Cascade The Continuum of HIV Care Florida, HAPC Meeting, February, 2014 Lorene Maddox, MPH Karalee Poschman, MPH

Size: px
Start display at page:

Download "Cascade The Continuum of HIV Care Florida, HAPC Meeting, February, 2014 Lorene Maddox, MPH Karalee Poschman, MPH"

Transcription

1 Cascade The Florida, 2012 HAPC Meeting, February, 2014 Lorene Maddox, MPH Karalee Poschman, MPH Living data through 2012, as of 06/30/2013

2 Background National HIV/AIDS Strategy Goals Reduce the number of people who become infected with HIV Increase access to care and improve health outcomes for people living with HIV Reduce HIV-related health disparities Vital to improve engagement at every stage in a continuum of care that includes: HIV testing and subsequent diagnosis Linkage to HIV medical care Continuous engagement in HIV medical care (retention) Initiation of antiretroviral therapy (ART) Suppressed viral load (<200 copies/ml)

3 Definitions HIV-infected=HIV diagnosed cases divided by 84.2% (to account for 15.8% national estimated unaware of their status in Florida). The 2011 indicator report ( ) estimates that 15.8% are undiagnosed (Table 9a) this report uses 2010 data and was published in October =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet need calculations ), plus an additional 4% to account for out of state (OOS) in care, but not yet entered into ehars. (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a CD4 or Viral load test in the ehars dataset. (National estimates are 77%). =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and having at least 1 HIV-related care service involving either a VL or CD4 test, or a refill of HIV-related RX, plus 5% for unreported/missing labs and plus 6% for OOS cases known in care, but not yet entered into ehars. (National estimates for in care are 57%). =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%) Suppressed VL=Estimated 76.1% on ART are in care this year in Florida per MMP (National estimates are 77%).

4 Limitations to the Data An estimate of 4,000 out-of-state cases who were in care in Florida through 2012 were not yet entered into ehars at the time of these analyses, therefore the data were adjusted accordingly to account for these un-reported cases. Laboratory data may not be complete; therefore the percent in care this year were adjusted to accommodate the estimated number of missing data. MMP data were used to estimate those on ART and those with a suppressed viral load. Estimates were not available below the state level, therefore the statewide estimates were applied to each of the local areas. Eventually, a process may be in place to link the patient care databases with ehars to get a more accurate estimate by area. The denominator for the second bar is the first bar. The denominator for the remaining bars is the second bar. Therefore, in most charts, the cascade will jump up after the second bar and then begin the decline.

5 Number and Percentage of Persons The Florida, , ,627 85, % 66,868 63% 61,986 59% 47,171 45% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

6 Number and Percentage of by Selected Demographic and Transmission Groups The Florida, 2012 By Geographical Area/Population Density By Sex Male, Female By Race White, Black, Hispanic By Transmission MSM, IDU, Heterosexual By Current Age Group 13-24, 25-49, 50+ By Top 4 Race/Transmission Groups* Black Heterosexual (29%) White MSM (23%) Hispanic MSM (13%) Black MSM (13%) *Rank calculated for persons living through 2012 by Race/Transmission Groups

7 Number and Percentage of Persons The Partnership 3, ,578 2,170 1,888 87% 1,611 74% 1,493 69% 1,136 52% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

8 Number and Percentage of Persons The Partnership 11a, ,023 26,963 19,632 73% 15,029 56% 13,932 52% 10,602 39% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

9 Number and Percentage of Among MALES The Florida, ,920 74,028 59, % 45,393 61% 42,534 57% 32,836 44% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

10 Number and Percentage of Among FEMALES The Florida, ,528 31,598 25,061 21,474 21,045 79% 68% 67% 15, % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

11 Number and Percentage of Among WHITES The Florida, ,909 31,920 27,607 86% 20,021 63% 19,060 15,991 5 =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

12 Number and Percentage of Among BLACKS The Florida, ,627 49,364 38, % 31,757 64% 28,518 58% 20,932 42% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

13 Number and Percentage of Among HISPANICS The Florida, ,537 22,344 17, % 13,742 13,192 61% 59% 9,446 42% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

14 Number and Percentage of Persons Aged The Florida, ,531 4,657 3, ,062 66% 2, % 1,516 33% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

15 Number and Percentage of Persons Aged The Florida, ,179 57,407 46, % 35,914 63% 33,651 59% 26,349 46% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

16 Number and Percentage of Persons Aged 50 and older The Florida, ,436 43,309 37,492 87% 27,656 64% 25,609 59% 19,079 44% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

17 Number and Percentage of Among MSM The Florida, ,572 53,528 44, % 32,709 30,322 61% 57% 23,621 44% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

18 Number and Percentage of Among IDU The Florida, ,569 13,109 11,506 88% 8,610 66% 7,982 61% 6,074 46% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

19 Number and Percentage of Among HETERO The Florida, ,590 40,913 33, % 26,604 65% 24,609 18,629 46% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

20 Number and Percentage of Among BLACK HETERO The Florida, ,952 29,430 23, % 19,019 65% 17,212 58% 12,875 44% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

21 Number and Percentage of Among WHITE MSM The Florida, ,100 24,502 21,476 88% 15,105 62% 14,229 58% 12,109 49% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

22 Number and Percentage of Among HISPANIC MSM The Florida, ,745 14,099 11, % 8,443 8,029 57% 5,757 41% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

23 Number and Percentage of Among BLACK MSM The Florida, ,428 13,832 10, % 8,478 61% 7,305 53% 4,953 36% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

24 Conclusions These cascades will be updated in July/August of each year. As the OOS data and the laboratory data in ehars become more timely and complete, fewer adjustments will need to be made to the estimates in the future. This will be a gradual process. A pilot project is currently in progress to help us assess the completeness of our laboratory data and to help us identify any weaknesses in both the reporting and importing of laboratory data into ehars.

25 Pilot Project 4 areas were selected to help SHO assess the completeness of our laboratory data in ehars. Collier County, a small county Area 12, a medium county Areas 09 & 10, large counties These areas were selected because they had established a rapport with non-surveillance staff whose role would be to assist with evaluating local linkage to and retention to care. Each of these 4 sites had put in a request for a line list of cases, so that they could assess the care patterns in their area. Knowing the uncertainty of the completeness of the laboratory data, and the need for assistance in the validation process, a pilot project was born in the fall of 2013.

26 Pilot Project (cont.) Data was generated for each area, for cases diagnosed January-June, SHO staff reviewed the ELR databases to date for all cases that were missing labs and did identify a reporting glitch on the importing of some viral load (VL) results. This glitch was fixed and those labs re-imported. It was identified that not all paper labs were imported. These were manually entered. Lexis Nexus was reviewed to validate local addresses and/or vital status. Those known to have died or moved were highlighted, as further review was not necessary. All remaining cases with no identified VL or CD4 results were sent to the 4 areas for them to investigate.

27 Pilot Project (cont.) These areas were provided with guidelines so that the local surveillance staff knew what their roles included and what they excluded Look for labs from the facility of dx If labs found, create update and submit to SHO If labs NOT found, HIV surveillance staff should give the name(s) to the appropriate CHD staff (e.g. linkage staff) HIV surveillance staff must comply with DOH Information Security and Privacy Policy 6(6) and 7(5b), (5c). This step is in process, results pending SHO will provide updated list for July-Dec 2012 as second part of project.

28 For Florida HIV/AIDS Surveillance Data Contact: (850) Lorene Maddox, MPH Ext Tracina Bush, BSW Ext Madgene Moise, MPH Ext Visit Florida s internet site for: Monthly Surveillance Reports Slide Sets and Fact Sheets Annual Reports and Epi Profiles Visit CDC s HIV/AIDS internet site for: Surveillance Reports, fact sheets and slide sets

29 Number and Percentage of Persons The Partnership 1, ,238 1,884 1,642 87% 1,308 69% 1,212 64% % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

30 Number and Percentage of Persons The Partnership 2a, , % % % % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

31 Number and Percentage of Persons The Partnership 2b, ,336 1,967 1,612 82% 1,313 67% 1,217 62% % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

32 Number and Percentage of Persons The Partnership 3, ,578 2,170 1,888 87% 1,611 74% 1,493 69% 1,136 52% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

33 Number and Percentage of Persons The Partnership 13, ,485 2,092 1,863 89% 1,505 72% 1,395 67% 1, % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

34 Number and Percentage of Persons The Consortium Partnerships 3/13, ,063 4,263 3,752 88% 3,116 73% 2,888 68% 2, % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

35 Number and Percentage of Persons The Partnership 4, ,011 6,745 5,587 83% 4, ,373 65% 3,328 49% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

36 Number and Percentage of Persons The Jacksonville EMA, ,931 6,678 5,530 83% 4, ,325 65% 3,291 49% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

37 Number and Percentage of Persons The Partnership 5, ,947 5,008 4,393 88% 3,308 66% 3,066 61% 2,333 47% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

38 Number and Percentage of Persons The Partnership 6, ,246 7,785 6,637 85% 5,118 66% 4,745 61% 3,611 46% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

39 Number and Percentage of Persons The Tampa/St. Pete EMA, ,087 11,867 10,221 86% 7,808 66% 7,238 61% 5,508 46% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

40 Number and Percentage of Persons The Partnership 14, ,727 2,296 1,940 1,623 71% 1,504 66% 1,145 5 =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

41 Number and Percentage of Persons The Consortium Partnerships 5/6/14, ,921 15,089 12,969 86% 10,049 67% 9,315 62% 7,089 47% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

42 Number and Percentage of Persons The Partnership 7, ,614 11,463 9, ,305 64% 6,772 59% 5,153 45% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

43 Number and Percentage of Persons The Orlando EMA, ,823 10,797 8, ,749 63% 6,256 58% 4,761 44% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

44 Number and Percentage of Persons The Partnership 8, ,288 4,452 3,855 87% 3, ,886 65% 2,196 49% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

45 Number and Percentage of Persons The Partnership 9, ,645 8,121 6, % 4,822 59% 4,470 55% 3,402 42% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

46 Number and Percentage of Persons The Partnership 10, ,270 18,751 15, % 11,900 63% 11,032 59% 8,395 45% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

47 Number and Percentage of Persons The Partnership 11a, ,023 26,963 19,632 73% 15,029 56% 13,932 52% 10,602 39% =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

48 Number and Percentage of Persons The Partnership 11b, % % % % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

49 Number and Percentage of Persons The Partnership 12, ,058 1,733 1,413 1,208 82% 7 1,120 65% % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

50 Number and Percentage of Persons The Partnership 15, ,906 2,447 2,106 86% 1,789 73% 1,659 68% 1, % =Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a =Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and =Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)

WISCONSIN AIDS/HIV PROGRAM NOTES

WISCONSIN AIDS/HIV PROGRAM NOTES Wisconsin 2014 HIV Care Continuum: Statewide and Select Population Groups Casey Schumann, MS, AIDS/HIV Program Epidemiologist, AIDS/HIV Program, Wisconsin Division of Public Health Background The HIV care

More information

HIV Infection Among Those with an Injection Drug Use*-Associated Risk, Florida, 2014

HIV Infection Among Those with an Injection Drug Use*-Associated Risk, Florida, 2014 To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. HIV Infection Among Those with an Injection Drug Use*-Associated Risk, Florida,

More information

Using HIV Surveillance Data to Calculate Measures for the Continuum of HIV Care

Using HIV Surveillance Data to Calculate Measures for the Continuum of HIV Care Using HIV Surveillance Data to Calculate Measures for the Continuum of HIV Care Anna Satcher Johnson, MPH Symposium on Measuring the HIV Care Continuum Center for AIDS Research University of Washington

More information

HIV Surveillance Update

HIV Surveillance Update HIV Surveillance Update Presentation to: CAPUS Metro Atlanta Testing and Linking Consortium (MATLC) Presented by: Deepali Rane, MPH and Jane Kelly, MD Georgia Department of Public Health Epidemiology Date:

More information

Understanding the HIV Care Continuum

Understanding the HIV Care Continuum Understanding the HIV Care Continuum Overview Recent scientific advances have shown that antiretroviral therapy (ART) not only preserves the health of people living with HIV, but also dramatically lowers

More information

HIV/AIDS In the Houston Area

HIV/AIDS In the Houston Area HIV/AIDS In the Houston Area 2014 Epidemiologic Supplement for HIV/AIDS Prevention and Care Services Planning CONTENTS Notes.... 2 Executive Summary... 3 Comparison of HIV Rates in Houston, Texas, and

More information

HIV Epidemiology in New York State

HIV Epidemiology in New York State HIV Epidemiology in New York State Lou Smith, MD, MPH Director, Division of Epidemiology, Evaluation and Research AIDS Institute, New York State Department of Health 2 HIV Surveillance in New York State

More information

Georgia HIV/AIDS Surveillance Summary. Data Through December 31, 2010

Georgia HIV/AIDS Surveillance Summary. Data Through December 31, 2010 Georgia HIV/AIDS Surveillance Summary Data Through December 31, 2010 HIV/AIDS Epidemiology Section Division of Health Protection Georgia Department of Public Health Table of Contents Acknowledgements...

More information

REPORTING CHANGES FOR 2014 NYSDOH AIDS INSTITUTE. Changes to Content and Priorities

REPORTING CHANGES FOR 2014 NYSDOH AIDS INSTITUTE. Changes to Content and Priorities REPORTING CHANGES FOR 2014 NYSDOH AIDS INSTITUTE Changes to Content and Priorities The Continuum of Care: Cascade Terms you will see used frequently in HIV/AIDS data policy are the Continuum of Care and

More information

VIRGINIA DEPARTMENT OF HEALTH Division of Disease Prevention

VIRGINIA DEPARTMENT OF HEALTH Division of Disease Prevention Virginia s Care Marker Database: Using Multiple Data Sources for HIV Care Linkage and Re-Engagement VIRGINIA DEPARTMENT OF HEALTH Division of Disease Prevention Anne Rhodes, PhD Director, HIV Surveillance

More information

Illustrating HIV/AIDS in the United States

Illustrating HIV/AIDS in the United States Illustrating HIV/AIDS in the United States Black Persons 2013 Update About AIDSVu AIDSVu is a compilation of interactive, online maps that allows users to visually explore the HIV epidemic in the U.S.

More information

EXPANDED HIV TESTING AND LINKAGE TO CARE (X-TLC) IN HEALTHCARE SETTINGS ON THE SOUTH SIDE OF CHICAGO

EXPANDED HIV TESTING AND LINKAGE TO CARE (X-TLC) IN HEALTHCARE SETTINGS ON THE SOUTH SIDE OF CHICAGO EXPANDED HIV TESTING AND LINKAGE TO CARE (X-TLC) IN HEALTHCARE SETTINGS ON THE SOUTH SIDE OF CHICAGO R Eavou, M Taylor, C Bertozzi-Villa, D Amarathithada, R Buffington, D Pitrak and N Benbow HIV Prevention

More information

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Age Differences in Viral Suppression, Antiretroviral Therapy Use, and Adherence Among HIV-positive Men Who Have Sex With Men Receiving

More information

Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2017-2021

Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2017-2021 Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2017-2021 Division of HIV/AIDS Prevention National Center for HIV/AIDS, Viral Hepatitis, STD,

More information

2012 2014 Maryland HIV Plan

2012 2014 Maryland HIV Plan Maryland Department of Health & Mental Hygiene Prevention and Health Promotion Administration 2012 2014 Maryland HIV Plan Comprehensive HIV Plan Statewide Coordinated Statement of Need Maryland HIV Prevention

More information

Estimates of New HIV Infections in the United States

Estimates of New HIV Infections in the United States Estimates of New HIV Infections in the United States Accurately tracking the HIV epidemic is essential to the nation s HIV prevention efforts. Yet monitoring trends in new HIV infections has historically

More information

STOP HIV/AIDS Quarterly Monitoring Report

STOP HIV/AIDS Quarterly Monitoring Report STOP HIV/AIDS Quarterly Monitoring Report Quarter 2, 2012 April 1, 2012 June 30, 2012 Lauren MacDonald 1, Dr. Reka Gustafson 2, Tim Chu 1, Dr. Jat Sandhu 1 1 Public Health Surveillance Unit 2 Communicable

More information

HIV/AIDS in the Houston Area

HIV/AIDS in the Houston Area HIV/AIDS in the Houston Area The 2013 Houston Area Integrated Epidemiologic Profile for HIV/AIDS Prevention and Care Services Planning Page 1 Disclaimer: This document is the most current HIV/AIDS epidemiologic

More information

STOP HIV/AIDS Quarterly Monitoring Report

STOP HIV/AIDS Quarterly Monitoring Report STOP HIV/AIDS Quarterly Monitoring Report Quarter 4, 2011 October 1, 2011 December 31, 2011 Lauren MacDonald 1, Dr. Reka Gustafson 2, Tim Chu 1, Dr. Jat Sandhu 1 1 Public Health Surveillance Unit 2 Communicable

More information

West Virginia HIV/AIDS Surveillance Report 2009 Update West Virginia HIV/AIDS Program

West Virginia HIV/AIDS Surveillance Report 2009 Update West Virginia HIV/AIDS Program West Virginia HIV/AIDS Surveillance Report 2009 Update Bureau for Public Health Office of Epidemiology & Prevention Services Division of STD, HIV, & Hepatitis 350 Capitol Street, Room 125 Charleston, WV

More information

Minnesota HIV/AIDS Epidemiologic Profile

Minnesota HIV/AIDS Epidemiologic Profile Minnesota HIV/AIDS Epidemiologic Profile DECEMBER 2015 Executive Summary Abbreviations Used AIDS Acquired Immune Deficiency Syndrome ADAP AIDS Drugs Assistance Program CCCHAP Community Cooperative Council

More information

EXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE ELIGIBLE METROPOLITAN AREA PLANNING, PHILADELPHIA

EXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE ELIGIBLE METROPOLITAN AREA PLANNING, PHILADELPHIA EXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE PLANNING, PHILADELPHIA ELIGIBLE METROPOLITAN AREA 2015 Prepared for the Philadelphia Eligible Metropolitan Area Ryan

More information

4/3/2012. Surveillance. Direct Care. Prevention. Quality Management

4/3/2012. Surveillance. Direct Care. Prevention. Quality Management //1 The Epidemiology of Infectious and Chronic Diseases in Minority Communities December 7, 11 Mary G. McIntyre, M.D., M.P.H. Assistant State Health Officer for Disease Control and Prevention Alabama Department

More information

Improvements in Retention in Care and Viral Suppression: Results from the First Year of the Medical Care Coordination Program in Los Angeles County

Improvements in Retention in Care and Viral Suppression: Results from the First Year of the Medical Care Coordination Program in Los Angeles County Improvements in Retention in Care and Viral Suppression: Results from the First Year of the Medical Care Coordination Program in Los Angeles County Wendy Garland, MPH; Rhodri Dierst-Davies, MPH, Ph.D;

More information

Targeted HIV Testing & Enhanced Testing Technologies. HIV Prevention Section Bureau of HIV/AIDS

Targeted HIV Testing & Enhanced Testing Technologies. HIV Prevention Section Bureau of HIV/AIDS Targeted HIV Testing & Enhanced Testing Technologies HIV Prevention Section Bureau of HIV/AIDS May 2012 1 Typing a Question in the Chat Box Type question in here 2 Completing the Webinar Evaluation (opened

More information

Integrating Medical Care Coordination Services into HIV Clinic Medical Homes

Integrating Medical Care Coordination Services into HIV Clinic Medical Homes Integrating Medical Care Coordination Services into HIV Clinic Medical Homes Carlos Vega-Matos, M.P.A. HIV Care Services Division Division of HIV and STD Programs Background DHSP funds HIV Clinics to provide

More information

Quality Management Plan

Quality Management Plan Quality Management Plan West Palm Beach Eligible Metropolitan Area 2015-2018 Revised April 2015 Page 1 QUALITY MANAGEMENT PLAN West Palm Beach EMA Prepared by: Shoshana Ringer, Quality Management Coordinator

More information

Injection Drug Users in Miami-Dade: NHBS-IDU2 Cycle Preliminary Results

Injection Drug Users in Miami-Dade: NHBS-IDU2 Cycle Preliminary Results Injection Drug Users in Miami-Dade: NHBS-IDU2 Cycle Preliminary Results David W. Forrest, Ph.D. Marlene LaLota, M.P.H. John-Mark Schacht Gabriel A. Cardenas, M.P.H. Lisa Metsch, Ph.D. National HIV Behavioral

More information

HIV Continuum of Care Monitoring Framework 2014

HIV Continuum of Care Monitoring Framework 2014 HIV Continuum of Care Monitoring Framework 2014 Addendum to meeting report: Regional consultation on HIV epidemiologic information in Latin America and the Caribbean HIV Continuum of Care Monitoring Framework

More information

Ending the Epidemic in New York State. Federal AIDS Policy Partnership March 4, 2015

Ending the Epidemic in New York State. Federal AIDS Policy Partnership March 4, 2015 Ending the Epidemic in New York State Federal AIDS Policy Partnership March 4, 2015 1 The momentum already exists NYS is a center of HIV activism, community/government collaboration and innovation. While

More information

Hepatitis C Virus Infection: Prevalence Report, 2003 Data Source: Minnesota Department of Health HCV Surveillance System

Hepatitis C Virus Infection: Prevalence Report, 2003 Data Source: Minnesota Department of Health HCV Surveillance System Hepatitis C Virus Infection: Prevalence Report, 2003 Data Source: Minnesota Department of Health HCV Surveillance System P.O. Box 9441 Minneapolis, MN 55440-9441 612-676-5414, 1-877-676-5414 www.health.state.mn.us/immunize

More information

2012-2015 STRATEGIC PLAN TO ADDRESS HIV IN IOWA

2012-2015 STRATEGIC PLAN TO ADDRESS HIV IN IOWA SECTION 3. 2012-2015 STRATEGIC PLAN TO ADDRESS HIV IN IOWA This final section of the Iowa Comprehensive HIV Plan contains recommendations for a cascade of prevention and care activities that are designed

More information

Texas Diabetes Fact Sheet

Texas Diabetes Fact Sheet I. Adult Prediabetes Prevalence, 2009 According to the 2009 Behavioral Risk Factor Surveillance System (BRFSS) survey, 984,142 persons aged eighteen years and older in Texas (5.4% of this age group) have

More information

Correlates of not receiving HIV care among HIV-infected women enrolling in a HRSA SPNS multi-site initiative

Correlates of not receiving HIV care among HIV-infected women enrolling in a HRSA SPNS multi-site initiative Correlates of not receiving HIV care among HIV-infected women enrolling in a HRSA SPNS multi-site initiative Oni J. Blackstock, MD, MHS Assistant Professor of Medicine Division of General Internal Medicine

More information

A PLAN FOR HOUSING THE FLORIDA CONSORTIUM FOR HIV/AIDS RESEARCH AT THE AIDS INSTITUTE. Background

A PLAN FOR HOUSING THE FLORIDA CONSORTIUM FOR HIV/AIDS RESEARCH AT THE AIDS INSTITUTE. Background A PLAN FOR HOUSING THE FLORIDA CONSORTIUM FOR HIV/AIDS RESEARCH AT THE AIDS INSTITUTE Background An estimated 1.1 million individuals are living with HIV infection in the U.S., 1 with 135,000 in Florida.

More information

The Florida Department of Health in Broward County Addresses HIV Care Linkage, Retention, and Adherence

The Florida Department of Health in Broward County Addresses HIV Care Linkage, Retention, and Adherence The Florida Department of Health in Broward County Addresses HIV Care Linkage, Retention, and Adherence Abraham Feingold, Psy.D. Florida Department of Health in Broward County Where We Work Where We Play

More information

Outpatient/Ambulatory Health Services

Outpatient/Ambulatory Health Services Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician

More information

CARE COORDINATION IN NEW YORK CITY

CARE COORDINATION IN NEW YORK CITY CARE COORDINATION IN NEW YORK CITY Department of Health and Mental Hygiene Bureau of HIV/AIDS Prevention and Control Care and Treatment Unit 1 Funded Programs 28 agencies providing CCP in New York City

More information

Healthy People 2020: Who s Leading the Leading Health Indicators?

Healthy People 2020: Who s Leading the Leading Health Indicators? Healthy People 2020: Who s Leading the Leading Health Indicators? Don Wright, MD, MPH Deputy Assistant Secretary for Health Promotion and Disease Prevention Who s Leading the Leading Health Indicators?

More information

Six-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC)

Six-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC) Six-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC) Wendy H. Garland, MPH; Rhodri Dierst- Davies, MPH; Sonali P. Kulkarni, MD, MPH 9 th International

More information

A Ministry of the Archdiocese of Galveston-Houston A United Way Agency

A Ministry of the Archdiocese of Galveston-Houston A United Way Agency A Ministry of the Archdiocese of Galveston-Houston A United Way Agency Integrated Multidsciplinary Approach to Adapt Routine HIV Screening in a Safety Net Clinic Setting Sherri D. Onyiego MD, PhD Baylor

More information

Department of Veterans Affairs National HIV/AIDS Strategy Operational Plan 2011

Department of Veterans Affairs National HIV/AIDS Strategy Operational Plan 2011 Department of Veterans Affairs National HIV/AIDS Strategy Operational Plan 2011 Table of Contents Purpose..3 Overview of HIV Health Care.....4 Goal 1: Reducing the Number of People who become infected

More information

NATIONAL HIV/AIDS STRATEGY IMPLEMENTING THE

NATIONAL HIV/AIDS STRATEGY IMPLEMENTING THE NATIONAL HIV/AIDS STRATEGY IMPLEMENTING THE IMPROVING OUTCOMES: NATIONAL ACCELERATING HIV/AIDS PROGRESS STRATEGY: ALONG THE HIV CARE CONTINUUM X Office of National AIDS Policy DECEMBER 2013 Contents I.

More information

STATE OF THE HIV/AIDS EPIDEMIC IN CHARLESTON

STATE OF THE HIV/AIDS EPIDEMIC IN CHARLESTON STATE OF THE HIV/AIDS EPIDEMIC IN CHARLESTON 12/1/2015 A Crisis Among Lowcountry Youth The Charleston region is facing a serious issue of rising HIV rates, particularly among those under the age of 30.

More information

Using Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services

Using Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services Using Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services ADP Training Conference, Sacramento, August 21, 2012 Rachel McLean, MPH, CA Dept. of Public

More information

The HIV Care Continuum and Data to Care

The HIV Care Continuum and Data to Care The HIV Care Continuum and Data to Care Using Surveillance Data for Action in the U.S. and Abroad U.S. Conference on AIDS September 11, 2015 NASTAD: Who we are National Alliance of State and Territorial

More information

HIV/AIDS Epidemiology Report

HIV/AIDS Epidemiology Report HIV/AIDS Epidemiology Report 2012 County of San Diego Health and Human Services Agency Division of Public Health Services Epidemiology and Immunization Services Branch HIV/AIDS Surveillance Program Epidemiology

More information

Integrating Viral Hepatitis Counseling and testing in Substance Abuse Programs. By Barbara Rush CAAPP2 The Center For Drug Free Living Inc.

Integrating Viral Hepatitis Counseling and testing in Substance Abuse Programs. By Barbara Rush CAAPP2 The Center For Drug Free Living Inc. Integrating Viral Hepatitis Counseling and testing in Substance Abuse Programs By Barbara Rush CAAPP2 The Center For Drug Free Living Inc. Why Integrate Hepatitis in Substance Abuse Programs? Substance

More information

Ryan White Part A. Quality Management

Ryan White Part A. Quality Management Quality Management Minority AIDS Initiative Medical Case Management Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan

More information

GARPR Online Reporting Tool

GARPR Online Reporting Tool GARPR Online Reporting Tool 0 Narrative Report and Cover Sheet 1) Which institutions/entities were responsible for filling out the indicator forms? a) NAC or equivalent Yes b) NAP Yes c) Others Yes If

More information

HIV/AIDS Care: The Diagnosis Code Series 2. Prepared By: Stacey L. Murphy, MPA, RHIA, CPC AHIMA Approved ICD-10-CM/ICD-10-CM Trainer

HIV/AIDS Care: The Diagnosis Code Series 2. Prepared By: Stacey L. Murphy, MPA, RHIA, CPC AHIMA Approved ICD-10-CM/ICD-10-CM Trainer HIV/AIDS Care: The Diagnosis Code Series 2 Prepared By: Stacey L. Murphy, MPA, RHIA, CPC AHIMA Approved ICD-10-CM/ICD-10-CM Trainer Learning Outcomes Identify and explain the difference between ICD-9-CM

More information

The HIV/AIDS Epidemic in California s Latino Population

The HIV/AIDS Epidemic in California s Latino Population The HIV/AIDS Epidemic in California s Latino Population Barbara Bailey, M.S. Acting Chief Office of AIDS California Department of Health Services www.dhs.ca.gov/aids AIDS Incidence (Cases per 100,000)

More information

Hepatitis C Infections in Oregon September 2014

Hepatitis C Infections in Oregon September 2014 Public Health Division Hepatitis C Infections in Oregon September 214 Chronic HCV in Oregon Since 25, when positive laboratory results for HCV infection became reportable in Oregon, 47,252 persons with

More information

STOP HIV/AIDS Core Collaborative Measures Reporting Tool SECTION 1

STOP HIV/AIDS Core Collaborative Measures Reporting Tool SECTION 1 STOP HIV/AIDS Core Collaborative Measures Paper Based Reporting Tool v1 1 STOP HIV/AIDS Core Collaborative Measures Reporting Tool Please note that reporting can also be performed electronically using

More information

Case Finding for Hepatitis B and Hepatitis C

Case Finding for Hepatitis B and Hepatitis C Case Finding for Hepatitis B and Hepatitis C John W. Ward, M.D. Division of Viral Hepatitis Centers for Disease Control and Prevention Atlanta, Georgia, USA Division of Viral Hepatitis National Center

More information

Hep-C ALERT, Inc. Addiction Recovery Hepatitis Intervention Project. Hep-C ALERT, Inc.

Hep-C ALERT, Inc. Addiction Recovery Hepatitis Intervention Project. Hep-C ALERT, Inc. Hep-C ALERT, Inc. Addiction Recovery Hepatitis Intervention Project Introduction Hep-C ALERT Founded 1997 Community agency local/nat l Florida Viral Hepatitis Program Home Access Health Corporation Miami-Dade

More information

HPTN 073: Black MSM Open-Label PrEP Demonstration Project

HPTN 073: Black MSM Open-Label PrEP Demonstration Project HPTN 073: Black MSM Open-Label PrEP Demonstration Project Overview HIV Epidemiology in the U.S. Overview of PrEP Overview of HPTN HPTN 061 HPTN 073 ARV Drug Resistance Conclusions Questions and Answers

More information

Using Surveillance and Other Data to Improve HIV Care Linkage and Retention

Using Surveillance and Other Data to Improve HIV Care Linkage and Retention Using Surveillance and Other Data to Improve HIV Care Linkage and Retention A report from a Think Tank convened by Project Inform, held November 6 & 7, 2012 San Francisco, California Contents Introduction

More information

Guide To Meaningful Use

Guide To Meaningful Use Guide To Meaningful Use Volume 1 Collecting the Data Contents INTRODUCTION... 3 CORE SET... 4 1. DEMOGRAPHICS... 5 2. VITAL SIGNS... 6 3. PROBLEM LIST... 8 4. MAINTAIN ACTIVE MEDICATIONS LIST... 9 5. MEDICATION

More information

Drug Use and Abuse in San Diego County, California: 2013

Drug Use and Abuse in San Diego County, California: 2013 Drug Use and Abuse in San Diego County, California: 213 Karla D. Wagner, Ph.D. 1 ABSTRACT The most significant change observed in drug use/abuse indicators in San Diego County in 213 was an increase in

More information

SUBSTANCE ABUSE TREATMENT NEEDS ASSESSMENT AND RESOURCE INVENTORY FOR PEOPLE LIVING WITH HIV DISEASE IN THE ATLANTA EMA

SUBSTANCE ABUSE TREATMENT NEEDS ASSESSMENT AND RESOURCE INVENTORY FOR PEOPLE LIVING WITH HIV DISEASE IN THE ATLANTA EMA SUBSTANCE ABUSE TREATMENT NEEDS ASSESSMENT AND RESOURCE INVENTORY FOR PEOPLE LIVING WITH HIV DISEASE IN THE ATLANTA EMA July, 2002 Prepared for: Fulton County Government Metropolitan Atlanta HIV Health

More information

Up to $402,000. Insight HIV. Drug Class. 1.2 million people in the United States were living with HIV at the end of 2011 (most recent data).

Up to $402,000. Insight HIV. Drug Class. 1.2 million people in the United States were living with HIV at the end of 2011 (most recent data). HIV Background, new developments, key strategies Drug Class Insight INTRODUCTION Human Immunodeficiency Virus (HIV) is the virus that can lead to Acquired Immunodeficiency Syndrome, or AIDS. No safe and

More information

NATIONAL HIV/AIDS STRATEGY for the UNITED STATES: UPDATED TO 2020

NATIONAL HIV/AIDS STRATEGY for the UNITED STATES: UPDATED TO 2020 NATIONAL HIV/AIDS STRATEGY for the UNITED STATES: UPDATED TO 2020 JULY 2015 VISION The United States will become a place where new HIV infections are rare, and when they do occur, every person, regardless

More information

2014-2016 ALAMEDA COUNTY, CALIFORNIA COMPREHENSIVE HIV PREVENTION PLAN

2014-2016 ALAMEDA COUNTY, CALIFORNIA COMPREHENSIVE HIV PREVENTION PLAN 2014-2016 ALAMEDA COUNTY, CALIFORNIA COMPREHENSIVE HIV PREVENTION PLAN JULY 2014 Prepared by the Oakland TGA Collaborative Community Planning Council HIV Prevention Committee & the Alameda County Office

More information

DC Comprehensive HIV Prevention Plan for 2012-2015: Goals and Objectives

DC Comprehensive HIV Prevention Plan for 2012-2015: Goals and Objectives DC Comprehensive HIV Prevention Plan for 2012-2015: Goals and Objectives The Comprehensive Plan includes program goals and objectives, monitoring and evaluation, and capacity building activities specific

More information

Annual Epidemiological Spotlight on HIV in London 2014 data

Annual Epidemiological Spotlight on HIV in London 2014 data Annual Epidemiological Spotlight on HIV in London 2014 data About Public Health England Public Health England exists to protect and improve the nation's health and wellbeing, and reduce health inequalities.

More information

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Understanding Participation Program Year Program Year January 1 st - December 31st. Year

More information

2013 STD/HIV Surveillance Report

2013 STD/HIV Surveillance Report 213 STD/HIV Surveillance Report State of Louisiana Department of Health and Hospitals Office of Public Health Louisiana Department of Health and Hospitals Office of Public Health STD/HIV Program 145 Poydras

More information

Smart Linkage to Care (Smart LtC) App. Michelle Moorhouse 01 June 2016

Smart Linkage to Care (Smart LtC) App. Michelle Moorhouse 01 June 2016 Smart Linkage to Care (Smart LtC) App Michelle Moorhouse 01 June 2016 Background Research shows smartphone applications (apps) improve adherence through engagement Perera et al. (New Zealand, 2014) found

More information

The Ryan White CARE Act 2000 Reauthorization

The Ryan White CARE Act 2000 Reauthorization POLICY BRIEF january 2001 The Ryan White CARE Act 2000 Reauthorization Overview As the Ryan White CARE Act enters its second decade, it continues to be a critical source of care and services for people

More information

Building on Success: A National Strategy to Save Lives

Building on Success: A National Strategy to Save Lives Remarks by Howard K. Koh, MD, MPH Assistant Secretary for Health, U.S. Department of Health and Human Services XIX International AIDS Conference Washington, DC Plenary Session Theme: Challenges and Solutions

More information

Jay Weiss Institute for Health Equity Sylvester Comprehensive Cancer Center University of Miami. COMMUNITY PROFILE Liberty City, Florida

Jay Weiss Institute for Health Equity Sylvester Comprehensive Cancer Center University of Miami. COMMUNITY PROFILE Liberty City, Florida Jay Weiss Institute for Health Equity Sylvester Comprehensive Cancer Center University of Miami COMMUNITY PROFILE Liberty City, Florida April 2015 TABLE OF CONTENTS Page Introduction 2 Community Description:

More information

Discrepancies in Self-Report Diabetes Survey yquestions using NHANES, NHIS, and CHIS data

Discrepancies in Self-Report Diabetes Survey yquestions using NHANES, NHIS, and CHIS data Discrepancies in Self-Report Diabetes Survey yquestions using NHANES, NHIS, and CHIS data Sarah Lessem National lcenter for Health Statistics ti ti CDC Behavioral Scientist DC-AAPOR WSS Summer Conference

More information

State Program Title: Public Health Dental Program. State Program Strategy:

State Program Title: Public Health Dental Program. State Program Strategy: State Program Title: Public Health Dental Program State Program Strategy: The Public Health Dental Program provides policy direction for oral health issues to promote the development of cost-effective

More information

Pre Application Technical Assistance (TA) Webinar. Use of Social Media to Improve Engagement, Retention,

Pre Application Technical Assistance (TA) Webinar. Use of Social Media to Improve Engagement, Retention, Pre Application Technical Assistance (TA) Webinar Use of Social Media to Improve Engagement, Retention, and Health Outcomes along the HIV Care Continuum Evaluation and Technical Assistance Center Competitive

More information

Bridging the Gaps: Eliminating Disparities in Teen Pregnancy & Sexual Health

Bridging the Gaps: Eliminating Disparities in Teen Pregnancy & Sexual Health Bridging the Gaps: Eliminating Disparities in Teen Pregnancy & Sexual Health Evaluation of the Teen Outreach Program (TOP ) in three urban public school districts: Bronx, Chicago and Washington DC Melva

More information

Program Performance Indicators Revised Baseline & Target Setting Form January 1 June 30, 2004 Interim Progress Report

Program Performance Indicators Revised Baseline & Target Setting Form January 1 June 30, 2004 Interim Progress Report ATTACHMENT B Program Performance Indicators Revised Baseline & Target Setting Form January 1 June 30, Interim Progress Report Overall HIV Indicator A.1: The number of newly diagnosed HIV infections Original

More information

2013 Meaningful Use Dashboard Calculation Guide

2013 Meaningful Use Dashboard Calculation Guide 2013 Meaningful Use Dashboard Calculation Guide Learn how to use Practice Fusion s Meaningful Use Dashboard to help you achieve Meaningful Use. For more information, visit the Meaningful Use Center. General

More information

STD Program Management

STD Program Management STD Program Management Forms, Reporting, & Data Management Module Objectives Describe at least two considerations that support a real-time reporting system Discuss the four guiding concepts of data management.

More information

Oral Health (Dental) Service Category Definition - Part B 1. Service Category Definition - Part A Targeted to Rural (North)

Oral Health (Dental) Service Category Definition - Part B 1. Service Category Definition - Part A Targeted to Rural (North) Oral Health (Dental) Pg Service Category Definition - Part B 1 Service Category Definition - Part A Targeted to Rural (North) 3 Oral Health Care Chart Review, The Resource Group 2013 6 I:\HTBMN\FY2015

More information

Routine HIV Monitoring

Routine HIV Monitoring Routine HIV Monitoring Guideline of the HIV/AIDS Division at San Francisco General Hospital Statement of Guideline: Patients will be routinely evaluated and monitored for HIV parameters, antiretroviral

More information

Public Health Systems Approaches for Linkage and Retention in HIV Care

Public Health Systems Approaches for Linkage and Retention in HIV Care Public Health Systems Approaches for Linkage and Retention in HIV Care Julie Dombrowski, MD, MPH Department of Medicine, University of Washington HIV/STD Program, Public Health Seattle & King County Outline

More information

A Report to the 81 st Texas Legislature

A Report to the 81 st Texas Legislature Emerging Technologies and Advancements in HIV and AIDS Surveillance and Testing to Enhance Surveillance, Prevention and Treatment of HIV and AIDS Infection A Report to the 81 st Texas Legislature David

More information

HIV Services, Ryan White Programs and the Affordable Care Act: What do we know now?

HIV Services, Ryan White Programs and the Affordable Care Act: What do we know now? HIV Services, Ryan White Programs and the Affordable Care Act: What do we know now? Thursday April 10, 2014 Presented by Carole Treston, RN, MPH Chief Nursing Officer Association of Nurses in AIDS Care

More information

Pittsburgh Aids Task Force (PATF):Ryan White Part B Certification Project BCHS 2503: PRACTICUM CAROL MARTIN- MACK

Pittsburgh Aids Task Force (PATF):Ryan White Part B Certification Project BCHS 2503: PRACTICUM CAROL MARTIN- MACK Pittsburgh Aids Task Force (PATF):Ryan White Part B Certification Project BCHS 2503: PRACTICUM CAROL MARTIN- MACK Plattsburgh Aids Task Force Mission Statement Dedicated to saving, Sustaining and empowering

More information

Meningococcal Disease Among Men Who Have Sex with Men United States, January 2012 - June 2015

Meningococcal Disease Among Men Who Have Sex with Men United States, January 2012 - June 2015 Meningococcal Disease Among Men Who Have Sex with Men United States, January 2012 - June 2015 Temitope A. Folaranmi MBChB MPH MPP Advisory Committee on Immunization Practices February 24, 2016 National

More information

CROSSWALK NCQA 2014 PCMH HRSA 19 Requirements Meaningful Use

CROSSWALK NCQA 2014 PCMH HRSA 19 Requirements Meaningful Use P a g e 1 CROSSWALK NCQA 2014 PCMH HRSA 19 Requirements Meaningful Use PCMH 1 PATIENT-CENTERED ACCESS 1A Patient-Centered Appointment Access (Must Pass) No.4 Accessible Hours of Operation / Locations 1B

More information

Perspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold?

Perspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold? Perspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold? There are numerous aspects of the Patient Protection and

More information

Client Services Provider Manual. Ryan White HIV/AIDS Treatment Extension Act Part A FY 2016. HIV/AIDS Services Division Infectious Disease Bureau

Client Services Provider Manual. Ryan White HIV/AIDS Treatment Extension Act Part A FY 2016. HIV/AIDS Services Division Infectious Disease Bureau Client Services Provider Manual Ryan White HIV/AIDS Treatment Extension Act Part A FY 2016 HIV/AIDS Services Division Infectious Disease Bureau Ryan White HIV/AIDS Treatment Extension Act Part A Boston

More information

Prescription Opioid Use and Opioid-Related Overdose Death TN, 2009 2010

Prescription Opioid Use and Opioid-Related Overdose Death TN, 2009 2010 Prescription Opioid Use and Opioid-Related Overdose Death TN, 2009 2010 Jane A.G. Baumblatt, MD Centers for Disease Control and Prevention Epidemic Intelligence Service Officer Tennessee Department of

More information

HIV prevention and the wider UK population. What HIV prevention work should be directed towards the general population in the UK?

HIV prevention and the wider UK population. What HIV prevention work should be directed towards the general population in the UK? Shaping attitudes Challenging injustice Changing lives Policy briefing HIV prevention and the wider UK population September 2011 What HIV prevention work should be directed towards the general population

More information

Guidelines for Viral Hepatitis CTR Services

Guidelines for Viral Hepatitis CTR Services Guidelines for Viral Hepatitis CTR Services During the 2007 North Dakota Legislative Assembly, legislation that called for the creation of a viral hepatitis program was introduced and approved. The North

More information

STAGES 1 AND 2 REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1

STAGES 1 AND 2 REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1 STAGES 1 AND 2 REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1 Requirement CPOE Use CPOE for medication orders directly entered by any licensed health care professional who can enter orders into the

More information

Health Care Access to Vulnerable Populations

Health Care Access to Vulnerable Populations Health Care Access to Vulnerable Populations Closing the Gap: Reducing Racial and Ethnic Disparities in Florida Rosebud L. Foster, ED.D. Access to Health Care The timely use of personal health services

More information

Chapter 20: Analysis of Surveillance Data

Chapter 20: Analysis of Surveillance Data Analysis of Surveillance Data: Chapter 20-1 Chapter 20: Analysis of Surveillance Data Sandra W. Roush, MT, MPH I. Background Ongoing analysis of surveillance data is important for detecting outbreaks and

More information

Suggested Reporting Language for the HIV Laboratory Diagnostic Testing Algorithm

Suggested Reporting Language for the HIV Laboratory Diagnostic Testing Algorithm Suggested Reporting Language for the HIV Laboratory Diagnostic Testing Algorithm November 2013 Introduction In March 2010, the Centers for Disease Control and Prevention (CDC) and the Association of Public

More information

Table 16a Multiple Myeloma Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for 2002-2006

Table 16a Multiple Myeloma Average Annual Number of Cancer Cases and Age-Adjusted Incidence Rates* for 2002-2006 Multiple Myeloma Figure 16 Definition: Multiple myeloma forms in plasma cells that are normally found in the bone marrow. 1 The plasma cells grow out of control and form tumors (plasmacytoma) or crowd

More information

Understanding Meaningful Use Stage 2

Understanding Meaningful Use Stage 2 Understanding Meaningful Use Stage 2 Miranda Ladue, Manager, Product Management Adam Plotts, Manager, Product Management Copyright 2011 Allscripts Healthcare Solutions, Inc. Agenda Review MU Timeline MU

More information

Meaningful Use Stage 2 Administrator Training

Meaningful Use Stage 2 Administrator Training Meaningful Use Stage 2 Administrator Training 1 During the call please mute your line to reduce background noise. 2 Agenda Review of the EHR Incentive Programs for Stage 2 Meaningful Use Measures and Corresponding

More information

2011 STI Annual Report

2011 STI Annual Report STI Annual Report Howard Brown Health Center s third Annual STI Report details sexually transmitted infection (STI) and human immunodeficiency virus (HIV) testing and behavioral trends at many of Howard

More information