HRSA - Appendix C: Care & Services - National AIDS Strategy - ONAP

<BODY bgcolor="#FFFFFF">  <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-WLMC86');</script>  <style type="text/css"> #menufloat { position:fixed; font-family:Arial, Helvetica, sans-serif; background-color:#FFFFCC; color:#000; font-size:.8em; padding:2px 5px 2px 5px; top: 2px; margin:1px; text-align:center; width:889px; /*z-index:5;*/ border:solid 1px #666666; } </style>  <noscript><iframe alt="Google Tag Manager" src="https://www.googletagmanager.com/ns.html?id=GTM-WLMC86" height="0" width="0" style="display:none;visibility:hidden" title="Google Tag Manager"></iframe></noscript>  <div id="menufloat">This is historical material, "frozen in time." The web site is no longer updated and links to external web sites and some internal pages will not work.</div> <p align="center"><font face="Georgia, Times New Roman, Times, serif" size="4"><i><font size="2" color="#435250"><a name="top"></a>The National AIDS Strategy</font></i></font></p> <p align="center"><font face="Georgia, Times New Roman, Times, serif" size="4"><font size="2" color="#435250"><b><i>Appendix C: Care & Services<br> </i></b></font></font> <font face="Georgia, Times New Roman, Times, serif" size="3" color="#435250"><b><i> Health Resources & Services Administration (HHS)</i></b></font></p> <p><br> </p> <table width="75%" border="1" cellspacing="0" cellpadding="5" align="center" bgcolor="#FFFFFF" bordercolordark="#8A9F9C" bordercolorlight="#D2D2D2"> <tr> <td> <div align="center"><b>HRSA Goals</b><br> | <a href="#1">1</a> | <a href="#2">2</a> | <a href="#3">3</a> | <a href="#4">4</a> |</div> </td> </tr> </table> <p>  </p> <table width="95%" border="1" cellpadding="5" bordercolor="#8A9F9C" cellspacing="0" bordercolordark="#8A9F9C" bordercolorlight="#D2D2D2" align="center"> <tr valign="top"> <td width="148" bgcolor="#D2D2D2" height="48"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><a name="1"></a>Goal #1 </b></font></td> <td height="48" colspan="3"><font size="-1" face="Georgia, Times New Roman, Times, serif">To increase access to care and improve quality of life for persons living with HIV and AIDS.</font></td> </tr> <tr valign="top"> <td width="148" bgcolor="#FFFFFF" height="164"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>Objectives </b></font></td> <td height="164" colspan="3"> <ol> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Through the Ryan White Comprehensive AIDS Resources Emergency (Care) Act (RWCA), improve accessibility and quality of care for all persons living with HIV. </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Develop comprehensive and participatory planning processes at the state and local levels to guide funding allocation decisions. Increase patient access to clinical research. </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Establish quality guidelines and evaluate program effectiveness. </font></li> </ol> </td> </tr> <tr valign="top"> <td width="148" bgcolor="#FFFFFF" height="596"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><i>Action Steps</i></b></font></div> </td> <td height="596" colspan="3"> <ol> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Support comprehensive outpatient, ambulatory health and support services, case management, and inpatient case management services that prevent unnecessary hospitalization or expedite discharge (RWCA Title I); </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Support consortia to improve the quality and availability of health care, including home and community-based services, continuation of health insurance, purchase of AIDS drugs, direct provision of care for individuals and families living with HIV and AIDS (RWCA Title II); </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Develop a minimum drug formulary for federally-assisted AIDS Drug Assistance Programs (ADAP -RWCA Title II); </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Support outpatient early intervention services for low-income medically underserved people in existing primary health care systems (RWCA Title III); </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Support comprehensive care services for affected women, infants, children, and youth in a comprehensive community-based, family-centered system of care (RWCA Title IV); </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Support initial development of care systems linked to research for children, youth and women in seven new communities; </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Enhance linkages between care providers and sites where research is conducted; </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Provide leadership, training, and technical assistance; </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Convene youth and family leadership conferences and distribute findings; </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Develop, distribute, and train providers on quality indicators and quality assurance guidelines for the clinical management of HIV disease; </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Develop guidance for grantees in developing local strategies for changes in the standard-of-care; and </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Evaluate program effectiveness through development of common evaluation criteria of CARE Act grants that address program delivery and program outcomes and establishment of evaluation measures that are unique to each Title. </font></li> </ol> </td> </tr> <tr valign="top"> <td width="148" bgcolor="#FFFFFF" height="105"> <div align="right"><font face="Georgia, Times New Roman, Times, serif" size="-1"><i><b>Description</b></i></font></div> </td> <td height="105" colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Provide RWCA-supported services through individual grantees and service organizations. In addition to these broad-based efforts, support a variety of focused initiatives such as the adolescent research and clinical network and a cooperative agreement with Institute of Family-Centered Care to provide training and technical assistance to youth and families. </font></p> </td> </tr> <tr valign="top"> <td width="148" bgcolor="#FFFFFF" height="22"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Resources</b></i></font> </div> </td> <td width="115" height="22"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY95</b></font></div> </td> <td width="124" height="22"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY96</b></font></div> </td> <td width="129" height="22"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY96</b></font></div> </td> </tr> <tr valign="top"> <td width="148" bgcolor="#FFFFFF" height="23"> <div align="right"><font face="Georgia, Times New Roman, Times, serif" size="-1">Title I<br> Title II<br> Title III<br> Title IV</font></div> </td> <td width="115" height="23"> <div align="right"><font face="Georgia, Times New Roman, Times, serif" size="-1">$ 356.5 million<br> 198.1 million<br> 52.3 million<br> 26 million</font></div> </td> <td width="124" height="23"> <div align="right"><font face="Georgia, Times New Roman, Times, serif" size="-1">$ 391.7 million<br> 260.8 million<br> 56.9 million<br> 29 million</font></div> </td> <td width="129" height="23"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 449.9 million<br> 417.0 million<br> 69.6 million<br> 36.0 million </font></div> </td> </tr> <tr valign="top"> <td width="148" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Populations<br> Served</b></i></font></div> </td> <td colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">HIV positive individuals and their family members, low income persons with HIV/AIDS, pregnant women living with HIV/AIDS, neonates and children born to HIV positive women. In addition, RWCA grantees and planning councils receive technical assistance in conducting and evaluating their programs.</font></p> </td> </tr> <tr valign="top"> <td width="148" bgcolor="#FFFFFF" height="2"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Constituency<br> Involvement</b></i></font></div> </td> <td colspan="3" height="2"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">The input and guidance of PLWAs and affected communities is gathered through a variety of avenues. Constituents are represented on the HRSA AIDS Advisory Committee, and RWCA planning councils, with the input of broad-based local representation, guide local prioritization of RWCA funds. </font></p> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">The development of evaluation measures is a participatory process whereby local groups assist in the development of self-assessment tools. Local participants have early and ongoing involvement in all phases of data collection design, planning, and implementation. </font></p> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">In addition, focus groups, workshops, and discussion groups of PLWAs, providers of HIV care, State and local officials, researchers, and national groups review proposed policies, program directives, and planning and evaluation activities to ensure constituency input.</font> </p> </td> </tr> </table> <p> </p> <table width="95%" border="1" cellpadding="5" bordercolor="#8A9F9C" bordercolordark="#8A9F9C" bordercolorlight="#D2D2D2" cellspacing="0" align="center"> <tr valign="top"> <td width="150" bgcolor="#D2D2D2" height="48"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><a name="2"></a>Goal #2</b></font></td> <td height="48" colspan="3"><font face="Georgia, Times New Roman, Times, serif" size="-1">To increase the number of competent primary care providers willing to care for HIV-positive persons.</font></td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" height="48"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>Objective </b></font></td> <td height="48" colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Increase the number of health care providers who are effectively educated and motivated to counsel, diagnose, treat, and manage individuals with HIV infection.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" height="57"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><i>Action Steps</i></b></font></div> </td> <td height="57" colspan="3"> <ol> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Support didactic and clinical training activities for primary health care providers in collaboration with Federal, state, and local HIV care programs.</font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Disseminate state-of-the art HIV information to providers. Develop and coordinate distribution of HIV provider materials. </font></li> </ol> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" height="120"> <div align="right"><font face="Georgia, Times New Roman, Times, serif" size="-1"><i><b>Description</b></i></font></div> </td> <td height="120" colspan="3"> <p><font face="Georgia, Times New Roman, Times, serif" size="-1">AIDS Education and Training Centers (RWCA Title VI). In addition, as part of the overall operative budget, there are quarterly interactive conference calls with experts and providers, the National HIV Telephone Consultation Service (Warmline), phone consultation services, newsletters, bulletins, and provider guides for HIV priority areas (e.g., guidance for clinicians regarding the use of AZT for the prevention of perinatal transmission).</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" height="1056" rowspan="2"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Resources</b></i></font> </div> </td> <td width="121" height="33"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY95</b></font></div> </td> <td width="124" height="33"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY96</b></font></div> </td> <td width="131" height="33"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY97</b></font></div> </td> </tr> <tr valign="top"> <td width="121" height="14"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 16 million</font></div> </td> <td width="124" height="14"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 12 million</font></div> </td> <td width="131" height="14"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 16 million </font></div> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Populations<br> Served</b></i></font></div> </td> <td width="121" colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Health care providers and people living with HIV disease.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" height="32"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Constituency<br> Involvement</b></i></font></div> </td> <td width="121" colspan="3" height="32"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Faculty, staff, advisory committees, training panels, persons living with AIDS, and academic faculty.</font> </p> </td> </tr> </table> <p align="center"> </p> <table width="95%" border="1" cellpadding="5" bordercolor="#8A9F9C" cellspacing="0" bordercolordark="#8A9F9C" bordercolorlight="#8A9F9C" align="center"> <tr valign="top"> <td width="150" bgcolor="#D2D2D2"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><a name="3"></a>Goal #3</b></font></td> <td colspan="3"><font size="-1" face="Georgia, Times New Roman, Times, serif">To reduce barriers to obtaining dental care for HIV positive persons.</font></td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>Objectives </b></font></td> <td colspan="3"> <ol> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Increase the number of dental practitioners who provide care to HIV positive patients. </font></li> <li><font size="-1" face="Georgia, Times New Roman, Times, serif">Assist dental schools in meeting uncompensated costs associated with providing oral health care to HIV positive patients. </font></li> </ol> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><i>Action Steps</i></b></font></div> </td> <td colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Provide reimbursement to dental schools of uncompensated costs incurred in treating patients with HIV.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font face="Georgia, Times New Roman, Times, serif" size="-1"><i><b>Descriptions</b></i></font></div> </td> <td colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">The AIDS Dental Reimbursement Program (RWCA Title V) is designed to reimburse accredited dental schools and post doctoral dental programs for the documented uncompensated costs incurred from providing oral health treatments to HIV positive patients.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" rowspan="2"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Resources</b></i></font> </div> </td> <td width="121"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY95</b></font></div> </td> <td width="124"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY96</b></font></div> </td> <td width="131"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY97</b></font></div> </td> </tr> <tr valign="top"> <td width="121"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 7 million</font></div> </td> <td width="124"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 7 million</font></div> </td> <td width="131"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 7.5 million </font></div> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Populations<br> Served</b></i></font></div> </td> <td width="121" colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Children and adults living with HIV.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Constituency<br> Involvement</b></i></font></div> </td> <td width="121" colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">American Association of Dental Schools, American Association of Hospital Dentists, and the American Dental Association.</font></p> </td> </tr> </table> <p align="center"> </p> <table width="95%" border="1" cellpadding="5" bordercolor="#8A9F9C" cellspacing="0" bordercolordark="#8A9F9C" bordercolorlight="#D2D2D2" align="center"> <tr valign="top"> <td width="150" bgcolor="#D2D2D2"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><a name="4"></a>Goal #4</b></font></td> <td colspan="3"><font size="-1" face="Georgia, Times New Roman, Times, serif">To develop and evaluate innovative models of comprehensive managed care for persons living with HIV.</font></td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" height="70"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>Objectives </b></font></td> <td colspan="3" height="70"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Develop and evaluate models of comprehensive managed care networks that enroll a broad spectrum of primary care and psychosocial providers within the HIV continuum of care, and that provide patients and their families access to services.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b><i>Action Steps</i></b></font></div> </td> <td colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Develop innovative models, provide technical support for evaluation activities, and disseminate results of evaluation.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font face="Georgia, Times New Roman, Times, serif" size="-1"><i><b>Descriptions</b></i></font></div> </td> <td colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Special Projects of National Significance (SPNS).</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF" rowspan="2"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Resources</b></i></font> </div> </td> <td width="121"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY95</b></font></div> </td> <td width="124"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY96</b></font></div> </td> <td width="131"> <div align="center"><font size="-1" face="Georgia, Times New Roman, Times, serif"><b>FY97</b></font></div> </td> </tr> <tr valign="top"> <td width="121"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 1.5 million</font></div> </td> <td width="124"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 1.5 million</font></div> </td> <td width="131"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif">$ 1.5 million </font></div> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Populations<br> Served</b></i></font></div> </td> <td width="121" colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Persons living with HIV and their families.</font></p> </td> </tr> <tr valign="top"> <td width="150" bgcolor="#FFFFFF"> <div align="right"><font size="-1" face="Georgia, Times New Roman, Times, serif"><i><b>Constituency<br> Involvement</b></i></font></div> </td> <td width="121" colspan="3"> <p><font size="-1" face="Georgia, Times New Roman, Times, serif">Primary care providers, community-based organizations, state and local health officials, Ryan White planning bodies, and persons living with HIV.</font></p> </td> </tr> </table> <p align="center"></p> <p align="center"></p> <p> </p> <table width="75%" border="0" cellspacing="5" align="center"> <tr> <td width="33%" height="34"> <div align="center"><a href="nsfs_xc3.html" target="_top"><img src="../images/Arr_l.gif" width="32" height="32" alt="Back" 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