evaluation framework and tools developed to assist training program planners with developing programs with the best chance of demonstrating their desired outcomes.  The combined 35 year experience of the AETC programs, with lessons informing domestic and international efforts, underpins this work.

Learning Objectives:    

  • Participants will be able to describe the training framework used both domestically and internationally to build a competent HIV health workforce.
  • Participants will be able to identify tools for planning trainings that will likely produce the outcomes they desire.
  • Participants will recognize key strategies used by the domestic AETC program which support the goals of the US National HIV/AIDS Strategy.

Speakers
DM

Daria M. Boccher-Lattimore

Assistant Professor of Clinical Sociomedical Sciences of Psychiatry, College of Physicians and Surgeons Director and Co-PI, New York/New Jersey AIDS Education and Training Center
GO

Gabrielle O’Malley

Assistant Professor, Global Health
Dr. Gabrielle O'Malley is the I-TECH Director of Operations Research and Quality Improvement. She has worked as an applied research and evaluation professional for over 20 years. Her experience includes a wide variety of international and domestic programs including child survival, private agricultural enterprise, comm... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Washington 2

10:15am

A-03 - Guidance to Implement Routine HIV Testing in Clinical Settings Using ACTS: Advise, Consent, Test, Support

This workshop will provide participants with an overview of the important role routine HIV testing in clinical settings plays in the national HIV/AIDS prevention and care plan. The ACTS (Advise, Consent, Test, Support) system of streamlined counseling and practice change utilizing buy-in, implementation planning, training, and monitoring/evaluation using existing resources will be described. Illustrations of ACTS successes in clinical practice (i.e., clinics, hospitals, and CBOs) in the US and South Africa will be described as models for implementation planning in participants' own settings. The workshop will also feature practical sessions that skill participants in streamlined counseling and routine testing implementation.

Learning Objectives:

  • Participants will be able to describe four practice change elements that can facilitate implementation of routine HIV testing in clinical settings.
  • Participants will practice delivery of a streamlined HIV counseling protocol that they can use in clinical care.

Participants will be guided through a routine testing implementation process that can be tailored to their own institutions.


Speakers
DF

Donna Futterman,M.D.

Director & Professor of Clinical Pediatrics, Adolescent AIDS Program, Montefiore Medical Center
Dr. Donna Futterman is the Director of the Adolescent AIDS Program, Children's Hospital at Montefiore in the Bronx, New York, where she has worked since 1989, and a professor of clinical pediatrics at the Albert Einstein College of Medicine. Dr. Futterman has published more than 60... Read More →
SS

Stephen Stafford

Director of Communications & Special Projects, Adolescent AIDS Program, Montefiore Medical Center
Stephen Stafford is the Director of Communications and Special Projects for the Adolescent AIDS Program, Children's Hospital at Montefiore in the Bronx, New York. He also serves as a health care communications consultant for business, governmental, and not-for-profit clients. Mr... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Washington 3

10:15am

A-04 - Guidance to Using your EHR to Satisfy Reporting Requirements (CE)

Ryan staff members will make use of interactive tools and screen demonstrations to instruct the audience on effective and efficient ways to use medical records to collect data points necessary for quality improvement activities, program analysis, and reporting. The audience will be able to actualize the transition between data capture and reporting back to funders. The Data Manager, Assistant Coordinator of HIV Testing and Linkage to Care, and the Supervising Case Manager have helped with the successful implementation of a network-wide EHR system. Ryan’s experience comes from its chosen EHR system, eClinicalWorks, which will be used as a model during the workshop. On a daily basis, these staff members are responsible for data entry, reporting, quality assurance, and oversight of the Ryan Network’s expansive HIV Programming.

Learning Objectives:

  • Using paper exercises, staff will guide the audience in creating a crosswalk based on data elements required for both reporting and evaluation, to be collected in existing fields or structured data fields, which close the data capture gaps in EMR. Staff will provide best practices on the most appropriate area for collecting and documenting data required for external reporting.
  • Staff will demonstrate how to extract data using data extraction solutions, such as Cognos and BridgeIT. Staff will then illustrate how to import the data into other data analysis tools to support quality management activities to furnish data for reporting. Data analysis tools could include Access, Excel, EpiInfo, ERA, or EMR packaged reporting tools.
  • Using handouts and flowcharts, staff will provide an overview of the process of pushing data to external reporting tools, such as CAREWare or AIRS, to satisfy various funders, including HRSA. This could include an electronic push or manual data entry, with the ultimate goal of submitting an RSR.

Moderators
NF

Natacha Fernandez

Data Base Manager, William F. Ryan Community Health Center, Inc.
Natacha Fernandez has been at Ryan since 2005. She has more than 7 years of data management experience, and before starting at Ryan worked at the Medical Health and Research Association of New York City, Inc. and Elmhurst Hospital, part of the Health and Hospital Corporation. Ms... Read More →

Speakers
JH

Jose Hernandez

Supervising Case Manager, William F. Ryan Community Health Center, Inc.
Jose Hernandez has been Supervising Case Manager at Ryan since 2001. Mr. Hernandez work on a range of data Quality Improvement initiatives throughout the Ryan Center. He previously worked at St. Clare’s Hospital as a Counselor/Case Manager and at Housing Works, Inc. as an Intake... Read More →
SS

Shannon Skinner

Assistant Coordinator of HIV Testing and Linkage to Care, William F. Ryan Community Health Center, Inc.
Starting as an AmeriCorps*VISTA at the William F. Ryan Community Health Center, Ms. Skinner transitioned into the role of Assistant Coordinator for HIV Testing and Linkage to Care after her service year. She studied religious studies at the University of North Carolina at Chapel Hill... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Washington 4

10:15am

A-05 - Expanding Access to Oral Health Care 101: Innovative Program Models

The SPNS Oral Health Initiative was implemented by 15 sites in urban and rural locations to expand access to oral health care and improve oral health outcomes of PLWHA. Outcomes included the patient experience of care, health of teeth and gums, completions of Phase 1 treatment plan (the elimination of active disease and restoration of function), and retention in dental care. Other objectives included integrating medical and dental care and sustaining services beyond the grant period. This first Institute session addresses program models, implementation decisions, and factors that contributed to success in patient recruitment and retention in oral health care, including the role of dental case management, transportation, satellite clinics, patient education, and integrated medical and dental care.

Learning Objectives:

  • Identify several different program models that address gaps in care in both urban and rural areas.
  • Compare strategies for addressing geographic obstacles to care, including different transportation and care coordination options.
  • Describe outreach and retention strategies for patient engagement in care and self-care management.

Moderators
PB

Pamela Belton

Project Officer
Pamela Belton is a Project Officer for the Special Projects of National Significance program.

Speakers
JF

Jane Fox

Project Director, Evaluation Center for HIV and Oral Health - Boston University
Jane Fox, MPH, is the Program Director for the Evaluation Center for HIV and Oral Health at the Boston University School of Public Health. Her entire 20-year career has been dedicated to working in Ryan White-funded programs ofthe community level, the State level, and in academia... Read More →
AM

Amanda McCluskey

Manager of Client Services, HIV Alliance
Amanda McClusky is the Manager of HIV Alliance, an AIDS Service Organization in Eugene, OR. She was the Program Manager for a 3-way collaboration between HIV Aliiance, a community health center, and the Lane Community College dental hygiene program to expand access to HIV oral health... Read More →
AN

Avantika Nath

Director of Oral Health Services, San Francisco Dept of Health
Dr. Nath is the Director of Oral Health Services for the San Francisco Department of Health. She established a dental clinic at a drop-in program for homeless PLWHA in San Francisco's Tenderloin District, working collaboratively with HIV medical providers, peer outreach workers and... Read More →
HS

Howell Strauss

Executive Director, AIDS Care Group
Dr. Strauss is a dentist and the Executive Director of the AIDS Care Group. After years of private practice and faculty positions at the University of Pennsylvania Dental School, Dr. Strauss embraced public health dentistry in the practice of oral medicine and general dentistry with... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Washington 5

10:15am

A-06 - Coordinating Data Movement into CAREWare: Experience From the Front Lines (CE)

With increasing frequency and urgency, grantees and providers are looking for ways to automate the movement of data from electronic health records (EHRs) and labs into CAREWare, thus eliminating double data entry, improving data quality, and ensuring that the RSR can be readily generated with complete information. This session will highlight three Grantees that have tackled a number of issues to coordinate data collection and overcome a number of logistical, administrative, and IT-related barriers.

Learning Objectives:

  • Understand major logistical and programmatic barriers that specific grantees had to overcome to successfully import data from EHRs and labs into CAREWare
  • Gain an understanding of major technical issues that need to be addressed to successfully map data from other sources into CAREWare.
  • Examine the major benefits to importing data electronically into CAREWare, and also what is required to maintain such a system.

Moderators
JM

John Milberg

Health Scientist, HAB Div of Science and Policy

Speakers
JS

Jennifer Schmidt

JJS Strategic Services, Inc.
MW

Megan Wright

Services Data Management Coordinator, Louisiana Office of Public Health- HIV/AIDS Program


Tuesday November 27, 2012 10:15am - 11:45am
Washington 6

10:15am

A-07 - Monitoring What Matters Institute: Developing a Quality Management Program in the NY EMA: 101 session (CE)

Since 2001, NYC Department of Health and Mental Hygiene (DOHMH), in collaboration with New York State Department of Health (NYSDOH) AIDS Institute, have developed a quality management (QM) program using a peer-to-peer learning model. The Part A QM program groups providers by service category and conducts Quality Learning Network (QLN) meetings quarterly. Providers also participate in webinars between these meetings. Performance measurement systems, essential to any professional application of quality management, are developed within these service category-based groups. Over the last decade, the QM Program has accumulated experience in developing indicators and conducting reviews fulfilling the EMA’s commitment to ensure that measurement guides quality improvement. Performance measures selected by each QLN reflect key programmatic endeavors within the contract service category, linking services to health outcomes.

Learning Objectives:

  • Understand at least three methods for actively engaging Part A-funded providers in quality management efforts.
  • Describe at least two benefits of the peer-to-peer learning model.
  • Apply aspects of the NY EMA QM program within their own EMA.

Moderators
TH

Tracy Hatton

Program Director, New York State DOH AIDS Institute
Tracy Hatton has worked with the Quality Program at the New York State Department of Health AIDS Institute AIDS Institute for six years, and currently serves as the director of the Part A Quality Management Program. She has worked with providers in several quality learning networks... Read More →

Speakers
BM

Beau Mitts

Director of Technical Assistance, New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention & Control
Beau Mitts is the Director of Technical Assistance in the Care, Treatment, Housing Program in the Bureau of HIV/AIDS Prevention and Control of the New York City Department of Health and Mental Hygiene. In this role, he is responsible for identifying technical assistance and capacity... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Delaware A

10:15am

A-08 - Improving the Quality and Effectiveness of Medical Case Management (MCM) (CE)

Medical case managers play a critical role in engaging and retaining HIV+ individuals in care. Their roles have evolved significantly in recent years. In this workshop, we review HAB MCM monitoring standards, MCM functions and processes, MCM roles in the HIV care continuum, and training curriculum needed to ensure managers’ readiness for their new roles. We also describe methods to assess MCM quality, ways to obtain feedback from the MCM workforce, and findings of MCM quality assessments conducted in Part A EMAs in Texas and Florida. MCM monitoring tools and other useful resources are presented. The Houston Part A grantee will discuss steps taken to address MCM quality assessment findings through quality improvement and training.

Learning Objectives:

  • Increase trainees’ knowledge of HAB’s MCM standards.
  • Trainees will learn about key MCM roles, responsibilities, and processes.
  • Trainees will gain sufficient knowledge to apply methods for monitoring subgrantee MCM performance.

Speakers
JH

Julia Hidalgo

Research Professor, George Washington University
Dr. Julia Hidalgo is a Research Professor at the George Washington University, and Chief Executive Officer of Positive Outcomes, Inc. She has worked in HIV for more than 25 years as a Ryan White Program grantee, policymaker, researcher, evaluator, TA provider, and trainer. She serves... Read More →
HK

Heather Keizman

Project Coordinator, Clinical Quality Improvement, Harris County Public Health and Environmental Services
Heather Keizman, RN, MSN, WHNP-BC is the Project Coordinator for Clinical Quality Improvement at the Harris County Public Health and Environmental Services Part A Program.


Tuesday November 27, 2012 10:15am - 11:45am
Delaware B

10:15am

A-09 - The Patient Centered Medical Home (PCMH) Guidance: A Model of Care Delivery for People Living With HIV (CE)

The Patient-Centered Medical Home (PCMH) has been advocated as a model for improving the delivery and outcomes of primary, particularly care of chronic illness. Increasing numbers agencies are transforming their care and becoming certified PCMHs through NCQA, the Joint Commission, and other organizations. The HIV Medical Homes Resource Center (HIV-MHRC) is a cooperative agreement, funded by the HRSA/HAB, to support Ryan White HIV/AIDS program clinics/practices to develop PCMHs for persons living with HIV (PLWH) and achieve PCMH certification. This workshop will provide an introduction to the PCMH model of care and the role of PCMHs in the care of PLWH. It will also discuss PCMH development in Ryan White HIV/AIDS program clinics/practices and the activities and resources of the HIV-MHRC.

Learning Objectives:

  • To describe the patient-centered medical home model of care and the role of PCMHs in the care of persons living with HIV.
  • To discuss what is happening throughout the Ryan White HIV/AIDS program related to PCMH development and certification, including key needs assessment findings.
  • To describe the HIV-MHRC and available resources that can assist them in with PCMH development and certification.

Speakers
AN

Andrea Norberg,R.N.

Executive Director, François-Xavier Bagnoud Center of UMDNJ
DS

Deborah Storm,Ph.D.

Director of Research and Evaluation, Francois-Xavier Bagnoud Center


Tuesday November 27, 2012 10:15am - 11:45am
Maryland A

10:15am

A-10 - Guidance to Achieve NCQA Patient Centered Medical Home Recognition (CE)

The National Committee for Quality Assurance (NCQA) developed the patient centered medical home (PCMH) model for improving standards in primary care. Objectives of NCQA's vision for a medical home mirror those envisioned for HIV quality care (HIVQC): a patient centered, comprehensive, coordinated system of care with quality, safety and enhanced access. UFCARES recently received level 3 NCQA recognition. This process required an extensive evaluation of current practice policies/procedures. The corner stones of a robust medical home are communication, health education, care plan development/coordination requiring active patient participation. Our center had the capability to perform all these functions but required concerted effort and pooling all resources to put into practice.This process will result in a) emphasis on improving HIVQC and improved health outcomes, b) potential for greater reimbursements and cost savings by health plans. During this session we plan to work with other Ryan White Grantees to achieve the same.

Learning Objectives:

  • Learn the process for achieving NCQA recognition as a PCMH and understand the conceptual framework for the PCMH model adapted within a Ryan White out-patient clinic as well as expected transformation necessary for becoming a PCMH. Understand the different NCQA standards and the elements associated with each standard some of which are must pass. Each standard will be discussed in detail and participants will be asked to join in the discussion and interpret these standards as they see them. Further discussion on how UFCARES interpreted and presented the practice standards to meet those defined by NCQA.
  • Assess readiness to achieve PCMH within a particular practice. Focus on establishing a team dedicated to development of an action plan and identification of resources needed to create a realistic project timeline. We will encourage participant discussion on how to identify and define their current practice in light of the NCQA requirements. Specific screen shots of different items will be shared to help participants understand and apply the same standards in their own practice which will help develop more efficient patient centered care.
  • Review UFCARES experience in applying for PCMH recognition, challenges encountered, and helpful suggestions for a successful application utilizing SOPs, electronic medical record screen shots, and other guidelines developed during this process. Include recommendations to evaluate data and system capabilities necessary to achieve performance standards. For those working within the context of a large organization, legal and contractual issues (as in our case) may also present a significant challenge and will also be discussed.

Speakers
AM

Ayesha Mirza

Assistant Professor, University of Florida
Co-Medical Director UFCARES and Chair Quality Improvement Committee UFCARES
MS

Melissa Scites, R.N.

Executive Director, UFCARES
Executive Director UFCARES and member of the Quality Improvement Committee, Current Co-Chair Ryan White Pharmacy and Therapeutics Committee, City of Jacksonville
MR

Mobeen Rathore

Director UFCARES
Mobeen Rathore is the Associate Chair of the Department of Pediatrics, Division Chief of Pediatric Infectious Diseases, and Director of UFCARES.


Tuesday November 27, 2012 10:15am - 11:45am
Maryland B

10:15am

A-11- Financial Forecasting: Projecting Costs and Need for ADAP (CE)

In April 2012, NASTAD convened a consultation to advise the creation of two ADAP financial forecasting models for implementation in ADAPs. Consultation participants included NASTAD and HRSA/HAB staff, ADAP coordinators, fiscal monitoring staff from Ryan White Programs and national experts, including actuarial experts. The consultation addressed topics such as the data elements needed to create a financial forecasting model, examination and analysis of trends among data inputted into a financial forecasting model, how to project fiscal needs in ADAPs, and how to bring all of these components together into a sophisticated yet user-friendly model. This session will provide a summary of this consultation and NASTAD’s continued work to create a financial forecasting model for ADAP.

Learning Objectives:

  • Participants will understand the process NASTAD has taken to gain input into the creation of an ADAP financial forecasting model, including outcomes from an ADAP Financial Forecasting Consultation and focus groups with ADAP coordinators.
  • Participants will learn about the components ADAP coordinators have identified as necessary to create an accurate financial forecasting model to project costs and fiscal need for ADAP.
    Participants will gain pratical knowledge of the importance of financial forecasting, including budget projections and identifying future need for a program.

Speakers
LC

Lanny Cross

NASTAD Consultant, NASTAD
Lanny Cross serves as NASTAD’s lead consultant for the Care and Treatment Program. Mr. Cross brings a wealth of knowledge and experience to NASTAD, having served as the Program Director for New York State’s HIV Uninsured Care Programs from 1992 to 2004. His knowledge of development... Read More →
BP

Britten Pund

Senior Manager, NASTAD
Britten Pund is a Senior Manager with the Health Care Access Program at the National Alliance of State and Territorial AIDS Directors (NASTAD). Ms. Pund has been with NASTAD since 2006 and is responsible for the research and production of the National ADAP Monitoring Project. Ms... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Maryland C

10:15am

A-12 - HIV Integration 101: Driving Increased Access to Advance the National HIV/AIDS Strategy

More than 1.1 million individuals are estimated to be living with HIV in the United States, with an estimated 50,000 new infections occurring annually. The Patient Protection and Affordable Care Act (PPACA) will rapidly change health care delivery in the United States. Primary care settings will likely see the majority of the potentially 30 million people newly insured and seeking care, including the estimated 600k – 850k PLWH who are currently not in care and could be newly insured. Moreover, the HIV workforce is shrinking, while the demand for treatment is increasing. These factors drive the need to advance HIV care in primary care settings and achieve the goals of the National HIV/AIDS Strategy to ensure access, quality, and equity.

Learning Objectives:

  • The session will review findings from a national survey of the state of HIV in primary care based on the impact of the PPACA on access to HIV care, including increasing caseloads of HIV-positive patients for all providers; barriers to HIV-positive patients accessing care; and training and education needs of HIV care providers.
  • Describe HIV and primary care workforce challenges considering PPACA amidst increasing numbers of HIV patients
  • The need to integrate HIV into primary care and next steps will be explained.

Speakers
BH

Brian Hujdich

Executive Director, HealthHIV
AJ

Andrea Johnson

Evaluation Manager, HealthHIV
JO

Jamie Orose

Program and Evaluation Coordinator, HealthHIV


Tuesday November 27, 2012 10:15am - 11:45am
Virginia A

10:15am

A-13 - Impact of DC Cross-Part Collaborative on DC ADAP Client Enrollment Process

As a participant in DC Cross-Part Collaborative Project, two ADAP Performance measures will be discussed: the percent of ADAP applications approved/denied for new ADAP enrollment within 14 days, and the percent of ADAP enrollees reviewed for continued ADAP eligibility two/more times, and who were to be reported in seven rounds every 2 months (May 2011 to May 2012). Preparing the data for these performance measures revealed the scale of incorrect/missing (up to 50%) data that could not be used. This finding triggered immediate corrective actions in DC ADAP’s client enrollment process and initiation of routine enrollment data monitoring. As a result of the reduced data error rate (only 10%) within a year, the accuracy/completeness of ADAP performance measures improved significantly. The collaborative encouraged more time and resources to continuous QI throughout the Bureau including in ADAP. Results/successes are shared routinely among stakeholders for their active/continuous engagement.

Learning Objectives:

  • This workshop will explain how performance measures can reveal inadequacies in a RW Care program’s key processes – ADAP client enrollment?
  • Participants will learn how to adapt mini-projects that can be implemented to improve data quality and positively impact overall processes and outcomes.
  • Participants will learn how to engage stakeholders to implement PDSA model for quality improvement within AIDS Drugs Assistance Program.

Speakers
JA

Jay Adams

HIV Care Coordinator, West Virginia Dept. of Health & Social Service
Jay is a graduate of Wheeling Jesuit College and received his Masters Degree from Marshall University. He has been working in the field of HIV/AIDS since 1984. He has served as the HIV Care Coordinator in West Virginia since 1991 when Ryan White CARE Act funds were first received... Read More →
DK

Damber Kumar Gurung

M&E Specialist, DC Department of Health
LL

Lena Lago

M&E Manager, DC Department of Health
AR

Anne Rhodes

HIV Services Analyst, Virginia Department of Health
Anne Rhodes is the Services Analyst in HIV Care Services Unit at the Virginia Department of Health. She has worked as a data analyst in HIV care services for over 15 years and was the project director for the Client level data demonstration project in Virginia from 2000 to 2005. She... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Virginia B

10:15am

A-14 - 340B For Ryan White Grantees

340B For Ryan White Grantees The compliance risks associated with building and operating a contract pharmacy program are not insignificant. To protect against diversion and improperly billing Medicaid, covered entities and their contract pharmacies need to develop numerous systems that require expertise and resources from both parties, especially in the areas of patient verification, inventory management, recordkeeping and third party billing. The panel of our contract pharmacy workshop will provide an in-depth overview of the steps involved in starting up and managing a contract pharmacy arrangement, focusing on the dos and don’ts of operationalizing these complex programs. Representatives from the 340B provider community, legal consultants, and contract pharmacies will expand on the topics above and share their own experiences with contract pharmacy arrangements.

Learning Objectives:

  • This session will review the following topics: • Negotiating contract terms • 340B compliance obligations • “Ship to/bill to” arrangements • Inventory management challenges • Billing and collection functions • Role of pharmacy benefit managers and contrac

Moderators
avatar for Patrick Dunham

Patrick Dunham

President, HealthStat Rx
Patrick is the CEO and Founder of HealthStat Rx. HealthStat Rx is a patient-centric specialty pharmacy providing chronic disease expertise and support to improve the therapy experience and quality of life for patients in the convenience of their home.

Tuesday November 27, 2012 10:15am - 11:45am
Virginia C

10:15am

A-15 - It Takes One to Help One: The Role of Peer Navigation in Early Intervention Services

A navigator is a peer, uniquely qualified to provide a voice of experience and to serve as a model of healthy behavior and as a liaison between the client, his or her care providers, and the other support services. Through a shared background with the client, common culture and language, peers can most effectively relate to clients in ways that health care providers may not. Because of this shared background, the navigator can provide the client access to HIV and AIDS services that is critical to the medical, mental, and spiritual health and the quality of life for people living with HIV and AIDS. The navigator can also provide the client with emotional and social support in order to prevent the challenges and realities of care from overwhelming them and allows them to be linked and retained in care.

Learning Objectives:

  • Participants will learn how to integrate Peer Navigators as conduits for linking PLWHA to primary care, prevention, and support services.
  • Participants will learn how to utilize Peer Navigators to resolve core problems rather than merely treat crises situations.
  • Participants will learn how to enlist Peer Navigators to empower consumers to tackle their own issues, thereby helping them develop personal skills and a sense of efficacy.

Speakers
SB

Stephen Bailous

Executive Vice President, National Association of People with AIDS (NAPWA)
In August of 2006, Bailous joined the National Association of People with AIDS (NAPWA). Across the nation, Bailous provides training and leadership development services for consumers and is responsible for planning and organizing Community Mobilization projects including an annual... Read More →
RM

Rodney McCoy

Program Manager, National Association of People with AIDS (NAPWA)
Rodney McCoy has spent more than 25 years professionally in HIV Prevention. Mr. McCoy is currently is a Program Manager with the National Association of People with AIDS (NAPWA). As Program Manager, he oversees the work of the Bayard Rustin Project (a community mobilization project... Read More →
FO

Frank Oldham

President and CEO, National Association of People with AIDS (NAPWA)
Mr. Oldham has nearly two decades of service and a personal commitment to the fight against HIV/AIDS. He currently leads a dynamic movement of people living with HIV/AIDS as President and CEO of the National Association of People with AIDS (NAPWA-US). Mr. Oldham’s stature and relationships... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Madison A

10:15am

A-16 - Reducing Hospital Readmissions: Methods, Process Evaluation, and Preliminary Outcomes

One in four HIV-positive individuals admitted to a hospital in southwestern Pennsylvania is readmitted within 30 days. Literature provides evidence that comprehensive primary care, including patient education and care management, can significantly reduce hospital readmissions. However, many HIV/AIDS providers find it challenging to find the time and resources to implement these best practices. This presentation will showcase how a Part C clinic reduced the rate of 30-day hospital readmissions through the adoption of Lean quality improvement strategies. It will also describe the FOCUS-PDSA model, low-tech intervention methods, process evaluation elements, and outcome measures associated with reducing hospital readmissions. Early results indicate the 30-day hospital readmission rate fell by more than 50 percent since implementation.

Learning Objectives:

  • Participants will learn how to adopt a robust system to follow-up with their patients while in the hospital to make up for common challenges related to the discharge of complex patients. They will learn the steps that the clinic implemented to effectively reach out to their hospitalized clients during and after hospitalization.
  • Participants will be introduced to the Lean process improvement methodology that has been successfully applied to wide variety of healthcare and social service settings around the country. Specifically, the HIV clinic at the heart of the program used concepts from this method to improve operations at the clinic that led to the reduction of 30-day hospital readmissions. Participants will participate in a Lean methodology training activity similar to one provided to the HIV clinic to introduce key concepts including unambiguous communication, workflow analysis and balancing, and process mapping.
  • The third objective of this Participants will learn how to investigate whether hospital readmissions among HIV- positive individuals are an issue in their region. In SWPA the research indicated that this was an important HIV/AIDS related health disparity, as the rate of 30-day hospital readmissions was more than 50 percent higher than that of the general population. This issue is at the confluence of the National HIV/AIDS strategy (as an HIV/AIDS health disparity) and the Affordable Care Act (as a cost containment and care coordination issue).

Speakers
JA

Judith Adams,R.N.

Admistrative Director, Positive Health Clinic
JC

Jennifer Condel

Senior Quality Improvement Specialist, Pittsburgh Regional Health Initiative
SF

Stuart Fisk

Clinical Manager, Positive Health Clinic
SL

Sara Luby

Data and Quality Manager, Positive Health Clinic
CP

Cindy Powers Magrini

Clinical Pharmacy Specialist, Positive Health Clinic
Cindy Powers Magrini, PharmD, BCPS is the pharmacist at the Positive Health Clinic (PHC) and comes to the PHC with experience in hospital clinical pharmacy. Prior to joining PHC, she was the outpatient pharmacy coordinator for the retail pharmacy located within Allegheny General Hospital... Read More →
RS

Richard Smith

Program Manager, Jewish Healthcare Foundation
Richard Smith is a Project Manager for the Jewish Healthcare Foundation for the HIV/AIDS program. Mr. Smith has extensive experience in quality management as he has been the Continuous Quality Improvement Coordinator for Albert Einstein Medical Center HIV Clinic (part C) in Philadelphia... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Madison B

10:15am

A-17 - Cultural Interactions Institute 101

The Cultural Interactions workshop 101 is a training developed to address the needs of various healthcare organizations to improve the interactions between patients/clients and providers. The training consists of 3 Power Point presentations and a manual with notes for the trainer. We will present the 3 units in a condensed format for the basic and intermediate levels. Workshop 101 addresses culture and how it affects our interactions, and also provides a broader definition of culture in order to disabuse participants of the notion that culture only exists as ethnicity. Finally, participants will learn to actively define the culture of their organization and create a plan to reinforce that defined culture.

Learning Objectives:

  • Define "culture."
  • Contrast cultural awareness vs. cultural competence.
  • To gain an understanding of culture and the impact it has on quality of care for the patient and the organization environment.

Moderators
JR

Jaclyn Rubio

Public Health Analyst, HRSA

Speakers
SE

Samantha Euraque

Regional Minority AIDS Initiative Coordinator, Delta AIDS Education and Training Center
Samantha Euraque obtained a MA degree in cultural anthropology at Louisiana State University. In her role as MAI Coordinator for the Delta Region AIDS Education and Training Center, Samantha assists in the planning and development of MAI activities for the tri-State region. She has... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Hoover

10:15am

A-18 - Early Intervention Services Guidance: Two Unique Models, Two Success Stories (CE)

Early Intervention Services (EIS) has demonstrated its effectiveness within the Indianapolis area. This workshop will highlight two uniquely successful programs that utilize this resource to identify new patients with HIV and link them to care. In a side-by-side presentation, Step-Up, a local CBO, will discuss a multi-venue HIV testing program targeting a high-risk population which has led to over a 2% HIV positive testing rate. Information will be presented on new ways to approach old venues as well as strategies for marketing to even more people. While Wishard Hospital will discuss the development of EIS programming in an Emergency Department setting, its protocol and explore contributing factors to their 87% consent rate. Through their universal screening program, they reach over 4,000 emergency department patients per year. The presentation will demonstrate how entirely different approaches to EIS can be successful.

Learning Objectives:

  • Participants will learn two unique programming styles for implementing EIS.
  • Participant will explore resources that contribute to successful programming and barriers to anticipate.
  • Participants will learn how GPS technology is used to find individuals at high risk for HIV and other STDs. Participants will learn about practical, in the field experience from using this method as well as stumbling blocks and successes.

Speakers
NM

Nancy Miles

Wishard Hospital
Nancy Miles is the Program Manager of the Emergency Department HIV Program for Wishard Hospital, a major urban hospital with special emphasis on the vulnerable populations of Marion County, Indiana. Nancy manages EIS, Outreach, and Psychosocial services within the program. Nancy is... Read More →
RN

Ryan Nix

Step-Up, Inc.
Ryan Nix serves as the Prevention Coordinator and has an extensive background in HIV prevention and outreach. Ryan directly implemented several prevention and outreach programs including CRCS, venue-based testing programs, care coordination, and multiple DEBI interventions. Mr. Nix... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Coolidge

10:15am

A-19 - Modifying Evidence Based Interventions: When Local Context Meets Evidence Based Interventions

Eleven HRSA SPNS demonstration sites were funded to develop interventions/programs increasing access to and retention in care for HIV-positive Women of Color in various settings. Three sites have adapted various CDC intervention models to aid linkage to care, secondary risk reduction, and/or skill-building. Project WE CARE (Chicago, IL) has adapted the Healthy Relationships model and modified components such as film clips, facilitators, series schedule, incentives, and resource packets. The LIFT Program’s (Bridgeton, NJ) intervention, “Yo Me Cuido” (I Take Care of Myself), is an adaptation of the SISTA model. They created two versions of the curriculum, one for Latinas and one for African Americans. And Health Services Center (Hobson City, AL) has adapted the Antiretroviral Treatment and Access to Services (ARTAS) model’s manual and select sessions to suit their population.

Learning Objectives:

  • This workshop will discuss implementation of various CDC intervention models in various care settings.
  • Modifications made to various CDC intervention models to suit varying populations will be described.
  • Outcomes and lessons learned from the modified models will be shared.

Moderators
AE

Arthur E. Blank,Ph.D.

Principal Investigator, Albert Einstein College of Medicine
Dr. Blank is an Associate Professor in the Department of Family and Social Medicine at Albert Einstein College of Medicine. He is also the Co-Director of the Division of Research and the Director of the Center for the Evaluation of Health Programs. Dr. Blank is the PI for the ETAC... Read More →
NV

Niko Verdecias, MPH

Project Director and Researcher, Albert Einstein College of Medicine
Niko Verdecias, MPH holds a Bachelor of Science in Psychology from Syracuse University and a Master of Public Health degree from SUNY Downstate Medical Center, with a concentration in Urban and Community Health. She has worked in public health for over 9 years. Niko’s primary area... Read More →

Speakers
KP

Karen Phillips

Health Services Center, Inc.
AP

Allison Precht

Program Manager, Ruth M. Rothstein CORE Center
Allison M. Precht is the Program Manager for the SPNS Women of Color Initiative at the Ruth M. Rothstein CORE Center in Chicago, IL. She has worked in the infectious disease field for 12 years in the capacity of research, prevention, and education and program development. She has... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Harding

10:15am

A-20 - Web and Social Media Institute 101: Jumpstart the Conversation

While more than 95 percent of Ryan White agencies have Web sites, social media use lags (55% are on Facebook, 38% use Twitter, and 28% have YouTube channels). Very few planning councils use any social media. This introductory workshop is designed for non-technical staff who want to kick start or refresh their program’s online presence. We will highlight online and social media best practices and explain the principles behind them (using the “Pecha Kucha” presentation methodology of 20 slides in 20 seconds). The remainder of workshop time will be devoted to group exercises where participants will have the opportunity to apply the principles of user-centered design to project scenarios common to the Ryan White Community. Planning and implementation worksheets will be available online to guide participants post-meeting.

Learning Objectives:

  • Improve Web presence by featuring high-value content to the target audience.
  • Participants will learn how to work with technical staff or contractors to establish 1-3 new online training/communications tools for their agencies, planning bodies, or consumer groups.
  • Colleagues will be oriented to the basic operations of 3-5 online tools that will connect clients and providers to services and resources.

Moderators
NM

Nicole Mandel

AETC NRC Website Project Manager, UCSF Center for HIV Information
Ms. Mandel is the project manager for the UMBAST website and the AETC National Resource Center.

Speakers
JK

Jenna Kah Bardwell

Jenna Kah Bardwell is the Program Coordinator-Education for the AETC National Resource Center. She received a Bachelor of Arts degree in psychology from Trinity University in 2008. She has been part of the AETC network for over 3 years. Prior to joining the AETC National Resource... Read More →
JC

Judy Collins

Program Coordinator, AETC National Resource Center
Judy Collins is a writer, graphic artist and designer. She has a Bachelor of Arts in Creative Writing degree from New York University. With more than 10 years of copywriting, editing and graphic design experience for print and the web, she joined the AETC NRC team as program & social... Read More →
BM

Bruce Maeder

Technology Manager, Northwest AIDS Education and Training Center
Bruce Maeder is the Technology Manager for the NW AETC and is a seasoned technology leader and project manager with technical skills including video editing, Web site development, copywriting and graphic design. In addition to his work with the NW AETC, he manages the Hepatitis Web... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Wilson A

10:15am

A-21 - Fee for Service Model for Medical Case Management (CE)

ActionAIDS, one of Pennsylvania’s largest AIDS Service Organizations, has been billing Managed Care Organizations and insurance companies for Medical Case Management services since 1992. This presentation will discuss how our model was established and grown. Through this program we have significantly increased revenue to support programs and services. In addition, our model helps us to meet the HRSA requirement of insuring that Ryan White Funds are the “funds of last resort”. This training will provide a general overview of the Pennsylvania Department of Public Welfare’s Targeted Case Management Program and the process by which to seek reimbursement for medical case management services provided by HIV/AIDS service organizations. We will discuss and brainstorm with participants to share marketing and branding strategies to work with Managed Care Organizations to contract with community based AIDS Service organizations for Medical Case Management.

Learning Objectives:

  • Increase awareness of fee for service models for Medical Case Management at a community based ASO.
  • Provide a framework to understand how to brand and market fee for service models for Medical Case Management at a community based ASO.
  • Develop strategies to initiate and grow a fee for service model for Medical Case Management services.

Speakers
KB

Kevin Burns

Executive Director, ActionAIDS
Kevin J. Burns is the Executive Director of ActionAIDS, one of the largest AIDS service organizations in the country. He received a BA degree in psychology from DeSales University in 1978 and a MSW from Rutgers, The State University of New Jersey in 1990. He is a Licensed Clinical... Read More →
KK

Kris Kershner

Finance Coordinator, ActionAIDS
Kris Kershner has been managing fee for service billing for the Medical Case Management services offered at ActionAIDS since 2009. She holds a BA degree in business and economics and a BA degree in environmental policy from Warren Wilson College located in Asheville, NC. Over the... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Wilson B

10:15am

A-22 - Guidance to Developing Collaborations with Federally Qualified Health Centers (CE)

The Affordable Care Act authorizes a variety of initiatives to promote the formation of innovative models of integrated and coordinated community-based provider partnerships. Such partnerships can be beneficial to grantees looking to offer a comprehensive range of services while achieving efficiencies in care delivery while simultaneously reducing costs. Federally Qualified Health Centers (FQHCs) are potential partners for grantees interested in this approach. This session will offer guidance on the development, negotiation and implementation of collaborations with FQHCs.

Learning Objectives:

  • Describe options for developing collaborative arrangements with community partners.
  • Understand relevant policies and rules regarding collaborative arrangements.
  • Identify strategies to develop community collaborations.

Speakers
MZ

Marcie Zakheim

Attorney, Feldesman Tucker Leifer Fidell
Marcie Zakheim, a partner in the Washington, DC, law firm of Feldesman Tucker Leifer Fidell LLP, specializes in health care law, particularly in the areas of Federal grants and grant-related requirements for health care services; Medicare and Medicaid services, reimbursement, and... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Wilson C

10:15am

A-23 - The Use of Peers in Access and Retention Programs Focused on HIV-Positive Women of Color

In September 2009, the Special Projects of National Significance of HRSA’s HIV-AIDS Bureau funded 11 programs to engage and retain women of color living with HIV in care. The majority of the interventions involve peers who bolster agency access and retention efforts through activities including: outreach, barrier assessment and linkages, education, and support. Challenges and successes in developing and implementing peers' roles will be shared, including those relating to position development, nature of compensation, recruitment, training, role acquisition, retention, and ongoing support. Data informing the lessons shared come from an ongoing qualitative process evaluation involving local and multisite collaboration. Lessons can help inform the ongoing and future development of a variety of peer roles. In addition, strategies for evaluating peer components will be presented.

Learning Objectives:

  • Lessons learned will be shared, from an ongoing qualitative process analysis.
  • Challenges and successes of utilizing peers in access and retention programs will be shared.
  • Strategies for peer component evaluation will be shared.

Moderators
AE

Arthur E. Blank,Ph.D.

Principal Investigator, Albert Einstein College of Medicine
Dr. Blank is an Associate Professor in the Department of Family and Social Medicine at Albert Einstein College of Medicine. He is also the Co-Director of the Division of Research and the Director of the Center for the Evaluation of Health Programs. Dr. Blank is the PI for the ETAC... Read More →

Speakers
MG

Marisol Gonzalez,R.N.

Principal Investigator, Ruth M. Rothstein CORE Center
Marisol Gonzalez is from the Ruth M. Rothstein CORE Center in Chicago, Illinois, where she is the Principal Investigator for the SPNS Women of Color Initiative and is the Director of Prevention & Education. She has been in the HIV/AIDS field 17 years in the capacity of clinical care... Read More →
RP

Rachael Peters

SUNY Downstate Medical Center
Rachael Morgan Peters coordinates the Peer Outreach Worker Engagement and Retention (POWER) Program at SUNY Downstate Medical Center's HEAT Program. She holds degrees in social work and public health from Columbia University.
TH

Tina Henderson, Ph.D.

Project Director, JWCH Institute, Inc.
Tina Henderson, PhD, is the Project Director for the Los Angeles HRSA SPNS demonstration grantee site at JWCH Institute for the HIV and Women of Color initiative. The program is an integration of social and medical services for the homeless population living on LA’s Skid Row.


Tuesday November 27, 2012 10:15am - 11:45am
McKinley

10:15am

A-24 - Guidance to Integrate Evaluation Into Programming Using Technology: Let Mobileweb and ARS Do the Work for You (CE)

This workshop will be conducted via interactive powerpoint presentation and includes hands on work with computers, tablets, and/or smartphones to illustrate how technology can increase feedback and thereby increase program quality and efficiency. We will show how our project has used mobile web on smartphones and a low cost audience response system (ARS) to collect evaluation information on our learners and inform our trainers on how they can improve programs. ARS utilizes clickers and mobile web uses smartphones and tablets to collect information immediately from learners and to allow the learner to offer feedback in a way that is nonthreatening and fun. We will show participants how to develop protocols for ARS and for mobile web. We will also break learners into groups so they can create their own ARS and mobile web evaluations.

Learning Objectives:

  • Participants will understand the benefits of using mobile web and ARS technology to collect evaluation data and understand how to create protocols specifically for these technologies.
  • Participants will create an evaluation on a smart phone using low cost or free technology.
  • Participants will create an evaluation using an Audience Response System (ARS).

Speakers
MB

Mona Bernstein

Director, Pacific AIDS Education and Training Center
NW

Nancy Warren

Evaluator, PAETC
Nancy Warren has more than 20 years of experience in HIV evaluation, programming, and research. She has worked for Pacific AIDS Education and Training Center for more than 3 years, where she has implemented evaluations using ARS, mobileweb, and other technology to boost the response... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Nathan Hale

10:15am

A-25 - Creating a Culture of Competency: Challenges and Application of Cultural Competency Standards

Ryan White Part A providers in culturally diverse communities often pride themselves on their ability to bring culturally competent care to their HIV clients. Yet, when it comes to measuring and improving proficiency levels and meeting cultural competency standards, they often find the task complex and challenging. A Cultural Competency Task Force initiated by the Planning Council of the Bergen-Passaic TGA led to a comprehensive improvement plan for operationalizing cultural competency at multiple organizational levels, from management to direct provider to the client. This workshop will help participants identify policy, operational, and collaborative steps to create a true “culture of competency” in the provision of care and services for persons with HIV/AIDS.

Learning Objectives:

  • This workshop will allow participants to gain a deeper understanding of cultural competency standards and challenges in achieving them through  an overview of various cultural competency model(s) and standards
  • Identification of common challenges and experiences of policy makers, managers, direct-line staff, and clients
  • Participants will learn how to assess cultural competencies and proficiencies of non-profit agencies, including key characteristics or factors to be evaluated at each level of the organization, and will gain an understanding of cultural competence as a continuous process, not an event. Our message: Wherever you are, that is where you start. The problem is not where you are starting but whether or not you start
  • Participants will learn how to initiate and complete a collaborative strategic planning process to raise cultural competencies beyond the basics, including • Transforming your assessment into measurable goals, objectives, and actions; • Using the organizational chart as a reference for determining who will address the policies, procedures, community, client, and continuous quality improvement; and • Integrating client, community, and key stakeholder input throughout the process

Tuesday November 27, 2012 10:15am - 11:45am
Ethan Allen

10:15am

A-26 - Defining, Extracting, and Using HIVQual and Meaningful Use in a Patient Centered Medical Home (CE)

Quality Measures are a key ingredient in the Continuous Quality Improvement process and must be compiled for Ryan White, governmental and institutional reporting requirements including Meaningful Use and HIVQual. Although Electronic Medical Records collect huge volumes of data, the process of extracting that data to meet specific reporting requirements poses its own challenges. This workshop will introduce a method to identify overlap among the various reporting demands, and consolidate the creation and reporting of quality metrics. Further, it will discuss how to navigate organizational and interpersonal relationships to use the metric data for meaningful behavioral change in the context of patient centered medical homes.

Learning Objectives:

  • List three sources of pre-defined quality metrics.
  • Discuss human factors that influence how metric data is perceived and acted upon through the use of provider report cards.
  • Identify novel techniques for reporting/reviewing metric data.

Speakers
BB

Barbara Berkovich

Clinical Systems Analyst, UC San Diego Health System
Barbara Berkovich is a Clinical Systems Analyst at the UC San Diego Health System. She’s a member of the ANCHOR grant team which aims to improve the percentage of patients HIV clinical patients who routinely access health information online, confirm with laboratory tests that their... Read More →
AS

Amy Sitapati,M.D.

Associate Clinical Professor of Medicine, Univ of California, San Diego Medical Center
Dr. Amy M. Sitapati is Associate Clinical Professor at the Owen Clinic at the University of California, San Diego (UCSD). She received a BS in engineering from Case Western Reserve University (CWRU) in 2004 and an MD from CWRU in 2008. Dr. Sitapati is an internist clinician leader... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Thomas Paine

10:15am

A-27 - Bone Health in the HIV Infected: Are We Missing Opportunities to Intervene?

Bone disease is an important metabolic complication of HIV infection. Studies have demonstrated that osteopenia and osteoporosis occur earlier and more frequently in those infected with HIV than in the uninfected. However, bone health remains a relatively neglected area of preventive care in this population due to limited evidence for recommended screening and treatment practices in this group and concerns about drug toxicity. A didactic presentation and handouts will provide available evidence based background information on current issues and newer recommendation and algorithms. Small “break out” groups will evaluate clinical cases relating to specific topics in bone health and devise a screening and intervention plan for each case. Discussion from these groups will be presented to the large group at the conclusion of the workshop with the goal of consensus building for this very important issue in primary care for the HIV infected.

Learning Objectives:

  • At the end of this workshop, the attendees will be able to describe key issues related to bone health in HIV-infected patients.
  • Participants will learn how to develop an evidence-based plan to screen HIV- infected patients for bone disease.
  • Participants will be able to formulate a treatment plan for HIV infected patients with osteopenia and osteoporosis.

Moderators
JJ

Jennifer Janelle,M.D.

Clinical Assistant Professor, University of Florida College of Medicine
Clinical Assistant Professor of Medicine, Pediatric Immunology and Infectious Diseases at the University of Florida, College of Medicine. She is board-certified in Internal Medicine and Infectious Diseases and has been providing medical evaluation, care and treatment to HIV infected... Read More →
CZ

Carmen Zorrilla,M.D.

Professor of Obstetrics and Gynecology, University of Puerto Rico
Carmen D. Zorrilla, MD is a Professor of Obstetrics and Gynecology at the UPR School of Medicine. She is certified by the American Board of Obstetrics and Gynecology and the American Academy of HIV Medicine. She established the first longitudinal clinic for Women Living with HIV in... Read More →

Speakers
LA

Laura Armas-Kolostroubis,M.D.

Associate Professor, University of Florida College of Medicine
JB

Jeffrey Beal,M.D.

Clinical Director, F/C AETC
Dr. Beal is Clinical Director, Florida/Caribbean AIDS Education and Training Center; Medical Director, Bureau of HIV/AIDS of the Florida Department of Health; Assistant Professor, Florida Mental Health Institute, University of South Florida; Assistant Professor, Department of Medicine... Read More →
RL

Robert Lawrence

Dr. Lawrence is Clinical Associate Professor of Medicine in Pediatric Immunology and Infectious Diseases. Dr. Lawrence is a specialist with 20 years of experience in Pediatric HIV, including participation with the Pediatric AIDS Clinical Trial Group. He provides direct clinical HIV... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Cleveland 1

10:15am

A-29 - HAB Grantee Satisfaction Survey – Results and Response

The HIV/AIDS Bureau (HAB) continues its commitment to provide the highest level of customer service to our grantees. As a part of this commitment, HAB conducted the first ever survey of grantees’ experiences with our program operations and processes. In particular, the survey assessed grantees’ level of satisfaction with the processes in place for HRSA and HAB to communicate with grantees on a range of topics from the application process to policy notifications to technical assistance opportunities. This presentation will provide the results of the survey and the action plan by HAB to address areas for improvement.


Speakers

Tuesday November 27, 2012 10:15am - 11:45am
Buchanan

10:15am

A-30 - Warm Transitions: Linkages to Care for People with HIV Returning Home from Rikers Island Jails

New York City (NYC) jails are at the epicenter of an epidemic that overwhelmingly affects black and Hispanic men and offers a significant opportunity for public health intervention. The NYC Department of Health and Mental Hygiene, the Health Authority in the NYC jail system, instituted a program to identify the HIV-infected, initiate transitional care coordination services within 48 hours of jail admission, and facilitate linkages to primary care in the community. Trained health professionals provide transitional care coordination services using a caring and supportive, 'warm transitions' approach. Post-release, access to care is facilitated with an aftercare letter, discharge kit including condoms and medication, and accompaniment and transportation as needed. Linkages to primary care may be the right first step to facilitate continuity of care for people with HIV returning home from jail and the public health of the community to which they return. Program outcomes will be highlighted

Learning Objectives:

  • Participants will be able to identify five strategies to facilitating access to care for hard-to-serve populations.
  • Participants will be able to implement a 'warm transitions' approach to working with hard-to-serve populations including criminal justice involved, and housing insecure persons with substance use disorders.
  • The process of integrating care coordination with primary care services to improve medication adherence and continuity of care will be discussed.

Speakers
AJ

Alison Jordan

Executive Director, NYC DOHMH
Alison O. Jordan, CPPB, LCSW, is the Executive Director for Transitional Health Care Coordination in the Division of Health Care Access and Improvement. In this role, she oversees the program’s activities in coordinating medical discharge planning and providing services and linkages... Read More →


Tuesday November 27, 2012 10:15am - 11:45am
Taft

10:15am

A-31 - Cancelled

All across America, states are submitting various applications to the Centers for Medicare and Medicaid Services (CMS) to gain approval to begin the enrollment of the Medicaid population into various Medicaid Managed Care Programs (MCOs). Enrollment into MCOs can potentially increase access to health care services, enhance the quality of services provided, and reduce health care fragmentation, thereby leading to stronger care coordination. For years, States have developed this model of health care delivery for their healthy populations, but what about the population of individuals living with a chronic disease, such as HIV/AIDS? States are beginning to submit various applications to CMS to enroll PLWA into developed MCO. In this presentation, grantees will discuss the challenges to and accomplishments of Ryan White-funded organizations to prepare people living with HIV for Managed Care enrollment.

Learning Objectives:

  • This session will describe the procedures to become a network provider of HIV-related services under a managed care network.
  • Development of procedures to educate current organizations medical, non-medical providers, and clients on managed care enrollement will be reviwed.
  • The session will review the process of working with local, county, and State officials and the organization to ensure smooth transitions for HIV/AIDS clients.

Speakers
MB

Michelle Browne

Project Officer, Health Resources and Services Administration


Tuesday November 27, 2012 10:15am - 11:45am
Jefferson

10:15am

A-32 - HIV Treatment Cascade and Ryan White Program

Viral load suppression helps keep HIV-positive individuals healthy and decreases HIV transmission; achieving this goal requires public health and clinical health care systems to work together to coordinate efforts to diagnose, link, and retain HIV-positive individuals in care. This session will begin with a review of the work that HRSA and CDC have done, centered around the framework of the HIV treatment cascade. Following the introduction of the HIV treatment cascade, Ryan White grantees will present their success stories about how they have successfully diagnosed, linked, and/or retained HIV-positive patients in care. This session will end with a panel discussion with questions from the audience.

Learning Objectives:

  • This session will help participants understand the HIV treatment cascade.
  • Larn about HRSA’s activities related to the HIV treatment cascade.
  • Learn specific tools that Ryan White grantees have used to promote linkage and retention in HIV care.

Tuesday November 27, 2012 10:15am - 11:45am
Johnson

11:30am

Poster Session and Exhibits
Tuesday November 27, 2012 11:30am - 5:30pm
Exhibit Hall C

12:15pm

Lunch On Your Own
Tuesday November 27, 2012 12:15pm - 1:30pm
On your own

1:30pm

B-01 - Guidance Using Online Evidence Based Needs Assessments to Plan, Fund, and Actualize Care and Prevention Services (CE)

Building upon 2010's well-received demonstration on how a New Jersey TGA utilized a Web-Based Needs Assessments for in-care and out-of-care populations while saving money and producing better data, the presentation will demonstrate how such strategies have been implemented by four different grant types in three different regional geographies: The State of Minnesota’s Part B grantee, the Minneapolis-St. Paul Part A grantee, California’s Riverside and San Bernardino County’s part A grantee and North Carolina’s Access Network of Care Collaborative (which includes 5 Part C and 2 Part D grantees). Each program will detail how it used an Online Evidenced Based approach to improve its response to the epidemic via analyzing needs and barriers relating to reducing HIV incidence, increasing access to care, optimizing health outcomes, reducing HIV-related health disparities and strengthening competitiveness for scarce financial resources.

Learning Objectives:

  • Workshop participants will be able to see how a paradigm of improved data collection strengthens grant applications, provides answers to community planning bodies, illuminates counterintuitive insights important for the description of barriers and helps positively to influence health planning and policy recommendations.
  • By end of workshop, participants will be able to describe how to adopt and adapt strategies and tools to deliver web-based technology to the community and planning bodies while overcoming digital divides and perceptions of digital divides.
  • Participants will be able to understand the challenges and benefits of an innovative program for web-based data collection and build upon lessons learned by modifying tools used by other programs.

Speakers
MM

Michael McNeill

Network Administrator, Wake County Human Services
Michael McNeill is the administrator of North Carolina’s Access Network of Care, an eleven county service delivery collaborative that includes five Ryan White Part C grantees, two Ryan White Part D grantees, the state's largest health department, the state's largest AIDS Service... Read More →
TD

Tim D. Sullivan

MN HIV Service Planning Council Coordinator, Hennepin County Human Services and Public Health Dept.
Tim D. Sullivan, M.S.W., has long history of producing results for the HIV/AIDS community. Mr. Sullivan is the coordinator of the Minnesota HIV Services Planning Council of Hennepin County, Minnesota. Here he coordinates the work of a thirty member community planning body, including... Read More →
JT

Jesse Thomas

Project Manager, RDE Systems
Jesse Thomas has over fourteen years experience of serving public health and over eight years experience in the field of HIV/AIDS. He currently serves as the technical director for four HRSA Special Projects of National Significance to use cost-effective health information technology... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Washington 1

1:30pm

B-02 - Guidance to Earlier Recognition of HIV: Dilemmas for the Clinician (CE)

New HIV testing technology facilitates the earlier detection of HIV primary and early infection. Early access and entry into care is critical. Early initiation of ARV therapy is recommended relative to treatment as prevention. Contact and source identification can lead to difficult legal and social situations for patients. The optimal timing of initiation of therapy remains uncertain for the individual patient with regards to long term survival, adherence and prevention of transmission. This workshop will review new 4th generation testing technology, its interpretation and effect on earlier recognition of HIV. Through the use of facilitated small group case discussions; the dilemmas, issues and potential solutions that early diagnosis raises for the clinician in terms of counseling and decision making for initiation of ARV therapy will be explored. A final summary of dilemmas and potential solutions will be facilitated by the presenters.

Learning Objectives:

  • Interpret the results and significance of new HIV testing technology and its effect on diagnosing HIV earlier.
  • Analyze the various dilemmas (contact and source identification, optimal timing of initiation of ARV therapy, issues of adherence and prevention related to therapy, etc.) brought about by earlier HIV diagnosis.
  • Develop an appropriate and personalized counseling and medical care plan for patients with primary or early HIV infection.

Moderators
JJ

Jennifer Janelle,M.D.

Clinical Assistant Professor, University of Florida College of Medicine
Clinical Assistant Professor of Medicine, Pediatric Immunology and Infectious Diseases at the University of Florida, College of Medicine. She is board-certified in Internal Medicine and Infectious Diseases and has been providing medical evaluation, care and treatment to HIV infected... Read More →

Speakers
JB

Jeffrey Beal,M.D.

Clinical Director, F/C AETC
Dr. Beal is Clinical Director, Florida/Caribbean AIDS Education and Training Center; Medical Director, Bureau of HIV/AIDS of the Florida Department of Health; Assistant Professor, Florida Mental Health Institute, University of South Florida; Assistant Professor, Department of Medicine... Read More →
RL

Robert Lawrence

Dr. Lawrence is Clinical Associate Professor of Medicine in Pediatric Immunology and Infectious Diseases. Dr. Lawrence is a specialist with 20 years of experience in Pediatric HIV, including participation with the Pediatric AIDS Clinical Trial Group. He provides direct clinical HIV... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Washington 2

1:30pm

B-04 - Technical Assistance for Data Collection and Data Management for the RSR: The New York State Experience

The New York State Department of Health AIDS Institute has been collecting client-level data from all subcontractors since 1995. Strategies utilized in the AIDS Institute Reporting System (AIRS) to ensure complete, accurate data collection include comprehensive data validations; development of suites of reports to allow providers to manage data quality on an ongoing basis; the creation of a client-level “RSR Completeness Assessment” within the data collection system; collecting an interim RSR and providing a 6- month aggregate completeness report to catch issues earlier in the process; continuous training and technical assistance; and designing the data collection system with a level of granularity that allows mapping to multiple funding sources, improved utility to providers for local client management, and flexibility as requirements change.

Learning Objectives:

  • Participants will learn techniques for ensuring data accuracy and completeness in a data collection system.
  • Participants will learn feedback strategies for data quality.
  • Participants will be understand the design of tools for data QA and submission at the grantee level.


Speakers
VC

Vida Chernoff

Director, OSD, NYSDOH AIDS Institute
Vida Behn Chernoff is Director of the Office of Systems Development for the NYSDOH AIDS Institute. Educated at McGill University (BSc) and Cornell University (MRP), she came to the AIDS Institute in 1991 after working in regional planning at the local and State level for several years... Read More →
DK

Dmitry Koptsev

Application Administrator, NYSDOH AIDS Institute OSD
Dmitry Koptsev has been Application Administrator for the NYSDOH AIDS Institute Office of Systems Development for the past two years, responsible for management of the RSR submission process from AIRS. He received his combined Bachelor and Master Degree in Civil Engineering from the... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Washington 4

1:30pm

B-05 - Expanding Access to HIV Oral Health Care 201: Measuring Performance and Achieving Outcomes

This session will discuss the main outcomes of the SPNS oral health initiative. Questions we will answer incude: How did we measure performance and what did we find? How many people completed their treatment plans and how long did it take? Which program models were most successful in expanding access? What strategies were effective in recruiting and training clinical providers? What patient edcuation strategies were employed? What factors were associated with retention in oral health care and improvements in oral health-related quality of life?

Learning Objectives:

  • Participants will be able to describe successful and sustainable oral health delivery models and the factors that contributed to this success.
  • Participants will be able to find and use interactive patient and provider education materials.
  • Participants will be able to identify the challenges associated with timely treatment plan completion and factors that impact performance.

Moderators
AC

Adan Cajina

Branch Chief, Demonstration and Evaluation

Speakers
JF

Jane Fox

Project Director, Evaluation Center for HIV and Oral Health - Boston University
Jane Fox, MPH, is the Program Director for the Evaluation Center for HIV and Oral Health at the Boston University School of Public Health. Her entire 20-year career has been dedicated to working in Ryan White-funded programs ofthe community level, the State level, and in academia... Read More →
DR

David Resnik

Oral Health Care: Models that Work; Information to Reduce Barriers to Assessing Care, Grady Hospital/Emory University
David Reznik, DDS., is a graduate of Emory College and Emory University School of Dentistry, and is currently the Director of the Oral Health Center of the Infectious Disease Program of Grady Health System in Atlanta, Georgia, a program he founded 21 years ago. Dr. Reznik also serves... Read More →
CT

Carol Tobias

Director, Health and Disability Working Group
Ms. Tobias is the Director of the Health and Disability Working Group and Assistant Professor at theBoston University School of Public Health. She is also the Principal Investigator of the Evaluation and Support Center for the SPNS Initiative on increasing access to HIV oral health... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Washington 5

1:30pm

B-06 - Ryan White Program Data Technical Assistance: A View From the Unduplicated Window (CE)

Client-level data reported in the Ryan White Services Report (RSR) permit HRSA/HAB to monitor the outcomes of HIV/AIDS clients receiving care and treatment through RWHAP grantees and/or providers; report to Congress and the Department of Health and Human Services concerning the HIV/AIDS epidemic and the RWHAP; and assess progress towards achieving the goals of the National HIV/AIDS strategy. All of these goals require unduplicated data, combining client-level data across providers. This session will describe HAB’s approach to cleaning, deduplicating and merging the client-level RSR data to develop an estimate of the unduplicated number of clients served by RWHAP grantees and providers. The workshop will then present the first results on characteristics of the RWHAP clients, the services they receive, and the program’s success in meeting HAB’s performance measures.

Learning Objectives:

  • Understand how their RSR data are cleaned, deduplicated and merged to create unduplicated counts and client level service data;
  • Learn the characteristics of the RWHAP clients, the services they receive, the degree to which clients receive services from multiple providers, and how the RWHAP has performed on measures established for reporting to Congress and other stakeholders;
  • Understand the importance of accurate demographic data, eUCIs and other RSR data in creating an accurate profile of the Ryan White Program.


Speakers
DI

Debbie Isenberg

HIV.AIDS Bureau
Debbie Isenberg is the Chief of the Epidemiology and Data Branch in the Divison of Science and Policy at the HIV/AIDS Bureau. Prior to coming to HAB, Ms. Isenberg was a grantee for nearly 15 years. Ms. Isenberg has nearly 20 years experience in the field of HIV, with extensive experience... Read More →
PO

Peggy O'Brien-Strain, Ph.D.

Senior Research Associate, Mission Analytics Group
Dr. O’Brien-Strain is the President and a Senior Research Associate at Mission Analytics Group, Inc. (Mission AG). With extensive experience in data analysis and technical assistance for health and human services agencies, Dr. O’Brien-Strain has directed multiple projects with... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Washington 6

1:30pm

B-08 - Yes, SIRR – Creatively Collaborating to Serve the Incarcerated and Recently Released

More HIV-positive offenders are released into Harris County than any other area in Texas, and more than 1,000 local jail inmates are HIV-positive. While incarcerated, PLWHA receive HIV care, but there is a lack of continuity of care post-release. The Serving the Incarcerated and Recently Released (SIRR) Partnership was formed in 2009 to fortify the Houston system of HIV care at reentry. Its work includes the region’s first conference on engagement strategies, the allocation of EIS funds for reentry linkage to care, and training for parole and probation. SIRR is now evaluating its impact on the continuum of care overall. This workshop will describe the process and outcomes of a community-based IRR coalition as well as “lessons learned” for an effective reentry system of HIV care.

Learning Objectives:

  • Identify specific barriers and attitudes that make serving this population challenging.
  • Learn creative ways of collaborating with community partners and correctional institutions to improve health outcomes and linkage to care upon release.
  • Learn how to analyze and evaluate your collaboration to improve its outcomes.

Speakers
JH

Jennifer Hadayia

Health Planner, Houston Area Ryan White Planning Council/Office of Support
Jennifer M. Hadayia, MPA is the Health Planner for the Houston EMA. Prior to this position, she oversaw the HIV prevention/surveillance and chronic disease prevention programs for the local health jurisdiction in Washoe County, Nevada. She was also a registered lobbyist to the Nevada... Read More →
AH

Anna Henry

Planner, The Resource Group
Anna Henry graduated from Eastern Illinois University with a BA in Sociology in 2002. After graduating, Anna worked as a Parent Educator and Volunteer Coordinator in a child abuse prevention program facilitating support groups for teen moms ages 13-19. Anna then worked as the Case... Read More →
JV

Janina Vasquez

Care Services Group Manager, Texas Department of State Health Services
Mrs. Vazquez was recently promoted to Care Services Group Manager and oversees HIV funding that is awarded to the Texas Department of State Health Services (DSHS) including Ryan Part B and Texas HIV Services funds. She previously was the Reentry Coordinator with the Texas HIV Medication... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Delaware B

1:30pm

B-09 - The Patient Centered Medical Home Guidance: Lessons from Ryan White Grantees: 201 Session (CE)

The goal of this workshop is to share lessons learned, strategies, tools and resources used by Ryan White HIV/AIDS clinics/practices who have successfully become certified as PCMHs. A “lessons from the field” panel will share details of how they began the process of becoming a PCMH, who in their organizations were key in leading this process, and their barriers and facilitators to changing their practice to become a PCMH. Details will be shared on which “change concepts” or “building blocks” were used as a starting place, models of improvement used to facilitate the implementation of change in practice, internal and external motivators, and patient/staff responses to the changes.

Learning Objectives:

  • Share lessons learned and strategies used by Ryan White HIV/AIDS clinics/practices who have successfully become certified as PCMHs.
  • Discuss barriers and facilitators to changing practice to become a PCMH.
  • Discuss resources and tools available to support this change process.

Speakers
CB

Carolyn Burr,R.N.

Deputy Director Francois Xavier Bagnoud Center, School of Nursing, UMDNJ
a pediatric nurse practitioner and adult educator who has been actively educating healthcare providers about HIV for 20 years. She has a Bachelor of Science in Nursing degree from Vanderbilt University, a Master of Science degree as a family nurse practitioner from the University... Read More →
SB

Steven Bromer, M.D.

Assistant Professor, Department of Family Medicine, UCSF
Steven Bromer, Medical Director of the Practice Facilitation teams is Assistant Professor of Family and Community Medicine, Medical Director of the Sonoma County HIV Healthcare Network, faculty consultant on the National HIV/AIDS Clinicians’ Consultation Center (Warmline, PEPline... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Maryland A

1:30pm

B-10 - AETC Telehealth Training Program: Advancing training through Telehealth Technology (CE)

Session will provide an overview of the AETC Telehealth Training Centers Program grant. Grant focuses on providing clinical consultation and education to low-volume providers. The intent is to build the capacity of the HIV workforce, especially in the era of Affordable Care Act.

Learning Objectives:

  • Define telehealth in terms of this grant program.
  • Provide lessons learned from Year 1 grantees.
  • Discuss the different technology options for providing distance based clinical consultation.

Tuesday November 27, 2012 1:30pm - 3:00pm
Maryland B

1:30pm

B-11 - One Program, Multiple Funding Streams: How to Manage Funding, Resources, and Eligibility

One grant is typically not enough to make a program work. It often requires multiple Ryan White Parts/Grants and funding streams working together to serve the needs of the HIV-positive patient population. This session will focus on managing one program with multiple funding streams. This presentation will discuss integrating eligibility, allocation of resources, and fiscal management to ensure that funding sources are not duplicative, but are working in tandem to meet the needs of the entire HIV patient population.

Learning Objectives:

  • Participants will learn about the variety of Ryan White grants that exist and how they uniquely work together to serve the HIV patient population.
  • Participants will be able to integrate program eligibility, budgets, and expenditures for a variety of funding sources to obtain a realistic picture of the entire HIV program at work.
  • Using case studies, participants will look at different types of HIV programs and discuss how funds could be better utilized or more creatively structured to meet program requirements and to serve the growing patient population.

Speakers
JC

Jana Collins

Program Coordinator, Bluegrass Care Clinic
For the past ten years Ms. Collins has served in a variety of capacities at the University of Kentucky’s Bluegrass Care Clinic , a Ryan White Part B/C/D program, as the data manager, program coordinator, and fiscal manager. Since 2008, Ms. Collins has served as a fiscal and management... Read More →
AD

Amy Davis

St. Mary's Family Medicine
Dr. Davis is a family physician who has been the medical director of the Western Slope Collaborative HIV Part C clinic for 12 years. She also works at the VA in Grand Junction with emphasis on HIV and Hepatitis C. She has long been an advocate for integrated, team based and patient... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Maryland C

1:30pm

B-12 - HIV Integration 201: Driving Models for HIV Quality Care to Advance the National HIV/AIDS Strategy

The Patient Protection and Affordable Care Act and National HIV/AIDS Strategy highlight the need to increase HIV workforce capacity and expand access through primary care. The HIV Community Care Continuum (CCC) Model for integration of HIV into primary care responds to limitations of existing models for building and measuring capacity for HIV care in primary care settings. This dynamic model guides the assessment and delivery of training to progressively build capacity to deliver a range of services while ensuring quality HIV care and treatment either internally or through collaborations. Tiered performance measures demonstrate clear baselines and allow tracking of HIV care improvements aligned with current Institute of Medicine recommendations to identify baseline and progress in HIV care delivery.

Learning Objectives:

  • The session will address the need for HIV care models to incorporate assessment, training plan development, and performance measurement in a comprehensive approach for successful integration into primary care settings.
  • Barriers and facilitators to successful integration of HIV into primary care and the role of Ryan White providers in assuring quality care will be discussed.
  • This session will describe the process of aligning evaluation and performance indicators to the recent IOM repor,t Monitoring HIV Care in the United States, to ensure and measure quality HIV services.

Speakers
SP

Stephen Perez

HIV Clinical Specialist, HealthHIV


Tuesday November 27, 2012 1:30pm - 3:00pm
Virginia A

1:30pm

B-13 - Using and Monitoring Data to Improve Client Care (CE)

The Philadelphia EMA's quality management program uses CAREWare for data collection on medical and MCM performance indicators. The approach incorporates quality assurance, continuous quality improvement, and client outcomes evaluation through the jurisdiction’s de-identified data set of more than 12,000 clients receiving HIV medical care and 8,000 clients receiving medical case management at funded sites. The EMA has implemented a quality management program that closely integrates performance, available tools in the EMA's custom Report Generator module in CAREWare, individualized feedback, and QI plans to improve outcomes in the EMA. The workshop will focus on issues such as the exporting and analyzing of data, quality indicators measured, continuous feedback to funded providers and adaptation of CAREWare to facilitate data collection. Special emphasis will be placed on using data, including the RSR, to improve client and system level outcomes in outpatient/ambulatory medical care and medical case management.

Learning Objectives:

  • By the end of the workshop participants will be have an understanding of how the various components of a quality management program can be integrated to demonstrate consistent improvements over time to care delivery systems.
  • By the end of the workshop, participants will understand how to utilize data to improve system outcomes, including the use of data, benchmarking and feedback to guide quality improvement activities.
  • By the end of the workshop participants will be able to utilize CAREWare to strengthen their quality management program and guide improvement activities in their EMA.

Speakers
SB

Sebastian Branca

HIV Care QM Coordinator, AACO- Phila Dept of Health
Sebastian Branca is the HIV Care QM Coordinator with the Philadelphia Department of Health's AIDS Activities Coordinating Office. He graduated Magna Cum Laude with a Bachelor degree in English from Rutgers University in 2000 where also he won the English Department Prize and the John... Read More →
ET

Evelyn Torres

Information Services and Client Services Manager
Mary Evelyn Torres, MBA, is the Manager of the Information and Client Services Unit for the Philadelphia Department of Public Health, AIDS Activities Coordinating Office (AACO), a Ryan White Part A Grantee and Part B Administrative Agent. The Information Services Unit (ISU) is responsible... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Virginia B

1:30pm

B-14 - Readiness Technical Assistance for Health Insurance Participation by Ryan White Program Providers: The Time is Now! (CE)

Ryan White Program providers have increasing opportunities for participation in health insurance programs and managed care networks.

Learning Objectives:

  • Increase trainees’ knowledge of HAB’s payer of last resort and health insurance standards.
  • Trainees will learn strategies for assisting clients to enroll in public and commercial health insurance.
  • Subgrantees will acquire skills needed to assess and undertake readiness for health insurance participation.


Speakers
MG

Michael Goldrosen

Director, HIV/AIDS Services Division, Boston Public Health Commission ID Bureau
Michael Goldrosen is the Director of the HIV/AIDS Services Division within the Bureau of Infectious Diseases at the Boston Public Health Commission and serves as the Program Director of the RW Part A Grant. He has overseen Ryan White funding for the past 12 years and has worked in... Read More →
JH

Julia Hidalgo

Research Professor, George Washington University
Dr. Julia Hidalgo is a Research Professor at the George Washington University, and Chief Executive Officer of Positive Outcomes, Inc. She has worked in HIV for more than 25 years as a Ryan White Program grantee, policymaker, researcher, evaluator, TA provider, and trainer. She serves... Read More →
JH

Jonathan Hanft, Ph.D.

Ryan White Program Coordinator, Hennepin County Human Services & Public Health
Jonathan Hanft PhD manages the Ryan White program for Hennepin County Human Services & Public Health, the Part A grantee for the Minneapolis – St. Paul TGA. Dr. Hanft has 23 years of experience delivering services as an HIV educator, case manager for HIV positive youth, HIV insurance... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Virginia C

1:30pm

B-15 - Pilot testing a Spanish Patient Portal for Online Access to Electronic Health Records (CE)

Increasingly, the model of Patient Centered Medical Home is creating opportunities for patient interaction outside the traditional office visit. The introduction of secure patient web portals creates an opportunity for patients to send messages, enter and view medical information online. This workshop will cover the planning, conversion, and pilot phase of a patient Spanish EHR portal in an urban academic medical center with a Hispanic population around twenty-five (25) percent. Practical advice and lessons learned will be shared in three key areas: technical conversion; implementation planning; and introduction to patients.

Learning Objectives:

  • Explain the challenges of translating the contents of the Medical record, financial and legal considerations for third party message translation.
  • Describe the different level of translation accuracy demanded by clinical, scheduling, and customer messages.
  • Describe successes and challenges in Spanish patient chart work experienced by patients and clinicians.

Speakers
BB

Barbara Berkovich

Clinical Systems Analyst, UC San Diego Health System
Barbara Berkovich is a Clinical Systems Analyst at the UC San Diego Health System. She’s a member of the ANCHOR grant team which aims to improve the percentage of patients HIV clinical patients who routinely access health information online, confirm with laboratory tests that their... Read More →
AS

Amy Sitapati,M.D.

Associate Clinical Professor of Medicine, Univ of California, San Diego Medical Center
Dr. Amy M. Sitapati is Associate Clinical Professor at the Owen Clinic at the University of California, San Diego (UCSD). She received a BS in engineering from Case Western Reserve University (CWRU) in 2004 and an MD from CWRU in 2008. Dr. Sitapati is an internist clinician leader... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Madison A

1:30pm

B-16 - PCIP – Jumping into the High-Risk Pool (CE)

In 2012, the STD/HIV Program (SHP) of the Louisiana Office of Public Health established a Health Care Work Group (HCWG) consisting of staff from SHP, medical centers, Ryan White Part A and B providers, planning bodies, and clients as well as pharmacy representatives. The overall objective of this workgroup was to prepare for the implementation of the Patient Protection and Affordable Care Act (PPACA) with its first goal being to develop PCIP training for case mangers and services providers. The purpose of this 90-minute workshop is to describe the process of developing this training and to present the key elements of the training.

Learning Objectives:

  • Explain the role of the Health Care Workgroup (HCWG) in light of current and upcoming changes as a result of the Patient Protection and Affordable Care Act (PPACA).
  • Ensure that Ryan White service providers have an adequate baseline understanding of key learning points related to health insurance coverage options in Louisiana, with special emphasis on the Pre-existing Condition Insurance Plan (PCIP) and the Ryan White-funded services available to assist with insurance maintenance.
  • Workshop participants will learn effective methods to train RW service providers regarding the PCIP application processes, action required for insurance maintenance, and knowledge of resources for troubleshooting with respect to PCIP and corresponding Ryan White-funded services.

Speakers
LC

Lucy Cortds

LMSW, NO/AIDS Task Force
Lucy Cordts is the Case Management Program Coordinator at NO/AIDS Task Force; Adjunct Clinical Field Faculty, Tulane University School of Social Work; and Board Member, Professional Association of Social Workers in HIV and AIDS. She received her graduate degree from Tulane School... Read More →
HW

Heather Weaver

Treatment Access & Benefit Coordinator, Louisiana STD/HIV Program
Heather has worked in the field of HIV/AIDS since 1995 primarily in medication services. She has a MA degree in social work from Tulane University and has worked in the New Orleans community for 11 years, 3 at NO/AIDS Task Force, and 9 year with the State of Louisiana Office of Public... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Madison B

1:30pm

B-17 - Cultural Interactions Institute – 201 (CE)

The Cultural Interactions workshop 201 focuses on how stigma develops, who we stigmatize and how it affects those populations we serve. Participants will explore their personal biases and will be given concrete methods to reduce bias and stigma through self-awareness, empathy, asking questions, generalizing and not stereotyping, and using the teach-back method. Participants will learn to identify health disparities as they exist in their community and how their organization can effectively address those health disparities. Finally, we will teach participants how to focus their efforts on specific populations served by their organizations.

Learning Objectives:

  • To explore how empathy, generalizing and not stereotyping cultures, and improved communication can help providers effectively interact with their patients.
  • Identify personal root causes of stigma.
  • Learn ways to reduce the effect of stigma for those living with HIV.

Moderators
JR

Jaclyn Rubio

Public Health Analyst, HRSA

Speakers
SE

Samantha Euraque

Regional Minority AIDS Initiative Coordinator, Delta AIDS Education and Training Center
Samantha Euraque obtained a MA degree in cultural anthropology at Louisiana State University. In her role as MAI Coordinator for the Delta Region AIDS Education and Training Center, Samantha assists in the planning and development of MAI activities for the tri-State region. She has... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Hoover

1:30pm

B-18 - Oversight of the 12 Cities Project: How Coordination and Integration are Changing How We Fight HIV/AIDS (CE)

The 12 Cities Project strives to further cross-agency coordination to combat the HIV/AIDS epidemic. Divisions between HIV prevention and care programs in the U.S. are diminishing.

Learning Objectives:

  • To enhance grantees’ understanding of how the 12 Cities project relates to and differs from ECHPP and the NHAS.
  • To disseminate successful efforts at coordination and integration that have been implemented in several of the 12 cities.
  • To discuss and brainstorm how to address challenges that arise from increased coordination.

Speakers
SL

Stewart Landers

Director of Boston Office, Health Services, John Snow, Inc.
Jeremy Holman, PhD is a Senior Consultant at JSI Research & Training Institute in Boston, MA, where directs and contributes to a range of HIV-related projects. He is currently the Director of the HRSA/HAB Interdisciplinary Models of HIV/AIDS Care Project and the Director of JSI’s... Read More →
RV

Ron Valdiserri

Deputy Assistant Secretary for Health, Infectious Disease, Office of HIV/AIDS and Infectious Disease Policy
Ron Validserri, M.D., M.P.H. is Deputy Assistant Secretary for Health, Infectious Diseases, and Director, Office of HIV/AIDS and Infectious Disease Policy (OHAIDP).


Tuesday November 27, 2012 1:30pm - 3:00pm
Coolidge

1:30pm

B-19 - Interdisciplinary Models of HIV Care (CE)

Quality HIV care is often complicated by substance use, mental health issues, and other co-morbidities among people living with HIV/AIDS (PLWH). Interdisciplinary, team-based approaches can be successful in providing coordinated, comprehensive HIV care and services that address the range of needs of PLWH. Such approaches can be challenging given pressures to minimize healthcare costs and increase efficiency, regulatory changes related to the Affordable Care Act, and the expanded role of community health centers in providing HIV care. HRSA/HAB contracted with John Snow, Inc. to identify effective models of interdisciplinary care and understand specific components and factors critical to the success of such programs. This workshop will review the study findings including the implications for Ryan White Program grantees in the current health care environment. Several grantees that participated in the study will also share key factors in the success of their interdisciplinary care programs.

Learning Objectives:

  • Based on findings from the study and presentations from the participating clinics, participants will: Be able to identify factors which make interdisciplinary HIV care programs most effective, including how success is defined, optimal service configurations, and key elements of success;
  • Understand how interdisciplinary HIV care models have been implemented in a range of care settings, including common elements and challenges to their implementation, and adaptations that grantees have made to respond to local context and populations served;
  • And, be able to understand the potential implications of health care reform and other national trends on adopting or strengthening interdisciplinary HIV care models as Ryan White Program grantees.

Moderators
GF

Gregory Fant,Ph.D.

Supervisory Health Scientist & Deputy Director, Division of Science and Policy, HAB-DSP
Dr. Fant is the Deputy Division Director of Science and Policy for the HIV/AIDS Bureau, HRSA, US Department of Health and Human Services. Dr. Fant earned professional recognition as an accredited statistician (AStat) from the Statistical Society of Australia and epidemiologist (Member... Read More →

Speakers
LH

Lisa Hirschhorn,M.D.

Senior Clinical Advisor on HIV/AIDS, John Snow, Inc.
JH

Jeremy Holman, Ph.D.

Senior Consultant, John Snow, Inc.
Jeremy Holman, PhD is a Senior Consultant at JSI Research & Training Institute in Boston, MA where directs and contributes to a range of HIV-related projects. He is currently the director of the HRSA/HAB Interdisciplinary Models of HIV/AIDS Care project and the director of JSI’s... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Harding

1:30pm

B-20 - Web and Social Media Institute 201: Maximizing Your Impact

With basic knowledge about online tools in hand and creative inspiration, this 201 workshop will explain how to use and integrate social media and Web sites to maximum effect. Lessons include making the most of social media (e.g., Facebook and Twitter techniques and best practices to expand your reach); using multimedia tools (e.g., YouTube, Vimeo, Flickr); online writing tips (Web pages, Tweets, and blogs). Panelists will demonstrate effective integrations and then break down how they were achieved. Additional free and/or low-cost training resources will be outlined and shared post-meeting.

Learning Objectives:

  • Participants will be instructed in the use of social media add-on resources (e.g., HootSuite, Blogger) to expand their social media audiences.
  • Participants will learn to write more effective content for online platforms.
  • An individual technology training approach and plan for keeping informed will be developed.

Moderators
JR

Jaclyn Rubio

Public Health Analyst, HRSA

Speakers
JC

Judy Collins

Program Coordinator, AETC National Resource Center
Judy Collins is a writer, graphic artist and designer. She has a Bachelor of Arts in Creative Writing degree from New York University. With more than 10 years of copywriting, editing and graphic design experience for print and the web, she joined the AETC NRC team as program & social... Read More →
AG

Alan Gambrell

Principal, Public Ink
Principal, Managing PartnerAlan Gambrell, principal and managing partner of Public Ink, has over 26 years of experience providing technical assistance, program analysis, writing/editing, communications, and organizational development to over 15 federal U.S. agencies and dozens of... Read More →
AM

Aisha Moore

Communications Director, AIDS.gov/JSI
Aisha L. Moore, MPH is a Consultant at JSI. For the past 12 years, she has been involved in communications, evaluation, training and technical assistance programs for Department of Health and Human Services clients. She currently serves at the Communications Director of the AIDS.gov... Read More →

Moderators
AO

Aaron O'Brien

National Quality Center
Aaron serves as the Program Analyst for the Roper St. Francis Ryan White Program and Wellness Center in Charleston SC. Aaron developed the program’s data management and quality improvement infrastructure and now serves in a number of statewide and national capacities to further... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Wilson A

1:30pm

B-21 - Lost in Transition: Challenges and Solutions to Healthy Transition in Care for Young People with HIV (CE)

Young people living with HIV face a number of challenges in transitioning from pediatric to adult health care. These challenges are shared among the youth, their health providers and primary caregivers, and can pose a significant threat to young people’s overall health as they manage HIV in adulthood. This workshop will present a project of the Massachusetts Department of Public Health’s Ryan White Part D program, MassCARE, to engage youth living with HIV, their primary caregivers and their health providers in dynamic discussions about health care transition. The resulting recently published guidebook “Moving On Positively”, provides these three populations with practical steps that each can take to prepare for successful transition. In addition to the guidebook, transition tools, standards and quality indicators will be distributed

Learning Objectives:

  • Articulate the key challenges to youth health care transition across the populations (youth, provider, caregiver).
  • Identify actionable strategies for helping youth make a successful transition (all populations).
  • Gain information and tools to implement transition standards in Ryan White programs.

Speakers
SB

Sandra Broughton

Director, MassCARE, MA Dept. of Public Health
Sandra is the Director of MassCARE (Massachusetts Community AIDS Resource Enhancement) the Ryan White Part D funded program at the Massachusetts Department of Public Health, a position she has held for 10 years. Sandra also is Director of Community Support for Children and Youth with... Read More →
RG

Rena Greifinger

Director, One Love, Next Step
Rena Greifinger is the Director of the One Love Project at Next Step in Cambridge, Massachusetts. She has 8 years of experience working with young people living with HIV in the United States and internationally. Rena has written and presented for many audiences on the psychosocial... Read More →
BK

Bill Kubicek

Executive Director, Next Step
Bill Kubicek is the Founder and Executive Director of Next Step, a Cambridge-based non-profit dedicated to shattering the limitations and elevating the aspirations of teenagers and young adults living with chronic diseases. Bill has over twenty years of experience as a youth program... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Wilson B

1:30pm

B-22 - Closing the Gap: Screening for Mental Illness, Substance Use Disorders. and Neurocognitive Impairment (CE)

Mental illness and substance use disorders are common co-morbidities among people with HIV infection. These conditions are under-diagnosed and under-treated despite extensive evidence that they are associated with HIV transmission risk, failure to initiate and adhere to treatment, slower viral suppression, faster virilogic failure, and increased morbidity and mortality. HIV-related neurocognitive disorders are also common (even among people on effective antiretroviral treatment) and can interfere with treatment through forgetfulness, the most common reason for nonadherence to medication. This workshop seeks to encourage the use of screening tools to identify important and neglected co-morbidities that undermine HIV care and treatment. All three goals of the National HIV/AIDS Strategy are addressed by promoting treatment as prevention, optimizing health outcomes and addressing well-known health disparities in the detection and treatment of mental, substance use and neuropsychiatric disorders.

Learning Objectives:

  • Participants will be better able to identify useful mental health/substance use/neurocognitive screening tools, know how to access them on line in multiple languages, and obtain companion scoring sheets.
  • Participants will be better able to identify mental health/substance use/neurocognitive co-morbidities in their patients and/or programs through increased comfort with and knowledge of how to administer and score these screening instruments.
  • Participants will be better able to decide which of these co-morbidities they/their programs can treat and which require referral to other providers.

Moderators
AK

Andrea Knox

AETC Project Officer, HRSA, HIV/AIDS Bureau

Speakers
FC

Francine Cournos,M.D.

Principal Investigator, NY/NJ AETC
Francine Cournos, M.D. is Professor of Clinical Psychiatry (in Epidemiology) at the Mailman School of Public Health at Columbia University and Principal Investigator of the New York/New Jersey AIDS Education and Training Center. She has worked at the interface of HIV and mental illness... Read More →
AD

Antoine Douaihy,M.D.

Co-investigator, Pennsylvania Mid-Atlantic AIDS Education and Training Center
Antoine Douaihy, MD, is currently Associate Professor of psychiatry at the University Of Pittsburgh School Of Medicine (UPSOM). He is the Medical Director of Addiction Medicine Services (AMS) at Western Psychiatric Institute and Clinic. Dr. Douaihy is the Medical Director of Addiction... Read More →
MF

Marshall Forstein,M.D.

Chair, American Psychiatric Association Steering Committee on HIV Education and Training
Marshall Forstein, MD is the Director of Psychiatry Residency Training at The Cambridge Health Alliance, and Associate Professor of Psychiatry at Harvard Medical School. He has been involved clinically and educationally in the HIV epidemic since the very beginning in 1981 and is currently... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Wilson C

1:30pm

B-23 - Technical Assistance to Ryan White Sites Providing Care to Women of Color: Survival Stories of Women of Color Living With HIV/AIDS in Texas

Two Texas Special Projects of National Significance (Special Health Resources for Texas and UT Health Science Center) have collaborated to provide insight into the differences and similarities of women living in rural and urban settings across the State of Texas, utilizing HIV/AIDS survival stories to identify ‘themes of survival.' This interactive workshop will report on how these survival stories provide information to enhance the effectiveness of ongoing programs that are designed to engage and retain women of color in quality care. The survival stories and their themes are utilized by staff to empower women. The presentation will further explain methods for collecting these survival stories and explain how they empower individuals, thus bringing about behavior change. In addition, benefits of tools used to provide valuable data towards program enhancement and development of best practices will also be included.

Learning Objectives:

  • This workshop will help participants develop knowledge about the use of survival stories as tools to bring about individual patient behavior change.
  • Learn how survival stories can be used as a tool to enhance case management program effectiveness.
  • Learn how differences and similarities in rural and urban survival stories can affect best practices and program development.

Speakers
NA

Nancy Amodei

Evaluator, University of Texas Health Science Center at San Antonio
EO

Emmerentie Oliphant,D.Phil.

Director of Social Work, Stephen F. Austin State University
Dr. Emmerentie Oliphant is a Professor and Director of the School of Social Work at Stephen F. Austin State University. She has an extensive background in research and evaluation on an international level. She has been on the faculties of several universities both in the United States... Read More →
NY

Nancy Young

Special Projects Administrator, Special Health Resources for Texas, Inc.
Nancy Young, LCDC, is the Special Projects/SPNS Administrator with Special Health Resources for Texas, Inc. She brings 25 years experience as Substance Abuse Counselor, 21 years with HIV positive populations. She serves as a trainer and mentor for Substance Abuse Counselor Interns... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
McKinley

1:30pm

B-24 - Guidance to Using the Peer Educator in Response to the National AIDS Strategy (CE)

In response to the NHAS HIV+ Peer Educators are vital in the treatment, care and prevention of client service.

Learning Objectives:

  • Provide an overview of the peer program at Kansas City Free Health Clinic response to the NAS.
  • Outline strategies to work collaboratively with the healthcare team to improve client outcomes.
  • Identify and share methods to improve retention in medical care within the multi-disciplinary team.


Speakers
AD

Alicia Downes

Peer Program Manager, Kansas City Free Health Clinic
Alicia Downes has been a Social Worker for 18 years, exclusively in HIV since 1999. She is the Peer Education Training Site Program Manager for the Missouri AIDS Alliance People to People Project, manages an HIV Peer Program at Kansas City Free Health Clinic and has completed numerous... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Nathan Hale

1:30pm

B-25 - Meet the CHAC (CDC/HRSA Advisory Committee on HIV/Viral Hepatitis/, STD Prevention, and Treatment) (CE)

This is an open session for meeting participants to meet representative members of the CDC/HRSA Advisory Committee on HIV, Viral Hepatitis and STD Prevention and Treatment (CHAC). Participants will have an opportunity to learn about the Advisory Committee's work, recommendations and resolutions over the past two years, including current work preparing for the reauthorization of the Ryan White HIV/AIDS Program. Participants will be invited to share their thoughts and experiences working in CDC and HRSA funded programs to help inform the Committee's advice for and recommendations to CDC and HRSA.

Learning Objectives:

  • Understand the current prevention, care, and treatment initiatives, as well as recommendations and resolutions from the CHAC and its workgroups.
  • Learn about key Federal programs and policies including the Ryan White Reauthorization efforts.
  • Learn more about community issues for HIV, viral hepatitis, and STD care and treatment as articulated by members of the programs and public attendance, particularly with the passage of the health care reform legislation.


Moderators
AD

Antigone Dempsey

Deputy Director, HIV/AIDS, Altarum Institute
Ms. Dempsey has 20 years of experience in HIV/AIDS and addictions program management; organizational leadership; expert facilitation; and training and strategic technical assistance (TA) through collaboration with recipients of TA. She also has ground level expertise in providing... Read More →

Speakers
HH

Heather Hauck

Director, Infectious Disease and Environmental Health Administration, Maryland Department of Health and Mental Hygiene
Ms. Hauck’s Administration leads statewide public health efforts to improve the health of Marylanders by reducing the transmission of infectious diseases, helping impacted persons live longer, healthier lives, and protecting individuals and communities from environmental health... Read More →
EH

Ernest Hopkins

Director of Federal Affairs, San Francisco AIDS Foundation
Ernest Hopkins is the Director of Legislative Affairs at the San Francisco AIDS Foundation (SFAF) where he has led its federal funding, policy, and legislative activities since 1997, first as the Director of Federal Affairs and now as Legislative Director with expanded oversight over... Read More →
JM

Jeanne Marrazzo,M.D.

Medical Director, Seattle STD/HIV Prevention & Training Center, Haborview Medical Center
Dr. Marrazzo is the president of the American STD Association, Associate Editor of the Journal of Sexually Transmitted Diseases, Medical Director of the Seattle STD/HIV Prevention and Training Center, and Co-Chair of the Steering Committee of the National Network of STD/HIV Prevention... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Ethan Allen

1:30pm

B-26 - Trilogy: Three Initiatives Working Together For Access to the HIV Continuum

The Continuum of Engagement in Care is now a standard focus for testing and care programs. With multiple funding streams, it is easy to get bogged down in similar initiatives by different programs. The RUSH-Link (Routine Universal Screening for HIV and LINKage to Care) program is a successful marriage of three major initiatives in HIV/AIDS funding. The programs work together for common performance goals to increase successful outcomes and maximize resources. The session will outline the three initiatives that make up RUSH-Link: (1) CDC-funded Expanded Testing Initiative: opt-out testing +; (2) HRSA- funded Linkage to Care: ARTAS model for short-term intensive medical case management +; (3) AETC: training for providers. These sibling programs CAN work together and result in long-term success.

Learning Objectives:

  • Understand how multiply funded initiatives work under one collaborative (RUSH-Link) to identify and engage HIV+ into care
  • Identify core components of opt-out testing, linkage to care, and provider education that can be replicated in any region.
  • Participants will receive materials such as clinic flow charts, provider training agendas, and sample policies to help implement elements of the program in their organization.

Speakers
AD

Alicia Downes

Peer Program Manager, Kansas City Free Health Clinic
Alicia Downes has been a Social Worker for 18 years, exclusively in HIV since 1999. She is the Peer Education Training Site Program Manager for the Missouri AIDS Alliance People to People Project, manages an HIV Peer Program at Kansas City Free Health Clinic and has completed numerous... Read More →
SN

Sally Neville, R.N.

Director of HIV Primary Care, Kansas City Free Health Clinic
AR

Amber Rossman

Manager of HIV Case Management Programs, Kansas City Free Health Clinic
Amber Rossman, LMSW has worked within Ryan White Medical Case Management programs since 1996. She is currently the program manager for multiple programs including Ryan White Part D funded The Family Project (which includes Youth and Family HIV care and support), Linkage to Care (an... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Thomas Paine

1:30pm

B-27 - HAB HIV Performance Measures: Pilot Results (CE)

The HIV Performance Measure Module (PMM) is a reporting tool in the existing Ryan White Services Report (RSR) online database which will allow Ryan White providers to enter aggregate data on the HIV/AIDS Bureau (HAB) Performance Measures (records reviewed, numerator, and denominator) on a voluntary basis. Providers are able to obtain reports that compare their performance regionally (by Public Health Service Regions) and nationally. The database allows reports to compare performance with those providers that submit data in the database. Data from two cycles will be presented on a national and regional level with a discussion on the areas for improvement of HIV care and the challenges in improving performance.


Speakers

Tuesday November 27, 2012 1:30pm - 3:00pm
Cleveland 1

1:30pm

B-30 - Outcomes to Enhance Linkages for HIV-Positive Jail Inmates: A Look at Three Programs in RI, MA, and OH

This workshop focuses on baseline and longitudinal outcomes at three sites of a 5-year HRSA demonstration grant that enhanced linkages to care for HIV-positive jail detainees. To a far greater degree than prisons, jails are porous facilities engaged in dynamic interactions with their communities, much like emergency rooms, shelters, or train stations. Twenty-five percent of all HIV-infected Americans pass through the U.S. correctional system annually. We present the case of three jail-based programs (RI, MA, OH) that enhanced HIV testing and medical services, established mental health and case management, and successfully linked inmates to services after they were released. These programs illustrate the effectiveness and best practices for creating successful linkages to critically needed services for inmates once they are released, and ultimately to reducing viral load and improving the overall health of this vulnerable group.

Learning Objectives:

  • Participants will become knowledgable about best practices for successful linkages from jail to community.
  • Participants will be informed about various approaches to integrating case management, mental health, and medical care.
  • Participants will become informed about outcomes of the HRSA/SPNS enhanclink demonstration project.

Speakers
RC

Rachel Ciomcia

Program Coordinator, Care Alliance Health Center
Ms. Ciomcia is the Project Coordinator for the ATLAS Program with Care Alliance Health Center in Cleveland, Ohio. She has a BA degree in psychology from Ohio University and a MS in social administration from the Mandel School of Applied Social Sciences at Case Western Reserve University... Read More →
MD

Maureen Desabrais

Program Manager, Baystate Medical Center
Ms Desabrais has over 15 years of experience in the field of HIV/AIDS and substance abuse is currently the Program Manager of the MHANCE program with Baystate Medical Center in Springfield, MA. She has experience in managment of SAMHSA/CSAP funded programs and managment of HIV case... Read More →
HL

Helen Loewenthal

Senior Project Director
Ms. Loewenthal has an extensive track record in both the evaluation and the development of program interventions for HIV-positive active substance users and ex-offenders. She has served as the project director for the NIDA-funded modified directly observed therapy program for HIV... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Taft

1:30pm

B-31 - Developing Cross Title Regional Collaboratives: Lessons Learned

The session will provide a narrative timeline on the development of cross titles (Part B, C, and D - totaling more than $1.5 million) collaboration among three human services agencies in a rural nine-county section of southeastern North Carolina. The session will highlight the development of complimentary services with each Ryan White provider, reducing cost and maximizing consumer service capacity, engaging and securing buy-in from other regional providers--including those involved in HIV primary or specialty care, prevention, identification and education--fostering community support, and developing joint quality initiatives to measure quality of care and improve consumer recruitment and retention.

Learning Objectives:

  • This workshop will enable participants to understand the nature of cross- collaboration and strategies to foster collaborations, particularly in rural areas. Participants will be guided in comparing and contrasting collaborations in rural an urban settings, as well as in developing incentives to bring multiple parties into a collaborative model.
  • Participants will learn how to develop "synchronicity" between prevention and care services within a region or service area, and how to effectively link the two services into a seamless continuum of care.
  • Participants will be guided in developing a regional CQI initiative for collaborations, planning for HIV services funding, and streamlining Ryan White and other funding to maximize benefits and reduce costs (and service duplication).

Speakers
AB

Al Bishop

HIV Services Director, Robeson Health Care Corporation
Al Bishop, MSA-HSA is the HIV Service Director for Robeson Health Care Corporation (RHCC) and has served there for 9 years. As HIV Services Director, Mr. Bishop is responsible for monitoring all grant activities and budgets, performing weekly CQI activities, performing benefits advocacy... Read More →
SS

Sandra Smith

Executive Director, Dogwood Health Care Network / Robeson County Health Department
Sandra Smith has been employed by the Robeson County Health Department for the past 25 years. She began working there at the age of 23 as a Front Desk Clerk and worked her way up to a Clerical Supervisor. The Health Department became the lead agency for the Dogwood HIV Consortium... Read More →
CV

Christopher Vann

VP Development & Analytics, CommWell Health
Christopher Vann is the Vice President of Development and serves as the Administrative Director of Ryan White Parts B, C and D programs. He received his Bachelor of Public Health, Health Policy and Administration at UNC Chapel Hill. Chris is currently pursuing his Master's in Health... Read More →


Tuesday November 27, 2012 1:30pm - 3:00pm
Jefferson

1:30pm

B-32 - Growing Your Ryan White Family

Ryan White Programs are often financially limited. Health costs continue to rise and funding is always at risk. However, the one asset that appreciates and increases in value in an organization is its most important assets: people (team). People can grow, develop and become more effective if appropriately mentored. Workshop participants will explore topics such as: a leader's key question, a leader's toughest challenge and a leader's primary responsibility. In small groups, participants will answer 3 key questions : What is my Role in the organization? What is my work environment? and How will I develop and grow? Participants will discuss essentials to developing a leadership tool kit to use in their home organization. Through didactic and small group participation, attendees will develop a vision, redesign an organization and foster a culture of excellence.

Learning Objectives:

  • Participants will discuss the need for growing successful team members and developing future leaders. The qualties of a dream team coach will be discussed as well as charateristics that prevent leaders from becoming great coaches.
  • Participants will discuss the need to create an appropriate climate for mentoring, growing, and nurturing team members. Leaders must be enironmental change agents. Small groups will discuss leader qualities. Approaches to providing growth opportunities for employees will be explored. The development of the appropriate "culture" for growth will be discussed.
  • Participants will identify key responsibilities of leaders who mentor and discuss three key things all employees care about (Role, Environment, and Development) and how these items fit in the coaching/ mentoring environment. An assessment inentory will be shared that participants can use and adapt. Particpants will be asked to assess themselves as a learning exercise. Finally, qualities found in successful leaders will be compiled with audience particpation.

Tuesday November 27, 2012 1:30pm - 3:00pm
Johnson

1:30pm

B-34 - A Multi-pronged Approach to Strengthen Linking to and Maintaining Patients in Care

Early entry, retention in care, and loss to follow- up are well established challenges in care and treatment services. Over the last several years the District has implemented innovative programs to improve linkage, engagement, and retention in care. This workshop will offer a decription of the strategies and the impact of expanding peer-based services through early intervention services.

Learning Objectives:

  • Successful program components will be discussed and how they can be implemented in different jurisdictions Strategies for using surveillance data to minimize loss of follow-up clients as well as building a multi-layered prevention- to-care network will also be shared.

Speakers

Tuesday November 27, 2012 1:30pm - 3:00pm
Tyler

1:30pm

B-35 - Assessing the Potential Impact of the Affordable Care Act on the Ryan White HIV/AIDS Program: Challenges, Opportunities, and Recommendations for Action (CE)

The purpose of this 90-minute panel presentation is to present findings and recommendations from the final report of the 2012 Potential Impact of the Affordable Care Act (ACA) on the Ryan White HIV/AIDS Program (RWHAP) Study. The presentation describes key ACA reforms in six areas (insurance eligibility (including Medicaid expansion), health insurance exchanges, insurance benefits, insurance costs, service delivery models, and provider payment reforms), reviews the status of the implementation of each reform, discusses its implications for RWHAP and people living with HIV/AIDS (PLWHA), and makes recommendations about what can be done by the HIV/AIDS Bureau, RWHAP grantees, providers, clients, and other PLWHA, to address the provisions’ challenges and opportunities. The findings are based on a comprehensive scan of the ACA literature, consultations with technical experts, and interviews with selected state Medicaid programs. The session will be organized as three slide presentations of ACA provisions and recommendations, followed by a panel discussion with three states sharing innovative ACA initiatives.

Learning Objectives:

  • Participants will gain a better understanding of how key ACA provisions will likely affect RWHAP grantees, providers, clients, and other PLWHA.
  • Participants will learn about important milestones in the ACA implementation process and key leverage points where stakeholders can make a difference in the implementation of the law.
  • Participants will learn about what states have done to prepare RWHAP grantees, providers, clients, and other PLWHA for the transition to the ACA.

Tuesday November 27, 2012 1:30pm - 3:00pm
Thurgood Marshall East

3:30pm

C-01 - Thirty-seven Interventions to Assist Grantees With Providing Access and Retention in Care (CE)

Connecting to health care can mean different things for different people. For some people it means survival, or having access to information needed to make vital decisions. For other people, it means transportation to an appointment, or having a safe environment to express fear or receive a laboratory test result in a language that is understood. This workshop will familiarize participants with two Connecting to Care resources developed to assist Ryan White grantees in engaging and retaining clients in HIV/AIDS medical care. Seventeen activities will target general popualtions, and twenty-five activities are offered targeting rural and formerly/currently incarcerated populations.

Learning Objectives:

  • To introduce participants to 17 general population interventions in a Connecting to Care workbook to assist Ryan White grantees in engaging and retaining clients in HIV/AIDS care.
  • To introduce participants to 25 interventions targeting rural and formerly incarcerated populations in a Connecting to Care II workbook, in order to assist Ryan White grantees in engaging and retaining clients in HIV/AIDS care.
  • Participants will be able to identify the methodology necessary to identify special strategies for engaging and retaining clients in HIV/AIDS care.

Speakers
DV

Dea Varsovczky

Program Manager, Urban Coalition for HIV/AIDS Prevention Services (UCHAPS)


Tuesday November 27, 2012 3:30pm - 5:00pm
Washington 1

3:30pm

C-02 - The Missing Link in Test-and-Treat: Guidance to Identify and Improve Gaps in Care (CE)

How do we find the missing link in the test-and-treat continuum? In order to realize the impact of expanding testing and treatment in our communities, we need to find out who and why we have difficulty keeping in care. This workshop will show you how we used existing local lab and clinic data to evaluate and improve our linkage, retention and viral load suppression rates. We determined the demographic characteristics of those out of care and those not virally suppressed, then focused our quality improvement activities on interdisciplinary strategies to reach those populations. You will have the opportunity to explore how you would conduct similar analyses, prioritize strategies to address gaps in the care continuum, and develop a work plan that you can implement.

Learning Objectives:

  • Understand the impact of using clinical data, especially linkage rates, retention rates and viral loads, to evaluate and improve patient and population-level test-and-treat outcomes.
  • Explore and prioritize strategies to improve linkage to and retention in care on a local or regional population-level.
  • Develop a work plan to implement at least one strategy for improving linkage and retention rates in the community served by your work.

Speakers
SW

Sophy Wong

Medical Director, HIV ACCESS, East Bay AETC
Dr. Sophy Wong is a clinician-implementer and serves as the Medical Director for the HIV ACCESS Ryan White Part C Program and the East Bay AETC, providing capacity building and mentorship on HIV testing strategies, linkage to care and quality improvement in HIV care and treatment... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Washington 2

3:30pm

C-03 - Integration of HIV Testing Into Public Service Sites: Experiences From the Department of Motor Vehicles

This workshop will be presented using a combination of lecture and discussion. We will describe the implementation of a novel HIV testing strategy at the Department of Motor Vehicles (DMV), which provides driver’s license and automobile tag services to more than 150,000 Washington, DC, residents annually, and the recent replication of the program model at an Income Maintenance Center (IMC) in Washington DC, the Government office that provides residents with public benefits including food stamps, financial assistance, and health insurance. We will present the primary goals of the program and describe FMCS’s Promote, Offer, Test, and Link to Care (POT-Link) implementation model and identify barriers to implementation. We will present data describing the HIV testing outcomes from the programs’ inception in October 2010 to the present. We will share data from a sample of individuals who declined testing about their reason for refusal.

Learning Objectives:

  • Key components of the integrated HIV testing model that is appropriate for non-clinical public service siteswill be described.
  • Identify the key factors in identification and selection of a non-clinical public service HIV testing site.
  • Identify barriers to the implementation of HIV testing in non-clinical settings.

Speakers
AW

Angela Wood

COO, Family and Medical Counseling Service Inc.
Angela Fulwood Wood, MSW, Chief Operations Officer, received a MSW from Howard University. She has had experience designing and managing HIV prevention and treatment programs since 1992. She has considerable expertise in the areas of program development and implementation, program... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Washington 3

3:30pm

C-04 - Guidance to Prepare CAREWare Users for the New ADAP Reporting Requirements (CE)

Demonstration of the new CAREWare ADAP fields and features and a discussion of some important issues that affect ADAP grantees, especially importing data from pharmacies and other sources. This session will serve primarily as a training session for ADAP grantees who elect to use CAREWare for their activities in this area and who will be exporting data for the ADR.

 Learning Objectives:

  • Understand new fields and functions added to CAREWare to meet new ADR client-level reporting requirements.
  • Gain understanding of how ADAP grantees are able to import data from pharmacies and other sources.
  • Understand process for entering data and producing the ADR.

Speakers
JM

John Milberg

Health Scientist, HAB Div of Science and Policy
SN

Sam Ndubuisi

Dr. Ndubuisi has been with the Divison of Science and Policy since 2000 and oversees the ADAP actitivities for DSP.


Tuesday November 27, 2012 3:30pm - 5:00pm
Washington 4

3:30pm

C-05 - Expanding Access to HIV Oral Health Care 301: Service Utilization and Costs for Program Replication

Dental care is one of the greatest unmet needs among PLWHA. Dental insurance is not as common as medical coverage, and Medicaid dental coverage varies widely, with some States offering no coverage at all. The Affordable Care Act will expand access to health insurance but will not cover adult dental benefits. The Ryan White program is a vital source of oral health funding for PLWHA. This workshop will review oral health funding streams and provide tools to estimate the cost of ongoing and expanded oral health coverage for PLWHA. Some of the questions addressed include: What is the cost per person for dental care? What services should be covered? What is the difference in cost between serving new patients and ongoing patients?

Learning Objectives:

  • Participants will describe public and private financing sources for oral health care.
  • Participants will identify strategies for purchasing cost-effective oral health services.
  • Particpants will use the cost and service utilization worksheets to estimate the costs of providing different scopes of service.

Moderators
Speakers
HB

Helene Bednarsh, Ph.D.

Director HIV Dental, Boston Public Health Commission
Helene Bednarsh, RDH, MPH is the Director of the HIV Oral Health Reimbursement Program at the Boston Public Health Commission.
DR

David Resnik

Oral Health Care: Models that Work; Information to Reduce Barriers to Assessing Care, Grady Hospital/Emory University
David Reznik, DDS., is a graduate of Emory College and Emory University School of Dentistry, and is currently the Director of the Oral Health Center of the Infectious Disease Program of Grady Health System in Atlanta, Georgia, a program he founded 21 years ago. Dr. Reznik also serves... Read More →
CT

Carol Tobias

Director, Health and Disability Working Group
Ms. Tobias is the Director of the Health and Disability Working Group and Assistant Professor at theBoston University School of Public Health. She is also the Principal Investigator of the Evaluation and Support Center for the SPNS Initiative on increasing access to HIV oral health... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Washington 5

3:30pm

C-06 - Are You on TARGET? How to Help Your Agency, Yourself, and the Ryan White Community by Going Online

The TARGET Center is an online resource developed to capture and disseminate the knowledge and expertise of the Ryan White Community. The Ryan White Community is experiencing exponential growth in the use of online technologies, and the TARGET Center is in a position to facilitate collaboration and knowledge exchange within the community. This workshop will review the TARGET Center’s 7-point plan to keep pace of changes in technology and then shift to an open forum discussion on future directions by the TARGET Center Advisory Group and participants. Key discussion items include New Media strategies and coordination with broader HHS Web coordination initiatives to achieve cost efficiencies and improve user experiences (e.g., HRSA, AIDS.GOV, cross-agency Web sites such as data.gov and healthcare.gov).

Learning Objectives:

  • This session will help participants locate high-value resources in the TARGET Center to support Ryan White Program administrative, fiscal, and clinical activities.
  • Participants will learn to access five different ways to keep themselves and their providers informed about the Ryan White Program.
  • Participants will learn at least one new method for contributing to the Ryan White Community online.

Moderators
Speakers
AG

Alan Gambrell

Principal, Public Ink
Principal, Managing PartnerAlan Gambrell, principal and managing partner of Public Ink, has over 26 years of experience providing technical assistance, program analysis, writing/editing, communications, and organizational development to over 15 federal U.S. agencies and dozens of... Read More →
NM

Nicole Mandel

AETC NRC Website Project Manager, UCSF Center for HIV Information
Ms. Mandel is the project manager for the UMBAST website and the AETC National Resource Center.


Tuesday November 27, 2012 3:30pm - 5:00pm
Washington 6

3:30pm

C-07 - The Activation of Q-PAC; A New Model for Consumer Involvement in Quality Management

Patient activation is the moment when patients have the skills, knowledge, and self-efficacy to not only self-manage their chronic disease but also participate in quality management activities. Q-PAC is a newly funded group of patients in the DC EMA who, through participation in a HRSA- sponsored learning collaborative, created infrastructure to develop and sustain improved partnerships with providers of RW-funded HIV Care. This workshop will introduce participants to the concept of patient activation by sharing the stages of Q-PAC’s development, which included changes in engagement of consumers in quality activities, improvements in government-citizen models of partnerships, and improved involvement of patients in quality management activities by consumers. Lessons learned, “Aha” moments, and a panel discussion of providers, patients, and administrators will aim to disseminate a replicable model that participants can implement at the local or regional level.

Learning Objectives:

  • Introduce patient activation as a method for improving consumer involvement in quality management activities at the clinical and systems levels.
  • Provide techniques for utilizing data and data reporting with consumer quality advocates.
  • Provide participants with a replicable model of consumer involvement in quality management activities.

Moderators
AT

Adam Thompson

Peer Quality Improvement Consultant, NQC
Adam Thompson has served on several statewide planning bodies, has a strong background in HIV prevention and care, and has been responsible for developing workshops and trainings. As the state leader of the Virginia Cross-Part Collaborative team, Adam has worked closely with large... Read More →

Speakers
MC

Martha Cameron

Leader, QPAC
Martha Cameron is the leader of QPAC. She is also a member of the NQC Community Advisory Council. Martha is currently employed as a community health worker. She is the mother of two beautiful sons and comes to us from Zanbia.
AK

Amelia Khalil

Quality Manager, Northern Virginia Regional Commission
Amelia Khalil received a Master’s Degree from Slippery Rock University. She is the Senior Contract Officer and Quality Manager at Northern Virginia Regional Commission. She has over 15 years of experience working with various Ryan White programs and a clinical trainer for the Virginia... Read More →
DT

Daniel Tietz

AIDS Program Manager for Consumer Affairs, National Quality Center (NQC) AIDS Institute
Daniel Tietz holds a BA degree from the SUNY Empire State College in business, management, and economics. He is the AIDS Program Manager for Consumer Affairs. With 12 years of experience as a consumer (patient) advocate in the New York State Department of Health’s AIDS Institute... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Delaware A

3:30pm

C-09 - Housing First at ActionAIDS

ActionAIDS in partnership with Pathways to Housing-PA, developed the Philadelphia Harbor Project, to provide permanent supportive housing for people with a diagnosis of HIV/ AIDS and who experience multiple barriers to achieve stable housing. The project is based on the “housing first” model. Harbor Project is for homeless single adults living with HIV/AIDS and mental illness and/or substance abuse. This project began on April 1, 2012. Pathways to Housing, holds the master lease for 20 rental apartments in Philadelphia. ActionAIDS administers the financial aspects of the program. The HIV medical case manager works as part of a team of workers at Pathways to Housing. The team consists of a psychiatrist, nurse, three master’s-level service coordinators, two bachelor-level case managers, and a program assistant.

Learning Objectives:

  • Increase knowledge of the Housing First model.
  • Describe how various psychosocial issues create barriers for people living with HIV/AIDS.
  • Illustrate how supportive housing impacts people living with HIV/AIDS.

Speakers
SV

Syreeta Vereen

Housing Coordinator, ActionAIDS
Syreeta Vereen entered the field of HIV/AIDS in 2004 as an ActionAIDS Housing Specialist. During her time in the field, she has linked individuals living with HIV/AIDS to low income and affordable housing options and has served as a liaison between clients and their landlords for... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Maryland A

3:30pm

C-10 - New York City’s Web-based Training and Certification for Planning Council Members and Staff

The Planning Council of New York presents its implementation of an online tool used to educate and certify planning council members and staff, providing a more flexible way to learn, and an objective scoring tool to ensure a minimum level of understanding of members and staff. The online tool, using the eCOMPAS e2Community platform, consists of an interactive educational component, a user-friendly quiz for each lesson, a printable certificate of completion, and an administrative reporting module. The tool supplements the current training processes and allows users to take multimedia courses at their own pace at home or anywhere with the Internet, while giving them real-time feedback on their knowledge levels. Using data instead of anecdote, the Council is able to identify strengths and weaknesses of participants’ knowledge for continuous training program improvement. Presenters share an interactive demonstration of the tool and lessons learned on the implementation process.

Learning Objectives:

  • Workshop participants understand how a paradigm of online planning council education helps ensure minimum levels of knowledge important to the mission and operations of the council.
    By end of workshop, participants will be able to describe how to adopt and adapt strategies and tools to deliver Web-based training to their planning councils and staff.
  • Participants will understand the challenges and benefits of an innovative program for Web-based online training.

Speakers
JC

Jan Carl Park

Director and Governmental Co-Chair of the HIV Health & Human Services Planning Council of New York
Jan Carl Park, MA/MPA, Director and Governmental Co-Chair of the HIV Health & Human Services Planning Council of New York. Division of Policy & External Affairs, New York City Department of Health & Mental Hygiene. Mr. Park has spent the last 30 years as an advocate for people living... Read More →
JT

Jesse Thomas

Project Manager, RDE Systems
Jesse Thomas has over fourteen years experience of serving public health and over eight years experience in the field of HIV/AIDS. He currently serves as the technical director for four HRSA Special Projects of National Significance to use cost-effective health information technology... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Maryland B

3:30pm

C-11 - A Time to Talk: ADAP PEERs

As part of NASTAD’s cooperative agreement with HRSA, NASTAD has convened an advisory group of several health department staff, and a Professional Expert Educational Roundtable (PEER), with the primary purpose to provide expert, peer-based advice and guidance to ADAP coordinators on current issues. This committee consists of ADAP coordinators with diverse experiences and expertise in financial forecasting, cost containment and waiting list management, coordination with other payers, compassionate use programs and client- level data systems, with geographic and program composition diversity. This session will provide an overview of the technical assistance (TA) opportunities available to ADAP coordinators through NASTAD, including PEER. This session will also provide an in-person TA opportunity for ADAP coordinators and staff by allowing individuals a chance to ask questions about ADAP programmatic issues.

Learning Objectives:

  • Participants will become familiar with the technical assistance opportunities available through NASTAD’s cooperative agreement with HRSA.
  • Participants will learn about the Professional Expert Educational Roundtable (PEER).
  • Participants will have an opportunity to participate in an in-person PEER session, gaining practical knowledge on current topics of interest to ADAPs.

Speakers
JA

Jay Adams

HIV Care Coordinator, West Virginia Dept. of Health & Social Service
Jay is a graduate of Wheeling Jesuit College and received his Masters Degree from Marshall University. He has been working in the field of HIV/AIDS since 1984. He has served as the HIV Care Coordinator in West Virginia since 1991 when Ryan White CARE Act funds were first received... Read More →
BP

Britten Pund

Senior Manager, NASTAD
Britten Pund is a Senior Manager with the Health Care Access Program at the National Alliance of State and Territorial AIDS Directors (NASTAD). Ms. Pund has been with NASTAD since 2006 and is responsible for the research and production of the National ADAP Monitoring Project. Ms... Read More →
CR

Christine Rivera

Director, New York State Department of Health
Christine Rivera serves as the Director of the Office of HIV Uninsured Care Programs in New York State. Prior to her role as director she served as the Deputy Program Director for 14 years, beginning in April 1990. During her 22 year tenure with the program, Rivera has experienced... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Maryland C

3:30pm

C-12 - Improving and Sustaining Cervical Cancer Screening Rates-Issues, Challenges, and Successes

All sizes and all parts of Ryan White grantee programs continue to experience an "up and down battle" with improving cervical cancer screening rates among HIV-positive female patients. Many grantees have experienced the frustration of achieving improvement goals and then, when they re-measure the results 6 months to a year later, they find the rates declining. The experiences of two HIVQUAL-US Quality Management Groups, located in Mississippi and Eastern Pennsylvania, will be shared highlighting their patient population characterisitcs, the range of results, the most effective interventions, and the difficulties in sustaining their rates. Results from both groups ranged from a low 17 percent to a high of 91 percent. Additionally, specific QI tools used for identifying causal factors to low rates will be shared and discussed.

Learning Objectives:

  • Learn to identify successful interventions for improving cervical cancer screens as measured by HIVQUAL-US Regional Groups.
  • Engage in a dialogue with presenters and other participants about their own experiences with (1) improving cervical cancer screening rates, (2) the challenges involved in helping female patients get their annual exams and (3) sustaining improvement gains.

Speakers
TG

Tonya Green

Director of Social Services, Southeast Mississippi Rural Initiative, Inc.
Tonya Green is the Director of Social Services and the Program Manager for the Ryan White Programs at Southeast Mississippi Rural Health Initiative, Inc. in Hattiesburg, Mississippi. She has nine years of clinical and administrative experience in HIV/AIDS care and she is an AIDS certified... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Virginia A

3:30pm

C-14 - Women's Support Group: A Ten-Year Retrospective of a Part D-Funded Program

This workshop will vividly describe a 10-year retrospective of a Part D- funded women's support group. The group was born from a need identified by the agency’s staff psychiatrist to give disenfranchised women who had been under his care a place to find support, connection, and community. Common denominators of the women in the group include extreme poverty, multiple co-morbid medical conditions, homelessness, addictions, sexual abuse. and histories of incarceration. Many of the women have lost children to illness and gun violence. Key factors to success have been group leadership, transportation, and food and child care on site. The group has seen women come and go, but there has been continuity. It has provided a safe, connected place that gives participants a sense of community and support, and has become an extended family to many. We hope that it will live long and prosper!

Learning Objectives:

  • Participants will understand key elements for success in creating and sustaining a group for disenfranchised women living with HIV/AIDS.
  • Participants will be able to identify the formats that allow for success of a support group for women living on the fringes of society, with great medical and social service needs.
  • Therapeutic techniques used to provide guidance and structure to the suport group environment will be discussed, including but not limited to: motivational interviewing and psychoeducational sessions.

Speakers
AF

Ann Ferguson

Project Director, AIDS Care Group
Ms. Ferguson is a nurse with 23 years of experience in community based HIV services. She is a founding member of the AIDS Care Group, a community based organization in SE Pennsylvania that serves over 1000 clients living with HIV/AIDS annually. She currently serves as the Project... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Virginia C

3:30pm

C-15 - 340B and Your Organization (CE)

The 340b Drug Pricing Program was a result of the Veterans Health Care Act of 1992. The program allows various federally-qualified programs to have access to cost saving measures that can save up to 50% on drug costs as compared to other programs. Incorporating 340B into your organization has many benefits for both the patient and provider. With budgets cut and grants expiring, the 340B program is able to empower various facets of your organization.

Learning Objectives:

  • Benefits the Pharmacy Provides- With state budget cuts and grants not being renewed, a 340B program in your organization may be able to fill in some of those gaps. In this section how to properly adjust financially for a 340B pharmacy will be covered.
  • Starting and Maintaining the Pharmacy- There is a large learning curve to operating an in house 340B pharmaceutical program. Proper record keeping, organizing medications and communicating with the patient are some issues of concern when first starting the program. Pharmacy functions will be covered in this section.
  • Patient outreach- By operating a 340B pharmacy in house, keeping up to date with patient needs it of utmost importance. Communicating with the patients and learning their needs and habits become a part of business in the pharmacy. In this section proper communication will be covered.

Speakers
AL

Andrew LoFurno

340B Pharmacy Specialist


Tuesday November 27, 2012 3:30pm - 5:00pm
Madison A

3:30pm

C-16 - EARLY ADOPTION OF HEALTHCARE REFORM IN LOS ANGELES COUNTY: Planning for the Migration of Ryan White Patients Into the New Low-Income Health Program

Learning Objectives:

  • Participants will learn the steps involved to ensure continuity of care and access to medications for Ryan White patients migrating to various newly available medical care options from health care reform.
  • Participants will learn the priority and allocation process used to estimate costs during the move toward health care reform.
  • Participants will learn the planning considerations surrounding meeting Ryan White requirements in the health care reform environment.

Tuesday November 27, 2012 3:30pm - 5:00pm
Madison B

3:30pm

C-17 - Coordination of HIV Measures across HAB, CDC, CMS

The Medicare and Medicaid EHR Incentive Programs provide a financial incentive for the "meaningful use" of certified EHR technology to achieve health and efficiency goals. By putting into action and meaningfully using an EHR system, providers will reap benefits beyond financial incentives–such as reduction in errors, availability of records and data, reminders and alerts, clinical decision support, and e-prescribing/refill automation. HAB has coordinated with CMS and CDC regarding HIV measures to ensure wide adoption and use and to identify gaps within the set of endorsed performance measures. In addition to the measures proposed for Stage 2 of Meaningful Use, HAB has submitted performance measures through the NQF endorsement process in order to prepare for Stage 3 of Meaningful Use.


Speakers

Tuesday November 27, 2012 3:30pm - 5:00pm
Hoover

3:30pm

C-18 - Regional Quality Improvement Groups: Using Regional Groups and Peer Learning to Improve HIV Care

Regional Quality Improvement (QI) groups provide a unique and valuable approach for peer learning, local support, and opportunities for regional community of practice. The groups combine active learning and involvement through exchange of ideas, problemsolving, and successful strategies for improvement. New concepts and techniques for improvement are discussed with the added relevance of the local and/or regional environment. The forum provides an opportunity for cumulative conversations, highlighting local expertise and building on shared knowledge across multiple priority topics. Group projects related to prioritized quality indicators reinforces accountability and provides motivation to spur the groups and the regions overall performance. Local and national facilitators provide access to tools, articles, and training. Targeted technical assistance by a quality expert and peer coaching are primary components provided.

Learning Objectives:

  • Learn about the purpose and structure of regional quality groups.
  • Understand the power of peer learning and local impact on HIV care improvement.
  • Learn about existing successful regional quality groups and their shared quality projects

Moderators
Speakers
DN

Darryl Ng

Director, HIVQUAL-US, NYS DOH AIDS Institute
Darryl W. Ng, Program Director, HIVQUAL-US has over 25 years of HIV related experience and is currently the Director of HIVQUAL-US where he oversees the implementation of a successful national HAB-sponsored Quality Improvement initiative. Previously he was the Director of Governmental... Read More →
MP

Margaret Palumbo

Deputy Program Director, HEALTHQUAL International
Margaret A. Palumbo, MPH, Deputy Program Director, HEALTHQUAL International is one of the principal architects of the HEALTHQUAL initiative. Ms. Palumbo has worked closely with teams in multiple resource limited countries to develop national quality programs based on the HEALTHQUAL... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Coolidge

3:30pm

C-19 - Utilizing a HIV Dashboard to Improve Outcomes and Documentation at a Community Health Center

Fenway Health has provided care for individuals with HIV for more than 20 years and currently serves 1,800 patients living with HIV/AIDS. We will analyze a dashboard we created in October 2010 that scores providers and patients based on 16 clinical indicators associated with best practices for caring for patients with HIV. Utilizing a HIV dashboard to score providers and patients on a quarterly basis on different clinical indicators has helped identify high-risk patients who are being lost to follow-up and subsequently our team nurses are able to reach out to them. Additionally, it has led to improved data capture and documentation that has led to improved reporting on the RSR. The dashboard provided a “snapshot” of provider progress as well as patient clinical outcomes.

Learning Objectives:

  • Understand how to create a dashboard that analyzes data from a provider and patient perspective.
  • Understand how to utilize dashboards to improve clinical measures and to identify gaps in data capture.
  • Understand how integrating multiple systems can improve clinical outcomes and client-level reporting.

Speakers
KB

Komal Basra

Health Informatics Specialist, Fenway Health
Komal Basra is a Health Informatics Specialist at Fenway Community Health Center in Boston. She earned her BA degree in biology with a minor in public health from Boston University in 2009 where she is also a Master's of Public Health candidate. Ms. Komal has been active in the public... Read More →
CG

Chris Grasso

Associate Director of Health Informatics and Data Services, Fenway Community Health Center
Chris Grasso is the Associate Director of Health Informatics and Data Services at Fenway Community Health Center. She earned her Masters of Public Health Degree from Boston University in 2000. As Associate Director, she manages a team who is responsible for database development, data... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Harding

3:30pm

C-20 - Financial Monitoring Institute for Ryan White Part A and Part B: Session 1 (CE)

This is a three session institute where each session can stand alone or participants can attend all three sessions. Session I will focus on fiscal requirements for monitoring and oversight. The second session will offer best practices for monitoring and oversight as well as methods for monitoring subgrantees. Session II will be interacting allowing grantees to share their own success stories. The final session will focus on the restricted drawdown process used by HRSA for higher level monitoring. Grantees will learn how to submit documents for approval, effective TA interventions to improve deficiencies and discuss the importance of working with the project officer on the development and review of the corrective action plan.

Learning Objectives:

  • Participant will increase their knowledge of Ryan White Part A and B fiscal reporting and monitoring requirements for grantees and subgrantees.
  • Participants will learn best practices for Ryan White Part A and Part B fiscal reporting and monitoring for grantees and subgrantees.
  • Participants will gain an understanding of HRSA’s use of restricted drawdown for Ryan White Part A and Part B grantees and the use of corrective actions plans to improve programmatic and fiscal performance.


Tuesday November 27, 2012 3:30pm - 5:00pm
Wilson A

3:30pm

C-21 - Mobilizing for Action through Planning and Partnerships

The session will give participants an overview of the MAPP process and explain how MAPP is a community-driven, strategic planning process for improving health. More than 900 communities have used the MAPP process to mobilize partners and constituents; create overarching community visions; conduct comprehensive community health assessments; apply assessment data to create community health improvement plans; coordinate collaborative implementation of their plans; and evaluate their community improvement efforts.

Learning Objectives:

  • Review the overall purpose of the MAPP process.
  • Explain why MAPP is a paradigm shift in local public health assessment and planning.
  • Describe how communities can access MAPP resources.

Speakers
AL

Angela Landeen

Public Health Analyst, HRSA, Office of Planning, Analysis and Evaluation


Tuesday November 27, 2012 3:30pm - 5:00pm
Wilson B

3:30pm

C-22 - Effective Strategies for Assessing, Collecting, and Monitoring Client Charges (CE)

Adopting effective strategies for assessing and collecting client charges is important to adhere to HAB monitoring standards. Legislative requirements to determine clients’ sliding fee scale charges, collect payments, and cap annual accrued payments are complex. Grantees and subgrantees report challenges in implementing those requirements. In this workshop, we review HAB’s client charge monitoring standards, key information needed to determine clients’ Federal Poverty Level (FPL), steps in setting sliding fee charges, establishing charge schedules, effective practices in assessing and collecting charges, clients’ roles and responsibilities in documenting payments, methods for capping payments, best practices in conducting these activities, and grantee monitoring methods. The Houston Part A grantee will discuss methods adopted to implement HAB’s client charge policies.

Learning Objectives:

  • Increase trainees’ knowledge of HAB’s client charge monitoring standards.
  • Trainees will learn to assess clients’ FPL, set sliding fee scale charges, and collect and cap client payments.
  • Grantees will gain sufficient knowledge to monitor subgrantees’ performance in adhering to HAB standards.

Speakers
CH

Charles Henley

Manager, Ryan White Grant Administration, Harris County Public Health & Environmental Services
Charles Henley is the Manager of Part A Ryan White Grant Administration for the Harris County Public Health and Environmental Services in Houston Texas.
JH

Julia Hidalgo

Research Professor, George Washington University
Dr. Julia Hidalgo is a Research Professor at the George Washington University, and Chief Executive Officer of Positive Outcomes, Inc. She has worked in HIV for more than 25 years as a Ryan White Program grantee, policymaker, researcher, evaluator, TA provider, and trainer. She serves... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Wilson C

3:30pm

C-23 - Guidance to Health Literacy: Is it safe for you to eat this ice cream?

In this workshop, we will describe an approach to addressing health literacy needs in our Ryan White Part C Clinic. After a discussion of need, we intend to present our methodology for health literacy screening in this population, including selection of a tool for measurement. We will then present and summarize the results of our measurements. We will discuss strategies which may be employed to address health literacy as found through review of the literature. We have selected “Teach Back” as the intervention which we have used with individuals found to have low health literacy scores; and we will explain our selection of this method as well as discuss our results thus far.

Learning Objectives:

  • Participants will learn how low health literacy impacts a patient encounter.
  • Participants will learn of current tools available to screen and measure individual health literacy.
  • Participants will learn about evidence-based strategies to employ with individuals who have low health literacy scores.

Moderators
AD

Amy Davis

St. Mary's Family Medicine
Dr. Davis is a family physician who has been the medical director of the Western Slope Collaborative HIV Part C clinic for 12 years. She also works at the VA in Grand Junction with emphasis on HIV and Hepatitis C. She has long been an advocate for integrated, team based and patient... Read More →

Speakers
AD

Amelia Davis

Ameila is a pre-med student at the University of Denver who has volunteered at the Western Colorado HIV Speicalty Care Clinic. Ameila spent a great deal of time compiling research and strategies around health literacy and interventions for patients with low health literacy scores... Read More →
LG

Lucy Graham

St. Mary's Family Medicine
Lucy Graham, RN MPH - Lucy has 12 years of service as a Part C Program Manager with extensive work with the community, including patient and accross continuum of care. Lucy has been a key participate in overseeing the implementation and measurement of CQI goals and projects in the... Read More →
AG

Alicia Gutierrez

St. Mary's Family Medicine
Alicia Gutierrez is the SBIRT Health Educator for the Western Colorado HIV Specialty Care Clinic (Part C) for over 3 years. Alicia assists in CQI projects and has a great interest in working with underserved populations.
JL

Julie LeBaron

St. Mary's Family Medicine
Julie LeBaron, RN - Julie has been part of the Western Colorado HIV Specialty Care Clinic (Part C) for a year and a half. Julie works as the clinic RN and interim program coordinator.


Tuesday November 27, 2012 3:30pm - 5:00pm
McKinley

3:30pm

C-24 - The Impact of Health Reform on Compliance Programs

The Health Reform Law expands health coverage and funds to many new grant programs. At the same time, the Health Reform Law also strengthens the Government’s ability to pursue fraud and abuse enforcement and makes significant changes that intensify the risk and consequences of failing to implement an effective corporate compliance program, such as relaxing requirements for whistleblowers to bring suit. Accordingly, it is critical that grantees establish effective compliance programs that include internal reporting systems to encourage staff to report potential non-compliance within the organization.

Learning Objectives:

  • Recent Government enforcement actions and initiatives wil be described.
  • New compliance requirements included by Health Reform will be identified.
  • Risks to grantees created by the Health Reform Law will be explained.

Speakers
UB

Uri Bilek

Attorney, Feldesman Tucker Leifer Fidell
Uri Bilek, an associate with the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, assists clients in the development and evaluation of health care corporate compliance programs, represents health care entities in connection with government inquiries, audits, and investigations... Read More →
AF

Adam Falcone

Attorney, Feldesman Tucker Leifer Fidell
Adam Falcone, a partner in the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, directs the firm’s health care corporate compliance practice, where he assists clients in the development of effective corporate compliance programs, advises clients on reimbursement... Read More →


Tuesday November 27, 2012 3:30pm - 5:00pm
Nathan Hale

3:30pm

C-26 - Expansion of Medicaid in the District of Columbia: Challenges and Prospects

Beginning in 2010, the District of Columbia expanded Medicaid eligibility to include individuals with an income at or below 200% of the federal poverty level. Early expansion of Medicaid – in preparation for implementation of the Affordable Care Act – offers an opportunity to describe and discuss some of the challenges associated with expansion. The District of Columbia has deployed CARE Act Part A and Part B program funds in ways that coordinate with Medicaid reimbursement and permits implementation of a “whole program” approach. Based on that foundation, the District is developing a medical home model for people with HIV/AIDS, and anticipates that will be in place by 2014. Preliminary plans for the implementation of a medical home will be described, along with activities designed to ensure ongoing provision of crucial support services. Current and potential sources of federal and local funds for this effort will also be described.

Learning Objectives:

  • Recognize the critical importance of effective fiscal coordination;
  • Opportunities to leverage Medicaid and other public funding sources for services to people with HIV/AIDS;
  • Strategic use of CARE Act service categories to create and sustain a medical home.

Speakers
GF

Gunther Freehill

Bureau Chief, HIV/AIDS Hepatitis STD & Tuberculosis Administration


Tuesday November 27, 2012 3:30pm - 5:00pm
Thomas Paine
 
Wednesday, November 28
 

7:00am

8:30am

Plenary Session #2
Wednesday November 28, 2012 8:30am - 9:30am
Marriott Ballroom

10:00am

D-01 - Ryan White Part B Services Post Healthcare Reform – One State’s Experience

In 2006 Massachusetts enacted a healthcare reform law containing most of the same elements as the Federal Affordable Care Act. Since that time, the Massachusetts Ryan White Part B program has had the unique opportunity to experience the impact of changes that will affect the rest of the States in 2014. This workshop will explore the successes and challenges that Ryan White administrators in Massachusetts have faced in a “post healthcare reform world." The primary focus of the workshop will be the impact of a multipayer environment on ADAP, but other areas discussed will include the important role of non- reimbursable support services and benefits coordination for people living with HIV.

Learning Objectives:

  • Describe impact of changes in payer environment on existing Part B services.
  • Outline the ongoing need for Ryan White services despite the high percentage of citizens with health insurance access.
  • Identify administrative challenges of dealing with multiple payers.

Speakers
AR

Annette Rockwell

HDAP & Federal Grants Coordinator, Massachusetts Dept. of Public Health Office of HIV/AIDS
Annette Rockwell is the HDAP & Federal Grants Coordinator for the Massachusetts Dept. of Public Health Office of HIV/AIDS. Annette has been in her current position since 2001. Before coming to work at the Massachusetts Dept. of Public Health, Annette worked for The Cambridge Hospital... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Washington 1

10:00am

D-02 - New HIV Testing Algorithm
Speakers

Wednesday November 28, 2012 10:00am - 11:30am
Washington 2

10:00am

D-03 - Technical Assistance Coordinating Care Across Funded Providers to Support Retenion in Care: The In+Care Campaign in RI

Though HIV treatment is effective in improving health and reducing transmission, studies show that only a fraction of those diagnosed ultimately engage in care and achieve virologic suppression. Coordinating effort across the spectrum of care to support patient retention and engagement is key to the national HIV/AIDS strategy. We review a model for supporting retention developed through participation in the National Quality Center In+Care Campaign. This model includes active review of retention measures, community team meetings, and regular communication between the medical provider and case management providers to develop a care plan for those at risk for loss to follow-up, or with detectable viremia, and features targeted interventions for those at highest risk. We will engage participants in discussing their experiences and addressing retention in their communities.

Learning Objectives:

  • Participants will learn to identify risk factors and high-risk groups for treatment failure and loss to follow-up
  • Participants will learn to develop strategies to support retention in care through coordinated outreach and interventions of medical and case management providers.
  • Participants will be engaged in sharing local challenges and best practices in support of retention in care.

Speakers
BM

Brian Montague DO

Attending Physician, Miriam Hospital Immunology Center
Dr. Brian Montague is a general internist and certified HIV care provider who has been a key member of the quality management team at the Part B,C and D program at the Miriam Hospital. He has taught quality improvement principles and mentored residents and fellows in quality improvement... Read More →
FG

Fizza Gillani,Ph.D.

Assistant Professor, Research, Department of Medicine
Dr. Gillani has a PhD in Economics with a special concentration on Econometrics and computer programming. She was primary architect of the Immunology Center database, a custom data warehouse serving research, quality improvement and reporting functions for the Miriam Hospital Part... Read More →
AR

Aadia Rana,M.D.

Assistant Professor of Medicine, Miriam Hospital / Brown University
DZ

Dan Zariczny

Case Manager, Miriam Hospital


Wednesday November 28, 2012 10:00am - 11:30am
Washington 3

10:00am

D-04 - Results From the SPNS Information Technology Networks of Care Initiative

Through the SPNS Information Technology Networks of Care Initiative, six demonstrations projects developed innovative electronic health information exchanges (HIE) to improve quality and coordination of HIV care for patients seen in regional areas around the country. We present findings from across projects with in-depth cases presented by three. Each employed unique techniques to encourage use of the local HIE, including (1) integrating the electronic system in formal quality improvement activities, (2) using HIE development as an opportunity to foster information technology capacity in small support agencies, and (3) integrating data-sharing systems into routine provider activities. We will explore how each approach ensured active use of the local HIE and examine the HIV clinical care indicators that improved as a result of the enhanced systems.

Learning Objectives:

  • Understand how an electronic network system can be integrated into formal quality improvement activities.
  • Apply strategies for building information technology capacity across diverse provider networks.
  • The cross-site outcomes of the SPNS Information Technology Networks of Care Initiative will be discussed.

Moderators
JM

Janet Myers

Janet Myers is Associate Professor of Medicine at the Center for AIDS Prevention Studies (CAPS). Dr. Myers serves as Principal Investigator of the US AIDS Education and Training Centers’ National Evaluation Center and has worked on several Special Projects of National Significa... Read More →

Speakers
MA

Marcia Alcouloumre

Dr.
Marcia S Alcouloumre MD practices infectious disease medicine and internal medicine in Long Beach, California.
LM

Lynne Messer, Ph.D.

Assistant Research Professor, Center for Health Policy, Duke University
Lynne C. Messer is a social and reproductive / perinatal epidemiologist whose work focuses on the social and structural determinants of maternal and child health disparities. She is an Assistant Research Professor in the Center for Health Policy of the Duke Global Health Institute... Read More →
JT

Jesse Thomas

Project Manager, RDE Systems
Jesse Thomas has over fourteen years experience of serving public health and over eight years experience in the field of HIV/AIDS. He currently serves as the technical director for four HRSA Special Projects of National Significance to use cost-effective health information technology... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Taft

10:00am

D-05 - Application of an HIV Information System to Assess and Improve HIV Oral Health Care

Early recognition and management of oral conditions are important to sustain the health and quality of life of HIV-positive individuals. In this workshop, we demonstrate use of a client-level information system to assess the quality and outcomes of HIV oral health care. We describe use of the Provide Enterprise System by the Fort Lauderdale Part A grantee to conduct a longitudinal cohort study of 4,693 HIV-positive oral care adult patients. We present assessment findings including the extent to which funded subgrantees met HAB and Part A oral health standards, disparities in use of oral health care, and the relationship between use of medical and oral health care. Methods to address challenges in using information systems to conduct quality assessments are discussed.

Learning Objectives:

  • The application of information systems to improve oral health services will be discussed.
  • Trainees will learn methods to assess quality using client-level data and longitudinal analytic techniques.
  • Trainees will learn how to apply these techniques to medical and other core services.

Speakers
JH

Julia Hidalgo

Research Professor, George Washington University
Dr. Julia Hidalgo is a Research Professor at the George Washington University, and Chief Executive Officer of Positive Outcomes, Inc. She has worked in HIV for more than 25 years as a Ryan White Program grantee, policymaker, researcher, evaluator, TA provider, and trainer. She serves... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Washington 5

10:00am

D-06 - Technical Assistance to Integrating Health Information Technology into your Quality Improvement Program (CE)

Training and technical assistance resources for HRSA grantees are paramount in supporting HRSA’s longstanding commitment to increasing access and improving the quality of healthcare . The Office of Health Information Technology and Quality supports a variety of training and technical assistance resources designed to assist grantees in the implementation of Health Information Technology (HIT) and Quality Improvement (QI) initiatives. This workshop will inform grantees of newly developed web-based resources and tools that will help to facilitate quality improvement activities, develop a competent HIT workforce and connect with other partners and networks within their community. Additionally, HRSA’s current activities as it relates to the National Quality Strategy and the Centers for Medicare and Medicaid EHR Incentive Program will be discussed. The workshop will highlight the new HIV/AIDS clinical quality measures that providers will be eligible to report on as part of the program.

Learning Objectives:

  • Participants will know where to go to access web-based training curricula and quality improvement resources.
  • Participants will learn about the National Quality Strategy and HRSA Quality Measurement and Alignment Strategy.
  • Participants will become familiar with HRSA Health IT workforce development efforts.

Moderators
AB

Amber Berrian

Public Health Analyst, HRSA/OHITQ
Amber Berrian is a public health analyst within HRSA’s Office of Health Information Technology and Quality. For the past 6 years, Ms. Berrian has worked on issues to address quality improvement within HRSA’s health service delivery programs. Some of them include patient safety... Read More →

Speakers
MG

Miryam Gerdine

Public Health Analyst, HRSA\OHITQ
Miryam C. Gerdine, MPH, is a Public Health Analyst in the Office of Health IT and Quality within HRSA. Miryam is a graduate of the Johns Hopkins Bloomberg School of Public Health and has completed the Certificate in Health Disparities and Health Inequalities. Prior to joining HRSA... Read More →
AG

Alemu Girma

Public Health Analyst, HRSA\OHITQ
Girma Alemu is working as a Public Health Analyst for HRSA in the office of health IT and Quality. He received his medical degree in Germany where he also did his residency in Ophthalmology. He earned his MPH in Epidemiology from the University of Michigan, Ann Arbor. Currently, in... Read More →
NM

Natassja Manzanero

Public Health Analyst, HRSA\OHITQ
Natassja Manzanero is a Public Health Analyst at the Health Resources and Services Administration (HRSA) in the Office of Health IT & Quality (OHITQ). She received her Bachelor of Science degree in Healthcare Management in 2006 and a Master of Science in Healthcare Administration... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Washington 6

10:00am

D-07 - Monitoring What Matters Institute: 201/301 (CE)

Through the process described in the 201 session of this institute, an interagency workgroup selected quality indicators for Care Coordination. Whereas the EMA previously relied upon chart review for quality indicator measurement, this project utilized provider electronic reporting of client-level data. Analysis was limited to clients with sufficient opportunity to meet the performance standards, which required receipt of the following services at expected frequencies: (1) case conferences, (2) health education, (3) home or field visits, and (4) adherence assessments. Baseline results highlighted challenges in the areas of convening quarterly case conferences (29.4%) and maintaining health education sessions for clients in intensive service tracks (51.5%). Customized reports, comparing agency performance results with overall performance and performance by different agency types, were discussed at a provider meeting.

Learning Objectives:

  • To translate standards of care, as contained in a service model protocol, into specific, measurable, realistic and time-bound performance indicators.
  • To recognize challenges in the implementation of a medical case management/care coordination program following a complex protocol, with clients selected for intensity of need.
  • To identify effective practices for engaging service providers in the integration of performance measurement results into their quality management efforts.

 


Moderators
TH

Tracy Hatton

Program Director, New York State DOH AIDS Institute
Tracy Hatton has worked with the Quality Program at the New York State Department of Health AIDS Institute AIDS Institute for six years, and currently serves as the director of the Part A Quality Management Program. She has worked with providers in several quality learning networks... Read More →

Speakers
MI

Mary Irvine

Director, Research and Evaluation Unit, NYC DOHMH Bureau of HIV/AIDS Prevention and Control
Mary Irvine is the Director of Research and Evaluation in the Care, Treatment, and Housing Program in the Bureau of HIV/AIDS Prevention and Control of the New York City Department of Health and Mental Hygiene. In this role, she is responsible for improving reporting systems, developing... Read More →
BM

Beau Mitts

Director of Technical Assistance, New York City Department of Health and Mental Hygiene, Bureau of HIV/AIDS Prevention & Control
Beau Mitts is the Director of Technical Assistance in the Care, Treatment, Housing Program in the Bureau of HIV/AIDS Prevention and Control of the New York City Department of Health and Mental Hygiene. In this role, he is responsible for identifying technical assistance and capacity... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Delaware A

10:00am

D-08 - Technical Assistance: Negotiating Contracts with Managed Care Organizations (CE)

As a result of the Patient Protection and Affordable Care Act, Medicaid programs will turn to managed care to controls costs as Medicaid eligibility expands. Previously uninsured patients are likely to purchase subsidized coverage from managed care organizations (MCOs) operating in the State health benefit exchanges. To participate in this new environment, grantees should consider participating in managed care networks. This session will provide grantees with information on the different types of managed care, the key provisions in managed care contracts, and strategies for negotiating contracts with MCOs.

Learning Objectives:

  • Identify the various types and models of managed care.
  • Understand the meaning of key provisions in managed care contracts.
  • Learn how to negotiate with MCOs for fair payment.

 


Speakers
AF

Adam Falcone

Attorney, Feldesman Tucker Leifer Fidell
Adam Falcone, a partner in the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, directs the firm’s health care corporate compliance practice, where he assists clients in the development of effective corporate compliance programs, advises clients on reimbursement... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Delaware B

10:00am

D-09 - The Patient-Centered Medical Home (PCMH) Guidance: How Will We Know When We Get There? – 301 Session (CE)

Certification as a patient-centered medical home will require practice change in a number of areas. The areas of change – “change concepts”—are used frequently in the literature and in guidance on becoming a PCMH. What is involved in those changes? What will it look like and how will it feel to the patient when the changes are complete? Working in a small group, this exercise will give the participant an opportunity to think about those key changes and consider how specific concepts will look after changes for practice transformation have been implemented. Additional information will be shared on the building blocks of successful practice transformation.

Learning Objectives:

  • Discuss the elements of the eight change concepts in detail.
  • Discuss key elements that are already present or must be incorporated into their agency’s services and programs.
  • Discuss the ideal order of implementing these change concepts.

 


Speakers
DA

Denise Anderson-Carr

Program Manager, Francois Xavier Bagnoud Center, School of Nursing, UMDNJ
Ms. Anderson-Carr came to the FXB Center after completing a 3- year Public Health Prevention Service (PHPS) fellowship at the Centers for Disease Control and Prevention (CDC). During her fellowship, she worked in the area of HIV/AIDS completing a 6- month rotation with the National... Read More →
SB

Steven Bromer, M.D.

Assistant Professor, Department of Family Medicine, UCSF
Steven Bromer, Medical Director of the Practice Facilitation teams is Assistant Professor of Family and Community Medicine, Medical Director of the Sonoma County HIV Healthcare Network, faculty consultant on the National HIV/AIDS Clinicians’ Consultation Center (Warmline, PEPline... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Maryland A

10:00am

D-10 - Monitoring the Intersection Between ADAP and PAPs in Addressing Unmet Treatment Needs of People Living With HIV (CE)

In order to address the challenges currently faced by ADAPs, NASTAD has embarked on a project to expand access to care and treatment for individuals living with HIV/AIDS by strengthening ADAPs and providing opportunities for individuals to access care beyond ADAP in a more streamlined approach. NASTAD began this process by analyzing three current options for increased access to care for under and uninsured individuals living with HIV – ADAP, pharmaceutical patient assistance programs (PAPs) and Welvista. Following this analysis, NASTAD has worked to develop a standardized PAP enrollment process and application, common eligibility, and coordinated medication fulfillment. This effort, in conjunction with industry and federal partners, will bring HIV/AIDS care and treatment for the under and uninsured to a new era.

Learning Objectives:

  • Participants will become familiar with the process by which ADAPs and/or PAPs provide access to treatment for people living with HIV/AIDS.
  • Participants will learn about the progress towards created a standardized process and application for enrollment into PAPs, including outcomes from a May 2012 Consultation conducted in collaboration with the Department of Health and Human Services, federal, pharmacuetical, and community partners.
  • Participants will learn how to expand access to care for people living with HIV/AIDS and better address the current unmet treatment needs of people living with HIV/AIDS.

Speakers
MP

Murray Penner

Deputy Executive Director, NASTAD
Murray Penner is the Deputy Executive Director at the National Alliance of State and Territorial AIDS Directors (NASTAD). Penner’s primary responsibilities include oversight of NASTAD’s domestic programs, including Health Care Access (including ADAP), Prevention, Viral Hepatitis... Read More →
BP

Britten Pund

Senior Manager, NASTAD
Britten Pund is a Senior Manager with the Health Care Access Program at the National Alliance of State and Territorial AIDS Directors (NASTAD). Ms. Pund has been with NASTAD since 2006 and is responsible for the research and production of the National ADAP Monitoring Project. Ms... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Maryland B

10:00am

D-11 - What Does It Take to Become an FQHC?

Over the last few years, Federally Qualified Health Centers (FQHCs) have experienced unprecedented growth. From the establishment of new FQHCs to the expansion of existing centers into new communities to the enhancement of services offered, FQHCs are an important component of community-based system of care. If you’re interested in learning how to become a part of the health center program, or are a “seasoned” health center in need of a refresher, this session will provide a primer on the benefits available to FQHCs and the basic requirements for effective governance, management and daily operation.

Learning Objectives:

  • Learn what it means to be an FQHC.
  • Examine the eligibility requirements for becoming an FQHC.
    Understand key FQHC-related requirements and expectations for governance structure, management, and daily operation.

Speakers
CB

Carrie Bill

Attorney, Feldesman Tucker Leifer Fidell
Marcie Zakheim, a partner in the Washington, DC law firm of Feldesman Tucker Leifer Fidell LLP, specializes in health care law, particularly in the areas of Federal grants and grant-related requirements for health care services; Medicare and Medicaid services, reimbursement, and legal... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Maryland C

10:00am

D-12 - HIV Integration 301: Sustaining Access, Quality, and Equity to Advance the National HIV/AIDS Strategy

Advancing HIV care in primary care settings first requires clinical training and education to ensure quality care. Quality clinical care must be supported by effective practice transformation to ensure access to patient focused fiscally sustainable organizations. The Patient Centered Medical Home (PCMH) model is being implemented nationally, and directly supports the second National HIV/AIDS Strategy goal of increasing access to care and improving health outcomes for PLWH. Performance improvement training aligned with the PCMH model on income generation, access, population management, and linkages is fundamental to expand and sustain access to HIV care. Ryan White providers are essential to ensuring the successful expansion of HIV care through primary care providers, as well as to sharing best practices and creating sound partnerships with primary care organizations to enhance quality and ensure equity.

Learning Objectives:

  • Describe the fiscal and other non-clinical capacity-related organizational challenges faced by primary care settingswhen improving or adding HIV care services.
  • Explain the importance of fiscal and other non-clinical education and training in supporting organizational infrastructure growth and HIV clinical expansion.
  • Describe the role of Ryan White-funded organizations in engaging community health centers, primary care associations, and other primary care organizations to support infrastructure growth and HIV clinical expansion for successful integration of HIV into primary care.


Wednesday November 28, 2012 10:00am - 11:30am
Virginia A

10:00am

D-13 - HIV Nutrition Institute: 101 Session Jeopardy!

A fun interactive learning experience! The first 60 minutes will be used to play Jeopardy to understand basic HIV nutrition and identify nutrition-related problems that will trigger a referral to a registered dietitian for medical nutrition therapy. The last 30 minutes the members of the group will share ways to implement and improve nutrition screening in their clinic setting. HIV nutrition tools/forms will be provided for group interaction and learning.

Learning Objectives:

  • Participants will be able to describe components of a healthy diet.
  • Participants will be able to identify at least two indicators of HIV malnutrition.
  • Participants will be able to implement a nutrition screening program in their clinic setting.

Speakers
MF

Marcy Fenton

Quality Management Specialist, Registered Dietitian, Division of HIV and STD Programs, Los Angeles County Department of Public Health
Marcy Fenton, MS, RD, is a Quality Management Specialist in the Los Angeles County Department of Public Health Division of HIV and STD Programs, where she provides technical assistance to and coordinates Dietitians in AIDS Care networking group. She was the Work Group Chair of the... Read More →
CT

Carol Treat

Public Health Analyst
Carol Treat, MS, RD, CDE nutrition expert in chronic diseases and Certified Diabetes Educator, is a Project Officer for Health Resources and Services Administration (HRSA) Ryan White Parts C & D grants. Nutrition provider for 12 years, has presented, authored and contributed to many... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Virginia B

10:00am

D-14 - Introduction to Quality: Session 101: Quality Improvement 101 and Ryan White Legislative Requirements for Quality Management: I Am New to Quality Improvement – Where Do I Start?

This session will introduce key quality improvement (QI) principles and Ryan White legislation requirements for quality management, targeting those individuals who are new to QI or those who want a refresher on how to apply key QI concepts to their HIV program. Participants learn through interactive activities and real-world presentations by fellow grantees sharing their QI journeys and successes.

Learning Objectives:

  • At the end of this session, participants will understand key concepts of quality improvement as well as Ryan White Legislative Requirements for Quality Management.
  • At the end of this session, participants will become familiar with key quality improvement models, such as PDSA cycles.
  • At the end of this session, participants will develop an action plan to integrate QI strategies from other grantees in their QI programs.

Moderators
KG

Kevin Garrett

New York State AIDS Institute
Kevin Garrett was a senior level manager in the technology sector, prior to his career shift into social services and HIV/AIDS program work. Prior to joining AI, Mr. Garrett was also employed by the New York City Mayor’s Office of AIDS Policy, a multi- agency coordinating office... Read More →

Speakers
AO

Aaron O'Brien

National Quality Center
Aaron serves as the Program Analyst for the Roper St. Francis Ryan White Program and Wellness Center in Charleston SC. Aaron developed the program’s data management and quality improvement infrastructure and now serves in a number of statewide and national capacities to further... Read More →
BR

Barbara Rosa

National Quality Center
Barbara Rosa has over 20 years of experience in managing and directing ambulatory services in both university settings and CBOs. She has worked with the NQC since 2004 and currently provides TA to grantees primarily on the West Coast. She has provided QM TA to over 200 CHCs, Part... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Virginia C

10:00am

D-15 - EvaIuating and Monitoring the Impact of Medical Case Management Guidelines on HIV/AIDS Care and Treatment (CE)

The DC HIV Medical Case Management (MCM) guidelines standardize the linkage of treatment indicators and client health outcomes to acuity assessment and comprehensive case management activities. Tools developed stressed the importance of viral load suppression for clients on antiretroviral treatment. Medical case managers track CD4 and viral load and ensure that clients are engaged in medical care. Medical case managers without clinical background are empowered to ensure positive clinical outcome for clients. Many tools developed ensure consistency in service provision. The active community involvement created a sense of ownership that facilitates adoption of new tools. Any program implementing medical case management or treatment adherence in any setting regardless of the funding stream will benefit from this workshop. This is a panel discussion, giving the speakers opportunity to share various aspects of the critical components while allowing ample time for discussions, and answer questions from the participants.

Learning Objectives:

  • Participants will: -Understand the fundamentals of a quality medical case management program
  • Participants will Understand the important relationship between the use of newly developed client assessment tools and the achievement of positive health outcomes and outcomes of evaluations will be shared. Participants will be able to learn hands on techniques with using developed tools.
  • Participants will recognize the critical role of medical case managers in helping clients achieve viral load suppression and the necessity of a “SMART” approach to developing a client-centered service plan that incorporates treatment adherence techniques.

Speakers
CO

CHRISTIE OLEJEMEH

PUBLIC HEALTH ANALYST, HIV/AIDS HEPATITIS, STD AND TUBERCULOSIS ADMINISTRATION
Ms. Olejemeh RN, MS; has been working on HIV/AIDS Prevention, Care and Treatment for about fourteen years. Presently monitors sub-grantee Ryan White services to adhere to treatment guidelines and federal regulations to ensure provision of quality HIV Care. She also coordinates the... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Thurgood Marshall East

10:00am

D-16 - Guidance for Effective Coordination of Care Across Settings for the Criminally Involved Living with HIV/AIDS: Integrated Services for Successful Reentry (CE)

Florida accounts for the highest number of HIV-infected inmates in the United States, addressing the complex needs of this population is imperative. Moreover, ex-offenders often face numerous barriers, which can be further complicated by their HIV/AIDS status and comorbid conditions. Metro Wellness and Community Centers (Metro) is a non-profit in Central Florida that offers a broad range of services to inmates and ex-offenders, beginning with our Ryan White funded jail case management to our Office of Minority Health funded HIRE Project. Establishing a seamless system of care requires multiple stakeholders to provide continuous care, transition assistance and comprehensive HIV/AIDS-related services. This session provides strategies to optimize and integrate services for the criminally involved living with HIV to ensure that resources are maximized.

Learning Objectives:

  • Participants will be able to identify the challenges facing criminally involved clients living with HIV, as well as the service providers, agencies and municipal, state and Federal Government programs serving them.
  • Participants will be able to state strategies used to link the criminally involved to care in order to maximize resources unique to this population.
  • Participants will be able to create a care plan for criminally involved clients based on case studies.


Speakers
AL

Ariel Ludwig

Program Coordinator - Reentry Programs, Metro Wellness and Community Centers
Ariel Ludwig currently serves as the Program Coordinator for Re-entry Services at Metro Wellness and Community Centers, a community-based non-profit serving West Central Florida. She received her BA degree from Kenyon College and a MA degree in Public Health from Yale University... Read More →
PR

Priya Rajkumar

Director of Client Health Services
Priya Rajkumar is the Director of Client Health Services at Metro. She has been serving the Tampa Bay HIV community for over 12 years. Over the years Priya has worked in and managed programs in the arena of Medical Case Management, Minority AIDS Initiative, Reentry, Part D Florida... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Madison B

10:00am

D-17 - Cultural Interactions Institute – 301 (CE)

The Cultural Interactions workshop 301 will enable participants to create a training using the principles explored in the Cultural Interactions workshops 101 and 201 to address the specific educational needs of their organizations. We will provide two examples of how the training modules previously reviewed have been adapted for a Prison System and an AIDS Service Organization. In addition to providing participants the tools to adapt and offer the training, participants will learn to use the workshop to motivate their staff to connect with agencies that can assist them in making the necessary structural changes to achieve real and lasting improvements in cultural interactions within their organization.

Learning Objectives:

  • To create or adapt an interactive workshop using the training modules presented in workshop 101 and 201 for various organizational settings.
  • To recognize that concepts such as self-awareness and empathy which are thought to be personality traits can be developed through active learning.
  • To utilize the workshops to motivate those organizations trained to connect with agencies that can assist them in making necessary structural changes to achieve cultural awareness.

Moderators
JR

Jaclyn Rubio

Public Health Analyst, HRSA

Speakers
CE

Christina Eaton

HIV Trainer, Delta Region AIDS Education and Training Center
As an HIV Trainer for the Delta Region AIDS Education and Training Center, Christina Eaton has spent the last 4 years training physicians, nurses, case managers, and social workers on various topics relating to HIV. Her duties also include overseeing MAI- focused training programs... Read More →
SE

Samantha Euraque

Regional Minority AIDS Initiative Coordinator, Delta AIDS Education and Training Center
Samantha Euraque obtained a MA degree in cultural anthropology at Louisiana State University. In her role as MAI Coordinator for the Delta Region AIDS Education and Training Center, Samantha assists in the planning and development of MAI activities for the tri-State region. She has... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Hoover

10:00am

D-18 - Health Literacy: Adherence and Retention Interventions

There can be a substantial gap between the literacy and numeracy required to manage HIV, and PLWHA’s education and skills. In Baltimore, I am piloting three HIV medication adherence support tools appropriate for most literacy levels. These are (1) a graphic presentation on why HIV medicine should be taken on time every day, (2) an HIV-medication-specific pill card adapted from the AHRQ Health Literacy Toolkit, and (3) a CD4/viral load chart that PLWHAs can use to monitor the results of their adherence. As a second health literacy initiative, I will present the concept of multi-media education programs (MMEPs) as an effective way to communicate key health messages, and will discuss storyboards for an HIV MMEP that is under development. Both of these initiatives are being conducted as part of a National Quality Center Fellowship.

Learning Objectives:

  • Participants will be provided with three HIV-specific medication adherence support tools. The educational piece has several variations (Spanish language, adapted for young pregnant HIV-positive women) and can be further modified for use with various populations. Participants will form small groups and role play administering one of the tools, followed by a discussion of how each tool might be incorporated into adherence counseling at their agencies.
  • Participants will learn about the efficacy of a pilot of the adherence support tools, as we present the results of a quality improvement cycle (PDSA or plan/do/study/act). Participants will have the opportunity to question staff from the agency that conducted the PDSA cycle. Lessons learned will be presented from two less successful attempts to integrate the tools into agency practice.
  • Participants will be exposed to three brief multi-media education programs (MMEPs) and asked to assess their effectiveness as educational tools. The topic of two of the MMEPs is HIV, and the third is an award-winning MMEP on diabetes. Participants will then be asked to comment on storyboards for a new HIV MMEP that is under development.

Speakers
EB

Evelyn Bradley,Ph.D.

Research Analyst II, Baltimore City Health Department
Dr. Bradley has over 40 years of health care project management experience with hospitals, HMOs, and consulting firms. Her most recent work includes five years with the Baltimore-Towson Ryan White program, two years supporting the Greater Baltimore HIV Health Services Planning Council... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Coolidge

10:00am

D-19 - Comanagement of HIV/AIDS by Community Health Care Providers and University Specialists (CE)

Access to high-quality primary and specialty care by HIV/AIDS-infected patients in rural and underserved areas continues to be a major challenge. The Florida/Caribbean AIDS Education and Training Center (F/C AETC) addresses this challenge through the Project ECHO™ (Extending Community Health Outcomes) program. The F/CAETC model uses Adobe Connect Pro, a live audio-video-based platform, to connect a multidisciplinary team of specialists in HIV/AIDS and community healthcare providers treating HIV patients in rural and underserved areas in Florida, Puerto Rico, and the U.S. Virgin Islands. This innovative telehealth program is aimed at developing capacity among the health care providers to safely and effectively treat patients with HIV/AIDS. Implementation and evaluation of the F/C AETC-Project ECHO™ program is described followed by presentation of preliminary evaluation findings and future direction of the project. The session also highlights the importance of mixed methods approach in program evaluation.

Learning Objectives:

  • By the end of this session, participants will be able to describe how F/C AETC-Project ECHO™ was implemented, the challenges encountered in that process, and how they can model the program in their respective centers.
  • By the end of this session, participants will be able to describe the impact of F/C AETC-Project ECHO™ on health care providers’ knowledge, skills, attitude, and behavior and other potential outcomes of this educational intervention.
  • By the end of this session, participants will be able to articulate the value of mixed methods approach in the evaluation of F/C AETC-Project ECHO™ program.

Speakers
JB

Jeffrey Beal,M.D.

Clinical Director, F/C AETC
Dr. Beal is Clinical Director, Florida/Caribbean AIDS Education and Training Center; Medical Director, Bureau of HIV/AIDS of the Florida Department of Health; Assistant Professor, Florida Mental Health Institute, University of South Florida; Assistant Professor, Department of Medicine... Read More →
JO

Joanne Orrick, Pharm.D.

Faculty and Training Coordinator,, F/C AETC
Joanne Orrick is the Associate Director for the Florida/Caribbean AIDS Education and Training Center and the USF Center for HIV Education and Research. Dr. Orrick has more than 12 years of clinical experience in HIV and Infectious Diseases pharmacotherapy. She is an active participant... Read More →
TS

Theresa Skipper

Learning and Development Manager, Florida/Caribbean AIDS Education and Training Center
Theresa Skipper is the Learning and Development Manager at the USF Center for HIV Education and Research. Ms. Skipper is a graduate of Andrews University with a BS degree in general studies: health sciences and graduate of the University of South Florida with a MA degree in public... Read More →
HW

Hesborn Wao

Assistant Professor, Florida/Caribbean AIDS Education and Training Center
Florida/Caribbean AIDS Education and Training Center 13301 Bruce B. Downs Boulevard, MHC 1718, Tampa, FL 33612 Tel: 813.974.9248 | E-Mail: hwao1@health.usf.edu | Skype: USFHIVHESBORNWAO Hesborn Wao is the evaluator for the Florida/Caribbean AIDS Education Training Center, University... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Harding

10:00am

D-20 - Web and Social Media Institute 301: Measuring Value.

This 301 workshop will feature free and low-cost evaluative tools for online and social media activities (e.g., Google Analytics, Survey Monkey, social media reports from Facebook and Twitter). Presenters will demonstrate how to use some common tools, and discuss how to select the most appropriate measures for your project. We will then demonstrate some easy-but-useful qualitative approaches to gathering evaluation information. Finally, the panel will pull the pieces together with some case studies of evaluation findings and discussion of how they might and should trigger change.

Learning Objectives:

  • Participants wil learn how to use Google Analytics and other Web metric tools to examine the reach and use of their Web sites and social media tools.
  • Participants will be able to select five key metrics for their project.
  • Participants will be able to describe 1-2 qualitative evaluation methods for online programs.

Moderators
JS

Jamie Steiger

Program Director, AETC National Resource Center
Jamie Steiger is the Program Director for the AETC National Resource Center. She received a Bachelor of Arts and Social Work degree from the University of New Hampshire in 1998 and a Master of Public Health degree from University of Medicine and Dentistry in 2007. She is currently... Read More →

Speakers
JC

Judy Collins

Program Coordinator, AETC National Resource Center
Judy Collins is a writer, graphic artist and designer. She has a Bachelor of Arts in Creative Writing degree from New York University. With more than 10 years of copywriting, editing and graphic design experience for print and the web, she joined the AETC NRC team as program & social... Read More →
VJ

Veronica Jones

Program Manager, AETC National Resource Center
Veronica Jones has been working with AETC NRC since 2005. She holds a MA degree in public health from the University of Medicine and Dentistry of New Jersey and BA degree from Spelman College. In her role as Program Manager, she currently coordinates the AETC Minority AIDS Initiative... Read More →
NM

Nicole Mandel

AETC NRC Website Project Manager, UCSF Center for HIV Information
Ms. Mandel is the project manager for the UMBAST website and the AETC National Resource Center.


Wednesday November 28, 2012 10:00am - 11:30am
Wilson A

10:00am

D-21 - EnhanceLink Initiative to Link HIV-Positive Jail Releases to Community Care —A Legacy of Lessons Learned

EnhanceLink was a national, 5-year, 10-site SPNS demonstration SPNS project that developed innovative models for identifying HIV-positive persons passing through jails and linking them to community care. Partnering jails made 822 new HIV diagnoses; linkage services were delivered to 8,056 individuals. Among 1,082 releasees with client-level data, 25.7 percent had suppressed virus 6 months post-release. We will review how working with jails helps communities meet goals of the National HIV/AIDS Strategy. Next, the audience will take a poll and use knowledge gained from personal experience with their communities to predict what factors were associated with linkage in EnhanceLink. While poll results are being tallied, we will showcase one project that used court advocacy to help relink previously diagnosed clients to care. Next, we will review project-wide data regarding what services significantly promoted linkage. We will close by comparing the audience predictions and the actual EnhanceLink results.

Learning Objectives:

  • Increase understanding of the role of jail linkage programs in promoting seamless care for HIV infected persons in the community.
  • Develop an understanding of intervention models that AIDS Service Organizations, Health Departments and Community HIV Clinics can use to engage and retain HIV infected persons cycling through the criminal justice system in community care.
  • Identify best practices in promoting linkage for incarcerated HIV-positive individuals leaving jails and rank what were most important factors.

Moderators
Speakers
AJ

Alison Jordan

Executive Director, NYC DOHMH
Alison O. Jordan, CPPB, LCSW, is the Executive Director for Transitional Health Care Coordination in the Division of Health Care Access and Improvement. In this role, she oversees the program’s activities in coordinating medical discharge planning and providing services and linkages... Read More →
AS

Anne Spaulding

Emory University


Wednesday November 28, 2012 10:00am - 11:30am
Wilson B

10:00am

D-22 - Everyone Has a Story: Building the Strength and Leadership of Positive Women

“Everyone as a Story: Survival and Leadership” (EHAS) is an educational HIV/AIDS treatment and care workshop wherein HIV-positive women use their personal experiences to highlight the issues, challenges, and triumphs of living with HIV. EHAS contains a five-part video series that depicts HIV-positive women discussing treatment options; ways of increasing provider/client communication and provider cultural competency; methods for addressing HIV stigma and discrimination; and the importance of medical adherence. Additionally, the EHAS workshop treats topics such as social networks, stigma, status disclosure, and initiation/adherence to HIV/AIDS treatment, which are important to leadership and involvement of HIV-positive women in changing the HIV pandemic worldwide. The workshop is conducted by members of SisterLove’s 20/20 Leading Women’s Society, whose objective is to engage HIV-positive women by becoming community voices, training them as mentors for young and newly diagnosed HIV-positive women, and increasing meaningful involvement of HIV-positive women in key decision-making roles for advocacy and policy.

Learning Objectives:

  • Discuss the need to educate and support HIV-positive women and their health providers about key issues impacting women’s HIV treatment and care.
  • Address and reduce HIV-related stigma and shame among women and their communities.

Speakers
LD

Lisa Diane White

Director of Programs, SisterLove, Inc.
Lisa Diane White is the Director of Programs and joined the SisterLove team in April, 2004. She has more than 20 years of experience in black Women’s health issues and other health education programs and services. She provides oversight to more than 10 major contracts through community... Read More →
DW

Del'Rosa Winston

Bridge Leadership Program Associate, SisterLove, Inc.
HIV Prevention Specialist/Bridge Leadership Program Associate – Del’Rosa Winston started with SisterLove as a volunteer. In 2009 she was hired to coordinate the Positive Women’s Leadership Program. She has six years of experience in Black women and STD/HIV/AIDS health issues... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Wilson C

10:00am

D-23 - Guidance to Creating a Culture for Quality: 101 Session: Supporting and Sustaining A Quality Management Program

This workshop will offer a more in-depth discussion of what it takes to sustain your Quality Management (QM) efforts over time. Having sufficient capacity for QM is critical in building a 'culture of quality' in your organization. This workshop will provide examples from various Ryan White Program grantees regarding their process for establishing a culture of quality in their organization. Building enthusiasm and buy-in for QM occurs over time and it’s important for all stakeholders to see the importance and success of quality improvement (QI) efforts. This workshop further explores the use of QI tools and how to employ them in developing ideas for improvement and measuring their success. NQC will be moderating a discussion with selected grantees that have drawn the link between continued QI efforts and creating long- term enthusiasm for quality and its sustainment over time.

Learning Objectives:

  • At the end of this session, participants will understand the importance of quality management in all funded service areas.
  • At the end of this session, participants will understand how to integrate Ryan White legislative requirements in contracts and find the right balance between contract monitoring and quality improvement.
  • Participants will learn from successful practices in monitoring quality improvement programs by subcontractors.

Moderators
Speakers
KC

Kathleen Clanon

Medical Director and Quality Improvement Lead, Alameda Health Consortium/Family Care Network
Kathleen Clanon, MD, has worked since 1988 as an HIV clinician, educator, program director, and QI leader specializing in improving care of low-income people with HIV. She is the Clinical Director of the East Bay AETC since 2001 with responsibility for developing and delivering curricula... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
McKinley

10:00am

D-24 - Improving Access to HIV Care Under Health Care Reform (CE)

One year before the health care coverage expansion is expected to take place in 2014, this session will provide an update on key health care reform provisions and how Ryan White grantees and clients can prepare for them. Presenters will cover three inter-related topics critical to a smooth transition for Ryan White providers and programs. The session will begin with an update on health care reform implementation, focusing on the Medicaid expansion, continue with lessons learned from the California Low Income Health Insurance Program and conclude by highlighting key reform issues and opportunities for HIV medical providers.

Learning Objectives:

  • Participants will be able to describe the latest status of health care reform, particularly the Medicaid expansion, and evaluate how reforms may affect access to HIV care.
  • Participants will be able to identify recommendations from California providers and advocates for effectively transitioning uninsured people with HIV into health care coverage.
  • Participants will be able to describe key reform issues relevant to HIV medical providers.

Speakers
AD

Anne Donnelly

Director, Health Care Policy, Project Inform
Ms. Donnelly is the Health Care Policy Director for Project Inform, a national HIV and Hepatitis C advocacy organization. She is a member of the steering committee of the HIV Health Care Access Working Group and of the California HIV Alliance and sits on the California Department... Read More →
RG

Robert Greenwald

Director, Treatment Access Expansion Project
Mr. Greenwald teaches at Harvard Law School, where he is the Managing Director of the school’s Legal Services Center and Director of the Health Law and Policy Clinic. He also is the Director of the Treatment Access Expansion Project. Mr. Greenwald also serves as a member of the... Read More →
AW

Andrea Weddle

Executive Director, HIV Medicine Association
Ms. Weddle is the executive director of the HIV Medicine Association, which sponsors the Ryan White Medical Providers Coalition. She co-chairs the HIV Health Care Access Working Group and has been active in HIV health care policy financing and advocacy for more than a decade.


Wednesday November 28, 2012 10:00am - 11:30am
Nathan Hale

10:00am

D-25 - CANCELLED

Since its early authorization, the Ryan White Program emerged to provide an array of medical and social services to people living with HIV/AIDS who are considered marginalized, uninsured and underinsured. Organizations funded by the Ryan White Program have utilized various vehicles to ensure that adolescence, children, women, and men receive appropriate services tailored to their specific needs. Some have implemented funded programs under the one-stop shopping modality. However, some organizations tend to develop programs by contracting with various outside organizations for HIV-related services. As Ryan White grantees develop a network of providers, what are the emerging tools being developed to ensure that subcontractors are collecting the appropriate data to report to funders? How frequently is the grantee of record conversing with subcontracting organizations on developed HRSA/HAB mandates?

Learning Objectives:

  • This session will describe various tools developed by grantees to monitor subcontractors to ensure program accountability.
  • The process of data collection by the grantee of record to the subcontrators will be described.

Wednesday November 28, 2012 10:00am - 11:30am
Ethan Allen

10:00am

D-26 - Planning for Changes in the Continuum of Care

Starting in 2011 the NY EMA began planning for HIV-care service delivery changes as a result of the Affordable Care Act (ACA) and New York State Medicaid program expansion. To begin this process NYCDOHMH contracted with an experienced policy Medicaid consultant to conduct a thorough analysis of current and possible future Medicaid reimbursed services in currently funded NY EMA Ryan White Service Categories. Results from this report combined with ongoing grantee and Planning Council staff analysis of ACA and NYS Medicaid service expansion implementation, including Health Homes, were shared with the NY HIV Health and Human Services Planning Council to begin to inform 2013-2015 service planning and the determination to seek a waiver to the 75 percent Core medical services allocation as required by Ryan White legislation.

Learning Objectives:

  • Learn about the planning process in the NY EMA to determine the effect of ACA and Medicaid expansion on the RW Part A funded portfolio of services.
  • Share tools developed by the NY EMA so that they can be adapted for use by other EMA's and TGA's.
  • Discuss varying ACA planning strategies among EMA’s/TGA’s in comparison to NY EMA planning tools to promote shared learning.

Speakers
GH

Graham Harriman

Iterim Director, Care & Treatment, NYC Department of Health & Mental Hygiene
Graham Harriman, MA, Interim Director Care and Treatment Unit, Bureau of HIV Prevention and Control, New York City Department of Health and Mental Hygiene. Mr. Harriman has worked in the field of HIV for 23 years, he began his work as a mental health program Manager at Quest Center... Read More →
RM

Rachel Miller

Public Health Solutions
Graham Harriman, MA, Interim Director Care and Treatment Unit, Bureau of HIV Prevention and Control, New York City Department of Health and Mental Hygiene. Mr. Harriman has worked in the field of HIV for 23 years, he began his work as a mental health program Manager at Quest Center... Read More →
JC

Jan Carl Park

Director and Governmental Co-Chair of the HIV Health & Human Services Planning Council of New York
Jan Carl Park, MA/MPA, Director and Governmental Co-Chair of the HIV Health & Human Services Planning Council of New York. Division of Policy & External Affairs, New York City Department of Health & Mental Hygiene. Mr. Park has spent the last 30 years as an advocate for people living... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Thomas Paine

10:00am

D-28 - CANCELLED

According to the United States 2010 Census, the Latino population is the largest minority group in the United States. The Northeast Valley, a Federally qualified health center located in California, provides ambulatory bio-medical and bio-psychosocial services to the growing Latino population. Northeast began to provide specific HIV- related services since 1991. Throughout the years, the team has recognized the difficulties in engaging and retaining older gay Latino men into the developed health system infrastructure. To determine barriers to care, the HIV clinic developed a qualitative study to explore the issues of disclosure and stigma faced by identified gay Latino men living with HIV/AIDS who are 50 years or older. Preliminary findings suggest that respondents experience fear of disclosure to family and friends due to the continued HIV/AIDS- related stigma in the Latino community.

Learning Objectives:

  • The socioeconomic conditions of Latino men receiving HIV-related services in a Federally Qualified Health Center in LA County will be described.
  • Describes the development of a survey instrument to explore challenges faced by Latino men to disclose HIV/AIDS status to friends and family members.
  • This session will review accomplishments of the HIV/AIDS clinic in addressing the needs of the older gay Latino male population including improved health care retention, greater openess to discuss HIV/AIDS status, increased education about community resources, and greater awareness of various cultural values impacting health care outcomes.

Speakers
MB

Michelle Browne

Project Officer, Health Resources and Services Administration


Wednesday November 28, 2012 10:00am - 11:30am
Cleveland 2

10:00am

D-29 - Guidance to Implementing a Treatment Adherence Program

The Treatment Adherence Project (TAP) and Win! puts innovative research on increasing treatment adherence into practice. It will help high-need, HIV-positive people improve their health by incentivizing adherence with a lottery. Treatment adherence is critical to improve the quality of life of HIV- infected persons and to reduce the spread of HIV, but is a great challenge for many who are infected. There are formidable barriers that keep some PLWH from adhering to their medication regimen (pill fatigue, depression, side effects) but in many cases, incentives have increased adherence and contributed to improved health. Further, TAP builds upon medication adherence as prevention. PLWH who have an undetectable viral load are healthier and less likely to spread infection. The program empowers PLWH by teaching skills to track medication adherence and educating about its importance for health. Participants who are adherent will be entered into a prize drawing.

Learning Objectives:

  • This workshop will discuss barriers to treatment adherence and assess the baseline CD4 and viral load data for the EMA.
  • The service model a. Lottery to win prizes for clients who are treatment adherent b. Enrollment criteria, case manager buy-in and facilitation of the program.
  • This session will discuss methods for assessing program impact (measured program success).

Moderators
FL

Fran Lawless

Director, Office of Health Policy and AIDS Funding
Ms. Lawless has a MHA from Tulane University and has been working in grants management for over 20 years and in HIV management specifically for 8 years. Under her supervision, the New Orleans EMA has undergone extensive revamping after several devastating hurricanes and has surpassed... Read More →

Speakers
JF

Jasmine Fournier

Program Monitor, Office of Health Policy and AIDS Funding


Wednesday November 28, 2012 10:00am - 11:30am
Buchanan

10:00am

D-30 - It All Adds Up!: Making Sense of Your Part C Budget! (CE)

Workshop is intended to provide grantees with a review of all aspects of a Part C budget. It will step participants through the process of creating a budget that meets all legislative and programmatic requirements. Components of each of the three required budget documents including a line item budget, budget narrative and SF 424A as well as a review of the required elements of a staffing plan will be presented. Recent changes in requirements, including the reallocation of certain line items to different cost categories and salary limitations, will be discussed. Requirements for submitting complete budget modifications and carryover requests will also be reviewed.

Learning Objectives:

  • By the conclusion of the workshop participants will be able to: Describe the necessary components of a satisfactory and functional budget that meets Ryan White Part C legislative and programmatic requirements.
  • By the conclusion of the workshop participants will be able to: Describe the salary limitation rule that was enacted by the Consolidated Appropriations Act, 2012.
  • By the conclusion of the workshop participants will be able to: List the documentation that is required for submitting a request for a budget modification or carryover.

Speakers
SL

Sandra Lloyd,R.N.

Public Health Analyst, HRSA
Sandra Lloyd graduated from the School of Nursing, University of Pittsburgh 1978, and received a Masters in Health Education, Penn State University 2008. She has in excess of 20 years of experience managing health care staff and being involved in the creation and implementation of... Read More →
MR

Mae Rupert

Public Health Analyst, HRSA
Sandra Lloyd graduated from the School of Nursing, University of Pittsburgh 1978, and received a MA degree in health education, Penn State University 2008. She has more than 20 years of experience managing health care staff and being involved in the creation and implementation of... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Washington 4

10:00am

D-31 - From Silos to Seamlessness: Building a Joint Comprehensive HIV Prevention and Care Services Plan

The Houston EMA has conducted joint planning activities between HIV prevention and care since 2002; however, when the guidance for 2012 Comprehensive HIV Plans was released last year, separate plans for prevention and care were still in place. The expectations of 2012 Part A/B Plans, our history of joint planning, and the National HIV/AIDS Strategy’s call for increased collaboration all set into motion Houston’s first-ever joint comprehensive plan. By the end, 111 individuals (27% PLWHA) and 61 agencies contributed to the document, and all grantees and Planning Bodies concurred. The plan itself includes integrated goals, objectives, strategies, and benchmarks. This workshop will describe the process, outcomes, and “lessons learned” from creating the EMA’s first joint comprehensive HIV prevention and care plan. It will present a model for replicating a joint process in other jurisdictions and describe the effectiveness of various engagement strategies with consumers and stakeholders.

Learning Objectives:

  • The overall process for developing a joint comprehensive HIV prevention and care services plan will be described as well as outcomes in terms of (1) integrating mission, vision, goals, objectives, and strategies; and (2) participation levels among consumers, partners, and other community stakeholders.
  • Participants will be able to list at least three effective strategies for engaging and retaining consumers, partners, and other community stakeholders in a joint comprehensive HIV planning process as determined by the results of a post-process engagement survey and a Planning Council member’s perspective on the process.
  • Participaints will be able to identify joint HIV prevention and care benchmarks for use in measuring systems improvements and monitoring progress in plan implementation, including how alignment in goals, objectives, and activities with the National HIV/AIDS Strategy and other local, regional, State, and national plans and initiatives was ensured and coordinated.

Moderators
AL

Anna Langford

Planner, The Resource Group

Speakers
JH

Jennifer Hadayia

Health Planner, Houston Area Ryan White Planning Council/Office of Support
Jennifer M. Hadayia, MPA is the Health Planner for the Houston EMA. Prior to this position, she oversaw the HIV prevention/surveillance and chronic disease prevention programs for the local health jurisdiction in Washoe County, Nevada. She was also a registered lobbyist to the Nevada... Read More →
CH

Camden Hallmark

Data Analyst, Houston Department of Health and Human Services
Camden J. Hallmark, MPH, is a Data Analyst for the Houston Department of Health and Human Services in the Bureau of HIV/STD and Viral Hepatitis Prevention. In this capacity, he conducts HIV/STD analysis and quality assurance, coordinates data collection, and creates reports and presentations... Read More →
SV

Steven Vargas

Case Manager, Association for the Advancement of Mexican-Americans
Steven Vargas is a Case Manager for the Minorities Action Program (MAP) at the Association for the Advancement of Mexican-Americans, Inc. (AAMA) in Houston, TX. He was a member of the Houston Area HIV Services Ryan White Planning Council for six years, the immediate past Co-Chair... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Jefferson

10:00am

D-32 - HIV Patient Centered Medical Home Construction: A Multi-Site Experience (CE)

The Patient-Centered Medical Home (PCMH) model can foster greater patient retention, higher quality HIV care, and better coordination across medical specialties and support services. Its components include improved data management systems, tools for engaging patients, restructured care teams, and quality improvement activities. The California PCMH Initiative supports the implementation of medical homes at public HIV care sites statewide. Clinics emphasize those components that respond to local context, including web-based resources to promote patient engagement; improved data systems to enhance tracking of services and case management; and panel management to allow mid-level providers, understanding physician orders, to target preventive services to patients. We will describe three clinics’ experiences rolling-out PCMH, and identify key lessons learned for ensuring successful implementation in other settings.

Learning Objectives:

  • Describe basic concepts relevant of HIV PCMH.
  • Describe best practices to overcome challenges in early PCMH implementation.
  • Detail how HIV PCHM is able to improve quality, retention, and care coordination.


Speakers
EC

Erin Chambers

Alameda Health Consortium
ERIN GAEL CHAMBERS: Prior to working as the HIV ACCESS PCMH Project Director at Alameda Health Consortium, Erin Gael Chambers spent seven years providing medical case management for HIV-positive individuals and overseeing quality management for the Ryan White Program in western Montana... Read More →
WG

Wendy Garland

LA County, Division of HIV and STD Programs
WENDY H. GARLAND: Wendy Garland is an Epidemiologist with the Los Angeles County Department of Public Health, Division of HIV and STD Programs. She received her MPH in biostatistics and epidemiology from the University of Southern California in 2001. Ms. Garland has coordinated research... Read More →
WS

Wayne Steward, Ph.D.

Assistant Professor, University of California San Francisco
Dr. Wayne Steward is an Assistant Professor at the Center for AIDS Prevention Studies (CAPS) at the University of California, San Francisco (UCSF). He received a PhD in psychology from Yale University in 2002 and an MPH in epidemiology from the University of California, Berkeley in... Read More →
AS

Amy Sitapati,M.D.

Associate Clinical Professor of Medicine, Univ of California, San Diego Medical Center
Dr. Amy M. Sitapati is Associate Clinical Professor at the Owen Clinic at the University of California, San Diego (UCSD). She received a BS in engineering from Case Western Reserve University (CWRU) in 2004 and an MD from CWRU in 2008. Dr. Sitapati is an internist clinician leader... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Johnson

10:00am

D-33 - Guidance to Utilizing Social Marketing Approaches to Align With the National HIV/AIDS Strategy (CE)

AltaMed Health Services, one of the largest FQHCs nationally, serving primarily the Latino population in LA and Orange county provides care to nearly 1,200 HIV/AIDS patients. As part of reaching out to community members that are HIV+ and are unaware of their status, AltaMed is integrating social marketing strategies to outreach to high risk populations.

Learning Objectives:

  • To raise the awareness among service providers on the effectiveness of the use of agency website as a strategy to promote services to increase referrals and raise awareness of the community on HIV issues and resources that are available for them. Creating a referral mechanism through your agency website is one way to increase referrals for HIV services.
  • To promote the use of social marketing outreach strategies to help improve increasing the number of clients that is aware of their HIV+ status and links them into care. Methods: Facebook, twitter, YouTube, and AltaMed’s website have been utilized to reach out to the community to engage high risk populations to come in for an HIV test or reengage HIV+ populations.

Speakers
TS

Thomas Siegmeth

Director of Wellness and HIV Services, AltaMed Health Services
Thomas Siegmeth serves as the Director of Wellness and HIV Services for AltaMed Health Services. Thomas has been working in the field of health education and prevention programs for more than 15 years. He holds a Master’s in Public Health from Loma Linda University and a Bachelor’s... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Jackson

10:00am

D-34 - Guidance to Using Fotonovelas as a Health Literacy Tool to Educate Latinas on HIV/AIDS

The Ryan White Part A and D programs in Bexar County partnered with The Health Collaborative, a non-profit organization to conceptualize, produce, disseminate, and evaluate a Fotonovela project. Needing a low-literacy tool to access Latina women, the group embarked on a strategy to produce age-specific educational materials focusing on HIV/AIDS testing, education, and access to care. A Fotonovela is a familial and historically accepted form of delivering health information in Latino communities. It relies on the use of graphics and limited use of bilingual (Spanish/English) text. The three target groups of Latinas were Jovencitas (ages 18-29), Damas (ages 30-45), and Doñas (ages 45 and older). The educational message, getting tested, using condoms, and accessing services was tailored to each age group to enhance utilization.

Learning Objectives:

  • Participants will learn steps in the conceptualization of a Fotonovela project to meet the health literacy needs of the target population.
  • Participants will learn to identify key health literacy strategies that recognize cultural and familial competencies to ensure greater access to care.
  • Participants will become better able to develop recommendations and/or policies for improving access to care for specific marginalized populations to reduce health disparities.


Speakers
LB

Lucia Bustamante

Project Director, University of Texas Health Science Center at San Antonio
Ms. Bustamante has served as the Project Director for the Ryan White Part D program in San Antonio since 2005. The Ryan White Part D region covers over 47 counties in South Texas. This region covers the Mexico/Texas Border and rural communities. The population is predominantly of... Read More →
ED

Elizabeth DeLaFuentes

Executive Director, The Health Collaborative
Ms. De La Fuentes serves as the Executive Director for The Health Collaborative. Ms. De La Fuentes works in tandem with the board and staff to provide the highest standards of collaboration, sharing of resources and best practices to increase the impact of services for the community... Read More →
CD

Charlene Doria-Ortiz

Program Manager, Bexar County RW Part A
Ms. Doria-Ortiz serves as Program Manager and oversees the Quality Management program for the Administrative Agency (AA) for Ryan White Parts A and B. The AA covers the San Antonio TGA and the Part B which includes over 28 counties in the south central Texas region. Many counties... Read More →


Wednesday November 28, 2012 10:00am - 11:30am
Tyler

11:30am

Lunch On Your Own
Wednesday November 28, 2012 11:30am - 1:30am
On your own

11:30am

Poster Session and Exhibits
Wednesday November 28, 2012 11:30am - 5:30pm
Exhibit Hall C

1:30pm

Dedicated Poster Session and Exhibits
Wednesday November 28, 2012 1:30pm - 3:00pm
Exhibit Hall C

3:30pm

E-01 - FQHCs and FQHC Look-alikes: A Sustainable Business Model for RW Part C (CE)

Community health centers provide comprehensive, culturally competent, quality primary health care services to medically underserved communities and vulnerable populations. Grant-supported Federally Qualified Health Centers (FQHCs) receive operating funds from HRSA Bureau of Primary Care and meet Medicare and Medicaid criteria enabling them to receive enhanced reimbursement rates. FQHC Look-alikes (FQHC LA) receive no grant funding but can benefit from enhanced Medicare and Medicaid rates. This session identifies the advantages Ryan White Part C grantees can leverage by becoming an FQHC or FQHC LA, identifies the components of a successful application including budget development, program and governance requirements. FQHC or FQHC LA status offers Ryan White Part C clinics a sustainable business model for continuing to provide comprehensive, quality HIV care in the changing healthcare environment.

Learning Objectives:

  • By the end of the session participants will understand the statutory benefits of becoming an FQHC or FQHC LA and be able to engage their management teams and board members in strategic discussions about becoming an FQHC or FQHC LA or partnering with an established health center.
  • By the end of the session participants will understand the application processes for obtaining FQHC or FQHC LA status and be able to determine which model best meets the strategic goals of their Ryan White program.
  • By the end of the session participants will understand the financial stability a Ryan White Part C program can gain by becoming an FQHC or FQHC LA or by partnering with an existing health center.

Speakers
RJ

Rebecca Johnson

Health Center & Management Consultant, Community Link Consulting, Inc
Rebecca Johnson, MNPL, Health Center & Management Consultant, Community Link Consulting, Inc. Rebecca Johnson has a Masters in Non Profit Leadership from Seattle University, a Graduate Certificate in Public Health from the University of Washington, and a Bachelors of Arts Humanities... Read More →
MM

Mark Meye

Financial Consultant, Community Link Consulting, Inc.
Mark Meye, CPA, Financial Consultant, Community Link Consulting, Inc. Mark Meye has a BA degree in business administration and accounting from Iowa University. A Certified Public Accountant with more than 25 years of experience, Mark has worked in national accounting firms, owned... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Washington 1

3:30pm

E-02 - Guidance on Intervening with Panel Management: HIV Clinics at the Forefront of PCMH Models (CE)

Panel Management (PM) is key intervention to make PCMH effective and practical. Our large HIV specialty clinic is implementing PM to increase our quality of care while reducing the time burden on the clinicians. In PM, a team uses patient registry reports to identify those who have outstanding needs such as immunizations or screenings. Standing orders authorize staff to arrange care independent of physician visits. Initial analysis of data shows increases in quality indicator performance after implementation. Using an open forum, a discussion of maximizing personnel resources through task shifting and the impact of the new practice design on clinical performance along with staff and patient experience using this model will take place. We will share tools such as the registry report, standing orders, and staff huddle scripts and will review workarounds for getting HIV-specific electronic records such as Labtracker and Careware to produce registry reports.,Panel Management (PM) is key intervention to make PCMH effective and practical. Our large HIV specialty clinic is implementing PM to increase quality of care while reducing the time burden on the clinicians. In PM, a team uses patient registry reports to identify those who have outstanding needs such as immunizations or screenings. Standing orders authorize staff to arrange care independent of physician visits. Initial analysis of data shows increases in quality indicator performance after implementation. Using an open forum, a discussion of maximizing personnel resources through task shifting and the impact of the new practice design on clinical performance along with staff and patient experience using this model will take place. We will share tools such as the registry report, standing orders, and staff huddle scripts and will review workarounds for getting HIV-specific electronic records such as Labtracker and Careware to produce registry reports.

Learning Objectives:

  • Learners will be able to define Panel Management and describe a typical PM program. 
  • Learners will be able to describe the association between the Patient Centered Medical Home Model and Panel Management.,Learners will be able to describe the association between the Patient Centered Medical Home Model and Panel Management.
  • Participants will identify barriers and facilitators to implementing this design in their agencies,Participants will identify barriers and facilitators to implementing this design in their agencies

 


Speakers
IA

Itta Aswad

Manager, Alameda County Medical Center
Itta Aswad, M.P.H. is the HIV Services Manager for the Alameda County Medical Center (ACMC). As a sub-grantee, ACMC receives PArt B, C and D funding and is a part of HIV ACCESS and Family Care Network. She is responsible for the day to day clinical program management and development... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Washington 2

3:30pm

E-03 - Achieving Health, Housing, and Employment Outcomes for PLWHA Through Cross-System Coordination: 101

This workshop will discuss emerging initiatives targeting health, housing, and employment outcomes for PLWHA at Federal, State, and local levels in the context of the National HIV/AIDS Strategy with a panel of PLWHA, researchers, providers, and Federal and State officials. The workshop has three components: • Discussion of the relationships between health, housing, and employment outcomes. • Discussion of new employment initiatives of the U.S. Department of Labor, Office of Disability Employment Policy, the U.S. Department of Housing and Urban Development, Office of HIV/AIDS Housing, and the New York State Department of Health, AIDS Institute. • Discussion of survey data that show improved health outcomes and reduced risk behavior (secondary prevention) among employed PLWHA.

Learning Objectives:

  • Participants will be able to Identify examples of improved health outcomes and reduced risk behaviors among PLWHA who are employed.
  • Describe how emerging Federal, State, and community-based employment initiatives can provide support to meet employment needs of PLWHA at the local level.
  • Describe examples of the relationship between health, housing and employment outcomes.

Moderators
MM

Mark Misrok

President, National Working Positive Coalition
Mark Misrok, MS, Ed, CRC is a Certified Rehabilitation Counselor, President of the National Working Positive Coalition, and has lived with HIV for over 25 years. Working in community-based vocational rehabilitation services for PLWHA beginning in 1995, Mark was Director of Client... Read More →

Speakers
LC

Liza Conyers,Ph.D.

Associate Professor, Penn State University
Liza Conyers, PhD, CRC, is an Associate Professor of Rehabilitation and Human Services at Penn State University and Chair of the NWPC Research Working Group. She had conducted research in the area of HIV and employment for the past 10 years and is Principal Investigator on the NWPC... Read More →
LD

Lauren Deigh

Community Planning and Development Specialist, Department of Housing and Urban Development, Office of HIV/AIDS Housing, CPD
Lauren Deigh, MPA, BSW, serves as a Community and Planning Development Specialist in HUD’s Office of HIV/AIDS Housing (OHH), which administers the Housing Opportunities for Persons With AIDS program. Ms. Deigh is involved in HUD’s activities to implement the National HIV/AIDS... Read More →
PJ

Perry Junjulas

Executive Director, Albany Damien Center
Perry Junjulas is the Executive Director of the Albany Damien Center, the Capital Region’s AIDS Community Center which provides services and support for individuals and families living with and directly affected by HIV/AIDS. Since his HIV diagnosis in 1995, Perry has worked to ensure... Read More →
DO

Dylan Orr

Special Advisor, Department of Labor, Office of Disability Employment Policy
Dylan Orr, JD, serves as Special Advisor to Assistant Secretary Kathy Martinez in the Office of Disability Employment Policy at the U.S. Department of Labor. In this capacity, Dylan contributes to the development of national disability-employment related regulations and policy. Dylan... Read More →
AW

April Watkins

Assistant Director of Workforce Development, GMHC
April Watkins is the Assistant Director of Workforce Development at GMHC’s MATCH Program, where she has worked for the past 8 years. She has more than 12 years of experience working within the workforce development field, while struggling through her own journey being HIV positive... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Washington 3

3:30pm

E-04 - Perinatal HIV Transmission Prevention

Despite significant reductions in perinatal HIV transmission in the United States, new cases of pediatric HIV occur as a result of missed opportunities in prevention. The purpose of this workshop is to provide an in-depth analysis of systems issues to identify factors that lead to missed opportunities. This workshop will offer participants an update on the revised perinatal guidelines, new testing technologies as they relate to screening for the mother and her newborn, and case presentations on actual missed opportunities in Florida. Break-out groups will focus on a root cause analysis of the issues, use of a perinatal chart review tool (developed in Florida), and consideration of various solutions including new technology in testing, correction of “medical errors” in HIV perinatal care, medical care systems changes, and other strategies to improve prevention. Work group findings will be discussed at the conclusion.

Learning Objectives:

  • This session will identify the numerous missed opportunities in failed perinatal HIV transmission prevention.
  • Participants will learn how to predict potential missed opportunities and prescribe individualized plans to correct them in "real patient care time."
  • Formulate plans to solve the issues of specific missed opportunities on a systems level in their own health care system.

Moderators
RL

Robert Lawrence

Dr. Lawrence is Clinical Associate Professor of Medicine in Pediatric Immunology and Infectious Diseases. Dr. Lawrence is a specialist with 20 years of experience in Pediatric HIV, including participation with the Pediatric AIDS Clinical Trial Group. He provides direct clinical HIV... Read More →
JP

JoNell Potter

PI Ryan White Part C, University of Miami Miller School of Medicine; Dept. of OB/GYN

Speakers

Wednesday November 28, 2012 3:30pm - 5:00pm
Washington 4

3:30pm

E-05 - The Impact of the Community-based Dental Partnership Program on Student HIV knowledge and Practice (CE)

The HRSA Community Based Dental Partnership (CBDP) Program funds twelve programs across the nation to address gaps in oral health care for PLWH and increase the dental workforce to treat HIV and other vulnerable patients. Multi-site evaluation of students’ knowledge, attitudes and practices was conducted with 6 sites over the past two years to determine the impact of this program on students and their intent to provide care for HIV and other vulnerable patients in their future practice. This panel presentation will include results of the longitudinal student study conducted over the past two years. Presenters from three CBDP sites (Nova Southeastern, University of Medicine and Dentistry of New Jersey (UMDNJ), and University of Louisville) will describe their program, including the clinical training for students, education methodologies for HIV and other infectious diseases, and results from student reflective essays about the experience.

Learning Objectives:

  • Describe the CBDP program’s role in training dental students in working with HIV infected patients in the dental setting.
  • Discuss findings related to changes in students’ attitudes and knowledge in providing dental care to HIV-infected patients.
  • Review recommendations for educational methodologies in training future dentists to provide oral health care to HIV-infected patients.

Speakers
JF

Jane Fox

Project Director, Evaluation Center for HIV and Oral Health - Boston University
Jane Fox, MPH, is the Program Director for the Evaluation Center for HIV and Oral Health at the Boston University School of Public Health. Her entire 20-year career has been dedicated to working in Ryan White-funded programs ofthe community level, the State level, and in academia... Read More →
TM

Theresa Mayfield

Associate Dean for Clinical Affairs, University of Louisville
Dr. Mayfield is the Acting Associate Dean for Clinical Affairs at University of Louisville in Louisville, KY. She is also the Principal Investigator for the HRSA CBDP grant which provides education for dental professionals and oral care to patients living with HIV/AIDS in underserved... Read More →
PP

Panayotis Papatzimas

Assistant Professor, Nova Southeastern University
Dr. Papatzimas is an Assistant Professor of Dental Medicine as Nova Southern University. He established and is the current director of the CBDP dental clinic in partnership with Care Resource, an HIV Community Health Center in Broward County, Florida
SR

Serena Rajabiun

Senior Evaluator, Boston University School of Public Health
Serena Rajabiun, MA, MPH, Senior Evaluator, has led qualitative and quantitative studies as part of six multi-site evaluations for HRS/HAB programs and provided technical assistance to demonstration grantees. Ms. Rajabiun was the Co-Principal Investigator and Project Director for... Read More →
JY

Jill York

DIRECTOR OF THE STATEWIDE NETWORK, UMDNJ-NJDS
Dr. York received her undergraduate degree from the University of Scranton in 1986 and her dental degree from Georgetown University School of Dentistry in 1990. She completed the Advanced Education in General Dentistry Program at the State University of New York at Stony Brook in... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Washington 5

3:30pm

E-06 - Guidance for Preparing for the RSR: A Year-Long Approach

The Ryan White HIV/AIDS Program Services Report (RSR) is an excellent opportunity for grantees and providers to share information about their programs and the clients they serve with HRSA/HAB. Understanding the three components of the RSR–the Grantee Report, Provider Report and the client-level data elements–is integral to a successful submission. This workshop will provide an overview of these three components and will explain the language and concepts of the RSR. Tips on preparing your staff and/or providers throughout the year for the RSR submission and information about available technical assistance resources will also be given.

Learning Objectives:

  • Gain general knowledge of the three components of the RSR.
  • Understand the RSR process from data collection to preparation to submission.
  • Know what technical assistance resources are available to grantees and providers.


Speakers
MJ

Maria Jackson Hittle

Technical Assistance Manager, WRMA/CSR Ryan White Data Support and TA Center
Maria Jackson Hittle is the Technical Assistance Manager for Ryan White HIV/AIDS Program Data Coordination and Technical Assistance Center (Data Support). She has been providing and coordinating technical assistance to Ryan White HIV/AIDS Program grantees and their service providers... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Washington 6

3:30pm

E-07 - Financial Monitoring Institute for Ryan White Part A and Part B: Session 2 (CE)

This is a three session institute where each session can stand alone or participants can attend all three sessions. Session I will focus on fiscal requirements for monitoring and oversight. The second session will offer best practices for monitoring and oversight as well as methods for monitoring subgrantees. Session II will be interacting allowing grantees to share their own success stories. The final session will focus on the restricted drawdown process used by HRSA for higher level monitoring. Grantees will learn how to submit documents for approval, effective TA interventions to improve deficiencies and discuss the importance of working with the project officer on the development and review of the corrective action plan.

Learning Objectives:

  • Participants will increase their knowledge of Ryan White Part A and B fiscal reporting and monitoring requirements for grantees and subgrantees.
  • Participants will learn best practices for Ryan White Part A and Part B fiscal reporting and monitoring for grantees and subgrantees.
  • Participants will gain an understanding of HRSA’s use of restricted drawdown for Ryan White Part A and Part B grantees and the use of corrective actions plans to improve programmatic and fiscal performance.


Wednesday November 28, 2012 3:30pm - 5:00pm
Delaware A

3:30pm

E-08 - Strategies for Implementing Effective Compliance Programs (CE)

Implementing an effective compliance program takes more than establishing policies and procedures. Has your organization conducted a risk assessment to identify your program’s highest risks? Has your compliance officer developed a compliance work plan to address those risks? Does someone know how to direct an internal investigation when potential problems arise? This session will offer nuts-and-bolts guidance on the steps to take for implementing a compliance program.

Learning Objectives:

  • Learn the benefits of conducting a risk assessment.
  • Understand the reasons to create a compliance work plan.
  • Describe the structure and process of an internal investigation.

Speakers
UB

Uri Bilek

Attorney, Feldesman Tucker Leifer Fidell
Uri Bilek, an associate with the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, assists clients in the development and evaluation of health care corporate compliance programs, represents health care entities in connection with government inquiries, audits, and investigations... Read More →
AF

Adam Falcone

Attorney, Feldesman Tucker Leifer Fidell
Adam Falcone, a partner in the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, directs the firm’s health care corporate compliance practice, where he assists clients in the development of effective corporate compliance programs, advises clients on reimbursement... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Delaware B

3:30pm

E-09 - Model Interventions for Statewide Improvement of Linkage to and Retention in Care (CE)

The SPNS Systems Linkages and Access to Care Initiative supports the development of systems-level changes to improve linkage to and retention in high quality HIV care. This seven-state Initiative has begun with an initial two-year phase to test potential interventions on a smaller scale through the learning collaborative model, and will be followed by a subsequent two-year phase to evaluate the wider-scale implementation of the most promising interventions. In this workshop, we will explore the range of interventions that are being tested through the learning collaboratives in three of the states (Louisiana, North Carolina, and Wisconsin). Presentations will describe the successes and challenges encountered when implementing the interventions, and identify the critical steps for ensuring successful rollout of similar interventions in other states.

Learning Objectives:

  • To describe promising systems-level interventions for improving linkage to and retention in high quality HIV care.
  • To characterize the challenges and successes in implementing systems-level interventions in three states.
  • To identify the steps that other states and localities can take to ensure successful implementation of interventions to enhance linkage to and retention in HIV care.


Moderators
WS

Wayne Steward, Ph.D.

Assistant Professor, University of California San Francisco
Dr. Wayne Steward is an Assistant Professor at the Center for AIDS Prevention Studies (CAPS) at the University of California, San Francisco (UCSF). He received a PhD in psychology from Yale University in 2002 and an MPH in epidemiology from the University of California, Berkeley in... Read More →

Speakers
DG

DeAnn Gruber,Ph.D.

Interim Director of HIV/AIDS Program, Louisiana Office of Public Health HIV/AIDS Program
DeAnn Gruber, PhD, LCSW is the Administrative Director of the Louisiana Office of Public Health, STD/HIV Program. Dr. Gruber's experience includes more than 20 years in the HIV/AIDS field and her areas of expertise include program management/administration, planning and evaluation... Read More →
EB

Evelyn Byrd Quinlivan,M.D.

Associate Professor of Medicine, University of North Carolina at Chapel Hill
Evelyn Byrd Quinlivan is the Medical Director for the Infectious Diseases Clinic at the University of North Carolina at Chapel Hill. She received a MD degree from Duke University in 1985 and completed an Infectious Diseases fellowship at UNC-CH in 1993. She has worked in Ryan White... Read More →
CS

Casey Schumann

Epidemiologist and Quality Assurance Coordinator, Wisconsin AIDS/HIV Program and Part B Program
Casey Schumann is an Epidemiologist for the Wisconsin AIDS/HIV Program and is the Quality Assurance Coordinator for the Wisconsin Part B program. She received a BS in Microbiology and Genetics and an MS in Population Health Sciences from the University of Wisconsin in 1997 and 2006... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Maryland A

3:30pm

E-10 - A National Assessment of Stigma and its Impact on Black and Latino Gay Men

The National Alliance of State and Territorial AIDS Directors (NASTAD) and the National Coalition of STD Directors (NCSD) launched a national survey to examine stigma and to capture the perspectives of individuals embedded in public health systems to better understand how institutional and community-level stigma impacts the level of care available to black and Latino gay men and other men who have sex with men. The Survey was released on December 2011 in English and Spanish to health departments and community service providers. The study findings suggest a high prevalence of stigma across the United States and its impact on public health practice and community support networks.

Learning Objectives:

  • Participants wil understand the impact of stigma on black and Latino gay men and other men who have sex with men in the United States.
  • Participants will learn the Survey results and their impact on the provision of care, treatment, and prevention in the United States.
  • Participant will learn about the technical assistance efforts and additional stigma-specific tools in development to assist health departments and community partners to better address institutional and community-level stigma in their jurisdictions.

Speakers
FR

Francisco Ruiz

Senior Manager, Health Equity, NASTAD
Francisco Ruiz brings to his work over ten years of HIV/AIDS experience in the U.S., Latin America, and Caribbean. Mr. Ruiz serves as a Senior Manager in the Health Equity Program at the National Alliance of State and Territorial AIDS Directors (NASTAD) where he provides guidance... Read More →
PW

Patrick Wilson

Assistant Professor, Department of Sociomedical Sciences, Columbia University Mailman Public School of Health
Dr. Patrick Wilson focuses on research related to HIV risk and prevention, ethnicity, and sexuality among men who have sex with men (MSM) in the United States. Dr. Wilson's work falls into three broad topic areas including the intersecting roles that psychological factors (i.e., self-concept... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Maryland B

3:30pm

E-11 - Funding the Ryan White HIV/AIDS Program Today and Beyond

Federal funding for the Ryan White HIV/AIDS Program is necessary to carry out all aspects of the program. In a period of constrained fiscal resources and growing caseloads, ensuring sufficient funding has become increasingly challenging. President Obama has proposed to increase funding for some parts of the program in FY13, including $67 million for ADAP. Congress and the President must come to an agreement on the final funding levels. For the future, early in 2013 sequestration is scheduled to take place that is now slated to cut non-defense discretionary programs by an estimated 8 percent. As health reform is implemented and many Ryan White beneficiaries can see their care and treatment paid for by Medicaid and private insurance plans, federal funding needs may change. The workshop panelists will provide an update on each of these issues.

Learning Objectives:

  • Workshop panelists will learn of the current federal fiscal environment and proposals to address it through the overall budget process. Within this environment they will learn what the proposals for each part of the Ryan White Program in FY13. The panelists will then offer scenarios on the final funding levels.
  • Workshop panelists will learn of possible budgetary actions that are now slated to occur in early 2013 and the possible impact the Ryan White Program. Prospects for funding of the Ryan White Program in FY14 and factors that may influence those decisions will also be examined.
  • Implementation of the Affordable Care Act will have a profound impact on how much of the care and treatment provided under the Ryan White Program will be funded. While some care and treatment services will be paid for by new payers, not all services will be covered and not for everyone. Workshop panelists will hear of possible scenarios regarding how Federal funding for the Ryan White Program might be impacted by health reform and how the level of funding needed in the future can be determined.

Speakers
LD

Lindsey Dawson

Public Policy Associate, The AIDS Institute
Lindsey Dawson is a Public Policy Associate at The AIDS Institute, where her work focuses on health reform, the Ryan White HIV/AIDS Program, and HIV testing reimbursement policy. Prior to this role, Ms. Dawson worked with the Kaiser Family Foundation’s Project on Medicare Policy... Read More →
CS

Carl Schmid

Deputy Executive Director, The AIDS Institute
Carl Schmid has been with The AIDS Institute, a national public policy, advocacy and research organization, since February 2004. He is co-chair of the AIDS Budget and Appropriations Coalition; a Convening Group member of the Federal AIDS Policy Partnership, and co-chair of an HIV... Read More →
BV

Bridget Verrette

Public Policy Associate, The AIDS Institute
Bridget Verrette is a Public Policy Associate at The AIDS Institute, specializing in federal appropriations of HIV/AIDS programs including the Ryan White Program and ADAP, viral hepatitis, HIV prevention, and comprehensive sexuality education issues. She received a Bachelor of Arts... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Thurgood Marshall North

3:30pm

E-12 - The Elite Society of the Undetectables

The Elite Society of the Undetectables is a continuous quality improvement program for people living with HIV/AIDS that celebrate life and success. Our mission is to decrease the spread and stigma of HI'VE/AIDS through community awareness and prevention. This program was founded in 2008 by the staff of the Joye Bradley Health Services Clinic at AID Atlanta. It is an educational/adherence program that was developed to (1) encourage HIV-positive individuals to remain on medication; ( 2) acknowledge those who reach and maintain an Undetectable status; (3) celebrate life and learn how to live with the virus; (4) mentor those who are detectable and encourage them to become undetectable; (5) provide information on services to those who are not in care; and (6) decrease the spread of HIV/AIDS by incorporating prevention for positives.

Learning Objectives:

  • Participants will learn how to adopt or implement the program in their area.
  • Participants will learn to dentify strategies to improve clients retention in care.
  • Participants will learn to educate clients to be able to participate in their own care.

Speakers
JC

Jessica Cole

Clinic Administrator, AID Atlanta
Serves as the Clinic Administrator for AID Atlanta, Inc. She has been a big part of the agency's response to fighting HIV/AIDS by her innovative creation to keep the positively diagnosed focused on good health. Her dedication to the cause speakers for itself with her workshop entitled... Read More →
NP

Necela Penn

AID Atlanta
Necala Penn is a community volunteer who serves as the Co-Chair of the Metropolitan Atlanta HIV Services Planning Council and Chair of The Elite Society of the Undetectables. She gives her time as a active member of the Consumer Caucus and other AIDS service organizations as a Transgender... Read More →
HW

Hermeyone Wilson

Nurse Practitioner, AbsoluteCARE, Inc.
Hermeyone Wilson is a Family Nurse Practitioner specializing in HIV/AIDS care in Atlanta, GA. She has practiced in primary care settings, private and public health clinics and has been providing care and treatment to people living with HIV/AIDS over 20 years. She is a healthcare provider... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Virginia A

3:30pm

E-13 - HIV Nutrition Institute: 201 Session: Implementing the HIV/AIDS Evidence-based Nutrition Practice

All people living with HIV contend with nutrition issues and deserve expert attention to optimize their diet, immunity, quality of life, and overall health outcomes, and to avoid unnecessary malnutrition, complications, and death. Implementing the HIV/AIDS Evidence-based Nutrition Practice Guideline (Guideline) will be an essential component to establishing a successful HIV nutrition care program. This interactive workshop will help grantees of different settings and capacities prioritize for implementation and improvement the 19 recommendations of the Guideline that was developed by the Academy of Nutrition and Dietetics (found at www.adaevidencelibrary.com or http://guidelines.gov/content.aspx?id=25317). Grantees will identify and share common barriers and solutions to better integrate evidence-based HIV nutrition recommendations into their settings.

Learning Objectives:

  • Participants will be able to prioritize the 19 major recommendations of the HIV/AIDS Evidence-based Nutrition Practice Guideline for implementation according to their needs.
  • Participants will be able to identify barriers to implementing recommendations.
  • Participants will be able to determine at least two practical solutions for resolving barriers.

Speakers
MF

Marcy Fenton

Quality Management Specialist, Registered Dietitian, Division of HIV and STD Programs, Los Angeles County Department of Public Health
Marcy Fenton, MS, RD, is a Quality Management Specialist in the Los Angeles County Department of Public Health Division of HIV and STD Programs, where she provides technical assistance to and coordinates Dietitians in AIDS Care networking group. She was the Work Group Chair of the... Read More →
CT

Carol Treat

Public Health Analyst
Carol Treat, MS, RD, CDE nutrition expert in chronic diseases and Certified Diabetes Educator, is a Project Officer for Health Resources and Services Administration (HRSA) Ryan White Parts C & D grants. Nutrition provider for 12 years, has presented, authored and contributed to many... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Virginia B

3:30pm

E-14 - Introduction to Quality: Session 201: Performance Measurement for Quality Improvement – How to Get Started

This session provides a basic foundation in developing a system to measure the quality of HIV care and services and using performance data for improvement. HAB measures and other measurement resources are shared and participants learn about effective data collection strategies. Grantees will present successful data collection efforts, and methods for measuring the quality of HIV care and for applying data results to initiate quality improvement activities. Participants will work on selecting and prioritizing performance measures for their quality management plan at their agency.

Learning Objectives:

  • Participants will understand the balance of performance measurement and quality improvement activities and be able to identify and implement key performance measurement steps and link them to quality improvement activities.
  • At the end of this session, participants will understand the purpose, definitions, and expectations of the quality measures released by HAB as well as other measures for use.
  • At the end of this session, participants will know how to access existing resources on performance measurement including examples of clinical and non-clinical measures, the HAB HIV Performance Measure Module, the CAREWare Performance Module, eHIVQUAL for data collection, and national benchmarking, and other performance measure resources.

Speakers
NB

Nanette Brey Magnani

National Quality Center Consultant, National Quality Center
Dr. Brey Magnani,a HIVQUAL-US and National Quality Center Consultant, has worked with over 100 Ryan White grantees (A,B,C and D) since 1997 to help them build their capacity to improve the quality of care of Ryan White patients. She has served as HIVQUAL Coach for Greater Chicago... Read More →
DN

Darryl Ng

Director, HIVQUAL-US, NYS DOH AIDS Institute
Darryl W. Ng, Program Director, HIVQUAL-US has over 25 years of HIV related experience and is currently the Director of HIVQUAL-US where he oversees the implementation of a successful national HAB-sponsored Quality Improvement initiative. Previously he was the Director of Governmental... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Virginia C

3:30pm

E-15 - From Hawaii to NYC: Two Guiding Stories of Successful EMR Health Information Exchange for the RSR, ADR, and QM

Two case studies from diverse regions illustrate the common importance, barriers, successes, and lessons learned in successful data exchange that transformed Federal reporting into an efficient process for quality improvement. The State of Hawaii Department of Health and NY Presbyterian Hospital’s Comprehensive HIV Program (NYP) share their perspectives as a State Part B grantee and a large medical provider respectively. Leveraging resources from SPNS, the State of Hawaii presents the success story of its Statewide RSR- and ADR-ready eCOMPAS system, including a discussion of how it was able to securely share its Part C clinic’s data with the Statewide network, providing important information for case managers, quality managers, and the State’s ADAP program, including the newly-required ADAP ADR. NYP presents its journey from disparate hospital systems to one integrated, real-time system that marries its EMR data with eCOMPAS, a Web-based RSR-ready system to improve operations, data quality, and care coordination.

Learning Objectives:

  • Workshop participants will learn how a paradigm of health information exchange can free up time that can be better spent on client care and quality improvement.
  • Participants will be able to describe how to adopt and adapt strategies and tools to implement Web-based resources to achieve Federal compliance and improved quality management.
  • Participants will be able to understand the challenges and benefits of implementing health information exchange.


Speakers
RH

Ray Higa

Hawaii Department of Health
Ray Higa serves as the Planner for the STD/AIDS Prevention Branch of the Hawaii Department of Health. Mr. Higa has served as the lead administrator of the Ryan White Comprehensive AIDS Resources and Emergency Act grant to Hawaii for over fifteen years. Mr. Higa has been responsible... Read More →
DK

Donald Kyles

Don Kyles is a data management consultant for the AIDS Community Care Team, the Ryan White Title II fiscal agent for Hawaii. He is formerly the Director of Information Technology for Life Foundation, Hawaii's oldest and largest AIDS service organization. With over 20 years experience... Read More →
PG

Peter Gordon, M.D.

Medical Director of the Comprehensive HIV Program, The New York-Presbyterian Hospital and Columbia University
Dr. Peter Gordon is Medical Director of the Comprehensive HIV Program at New York Presbyterian Hospital; Medical Director for NYPS SelectHealth, an HIV Special Needs Plan (SNP) serving people living with HIV; and Assistant Professor of Clinical Medicine at Columbia University’s... Read More →
JT

Jesse Thomas

Project Manager, RDE Systems
Jesse Thomas has over fourteen years experience of serving public health and over eight years experience in the field of HIV/AIDS. He currently serves as the technical director for four HRSA Special Projects of National Significance to use cost-effective health information technology... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Madison A

3:30pm

E-16 - Access and Retention: County Jails and State Prisons Releasing HIV+ Ex-offenders to HRSA Grantees

For HRSA grantees in States with multiple county jails and State prisons, there will be numerous recently released ex-offenders who are living with HIV disease, substance abuse issues, and conditions surrounding poverty including homelessness. Linkages into HIV medical care and services support a public health initiative to contain the virus within individuals and reduce transmission within communities. Wrap-around services serve to strengthen the capacity to meet the ex-offender from the point of discharge and initiate a durable re-integration program to help ensure the development of independence; control of health and access to health care with no disparities in HIV-related outcomes; clean, safe, and affordable housing; fand iscal management to help improve the movement from poverty to self-reliance. What can clinical providers do to initiate a comprehensive re-integration program for ex-offenders? These problems and the solutions being worked out by the AIDS Care Group will be presented.

Learning Objectives:

  • Understand strategies to address key unmet needs, as currently these jails lack the incentives and/or resources to undertake appropriate discharge planning for HIV-positive inmates needing these services. Prisoners are left with no supportive counseling for housing, mental health, substance abuse, HIV care and services and employment.
  • Participants will learn how to take years of experience in providing comprehensive care and the full spectrum of support services to marginalized, HIV/AIDS populations in the area and apply it to services appropriate for the ex-offenders.
  • Participants will understand how to build in sustainability from the start by incorporating revenue generation through provision of and by expanding such services as an affordable housing component of care.

Speakers
HS

Howell Strauss

Executive Director, AIDS Care Group
Dr. Strauss is a dentist and the Executive Director of the AIDS Care Group. After years of private practice and faculty positions at the University of Pennsylvania Dental School, Dr. Strauss embraced public health dentistry in the practice of oral medicine and general dentistry with... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Madison B

3:30pm

E-17 - Monitoring RSR Data Quality - 101 (CE)

Ryan White Services Report (RSR) data can allow HRSA/HAB to accurately depict the Ryan White Program, while helping grantees improve their program activities. However, data can only be useful if they are complete and right. HRSA/HAB has developed tools to support grantees in evaluating the quality of their RSR data. The Completeness Report, available after submission, summarizes a grantee’s level of missing data. Validation checks, available at upload, indicate if data are contradictory or illogical. Other tools can help grantees check their data throughout the year. This interactive session provides a snapshot of how RSR data quality continues to improve and highlights some remaining challenges. It also teaches grantees to access and effectively use the tools available to help them evaluate and improve data.

Learning Objectives:

  • Understand the importance of data quality in evaluating and improving program activities;
    Identify the areas of data quality that need the most improvement;
  • Learn about how to access and use the tools available for evaluating data quality. For example, grantees will understand how to read Completeness Reports and have the opportunity to raise specific questions that they have regarding their own Completeness Reports.


Speakers
PO

Peggy O'Brien-Strain, Ph.D.

Senior Research Associate, Mission Analytics Group
Dr. O’Brien-Strain is the President and a Senior Research Associate at Mission Analytics Group, Inc. (Mission AG). With extensive experience in data analysis and technical assistance for health and human services agencies, Dr. O’Brien-Strain has directed multiple projects with... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Hoover

3:30pm

E-18 - Building Bridges Between Prevention and Care

In an effort to support the National HIV/AIDS strategy goals of promoting the health of PLWHA by maximizing resources from across funding streams, The Massachusetts Department of Public Health (MDPH) Office of HIV/AIDS (OHA) invested significant resource in the L.I.F.E. program, a Group Level Intervention for HIV-positive individuals proven to decrease transmission rates and increase healthy outcomes. The program is a CDC-funded intervention being implemented in a Ryan White-funded setting, maximizing opportunities to access HIV-positive individuals and reinforcing adherence to medication, linkage to care, healthier lifestyle choices, etc. The implementation of a prevention model by care providers is atypical, requiring new systems to support agencies; however outcomes indicate the model is successful in reinforcing prevention messages within the care setting.

Learning Objectives:

  • An overview of the LIFE program will be presented.
  • Current OHA LIFE implementation model will be reviewed.
  • Current LIFE capacity- building support systems will be reviewed.

Speakers
ED

Edward Debortoli

Coordinator of Contract Management, Prevention & Screening Unit, Massachusetts Dept. of Public Health, Office of HIV/AIDS
Edward DeBortoli is the Coordinator of Contract Management for the Massachusetts Department of Public Health, Bureau of Infectious Disease, Office of HIV/AIDS Prevention and Screening Unit. He received a Bachelor of Arts degree from the University of Massachusetts in 1985. Prior to... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Coolidge

3:30pm

E-19 - Virginia's Management of an ADAP Wait List

This workshop will review the process of managing an ADAP wait list in Virginia, from the initial start of disenrollment and very basic data collection in November 2010 through the client-level tracking that is currently done, including the 6-month recertification process to ensure that the wait list accurately reflects need in the State. Included in the discussion will be the introduction of Welvista, the ongoing matching with other data sources, and the continuing assessment of the waitlist clients for other payer sources. The need for changes will be discussed, along with the decision to use a medical model for prioritizing clients for the program as resources became available. Lessons learned, the need for community education and buy-in, and future directions will also be presented.

Learning Objectives:

  • Participants will learn how to obtain and track data for waitlist clients over time.
  • Participants wil learn how to educate and involve community stakeholders when in a waitlist situation.
  • Fiscal and program data evaluation methods to ensure sustainability will be reviewed.

Speakers
SB

Steven Bailey

Director, HIV Care Services, Virginia Department of Health
Steven S. Bailey, LCSW, currently serves as the Director of HIV Care Services within the Division of Disease Prevention at the Virginia Department of Health (VDH). He holds a MSW from Virginia Commonwealth University and has held several previous positions within HIV/AIDS, clinical... Read More →
AR

Anne Rhodes

HIV Services Analyst, Virginia Department of Health
Anne Rhodes is the Services Analyst in HIV Care Services Unit at the Virginia Department of Health. She has worked as a data analyst in HIV care services for over 15 years and was the project director for the Client level data demonstration project in Virginia from 2000 to 2005. She... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Harding

3:30pm

E-20 - Making Data Count: California's Experience Implementing a Data Improvement Plan

Client-level data (CLD) are critical for many Ryan White Program activities, from Federal reporting and quality management to contract monitoring, budgeting, and evaluation. To effectively perform these tasks, grantees and their providers must ensure that their CLD are complete, accurate, and reliable. In July 2010, the California Department of Public Health (CDPH), Office of AIDS implemented the ARIES Data Improvement Plan (DIP). The AIDS Regional Information and Evaluation System (ARIES) is a Web-based case management system used by 192 health departments, clinics, and non-profit agencies in California. The DIP can benefit providers from Parts A through D. CDPH will describe how the DIP was created at a Statewide level, identify the intervention types, and illustrate tangible benefits. San Bernardino County Public Health Department will provide a local perspective on how they incorporated the DIP into their Part A program. Both presentations will identify the successes and challenges experienced in making data count.

Learning Objectives:

  • Identify the characteristics that make a given data element a good candidate for data improvement efforts by reviewing reporting requirements, analyzing current data frequencies, and examining the parameters of their data collection systems.
  • Learn how to engage providers in data quality and how to frame data quality improvement activities in a manner that supports busy providers by selecting agencies appropriately, explaining the importance of their data entry efforts, providing tools to assist them, and creating data feed-back loops.
  • Discover additional activities or strategies that could be implemented or incorporated into your own data improvement efforts whether your agency uses ARIES or some other system.

Moderators
CG

Carla Goad

Health Planner/Evaluator, Contra Costa County Health Services Department
Carla Goad is currently a Health Planner/Evaluator with the Contra Costa County Health Services Department's AIDS-STD Program. She has served as a monitor for the Ryan White Part C Program since 2009 and as the HIV Testing, Prevention, and Partner Services Coordinator and monitor... Read More →

Speakers
BF

Bonnie Flippin

Quality Management Coordinator
Bonnie Flippin is a Staff Analyst II with the San Bernardino County Public Health Department's Ryan White Program. She currently functions as the Quality Management Coordinator for the Ryan White Part A Program. She has been with the Ryan White Program for about 10 years and, before... Read More →
KH

Karl Halfman

Health Program Specialist, California Department of Public Health
Karl Halfman is currently a Health Program Specialist with the California Department of Public Health's Office of AIDS. Since 2007, he has served as project lead for the AIDS Regional Information & Evaluation System (ARIES). In this capacity, he seeks to bridge the gap between data... Read More →
SR

Scott Rigsby

Public Health Program Coordinator, San Bernardino County Public Health Department
Scott Rigsby is currently a Public Health Program Coordinator with San Bernardino County Public Health Department's Ryan White Program. He supervises Ryan White Program staff and has served in various administrative and supervisorial capacities within the San Bernardino County Public... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Wilson A

3:30pm

E-21 - Transitioning Adolescents Into Adult Care (CE)

One task facing providers of HIV-infected youth is to successfully transition them from pediatric or adolescent care into adult HIV care. Barriers to this transition occur at multiple steps in the process. Ideally transition involves more than a transfer of care, and includes preparation of the patient and reciprocal communication among the providers and support services. This workshop will review models of transitioning, including practices reported by different Ryan White sites. Interactive small group activities will work through case-based examples to define patient barriers and health system barriers to transitioning as well as to identify potential solutions to these barriers. The session is designed for clinicians, case managers, peer navigators and program staff who may be involved in creating or evaluating transition programs.

Learning Objectives:

  • Describe steps taken in creating a smooth transition from one care provider to another. These will include tasks to be accomplished by care teams, families and adult providers. Topics such as assessing readiness and health literacy, provider communications, portable health summaries and documentation and eligibility.
  • Identify 3 barriers to successful transition.
  • Apply methods taught in the session to circumstances in local health care settings. How do state Medicaid programs accommodate young adults? How do providers identify adult doctors in rural settings? How are communications handled when different health care systems are involved? What special issues face perinatally-infected youth?

Speakers
CC

Cheralaine Cole-Johnson

Cheralaine Cole-Johnson is a physician assistant in the Dallas County hospital system. She manages medical care for HIV-infected youth in community clinics as well as in the juvenile detention centers.
TB

Theresa Barton, M.D.

Assistant Professor, UT Southwestern Medical Center
Theresa Barton is Board certified in pediatric infectious disease medicine. She is an Assistant Professor of Pediatrics at UT Southwestern Medical Center where she serves as the Principal Investigator of the Ryan White Part D Programs. She oversees the pediatric services of the integration... Read More →
JT

June Trimble

Program Coordinator, UT Southwestern-Youth Angle
June M. Trimble is the Youth Program Coordinator of the Part D programs. She has been with UT Southwestern Medical Center at Dallas since 2001. She currently supervises the Peer Advocate program and brings extensive administration experience, computer knowledge, a vast number of community... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Wilson B

3:30pm

E-22 - Improving Retention and Viral Load Suppression Rates by Developing Workflow Process Diagrams (CE)

A Workflow Pocess Diagram, an important tool in quality improvement, is a visual depiction of how steps fit together to make up a process. Processes combine to make up a system. Effective development of a diagram, both process and content, promotes communication, understanding of the complete process and team buy-in by those involved in the process to be improved. When developing workflow diagrams, it is recommended that grantees use a multidisciplinary team approach involving clinical and non-clinical staff to maximize the benefit. Retention in care has been fully documented to be integral to a patient's overall health and particularly to maintaining supressed viral loads. This workshop provides an opportunity for grantees to have hands-on experience in defining their own processes, begin its analysis and map their steps.

Learning Objectives:

  • Define the steps and symbols involved in developing workflow process diagrams.
  • Begin to use and apply workflow process diagrams to their own care processes, particularly related to patient retention and viral load suppression.
  • Engage in discussion using two grantee examples of workflow process diagrams for improving processes related to patient retention and viral load supporession rates.


Speakers
PC

Paul Cassidy

Infectious Disease Program Coordinator, Greater New Bedford Community Health Center
Paul Cassidy, MSW, is the Infectious Disease Program Coordinator at Greater New Bedford Community Health Center. He has coordinated Part C and Part B funding at his agenyt for the past 10 years. He has more than 20 years of experince providing support servcies to Persons Living with... Read More →
NB

Nanette Brey Magnani

National Quality Center Consultant, National Quality Center
Dr. Brey Magnani,a HIVQUAL-US and National Quality Center Consultant, has worked with over 100 Ryan White grantees (A,B,C and D) since 1997 to help them build their capacity to improve the quality of care of Ryan White patients. She has served as HIVQUAL Coach for Greater Chicago... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Wilson C

3:30pm

E-23 - Technical Assistance to those Beyond Bars: Linkages to Care Post Incarceration (CE)

The National HIV/AIDS Strategy emphasizes a "seamless system to immediately link people to continuous and coordinated quality care when they are diagnosed with HIV." Teh incarcerated population has demonstraed need for linkages to care upon release. this workkshop will review recent sttudies, data, key partnerships and factors for care coordination. Including interactive HRSA facilitated breakouts and full session summarizing session participant's current linkages to care projects. Participants will design a follow up plan to continue as a learning community improving linkgages for the post incarcerated population.

Learning Objectives:

  • Participants will be able to identify; recent data and key factors asssociated with the incarcerated/post incarcerated population.
  • Participants will be able to identify; best practices for linking post incarcerated to care and treatment.
  • Participants will be able to state personal goals and identify next step for their local linkage's projects.

Moderators
SL

Sandra Lloyd,R.N.

Public Health Analyst, HRSA
Sandra Lloyd graduated from the School of Nursing, University of Pittsburgh 1978, and received a Masters in Health Education, Penn State University 2008. She has in excess of 20 years of experience managing health care staff and being involved in the creation and implementation of... Read More →

Speakers
WC

Wendy Cousino

Project Officer, HRSA
Wendy Cousino, graduated from the University of Florida with a BS degree. She has worked in the HIV field for approximately 15 years taking a brief break to teach American Literature and Drama to High School Students.


Wednesday November 28, 2012 3:30pm - 5:00pm
McKinley

3:30pm

E-24 - Guidance to Different Approaches to Clinical Capacity Building on the US/Mexico Border

The U.S.-Mexico border region (61 miles north of the border) has some of the poorest health and economic outcomes in the nation. If the region were a State it would rank last in per capita income and access to health care, second in death rates due to hepatitis, and first in the number of school children living in poverty. The U.S.-Mexico Border AIDS Education & Training Centers Steering Team (UMBAST) is a 10-year collaborative effort of local, regional, and national training centers from the AIDS Education and Training Center (AETC) network and other Federal and local stakeholders. Membership and approaches have evolved over time in response to emerging needs, changing border communities, the developing HIV/AIDS epidemic, the National HIV/AIDS Strategy, and advances in training technologies. We will highlight effective programs that UMBAST has implemented over the years, with an emphasis on innovative and collaborative approaches and programming.

Learning Objectives:

  • By the end of this session, participants will be able o describe health and economic disparities in the border region and challenges faced by the border HIV and health care workforces.
  • Participants will learn the impact that new modalities and technology can have for organizing and disseminating collaborative efforts, and for delivering HIV training and technical assistance.
  • Participants will be able to apply best practices for interagency collaboration to serve a common, underserved constituency.

Speakers
TD

Thomas Donohoe

Director, UCLA PAETC
Tom Donohoe is the director of the UCLA PAETC. He is the Associate Director of the UCLA Center for Health Promotion and Disease Prevention. He is an Asssociate Professor of Family Medicine at the David Geffen School of Medicine at UCLA
MG

Martha Guerrero

Special Projects Coordinator, TX/OK AETC
Martha Guerrero serves as the Minority AIDS Initiative & Special Projects Coordinator for the Texas/Oklahoma AETC. Specifically, Mrs. Guerrero overseas efforts related to the CDC Routine HIV Testing, the AI/AN, and the Border Projects. Her professional experience includes HIV testing... Read More →
NM

Nicole Mandel

AETC NRC Website Project Manager, UCSF Center for HIV Information
Ms. Mandel is the project manager for the UMBAST website and the AETC National Resource Center.


Wednesday November 28, 2012 3:30pm - 5:00pm
Nathan Hale

3:30pm

E-25 - Owning, Accepting, and Changing Our Lives: HIV Vulnerability, Risk, and Stigma

This exploratory and interactive workshop will focus on social determinants and how they can make women vulnerable to HIV. Participants will become familiar with the concept of HIV vulnerability and explore this concept via a series of group activities, exercises, demonstrations, and discussion. At the end of the session participants will come to realize that vulnerability to HIV can arise from experiences spanning one’s life and not just from one moment in time.

Learning Objectives:

  • Incease understanding of key social determinants and how they influence the spread of HIV among vulnerable populations, in this case women.
  • Better assist women in understanding their vulnerabilities to HIV; how these vulnerabilities may lead to HIV; and moving beyond stigma, getting tested and getting linked to services.
  • Better assist women in disclosing their stories so that they might be able to assist other women in confronting their own fear, shame, and embarrassment around knowing their HIV status and getting and staying in care.

Speakers
VJ

Vanessa Johnson

Board Chair, National Women's AIDS Collective (NWAC)
Ms. Johnson has 28 years of experience in health and consumer related issues. Of the 28 years, 14 years have been spent developing and providing capacity building training and leadership development to people living with HIV/AIDS (PLWH/A) with a special emphasis on women living with... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Ethan Allen

3:30pm

E-26 - Integration of Specialty Services: Offering of HIV, HCV, and Buprenorphine Care at FQHCs (CE)

Integration of specialty services such as HIV, Hepatitis C and opioid dependence treatment into one healthcare setting improves access, retention, and treatment of patients who suffer from multiple co-morbidities, particularly those patients who are living with, affected by, and at risk for HIV infection. Delivery of these services as part of primary care fulfills the goals of FQHCs and patient centered medical homes. In this session, we will discuss our model of integrated services at Community Health Center Inc., the largest FQHC network in Connecticut. We will discuss how our model evolved with the use of multi-disciplinary teams and telehealth. We will present the steps needed to replicate, in part or as a whole, this model of integrated HIV, HCV, and buprenoprhine treatment in a healthcare setting.

Learning Objectives:

  • After this session, participants will understand the benefits of offering integrated specialty services such as HIV, HCV, and opioid dependence treatment at FQHCs and how it impacts access, retention, and treatment of patients infected with, affected by,
  • After this session, participants will be able to describe our model of integrated specialty care at the Community Health Center Inc. and its use of multi-disciplinary teams and telehealth.
  • After this session, participants will be able to describe the steps required to adopt in their own settings the integration of any or all of the specialty services discussed.


Moderators
KH

Kathleen Harding - Wheeler

Director of HIV Services, Community Health Center, Inc

Speakers
MH

Marwan Haddad

Medical Director of HIV, HCV, & Buprenorphine Services
AS

Amanda Swan

APRN, AAHIVS, Project ECHO Faculty, CHC, Inc.


Wednesday November 28, 2012 3:30pm - 5:00pm
Thomas Paine

3:30pm

E-27 - Viral Hepatitis: Roadmap for Responding (CE)

While the National HIV/AIDS Strategy (NHAS) is an unprecedented effort to reduce and control the HIV epidemic, one crucial implication is its impact on those co-infected with HIV and viral hepatitis; one of the leading causes of death among those co-infected. An estimated 25 percent of HIV-positive persons are co-infected with hepatitis C and approximately 10 percent are co-infected with hepatitis B. The release of the Health and Human Services Viral Hepatitis Action Plan is also an unprecedented effort to reduce and control viral hepatitis. While access to viral hepatitis care and treatment may be challenging for some who are co-infected, there are opportunities and strategies that should be considered to obtain positive health outcomes.

Learning Objectives:

  • Participants will describe the disease burden of both mono- and co-infection of viral hepatitis and HIV.
  • Participants will describe the challenges of obtaining and providing viral hepatitis services in the United States.
  • Participants will understand the viral hepatitis public heath landscape including current recommendations by key federal agencies for providers.

Speakers
OM

Oscar Mairena

Senior Associate, Viral Hepatitis/Policy and Legislative Affairs, NASTAD
Oscar Mairena is a Senior Associate for Viral Hepatitis and Policy and Legislative Affairs at the National Alliance of State & Territorial AIDS Directors (NASTAD), which represents the chief State health agency staff with responsibility for administering HIV/AIDS and viral hepatitis... Read More →
CT

Chris Taylor

Associate Director, Viral Hepatitis, NASTAD
Chris Taylor is the Associate Director, Viral Hepatitis for the National Alliance of State and Territorial AIDS Directors (NASTAD). In this role, he provides support and technical assistance to state health department viral hepatitis programs, advocates on their behalf with the Administration... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Cleveland 1

3:30pm

E-28 - Making Rope from Strands: Designing Robust, Capacity-building Outreach Networks Through Technology (CE)

As the HIV epidemic matures, access to primary care providers with HIV expertise will become increasingly important to maintain high quality care. In this changing environment, HIV care may become increasingly decentralized and more broadly distributed among primary care clinicians. Given these changes, how will Ryan White programs and Academic Medical Centers adapt to extend their expertise to Community Health Centers (CHC’s) in rural and underserved communities? Strategic application of telehealth—spanning interactive video, web streaming, text, and analog voice interaction—is one approach. This session will describe the experience of NW AETC ECHO providing telehealth consultations to clinicians in the Pacific Northwest and the application of this technology to the future of HIV care.

Learning Objectives:

  • Distinguish telehealth from traditional telemedicine in terms of efficiency, resource distribution, workforce development, and capacity-building potential
  • Describe components of the Project ECHO model and how they help to build knowledge networks of multi-disciplinary HIV clinicians across geographic region
  • Articulate practical steps to plan, implement, and deploy an HIV- or Hepatitis C-focused telehealth program in a particular geographic region

Speakers
CR

Christian Ramers

Medical Director, NW AETC ECHO
Dr. Ramers is the Medical Director of NW AETC ECHO. He is a clinician-teacher at the University of Washington School of Medicine and oversees the Madison (HIV) Clinic’s satellite clinic program. He maintains a large, mainly Spanish-speaking patient panel, has clinical experience... Read More →
KT

Karla Thornton

Associate Director, Project ECHO - UNM
Dr. Thornton is the Associate Director of Project ECHO at the University of New Mexico Health Sciences Center. She is an Associate Professor in the Division of Infectious Diseases. Her clinical expertise is in the treatment of HCV and HIV and she facilitates the HIV and HCV teleECHO... Read More →
KU

Kent Unruh

Program Manager, UW ECHO
Kent Unruh is an informatics specialist and overall Program Administrator for UW Project ECHO, overseeing operations across telehealth programs in Chronic Pain, Hepatitis C, HIV, Psychiatry and Addictions. He has published broadly in informatics and his core area of expertise is technology-based... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Cleveland 2

3:30pm

E-29 - HIV/HPV – What’s New for Women and Men? (CE)

The association between HPV and development of cervical and anal cancer has been well established. HPV infections are more frequent, persistent and difficult to treat in HIV-infected individuals compared to HIV-negative ones. An increased incidence of cervical intraepithelial neoplasia and invasive cervical cancer among HIV-infected women was recognized early in the HIV epidemic however optimal cervical dysplasia/cancer screening among HIV-infected women is still in flux. Anal cancer incidence has been increasing among men and women, especially in HIV-infected individuals. Currently there are no guidelines for routine screening for anal cancer. Screening programs in regions of the United States with high HIV prevalence have been established. The purpose of this workshop is to review current standards for cervical cancer screening as they relate to HIV-infected women and to review screening and management algorithms for men and women living with HIV who may benefit from anal dysplasia screening.

Learning Objectives:

  • Understand the epidemiology and pathology of HPV in women and men living with HIV.
  • Review the current standards for HPV, cervical and anal screening for individuals living with HIV.
  • Formulate a cervical and anal dysplasia screening, management and treatment protocol for women and men living with HIV.

Moderators
JP

JoNell Potter

PI Ryan White Part C, University of Miami Miller School of Medicine; Dept. of OB/GYN

Speakers
JG

Jorge Garcia

Assistant Professor, University of Miami Miller School of Medicine, Dept. of OB/GYN
KM

Karla Maguire

Assistant Professor, University of Miami
IR

Isabella Rosa-Cunha

Assistant Professor, University of Miami Miller School of Medicine; Dept. of OB/GYN


Wednesday November 28, 2012 3:30pm - 5:00pm
Buchanan

3:30pm

E-30 - Using a Comprehensive Organizational Assessment as a Tool to Build a Sustainable Quality Program

Ryan White grantees are faced with funding limitations, workforce shortages, and a changing HIV landscape. Given these challenges, a focus on efficiency, care quality, and patient outcomes has never been more important. Provision of consistent, hig- quality care requires competency in multiple domains of organizational performance (leadership, performance measurement, outcomes, etc.) and regular assessment to identify performance gaps and opportunities for improvement. HIVQUAL-US, a national capacity-building initiative, has developed and implemented an organizational assessment that explicitly identifies these key domains and fundamental steps to transition across the continuum of care delivery to become a high-performing organization. Attendees will learn how to use the tool to identify gaps in organizational performance and priorities for organizational improvement.

Learning Objectives:

  • Learn how to evaluate and assess their organizations by exploring key domains that characterize high- performing organizations.
  • Understand the importance of regularly assessing your organization to identify gaps and identify opportunities for improvement.
  • Learn methods to align quality management domains with core organizational mission, vision and values.

Speakers
DN

Darryl Ng

Director, HIVQUAL-US, NYS DOH AIDS Institute
Darryl W. Ng, Program Director, HIVQUAL-US has over 25 years of HIV related experience and is currently the Director of HIVQUAL-US where he oversees the implementation of a successful national HAB-sponsored Quality Improvement initiative. Previously he was the Director of Governmental... Read More →
MP

Margaret Palumbo

Deputy Program Director, HEALTHQUAL International
Margaret A. Palumbo, MPH, Deputy Program Director, HEALTHQUAL International is one of the principal architects of the HEALTHQUAL initiative. Ms. Palumbo has worked closely with teams in multiple resource limited countries to develop national quality programs based on the HEALTHQUAL... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Taft

3:30pm

E-31 - You Will Never Have to Walk Alone: Bridging the Divide Between Faith-Based and Community Organizations

As the HIV/AIDS epidemic has escalated in the African American community, identification of new diagnoses is a priority. An essential community stakeholder in helping to reach the community is faith-based organizations (FBOs). The Ryan Center (Ryan) has identified, developed, and maintained relationships with FBOs in neighborhoods of color, particularly Harlem, to provide quality HIV counseling, testing, and linkage services to these heavily impacted populations. Positive clients are linked to medical care at a Ryan site. The relationship between the Ryan and FBOs allows for outreach to communities where HIV is heavily stigmatized, in a trusted space. At-risk youth particularly benefit from this outlet and outreach. Ryan staff will use their experience with FBOs to provide a blueprint for Ryan White grantees in establishing similar partnerships.

Learning Objectives:

  • Using examples, staff will discuss identification of the faith-based organizations and their gatekeepers, or the person to contact at a faith-based organization. Staff will review the key qualities of gatekeepers, and the importance of this role. Roles in faith-based organizations will be discussed, particularly those of pastors.
  • Staff will use a small group break-out session to identify techniques used to create the building blocks of the relationship between a community-based organization (CBO) and a faith-based organization. This objective will focus on the foundation of the relationship between a CBO and a faith-based origination, and how to initiate and establish the relationship. Staff will cover Memorandum of Understanding and Linkage Agreement documents.
  • Staff will cover reciprocity and strategic sharing, facilitating a discussion about how the give-and- take relationship between CBOs, especially those that are also FQHCs, and faith-based organizations, enhances the multidimensional approach to wellness that FQHCs have historically taken.

Moderators
FB

Fay Barrett

Coordinator of the Prevention, Education and Outreach, William F. Ryan Community Health Center, Inc.
Fay Barrett has been employed by the Ryan Network for 20 years and currently oversees the Outreach Department as Coordinator of the Prevention, Education and Outreach at the William F. Ryan Community Health Network. In 2000 Ms. Barrett received her Master’s Degree in Public Health... Read More →

Speakers
SS

Shannon Skinner

Assistant Coordinator of HIV Testing and Linkage to Care, William F. Ryan Community Health Center, Inc.
Starting as an AmeriCorps*VISTA at the William F. Ryan Community Health Center, Ms. Skinner transitioned into the role of Assistant Coordinator for HIV Testing and Linkage to Care after her service year. She studied religious studies at the University of North Carolina at Chapel Hill... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Jefferson

3:30pm

E-32 - Minority AIDS Initiative Retention and Re-Engagement in HIV Care Project

One goal of the National HIV/AIDS Strategy is to re-engage and retain people living with HIV/AIDS (PLWHA) into care. Racial and ethnic minorities with mental health, substance abuse, or housing needs are at particularly high risk of non-engagement in HIV care. The SPNS Minority AIDS Initiative is a 2-year study examining the use of peers to re-engage and retain such high-risk PLWHA into medical and social services. Three demonstration clinical sites in Brooklyn, NY, Miami, FL, and San Juan, PR, are implementing programs in which peers are employed as part of the health care team. Peers are trained to find and outreach to out of care PLWHA, ensure newly diagnosed individuals are engaged in care, conduct educational sessions, provide emotional support, help prepare for and accompany patients to appointments, and debrief after visits. Sites will present their peer program activities, challenges, and successes.

Learning Objectives:

  • Describe the peer intervention and evaluation design to re-engage and retain people of color living with HIV/AIDS.
  • Describe the role of a peer within a health care team.
  • Describe methods to identify patients who have fallen out of care.

Speakers
JG

Janet Goldberg

Executive Director, PATH Center, Brooklyn Hospital
CR

Carmen Rivera

Study Coordinator, PR CoNCRA
Carmen Rivera is currently the study coordinator for Proyecto Acercate at PR CoNCRA, an HIV clinic in San Juan Puerto Rico. Proyecto Acercate is a study of the effectiveness of peer interventions in linking newly diagnosed patients, re-engaging out of care people living with HIV and... Read More →
MS

Mariana Sarango

Project Manager, Health and Disability Working Group, Boston University School of Public Health
PV

Patty Valdez

Intervention and Evaluation Coordinator, Care Resource


Wednesday November 28, 2012 3:30pm - 5:00pm
Johnson

3:30pm

E-33 - Moving Beyond Widgets: Using Evaluation Methods for Program Monitoring and Outcomes in HIV Care

The AIDS Foundation of Chicago (AFC) oversees the Northeastern Illinois HIV/AIDS case management cooperative and HIV housing services. We customized a client level social services database (ClientTrack) currently used by 253 user and 37 agencies. In July 2008, AFC established an evaluation and data services department to assist program staff and improve performance monitoring and evaluation capacity at the system, agency and client level. This workshop will: 1) describe the organizational structure and processes used for program monitoring; 2) identify staffing and resource allocations needed to develop and maintain the system; 3) illustrate quality improvement tools developed and used to streamline the monitoring and improve data quality; 4) describe the challenges encountered through the process and 5) offer recommendations that can implement within agencies.

Learning Objectives:

  • Identify the key steps in developing and implementing system-level databases for program monitoring and evaluation.
  • Describe three quality improvement tools used for monitoring and evaluation activities.
  • Identify the opportunities and challenges in establishing effective working relationships between data managers, evaluators, administrators and case managers.

Speakers
AB

Alicia Bunton

Director of Care and QI, AIDS Foundation of Chicago
Ms. Bunton is the Director of Care and Quality Improvement for the AIDS Foundation of Chicago. Ms. Bunton holds undergraduate degrees in English and communication arts from Villanova University. She completed graduate studies in communication arts at the University of Illinois. Prior... Read More →
TS

Tomas Soto

Director of Research, Evaluation and Data Services, AIDS Foundation of Chicago
Tomas Soto, Ph.D., MPH Dr. Soto is the Director of Research, Evaluation and Data Services for the AIDS Foundation of Chicago. He holds a Ph.D. in Clinical/Community Psychology from DePaul University and a Masters in Public Health from the John Hopkins School of Public Health. Prior... Read More →


Wednesday November 28, 2012 3:30pm - 5:00pm
Jackson

3:30pm

E-34 - Building Rapport with Medical Providers

Despite considerable effort, no show rates are higher for dental than medical visits. New patient appointments have the highest no show rate (they can run as high as 40%). In 2006 a project was launched to increase access to dental care in our HIV community by affecting a culture change starting with our medical providers. An extensive campaign was implemented to imbed dental in the health care service delivery system; obtain feedback from clients regarding their needs, attitude, and beliefs surrounding dental service; and provide dental education to providers and clients alike.

Learning Objectives:

  • By the end of this session participants will be able to discuss and understand the current knowledge and gaps around linking clients with HIV in rural settings into dental care and treatment.
  • By the end of this session participants will be able to identify key program components which are associated with better linkage and retention.
  • By the end of this session participants will understand how to building rapport with medical providers, conduct needs assessment surveys, and educate providers and patients can help to increase their show rate particularly in the new patient population.

Wednesday November 28, 2012 3:30pm - 5:00pm
Tyler
 
Thursday, November 29
 

7:00am

8:00am

A-27 (Repeated) - Bone Health in the HIV Infected: Are We Missing Opportunities to Intervene?

Bone disease is an important metabolic complication of HIV infection. Studies have demonstrated that osteopenia and osteoporosis occur earlier and more frequently in those infected with HIV than in the uninfected. However, bone health remains a relatively neglected area of preventive care in this population due to limited evidence for recommended screening and treatment practices in this group and concerns about drug toxicity. A didactic presentation and handouts will provide available evidence based background information on current issues and newer recommendation and algorithms. Small “break out” groups will evaluate clinical cases relating to specific topics in bone health and devise a screening and intervention plan for each case. Discussion from these groups will be presented to the large group at the conclusion of the workshop with the goal of consensus building for this very important issue in primary care for the HIV infected.

Learning Objectives:

  • At the end of this workshop, the attendees will be able to describe key issues related to bone health in HIV-infected patients.
  • Participants will learn how to develop an evidence-based plan to screen HIV- infected patients for bone disease.
  • Participants will be able to formulate a treatment plan for HIV infected patients with osteopenia and osteoporosis.

Speakers
LA

Laura Armas-Kolostroubis,M.D.

Associate Professor, University of Florida College of Medicine
JB

Jeffrey Beal,M.D.

Clinical Director, F/C AETC
Dr. Beal is Clinical Director, Florida/Caribbean AIDS Education and Training Center; Medical Director, Bureau of HIV/AIDS of the Florida Department of Health; Assistant Professor, Florida Mental Health Institute, University of South Florida; Assistant Professor, Department of Medicine... Read More →
RL

Robert Lawrence

Dr. Lawrence is Clinical Associate Professor of Medicine in Pediatric Immunology and Infectious Diseases. Dr. Lawrence is a specialist with 20 years of experience in Pediatric HIV, including participation with the Pediatric AIDS Clinical Trial Group. He provides direct clinical HIV... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Washington 2

8:00am

F-01 - Financial Monitoring Institute for Ryan White Part A and Part B: Session 3 (CE)

This is a three session institute where each session can stand alone or participants can attend all three sessions. Session I will focus on fiscal requirements for monitoring and oversight. The second session will offer best practices for monitoring and oversight as well as methods for monitoring subgrantees. Session II will be interacting allowing grantees to share their own success stories. The final session will focus on the restricted drawdown process used by HRSA for higher level monitoring. Grantees will learn how to submit documents for approval, effective TA interventions to improve deficiencies and discuss the importance of working with the project officer on the development and review of the corrective action plan.

Learning Objectives:

  • Participants will increase their knowledge of Ryan White Part A and B fiscal reporting and monitoring requirements for grantees and subgrantees.
  • Participants will learn best practices for Ryan White Part A and Part B fiscal reporting and monitoring for grantees and subgrantees.
  • Participants will gain an understanding of HRSA’s use of restricted drawdown for Ryan White Part A and Part B grantees and the use of corrective actions plans to improve programmatic and fiscal performance.


Thursday November 29, 2012 8:00am - 9:30am
Washington 1

8:00am

F-03 - Achieving Health, Housing, and Employment Outcomes for PLWHA Through Cross-System Coordination: 201

This workshop is geared toward Ryan White healthcare and supportive service grantees. The intent of this workshop is to provide participants with: 1. knowledge about research, clinical and vocational rehabilitation practice and community based provider’s experience suggesting the need for strengthening working relationships between healthcare and supportive service providers, and vocational rehabilitation and employment service providers; 2. an opportunity, in interdisciplinary groups, to brainstorm barriers to developing those relationships; and 3. the opportunity to interact with the leading U. S. researcher studying the vocational and employment service needs of PLWHA, an HIV clinical expert, an expert in the area of vocational rehabilitation counseling for PLWHA, and a community based Ryan White Supportive Service Provider who is also developing a housing/employment program and innovative collaborations.

Learning Objectives:

  • This session will review two examples of research findings that suggest improvements in treatment adherence, health outcomes, and reduced risk behaviors among PLWHA who are engaged in vocational and/or employment services.
  • The session will identify two barriers to interdisciplinary collaboration between health care and supportive service providers and vocational and/or employment service providers.
  • The session will identify two strategies that can be used to overcome barriers and initiate interdisciplinary collaboration between health care and supportive service providers and vocational and/or employment service providers.

Moderators
CL

Charles Lobosco

HIV/Employment Project Consultant
Charles Lobosco, M.S. Ed., worked for the New York State (NYS), Department of Health, AIDS Institute for over 22 years. He helped develop an HIV Welfare to Work Initiative and promote the National Working Positive Coalition/Penn State University Survey of Employment/Vocational Training... Read More →

Speakers
TB

Tracy Boff

Director of AIDS Services, Catholic Charities Community Services
Tracy Boff, Director of AIDS Services for Catholic Charities Community Services of Rochester, New York, has more than 22 years of experience in human services, 16 of which have been dedicated to serving people living with HIV and AIDS. Tracy was a team leader in the development of... Read More →
LC

Liza Conyers,Ph.D.

Associate Professor, Penn State University
Liza Conyers, PhD, CRC, is an Associate Professor of Rehabilitation and Human Services at Penn State University and Chair of the NWPC Research Working Group. She had conducted research in the area of HIV and employment for the past 10 years and is Principal Investigator on the NWPC... Read More →
CG

Charles Gonzalez,M.D.

Associate Medical Director for Science and Policy/OMD, NY State Department of Health/AIDS Institute
Dr. Charles Gonzalez, MD, a graduate of Columbia University College of Physicians and Surgeons, is an Assistant Professor of Medicine, New York University School of Medicine and specializes in internal medicine and infectious disease in New York, New York.
MM

Mark Misrok

President, National Working Positive Coalition
Mark Misrok, MS, Ed, CRC is a Certified Rehabilitation Counselor, President of the National Working Positive Coalition, and has lived with HIV for over 25 years. Working in community-based vocational rehabilitation services for PLWHA beginning in 1995, Mark was Director of Client... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Washington 3

8:00am

F-04 - Enrollment and Eligibility: Guidance to Manage the Patient Sliding Fee Scale and Cap on Charges (CE)

The Ryan White legislation requires that funded programs have a sliding fee scale; patients below the federal poverty level cannot be charged for services. In addition, Ryan White programs must implement a cap on out-of-pocket charges for patients with an income above 100% of the federal poverty line. This session will review the program guidelines, as well as various ways to integrate this requirement into a successful care program.

Learning Objectives:

  • Participants will learn about the Ryan White legislative and program requirements as it relates to sliding fee scales and cap on out-of-pocket charges.
  • Participants will be given several tools and strategies to implement and manage a sliding fee scale and cap on out-of-pocket charges in their grant program.
  • Participants will utilize case studies to determine the eligibility and cap on out-of -pocket charges for different types of patients. These case studies will also be used to illustrate the potential for program income based on implementing these program requirements, and how that income can be reinvested back into the program.

Speakers
JC

Jana Collins

Program Coordinator, Bluegrass Care Clinic
For the past ten years Ms. Collins has served in a variety of capacities at the University of Kentucky’s Bluegrass Care Clinic , a Ryan White Part B/C/D program, as the data manager, program coordinator, and fiscal manager. Since 2008, Ms. Collins has served as a fiscal and management... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Washington 4

8:00am

F-05 - Linking CAREWare to the world of HIV/AIDS surveillance (CE)

All states track HIV/AIDS surveillance data through their CDC eHARS system. Historically, state laws have restricted the release and use of these data for specific parties and purposes only. CDC data security and confidentiality guidelines seek to “facilitate sharing of surveillance data for public health action.” Increasingly, states are looking to expand the use of surveillance data to assess retention in care and assist case managers in coordinating and monitoring the care of clients living with HIV. This session will highlight the experience of two states, Iowa and Minnesota, how they have worked to modify their jurisdictions’ restrictions regarding the release and use of surveillance data, and linked these data to their CAREWare systems, especially updated lab results, and by doing have strengthened the ability of case managers to effectively coordinate and monitor the quality of their care .

Learning Objectives:

  • Understand how two states are addressing legal and security issues to use CDC surveillance data outside of traditional purposes.
  • Gain understanding of the utility of using data collected in surveillance for use in monitoring and improving care and treatment of clients in Ryan White-funded facilities.
  • Understand technical and data issues that need to be addressed to link eHARS and CAREWare systems.

Speakers
RM

Randy Mayer

Chief, Bureau of HIV, STD, and Hepatitis, Iowa Dept of Public Health
JH

Julie Hanson Perez

Planning & Evaluation Coordinator, Minnesota Department of Health
PS

Patricia Sweeney

Epidemiologist, CDC/HIV Prevention


Thursday November 29, 2012 8:00am - 9:30am
Washington 5

8:00am

F-06 - Making QM Relevant

This work shop will be about building QM at the Systems Level from the Part A experience in New Orleans. It will involve creative trainings and engagement of providers and consumers to implement quality improvement activities in a setting where QM is feared and misunderstood.

Learning Objectives:

  • Learn creative training techniques for engaging providers.
  • Involve providers and consumers in Quality Management.
  • Using multiple sources of data such as CAREWare and Client Satisfaction Survey to measure quality of care.

Speakers
VC

Vatsana Chanthala

Quality Manager, City of New Orleans: Office of Health Policy and AIDS Funding
Vatsana Bio Vatsana’s career is dedicated to serving the poor and underserved through her work to fight HIV/AIDS. Upon receiving a Masters in Public Health from Tulane University in International Health and Development in 2003, she continued her work to address HIV/AIDS prevention... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Washington 6

8:00am

F-07 - Guidance to Creating a Culture for Quality: Session 201: How to Work with your Subcontractors on Quality Management

The purpose of this section is to explore the various ways to facilitate QI efforts across a network of providers. Parts A, B and D have networks of subcontractors that are funded to provide Ryan White services for diverse categories of services; both clinical and non-clinical. The challenge is to conduct quality improvement activities with these subcontractors and align them with the overall quality management plan of the grantee. NQC expert consultants will be presenting current practices from grantees along with peer presenters who will be discussing their successful efforts to conduct network-wide QI activities.

Learning Objectives:

  • At the end of this session, participants will understand the importance of quality management in case management and other non-clinical service areas.
  • At the end of this session, participants will learn practical examples of how to apply quality management principles in non-clinical service areas and use existing non-clinical indicators.
  • At the end of this session, participants will understand how to integrate Ryan White Program QM expectations in contracts and find the right balance between contract monitoring and QI.


Moderators
Speakers
SM

Sherry Martin

Sherry Martin, MEd, MT(ASCP)SC, has over forty years of experience in healthcare administration and educational program oversight. She served as Program Director for the Methodist Hospital Program from 1985 until 1993. During her tenure, the program won the state competition five... Read More →
CM

Claudia Medina

Children’s Hospital – FACES
Claudia Medina, MD is the Assistant Director and Quality Manager for the Ryan White Part D Program at Children’s Hospital New Orleans – FACES program and the liaison with the Part A program. Dr. Medina has designed and facilitated the implementation of innovative programs, including... Read More →
JS

Julia Schlueter

Washington University School of Medicine
Julia Schlueter, MPH is the Quality Director for the Washington University School of Medicine’s (WUSM) HIV clinics and coordinates quality improvement initiatives for the WUSM’s Ryan White Part C and D grants. Ms. Schlueter obtained her Master in Public Health degree from the... Read More →
CS

Clemens Steinbock

National Quality Center
Clemens Steinbock, MBA, has more than 18 years of experience in the field of QI, centering on improving the quality of HIV care across the world. He serves as the NQC Director since 2004 and has led NQC to become the premier TA resource to advance the quality of HIV care nationwide... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Delaware A

8:00am

F-08 - Promoting Consumer Access to the EMR to improve Quality of Care and Data Reporting

Electronic Health Records (EHRs) are quickly becoming the standard by which medical and care coordination information is captured and stored. Implementing EHRs on the organizational level have resulted in demonstrable improvements in patient specific and program level quality management, public health reporting, and important clinical outcomes measurement. Personal Health Records (PHRs) and access to EHRs via Patient Portals are increasingly recognized as critical components central to the national HIT agenda as a recognized and underutilized strategy to improve the quality of care and engender consumer self-efficacy. This Workshop will 1) Describe existing PHR and Patient Portal models and their impact on Clinical Care, Quality Management and Data Reporting, 2) Alert Grantees to opportunities to engage with local and regional efforts underway to promote consumer access, data sharing, and quality reporting, and 3) Promote awareness and adoption of HIT tools intended to foster data quality management.

Learning Objectives:

  • Workshop participants will learn the potential benefits of developing consumer access to their medical records, specifically with regard to improved clinical care, data quality management, and data reporting.
  • Workshop participants will learn about existing EHR consumer access resources, including local Regional Health Information Organization (RHIO) activities designed to foster data sharing, consumer access, and public health reporting.
  • Workshop participants will become knowledgeable about HIT tools and Federal HIT policy initiatives designed to foster interagency information sharing, improve data quality, and consumer involvement via HIT.

Speakers
EC

Eli Camhi

Executive Director, NYPS SelectHealth
Mr. Eli Camhi is the Executive Director of New York Presbyterian System SelectHealth, a leading HIV Special Needs Plan in New York City. SelectHealth, as an HIV-specific Medicaid Managed Care organization helps provide care and care coordination for more than 6,000 people living with... Read More →
PG

Peter Gordon, M.D.

Medical Director of the Comprehensive HIV Program, The New York-Presbyterian Hospital and Columbia University
Dr. Peter Gordon is Medical Director of the Comprehensive HIV Program at New York Presbyterian Hospital; Medical Director for NYPS SelectHealth, an HIV Special Needs Plan (SNP) serving people living with HIV; and Assistant Professor of Clinical Medicine at Columbia University’s... Read More →
JT

Jesse Thomas

Project Manager, RDE Systems
Jesse Thomas has over fourteen years experience of serving public health and over eight years experience in the field of HIV/AIDS. He currently serves as the technical director for four HRSA Special Projects of National Significance to use cost-effective health information technology... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Delaware B

8:00am

F-09 - Using Evaluation to Optimize the Responsiveness of HIV Clinical Training and Capacity-Building

The AETC program has supported care and treatment for people with HIV through expert training and capacity-building for the past 25 years. The goal of this workshop is to demonstrate how AETC cross-regional evaluation data can be used to inform and optimize the activities of training programs. This workshop will begin with an overview of the national outcome evaluation of the AETC program. Workshop presentations will then demonstrate how standardized process data on training and participant characteristics can be combined with post-training outcome data to answer questions about specific program activities. Examples will include evaluation of HIV testing trainings, Minority AIDS Initiative activities and US/Mexico border activities. The workshop will close with a discussion of future opportunities to evaluate program effectiveness.

Learning Objectives:

  • This session will describe the cross-region evaluation efforts conducted by the AETCs.
    Identify processes that existing data can help inform and improve.
  • Apply the core concepts behind standardized evaluation and how to make optimal use of data.

Moderators
JM

Janet Myers

Janet Myers is Associate Professor of Medicine at the Center for AIDS Prevention Studies (CAPS). Dr. Myers serves as Principal Investigator of the US AIDS Education and Training Centers’ National Evaluation Center and has worked on several Special Projects of National Significa... Read More →

Speakers
MK

Mi-Suk Kang Dufour

UCSF
Mi-Suk Kang Dufour is an Assistant Professor at the UCSF Center for AIDS Prevention Studies and has been working as a biostatistician with the AIDS Education and Training Centers’ National Evaluation Center (AETC NEC) since 2008. She received a Doctorate of Epidemiology from the... Read More →
BJ

Beth-Anne Jacob,Ph.D.

Evaluation Director, Midwest AIDS Training and Education Center
Beth-Anne Jacob is a Clinical Assistant Professor of Social Work in Family Medicine at the University of Illinois at Chicago. She currently serves as the Evaluation Director for the Midwest AIDS Training and Education Center (MATEC) in Chicago Illinois. Dr. Jacob joined MATEC in 2008... Read More →
KK

Kevin Khamarko

Associate Director, AETC National Evaluation Center
Kevin Khamarko is the Associate Director of the AIDS Education and Training Centers’ National Evaluation Center. He received a Bachelor's degree in Psychology and a Master's degree in Ecological/Community Psychology, both from Michigan State University. Mr. Khamarko is the former... Read More →
SS

Starley Shade

Assistant Professor, UCSF
Starley Shade is an Assistant Professor at the UCSF Center for AIDS Prevention Studies. She received her PhD in epidemiology from the University of California Berkeley in 2006 and her MA degree in public health in 1996. Dr. Shade is the Co-Principal Investigator of the current AETC... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Maryland A

8:00am

F-10 - The Ryan White Program and Health Care Reform

The Ryan White Work Group, a coalition of local and national HIV policy organizations, will show possible paths for policy activities after a potential new authorization and how to move forward under health care reform and Medicaid expansion. A reformed health system has obvious implications for clients currently receiving all their health care and support services through Ryan White programs. While the major provisions of health reform will not be implemented until 2014 and Ryan White must be reauthorized in 2013, there will be significant pressure to alter the Program to respond to the recently passed health reform legislation.

Learning Objectives:

  • At the end of this workshop, participants will have examined the possible paths forward for Ryan White reauthorization or extension. Participants will discuss community mobilization for moving forward with Ryan White and the education that is necessary within the HIV/AIDS community and with the Administration and Members of Congress. While this seminar will touch on issues related to health reform, it will not provide a detailed explanation of health reform’s impacts on individuals living with HIV/AIDS.
  • Participants will receive an overview of the current status of the Ryan White Program and possible paths forward for approximately 30 minutes. The remainder of the time will consist of Questions and Answers regarding the current station and possibilities.
  •  A guided discussion will be held of specific issues that may require further consideration during or prior to legislative action on Ryan White.

Speakers
AK

Amy Killelea

Senior Manager, NASTAD
Amy Killelea is a Senior Manager with NASTAD’s Health Care Access Program. Amy joined NASTAD in June 2012. Prior to coming to NASTAD, Amy worked as a senior fellow in Harvard Law School’s Center for Health Law and Policy Innovation and Treatment Access Expansion Project. Her work... Read More →
AL

Ann Lefert

Director, Policy and Health Care Access, NASTAD
Ann Lefert, Director of NASTAD’s Care and Treatment Program, will have direct responsibilities for managing this project. With NASTAD since 2003, Lefert served as Associate Director for Government Relations until her promotion in 2010. Lefert has extensive experience with ADAP programs... Read More →
WM

William McColl

Political Director, AIDS United
William D. McColl, Esq., the Political Director of AIDS United, has worked on HIV/AIDS, alcohol and other drug treatment, and criminal justice reform issues for nearly 15 years. He was also Political Director of AIDS Action which merged with the National AIDS Fund to form AIDS United... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Maryland B

8:00am

F-11 - Establishing an HIV Services Internet Portal to Enhance Access and Retention in Care

This workshop will provide a comprehensive overview of the development of HIVAZ.org, a web portal to HIV testing, care and education/prevention information available throughout Arizona. The workshop will not be a demonstration of the website’s functionality. Rather, the session will provide an in-depth overview of the progression of the site’s development, from its humble beginnings as a Planning Council Support activity to establish the Part A resource guide online, to a community effort to establish a comprehensive web portal aligned with our EMA’s EIIHA initiatives and the National HIV/AIDS Strategy. The session will explore the research process, strategy and structure created for the website, user considerations, resource needs, content management, and successes/challenges/lessons learned.

Learning Objectives:

  • Participants will understand the conceptual framework for creating an information delivery strategy for support of the EMA’s EIIHA/EIS efforts and the National HIV/AIDS strategy. The session will also address community-identified barriers and gaps in information access/sharing.
  • Participants will understand considerations involved in defining the structure and content of the Web site (i.e., identifying and gathering content, addressing user interface concerns, site/database design and management, and the human and capital resources needed to implement and maintain the initiative).
  • Participants will understand the level of community collaboration required to support the development of the site (data collection, content advisement, content creation, marketing and promotion, ongoing collaboration). Participants will gain insight from a first-person evaluation of the implementation of the initiative.

Speakers
JS

John Sapero

Program Coordinator, Maricopa County Department of Public Health
John Sapero has more than 22 years of experience in HIV/AIDS activities, including peer education, advocacy, fundraising, policy development and program management. Upon his HIV diagnosis in 1989, John entered medical care via the Ryan White program. In 1999, John was appointed to... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Maryland C

8:00am

F-12 - Using Your RSR Data to Assess and Improve Released HIV-Positive Prisoners’ Linkage to Ryan White HIV

Studies have shown that HIV-positive released offenders often do not link to comprehensive medical services in a timely manner post-release from prison. Working collaboratively with participating Ryan White grantees, the Link Into Care Study (LINCS) demonstrates a model of assessing rates and drivers of HIV-positive releasees’ linkage into Ryan White grantee care using Ryan White Client Level Data (CLD) reporting. This model involves confidential linking of corrections release data to Ryan White CLD using the encrypted Unique Client Identifier to assess time to linkage, and clinical status at the first visit post release. Based on interviews with Ryan White grantees, correctional systems, and other state, public sector, and community-based organizations, we will review the structural factors that influence HIV-positive releasees' linkage to medical care.

Learning Objectives:

  • Participants will learn to identify key policy and programmatic factors that may determine success or failure in linkage to care.
  • Participants will be able to develop strategies to use reporting data such as the Ryan White client-level data to support assessment of linkage to care and retention in care.
  • Engage participants in sharing challenges in assessing and improving linkage to care for persons with HIV leaving corrections.

Speakers
MC

Michael Costa

Associate, Abt Associates
Mr. Costa has 15 years of experience designing, managing, and executing health-related research, evaluation and implementation projects for a wide spectrum of Federal, State, and local clients. His experience includes national surveillance, as well as multi-site research, evaluation... Read More →
BM

Brian Montague DO

Attending Physician, Miriam Hospital Immunology Center
Dr. Brian Montague is a general internist and certified HIV care provider who has been a key member of the quality management team at the Part B,C and D program at the Miriam Hospital. He has taught quality improvement principles and mentored residents and fellows in quality improvement... Read More →
LL

Lisa Leroy

Senior Associate, Abt Associates
Lisa LeRoy is the Qualitative Methods Center Co-director at Abt Associates and the Qualitative Task Leader for the Link Into Care Study (LINCS). Dr. LeRoy directs formative research efforts, scale development and cognitive testing, pilot testing of instruments, administration of all... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Virginia A

8:00am

F-13 - HIV Nutrition Institute: 301 Session: Measuring Nutrition Care Improvements and Health Outcomes

The framework to measure nutrition improvement and obtain nutrition care outcomes is provided by the Nutrition Care Process (NCP) and its common language, the International Dietetics & Nutrition Terminology (IDNT), developed by the Academy of Nutrition and Dietetics. The NCP guides practitioners in individualized patient nutrition care using a standardized four-step model of nutrition assessment, diagnosis, intervention, and monitoring & evaluation. This interactive workshop builds on two earlier workshops. Participants will translate a case study with familiar HIV nutrition problems into a nutrition chart note in accordance with the NCP and IDNT. How to systematically find and collect outcomes using a tested algorithm will be demonstrated. Participants will receive resources including standardized terminology, an NCP chart audit tool, the HIV nutrition draft toolkit outline, and an algorithm to take back to their unique clinic settings to monitor nutrition performance measures and capture health outcomes.

Learning Objectives:

  • Participants will be able to describe the components of the nutrition care process.
  • Participants will be able to monitor nutrition chart notes for comprehensive and meaningful documentation.
  • Participants will be able to utilize an algorithm to collect and analyze nutrition care outcome measures.

Speakers
MF

Marcy Fenton

Quality Management Specialist, Registered Dietitian, Division of HIV and STD Programs, Los Angeles County Department of Public Health
Marcy Fenton, MS, RD, is a Quality Management Specialist in the Los Angeles County Department of Public Health Division of HIV and STD Programs, where she provides technical assistance to and coordinates Dietitians in AIDS Care networking group. She was the Work Group Chair of the... Read More →
CT

Carol Treat

Public Health Analyst
Carol Treat, MS, RD, CDE nutrition expert in chronic diseases and Certified Diabetes Educator, is a Project Officer for Health Resources and Services Administration (HRSA) Ryan White Parts C & D grants. Nutrition provider for 12 years, has presented, authored and contributed to many... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Virginia B

8:00am

F-14 - Introduction to Quality: Session 301: Building a Sound Quality Management Infrastructure – How to Manage the Quality Management Committee and Write Effective Quality Management Plans

This session guides you on your journey in developing and strengthening your quality management (QM) infrastructure, including a focus on how to develop effective quality management committees, assess the current QM program using standardized tools, and write/routinely update your HIV-specific quality management plan and annual quality workplan. Useful tips, tools, and successful strategies are shared from experts and peer grantees. Participants will work on an action plan moving forward to advance your quality management infrastructure.

Learning Objectives:

  • At the end of this session, participants will assess your quality management program using standardized and Part-specific organizational assessment tools and learn how to use findings to strategically improve your program.
  • Understand how to set up and sustain an effective quality management committee, reflective of your HIV care system.
  • Develop and update your quality management plan in collaboration with key stakeholders, identifying key elements of a quality management plan as well as strategies to effectively coordinate the planning process. Learn key components of good action planning and how to develop an annual action plan to implement quality improvement activities.

Moderators
Speakers
LD

Lori DeLorenzo

Organizational Ideas
Lori DeLorenzo, RN, MSN, has experience in strategic planning, capacity building, QM, grant writing, and project administration. For the past 14 years, she has worked in HIV/AIDS providing TA and conducting site visits to more than 250 CHCs, RWP grantees and health departments. She... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Virginia C

8:00am

F-15 - Increasing HIV Testing: Overcoming Stigmas and Building Allies (CE)

In 2011, The University of Toledo's HIV Counseling and Testing Program tested 1,225 individuals--more than double the number tested in 2010. This interactive workshop will describe our HIV testing program's recent journey from establishing new testing sites targeting populations at risk to recruiting more diverse counseling and testing staff/volunteers. Stories will be shared regarding barriers encountered, stigmas overcome, and community alliances strengthened. A role-playing exercise will help to create participant awareness of personal biases and increase comfort levels in discussing sexual histories with various groups.

Learning Objectives:

  • Describe strategies for overcoming stigmas and barriers surrounding HIV testing.
  • Identify building blocks for creating and strengthening community relationships and collaborations to reach at-risk populations.
  • Practice obtaining a sexual history.

Moderators
WC

Wendy Cousino

Project Officer, HRSA
Wendy Cousino, graduated from the University of Florida with a BS degree. She has worked in the HIV field for approximately 15 years taking a brief break to teach American Literature and Drama to High School Students.

Speakers
MC

Michelle Coutcher

HIV Social Worker/Testing Coordinator, The University of Toledo - Health Science Campus
Master's prepared Social Worker and certified Family Life Educator. She has worked with The University of Toledo's (UT) Ryan White program for over five years coordinating the CDC's Prevention for Positives, Healthy Relationships and Options projects. She assumed supervision of UT's... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Madison A

8:00am

F-16 - Rapid HIV Testing of Partners: From Bench to Bedside

All Part C Grantees, in addition to comprehensive outpatient HIV care, are required (either directly or indirectly) to offer HIV testing and Partner Counselling and Referral Services (PCRS). Traditionally, HIV care has been a HRSA domain with HIV Testing and Prevention being a CDC domain. This workshop will suggest one strategy to integrate the two by active collaboration between a HRSA Part C grantee and the CDC supported Statewide HIV Prevention Program. Participants will get hands on experience with administering a rapid HIV test and learn how to develop a "lab on wheels" for use in the field. Innovative strategies to retain enthusiasm and educate testing personnel will be reviewed including a Jeopardy game that attendees can participate in.

Learning Objectives:

  • Participants will understand the importance of “free” rapid HIV testing for partners of HIV positive patients seen in the Ryan White clinic and will learn how to implement this program through collaboration with State Health Departments receiving CDC HIV prevention funding.
  • Participants will understand importance of collaboration with HIV/STD Partner Counseling and Referral Services (PCRS) to identify and perform rapid HIV testing in the field at the time of contact notification and will learn tools necessary for implementation of “lab on wheels."
  • Participants will learn ways to provide feedback and education to testing personnel to elicit and maintain enthusiasm and motivation.

Speakers
AR

Anndrea Rogers

Director, WVU Positive Health Clinic
AS

Arif Sarwari,M.D.

Associate Professor and Medical Director, WVU Positive Health Clinic
Board Certified Internal Medicine and Infectious Diseases Medical Director, WVU Positive Health Clinic (Part C ) Clinical Consultant, Bureau for Public Health Rapid Testing Initiative


Thursday November 29, 2012 8:00am - 9:30am
Madison B

8:00am

F-17 - Monitoring RSR Data Quality - 201 (CE)

This session provides an in-depth look at the different data elements collected in the RSR Client Report. Grantees are taught common data validation warnings and errors; how to review submitted data as well as verify data; and how to verify that the data they submitted are both complete and correct. New validations introduced in the summer of 2012 will also be highlighted.

Learning Objectives:

  • By the end of this session, participants should be able to define the three outcomes that occur when data that violate a system data validation check are submitted.
  • By the end of this session, participants should be able to identify the system data validation checks that may obstruct the submission of their 2012 RSR.
  • By the end of this session, participants should be able to explain why inaccurate data may be submitted to HAB, and begin to develop a list of “manual” validation checks that will prevent the submission of inaccurate data.

Speakers
MJ

Maria Jackson Hittle

Technical Assistance Manager, WRMA/CSR Ryan White Data Support and TA Center
Maria Jackson Hittle is the Technical Assistance Manager for Ryan White HIV/AIDS Program Data Coordination and Technical Assistance Center (Data Support). She has been providing and coordinating technical assistance to Ryan White HIV/AIDS Program grantees and their service providers... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Hoover

8:00am

F-18 - Oversight of a Patient Centered Infrastructure To Continuously Improve Patient Retention and Viral Load

Many Ryan White Grantees have experience with improving their patient retention rates above 70 percent and some above 90 percent. However, opportunities for grantees to think through questions, such as, “Are these results high enough?" are few. What is our responsibility to, an increasingly smaller number of patients who are not retained? What processes are needed for continuous quality improvement? Do we have sufficient resources? To what extent can patient-centered processes support teams to retain current patients while continuing to reach out to patients not retained? This workshop explores, through peer examples, two models of how to systematize ongoing improvement.

Learning Objectives:

  • Identify key elements of patient-centered infrastructures and supportive processes that reflect continuous quality improvement.
  • Share and discuss decision support tools that, when used, enhance a multidisciplinary team‘s ability to design and implement interventions specific to sub-populations and individual patients not retained in care.
  • Reflect on participants' program infrastructures to identify ways they can make them more patient-centered.


Speakers
SM

Sonji Miller

Manager, HIV/AIDS & Substance Abuse, Lawndale Christian Health Center
Oversees continuous quality improvement activities, program reporting and monitoring and supervises non-clinical HIV staff. She received a Master’s degree from DePaul University in Public Service Management and is a fellow of the Center for Disease Control Institute for HIV Prevention... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Coolidge

8:00am

F-19 - EHB 101: Overview of New Components: How to Register and Navigate in EHB

Information will be provided on the new layout and features within EHB to assist grantees in registering new individuals, updating contact information, and basic navigation.

Learning Objectives:

  • Participants will be able to understand the EHB and the information contained within.
  • Participants will be able to use EHB to easily update Agency and contact information.
  • Participants will be able to understand the various roles within EHB, including those of their agency leads.

 

 



Thursday November 29, 2012 8:00am - 9:30am
Harding

8:00am

F-20 - Enhancing and Expanding HIV Care Through Comprehensive Telehealth Model of Care

Project ECHO(Extended Community Health Outcomes)(TM) CHC uses a RW funded HIV/Hep C specialist at a funded site to provide consultation, case review and medication monitoring to our rural sites across Connecticut that do not have an HIV specialist on site. In the process of treating patients during weekly telehealth conferences the HIV specialist is also training a new generation of HIV providers. Learn how to replicate this model of care and expand services within your service area.

Learning Objectives:

  • Learn about the research behind the Project ECHO (TM) model and its previous success.
  • Learn about the preparation and process for replicating Project ECHO(TM) for HIV services.
  • Learn about the successful expansion opportunties, enhanced access to care for HIV patients, and other positive outcome measures facilitated by Project ECHO (TM).

Speakers
KH

Kathleen Harding - Wheeler

Director of HIV Services, Community Health Center, Inc


Thursday November 29, 2012 8:00am - 9:30am
Wilson A

8:00am

F-21 - Beyond the Yellow Brick Road: Incorporating HCV into the Ryan White Model

This workshop is a 90 minute session that will discuss some of the reasons to integrate Hepatitis C virus (HCV) testing and treatment with the established Ryan White model of HIV care and how it can be accomplished. HCV has surpassed HIV as a cause of death in the U.S. Of the 1.1 million Americans infected with HIV/AIDS studies estimate somewhere from 25-35 percent are co-infected with HCV. HRSA HAB recognizes that the Ryan White Program has become a model of care for treating HIV with intensive medical case manager and a multidisciplinary setting and that Ryan White clinics are the logical setting for setting up HCV care and treatment. Utilizing the Ryan White model for mono-infected clients will also be discussed.

Learning Objectives:

  • Participants will learn the importance of incorporating HCV into the model of care.
  • Participants will learn how Siouxland Community Health Center in Sioux City, Iowa incorporated HCV into the HIV model of care for both mono-infected and dually diagnosed patients.
  • Participants will walk away with detailed steps to implement this type of program from staff and provider buy-in to accessing medications, determining readiness for individuals, and treatment with HCV protease inhibitors. Methods can be used for larger demographic areas as well as rural areas. Differences implementing this in a rural area will be highlighted.
  • Participants will understand some of the programmatic issues that were encountered such as starting the program and managing symptoms, and how they can be resolved. Presenters will highlight the results of the second year of integration of treatment for mono-infected and the first year with HIV/HCV dually diagnosed patients.

Speakers
DP

Darla Peterson

HIV/HCV Program Manager, Siouxland Community Health Center
The HIV/Hepatitis Program Manager, Darla Peterson has 19 years of experience working at Siouxland Community Health Center (SCHC). She holds a Bachelor of Science degree in business administration. She created a one-stop shopping approach for HIV/Hepatitis which makes SCHC the point... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Wilson B

8:00am

F-22 - HIV Clinician Workforce: Is There Enough Capacity to Meet the Future Demand for Care?

The purpose of this session is to present the preliminary findings from HRSA's national quantitative assessment of the HIV clinician workforce in the United States and its capacity to meet the future demand for care. The panel will present early findings on (1) the number, type, and geographic distribution of primary care clinicians currently providing HIV-related medical care in the United States; (2) the factors that influence the supply of and demand for HIV clinical services now and in the future; and (3) the magnitude of the expected HIV-related primary care clinician workforce shortage or surplusin the future, nationally and within selected states or regions.

Learning Objectives:

  • The number of primary care clinicians currently providing HIV-related medical care in Ryan White and non-Ryan White program settings nationally and within selected States and regions, as well as their demographic and professional characteristics will be discussed.
  • Participants will understand the range of factors that significantly influence the effective supply of HIV clinicians and the demand for HIV-related primary care services.
  • Participants will learn whether the expected effective supply of HIV-related primary care clinicians will be sufficient to meet the need for HIV-related medical services in the future, and potential strategies for increasing the capacity of the HIV clinician workforce.

Speakers
EB

Ellen Bouchery

Principal Program Analyst, Mathematica Policy Research
BG

Boyd Gilman

Senior Researcher, Mathematica Policy Research
PH

Paul Hogan

Senior Vice President, The Lewin Group
NS

Namrata Sen

Senior Manager, The Lewin Group
ST

Sylvia Trent-Adams

Senior Advisor, Health Resources and Services Administration


Thursday November 29, 2012 8:00am - 9:30am
Wilson C

8:00am

F-23 - Expanding HIV Training into Graduate Medical Education

Learning Objectives:

  • Gain understanding of the importance of HIV training in graduate medical education programs, especially in a primary care context.
  • Learn how expanding HIV training into graduate medical education is meeting the needs of the National HIV/AIDS Strategy (NHAS).
  • Identify HIV training needs in participant’s own medical education programs and develop strategies drawing on best practices being developed by the grantees discussed at this workshop.

Thursday November 29, 2012 8:00am - 9:30am
McKinley

8:00am

F-24 - Guidance for HCV/HIV Co-Infection Programs

This session will present first-hand the experience of a SPNS HCV/HIV Treatment Expansion Initiative demonstration site. The workshop will offer guidance to providers at Ryan White clinical sites who are interested in setting up an HCV/HIV co-infection program who have no previous experience.

Learning Objectives:

  • Participants will understand administrative logistics, including personnel requirements, partnerships, references, and schedule considerations.
  • Clinical logistics such as chart flow sheets and helpful patient accessories will be discussed.
  • Participants will learn how to troubleshoot issues that may arise, such as problems with financing labs and medicine and side effects.

Thursday November 29, 2012 8:00am - 9:30am
Nathan Hale

8:00am

F-25 - More Money, More Problems: What to Know About Cost Allocation and Program Income

With the various funding sources that support grantees, following the federal rules for cost allocation and program income can be confusing. In addition, charging the costs of employee time to specific federal grants can be onerous. But if your program fails to follow these rules correctly, monitoring findings, cost disallowances, and additional penalties can result. Doing things right - that is, following proper requirements and ensuring proper oversight - is critical for remaining financial stable.

Learning Objectives:

  • Participants will learn how to properly allocate costs across grant-funded programs.
  • Program income and its implications for Federal grant will be defined.
  • Federal requirements related to time and effort reporting will be explained.

Speakers
ZB

Zoe Beckerman

Attorney, Feldesman Tucker Leifer Fidell
J. Zoë Beckerman is a partner in the Washington, DC, law firm of Feldesman Tucker Leifer Fidell LLP and is managing principal of the firm's consulting arm, FT Solutions LLC. Her legal practice is in the areas of government grants, corporate and business law, and health care law... Read More →
EW

Edward Waters

Attorney, Feldesman Tucker Leifer Fidell
Edward T. Waters is one of two managing partners in the Washington, DC law firm of Feldesman Tucker Leifer Fidell LLP. He practices in the areas of federal grants, health care, and corporate law with specialized experience in related subjects such as cost accounting, audit defense... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Ethan Allen

8:00am

F-26 - Technical Assistance for the ADAP Data Report

During this session, we will provide background on the ADAP Data Report (ADR), describe technical assistance (TA) resources currently available, and discuss new TA tools in the works. HIV/AIDS Bureau staff as well as TA providers will be there to address your questions regarding ADR implementation.

Learning Objectives:

  • Review background of ADAP Data Report (ADR)
  • Discuss current and planned technical assistance resources
  • Address outstanding questions regarding ADR implementation

Speakers
DI

Debbie Isenberg

HIV.AIDS Bureau
Debbie Isenberg is the Chief of the Epidemiology and Data Branch in the Divison of Science and Policy at the HIV/AIDS Bureau. Prior to coming to HAB, Ms. Isenberg was a grantee for nearly 15 years. Ms. Isenberg has nearly 20 years experience in the field of HIV, with extensive experience... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Thomas Paine

8:00am

F-30 - EIS Summit: How to develop, replicate and refine an Emerging Service Category

The New Haven-Fairfield Counties (CT) EMA used a triennial EIS Summit to fast-track provider learning and data sharing on best approaches to provide Early Intervention Services. This includes highest yield seropositivity or re-engagement strategies; integration with Partner Services, and QI data tracking. This process led to comparing the efficacy of In-Reach (clinical identification, diagnosis and linkage) to Out-Reach (community based or social marketing techniques). Future effort focus on special populations at risk.

Learning Objectives:

  • This session will review 'lessons learned' regarding EIS strategies including integration with partner services and the roles of Medical Case Managers, HIV clinicians, and Disease Intervention Specialists.
  • Data tracking, information issues, and detail by special populations.
  • EIS Standards of Care and their evolution from a generic standard to a specific, measurable tool will be discussed.

Speakers
TB

Thomas Butcher

Project Director, City of New Haven Health Dept.
TK

Tracy Kulik

President, Collaborative Research
Tracy supports the New Haven Quality Improvement committee and has developed an EIS Standard of Care and tracked newly diagnosed clients to determine impact.


Thursday November 29, 2012 8:00am - 9:30am
Taft

8:00am

F-31 - Tiered Case Management Model in a Scattered Site Housing Program (CE)

Case Management is frequently referred to as the central tool of HIV/AIDS health maintenance, yet there is little writing on its most efficacious use. This is especially true in housing case management. In an era of limited resource growth, it is important to develop systems that focus this resource on medical stabilization and self-sufficiency growth. This presentation will focus on one Agency’s development of a Tiered Case Management Model that matches case management intervention approach to the level of need. Levels of Care are based on the individual’s measurement against standardized program outcomes of health care connection, treatment of co-morbid conditions and client self-sufficiency, updated annually in our client data base. Once client’s progress is conceptualized and tied to aggregate demographics, we have been able to better plan case management time allocation, as well as study aggregate client trends to discover missing program elements. This simple approach has widespread application.

Learning Objectives:

  • Learn how to set baseline goals in your program that set larger outcome goals for Ryan White and HUD funders around care connection and self-sufficiency.
  • See a demonstration of Tiered Case Management System, and Annual Assessment Tools, and understand its application to clinical or housing setting.
  • Use data from networked information system to set realistic caseload size, productivity standards, and to identify unmet needs in your target population that you can either add new partnerships or build new program justification.

Speakers
SD

Steven Dashiell

Permanent Housing Program Manager, AIDS Interfaith Residential Services
Steven Dashiell, MA, is the Permanent Housing Program Manager for AIDS Interfaith Residential Services in Baltimore, MD. He received a BA degree in sociology from Washington College in 1996, a BA degree in community studies from the University of Baltimore in 2007, and a MA degree... Read More →
NS

Nancy Strohminger

EVP, Programs, AIDS Interfaith Residential Services
Nancy Strohminger, LCSW-C, is the Executive Vice President of Programs for AIDS Interfaith Residential Services in Baltimore, Md. She received a Bachelor of Social Work degree from Western Maryland College in 1975 and a Master of Social Work degree from Fordham University in 1979... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Jefferson

8:00am

F-32 - HOPWA 101 and Impacts on RW Programs

The Housing Opportunity Program for People with HIV/AIDS, (HOPWA) a Division of the Department of Housing and Urban Development (HUD) will be the focus of a training session organized by the HIV/AIDS Bureau Housing and Homelessness Workgroup. HOPWA is a critical federal program providing available funds to state, local and county entities to develop housing for PLWA thereby leading to enhanced health outcomes.

Learning Objectives:

  • Participants will become familiar with the over-all HOPWA program.
  • Participants will learn how HOPWA program help meet the housing needs of HIV population.
  • Participants will learn about the collaborative efforts between HOPWA and RW program.

Speakers
GA

Gettie Audain

Senior Program Analyst, RSA/HAB/DSP/ Policy Development Branch
EL

Erica Lipschultz

Desk Officer, HUD/Office of HIV/AIDS Housing


Thursday November 29, 2012 8:00am - 9:30am
Johnson

8:00am

F-33 - Monitoring Ryan White Services Through Annual Evaluation of the Comprehensive Strategic Plan (CE)

In 2011-12, the NYC Department of Health & Mental Hygiene (DOHMH) worked with the HIV Health and Human Services Planning Council to update the Comprehensive Plan for 2012-15. While goals remained constant, the EMA’s planning process benefited from rigorous annual evaluation and reporting on the 2009-2012 plan indicators. Using three years of data and two levels of analysis per indicator, the planning partners arrived at specific, measurable, attainable, relevant and time-bound indicators in four outcome areas, covering the care continuum and both improvement and disparities-focused objectives. In addition to local data, the National HIV/AIDS Strategy and other strategic planning initiatives were referenced to select meaningful, consistent targets. The process of plan development has become fully integrated with the EMA’s needs assessment, planning and evaluation activities.

Learning Objectives:

  • To recognize types of data sources that can effectively be used to measure local and overall Ryan White Part A-funded program progress on comprehensive plan indicators, and ways in which different sources complement one another
  • To understand how Grantee-Planning Council collaborative working groups can apply National HIV/AIDS Strategy guidance to the process of selecting appropriate local indicators
  • To learn mechanisms to achieve a thorough integration of comprehensive plan evaluation, local needs assessment and ongoing comprehensive plan development activities


Speakers
SC

Stephanie Chamberlin

Evaluation Specialist, New York City Department of Health and Mental Hygiene
Stephanie Chamberlin, MIA, MPH, has six years of program evaluation experience directly related to HIV/AIDS and the delivery of health care to underserved populations, and has worked in various capacities across 15 countries to enhance the systematization of monitoring and evaluation... Read More →
GH

Graham Harriman

Iterim Director, Care & Treatment, NYC Department of Health & Mental Hygiene
Graham Harriman, MA, Interim Director Care and Treatment Unit, Bureau of HIV Prevention and Control, New York City Department of Health and Mental Hygiene. Mr. Harriman has worked in the field of HIV for 23 years, he began his work as a mental health program Manager at Quest Center... Read More →
MI

Mary Irvine

Director, Research and Evaluation Unit, NYC DOHMH Bureau of HIV/AIDS Prevention and Control
Mary Irvine is the Director of Research and Evaluation in the Care, Treatment, and Housing Program in the Bureau of HIV/AIDS Prevention and Control of the New York City Department of Health and Mental Hygiene. In this role, she is responsible for improving reporting systems, developing... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Jackson

8:00am

F-34 - Integrating Information Systems to Link and Coordinate Clinical, Support, and Housing Services

The information support requirements of Ryan White and HOPWA Program grantees and subgrantees have grown substantially. Networked information systems can address those requirements. In this workshop, we describe the design of the Provide Enterprise (PE) System adapted by the Fort Lauderdale EMA to reimburse and monitor services, conduct centralized eligibility determination, link newly identified HIV+ individuals to care, coordinate core, support, and housing services; adhere to payer of last resort policies, assess subgrantee quality and performance, meet federal reporting requirements, and evaluate the impact of funded services. We discuss use of PE to coordinate and link services among Ryan White Program and HOPWA subgrantees and evaluation findings in which PE data were used to improve linkages and coordination of clinical and support services.

Learning Objectives:

  • This session will demonstrate the application of information systems to improve coordination and linkages.
  • Participants will learn methods to link information systems to address grantee and subgrantee information needs.
  • Participants will learn about key functions of information systems to coordinate and link services.

Speakers
JH

Julia Hidalgo

Research Professor, George Washington University
Dr. Julia Hidalgo is a Research Professor at the George Washington University, and Chief Executive Officer of Positive Outcomes, Inc. She has worked in HIV for more than 25 years as a Ryan White Program grantee, policymaker, researcher, evaluator, TA provider, and trainer. She serves... Read More →
LJ

Leonard Jones

Administrative Manager, Ryan White Part A Program Office, Broward County Human Services Department
Leonard Jones is the Administrative Manager for the Ryan White Part A Program Office in the Broward County Human Services Department. As the Administrative Manager, he is responsible for the development, initiation, coordination and negotiation of contract and grant activities for... Read More →


Thursday November 29, 2012 8:00am - 9:30am
Tyler

8:00am

Part D Grantee Training
Thursday November 29, 2012 8:00am - 4:30pm
Marriott Ballroom

8:30am

8:30am

10:00am

G-01 - The Quest to Test: How to Implement HIV Testing in Your Facility: A Multidisciplinary Team Approach

In the US an estimated 20 % of people currently infected with HIV are unaware of their HIV status. The CDC has recommended HIV screening for patients aged 13-64 in healthcare settings since 2006, however uptake of these screening recommendations has been low, and many operational, organizational and technical barriers often need to be addressed to implement a successful routine screening program. The proposed workshop aims to give participants the knowledge and skills necessary to successfully negotiate barriers to testing including: buy in from key personnel, securing funding, training, testing, linking to care, and developing sustainable strategies.

Learning Objectives:

  • Participants will understand the potential barriers to implementing an HIV testing program.
  • Learn to negotiate the HIV testing barriers.
  • Identify key stakeholders involved in implementation of an HIV Testing program.

Speakers
SA

Sanjay Aroroa

Assistant Research Director Resea, Los Angles County Emergency Department
Dr. Sanjay Arora is the Assistant Research Director in the department of Emergency Medicine at the Keck School of Medicine of the University of Southern California and is the director of medical student research. He completed his emergency medicine training at UCLA and served as chief... Read More →
KJ

Kathleen Jacobson,M.D.

Medical Director
Dr Kathleen Jacobson is the Medical Director of the Pacific AIDS Education and Training Center at the University of Southern California (USC). She has 15 years’ experience implementing HIV care and testing programs including onsite clinical consultation for public and community... Read More →
SK

Sonali Kulkarni,M.D.

Interim Medical Director, Department of HIV and STD Los Anglels County
Sonali Kulkarni, MD MPH, is the Acting Medical Director for HIV Services in the Division of HIV and STD Programs (DHSP) at the Los Angeles County (LAC) Department of Public Health, and an Adjunct Assistant Researcher in the UCLA Division of General Internal Medicine and Health Services... Read More →
KN

Kim Newton, M.D.

Assistant professor, Los Angleles County
Kim Newton is an assistant professor of emergency medicine. Her primary administrative role is associate medical director of the jail ER,but she also has She has a focus on teaching and education and has been involved with the HIV opt-out testing program since its inception in the... Read More →
MM

Mike Menchine, M.D.

Associate Professor and Chair of the Research Committee, USC + Los Angleles County Emergency Department
Michael Menchine, M.D. is an Associate Professor and Chair of the Research Committee in the department of Emergency Medicine at the University of Southern California. His broad research interest is in strengthening continuity of care and health outcomes for patients with chronic conditions... Read More →
SQ

Stella Quan

Senior Health educator, Rand Schrader Clinic
Stella Quan is the Senior Health Educator at the Rand Schrader Health & Research Center at LAC+USC Medical Center. Ms. Quan oversees and coordinates the Rapid HIV Testing Program at the Rand Schrader Clinic, which provides free testing for community members who are at least 13 years... Read More →
SS

Shira Schlesinger,M.D.

Resident Physcian, Los Angeles County Emergency Room
Shira Schlesinger is a resident physician at LAC+USC Medical Center. She has been working with at risk populations for nearly a decade. Her research interests include integration of public health interventions in the Emergency Department setting,


Thursday November 29, 2012 10:00am - 11:30am
Washington 1

10:00am

G-02 - Planning and Managing a Dental Continuous Quality Improvement Project (CE)

This workshop will focus on strategies around planning and implementing a Continuous Quality Improvement (CQI) project in a dental clinic at Harlem United, a community health organization providing services to underserved individuals in Harlem, New York City. We will present step by step details to implement the CQI project, such as assessing agency infrastructure, defining dental performance indicators, identifying data collection method, implementing corrective action plans, determining staff involvement and time management, and illustrate the improvement in the quality of clinical care. Presenters will share the tool and procedure used to collect data as well as examples of CQI conducted as result of performance data collected. Participants will have an opportunity to discuss challenges and effective strategies to conduct CQI project in their organizations.

Learning Objectives:

  • How to measure performance, plan and implement a CQI project in the dental clinic
  • How to identify data collection method and set up data collection procedure
  • How to use performance data to develop and implement CQI activities

Moderators
CS

Clemens Steinbock

National Quality Center
Clemens Steinbock, MBA, has more than 18 years of experience in the field of QI, centering on improving the quality of HIV care across the world. He serves as the NQC Director since 2004 and has led NQC to become the premier TA resource to advance the quality of HIV care nationwide... Read More →

Speakers
LK

Liza Kasmara

Evaluation Associate, Harlem United Community AIDS Center, Inc.
Liza Kasmara, EdM, joined Harlem United in August 2009 as an Evaluation Associate. She came with an extensive training in research design and evaluation methodologies, and more than 5 years of experience in medical research. She holds a Bachelor’s degree in Psychology from Seattle... Read More →
MM

Maura Maloney

Dental Director, Harlem United Community AIDS Center, Inc.
Maura Maloney, DDS, joined Harlem United as the Dental Director in January 2012. Prior to this, she had almost 20 years experience in private practice along with being a faculty member at New York University College of Dentistry. Dr. Maloney holds a BA degree in economics from Boston... Read More →
MS

Moussa Sanogo,M.D.

Columbia University
Moussa Sanogo, MD, MS, MPH, is a Program Manager and Associate Research Scientist at Columbia University College of Dental Medicine. He received a M.D. Degree from Beijing Medical University, PR China, in 1992, complete Pediatrics Residency and Received a Master of Science Degree... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Washington 2

10:00am

G-03 - Achieving Health, Housing and Employment Outcomes for PLWHA through Cross-System Coordination: 301

This advanced workshop is geared toward Ryan White healthcare and supportive service grantee, policy makers, and program developers. The intent is to provide participants with the following: (1) Knowledge about cutting edge research focused on the vocational rehabilitation and employment service needs of people living with HIV/AIDS (PLWHA); (2) An interactive discussion led by a reaction panel comprised of HIV clinical and vocational rehabilitation practitioners and community-based, supportive service providers based on practical experience serving PLWHA; (3) An interactive discussion led by Federal and State policy makers focusing on policy development issues and considerations related to research findings on the vocational rehabilitation and employment service needs of PLWHA and the practical experience of Ryan White Grantees.

Learning Objectives:

  • This session will review research findings that indicate improved treatment adherence and health outcomes, and reduced risk behaviors among PLWHA who are engaged in vocational and/or employment services, and describe how findings may impact policy discussions/development.
  • This session will identify two barriers to policy development that would support and promote interdisciplinary collaboration between Ryan White healthcare and supportive service providers and vocational and/or employment service providers.
  • The session will identify two policy development strategies that work toward breaking down barriers to interdisciplinary collaboration between healthcare and supportive service providers and vocational and/or employment service providers.

Moderators
NC

Nancy Chiarella

Executive Director, Corporation for AIDS Research, Education and Services (CARES), Inc.
Nancy Chiarella is Executive Director of the Corporation for AIDS Research, Education and Services in Albany, NY focusing on HIV/AIDS housing and technical assistance to service providers. Ms. Chiarella oversees a HUD/HOPWA, Special Project of National Significance that integrates... Read More →

Speakers
JA

John Allen

Special Assistant to the Commissioner, Director - Bureau of Recipient Affairs, Office of Mental Health
John Allen, Special Assistant to the Commissioner of the New York State Office of Mental Health, is a noted speaker and author on disability rights issues, entitlements, homelessness, disability employment, systems finance, and recovery. He is committed to assuring that recovery from... Read More →
LC

Liza Conyers,Ph.D.

Associate Professor, Penn State University
Liza Conyers, PhD, CRC, is an Associate Professor of Rehabilitation and Human Services at Penn State University and Chair of the NWPC Research Working Group. She had conducted research in the area of HIV and employment for the past 10 years and is Principal Investigator on the NWPC... Read More →
CG

Charles Gonzalez,M.D.

Associate Medical Director for Science and Policy/OMD, NY State Department of Health/AIDS Institute
Dr. Charles Gonzalez, MD, a graduate of Columbia University College of Physicians and Surgeons, is an Assistant Professor of Medicine, New York University School of Medicine and specializes in internal medicine and infectious disease in New York, New York.
CL

Charles Lobosco

HIV/Employment Project Consultant
Charles Lobosco, M.S. Ed., worked for the New York State (NYS), Department of Health, AIDS Institute for over 22 years. He helped develop an HIV Welfare to Work Initiative and promote the National Working Positive Coalition/Penn State University Survey of Employment/Vocational Training... Read More →
MM

Mark Misrok

President, National Working Positive Coalition
Mark Misrok, MS, Ed, CRC is a Certified Rehabilitation Counselor, President of the National Working Positive Coalition, and has lived with HIV for over 25 years. Working in community-based vocational rehabilitation services for PLWHA beginning in 1995, Mark was Director of Client... Read More →
JM

Johanne Morne

Director, New York State Department of Health, AIDS Institute, Office of Planning and Policy
Johanne Morne, MS, Director, Office of Planning and Policy at NYSDOH AIDS Institute, Albany, New York has more than 12 years experience working on behalf of people living with HIV/AIDS in community-based services, clinical care quality management, State HIV program administration... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Washington 3

10:00am

G-04 - Guidance in Improving RSR Quality using CAREWare

Virginia Commonwealth University Part C EIS Program is a Ryan White Part C funded grantee. From 09/01/2010 to 02/29/2012, funded by HRSA SPNS IT Capacity Building grant, we have upgraded our data system into CAREWare to enhance our capacity for high quality RSR reporting to HRSA. This proposed session will cover our journey of data system upgrading to CAREWare, including how we made every effort to ensure data security, our data collection and entry processes and procedures to ensure high quality data collection, data linkage with LabCorp and our university health system electronic health records Cerner, reports and tools used for data validations and errors checking before RSR submission.

Learning Objectives:

  • Participants will learn the importance of empowering clinical staff members and involving them in the data system to ensure high-quality RSR data.
  • Leverage tools and functions within CAREWare to ensure high-quality RSR data. Thanks HRSA SPNS IT Capacity Building grant that enabled us to upgrade our data system to CAREWare and promote HRSA resources, such as the SPNS HIT Capacity Building grant for data system capacity building.

Speakers
FG

Fuwei Guo

Program Coordinator/Data System Manager, Virginia Commonwealth University
Mr. Fuwei Guo has master degree in Public Health from University of South Florida School of Public Health. Starting from Jan 01, 2010, Mr. Guo started to work for the Virginia Commonwealth University Part C EIS Program on Quality Management Program, data system management and program... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Washington 4

10:00am

G-05 - Enhancing Access to Oral Health Care Through: Education, Collaboration, and Advocacy (CE)

From, 2007 to 2011 the IU School of Dentistry increased access to oral health care for Ryan White patients by increasing from 74 discrete patients to 445, from 26 new patients to 159, and from 159 total patient visits to 4,202. This success is based on an inter-professional model of advocacy, collaboration and education leading to a patient-centered, comprehensive, preventive, oral health care practice involving over 190 dental students. Our efforts in increasing access to care, have occurred due to enhanced education, quality management projects, presentations and publications, which resulted in the School being awarded the national/international “Orna Shanley Prize” for innovative solutions in addressing local access to care issues for our HIV/AIDS patient population. We propose presenting a workshop that examines the program’s successes and challenges in increasing motivators for accessing care and in decreasing related barriers.

Learning Objectives:

  • Advocacy: Upon completion of this session participants will be better able to identify and critically examine how to further empower local people living with HIV/AIDS to increase their access to oral health care by seeking out, securing and maintaining a dental home.
  • Collaboration: Upon completion of this session participants will be able to better recognize, appreciate and plan for working collaboratively and inter-professionally with local dental schools and/or other oral health providers.
  • Education: Upon completion of this session participants will be able to better understand how to successfully educate future dental providers about the cultural, psychological and social conditions involved in the diagnosing, treating and managing of people living with HIV/AIDS.

Speakers
SS

Stuart Schrader

Clinical Assistant Professor, Behavioral Sciences, Indiana University School of Dentistry
Stuart Schrader, PhD, is a Clinical Assistant Professor of Behavioral Sciences at the Indiana University School of Dentistry in Indianapolis, Indiana and PI for our local “Title XXVI HIV Health Care Services (HRSA) Program 1, 2 Part A, Emergency Relief for Areas with Substantial... Read More →
MW

Michael Wallace

Ryan White/HIV Service Program Director,
Mr. Michael Wallace is the Director of the Ryan White/ HIV Services Department of the Marion County Public Health Department. Mr. Wallace has worked in the field of HIV for more than 20 years in his roles as State AIDS Director and as Director of the “Treatment Plus Program... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Washington 5

10:00am

G-06 - Effective Strategies for Conducting and Monitoring Eligibility Determination (ED) (CE)

Adopting effective ED strategies is important to adhere to HAB monitoring standards, and ensure that clients receive health insurance, income assistance, and other benefits. Gathering accurate client data is also necessary to compute clients’ federal poverty level and determine charges. In this workshop, we review HAB ED monitoring standards, common ED practices, key client information needed to conduct ED and assess charges, methods for assisting clients to enroll in health insurance, best practices in conducting these activities, grantee monitoring methods, and results of ED performance assessments among Part A grantees. Useful monitoring tools are discussed. Part A staff from Fort Lauderdale, West Palm Beach, and Northern Virginia will discuss their ED methods and quality improvement strategies.

Learning Objectives:

  • Increase trainees’ knowledge of HAB’s eligibility determination standards.
  • Increase trainees’ knowledge of HAB’s eligibility determination standards.
  • Grantees will gain sufficient knowledge to apply at least three methods to monitor subgrantee ED performance.

Speakers
JH

Julia Hidalgo

Research Professor, George Washington University
Dr. Julia Hidalgo is a Research Professor at the George Washington University, and Chief Executive Officer of Positive Outcomes, Inc. She has worked in HIV for more than 25 years as a Ryan White Program grantee, policymaker, researcher, evaluator, TA provider, and trainer. She serves... Read More →
SH

Sonja Holbrook

Ryan White Program Manager, Palm Beach County Department of Community Services
Sonja Swanson Holbrook serves as the Ryan White Program Manager for the Palm Beach County Ryan White Part A Program in Florida. Prior to joining the Part A program, she served as the Part B program administer for Palm Beach County
LJ

Leonard Jones

Administrative Manager, Ryan White Part A Program Office, Broward County Human Services Department
Leonard Jones is the Administrative Manager for the Ryan White Part A Program Office in the Broward County Human Services Department. As the Administrative Manager, he is responsible for the development, initiation, coordination and negotiation of contract and grant activities for... Read More →
AK

Amelia Khalil

Quality Manager, Northern Virginia Regional Commission
Amelia Khalil received a Master’s Degree from Slippery Rock University. She is the Senior Contract Officer and Quality Manager at Northern Virginia Regional Commission. She has over 15 years of experience working with various Ryan White programs and a clinical trainer for the Virginia... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Washington 6

10:00am

G-07 - Guidance to Creating a Culture for Quality: Session 301: Improve your Care and Services with Consumer Input and Participation

This session showcases the importance of involving consumers as stakeholders to strengthen HIV quality management programs. Key barriers and successful strategies are discussed including effective strategies for soliciting consumer feedback and involving them in quality improvement activities. Participants work on a PDSA cycle to improve consumer involvement at their agencies.

Learning Objectives:

  • At the end of this session, participants will understand the importance of consumer participation in their quality management programs.
  • Participants will learn effective strategies for overcoming common barriers in engaging consumers in quality improvement activities and develop strategies for receiving meaningful input by consumers.
  • At the end of this session, participants will know where to access resources to improve participation of consumers in quality improvement efforts.

Moderators
Speakers
AB

Al Bishop

HIV Services Director, Robeson Health Care Corporation
Al Bishop, MSA-HSA is the HIV Service Director for Robeson Health Care Corporation (RHCC) and has served there for 9 years. As HIV Services Director, Mr. Bishop is responsible for monitoring all grant activities and budgets, performing weekly CQI activities, performing benefits advocacy... Read More →
AT

Adam Thompson

Peer Quality Improvement Consultant, NQC
Adam Thompson has served on several statewide planning bodies, has a strong background in HIV prevention and care, and has been responsible for developing workshops and trainings. As the state leader of the Virginia Cross-Part Collaborative team, Adam has worked closely with large... Read More →
DT

Daniel Tietz

AIDS Program Manager for Consumer Affairs, National Quality Center (NQC) AIDS Institute
Daniel Tietz holds a BA degree from the SUNY Empire State College in business, management, and economics. He is the AIDS Program Manager for Consumer Affairs. With 12 years of experience as a consumer (patient) advocate in the New York State Department of Health’s AIDS Institute... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Delaware A

10:00am

G-08 - Calculating Clinical Markers in the EMR

Medical practices of even a modest size require staff devoted solely to data collection and management. At Fenway Health, where there are over 1,800 HIV patients, a dedicated team monitors data collection, makes improvements to the EMR and prepares data for reporting. Fenway Health has been using an EMR system since 1997 and experience has helped them recognize the potential to improve quality of care, provide timely clinical information and perform sophisticated calculations not otherwise possible on paper. From the medical perspective, it is important to provide the treating physician with access to the most current scientific and validated and measures available. At Fenway Health, we have programmed a number of clinical measures into our EMR. One example is the FIB-4 score, which is an inexpensive and accurate marker of fibrosis in HIV and HCV co-infected patients.

Learning Objectives:

  • Understand the demands, needs, and expectations of key stakeholders (data team, providers, patients).
  • Understand the key considerations and issues when integrating measures into the electronic medical record systems.
  • Understand how integrating multiple measures can improve clinical outcomes and client-level reporting.

Speakers
CG

Chris Grasso

Associate Director of Health Informatics and Data Services, Fenway Community Health Center
Chris Grasso is the Associate Director of Health Informatics and Data Services at Fenway Community Health Center. She earned her Masters of Public Health Degree from Boston University in 2000. As Associate Director, she manages a team who is responsible for database development, data... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Delaware B

10:00am

G-09 - On Therapy and Undetectable: The Ultimate Quality Goal

The Positive Health Clinic at West Virginia University has been proactive in making sure quality measures are consistently evaluated, especially the HIV viral load on patients on antiretroviral therapy. Since 2004 biweekly patient care meetings have been held, with multidisciplinary participation including representation from Ryan White Part B and the AETC. Patients seen the week prior are systematically discussed. Treatment regimens and lab values are reviewed with opportunities to optimize care identified by any one of the team members. Input is given by all regarding adherence, prevention, referrals, housing, and financial situations, as well as mental health and substance abuse. Annually, physicians are provided a comparative scorecard. Patients with detectable viral loads are highlighted and discussed further for intervention opportunities. This has become quite popular and physicians will often “compete” to have the highest proportion of patients undetectable.

Learning Objectives:

  • This session will review the significance and importance of an undetectable viral load as the ultimate HIV quality measure.
  • Discuss approaches to providing continuing HIV education through the weekly patient care conference.
  • Create healthy competition to maximize the proportion of patients undetectable through provider feedback at an annual patient care conference.

Speakers
SM

Stacie McIe, R.N.

Associate Director, West Virginia University Positive Health Clinic
Registered Nurse and Associate Director of the West Virginia University Positive Health Clinic located in Morgantown, WV. Stacie is a 1995 graduate of West Virginia University with a BSN and 2010 graduate of Waynesburg University with a MBA.
AS

Arif Sarwari,M.D.

Associate Professor and Medical Director, WVU Positive Health Clinic
Board Certified Internal Medicine and Infectious Diseases Medical Director, WVU Positive Health Clinic (Part C ) Clinical Consultant, Bureau for Public Health Rapid Testing Initiative


Thursday November 29, 2012 10:00am - 11:30am
Maryland A

10:00am

G-10 - The Seven Elements of Effective Compliance Programs (CE)

Compliance programs provide a framework for translating legal requirements into management actions, fostering an organizational culture that promotes compliance, and reducing legal risks. There are more risks now than ever before due to the Patient Protection and Affordable Care Act’s provisions granting new authority to enforcement agencies, increasing potential financial penalties, and establishing new government audit programs. Furthermore, for the first time, compliance programs will become mandatory conditions of enrollment in Medicare, Medicaid, and CHIP – so if your program receives any of these funds in addition to Ryan White dollars, you need to be aware of the new rules!

Learning Objectives:

  • Describe the evolution of corporate compliance programs.
  • Discuss regulations/guidelines governing compliance programs.
  • Identify the seven components of an effective compliance program.


Speakers
UB

Uri Bilek

Attorney, Feldesman Tucker Leifer Fidell
Uri Bilek, an associate with the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, assists clients in the development and evaluation of health care corporate compliance programs, represents health care entities in connection with government inquiries, audits, and investigations... Read More →
AF

Adam Falcone

Attorney, Feldesman Tucker Leifer Fidell
Adam Falcone, a partner in the Washington, DC-based law firm Feldesman Tucker Leifer Fidell LLP, directs the firm’s health care corporate compliance practice, where he assists clients in the development of effective corporate compliance programs, advises clients on reimbursement... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Maryland B

10:00am

G-11 - Creating a Patient Centered Web-page with Health Literacy and Navigation

The model of Patient Centered Medical Home is creating opportunities for patient to improve their self-efficacy. The PCMH web page was designed specifically to improve patient health literacy, health navigation, and have cultural competency. This workshop will cover the planning, implementation, and core concepts necessary for creating a clinic based patient centered web-page. Practical advice and lessons learned will be shared in three key areas: content development, use of CAB/CQI/ and other key state holders; technical considerations; and introduction to patients.

Learning Objectives:

  • The unique design and direction required to develop the Patient-Centered Web page will be discussed.
  • Explain challenges and lessons learned in patient- centered medical home Web page implementation.
  • Describe the different experiences of patients learning to use the site.

Moderators
WS

Wayne Steward, Ph.D.

Assistant Professor, University of California San Francisco
Dr. Wayne Steward is an Assistant Professor at the Center for AIDS Prevention Studies (CAPS) at the University of California, San Francisco (UCSF). He received a PhD in psychology from Yale University in 2002 and an MPH in epidemiology from the University of California, Berkeley in... Read More →

Speakers
BB

Barbara Berkovich

Clinical Systems Analyst, UC San Diego Health System
Barbara Berkovich is a Clinical Systems Analyst at the UC San Diego Health System. She’s a member of the ANCHOR grant team which aims to improve the percentage of patients HIV clinical patients who routinely access health information online, confirm with laboratory tests that their... Read More →
MB

Militza Bonet-Vázquez

UC San Diego Health System
Militza Bonet-Vázquez, MPH is a Health Communications Specialist at UC San Diego Health System. She’s a core member of the ANCHOR grant team working to improve the application of Patient Centered Medical Home in HIV primary care clinical practice. With a MPH and urban field experience... Read More →
AS

Amy Sitapati,M.D.

Associate Clinical Professor of Medicine, Univ of California, San Diego Medical Center
Dr. Amy M. Sitapati is Associate Clinical Professor at the Owen Clinic at the University of California, San Diego (UCSD). She received a BS in engineering from Case Western Reserve University (CWRU) in 2004 and an MD from CWRU in 2008. Dr. Sitapati is an internist clinician leader... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Maryland C

10:00am

G-12 - The Future Arrives: The Intersection of Ryan White and Health Reform in a California EMA

California's early entry into Health Reform has uncovered a number of challenges and questions in what and whom can be covered by the Ryan White Program. In this interactive session, experience and data from one large county will be used as a jumping off place for discussion of issues such as coverage transition, formulary issues in a post-ADAP managed care world, benefit packages for PLWHIV and new case management priorities.

Learning Objectives:

  • Participants will be able to list four ACA transition issues requiring system- level planning.
  • Participants will be able to articulate benefits and risks for Ryan White clients in Medicaid Expansion programs.
  • Participants will develop a preliminary issues list for their region to focus on in planning ACA implementation for RWP clients.

Thursday November 29, 2012 10:00am - 11:30am
Virginia A

10:00am

G-13 - Becoming a Federally Qualified Health Center

This session will provide participants with an overview of the Health Center Program requirements, benefits of becoming a federally funded/designated health center, the opportunities for funding and available technical assistance resources.

Learning Objectives:

  • Gain familiarity with the Health Center Program, its authorizing legislation and national priorities
  • Understand the Bureau of Primary Health Care’s key program requirements and performance measures
  • Learn about opportunities available through the New Access Point and the FQHC Look-Alike Program

Speakers
TB

Tonya Bowers

Deputy Associate Administrator, Bureau of Primary Health Care
Tonya Bowers as the Bureau of Primary Health Care's new Deputy Associate Administrator.  For the past four years, Tonya has served as the Director for the Office of Policy and Program Development in the Bureau.  In that time she has played a key leadership role in a number of areas... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Virginia B

10:00am

G-14 - Evaluating a Ryan White Quality Management Program Using Quantitative and Qualitative Methods

In collaboration with the Part A Quality Management (QM) Interagency Group, the NYC Department of Health and Mental Hygiene developed a comprehensive internet survey to elicit information on participants’ experiences and satisfaction with the QM program using quantitative and qualitative methods. Satisfaction variables were measured using a 5-point Likert scale measuring agreement. One-way analysis of variance and descriptive statistics examined satisfaction with and perceptions of QM activities. Content analysis including both open and axial coding was used to guide the qualitative analysis. 24.6% of QM participants completed the survey. Our evaluation shows that NY EMA QM participants are generally satisfied with the program and activities. Results will be used to prioritize QM trainings and to use feedback to improve the QM program.

Learning Objectives:

  • Understand the usefulness of surveys to identify best practices and areas for improvement for quality management programs managed by the grantee.
  •  Use surveys to identify training needs.
  • This session will describe how quantitative and qualitative feedback from a quality management program evaluation can be shared with subcontractors and used to plan improvements.

Speakers
MK

Mary Kay Diakite

Technical Assistance Project Manager for the Care, Treatment and Housing Program, NYC Department of Health & Mental Hygiene
Mary Kay Diakite, LMSW, completed her coursework for a PhD of Social Work at Rutgers University with a specialty in social policy. She is trained in both quantitative and qualitative analysis. She received her MSW in Community Social Work from the State University of New York at Buffalo... Read More →
GH

Graham Harriman

Iterim Director, Care & Treatment, NYC Department of Health & Mental Hygiene
Graham Harriman, MA, Interim Director Care and Treatment Unit, Bureau of HIV Prevention and Control, New York City Department of Health and Mental Hygiene. Mr. Harriman has worked in the field of HIV for 23 years, he began his work as a mental health program Manager at Quest Center... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Virginia C

10:00am

G-15 - Linkage to HIV Primary Care: Guidance in Coordinating the Pieces (CE)

Linking patients from screening to HIV Primary Care involves coordination of various disciplines and/or agencies. This presentation will focus on the creating a structure related to HIV testing, linkage, retention and partners services within a large public infectious disease clinic. Inter-departmental challenges such as separate funding streams, organizational resistance, data monitoring and inadequate funding will be discussed. Strategies, methods, models, examples A multidisciplinary team which understands the inter-related interventions is key for the implementation of testing, linkage and partner services. Having clear roles, expectations and a vision of how prevention and care are linked is necessary. An assessment of current testing, linkage activities and outreach is conducted. A system to include policies and procedures, data elements and organizational outcomes are developed. This process facilitates coordination of services; all of which aim at improving health outcomes

Learning Objectives:

  • To describe the coordination steps to testing-linking-engaging-notifying services
  • To illustrate the coordination of field activities such as outreach and partner services.
  • To describe the implementation of peer patient navigator interventions into prevention and care services

Moderators
MG

Marisol Gonzalez,R.N.

Principal Investigator, Ruth M. Rothstein CORE Center
Marisol Gonzalez is from the Ruth M. Rothstein CORE Center in Chicago, Illinois, where she is the Principal Investigator for the SPNS Women of Color Initiative and is the Director of Prevention & Education. She has been in the HIV/AIDS field 17 years in the capacity of clinical care... Read More →

Speakers
AP

Allison Precht

Program Manager, Ruth M. Rothstein CORE Center
Allison M. Precht is the Program Manager for the SPNS Women of Color Initiative at the Ruth M. Rothstein CORE Center in Chicago, IL. She has worked in the infectious disease field for 12 years in the capacity of research, prevention, and education and program development. She has... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Madison A

10:00am

G-16 - Taking a Closer Look at 'One Stop Shopping'

A review of chart review referral data showed that mental health referrals were the least likely to be completed by consumers. Consumer roundtables were held to assess the barriers to getting mental healthcare for consumers. In response, Planning Council made the directive to create mental health programs that are co-located with treatment sites. This directive was later expanded to two additional sites. One stop shopping for all HIV related care needs is frequently touted as the most effective way of ensuring that consumers have timely access to the services and medications that they need. However, when the data on these programs was examined, several questions arose about the number and nature of the actual was services delivered and outcomes for clients. This workshop will detail the genesis of the mental health 'pilot program' across three sites, what the data shows, and the Planning Council response.

Learning Objectives:

  • Participants will (1) understand a number of necessary considerations for implementing one-stop shopping program models, even when all of the services are already offered at each site; (2) identify and assess applicability of administrative processes described and how they relate to their own program goals and objectives; and (3) learn additional steps needed to avoid programmatic delays that impede service delivery to consumers.
  • Participants will understand the variety of data resources used to assess unmet need, barriers to care, service utilization outcomes, and how these measurements relate to Planning Council process and the Standards of Care.
  • Participants will understand the valuable role of the consumer in the process of identifing more effective ways of to address barriers faced by consumers.

Speakers
LC

Lucy Counts

HIV Program Director, Middlesex County Office of Human Services
Lucy A. Counts is the Ryan White Part A Project Director for the Middlesex-Somerset-Hunterdon TGA. She has worked for Middlesex County for over 10 years. She has experience monitoring the execution of both state and federally funded programs to ensure adherence to contract terms and... Read More →
TF

Theresa Fox

Research Analyst, Institution for Families, Rutgers University
Theresa Fox is presently a Research Analyst at the Institute for Families, School of Social Work at Rutgers, the State University of New Jersey. She has been working on the Middlesex-Somerset-Hunterdon Part A Program since 2000. She is the CAREWare database administrator and the Quality... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Madison B

10:00am

G-17 - Monitoring RSR Data Quality - 301 (CE)

This session will provide grantees with an overview of the reports available to them under the grantee report and provider report sections in the RSR web application and how to use the date gathered from these reports. SAIC will discuss and demonstrate the process behind navigating and generating these reports. Screen shots will be shown, and the grantees will be led in a series of hands-on exercises to aid in the understanding of the information. HAB will also explain how they expect grantees to utilize these reports and will assist grantees in devising their personalized plan on how and when they will generate these reports.

Learning Objectives:

  • Locate and understand the reports available to Grantees in the RSR.
  • Locate and understand the reports available to Providers in the RSR.
  • Understanding the data contained in these reports.

Speakers
DI

Debbie Isenberg

HIV.AIDS Bureau
Debbie Isenberg is the Chief of the Epidemiology and Data Branch in the Divison of Science and Policy at the HIV/AIDS Bureau. Prior to coming to HAB, Ms. Isenberg was a grantee for nearly 15 years. Ms. Isenberg has nearly 20 years experience in the field of HIV, with extensive experience... Read More →
EP

Elisa Peet

Customer LEad
Elisa Peet is the Customer Lead for the HIV/AIDS (HAB) Team at Science Application International Corporation. Her roles and responsibilities include requirements gathering, system testing, documentation, training, etc. for all HAB supported applications. She has been working with... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Hoover

10:00am

G-18 - Guidance to Integrating Affordable Care Act, National HIV/AIDS Strategy, and Ryan White

States will be shaping how persons with chronic conditions including HIV will access care and services in striving to meet the National HIV/AIDS Strategy with healthcare reform implementation. This session will provide best practices for Ryan White Grantees and Sub-grantees to adjust to healthcare reform readiness in their states.

Learning Objectives:

  • Illustrate how one State involved four State departments, multiple community collaborators, policy experts, and providers convened by the leading HIV policy organization maximized opportunities in healthcare reform.
  • Provide specific, practical examples of how persons with or at risk of HIV can benefit from health care reform activities blended with the Ryan White program.
  • Include measurable outcomes from the National HIV/AIDS Strategy to establish essential health benefits for persons with HIV that will advance the goals within the strategy.

Speakers
RR

Randall Russell

Chief Executive Officer, Lifelong AIDS Alliance
Randy Russell has served in the HIV community for 30 years as a volunteer, leader of AIDS Service Organizations, advocate, and technical assistance provider for the CDC, HRSA’s Ryan White program, and HUD’s special needs housing program. He has also served as Founder of the Professional... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Coolidge

10:00am

G-19 - EHB 201: Submitting Applications and Reports & Troubleshooting in EHB

Information will be provided on the new layout and features within EHB to assist grantees in registering new individuals, updating contact information, uploading documents and in general more readily navigate through the EHB.
 
Learning Objectives:

  • Participants will be able to identify the needed application components and how to submit an application/report.
  • Participants will be able to track submissions.
  • Participants will be able to better understand how to navigate within EHB and avoid basic errors.

 


Speakers

Thursday November 29, 2012 10:00am - 11:30am
Harding

10:00am

G-20 - Using Telehealth to Deliver HIV Services: Replication of the Project ECHO-TM Model at a FQHC Network (CE)

The session will be a presentation and discussion on Project ECHO-TM as an evidence based delivery model of care, its value in expanding access and retention in HIV care, and how to replicate and implement this model in a FQHC setting. We will present our model that we have adopted at the Community Health Center Inc in Connecticut in order to expand access and care to 10 health center sites across the state. We will discuss how we prepared for replication and how we implemented the model.

Learning Objectives:

  • At the end of the session, participants will understand what the Project ECHO-TM model is and the evidence that exists to support its success as a model.
  • At the end of the session, participants will be able to enumerate the steps needed to prepare for replication of the Project ECHO-TM model.
  • At the end of the session, participants will be able to describe the implementation process of the Project ECHO-TM model at a FQHC and understand the tools needed to adopt the model in their own settings.

Speakers
MH

Marwan Haddad

Medical Director of HIV, HCV, & Buprenorphine Services
AS

Amanda Swan

APRN, AAHIVS, Project ECHO Faculty, CHC, Inc.


Thursday November 29, 2012 10:00am - 11:30am
Wilson A

10:00am

G-21 - Implementing HCV Treatment Programs in Comprehensive HIV Clinics (CE)

This workshop will provide a comprehensive discussion of the clinical and programmatic components which are vital to the implementation of a successful HCV treatment program within a comprehensive HIV continuity clinic. Through panel discussions and interactive activities, the workshop will explore means to leverage existing clinic resources as well as develop new ones integral to program success. Clinical discussions will focus on the current clinical recommendations for HCV treatment among HIV co-infected patients, including discussion of the management of patient co-morbidities and treatment related toxicities. Additionally, the panel will discuss the challenges of developing clinical protocols in the era of rapid development of newer state-of-the-art HCV treatments.

Learning Objectives:

  • Develop a comprehensive understanding of the clinic resources, including personnel, which are integral to the successful implementation of a HCV treatment program within an existing HIV continuity clinic framework
  • Build skills in the clinical management of HCV in HIV co-infected patients. Skills will include optimizing treatment candidacy, recognizing important patient co-morbidities, managing patient with alcohol and substance abuse, selecting appropriate treatment, and management of treatment emergent toxicities and side-effects.
  • Gain an understanding of the rapid developments of new targeted HCV therapies and the manner in which a comprehensive HCV treatment program must adapt to these clinical developments

Moderators
TW

Todd Wills, M.D.

Lead Clinician-Infectious Disease Specialist, University of South Florida - SPNS HCV ETAC
Dr. Wills is Associate Professor of Internal Medicine and Fellowship Program Director in the Division of Infectious Disease and International Medicine at the University of South Florida Morsani College of Medicine. He is actively involved in HIV/HCV clinical research and is a faculty... Read More →

Speakers
JB

Jeffrey Beal,M.D.

Clinical Director, F/C AETC
Dr. Beal is Clinical Director, Florida/Caribbean AIDS Education and Training Center; Medical Director, Bureau of HIV/AIDS of the Florida Department of Health; Assistant Professor, Florida Mental Health Institute, University of South Florida; Assistant Professor, Department of Medicine... Read More →
MF

Martha Friedrich,Ph.D.

ETAC Evaluator, University of South Florida - SPNS HCV ETAC
Dr. Friedrich serves as the ETAC Program Evaluator and is responsible for overseeing all activities related to the evaluation plan and data management for the 30 demonstration sites. These responsibilities include developing needs assessments, evaluation tools, delivery methods, and... Read More →
CS

Charurut Somboonwit,M.D.

Lead Clinician-Infectious Disease Specialist
Dr. Chararut Somboonwit, provides clinical leadership for the ETAC Demonstration sites and is responsible for the review of demonstration models and providing clinical consultation, as needed.


Thursday November 29, 2012 10:00am - 11:30am
Wilson B

10:00am

G-22 - The Magic of MAPP: A Fresh Framework to Guide Comprehensive Planning

This workshop will explain how to adapt a planning framework called Mobilizing for Action through Planning and Partnerships (MAPP), developed by NACCHO, to facilitate the comprehensive planning process for an HIV system of care. MAPP’s interactive design as a community-driven planning tool encompasses six phases. This stepwise approach considers the local system and creates a common vision with supporting strategies to achieve the vision. The workshop will demonstrate how planners, grantees, and consumers can collaboratively create a plan that depicts the HIV care system and outlines the goals and strategies for refining the continuum of care. Using MAPP as a guide, participants will learn about planning to provide quality care that is consistent with the implementation of healthcare reform and the National HIV/AIDS Strategy.

Learning Objectives:

  • Participants will be able to describe key components of the MAPP process and how MAPP can be used to develop and inform comprehensive planning.
  • By the completion of the workshop, participants will be able to identify additional resources to incorporate the MAPP process into their own local and State planning processes
  • By the completion of the workshop, participants will be able to indicate how using the MAPP process can facilitate developing goals, strategies, and activities aligned to support the National HIV/AIDS Strategy.

Moderators
FL

Fran Lawless

Director, Office of Health Policy and AIDS Funding
Ms. Lawless has a MHA from Tulane University and has been working in grants management for over 20 years and in HIV management specifically for 8 years. Under her supervision, the New Orleans EMA has undergone extensive revamping after several devastating hurricanes and has surpassed... Read More →

Speakers
BB

Brandi Bowen

Program Director
Brandi C. Bowen has twelve years of experience in the HIV/AIDS field, including working with both Ryan White and Housing Opportunities for Persons with AIDS (HOPWA) programs. With a background in liberal arts, her programmatic and administrative experience lends strong support in... Read More →
ES

Erika Sugimori

Health Planner
Erika Sugimori has 6 years of experience in the HIV/AIDS field as the Health Planner at the New Orleans Regional AIDS Planning Council (NORAPC), the public planning body for Ryan White Part A funds in the New Orleans Eligible Metropolitan Area. She coordinates activities to ensure... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Wilson C

10:00am

G-23 - First Year Results and Lessons Learned From a HRSA/CDC Intervention to Retain Patients in HIV Care (CE)

Our workshop will present the first year’s results of a jointly funded HRSA-CDC intervention study to improve retention in care rates at six large HIV clinics in the U.S. The study is evaluating the impact of two active intervention arms (Limited and Comprehensive) compared to a Standard of Care arm in a randomized design. We will describe the trial design and each intervention arm’s components. We will discuss strategies used by the retention interventionists to promote retention in care and identify and address barriers to care and unmet needs. This session will address methods used to promote collaboration between the retention interventionists and existing clinic staff (e.g., case managers/social workers, mental health staff) to prevent duplication of clinic services.

Learning Objectives:

  • At the end of the workshop, participants will be able to describe the types of activities performed by the retention interventionists to promote retention in HIV primary care, and activities that promoted continuity of clinic services
  • At the end of the workshop, participants will be able to identify three commonly reported barriers to care or unmet needs that were self-reported by study participants.
  • At the end of the workshop, participants will be able to describe the results of the intervention trial based on the first year of the intervention.

Moderators
FM

Faye Malitz

Senior Advisor, HRSA/HIV-AIDS Bureau
Faye Malitz is a Senior Advisor in HIV/AIDS Bureau's Division of Policy and Data. She is a co-investigator along with CDC colleagues on HRSA/CDC Retention in Care Project

Speakers
JC

Jason Craw

Public Health Analyst, CDC/ICF International
Jason Craw is a public health analyst with ICF International in the Division of HIV/AIDS Prevention at CDC. He received a Bachelor of Science degree in Psychobiology from UCLA in 2002 and his MPH from Emory University’s Rollins School of Public Health in 2005. His previous research... Read More →
LG

Lytt Gardner

Epidemiologist, CDC
Lytt Gardner is an epidemiologist with the Division of HIV/AIDS Prevention at CDC, Atlanta. He received a MA degree (1973) and a PhD in epidemiology (1981) from the School of Public Health at the University of North Carolina at Chapel Hill. His research at the CDC has concerned evaluating... Read More →
MJ

Mollie Jenckes

Program Manager, Johns Hopkins School of Medicine
Ms. Jenckes is a highly experienced Program Manager with substantial experience with HRSA and CDC funded research trials over the past 10 years. This includes administration, clinical, nutrition, and other applications. She is also an intervention nurse with a caseload of non-compliant... Read More →


Thursday November 29, 2012 10:00am - 11:30am
McKinley

10:00am

G-24 - Providing Guidance to Early Identification, Enhance Testing, and Fast Tracking to Care

Significant advances in research demonstrate that early detection and treatment of HIV not only improves health outcomes for patients but also reduces transmission rates and community viral loads – an indicator of transmission potential in a community. Similarly, the 2010 United States National HIV/AIDS Strategy calls for efforts to reduce infection rates, increase access to care, and mitigate health disparities. Ryan White grantees are well positioned to lead the tasks around early identification and treatment. This workshop presents a multi-prong approach, developed in collaboration with key stakeholders, to early identify, test, and efficiently link individuals to care with the emphasis around enhanced targeted outreach and the elimination of barriers to accessing treatment.

Learning Objectives:

  • This session will describe opportunities to collaborate and enhance services for populations experiencing disproportionate impact and disparities that prevent early detection, access to care, and retention.
  • Identify and adopt strategies around enhanced targeted outreach and testing along with fast tracking of linkage to care resulting in increased access and retention.
  • Demonstrate that the application of early identification, enhanced testing, and fast tracking to care will reduce community viral load and disparities for populations most impacted in local jurisdictions.

Speakers
TT

Thuan Tran

Senior Planning Analyst, Hennepin County Ryan White Program
Thuan D Tran, MA, MPNA is the Ryan White Part A Senior Planning Analyst and leads the Minneapolis-St. Paul TGA’s in standards development, implementation, monitoring, and evaluation. Thuan supports program development and success through assessing for and responding to providers... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Nathan Hale

10:00am

G-25 - Fiscal Site Visits as a Component of Quality Assurance (CE)

The Massachusetts Department of Public Health’s (MDPH) Office of HIV/AIDS developed fiscal site visit tools as a component of a comprehensive quality assurance program in line with HRSA’s Monitoring Standards for subgrantees. Initially, MDPH developed a comprehensive list of questions and issues to be addressed in a fiscal site visit by evaluating the HRSA monitoring standards in combination with Massachusetts State regulations. The questions were put into a “guide” and training was provided to both Programmatic and Fiscal staff. Four Programmatic and Fiscal staff went to each of five pilot site visits in order to assess the quality of the fiscal work of the subgrantees. Based on feedback from the agencies and from MDPH staff, the guide was changed for state-wide implementation among Part B Providers.

Learning Objectives:

  • Describe the goals of using fiscal site visits as a component of subgrantee quality assurance
  • Describe development of pilot and site visit tools
  • List components of fiscal site visits that were most successful as components of subgrantee quality assurance

Speakers
RC

Ralph Chartier

Contract Management Coordinator, Client Health Services Unit, Massachusetts Dept. Of Public Health, Office of HIV/AIDS
Ralph Chartier is the Contract Management Coordinator for the Client Health Services Unit in the Office of HIV/AIDS at the Massachusetts Department of Public Health. He received a Bachelor of Music degree from Ithaca College in 1996 and a Master of Science in Counseling Psychology... Read More →
ED

Edward Debortoli

Coordinator of Contract Management, Prevention & Screening Unit, Massachusetts Dept. of Public Health, Office of HIV/AIDS
Edward DeBortoli is the Coordinator of Contract Management for the Massachusetts Department of Public Health, Bureau of Infectious Disease, Office of HIV/AIDS Prevention and Screening Unit. He received a Bachelor of Arts degree from the University of Massachusetts in 1985. Prior to... Read More →


Thursday November 29, 2012 10:00am - 11:30am
Ethan Allen

10:00am

G-26 - Sustainability and Revenue Generation for Organizational Sucess

Using a combination of didactic learning and interactive activities specifically: case studies, group learning and role play participants, will understand the importance of income diversification and the various types of funding available as well as calculate their organizations revenue source percentages to examine viability and sustainability.

Learning Objectives:

  • This session will define the importance of sustainability and income diversification and the role of internal stakeholders.
  • Examine and calculate revenue source percentages of organizations in attendance.
  • Identify additional sources of revenue generation through the utilization of a case study of an AIDS Service Organization with a diversified revenue base.

Moderators
SW

Sharron Walker

Training and Communications Manager, HealthHIV
Shar'ron manages and implements HealthHIV training programs specifically HealthHIV's Fiscal Health program which provides training and technical assistance to Ryan White providers. Shar'ron also coordinates HealthHIV's internship program and is laying the foundation for HealthHIV's... Read More →

Thursday November 29, 2012 10:00am - 11:30am
Thomas Paine

10:00am