1. 2. CATEGORY Part A Formula MAI MAI Carryover TOTAL Austin Transitional Grant Area (TGA) Administrative Agent (AA) Report to HIV Planning Council May 2024 PART A & MAI GRANTS ADMINISTRATION/MANAGEMENT UPDATE HRA is now fully staffed. Antoinette Hannah is the RWA Lead and Collin Lessing is the EHE Lead. We got permission from HRSA to use the funding that was allocated in carryover funds for FFY23, so the Austin TGA will not be losing those funds. OTHER HIV RESOURCES ADMINISTRATION GRANT UPDATES 1. HOPWA: 2 contracts executed, 2 routing for signatures 2. Part C: FFY24 2 contract executed, 1 affirming exhibits 3. EHE PS20: Both contracts are executed and will be receiving a 2-month extension 4. Part A/MAI: All FFY24-25 contracts are under negotiation 5. HRSA EHE: All FFY24-25 contracts are under negotiation PART A & MAI FISCAL UPDATE 1. Expenditures Through February Part A Formula Carryover $449,918 $167,654 37% Part A Supplemental $1,774,600 $1,774,600 100% Budgeted Amount Expended Amount Percent Expended $3,374,977 $3,357,520 99% $388,620 $361,566 93% $16,925 $16,925 100% $6,005,040 $5,678,265 95% 1. CQM Plan Development and Next Steps CLINICAL QUALITY MANAGEMENT The CQM plan is currently being revised to include EHE and Part C activities, monitoring and evaluation. HRA team will meet with HRSA to review CQM Plan prior to finalization. Austin TGA Administrative Agent Report to HIV Planning Council, January 2024, Page 12 2. CQM Performance Measures CQM performance measures for Part A/MAI, Part C and EHE have been drafted and shared with the CQM Committee. Performance measures will be finalized after review from the HRSA TA. 3. Quality Improvement Projects Recipients will be beginning a new round of quality improvement projects that will be focused on data quality and improvement in viral load suppression. This will be a six-month PDSA cycle ending in December 2024. 4. CQM Committee Meetings Last meeting was held on April 11, 2024, where our subrecipients presented their findings on their last QIP Cycle. CQM Committee meetings will be moving from a monthly basis to a quarterly basis. CQM staff will begin meeting with the subrecipients on a monthly basis individually to provide individualized technical assistance. Data Management: TCT Enhancements and Issues: DATA MANAGEMENT UPDATE 1. The data staff at HRA continue to work through TCT issues with subrecipients and the TCT Help Desk. HRA meets with the TCT Help Desk weekly. There have been additional meetings with data managers …
Date Topic/ Focus Location Messaging Platforms Budget Notes Measurable Goals LINKS Public Health Emergency Prepardness Response (note: YES) Target Audience https://www.hiv.gov/events/awareness-days HIV Planning Council Social Media Plan 2022 CTAAFSC Conference Palmer Event Center (900 Barton Springs Rd. Austin, TX 78704) 2024 THEME Engage, Educate, Empower: Uniting to End HIV/AIDS in Black Communities. #NBHAAD National Black HIV/AIDS Awareness Day #NBHAAD | HIV.gov COA Holiday COA Holiday COA Holiday Zachery Garay National Women and Girls HIV/AIDS Awareness Day #NWGHAAD | HIV.gov National Native HIV/AIDS Awareness Day #NNHAAD | HIV.gov; https://www.nnhaad.org/ JANUARY FEBRUARY MARCH APRIL NWOP (National Week of Prayer) event 2024 THEME Prevention and Testing at Every Age. Care and Treatment at Every Stage. #NWGHAAD 1/1/2024 - Monday 1/15/2024 - Monday 2/1/2024 - Thursday 2/6/2024 - Tuesday 2/7/2024 - Wednesday 2/14/2024 - Wednesday 2/19/2024 - Monday 2/28/2024 - Wednesday New Year's MLK Day Black History Month National Black HIV/AIDS Awareness Day Valentine's Day President's Day HIV Is Not A Crime Awareness Day Membership Spotlight - 3/1/2024 - Friday Women's History Month 3/7/2024 - Thursday National Women's & Girls HIV/AIDS Awareness Day event 3/10/2024 - Sunday 3/17/2024 - Sunday 3/20/2024 - Wednesday 3/31/2024 - Sunday 3/31/2024 - Sunday National Women and Girls HIV/AIDS Awareness Day St. Patrick's Day National Native HIV/AIDS Awareness Day Trans Visibility Day Easter Membership Spotlight - 4/1/2024 - Monday 4/4/23 4/1/2024 - 4/7/2024 (begins on Monday) 4/5/2024 - Friday 4/7/2024 - Sunday National Minority Health Month National Public Health Day National Public Health Week Texas Public Health Networking Fair World Health Day 4/13/2024 - Saturday It’s a Birthing Thing 4/10/2024 - Wednesday National Youth HIV and AIDS Awareness Day 2024 THEME: Protecting, Connecting, and Thriving: We Are All Public Health University of Texas at Austin Presentation about HIVPC ACC Eastview Campus, African American Cultural Center 3401 Webberville Rd Austin, TX 78702 Austin Public Health’s Maternal Infant Outreach Program (MIOP) as we celebrate Black Maternal Health Week. https://nphw.org/About-NPHW ; https://nphw.org/ Speaker: Nathalia https://utexas.campuslabs.com/engage/organization/texaspu blichealth https://www.eventbrite.com/e/its-a-birthing-thang-tickets- 851986744287?aff=oddtdtcreator National Youth HIV & AIDS Awareness Day #NYHAAD | HIV.gov Date Topic/ Focus Location Messaging Platforms Budget Notes Measurable Goals LINKS Public Health Emergency Prepardness Response (note: YES) Target Audience HIV Planning Council Social Media Plan 2022 25th Anniversary Ride to promote awareness of HIV/AIDS and raise funds for Central Texas services and prevention efforts. MAY National Latinx Conference on HIV/HCV/SUD El Paso, TX Spicewood Springs Branch Library free, 2-hour course is open to …
HIV Planning Council Recruitment and Retention Plan 2024 Steps for Membership Recruitment 1. Invite potential members to Planning Council meetings. Ask if they would like to be emailed information about Planning Council meetings? Connect with our social media accounts for information Update recruitment flyer on Monthly Digest 2. Advertisement Flyers Brochures Social media announcements, Encourage providers and partners to share on their networks, Newspaper Ads ATXN Radio Station announcements 3. Community Engagement Events: "Lunch & Learns" at locations with potential members, Community Forums, Collaborate with existing related events, event request form Ask for suggestions/input from potential members Network with other HIV-focused organizations Activities: trivia Offer incentives Use swag items to recruit members Engage with priority populations Provide swag packs for PC members to recruit 4. Communication Reach one initiative: Recruitment of Planning Council members through word of mouth. Utilization of everyday language Make HIVPC materials and resources more accessible FAQ sheet Creation of HIVPC brochure: description of HIVPC, current initiatives, accomplishments, requirements for potential members Presentations that illustrate outcomes and previous contributions to present to providers or groups. Steps for Membership Retention 1. New Member Orientation Provide new members with welcome packet (printed official signed Mayor letter of membership, HIVPC brochure, FAQ sheet) 3 months into membership survey new members for feedback on planning council 2. Membership Recognition Monthly Membership Spotlight Achievements in planning council and the community Welcome posts for new members 3. Check-ins/ Office Hours Provide members with the opportunity to connect with Office of Support about any issues or concerns Twice a month during the week, afternoons/evenings 4. Trainings and Development Communicate about attendance to upcoming conferences Available trainings on Digest Potentially attending "Lunch & Learns" of interest Glossary of Ryan White Part A Grant terms Team building activities 5. Suggestion Box A way for members to express needs and interests. Survey provided to members at the beginning of meetings 6. Conducting exit interviews/surveys Why has member decided to leave the planning council? Thank you, acknowledgement, for their work with planning council What Improvements Would Members Like to See? WE WANT TO HEAR FROM YOU! CLICK HERE to Submit to our Virtual Suggestions Box or Scan the Code Above! Contact Us! Email: hivplanningcouncil@austintexas.gov Facebook: facebook.com/austinhivpc/ Website: austintexas.gov/HIV Boards and Commissions Information: austintexas.gov/content/hiv-planning-council
Austin Area HIV Planning Council Integrated HIV Prevention and Care Plan 2022-2026 Table of Contents Page # SECTION I: EXECUTIVE SUMMARY OF INTEGRATED PLAN AND SCSN................ 3 SECTION II: COMMUNITY ENGAGEMENT AND PLANNING PROCESS 1. JURISDICTIONAL PLANNING PROCESS ............................................................... 4 SECTION III: CONTRIBUTING DATA SETS AND ASSESSMENTS 1. DATA SHARING AND USE ........................................................................................... 7 2. EPIDEMIOLOGIC SNAPSHOT .................................................................................... 8 3. HIV PREVENTION CARE AND TREATMENT RESOURCE INVENTORY ...... 17 4. NEEDS ASSESSMENT .................................................................................................. 18 SECTION IV: SITUATIONAL ANALYSIS ............................................................................ 18 SECTION V: 2022-2026 GOALS AND OBJECTIVES .......................................................... 18 SECTION VI: 2022-2026 INTEGRATED PLANNING IMPLEMENTATION APPROACH ............................................................................................................................... 19 SECTION VI: LETTERS OF CONCURRENCE 2 SECTION I. EXECUTIVE SUMMARY OF INTEGRATED PLAN AND SCSN The Integrated HIV Prevention and Care Plan is a five year plan to accelerate progress in the Austin Transitional Grant Area (TGA) towards diagnosing all people with HIV early as a possible, treating people with HIV rapidly and effectively to reach sustained viral suppression, preventing new HIV transmissions by using proven interventions, including pre-exposure prophylaxis (PrEP), and responding quickly to potential HIV outbreaks to get vital prevention and treatment services to people who need them in order to increase access to care, improve health outcomes, and reduce HIV-related health disparities. This plan reviews the landscape of the HIV epidemic in the Austin TGA—the demographics of those living with and more likely to be impacted by HIV/AIDS, resources and services available, and needs, gaps and barriers to prevention and care. The second half of the plan details goals and objectives the Austin TGA in accordance with the plans of our partners initiatives Ending the HIV Epidemic and Fast Track Cities. In 2019, there were 6,721 people living with HIV/AIDS (PWH) within the five county TGA, with over 100 new diagnoses that year. A majority (85%) of people with HIV are male. Among males, Whites have a higher prevalence at 42%, followed by Latinx at 36%. Black females comprise 48% of all females with HIV, while Black males comprise 16% of all males with HIV. Men who have sex with men (MSM) continue to bear a heavy burden of HIV in the Austin TGA. Table D demonstrates the distribution of mode of transmission by race/ethnicity among persons living with HIV in the Austin TGA. The most common mode of transmission was MSM (70%) for all races/ethnicities. MSM was the most common mode of transmission for HIV cases among all groups: …
Priority Setting and Resource Allocation • Slides for Module 5 Training Objectives 01 Following the training, participants will be able to: 02 Explain PSRA Importance and Context: 03 Explain Priority Setting, Resource Allocation, and Directives: Legislative Language on PSRA DUTIES The planning council shall: “establish priorities for the allocation of funds within the eligible area, including how best to meet each such priority and additional factors that a grantee should consider in allocating funds under a grant” §2602(b)(4)(C) PSRA: A PC/PB Responsibility Planning council is the decision maker about the use of RWHAP Part A program funds – at least 85% of the total grant award Recipient must manage procurement so that funds are spent on services in the amounts determined by the PC Funds can be moved among service categories only with PC approval Planning body sets priorities and recommends allocations and directives to the recipient HRSA/HAB Expectations for PSRA There are many “right ways” to carry out PSRA Process should be: Appropriate for your EMA or TGA Carefully considered and discussed Based on agreed-upon principles and criteria Documented in writing Followed consistently Reviewed annually and updated as needed HRSA/HAB Expectations for PSRA (cont.) The entire PC/PB participates actively in decisions about priority setting and resource allocation Decisions are made based on data, not anecdotal information or “impassioned pleas” PC reviews many types of data and directly links decision making to these data Meetings are open, but practices regarding public comment vary, and only vetted PC/PB members vote Conflict of interest is managed Both the actual process and results of PRSA are documented in writing HRSA/HAB Expectations for Priority Setting Priorities are developed based on service needs of all PLWH in the EMA or TGA, regardless of: Who they are Where they live PC/PB must establish a sound, fair process for priority setting and ensure that decisions are data based Services prioritized must be from those listed in the legislation and described by HRSA/HAB as fundable through RWHAP Part A HRSA/HAB Expectations for Priority Setting (cont.) Priority is based on the importance of services to diverse PLWH living in the EMA or TGA – which services should be a part of the comprehensive system of quality care Decisions on priorities should not consider sources or amounts of funding for these services Even if the PC/PB cannot fund all prioritized services, additional resources could become available – or other funding …
Town Hall Ac(cid:415)on Plan Town Hall Commi(cid:425)ee Poten(cid:415)al Partners: Fast Track Ci(cid:415)es Ending the Epidemic Kind Clinic ASHwell David Powell CommUnity Care Integral Care Project Transi(cid:415)ons Red Ribbon Tes(cid:415)ng Whatsinthemirror Commission on Aging Public Health Commission Texas Syndicate Transgender Educa(cid:415)on Network of Texas Aus(cid:415)n Black Pride City of Aus(cid:415)n Government LGBTQ Quality of Life Commission Format of Town Hall: Common format is a briefing by a panel of three/four community leaders, and a moderator. The panel discussion is typically 35‐50 Minutes and the ques(cid:415)on‐and‐answer period usually lasts 30 minutes. The public and policymakers are the primary audience. What would the idea panel consist of? Mee(cid:415)ng Logis(cid:415)cs: Se(cid:427)ng a Time and Date Avoid compe(cid:415)ng community events Aiming for June with follow up discussion in July Select a place that is easy for residents and local media to get to What is our ideal RSVP #? 20‐50? 50‐100? Would Eventbrite be best pla(cid:414)orm to host invita(cid:415)ons? Early evening? A(cid:332)ernoon? During the week or weekend? Should we consider hybrid? Or focus on in‐person with an online submission op(cid:415)on Se(cid:427)ng Loca(cid:415)on June o Round Rock Pride Fes(cid:415)val, Saturday June 1, (Vendor Sign Up filled as of 4/11) o Saturday June 1, 10:00AM : Pop‐Up ATX: City Services on the go AT George Morales Dove Springs Recrea(cid:415)on Center o Na(cid:415)onal Long‐Term Survivors Awaresness Day June 5th o Na(cid:415)onal HIV Tes(cid:415)ng Day June 27th July August o allgo Decompress Fest o Zero HIV S(cid:415)gma Day July 21st o City Pride Event on August 10th Promo(cid:415)on Create Press Kit and News Release with APH PIO for online promo(cid:415)on with partners. Rou(cid:415)ne emailing from Planners to partners for bi‐weekly reminder for promo(cid:415)on. Create physical flyers with event informa(cid:415)on to post in community gathering spots. Community Demographics HIV Prevalence (new and exis(cid:415)ng cases) Rate of Persons living with HIV per 100K People By County, 2021. Source: 2021 Prevalence Rate 473 people/100 K 182 people/100 K 198 people/100 K 259 people/100 K 230 people/100 K Total Popula(cid:415)on in 2020 1,290,188 609,017 241,067 97,216 45,883 Table 1: 2021 HIV Prevalence Rate per 100,000 persons in the popula(cid:415)on from AIDSvu and Popula(cid:415)on size from Census.gov by County. Comparison of Diagnosis by Year and Age 1751 1593 1651 1640 1,651 1,621 1,580 1,485 685 599 …
Integrated Plan Updates Nathalia Delgadillo, Planner II, Austin Area HIV Planning Council – Office of Support Health Resources Services Administration Comments Received 2022 Integrated Plan Submission feedback in October 2023 Integrated Plan works with all Ryan White HIV/AIDS Program Parts, Fast Track Cities Initiative, Ending the Epidemic Initiative, HIV Syndicate of Texas, and local stakeholder how to coordinate our efforts in the Austin TGA with state/national/international efforts 1. Need a strategy for facilitating and optimizing Planning Bodies participation in planning 2. Develop a strategy for monitoring implementation of the plan 3. with existing resources. Identify priority populations and detail strategy for engaging said populations 1. Next: Detail strategy for engagement 4. Need more consumer/client input from people who receive Ryan White Part A Services in planning 5. Need engagement with PLWH in plan development and throughout 6. Need to detail collaboration with other RWHAP Parts, detail strategy for coordinating prevention and care activities that uses resources to address gaps 1. Next: Improve strategy of engagement with other RWHAP Parts 7. Next: Detail how data is used in planning process, data sharing agreements, and ensure use of best quality of data Integrated Plan Findings for Review Identify priority populations and detail strategy for engaging said populations Need more consumer/client input from people who receive Ryan White Part A Services Need engagement with PLWH in plan development and throughout Need a strategy for facilitating and optimizing Planning Bodies participation in planning Need to detail collaboration with other RWHAP Parts, detail strategy for coordinating HIV prevention and care activities that use resources to find gaps • The submitted plan used the Fast Track Cities Plan, found in Appendix A to detail coordination stating “Detail regarding this process can be found in Appendix A” • HRSA found the appendix to be insufficient. Therefore, the following summary was provided Updated Needs Assessment Activities for Austin TGA in Data Sources Section Next: Detail how data is used in planning process, data sharing agreements, and ensure use of best quality of data • Next Steps: Update ARIES to PROVIDE Need to address the Medicaid Representative vacancy on council from our required membership categories Proposed a solution for Medicaid Membership Category Vacancy to Health Resources and Services Administration (HRSA) in September 2023/March 2024 Unfortunately, the identified FQHC worker has not followed through on submitting their application regarding the first proposal. The second proposal was denied. New Solution: SME …
Committee Executive Business Responsibilities Coordinate PC activities Agenda setting Approve officer nominations Governance/Membership and Care Strategies Monitor member activity New member interviews Document Review (Service Standards, MOU, Bylaws, Directive Writing) Recruitment and Retention Plan Caucus updates Finance/Allocations and Strategic Planning/Needs Assessment PC Budget/Expenditures RW Expenditures (AA Report) Integrated Plan Approve Reallocations PSRA Needs Assessment AAM Meeting Day/Time 1st Tues., 5pm-6pm 1st Tues., 6pm-8pm 2nd Wed., 1pm-3pm 4th Monday, 6pm-8pm FY23 January No Meeting No Meeting Approve Kickoff meeting agenda Review open officer positions Agenda Setting and Meeting Structure (Cancelled) Approve committee recommendations Trainings, data review, presentations Updates from FTC and EHE Open officer nominations Review FY23 PC expenditures Swag purchase approval Service Standards edits and print approval Meeting time/day Current activities Review and approve FY24 workplan calendar and social calendar February Review officer nominations Agenda Setting and Meeting Structure Committee meeting time/day New member interviews Review Bylaws and MOU National Week of Prayer Event Request Reallocations Review FY24 PC budget and Stigma Index Literature Review Topic (tabled) Approve budget for NWOP Open officer nominations Vote to approve new members Approve rec. for FY24 PC budget Approve rec. for NWOP budget COA Housing Dept. FY24-29 Consolidated Plan FY24 March RRO/TOMA Stigma Index Proposal Meeting time and day (tabled) Review/Training Reallocation and COI Policy Rec. from FASPNA on Stigma Proposal Open officer nominations 10/3 minutes Review Meeting Schedule of PWH Caucus and CAB Rotation Review and approve FY24 recruitment and retention plan (Cancelled) April Bylaws Nominee vetting 10/3 minutes New member interviews Review Meeting Schedule of PWH Caucus and CAB Rotation Review and approve FY24 recruitment and retention plan PSRA process review and approval Review Needs Assessment Report Updates Literature Review topic Review Integrated Plan updates Stigma funding Epi profile presentation PSRA training Approve rec. for PSRA process Approve Meeting Schedule of CAB/Caucus Approve Integrated Plan Updates Approve rec. for FY24 Rec. & Ret. Plan May Policies and Procedures Review Resource Guide Review directives Potential directives Directives to Sunset Committee Meeting time/day MAI and EIIHA data review and recomendation Review Resource Guide Action Plan for Y3 NA Determine focus group/studies for NA Yr. 3 NOA update Meeting Time and Day MAI and EIIHA data review and approve rec. Approve HIV Resource Guide New Directive Discussion (tentative) Approve Directives to Sunset Rec. Review Integrated Plan Dashboard Review Integrated Plan Dashbaord FTC and EHE Program Updates and alignment Approve Integrated Plan Dashboard Review Conflict …
Priority Setting and Resource Allocation Process Process of the Austin Area Comprehensive HIV Planning Council for FY2023‐26 Overview The Planning Council is responsible for setting priorities among service categories, allocating funds to those service categories, and providing directives to the Grantee [HRA] on how best to meet these priorities. The Planning Council carries out the priority setting and resource allocation (PSRA) by the deadline agreed upon with the Grantee, which is based on the Part A grant schedule and expected application deadline. Companion documents for the FY2025 PSRA cycle process include the FY2023‐26 PSRA Data Binder, the most recent HIV Planning Council Work Plan (if available), a PSRA training PowerPoint, PSRA Homework Assignments, and examples of critical documents. Critical documents are represented in green lettering and will be reviewed, discussed, and updated by the Planning Council (Business Committee). Prior to the PSRA Process, the Planning Council will review the previous year’s PSRA materials (e.g. data requests, priority setting tool, final service category, and final resource allocations) and draft the next year’s PSRA process. Priority Setting o Step PS1: Identify and determine data needs (Provider Capacity and Capability Survey Report, the System of Care Analysis, the Needs Assessment Survey and literature review, client utilization data, relevant Fast Track Cities Action and Ending the HIV Epidemic Plan and documents, and performance and outcomes data). Develop appropriate data requests and timelines collaboratively with HRA. o Step PS2: Vote on FY2023‐26 PSRA process including principles, criteria factors, and decision‐making process (refer to Conflict of Interest Policy) o Step PS3: Review data for each criteria factor of the priority setting tool. a. Review core medical and support service categories, including HRSA definitions. o Step PS4: Review proposed Directives, then vote to approve a. Review appropriate Service Standards adjustments or changes based upon b. Review appropriate Service Category adjustments or changes based upon Directives Directives o Step PS5: Adjust priority setting tool to ensure tool aligns with identified data needs Adjust tool as necessary i. Criteria factors (columns) ii. Weights of criteria factors priorities. o Step PS6: Utilize priority setting tool to rank service categories and set service category a. In the event of a tied ranking for a service category, a discussion will take place amongst the Planning Council to rank the service categories Commented [DN1]: Add Demographic/population data for Austin TGA o Step PS7: Vote on final service category priorities a. Agree on principles, …
AUSTIN AREA HIV PLANNING COUNCIL The mission of the HIV Planning Council is to develop and coordinate an effective and comprehensive community-wide response to HIV. Planning Council: Office of Support Staff Report April 22, 2024 Business Committee Meeting Kodjo Dodo, Manager Kodjo.Dodo@austintexas.gov Rashana Raggs, Supervisor Rashana.Raggs@austintexas.gov Nathalia Delgadillo, Planner II Nathalia.Delgadillo@austintexas.gov Zaria Thomas, Planner I Zaria.Thomas@austintexas.gov. Deena Rawleigh, Admin Sr. Deena.Rawleigh@austintexas.gov AUSTIN AREA HIV PLANNING COUNCIL MEMBERS TOTAL 10 (1 Non-voting member) 1. Kelle’ Martin, Chair 2. Alicia Alston 3. Joe Anderson Jr. 4. Zachery Garay 5. Ashley Garling 6. Marquis Goodwin 7. Judith Hassan 8. Rocky Lane, Non-Voting 9. Kristina McRae-Thompson 10. Gin Pham Summary • The Austin Area HIV Planning Council (HIVPC) is at 10 members. • Kelle’ Martin temporarily joined the GMCS committee as new members were pending in early April. o Two community members interviewed at the GMCS Meeting o GMCS discussed caucus logistics and policy/procedures. A more approachable/less of a commitment option was posed by members. The PO agrees with the committee members sentiment, and that a townhall may be more feasible. Therefore, a townhall will be planned, if this recommendation is approved. o The Recruitment and Retention updates were reviewed and approved. • The Finance/Allocations and Strategic Planning/Needs Assessment committee voted to focus on the impact of changing urban neighborhoods and rising housing costs related to healthcare access for PLWH for Year 2 of Assessment for Needs and Barriers to PLWH in and out of care. o This committee received their annual training on PSRA o Edited and voted on the FY25 PSRA process o Reviewed, edited, and voted on updates to the Integrated Plan • The Executive Committee completed their edits and updates to the Bylaws at their April meeting. The Committee is expected to review Policies and Procedures starting next month. • The Office of Support has created an event requests form for the community to request the HIVPC to join. Council is invited to provide comments and edits to the Event form, as needed. This discussion can be followed up in the Governance/Membership and Care Strategies committee. • The Fast Track Cities Consortium will be on May 30th. Get your Eventbrite tickets here. See more info in the Outreach portion of the report. Event Requests Form https://www.surveymonkey.com/r/HIVPCEvents HIV PLANNING COUNCIL COMMITTEE UPDATES • Executive Committee needs nominations for Vice Chair and Secretary. Per the bylaws, nominations must be made during a …
BYLAWS OF THE HIV PLANNING COUNCIL ARTICLE 1: NAME Section 1.1: General The name of the organization is the Ryan White HIV/AIDS Part A Planning Council, and it shall be constituted as is required by the Ryan White HIV/AIDS Treatment Extension Act (“Ryan White Act”) and implementing regulations. As used in these bylaws, the term “Planning Council” means the HIV Planning Council. Section 1.2: Service Area Pursuant to the requirements of the Health Resources and Services Administration (HRSA), the Transitional Grant Area (TGA) to be served by the Planning Council shall consist of the following counties: Bastrop, Caldwell, Hays, Travis, and Williamson. ARTICLE 2: PURPOSE AND DUTIES The mission of the HIV Planning Council is to develop and coordinate an effective and comprehensive community-wide response to HIV. Section 2.1: Mission Section 2.2: Purpose The Planning Council shall advise the Chief Elected Official (CEO) of the TGA on issues related to HIV and perform other duties assigned by the CEO. The CEO shall be the Mayor of Austin. The Planning Council works as a partner with the governing bodies of the member counties and the State in making decisions about how funds are used to address the needs of people living with HIV/AIDS. The Planning Council shall also perform the duties prescribed in the Ryan White Act and comply with the requirements imposed therein, and with the most current editions of other applicable laws or regulations, including the Public Health Service Act (PHS Act). The Planning Council shall: (A) Determine what Ryan White Services are needed and what populations need care through the development of a needs assessment. The needs assessment shall have components as defined by the Ryan White Act and shall include input on community needs and priorities from those impacted by HIV/AIDS; (B) Recommend how to make allocations according to established priorities and needs with consideration of relevant legislative requirements; Bylaws of the HIV Planning Council (C) Develop a comprehensive plan for the development, organization, and delivery of HIV services, education, and prevention for individuals with HIV, those at risk of becoming infected, and those affected by HIV. The plan shall be compatible with existing state and local plans regarding the provision of services to individuals with HIV; (D) Coordinate with the State in the development of the statewide coordinated statement of need by the State health agency responsible for administering grantts under Part B. Also coordinate with …
REGULAR MEETING OF THE HIV PLANNING COUNCIL FINANCE/ALLOCATIONS AND STRATEGIC PLANNING/NEEDS ASSESSMENT COMMITTEE WEDNESDAY, APRIL 10, 2024, 1:00 P.M. PERMITTING AND DEVELOPMENT CENTER 6310 WILHELMINA DELCO DRIVE, RM. 1203 AUSTIN, TEXAS Some members of the HIV PLANNING COUNCIL may be participating by videoconference. The meeting may be viewed online at: Click here to join the meeting Public comment will be allowed in-person or remotely via telephone. Speakers may only register to speak on an item once either in-person or remotely and will be allowed up to three minutes to provide their comments. Registration no later than noon the day before the meeting is required for remote participation by telephone. To register to speak remotely, call or email the Office of Support, (512)-972-5841, HIVPlanningCouncil@austintexas.gov CURRENT HIV PLANNING COUNCIL FINANCE/ALLOCATIONS AND STRATEGIC PLANNING/NEEDS ASSESSMENT COMMITTEE MEMBERS: Ashley Garling, Committee Chair Judith Hassan Kelle’ Martin Kristina McRae-Thompson Gin Pham AGENDA CALL TO ORDER PUBLIC COMMUNICATION: GENERAL The first 10 speakers signed up no later than noon on 4/09/2024 will each be allowed a three- minute allotment to address their concerns regarding items not posted on the agenda. APPROVAL OF MINUTES 1. March 13, 2024 CONFLICT OF INTEREST DECLARATIONS 2. Members will declare conflict of interest with relevant agenda items, service categories, and/or service standards. STAFF BRIEFINGS 3. Introductions/Announcements 4. Office of Support staff report 5. Administrative Agent report DISCUSSION AND ACTION ITEMS 6. Discussion and approval of Meeting Time and Day 7. Discussion and approval of Stigma Index Proposal updates 8. Discussion of Needs Assessment Report Updates 9. Discussion and approval of Literature Review topic for Year 2 Needs Assessment 10. Discussion and approval of Integrated Plan Updates 11. Discussion of Priority Setting and Resource Allocation (PSRA) overview 12. Discussion and approval of PSRA process for Fiscal Year 25 FUTURE AGENDA ITEMS 13. Workplan Calendar review ADJOURNMENT Indicative of action items The City of Austin is committed to compliance with the American with Disabilities Act. Reasonable modifications and equal access to communications will be provided upon request. Meeting locations are planned with wheelchair access. If requiring Sign Language Interpreters or alternative formats, please give notice at least 2 days (48 hours) before the meeting date. TTY users’ route through Relay Texas at 711. For More Information on the HIV Planning Council, please contact HIV Planning Council Office of Support at (512) 972-5841.
Needs Assessment on Service Needs and Barriers for those in-care and out of care Year 2 Activity, Literature Review From responses of 2/4 FASPNA members, Understanding the impact of rising housing costs on HIV Health Care access is the most interested topic by having the highest score. Access the survey here: or visit surveymonkey.com/r/HIVPCY2NA The populations of interest are Black MSMs, Latinx MSMs, and Black WSMs from ages 14-34. Limited information related to transgender and gender diverse persons may be available depending on how various literature define gender. What does FASPNA think of these suggested topics and populations? The purpose of the literature review is to serve as a “special study” by compiling existing literature related to identified barriers and needs for PLWH in lieu of resurveying, to further explore a key identified issues from the survey administered in 2022. The focus will be for those who are lost to care or out of care compared to those in care, if possible. We hope to use the information compiled to be able to carry out focus groups that will begin planning in April to better understand factors that would help return PLWH to care and keep persons in care. Access to the system of care analysis and provider capacity and capabilities report is available on request.
Quick Reference Handout 4.2: Example of a Multi-Year Needs Assessment Plan Prepared by a PC/PB Needs Assessment Committee Bold items are the planning council’s most intensive needs assessment activity each year. Red items are prevention-oriented needs assessment components for integrated prevention/care planning bodies. Component 1b. Epidemiologic Profile with HIV Care Continuum Year 1 • Epi profile PowerPoint presentation to be provided by state surveillance staff based on written epi profile prepared using CD’s 2014 Guidance Year 2 • New epi profile as in Year 1 Year 3 • Epi profile as in Year 1 • HIV care continuum data for RWHAP clients to be provided along with HIV care continuum for all living HIV cases • HIV care continuum data for all living HIV cases, all RWHAP clients, and RWHAP clients by agreed-upon subpopulations — Provided in time for spring data presentation using prior calendar year data — Format and scope of presentation to PC/PB jointly determined — Special data/analysis to be agreed upon by December 31 • Inclusion of HIV care continuum data for all living HIV cases in the Part A jurisdiction 2a. Estimate of the Number and Characteristics of PLWH with Unmet Need • Estimate of number of PLWH who • Unmet need estimate to be provided • Unmet need estimate to be provided know their status and are not in care used for prior year Part A application to be included in PSRA data presentation and presented as in Year 1 and presented as in Year 1 • Profile of PLWH with unmet need to • Profile of PLWH with unmet need to be provided and presented as in Year 1 be provided and presented as in Year 1 Quick Reference Handout 4.2: Example of a Multi-Year Needs Assessment Plan Prepared by a PC/PB Needs Assessment Committee 1 RWHAP Part A PC/PB Training Guide | Module 4: Needs Assessment Year 1 • New estimate to be provided for Year 2 Year 3 Component 2a. Estimate of the Number and Characteristics of PLWH with Unmet Need CONTINUED 2b. Estimate of the Number and Characteristics of Individuals with HIV Who Do Not Know Their Status (Unaware) 3a. Assessment of Service Needs and Barriers: PLWH in Care inclusion in Part A application, using estimation method specified by HRSA/HAB—presentation to be made at Needs Assessment Committee and then at PC meeting in the fall • Profile of PLWH with unmet …
Austin Area HIV Planning Council Integrated HIV Prevention and Care Plan 2022-2026 Table of Contents Page # SECTION I: EXECUTIVE SUMMARY OF INTEGRATED PLAN AND SCSN................ 3 SECTION II: COMMUNITY ENGAGEMENT AND PLANNING PROCESS 1. JURISDICTIONAL PLANNING PROCESS ............................................................... 4 SECTION III: CONTRIBUTING DATA SETS AND ASSESSMENTS 1. DATA SHARING AND USE ........................................................................................... 7 2. EPIDEMIOLOGIC SNAPSHOT .................................................................................... 8 3. HIV PREVENTION CARE AND TREATMENT RESOURCE INVENTORY ...... 17 4. NEEDS ASSESSMENT .................................................................................................. 18 SECTION IV: SITUATIONAL ANALYSIS ............................................................................ 18 SECTION V: 2022-2026 GOALS AND OBJECTIVES .......................................................... 18 SECTION VI: 2022-2026 INTEGRATED PLANNING IMPLEMENTATION APPROACH ............................................................................................................................... 19 SECTION VI: LETTERS OF CONCURRENCE 2 SECTION I. EXECUTIVE SUMMARY OF INTEGRATED PLAN AND SCSN The Integrated HIV Prevention and Care Plan is a five year plan to accelerate progress in the Austin Transitional Grant Area (TGA) towards diagnosing all people with HIV early as a possible, treating people with HIV rapidly and effectively to reach sustained viral suppression, preventing new HIV transmissions by using proven interventions, including pre-exposure prophylaxis (PrEP), and responding quickly to potential HIV outbreaks to get vital prevention and treatment services to people who need them in order to increase access to care, improve health outcomes, and reduce HIV-related health disparities. This plan reviews the landscape of the HIV epidemic in the Austin TGA—the demographics of those living with and more likely to be impacted by HIV/AIDS, resources and services available, and needs, gaps and barriers to prevention and care. The second half of the plan details goals and objectives the Austin TGA in accordance with the plans of our partners initiatives Ending the HIV Epidemic and Fast Track Cities. In 2019, there were 6,721 people living with HIV/AIDS (PWH) within the five county TGA, with over 100 new diagnoses that year. A majority (85%) of people with HIV are male. Among males, Whites have a higher prevalence at 42%, followed by Latinx at 36%. Black females comprise 48% of all females with HIV, while Black males comprise 16% of all males with HIV. Men who have sex with men (MSM) continue to bear a heavy burden of HIV in the Austin TGA. Table D demonstrates the distribution of mode of transmission by race/ethnicity among persons living with HIV in the Austin TGA. The most common mode of transmission was MSM (70%) for all races/ethnicities. MSM was the most common mode of transmission for HIV cases among all groups: …
MEMORANDUM To: Kelle’ Martin, Chair HIV Planning Council (Austin Area TGA) From: Social Determinants of Health & Equity Working Group Austin Fast Track Cities Contact: Rick Astray-Caneda III, rickyaciii@gmail.com, 786.325.7425; and Michelle Osorio, michelle.osorio@austintexas.gov, 941-269-9288 Cc: Rick Astray-Caneda III, Friends of the David Powell Clinic; Flor Hernandez-Ayala, Austin Public Health; Avery Westendorf, CommUnityCare; Michelle Osorio, Austin Public Health February 21, 2024 Request for Funds, Partnership, and In-kind Support to Administer the Persons Living with HIV Stigma Index 2.0 in the Austin Transitional Grant Area Dear Kelle’: Subsequent to our presentations related to the administration of the Persons Living with HIV Stigma Index 2.0 in the Austin Transitional Grant Area on September 25, 2023, and February 14, 2024, the Social Determinants of Health & Equity Working Group of the Austin Fast Track Cities Initiative requests support of the HIV Planning Council for the Austin Area TGA. Thank you for allowing us time to present this to the Planning Council on the prior occasions and thank you for considering this request. In Appendix A, we provide an overview of the project. At present we are recruiting approximately 12 people, including at least five living with HIV, to lead this effort. We ask that the Planning Council considers supporting this effort in as many of the ways below as you can. We know that the Planning Council has many priorities, and we appreciate any assistance toward this valuable effort. Monetary Amount Request Sponsor the administration of the Persons Living with HIV Stigma Index 2.0 in the Austin Transitional Grant Area. The sponsorship sends a message of legitimacy and importance to our community. Allow us to table with you at events to recruit Steering Committee members and later to recruit interviewees. This gives the initiative exposure and through presence with the Planning Council adds legitimacy. Sponsor all or part of the first year of stipends for Steering Committee Members. We calculate that at 12 members x three hours per month x $20 per hour at Austin’s living wage x 12 months. Assist us identifying a medical or social service organization that will allow us to use their calendaring system to schedule interviews. Set aside funds to help with logistics and tools for the Steering Committee. We have put a suggested amount of $2,000. This money would be used for $0.00 $0.00 $8,640.00 $0.00 $2,000.00 Page 1 of 5 # 1 2 3 4 5 …
Priority Setting and Resource Allocation Process Process of the Austin Area Comprehensive HIV Planning Council for FY2023‐26 Overview The Planning Council is responsible for setting priorities among service categories, allocating funds to those service categories, and providing directives to the Grantee [HRA] on how best to meet these priorities. The Planning Council carries out the priority setting and resource allocation (PSRA) by the deadline agreed upon with the Grantee, which is based on the Part A grant schedule and expected application deadline. Companion documents for the FY2025 PSRA cycle process include the FY2023‐26 PSRA Data Binder, the most recent HIV Planning Council Work Plan (if available), a PSRA training PowerPoint, PSRA Homework Assignments, and examples of critical documents. Critical documents are represented in green lettering and will be reviewed, discussed, and updated by the Planning Council (Business Committee). Prior to the PSRA Process, the Planning Council will review the previous year’s PSRA materials (e.g. data requests, priority setting tool, final service category, and final resource allocations) and draft the next year’s PSRA process. Priority Setting o Step PS1: Identify and determine data needs (Provider Capacity and Capability Survey Report, the System of Care Analysis, the Needs Assessment Survey and literature review, client utilization data, relevant Fast Track Cities Action and Ending the HIV Epidemic Plan and documents, and performance and outcomes data). Develop appropriate data requests and timelines collaboratively with HRA. o Step PS2: Vote on FY2023‐26 PSRA process including principles, criteria factors, and decision‐making process (refer to Conflict of Interest Policy) o Step PS3: Review data for each criteria factor of the priority setting tool. a. Review core medical and support service categories, including HRSA definitions. o Step PS4: Review proposed Directives, then vote to approve a. Review appropriate Service Standards adjustments or changes based upon b. Review appropriate Service Category adjustments or changes based upon Directives Directives o Step PS5: Adjust priority setting tool to ensure tool aligns with identified data needs Adjust tool as necessary i. Criteria factors (columns) ii. Weights of criteria factors priorities. o Step PS6: Utilize priority setting tool to rank service categories and set service category a. In the event of a tied ranking for a service category, a discussion will take place amongst the Planning Council to rank the service categories Commented [DN1]: What do you need to be successful for FY25 Commented [DN2]: Marching orders of grant funds from pc to …
AUSTIN AREA HIV PLANNING COUNCIL The mission of the HIV Planning Council is to develop and coordinate an effective and comprehensive community-wide response to HIV. Planning Council: Office of Support Staff Report April 10, 2024 FASPNA Committee Meeting Kodjo Dodo, Manager Kodjo.Dodo@austintexas.gov Nathalia Delgadillo, Planner II Nathalia.Delgadillo@austintexas.gov Zaria Thomas, Planner I Zaria.Thomas@austintexas.gov. Deena Rawleigh, Admin Sr. Deena.Rawleigh@austintexas.gov AUSTIN AREA HIV PLANNING COUNCIL MEMBERS TOTAL 10 (1 Non-voting member) 1. Kelle’ Martin, Chair 2. Zachery Garay 3. Ashley Garling 4. Rocky Lane, Non-Voting 5. Kristina McRae-Thompson 6. Gin Pham 7. Judith Hassan 8. Marquis Goodwin 9. Alicia Alston 10. Joe Anderson Jr. Summary • The Austin Area HIV Planning Council (HIVPC) is at 10 members. o New Requirement from BCIC: Pending members received City Council Approval on 4/4/24. o Project Officer suggest for Office of Support to confer with Austin Public Health Legal department to determine if the HIVPC is an official body of the City of Austin. If we are not, we should not have to follow this requirement and Bylaws take precedent. • Kelle’ Martin temporarily joined the GMCS committee as new members were pending. o Two community members interviewed at the GMCS Meeting o GMCS discussed caucus logistics and policy/procedures. A more approachable/less of a commitment option was posed by members. The PO agrees with the committee members sentiment. • The Business Committee motioned to amend the items funded by the HIVPC in the Stigma Index Project, for all items excluding #5 on the request document. • The Executive Committee completed their edits and updates to the Bylaws at their April meeting. The Committee is expected to review Policies and Procedures starting next month. • A Planning Council member posed the idea of creating “swag packs” to allow you all to have on hand materials to table with and allow you all to represent the PC in your own communities. Would this be an item of interest to other members? • PO inform that Ryan White Part A funds are not allowed to support the sponsorship of stipends and conflicted members may answer questions related to their conflicted interests but may not initiate questions nor actively engage in discussion. • Bylaws do not permit non-voting members to serve in interim/officer positions • If the HIVPC would be interested in having bi-weekly office hours with the Office of Support Planners, please send a preferred time and date as to …
Integrated Plan Updates Nathalia Delgadillo, Planner II, Austin HIV Planning Council – Office of Support Health Resources Services Administration Comments Received 2022 Integrated Plan Submission feedback in October 2023 Integrated Plan works with all Ryan White HIV/AIDS Program Parts, Fast Track Cities Initiative, Ending the Epidemic Initiative, Achieve Together Texas, and the State of Texas on how to coordinate our efforts in the Austin TGA with state/national/international efforts Integrated Plan Findings for Review 1. Need a strategy for facilitating and optimizing Planning Bodies participation in planning 2. Develop a strategy for monitoring implementation of the plan 3. with existing resources. Identify priority populations and detail strategy for engaging said populations 1. Next: Detail strategy for engagement 4. Need more consumer/client input from people who receive Ryan White Part A Services in planning 5. Need engagement with PLWH in plan development and throughout 6. Need to detail collaboration with other RWHAP Parts, detail strategy for coordinating prevention and care activities that uses resources to address gaps 1. Next: Improve strategy of engagement with other RWHAP Parts 7. Next: Detail how data is used in planning process, data sharing agreements, and ensure use of best quality of data Identify priority populations and detail strategy for engaging said populations Need more consumer/client input from people who receive Ryan White Part A Services Need engagement with PLWH in plan development and throughout Need a strategy for facilitating and optimizing Planning Bodies participation in planning Need to detail collaboration with other RWHAP Parts, detail strategy for coordinating HIV prevention and care activities that use resources to find gaps • The submitted plan used the Fast Track Cities Plan, found in Appendix A to detail coordination stating “Detail regarding this process can be found in Appendix A” • HRSA found the appendix to be insufficient. Therefore, the following summary was provided Next: Detail how data is used in planning process, data sharing agreements, and ensure use of best quality of data • Next Steps: Update ARIES to Take Charge Texas • Add updates to Needs Assessment once Literature Review Topic is selected Need to address the Medicaid Representative vacancy on council from our required membership categories Proposed a solution for Medicaid Membership Category Vacancy to Health Resources and Services Administration (HRSA) in September 2023/March 2024 Unfortunately, the identified FQHC worker has not followed through on submitting their application regarding the first proposal. The second proposal was …
