Ryan White newsletter: June 2016

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June 2016


IN THIS ISSUE


CONTACT US

Ryan White Program
Hennepin County Public Health Department
525 Portland Ave., 3rd Floor
Minneapolis, MN 55415 
612.348.5964
Email us 


ABOUT THIS PUBLICATION

The Ryan White Provider Newsletter is issued semi-annually and provides information about HIV services planning, contract administration, quality management, CAREWare updates and training opportunities.  Your feedback and suggestions for future issues are appreciated. 

Contact Thuan Tran


Spring greetings

Spring greetings from Hennepin County’s Ryan White Program staff. This is an exciting year and one of the busiest in recent memory. 

New Unmet Needs Rebate funding from DHS is increasing our capacity to meet the needs of Minnesotans living with HIV and targeting the communities most disproportionately impacted by the epidemic. 

Minnesota Council

The new Minnesota Council for HIV/AIDS Care and Prevention embarks on integrating all of our federal HIV grant community planning activities in Minnesota and in the Minneapolis-St. Paul Part A Transitional Grant Area (including two Counties in Western Wisconsin). 

The Council will be developing the first five-year Integrated Comprehensive HIV Prevention and Care Plan for Minnesota. They will also be prioritizing services and allocating Ryan White Program Part A and B funds to service priorities for fiscal years 2017 and 2018.

Three community work groups continue to convene to address disparities in access to HIV care and prevention services and health outcomes experienced by Africans, African-American and Latino gay/bisexual/MSM, and Latina transgender women.

To eliminate the gaps in our HIV Care Continuum (diagnosis, linkage, retention and viral suppression) we launched “eHARS to CAREWare” in March to coordinate Minnesota’s HIV surveillance system with our Ryan White client level database (Minnesota CAREWare). 

This will help community-based providers improve their tracking of clients’ retention in care and viral suppression. “eHARS to CAREWare” will also improve Hennepin County, DHS, and MDH’s ability to evaluate the effectiveness of our HIV care and prevention efforts which ultimately helps reduce new infections and secure public funding for the future. 

Data-to-care is a key component of achieving the National HIV/AIDS Strategy goals. By keeping those ROIs coming we facilitate empowerment of those we serve to actively participate in our community’s efforts to improve health and prevent HIV infection.

Most importantly, thank you for your steadfast commitment and excellent work in improving the lives of people living with HIV -- and reducing new infections -- so we can finally move towards ending the epidemic in Minnesota. Collectively we served 4,123 people living with HIV in 2015, 88% of whom were retained in HIV medical care!

HIV continuum

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New Ryan White contract manager

Ekah

Inyene Ekah has joined the Ryan White contract management team. 

Previously, Inyene managed Hennepin County Eligibility and Work Services contracts. 

As Inyene moves into his new role, Kathryn Hansen will be transitioning out of her Ryan White contracts. She will now be overseeing Juvenile Probation contracts for the Department of Community Corrections and Rehabilitation. We wish Kathryn the best and welcome Inyene to the Ryan White contract management team!

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Contracting information sessions

Periodically, the Human Services and Public Health Department offers contracting information sessions to support the ability of contracted providers to meet contracting requirements. 

Pre-registration is required. To pre-register, email hsphpartners@hennepin.us with the names of attendees, their email addresses and a contact telephone number. You will receive a follow-up email confirming your registration. 

The link to the provider page is: http://www.hennepin.us/hsphpartners

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Ryan White Part A providers by service

As the result of the recent request for proposal, please see the updated list of Hennepin County’s Ryan White Part A providers organized by the service they deliver. 

Early Intervention

  • HC Public Health Clinic

Emergency Financial Assistance

  • Minnesota AIDS Project

Food Bank/Home-delivered Meals

  • Aliveness
  • Minnesota AIDS Project
  • Open Arms

Health Education/Risk Reduction

  • HC Public Health Clinic
  • Minnesota AIDS Project
  • West Side

Health Insurance Premiums

  • Minnesota AIDS Project

Home & Community based Health

  • Pinnacle

Housing

  • Minnesota AIDS Project

Legal

  • Minnesota AIDS Project

Medical Case Management (MCM)

  • African American AIDS Task Force
  • Allina
  • Children's
  • HealthPartners
  • Minneapolis Medical Research Foundation
  • Sub-Saharan African & Youth Svs
  • West Side

MCM - Adult Foster Care

  • Allina

MCM - Treatment Adherence

  • Allina
  • HCMC

Medical Nutrition Therapy

  • Aliveness
  • HCMC

Medical Transportation

  • Sub-Saharan African & Youth Svs

Mental Health

  • HCMC
  • Sub-Saharan African & Youth Svs
  • West Side

Outpatient & Ambulatory Medical Care

  • HealthPartners
  • HCMC
  • West Side

Outreach

  • Aliveness
  • HC Public Health Clinic

Psychosocial Support

  • African American AIDS Task Force
  • Minnesota AIDS Project
  • Sub-Saharan African & Youth Svs
  • West Side

Substance Abuse Treatment - Outpatient

  • Minneapolis Medical Research Foundation
  • Minnesota AIDS Project

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Ryan White Part B/Rebate Services providers by service

As the result of the recent request for proposal, please see the updated list of Hennepin County’s Ryan White Part B/Rebate Services providers organized by the service they deliver. 

Early Intervention

  • Aliveness
  • HC Public Health Clinic

Emergency Financial Assistance

  • Minnesota AIDS Project

Food Bank/Home-delivered Meals

  • Aliveness
  • Minnesota AIDS Project
  • Rural AIDS Action Network

Health Education/Risk Reduction

  • Children's
  • Minnesota AIDS Project

Health Insurance Premiums

  • Minnesota AIDS Project

Housing

  • Minnesota AIDS Project

Legal

  • Minnesota AIDS Project

Medical Case Management

  • African American AIDS Task Force
  • Minneapolis Medical Research Foundation

Medical Nutrition Therapy

  • Aliveness

Medical Transportation

  • African American AIDS Task Force
  • Aliveness
  • Allina
  • HealthPartners
  • HCMC
  • HC Public Health Clinic
  • Minnesota AIDS Project
  • Rural AIDS Action Network
  • West Side

Non Medical Case Management

  • Aliveness

Outpatient & Ambulatory Medical Care

  • West Side

Outreach

  • Aliveness
  • HC Public Health Clinic

Psychosocial Support

  • HC Public Health Clinic

Substance Abuse Treatment - Outpatient

  • Minneapolis Medical Research Foundation
  • Minnesota AIDS Project

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Council Update

Patrick

This has been a big year for the MN Council for HIV/AIDS Care & Prevention (MCHACP). I’m honored to have joined the Ryan White team at Hennepin County Health Services Public Health Department (HSPHD) as coordinator last fall.

A Council member selection committee was formed last year, which was comprised of former members of the previous Planning Council and CCCHAP at MDH. The committee was responsible for selecting a new 33-member council and meeting HRSA and CDC requirements for membership.

A new member orientation meeting was held on January 12th for the inaugural council meeting. The February and March meetings enabled the Council to elect their council & committee co-chairs. 

Larry McPherson and Roger Ernst are serving as community co-chairs, and Rob Yaeger is serving as a MDH-appointed co-chair. The official Council by-laws, with updates to the conflict of interest and code of conduct sections, were also reviewed, and approved by the Council at the March 8th meeting. The Intergovernmental Cooperative Agreement (IGCA) was signed, and the official appointment letters to all Council members were sent.

The new committees of the Council, and the corresponding co-chairs are:

  • Community Voices Committee (CVC) – Bielca Guevara & Rick Laska
  • Disparities Elimination Committee (DEC) – Gwen Velez & Robert Gillum, Jr.
  • Membership & Training Committee (M&T) – Lesa Nelson & Loyal Brooks
  • Needs Assessment & Evaluation Committee (NA&E) – Karin Sabey & Alejandro Aguilera
  • Planning & Allocations Committee (PAC) – Marvin Innes & Tim Kopischke

We look forward to the exciting work of the remaining months of this year. Our Council and committee members will be very busy with various tasks. 

We’re working on completing two-year work plans for each of the five committees and the Council overall. The Council is also currently in the process of developing an integrated five-year comprehensive care and prevention plan, based on the current needs, gaps and barriers, as well as the newly released (April 27th) Epidemiologic profile. This comprehensive, coordinated care and prevention plan will be written, reviewed, and approved in August. This year also signals an allocations retreat, wherein the Council will allocate Ryan White HIV/AIDS Program Part A and B funds to the service priorities for fiscal years 2017 and 2018.

All of our meetings are open to the public, and therefore all those who may be interested in helping us end the HIV/AIDS epidemic in Minnesota are welcome to attend. The schedule of meetings can be found on our newly revised website:  www.mnhivcouncil.org.

In solidarity,

Patrick Tschida, MPH, DrPH

MCHACP Coordinator

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Capacity building with the National Office of Minority Health Resource Center

Ryan White picture

In 2013, the National Office of Minority Health Resource Center (OMHRC), the Minnesota HIV Services Planning Council, Minnesota Department of Health, Minnesota Department of Human Services, and Hennepin County Ryan White Program initiated engagement with key leaders in HIV care and prevention work for African-born and African American and Latino gay and bisexual men in Minnesota (in response to the disproportionate impact of HIV/AIDS experienced by these communities).

The meetings with African-born, African American, and Latino HIV care and prevention leaders led to the formation of the African Leaders, the African American Gay/Bi/MSM and the Latino Gay/Bi/MSM and Latina Transgender workgroups. The workgroups met to address the following HIV disparities:

  • African Americans account for 20 percent of new infections in 2014 while making up only 4 percent of the total population in Minnesota (Minnesota Department of Health, 2014).
  • African-born persons accounted for 17 percent of new HIV infections diagnosed in 2014, but account for an estimated 1 percent of the statewide population (Minnesota Department of Health, 2014).
  • Latino gay, bisexual and other men who have sex with men experience a disproportionate burden of the HIV/AIDS epidemic (CDC, 2011).
  • Hispanics account for 9 percent of persons living with HIV/AIDS in Minnesota. Hispanic persons have more than three times the rate of people living with HIV than white, non-Hispanic persons (286.1 per 100,000 persons and 90.3 per 100,000 persons respectively) (Minnesota Department of Health, 2015).
  • Seventy-six percent of prevalent HIV/AIDS cases are males. Overall, male-to-male sex continues to be the greatest transmission risk with 66 percent of new cases. Of the male cases, 20 percent are African American and 10 percent are Hispanic.
  • Transgender communities in the United States are among the groups at highest risk for HIV infection. The Centers for Disease Control and Prevention (CDC) reported that the highest percentage of newly identified HIV-positive test results was among transgender women (2.1 percent). (CDC, 2015)

The meetings culminated with three HIV Health Summits in 2013 and 2014. Please refer to past newsletters for summary information.

OMHRC continues to provide capacity building assistance to the workgroups. Status report:

  • The African Leaders workgroup continues to meet and held an African Health Summit in 2015 that was supported by OMHRC. A strategic planning session is scheduled for this summer. Agness Mumba, a fellow with the Humphrey Institute, is also working with the Hennepin County Ryan White Program to engage African faith leaders to develop a curriculum for them to promote HIV prevention and testing in their communities.
  • The African American Gay/Bi/MSM Workgroup continued to meet and convened their first strategic planning meeting on March 31st. The group developed a list of expectations and values. The second strategic planning meeting is scheduled for mid-May.
  • The Latino Gay/Bi/MSM and Latina Transgender Workgroup continued to meet and convened their first strategic planning session on April 3, 2016. The group developed a list of expectations and values and mapped out community partnerships. The second strategic planning session is scheduled for mid-May.

Both workgroups discussed ways to mobilize the community and entertained areas the workgroups may advise funders and local planning bodies. Funded pilot projects have been executed in response to findings from the workgroups. The expertise of these workgroups are key for us to better understand and address the HIV disparities experienced by African-born, African American gay/bi/MSM, Latino gay/bi/MSM and Latina transgender women in Minnesota.

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