Boston EMA Ryan White Part A 20172021 Integrated HIV Prevention and
Care Plan
September 8th, 2016
Presentation Overview
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Purpose of the Integrated Prevention and Care Plan
Process of Developing the Plan
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Integrated Prevention and Care Plan Goals and Objectives
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Main Components
Key Stakeholders
Comprehensive Plan Working Group
Massachusetts
New Hampshire
Boston EMA
Next Steps
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Monitoring the goals and objectives
Planning Council Letter of Concurrence
What is the Integrated Care and Prevention
Plan?
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Required by Health Resources and Services Administration
(HRSA) and the Centers for Disease Control and Prevention
(CDC)
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Helps accelerate progress toward reaching the goals of the
National HIV/AIDS Strategy
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Preventing new HIV infections
Increasing access to care and improving health outcomes
Reducing HIV-related health disparities
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Based on collaborative planning which addresses local needs
and challenges
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Reflects the community’s vision and values regarding how best
to deliver HIV prevention and care services
Main Components
 Statewide Coordinated Statement of Need (SCSN) / Needs
Assessment
 Epidemiologic Overview
 HIV Care Continuum data
 Financial and Human Resource Inventory
 Assessing Needs Gaps and Barriers
 Data Access, Sources and Systems
 Boston EMA Integrated HIV Prevention and Care Plan
 Goals and Objectives
 Collaborations, Partnerships, and Stakeholder Involvement
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Monitoring
Key Stakeholders : 3 Jurisdictions
State of Massachusetts
Massachusetts Integrated
Prevention and Care
Committee
Statewide Consumer
Advisory Board (SWCAB)
Boston EMA
Boston EMA Planning
Council – YOU!
Ryan White Part A
recipient
State of New
Hampshire
New Hampshire
HIV Planning
Group
MDPH
Boston EMA
Integrated
HIV
Prevention
and Care Plan
NHDHHS
Boston EMA Comprehensive Plan Working Group
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Member affiliations: Planning Council,
MDPH Statewide Consumer
Advisory Board, New Hampshire
Department of Health and Human
Services, City of Boston Mayor’s
Office, Community Members and
Providers
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Met monthly from January-July 2016
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Participation on other related work
groups
 Massachusetts HIV/AIDS State
Strategy Meeting
 Massachusetts Integrated
Prevention and Care Committee
 New Hampshire HIV Planning
Group meeting
Working Group Members
Ed Rewolinski (Chair)
Lorraine Anyango
Stephen Batchelder
Sarah McPhee
Erika Moreno
Rob Quinn
Allison Rogers
Shirley Royster
Darren Sack
Eric Thai
Kim Wilson
Integrated HIV Care and
Prevention Plan
Populations of Interest, Goals, and Objectives
Populations of Interest
Massachusetts
Boston EMA
New Hampshire
Gay men and other men
who have sex with men
Substance users
Adult population 15-65 y/o
Racial and ethnic
minorities
Persons 50 years of age and
older
Needle + syringe using adults
Non-US born immigrants Heterosexual women
and refugees
HIV service/medical
providers
Persons who inject drugs
Men who have sex with men
(MSM)
HIV testing/counseling
programs
Trans-identified
individuals
Trans-identified individuals
Individuals at risk for
HIV/AIDS
Foreign born
Individuals potentially eligible
for PrEP
Youth (ages 12-19) and young
adults
Newly identified individuals
with HIV, PLWH out of care
and PLWH in care
HIV long-term survivors
Goal 1: Reducing New HIV Infections
Massachusetts
New Hampshire
By 2021, reduce newly
By 2021, lower the new
diagnosed HIV infections AIDS/Concurrent
among MSM by 30%.
diagnoses by 5%.
By 2021, increase access
to PrEP for all people
who meet the CDC
guidelines in NH by
identifying 5-10 new
prescribing
providers/organizations.
Boston EMA
By 2021, ensure 100% of
all Part A funded sites
provide internal linkages
to comprehensive HIV
services for HIV+ and
HIV – individuals or can
demonstrate
appropriate linkages in
the community.
Goal 2: Increasing Access To Care And
Improving Health Outcomes
Massachusetts
New Hampshire
By 2021, improve
By 2021, increase viral
Massachusetts HIV Care suppression (across the
Continuum outcomes to State) from 91% to 95%.
90/90/90 (90%
diagnosed; 90% retained
in care; and 90% of
PLWH virally
suppressed).
By 2021, 90% of
individuals co-infected
with HIV and HCV will
be linked to HCV
treatment.
By 2021, reduce the
number of people on
the unmet need/out of
care list in NH by 20%.
Boston EMA
By 2021, improve viral
suppression rates from
89% to 94% for PLWH
who currently utilize
Part A services in the
Boston EMA.
Goal 3: Reducing HIV-related Health Disparities
Massachusetts
New Hampshire
Boston EMA
By 2021, reduce the
disparity in relative rates
of new HIV infection
diagnoses between black
(non-Hispanic) and white
(non-Hispanic) residents
by 20%.
By 2021, reduce
disparities in
prevalence rates of
HIV between nonHispanic white and
non-white individuals
by 5%.
By 2021, improve viral
suppression rates among
Black PLWH from 91% to
95%.
By 2021, reduce the
disparity in relative rates
of new HIV infection
diagnoses between
Hispanic/Latino and white
(non-Hispanic) residents
by 25%.
By 2021, decrease the
percentage of clients who are
unstably housed from 29% to
20%.
Monitoring the Plan
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Each objective will state who will do the work, how long
it will take to be accomplished, and how we know we
have succeeded.
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The plan is revisited every year and adjustments can be
made based on feedback from stakeholders, including the
Planning Council.
VOTE – Motion to Approve the 2017-2021 Boston
EMA Integrated HIV Prevention and Care Plan
Summary of Motion:
The Planning Council approves of the goals and objectives
within the EMA’s Integrated HIV Prevention and Care
Plan as presented, and authorizes Planning Council
Support Staff (PCS) to make editorial, technical and
additional changes needed for submitting a final version
to HRSA.
Yes - You agree with the recommendation
No - You do not agree with the recommendation
Abstain - You do not want to vote on the motion
Next Steps
Planning Council Letter of Concurrence: A letter stating the
Planning Council agrees to the goals and objectives outlined
in each Integrated HIV Prevention and Care Plan
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Action Step : On behalf of all members of the Planning
Council, the Chair will sign a letter of concurrence for
each Integrated Plan
*Integrated Plan is due September 30, 2016*