National HIV/AIDS Strategy WHERE CAN Y AN YOU F FIT I T INT NTO - - PowerPoint PPT Presentation

National HIV/AIDS Strategy

WHERE CAN Y AN YOU F FIT I T INT NTO T THIS? S?

ANNA KINDER, M.S.OTR/L

Definition

THE NATIONAL HIV/AIDS STRATEGY IS A FIVE-YEAR PLAN THAT DETAILS PRINCIPLES, PRIORITIES, AND ACTIONS TO GUIDE OUR COLLECTIVE NATIONAL RESPONSE TO THE HIV EPIDEMIC.

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Continuum of HIV Care - U.S. 2012

National HIV/AIDS Strategy

First came out in 2010, now goals for 2020

• There is still an HIV epidemic and it remains a major health issue for the

United States

• Most people can live long, healthy lives with HIV if they are diagnosed and get

treatment

• For a variety of reasons, certain populations bear a disproportionate burden of

HIV

• People across the Nation deserve access to tools and education to prevent HIV

transmission

• Every person diagnosed with HIV deserves immediate access to treatment and

care that is non-stigmatizing, competent, and responsive to the needs of the diverse populations impacted by HIV

Advances in Four Key areas

HIV prevention, care and research are still priorities

• Widespread testing and linkage to care, enabling people living with HIV access

to treatment early

• Broad support for people living with HIV to remain engaged in comprehensive

care, including support for treatment adherence.

• Universal viral suppression among people living with HIV
• Full access to comprehensive PrEP services for those whom it is appropriate

and desired, with support for medication adherence for those using PrEP.

PrEP

In 2012, FDA approved Truvada for use as

• PrEP. When taken consistently- PrEP can

reduce one’s risk for acquiring HIV by up to 92%. Wyoming ID Webinar: PrEP Webinar January 21, 2015 12:00-1:00

HIV Testing

HIV Testing- seen the development of new HIV diagnostic tests and expanded testing

• efforts. Screening all persons aged 15-65

years for HIV is now a GRADE A Recommendation.

Goal 1: Reducing New HIV Infections

(by at least 25 percent)

Focus on: MSM of all races and ethnicities Black Women and men Latino Men and women People who inject drugs Youth aged 13-24 People in Southern United States Transgender women

Goal 2: Increasing Access to Care and Improving Health Outcomes for People living with HIV

Use of the care continuum Strategies to reach further, go further However- concerned with “doing the right things in the right places”

VIRAL SUPPRESSION BY STATE RSR 2013

Goal 3: Reducing HIV-Related Disparities and Health Inequities

Need to reduce disparities Look at communities and societal levels Stigma and discrimination must be eliminated.

Goal 4: Achieving a More Coordinated National Response to the HIV Epidemic

Everyone needs to work together.

Indicators of Progress

Indicator 1: Increase the percentage of people living with HIV who know their serostatus to at least 90%. ( 1 in 8 don’t know) Indicator 2: Reduce the number of new diagnoses by at least 25 percent. Indicator 3: Reduce the percentage of young gay and bisexual men who have engage in HIV-risk behaviors by at least 10%.

Indicators 4-5

Indicator 4: Increase the percentage of newly diagnosed persons linked to HIV medical care within one month of their HIV diagnosis to at least 85 percent. (In 2013, 82 percent newly diagnosed linked within 3 months) Indicator 5: Increase the percentage of persons with diagnosed HIV infection who are retained in HIV medical care to at least 90 percent. (In 2012- only 39 percent were engaged in care)

Indicators 6-8

Indicator 6: Increase the percentage of persons with diagnosed HIV infection who are virally suppressed to at least 80 percent. (in 2012- only 30 percent achieved viral suppression Indicator 7: Reduce the percentage of persons in HIV medical care who are homeless to no more than 5%. Indicator 8: Reduce the death rate among persons with diagnosed HIV infection by at least 33%

Indicators 9-10

Indicator 9: Reduce disparities in the rate of new diagnosis by at least 15 percent in the following groups: gay and bisexual men, young Black gay and bisexual men, Black females, and persons living in the Southern United States. Indicator 10: Increase the percentage of youth and persons who inject drugs with diagnosed HIV infection who are virally suppressed to at least 80 percent.

THE FUTURE OF AIDS EDUCATION & TRAINING IN

THE NEW FRONTIER

HRSA Program Changes

Three workforce development priorities:

• Clinical care
• Interprofessional teams

(e.g., IPE Project)

• Organization and systems

management (e.g., PT Project)

Frontier AETC Region

22

HIV National Curriculum (with NCRC)

UW Leadership Team David Spach Andrew Karpenko Kent Unruh Natalia Martinez-Paz

HIV National Curriculum (with NCRC)

Triple AIM

+ Triple Aim Better Care

What does it mean to us?

• Work with clinic leadership: Improve Care

Continuum Outcomes

• HIV Screening
• Linkages to Care
• Retention in Care
• Suppression of Viral Load
• Build capacity: High-quality comprehensive care

and treatment

• Develop accountable care communities and

interprofessional teams

Participation Criteria

Clinics with:

• low volume HIV providers who can

improve quality care and access

• FQHC designation and/or RW Part A/B
• ≥ 30% racial/ethnic patient diversity
• Minority staff & providers
• Willingness to participate in long term

project