Minutes
Full Body Meeting
Date: May 25th and Time: 9am-12pm
Members Present:
Members Absent:
Guests Present:
CDPH Present:
MSI:
Michelle Agnoli, Brian Bongner, Natalie Brzoski, Roman Buenrostro, Sandra Candelaria Cortes, Jill Dispenza, Rebecca Eavou, Roy
Ferguson, Alfredo Flores, Ana Galarza, Sanford Gaylord, Jocelyn Gorokhovsky, Chad Hendry, Darnell Jenkins, Kevin Johnson, Ayla
Karamustafa, Korrey Kooistra, Michael Maginn, Perry Maier, Cordelia McKnight, Kathryn Mercado, Veronica Perez, Kimberly
Ramirez, Matt Richards, Doug Ryan, Robin Scott, Veronica Shaheen, David Smith, Gary Sykes, Cynthia Tucker, Sara Zamor, Mayon
Yen, Shanett Jones
Robin Booker, Quinton Brown, Michal David, Christine Head, Louis Hobson, JeSherri James (excused), Felicia Johns, David Kern,
Latonya Maley, Jeffrey Maras, Michael Mc Laurin, Kathleen Jacobs-McLoyd, Peter McLoyd, Kevin Moore, Patricia Munoz, Tempi
Russell, Thomas Sampson, Gregory Sanchez (excused), Anne Statton, Donnie White, Carmella Williams, Amy Wong, Atara Young,
Sara Stokes
Owen Davis, Willie Fair, Edwin Ervin, Antonia Lalagos, Rich Zimmerman, Matt linas, Matesia Hoard, Monica Longmire, Melodie
Howard, Floretta Bessix, Jennifer Kough-Simenz, Erik Glenn
Alex Rhodes, Stephen Catton, Jorge Cestou, Teffany Anderson, Chenise Payton, Stephanie Schuette, Dwight G.E. Hunter, Erika Harding,
Rachel Santis, Tammy Ruter, Laxm Modem, Gail Patton, Charamante Oladeji, Evelyn Green, Evelyn Vazquez, Michele Howard, Cynthia
Evans, Bruce Edwards
Diana Beasley, Kimmins Southard
Agenda Item
Meeting Notes/Decisions Made
Welcome &
Introductions
The meeting was called to order at 9:15am introductions were made and a moment of silence was observed
Guidelines for today’s meeting:
 Respect everyone’s voice:
o One diva, one mic
o Move up, move back – be aware of how much you are speaking and making space for all to
comment
o No Hate speech
 Sometimes we may need to ask people to:
o Write questions on one of the post-its on the walls throughout the room
o Ask tablemates to explain/clarify and be mindful of table-talk and cross-talk while simultaneously
Meeting Notes/Minutes
Action Needed
(what/who/when)
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engage in conversations (which will be incorporated into the facilitation for discussion)
o Hold questions or comments until the allotted time in the agenda (in the future we will allow 10
minutes on the agenda for open discussion
 Only vote if you are a voting CAHISC member (especially because many votes are by acclamation or show-ofhands, if you are unsure if you are a member speak to the staff at the sign-in table)
Review & Approve Minutes were voted upon and approved with the following correction:
Meeting Minutes Mayon Yen was present at the meeting
CDPH Updates –  Received wonderful news from HRSA that we received a .08 increase in RW funding and we received one of
Jorge Cestou
the highest scores on our application (94) and we were one of the few jurisdictions to receive increased
(representing
funding and this year we convinced the Comptroller to provide full year awards
Dave Kern)
 Meningitis Update: Which of our 3 divisions (RW, HOPWA, Prevention) provide services to individuals living
with HIV? RW & HOPWA and funded ambulatory care providers will become meningitis vaccine centers
 Hannah is seeking volunteers for IML this weekend
Community Co- IL HPG – Cynthia Tucker
Chairs Update
 May 20th meeting we discussed proposed changes to IL HPG bylaws to adapt to webinar meetings,
Presentation and discussion on interventions and service guidance for 2016 as part of the priority-setting
process
 Next meeting June 17th
 Statewide HIV/STI conference October 25th in Springfield, abstract submissions due May 31, scholarships for
attendance are available
Co-Chair Update – Roman Buenrostro (Dave, Patrick & Peter are away at the UCHAPS meeting)
 Positively Aware magazine is looking for stories from individuals living with Hepatitis C for an upcoming issue
– speak to Roman if interested
 The Steering Committee is seeking to full a position for At-Large Committee member. The SC membership
involves the co-chairs from each committee and seats for At-Large members. The primary responsibility is
attendance at the SC meeting (in addition to continued participation in the Full Body and committee
meeting). Contact Roman if interested. Nominations and Role Call vote will take place at the next Full Body
meeting.
Membership
 Membership Committee’s role on CAHISC: address all issues related to membership, recruitment and
Committee
retention (applications, review, attendance, monitor and address attendance, ensure member satisfaction
Update R. Eavou,
and engagement, increase opportunities for community and full body engagement)
C. McKnight
Recommendations (based upon feedback from members surveys)
 Change Full Body structure to include:
o Special welcome and introduction for guests
o Share guidelines/information about the structure of the meeting
Meeting Notes/Minutes
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o
o
Open Discussion,
comment and
feedback – Diana
Beasley
Planning Session
Overview – Jorge
Cestou
Meeting Notes/Minutes
1-2 times during the meeting for table and larger group discussion
Create parking lots to respond to all questions either during the meeting or at the next month’s
meetings and inclusion in the minutes
o For personal questions and individual advocacy we will ask social service agency providers to assist
in addressing
 Review member satisfaction surveys on a monthly basis – summary of your committees meeting surveys can
be requested by the co-chairs
 Review and select applicants for Full Body twice per year in two cohorts who will be provided orientation
prior to start), guests please speak to Rebecca if interested in becoming a member
 Appreciated the prior explanation of Full Body materials prior to today’s meeting  leaders will continue
sharing information prior to meeting
 Encourage all who are present today to invite guests to CAHISC meetings, especially community members
and individuals living with HIV because all of our meetings are open to the public
 Paying attention to the use of the word consumer as a code for “person living with HIV” instead of simply
inviting PLWH who may not be a consumer of services
 Data requests are free and open to the public, please contact Stephanie
Recall the role of CAHISC: work with CDPH achieve these goals: 1.) Significantly reduce HIV infections, 2.) Ensure
all PLWH have the opportunity to live as full and healthy a life as possible, 3.) Increase health equity among
people living with or at risk for HIV. To achieve these goals we must set priorities
Review of Planning Process
1. Unified Plan Planning process – COMPLETE! In April we developed, reviewed and voted to accept the below
priority setting framework:
Tier 1: Primary Priority Outcomes
 Suppress viral load in all persons living with HIV.
 Increase use of pre-exposure prophylaxis (PrEP) among gay and bisexual men of all
races/ethnicities and Black women.
Tier 2: Secondary Priority Outcomes
 Increase use of non-occupational post-exposure prophylaxis (nPEP) among gay and bisexual men
of all races/ethnicities.
 Decrease incidence of GC and syphilis among gay and bisexual men of all races/ethnicities and
PLWH.
 Increase use of condoms among gay and bisexual men of all races/ethnicities, Black women and
persons living with HIV.
 Increase the use of clean needles among persons who use injection drugs.
2. CDC Prioritization – WE WILL COMPLETE TODAY! To review, amend and vote upon the SC’s
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recommendations of the priority populations and geographic regions for prevention interventions
3. Unified Plan Planning Process – Emerging issue areas (MAPP) – TO COMPLETE IN JUNE! Prioritize 1-3 crosscutting themes that have surfaced and the committees to identify strategies to achieve
4. HRSA Priority Setting and Resource Allocation (PSRA) – TO BEGIN TODAY! Prioritize RW service categories
(JUNE) and determine resource allocation (JULY)
CDC Prioritization Priority Populations and Geographic areas:
Presentation –
 Reviewed charts and maps for the geographic areas and populations most impacted by HIV within the city of
CAHISC Roll Call
Chicago (not the total EMA), populations and regions that make up 80% of the distribution of HIV incidence
Vote H.L.
and prevalence
Anderson, T.
 Special concerns populations are important populations no represented in the epidemiological surveillance
Anderson
data but we know from the CAHISC full body, community members and other data sources are important A role call vote resulted
in acceptance of the
and demonstrate a disproportionate rate of HIV infection
proposed priority
Models of Programs/Services/Interventions:
 Current Model: Double Helix model – separate services for HIV negative and HIV positive individuals, highly populations, priority
geographic areas, special
targeted stand alone services, focus on behavioral outcomes, limited engagement of healthcare system
concerns population,
 Proposed new model: The Common Pathway (Interventions by Impact): better integration of services,
and intervention and
bundling services, comprehensive services focusing on biomedical outcomes.
o Examples of such services are: targeted recruitment, social networking, partner services, routine HIV services model with no
abstentions
testing, marketing, media and mobilization, fourth generation testing, ARTAS, Peer navigation,
community health work, Healthcare enrollment, Data to Care, Care coordination, CM and
adherence and retention supports
o Example scenario: currently some agencies are only providing services for PLWH and not HIV
negative individuals, and vice versa, whereas bundling services would allow agencies to serve both
populations so as not to discriminate
Proposal (based upon the work, ideas, discussion of the Full Body, AKA the Priority Framework)
Priority Populations: PLWHA, & MSM of all races, ethnicities and ages, & Non-Hispanic Black cisgender women &
IDUs
Special Concerns Population: Transgender individuals
Geographic Areas Priorities: Community Areas taking on 80% of the share of HIV
Services/Interventions: Categories based upon The Common Pathway/Interventions by Impact which would
translate into the RFP funding categories for 2018
Open Discussion:
 Is this the CDPH proposal or does this have community input and incorporate the work of CAHISC full body? 
This proposal comes directly from CAHISC’s work
Meeting Notes/Minutes
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
Can we bundle and integrate PrEP and condom distribution?  yes and strategies can be identified at the
committee level
 Can we provide partner services alongside HIV treatment and testing?  these details can be addressed with
strategies at the committee level
 Can the RFP process take into consideration the agencies that are serving a higher number of clients vs. a
lower number of clients?  That discussion should take place during the RFP process and that will come later
and we do not yet know the amount of CDC funding that will be allocated
 Excited to see that the new model pushes forward linkage to care for all people living with HIV or HIV
negative, linkage to either ART, PrEP or simply healthcare enrollment
o Capacity will still be a barrier to true implementation
o Cross-training can be a critical tool to address the capacity barrier (healthcare enrollment,
motivational interviewing, CRS-list registration, mental health assessments)
 A guest voiced concern about not adequately hearing the voices of the community most impacted by services,
not providing enough services, not mentoring youth, and not focusing important geographical areas 
members and leadership responded to point out that this body has community membership, we have hosted
community forums and discussions, and we have prioritized geographical areas
MMP
Presentation of the Medical Monitoring Project Factsheet from the 2014-2015 year
Presentation
228 PLWH at HIV Care facilities completed the 200 questions, 40-60 minutes, 1000+ variables, survey and was
linked with their medical record
 Survey sample demographics – majority black males over age 35
 11% had no medical coverage
 Of participates with health insurance, 12% went to the ER for HIV medical care
 8% had HIV-related hospitalizations
 Top services needed: Dental, HIV CM, HIV Prevention counseling
 Cigarettes & Alcohol: 67% used alcohol, 57% of those had 1-4 drinks per day & 51% smoked at least 100
cigarettes ever and 43% smoke daily
 Marijuana, poppers, cocaine, heroine were the most used non-injection drugs reported from highest to
lowest (IDU was miniscule)
 Self-reported lab results: 41% stated they had ever had a CD4 <200, 90% stated most recent viral load was
undetectable, 97% reported ever being on ART, 95% stated currently on ART
 Sexual Activity: of the 70 MSM, 32% >3 partners in the past year
The 2015-2016 cycle will include PLWH who are not in HIV care
PSRA- RW Part A Keep in mind that RW is federally required to be the payer of last resort, meaning they must be uninsured or
Presentation –
under-insured
Jorge Cestou
1. Priority Setting – ranking service categories based upon service utilization and financial data available
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prior to the full body meeting – JUNE 2016
2. Resource allocation – amount of funding to each service category based upon the best case and worst
case scenarios of overall funding allocation– JULY 2016
Roman lead a 5-minute guided stretch break
Emerging Themes These themes emerged from CAHISC’s work with the MAPP process, quantitative and qualitative data and
– Committee
community input.
Work – Laurie Call Today’s Work on the 5-Year Unified Plan in committees
1. Each committee to review the 21 themes and select 1-3 themes relevant to their committee which will
be incorporated into work plans and committees will identify strategies to address
2. Criteria for selecting the 1-3 themes of top priority to your committee
a. NHAS Strategy indicators
b. Theme can leave to sever consequences of unaddressed
c. Creates a large problem or exasperates a disparity
d. Priority to the community
e. Can be addressed with existing resources
f. Represents an underlying root cause for existing challenges and obstacles
Committee Priority Themes Report
Membership Committee: #2 Assessment & Evaluation, #6 Education & Outreach
#21 Workforce Development & Cultural/Linguistic Competency
ART & Viral Suppression Committee: #9 Housing, #11 Mental/Behavioral Health & Substance Abuse, #17
Retention, #21 Workforce Development & Cultural/Linguistic Competency
Linkage & Retention Committee: #1 Access to Care, #3 Case Coordination/Management, #9 Housing
Primary Prevention & Early Identification: #1 Access to Care, #4 HIV Diagnosis, #2 Assessment & Evaluation
Committee
Updates
Meeting Notes/Minutes
Next Steps: Action Planning
 Action Plan template based upon CDC & HRSA requirements was distributed, catered to meeting the
areas for improvement CDC & HRSA noted within our planning previously
 Committees will work on these Action Plans at the next committee meetings
 CDC & HRSA requirement that for each Goal (based on NHAS)  2 Objectives  3 strategies
July Full Body – committees to present their action plans
PPEI: Plans have been finalized for June, July and August, presentations on comprehensive prevention services
next month, IMPACT will present on behavioral interventions and we will then complete our work plan. Next
meeting: Thursday June 9th 11:45-1:45
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Meeting
Evaluation
Announcements
ART & Viral Suppression: Seeking information from pharmacists and CMs, building a survey to pharmacists and
ideas about how to support CMs through a focus group. Next meeting Friday June 10th, 12:30-2:30
Linkage & Retention to Care Committee: will be electing a new co-chair at the next meeting. Charlotte from AFC
will present at next meeting and seek to coordinate with other committees on overlap
Membership & Community Engagement Committee: update provided earlier in the meeting
Meeting evaluations were completed
 Michelle will be resigning from CAHISC
 Kathryn Mercado will be leaving CALOR and starting as the Prevention Manager of Monitoring and Evaluation at Chicago House, and
will remain a member of this committee
 Monday June 6th Long Term Survivors Awards presentation
 BTAN Chicago, PrEP for Love, Project Elevate, AFC, CBGMC – Sunday June 26th Pride at Montrose event
 July 21 - PPEI, PPHS, BTAN Chicago, AFC, Gilead conference on Hepatitis C
Meeting Adjourn The meeting adjourned at 12:08pm
Parking Lot
comments,
questions, ideas


Meeting Notes/Minutes
For individuals not affiliated with a social service agency, how do they get access to PrEP medications? People who aren’t
affiliated with an organization can ask their primary care provider or can call the PrEP Line at 872-215-1905 to speak with a PrEP
advocate. The person will help you find a clinic near you to get you access to PrEP care.
Regarding CDC priority populations, its important to keep limitations of data in mind – data wont represent those with low testing
or diagnosis rates or those with inadequate data. That helped CAHISC identify transgender as a focus population, we need to
continue to keep in mind. This is a great point; data gives us a snapshot of the big picture. We often don’t get all of the
information we need to make decisions about priority populations.
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