Backup — original pdf

Backup

Membership Applicant Biographical Sketch The following individual has submitted a membership application to the HIV Planning Council. Alicia Alston (Applicant Name) Planner of HIV/Health Services at Brazos Valley Council of Governments (BVCOG) Participates in various food, coat, and back to school drives in local community. Also, likes to volunteer at nursing homes to support elderly members of the community. 20+ years of Direct care experience as a medical assistant to service PLWH in Philadelphia Department of Health. 23 years of epidemiology, HIPAA, OSHA, and other related laws/policies pertaining to PLWH. Currently, working with the Ryan White Part B program at BVCOG. Detail orientated, team leader. Travis Bastrop Caldwell Hays Williamson Other Health Care Providers, Including Federally Qualified Health Centers Community-based organizations serving affected populations and AIDS Service Organizations (ASOs) Substance Abuse Providers Social Service Providers, including providers of housing and homeless services Mental Health Providers Local Public Health Agency Hospital planning agencies or health care planning agencies Affected Communities, including PLWH/A, members of a Federally recognized Indian tribe as represented in the population, individuals co-infected with hepatitis B or C and historically underserved groups and subpopulations. Non-Elected Community Leaders State Government (including the State Medicaid Agency. State agency and the agency administering the program under part B. Grantees under subpart II of part C (Title II early intervention) Representatives of organizations with a history of serving children, youth, women, and families living with HIV and operating in the area. Grantees under other Federal HIV programs, including but not limited to providers of HIV prevention services Representatives of individuals who formerly were Federal, State, or local prisoners, were released from the custody of the penal system during the preceding 3-years, and had HIV/AIDS as of the date on which the individuals were released. HIV/AIDS Prevention Provider Yes No A AA H W PI Other HIV Care Continuum Improvements Planning Council Recommend? No Yes OCCUPATION COMMUNITY VOLUNTEER WORK SKILLS/EXPERIENCE COUNTY OF RESIDENCE HRSA MEMBERSHIP SLOT (Check all that apply) CONFLICT OF INTEREST RACE/ETHNICITY SPECIAL INTERESTS GMCS Committee Recommend? Yes No Membership Applicant Biographical Sketch The following individual has submitted a membership application to the HIV Planning Council. OCCUPATION COMMUNITY VOLUNTEER WORK SKILLS/EXPERIENCE COUNTY OF RESIDENCE HRSA MEMBERSHIP SLOT (Check all that apply) CONFLICT OF INTEREST RACE/ETHNICITY SPECIAL INTERESTS GMCS Committee Recommend? Yes No Judith Hassan (Applicant Name) Director of Client Services at Project Transitions 6+ years of work experience in public health related to HIV programs, program planning, implementation, evaluation, surveillance, research, and data management. Has work experience in government, NGOs, and private health sector. Strong interpersonal communications skills, team building techniques. She has expertise in planning and implementing community needs assessment, analyzing and interpreting large data. User of Microsoft Suites, and SAS data software Travis Bastrop Caldwell Hays Williamson Health Care Providers, Including Federally Qualified Health Centers Community-based organizations serving affected populations and AIDS Service Organizations (ASOs) Substance Abuse Providers Social Service Providers, including providers of housing and homeless services Mental Health Providers Local Public Health Agency Hospital planning agencies or health care planning agencies Affected Communities, including PLWH/A, members of a Federally recognized Indian tribe as represented in the population, individuals co-infected with hepatitis B or C and historically underserved groups and subpopulations. Non-Elected Community Leaders State Government (including the State Medicaid Agency. State agency and the agency administering the program under part B. Grantees under subpart II of part C (Title II early intervention) Representatives of organizations with a history of serving children, youth, women, and families living with HIV and operating in the area. Grantees under other Federal HIV programs, including but not limited to providers of HIV prevention services Representatives of individuals who formerly were Federal, State, or local prisoners, were released from the custody of the penal system during the preceding 3-years, and had HIV/AIDS as of the date on which the individuals were released. HIV/AIDS Prevention Provider Yes No A AA H W PI Other Health policy, international health policy, HIV Program planning Planning Council Recommend? No Yes Membership Applicant Biographical Sketch The following individual has submitted a membership application to the HIV Planning Council. OCCUPATION COMMUNITY VOLUNTEER WORK SKILLS/EXPERIENCE COUNTY OF RESIDENCE HRSA MEMBERSHIP SLOT (Check all that apply) CONFLICT OF INTEREST RACE/ETHNICITY SPECIAL INTERESTS GMCS Committee Recommend? Marquis Goodwin (Applicant Name) Mental Health Peer Advocate at ASHwell Performed community outreach with Vivent and ASHwell. Experience in HIV outreach, testing, and now mental health support. Eager to support their community Certified in phlebotomy, pending mental health peer support certification, experience with working with Take Charge Texas, navigating medical and social obstacles when serving as a patient liaison. Creating social media campaigns, engaging the community to build rapport, and educate on sexual wellness. Medicare and Medicaid claim handling experience, authorization, and locating accepted providers. Also has experience as an insurance agent Bastrop Caldwell Williamson Travis Hays Health Care Providers, Including Federally Qualified Health Centers Community-based organizations serving affected populations and AIDS Service Organizations (ASOs) Substance Abuse Providers Social Service Providers, including providers of housing and homeless services Mental Health Providers Local Public Health Agency Hospital planning agencies or health care planning agencies Affected Communities, including PLWH/A, members of a Federally recognized Indian tribe as represented in the population, individuals co-infected with hepatitis B or C and historically underserved groups and subpopulations. Non-Elected Community Leaders State Government (including the State Medicaid Agency. State agency and the agency administering the program under part B. Grantees under subpart II of part C (Title II early intervention) Representatives of organizations with a history of serving children, youth, women, and families living with HIV and operating in the area. Grantees under other Federal HIV programs, including but not limited to providers of HIV prevention services Representatives of individuals who formerly were Federal, State, or local prisoners, were released from the custody of the penal system during the preceding 3-years, and had HIV/AIDS as of the date on which the individuals were released. HIV/AIDS Prevention Provider Yes No A AA H W PI Other Issues affecting POC/PLWH Planning Council Recommend?  Yes No Yes No