Proposed Revision Summary: Florida Integrated HIV Prevention and Care Plan Activity Table
Fall 2019
Introduction In managing and monitoring The Florida Integrated HIV Prevention and Care Plan, revisions are
recommended for the plan’s activity table. The recommendations include rewording, removing,
or combining activities were duplicate, unmeasurable, listed incorrect metrics/data indicators,
listed incorrect responsible parties, or were routine.
In reviewing the proposed revisions, please use the following legend to identify the changes
made throughout the corresponding activities table.
• Duplicate item: __________ Activity is found elsewhere in activity table
• Routine activity: __________ Activity is business as usual, part of routine operations
• Combined activities: __________ Items joined together to form a more comprehensive
activity
Summary of Revisions For ease in reviewing, a summary of activity revisions is listed below for each NHAS goal.
NHAS Goal 1
Duplicate
1.1.A.5 1.1.B.10 1.3.B.3 1.1.C.3 1.2.C.5 1.2.B.9 1.2.C.6
Routine
1.1.A.1 1.1.B.6 1.2.B.5 1.2.C.3 1.3.C.2 1.1.B.1 1.1.C.4 1.2.B.6 1.2.C.4 1.1.B.2 1.2.B.1 1.2.B.8 1.2.C.7
Combined
1.1.A.6 and 1.1.A.8 → 1.1.A.5 1.3.A.3-1.3.A.5 → 1.3.A.3 1.1.B.3 and 1.1.B.4 → 1.1.B.2 1.3.C.3-1.3.C.5 → 1.3.C.2 1.2.B.2 and 1.2.B.3
NHAS Goal 2
Duplicate
2.1.B.5 2.2.C.4 2.4.B.3 2.5.A.6 2.5.E.3 2.2.B.7 2.2.C.5 2.5.A.3 2.5.E.1 2.2.C.3 2.2.C.6 2.5.A.4 2.5.E.2
Proposed Revision Summary: Florida Integrated HIV Prevention and Care Plan Activity Table
Fall 2019
Routine
2.1.A.3 2.3.C.7 2.1.B.3 2.3.C.8 2.3.C.4
Combined
2.1.B.1 and 2.1.B.2 → 2.1.B.1 2.4.A.2-2.4.A.5
NHAS Goal 3
Duplicate
3.1.B.8 3.2.C.3 3.2.A.4 3.2.A.2 3.2.B.9 3.2.A.3
Routine
3.1.B.2 3.1.B.9 3.2.B.3 3.2.C.2 3.1.B.3 3.1.C.3 3.2.B.4 3.1.B.6 3.1.C.7 3.2.B.7
Combined
3.2.A.2 and 3.2.A.3 3.2.B.10 and 3.2.B.11
Rev 2.2 1
Appendix 8: Integrated Plan Activity Table
Status Activity Target Population Data Indicators Responsible Parties
NHAS Goal 1: Reducing new HIV infections
Objective 1.1: By December 31, 2021, increase the proportion of HIV-infected persons who know their serostatus from 87.2% to 90%
Strategy 1.1.A.: Expand routine HIV screening in health care settings (for example, hospitals, health centers, and emergency departments) as part of medical care
Activities 1.1.A. (1 – 8) 1.1.A.1 - Identify qualifying health care settings that do not offer routine HIV screenings and provide them information on the need and process of offering the service
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Acute reports and logs, meeting/call agendas and notes FDOH – HIV/AIDS Section (Prevention,
Medical, Data Integration)
1.1.A.2 - Develop monitoring and evaluation plan, to include data collection, quality assurance measures and feedback loops
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Final monitoring and evaluation plan FDOH – HIV/AIDS Section (Prevention, Medical, Data Integration)
1.1.A.3 - Develop toolkits and resources to assist healthcare providers with implementation of routine HIV screening
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Final toolkits disseminated to CHD clinics and other healthcare providers FDOH – HIV/AIDS Section (Prevention);
AETC
1.1.A.4 - Provide training to DOH early intervention consultants (EICs) and ensure they have the skillset necessary to provide technical assistance to healthcare providers in their local areas
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
EIC face-to-face training materials (including sign-in sheets and agendas)
FDOH – HIV/AIDS Section (Prevention)
1.1.A.5 - Provide outcomes of the expanded testing initiative (ETI) to encourage other hospitals, health centers and emergency departments to begin routine HIV screening in their facilities
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ETI outcomes summary dissemination log (emails)
FDOH – HIV/AIDS Section (Prevention); AIDS Education and Training Center (AETC)
1.1.A.6 - Educate healthcare providers and healthcare facilities on the “opt-out” HIV screening law, rule and model protocols through collaboration with the AIDS Education and Training Center (AETC)
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
AETC outreach reports (with evidence of opt-out training) FDOH – HIV/AIDS Section (Prevention,
Medical); AETC
1.1.A.7 - Provide education and training to DOH staff and community providers through consortia meetings, conference calls, town halls, etc.
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting/call agendas and notes
FDOH – HIV/AIDS Section (Prevention)
1.1.A.8 - Attend healthcare provider meetings (e.g., Florida Medical Association, Florida Hospital Association, other association meetings), grand rounds, etc. to provide education
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting agendas and notes FDOH – HIV/AIDS Section (Prevention, Medical); AETC
Strategy 1.1.B.: Effectively identify and test individuals in populations at highest risk
Activities 1.1.B. (1 – 6)
1.1.B.1 - Use statewide data to target areas and communities with highest incidence of HIV infection for HIV testing
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
HIV/AIDS surveillance data FDOH – HIV/AIDS Section (Prevention, Surveillance, Data Integration)
Commented [KBN1]: Combined 1.1.A.6 and 1.1.A.B to make 1.1.A.5 in revised table
Rev 2.2 2
1.1.B.2 - Encourage and support health department and non-health department providers to increase the number of persons diagnosed with HIV through strengthening current HIV testing efforts and creating new services that include homeless and incarcerated populations
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
EIC updates from local areas
FDOH – HIV/AIDS Section (Prevention)
1.1.B.3 -Maintain the provision of partner services (PS) to HIV-infected individuals and ensure social and sexual networks of HIV-infected persons are offered testing and counseling
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
PRISM reports showing # of HIV-positive individuals receiving PS and # of partners of HIV-positives offered testing
FDOH – HIV/AIDS Section (Prevention); STD and Viral Hepatitis Section
1.1.B.4-Maintain current system for tracking individuals with acute HIV infection and continue to provide follow-up to the respective areas to ensure individuals and partners are tested
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Acute reports and logs; follow-up correspondence from local CHD and DIS; PRISM records
FDOH – HIV/AIDS Section (Prevention); State Laboratories; STD and Viral Hepatitis Section
1.1.B.5- Explore new testing technologies that may simplify testing and lead to increased access, or early diagnosis and diagnosis of acute HIV infection
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Resource materials on the latest testing technologies and supporting literature
FDOH – HIV/AIDS Section (Prevention)
1.1.B.6 - Provide technical assistance and guidance to HIV testing providers on integrating HIV testing with other STDs, HCV and TB
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
EIC updates from local areas; HIV Testing Team correspondence to local area providers
FDOH – HIV/AIDS Section (Prevention)
1.1.B.7 – Open new testing facilities to include outlying counties Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
EIC updates from local areas; HIV Testing Team correspondence to local area providers
FDOH – HIV/AIDS Section (Prevention)
Strategy 1.1.C.: Reduce stigma in communities and among providers around HIV testing to increase test acceptance and build social norms in high-risk populations to increase health care seeking behavior
Activities 1.1.C. (1 – 4)
1.1.C.1 - Develop and expand social marketing/media campaigns and statewide education initiatives that focus on increasing HIV testing and decreasing stigma
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Number of social materials and educational materials supporting HIV testing
FDOH – HIV/AIDS Section (Prevention)
1.1.C.2 - Ensure at least 90% of statewide social marketing/educational materials developed by the DOH contain an HIV testing message
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Number of social marketing/educational materials containing an HIV testing message
FDOH – HIV/AIDS Section (Prevention)
1.1.C.3 - Provide education and training to providers on the latest testing technologies and ways to increase testing acceptance within their organizations
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Number of trainings conducted by EICs and HIV Testing Team staff
FDOH – HIV/AIDS Section (Prevention)
1.1.C.4 - Ensure behavioral interventions for high-risk populations delivered by community-based organizations and health departments contain information and messaging around HIV testing
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Number and types of interventions delivered by CBOs and CHDs which contain information and messaging around HIV testing
FDOH – HIV/AIDS Section (Prevention)
Objective 1.2.: By December 31, 2021, reduce the annual number of newly diagnosed HIV infections in Florida from 4,613 (2014) to 4,004
Strategy 1.2.A.: Ensure universal access to and availability of pre-exposure prophylaxis (PrEP) and increase awareness of non-occupational post-exposure prophylaxis (nPEP)
Activities 1.2.A. (1 – 7)
1.2.A.1 - Identify key factors for providers and health care settings not providing PrEP/nPEP in order to mediate the causes where possible and allow an expansion of providers
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women
Inventory of PrEP/nPEP providers, acute reports, meeting/call agendas and notes
FDOH – HIV/AIDS Section (Prevention, Medical, Data Integration)
Commented [KBN2]: Combined 1.1.B.3 and 1.1.B.4.
Commented [KBN3]: Reworded to 1.1.B.2 in revised table
Commented [KBN4]: Changed wording of this objective to use case rate instead of numbers for ease with comparison to other states
Rev 2.2 3
Black, White, Hispanic IDU
1.2.A.2 - Develop a statewide inventory of providers who are able and willing to prescribe PrEP and nPEP
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of PrEP/nPEP providers
FDOH – HIV/AIDS Section (Prevention, Medical)
1.2.A.3 - Develop toolkits, guidelines and other resources to assist health department and community-based organizations in implementing PrEP and nPEP clinics
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of PrEP/nPEP resources FDOH – HIV/AIDS Section (Prevention, Medical)
1.2.A.4 - Provide education and training to healthcare providers, hospitals, emergency departments and sexual assault nurses on the delivery of nPEP
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Number of trainings provided to healthcare providers and settings on the delivery of nPEP
FDOH – HIV/AIDS Section (Medical, Prevention); AETC
1.2.A.5 - Expand the use of PrEP navigators in counties/areas with active PrEP clinics
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of PrEP/nPEP navigators in areas with active PrEP clinics FDOH – HIV/AIDS Section (Prevention,
Medical)
1.2.A.6 - Develop social marketing and educational materials that contain information on PrEP and nPEP (basic information, how to access, etc.)
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of social marketing and educational materials FDOH – HIV/AIDS Section (Prevention,
Medical)
1.2.A.7 - Explore non-traditional ways to purchase PrEP medications Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of current purchasing methods for PrEP medications; inventory all available resources to obtain PrEP
FDOH – HIV/IADS Section (Medical, Prevention)
Strategy 1.2.B.: Ensure access to and availability of HIV prevention efforts for at-risk communities
Activities 1.2.B. (1-10)
1.2.B.1 - Expand condom distribution to target HIV-infected persons and persons at highest risk of acquiring HIV infection
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Condom distribution reports (DOH and funded providers) # of condoms distributed in high risk target areas - quarterly
FDOH – HIV/AIDS Section (Prevention)
1.2.B.2 - Expand the Faith Responds to AIDS (FRTA) initiative to additional churches and faith-based organizations statewide
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of FRTA partnerships; # of FRTA organizations - quarterly FDOH – HIV/AIDS Section (Prevention);
Statewide Minority AIDS Coordinator
1.2.B.3 - Maintain the Business Responds to AIDS/Leadership Responds to AIDS (BRTA/LRTA) initiatives through collaboration with local Minority AIDS Coordinators (MACs)
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of BRTA partnerships # of BRTA businesses - quarterly FDOH – HIV/AIDS Section (Prevention);
Statewide Minority AIDS Coordinator
1.2.B.4 - Maintain partnership with the Department of Education to ensure, where possible, HIV/STD information is provided in school setting
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes/summaries; inventory of schools providing HIV/STD education This should probably be removed because this happens at the local level. School districts have autonomy.
FDOH – HIV/AIDS Section (Prevention); Department of Education
1.2.B.5 - Maintain the Peer Education Program with the Department of Corrections to train inmates as peer educators for HIV/STDs in the correctional setting
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Current MOA with Department of Corrections
FDOH – HIV/AIDS Section (Prevention); Department of Corrections
1.2.B.6 - Maintain the Targeted Outreach for Pregnant Women (TOPWA) provider network to educate pregnant women in high-risk communities about HIV/STDs
Black, White, Hispanic MSM Black Hetero Men and Women
List of TOPWA providers in network FDOH – HIV/AIDS Section (Prevention)
Commented [KBN5]: Moved to Goal 3
Rev 2.2 4
Hispanic Hetero Men and Women Black, White, Hispanic IDU
# of providers in network. They try to maintain 7 providers each year.
1.2.B.7 - Increase individual, group and community-level evidence-based interventions through partnerships with health departments, health care providers and community-based organizations to include on-site HIV screenings
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of providers implementing individual, group and community-level evidence-based interventions Recent prevention RFA helped accomplish this. 44 agencies funded 2019-2022.
FDOH – HIV/AIDS Section (Prevention)
1.2.B.8 - Incorporate Treatment as Prevention (TasP) messaging and education in social marketing and educational materials developed by the DOH
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of current resources/materials for TasP
FDOH – HIV/AIDS Section (Prevention, Patient Care, Medical)
1.2.B.9 - Increase education and training for health departments and community-based organizations around drug user health
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of materials/resources related to drug user health
FDOH – HIV/AIDS Section (Prevention) This should be a local focus not dropped down from the state
1.2.B.10 - Expand the use of drop-in centers for gay, bisexual and other men who have sex with men (MSM)
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of current drop-in centers We fund providers, but this should be a local strategy for implementation. # of drop-in centers in priority areas
FDOH – HIV/AIDS Section (Prevention)
Strategy 1.2.C.: Increase HIV awareness among members of the general public, community leaders, and policy makers
Activities 1.2.C. (1-10)
1.2.C.1 - Educate public officials on addressing policies that act as barriers to HIV prevention information and activities
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Distribution logs, emails, communications with public officials FCPN needs to identify specific policies they want addressed. This is too general
FDOH – HIV/AIDS Section (Prevention)
1.2.C.2 - Ensure engagement of key stakeholders, advocates and other community members through the statewide HIV planning process (includes FCPN)
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Minutes, agendas and attendee lists from statewide planning meetings
FDOH – HIV/AIDS Section (Prevention, Patient Care); FCPN/PCPPG
1.2.C.3 - Sustain HIV prevention outreach efforts (both traditional and Internet-based) for the general public and high-risk communities
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of current outreach efforts performed around the state
FDOH – HIV/AIDS Section (Prevention)
1.2.C.4 - Maintain and update the Florida HIV/AIDS Hotline to include information on new prevention strategies, testing locations and treatment providers
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of Hotline resources, information FDOH – HIV/AIDS Section (Prevention,
Medical, Patient Care)
1.2.C.5 - Expand education and training for health departments, community-based organizations and community leaders on the use of social determinants of health in HIV prevention
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Webinars, logs and emails documenting education/training
FDOH – HIV/AIDS Section (Prevention)
1.2.C.6 - Expand on existing and develop new social marketing and media campaigns to raise awareness and reduce stigma of HIV
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of current social marketing and media initiatives # of campaigns?
FDOH – HIV/AIDS Section (Prevention)
1.2.C.7 - Expand the use of social network strategy (SNS) to engage hard-to-reach social and sexual networks in HIV prevention and awareness
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Current inventory of sites using SNS # of sites implementing SNS
FDOH – HIV/AIDS Section (Prevention)
Commented [KBN6]: Duplicate of 1.1.C.1
Rev 2.2 5
1.2.C.8 - Ensure community engagement related to HIV prevention through town halls, focus groups and community forums
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting reports, list and locations of community meetings # of consultation sessions with priority populations
FDOH – HIV/AIDS Section (Prevention) should be done at local level as well
1.2.C.9- Expand mobilization efforts for communities at highest risk of acquiring HIV through collaborations with health departments (Minority AIDS Coordinators) and community-based organizations.
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Inventory of current statewide mobilization initiatives # of S.O.S. chapters
FDOH – HIV/AIDS Section (Prevention); Statewide Minority AIDS Coordinator
Objective 1.3.: By December 31, 2021, reduce the annual number of HIV-infected babies born in Florida from 6 (2014) to less than 4
Strategy 1.3.A.: Ensure health care providers are complying with the opt-out HIV and STI screening law for pregnant women
Activities 1.3.A. (1 – 5) 1.3.A.1 - Disseminate information regarding Florida’s opt-out HIV/STD testing law for pregnant women through medical associations, conferences, newsletters and grand rounds
Black Hetero Men and Women Hispanic Hetero Men and Women
Perinatal prevention program reports FDOH – HIV/AIDS Section (Prevention, Medical); STD and Viral Hepatitis Section; USF Perinatal Prevention Program
1.3.A.2 - Expand awareness among health departments and community-based providers on Florida’s opt-out HIV/STD testing law for pregnant women
Black Hetero Men and Women Hispanic Hetero Men and Women
Perinatal prevention program reports FDOH – HIV/AIDS Section (Prevention, Medical); STD and Viral Hepatitis Section; USF Perinatal Prevention Program
1.3.A.3 - Educate and provide training opportunities for OB/GYN providers through the Department’s contract with USF Perinatal Prevention Program
Black Hetero Men and Women Hispanic Hetero Men and Women
Perinatal prevention program reports # of providers educated # of training opportunities (up until 8/2018 because USF canceled contract at that time).
FDOH – HIV/AIDS Section (Prevention, Medical); USF Perinatal Prevention Program
1.3.A.4 - Provide technical assistance and training for perinatal providers through a contract with the University of South Florida’s (USF) Center for HIV Education and Research, Perinatal HIV Prevention Program
Black Hetero Men and Women Hispanic Hetero Men and Women
Training/TA logs and reports # of providers educated # of training opportunities (up until 8/2018 because USF canceled contract at that time).
FDOH – HIV/AIDS Section (Prevention, Medical); USF Perinatal Prevention Program
1.3.A.5 - Continue to provide education and training for medical providers which provide services to HIV-infected and other high-risk pregnant women through a contract with USF
Black Hetero Men and Women Hispanic Hetero Men and Women
Perinatal prevention program reports # of providers educated # of training opportunities (up until 8/2018 because USF canceled contract at that time).
FDOH – HIV/AIDS Section (Prevention, Medical); USF Perinatal Prevention Program
1.3.A.6 - Monitor cases of HIV-exposed infants to assess provider compliance with the opt-out HIV testing law
Black Hetero Men and Women Hispanic Hetero Men and Women
Exposed infant data, case reports; PRISM data # of provider unaware of opt-out HIV testing law (want to decrease this number)
FDOH – HIV/AIDS Section (Prevention, Surveillance, Medical); USF Perinatal Prevention Program; STD and Viral Hepatitis Section
Strategy 1.3.B.: Increase awareness among women of childbearing age about HIV testing and perinatal prevention strategies
Activities 1.3.B. (1 – 5)
1.3.B.1 - Continue to fund Targeted Outreach for Pregnant Women (TOPWA) service providers to provide HIV testing, education, outreach and linkages for HIV-infected pregnant women and those at very high risk of acquiring HIV and STDs to decrease perinatal HIV infections
Black Hetero Men and Women Hispanic Hetero Men and Women
Current inventory of funded TOPWA providers
FDOH – HIV/AIDS Section (Prevention)
1.3.B.2 - Expand social marketing and media efforts around HIV/STD testing and perinatal prevention strategies to reduce stigma and increase awareness
Black Hetero Men and Women Hispanic Hetero Men and Women
Inventory of current social marketing and media efforts for perinatal prevention and HIV/STD testing
FDOH – HIV/AIDS Section (Prevention, Medical); STD and Viral Hepatitis Section; USF Perinatal Prevention Program
Commented [KBN7]: Combined 1.3.A.3, 1.3.A.4, and 1.3.A.5 into revised table 1.3.A.3
Rev 2.2 6
1.3.B.3 - Expand information on Department websites regarding Florida’s opt-out HIV/STD testing law for pregnant women and perinatal prevention resources
Black Hetero Men and Women Hispanic Hetero Men and Women
Inventory of current information, materials and resources on Department websites
FDOH – HIV/AIDS Section (Prevention, Medical); STD and Viral Hepatitis Section
1.3.B.4 - Expand partnerships with other DOH programs (Women Infants and Children [WIC], Healthy Start, family planning clinics, etc.) to increase awareness of HIV/STD testing and other prevention services for pregnant women and identify opportunities for community mobilization
Black Hetero Men and Women Hispanic Hetero Men and Women
Meeting minutes with other programs to discuss potential partnerships This is being done but I’m not sure how to measure it
FDOH – HIV/AIDS Section (Prevention, Medical); STD and Viral Hepatitis Section
Strategy 1.3.C.: Ensure access to the Baby RxPress program for all women in need
Activities 1.3.C. (1 – 5)
1.3.C.1 - Evaluate usage and cost benefit of Baby RxPress program Black Hetero Men and Women Hispanic Hetero Men and Women
Baby RxPress program data # of Baby RxPress sites # of women served
FDOH – HIV/AIDS Section (Prevention, Medical)
1.3.C.2 - Ensure funds are available to continue expansion of the Baby RxPress program
Black Hetero Men and Women Hispanic Hetero Men and Women
Prevention and general revenue budget reports
FDOH – HIV/AIDS Section (Prevention)
1.3.C.3 – Identify accessibility and availability of the Baby RxPress program Black Hetero Men and Women Hispanic Hetero Men and Women
Baby RxPress locations and usage reports; communication with perinatal nurses and coordinators statewide # of Baby RxPress sites # of women served
FDOH – HIV/AIDS Section (Prevention)
1.3.C.4 - Expand the number of Walgreens locations participating in the Department’s Baby RxPress program
Black Hetero Men and Women Hispanic Hetero Men and Women
Current Baby RxPress locations and usage reports
FDOH – HIV/AIDS Section (Prevention)
1.3.C.5 - Increase visibility of the Baby RxPress program through partnerships with AETC and USF’s perinatal HIV prevention program
Black Hetero Men and Women Hispanic Hetero Men and Women
Marketing materials, online resources FDOH – HIV/AIDS Section (Prevention, Medical); AETC; USF Perinatal Prevention Program
NHAS Goal 2: Increasing access to care and improving health outcomes for PLWH
Objective 2.1.: By December 31, 2021, reduce the number of HIV-related resident deaths from 878 (2014) to 762.
Strategy 2.1.A.: Analyze allocation of funding (Ryan White and General Revenue) in each area to assess if funding is reflective of the proportion of the epidemic in the area and adequate to meet the demand for core services
Activities 2.1.A. (1 - 3)
2.1.A.1 - Perform an analysis to include a workgroup/”think tank” to examine cost per patient in each area and if funding meets service demand
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Work group meeting minutes Hired a vendor to review and propose allocation methodology changes. It needs to be shared with FCPN.
FDOH – HIV/AIDS Section (Medical, Patient Care)
2.1.A.2 - Develop a plan to reallocate funding if necessary, based on results from funding analysis
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Funding plan FDOH – HIV/AIDS Section (Patient Care, Medical)
2.1.A.3 - Seek additional resources as needed Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes; email records FDOH – HIV/AIDS Section (Patient Care, Medical)
Strategy 2.1.B.: Reduce barriers for linkage to and retention in care:
Activities 2.1.B. (1 - 6)
2.1.B.1 - Assess risk and protective factors to keeping PLWHA retained in/engaged in care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women
Semi-annual RW needs assessment survey
FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical)
Commented [KBN8]: Combined 1.3.C.3 to 1.3.C.5 to revised plan 1.3.C.2
Commented [KBN9]: Changed the objective to reflect the rate instead of number.
Commented [KBN10]: Combined 2.1.B.1 and 2.1.B.2 to revised table 2.1.B.1
Rev 2.2 7
Black, White, Hispanic IDU
2.1.B.2 - Examine ways to streamline processes at the state and local level that pose barriers to linkage to and retention in care to include
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Semi-annual RW needs assessment survey FDOH – HIV/AIDS Section (Prevention,
Patient Care, Medical)
2.1.B.3 - Promote the HIV/AIDS hotline as an informational resource for HIV-infected persons seeking entry/re-entry into medical care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Hotline report; Social marketing materials and distribution log; meeting minutes; related artifacts (sample messages/images)
FDOH – HIV/AIDS Section (Prevention, Patient Care)
2.1.B.4 - Provide training and resources to private medical providers on how to link newly diagnosed HIV-infected persons into the RW program
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
AETC outreach reports (with evidence of linkage training); email records from Part B office. # of trainings # of providers educated Increase in linkage/referrals from those providers?
FDOH – HIV/AIDS Section (Patient Care, Medical, Prevention); AETC
2.1.B.5 - Expand social media and marketing efforts to address stigma associated with healthcare, explain benefits of beginning medical care immediately after diagnosis, and support community mobilization
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Social marketing materials and distribution log; meeting minutes; related artifacts
FDOH – HIV/AIDS Section (Prevention, Patient Care, Medical)
2.1.B.6 - Expand healthcare access points by working with community health centers, federally qualified health centers (FQHCs) and prisons to identify new HIV medical care providers and access points
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of community health centers and federally qualified health centers (FQHCs) providing HIV care
FDOH – HIV/AIDS Section (Medical, Patient Care); AETC; FL Association of Community Health Centers
Strategy 2.1.C.: Increase the number of PLWH on ART
Activities 2.1.C. (1 - 4)
2.1.C.1 - Educate HIV providers on the importance of immediate treatment after diagnosis
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
AETC outreach reports (with evidence of immediate treatment after diagnosis training); email records from Part B office. # of trainings # of providers educated Increase in linkage/referrals from those providers?
FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical); AETC
2.1.C.2 - Provide education and resources to PLWHA on the benefits of ART and medication adherence on positive health outcomes
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Social marketing materials and distribution log; CAREWare reports (if expanded to include point of care medication adherence services)
FDOH – HIV/AIDS Section (Prevention, Patient Care, Medical)
2.1.C.3 - Expand Implementation of Test and Treat programs Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Written Test and Treat guidance; logs or other records of guidance dissemination # of T&T sites statewide - quarterly
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care); AETC
2.1.C.4 - Increase the availability of nutritional counseling to educate HIV-infected clients on the importance of proper diet and nutrition
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
CAREWare reports # of Lead Agencies conducting counseling # of clients counseled
FDOH – HIV/AIDS Section (Patient Care, Medical)
Strategy 2.1.D.: Increase the number of medications that treat HIV-related and co-morbid conditions on the statewide formulary and ADAP formulary
Activities 2.1.D. (1 - 3)
2.1.D.1 - Work with surveillance to determine top five co-morbidities associated with HIV-related deaths and the medical team to determine appropriate treatments
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women
Email records from surveillance; Data-at-a-Glance and other reports
FDOH – HIV/AIDS Section (Surveillance, Data Integration, Medical)
Commented [KBN11]: Combined with 2.1.C.1
Commented [KBN12]: Duplicate 1.1.C.1
Rev 2.2 8
Black, White, Hispanic IDU
2.1.D.2 - Work with the HIV/AIDS Section Workgroup on ADAP, the budget unit and central pharmacy to expand the formulary
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes from the HIV/AIDS Section Workgroup on ADAP
FDOH – HIV/AIDS Section (Patient Care, Medical); Central Pharmacy; ADAP Workgroup
2.1.D.3 - Educate HIV providers regarding the expanded formulary Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
AETC outreach reports (with evidence of opt-out training); email records from Part B office.
FDOH – HIV/AIDS Section (Patient Care, Medical); AETC
Strategy 2.1.E.: Strengthen the Department’s Clinical Quality Management (CQM) initiative
Activities 2.1.E. (1 - 4)
2.1.E.1 - Support ongoing efforts of local HIV clinical trial networks Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email records to local investigators; HIV Research Consortium meeting minutes (via AIDS Institute).
FDOH – HIV/AIDS Section, The AIDS Institute
2.1.E.2 - Ensure each RW service category has updated and appropriate standards of care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Florida RW Part B Administrative Guidelines Updated guidelines by June 2019 Annual review complete by February each year
FDOH – HIV/AIDS Section (Patient Care)
2.1.E.3 - Establish systems to track medication adherence among RW clients Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Written guidance to current and possible providers of medication adherence (nurse case managers, health educators, etc.)
FDOH – HIV/AIDS Section (Patient Care, Medical, Surveillance, Prevention, Data Integration)
2.1.E.4 - Develop strategies for measuring community viral load Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email records from surveillance, prevention, and/or patient care units; minutes from strategy development meetings; written communication alerting stakeholders of new strategies
FDOH – HIV/AIDS Section (Patient Care, Surveillance, Medical, Prevention, Data Integration)
Objective 2.2.: By December 31, 2021, increase the proportion of PLWHs linked to care (ever in care) from 90 percent (2014) to 96 percent.
Strategy 2.2.A.: Create approaches to locate and link PLWHs not in care
Strategies 2.2.A. (1 - 7)
2.2.A.1 - Maintain the current Antiretroviral Treatment and Access to Services (ARTAS) providers and explore opportunities to expand the use of the strengths-based case management intervention
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of ARTAS providers; DOH FOA procurement documents, written guidance to agencies not currently providing ARTAS.
FDOH – HIV/AIDS Section
2.2.A.2 - Maintain education and training to HIV counselors and testers regarding their role in encouraging linkage to care at post-test counseling sessions
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Written guidance from CTL unit to EICs (material used in 500/501 class and 501 update) # of trainings - quarterly # of staff attending - quarterly Revised guidance – annual review and update
FDOH – HIV/AIDS Section (Prevention, Patient Care)
2.2.A.3 – Increase number of DOH disease intervention specialists (DIS) and provide training and education on their role in facilitating linkage to care upon notification of HIV-positive test results
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Training materials (in-person meetings and webinar records)
FDOH – HIV/AIDS Section, STD and Viral Hepatitis Section
2.2.A.4 - Strengthen collaboration between DIS and linkage specialists at the local level and across county lines
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Written guidance to DIS and linkage specialists
FDOH – HIV/AIDS Section, STD and Viral Hepatitis Section
Commented [KBN13]: Increasing DIS is out of our control because those positions are linked to the STD Section. We can provide training and education related to linkage activities. Planning 6-10 trainings in 2019.
Rev 2.2 9
2.2.A.5 - Expand the provision of partner services to HIV-infected individuals Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
PRISM report on PS to existing 900 cases
FDOH – HIV/AIDS Section, STD and Viral Hepatitis Section
2.2.A.6 - Expand the use of Data-to-Care to identify, link and re-engage HIV-infected persons to medical care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Data-to-Care quarterly reports # of individuals re-engaged in care as a result of D2C efforts
FDOH – HIV/AIDS Section (Surveillance, Patient Care, Prevention)
2.2.A.7 - Expand the use of peer navigation programs and develop model protocols for dissemination to health departments and community-based organizations
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of peer program providers; DOH FOA procurement documents, written guidance to agencies not currently providing peer programs.
FDOH – HIV/AIDS Section (Patient Care (Part B), Prevention)
Strategy 2.2.B.: Ensure all newly diagnosed persons have immediate access to care and ART
Activities 2.2.B. (1 - 7)
2.2.B.1 - Monitor and evaluate phase one Test and Treat sites to understand best practices and challenges experienced with program implementation
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes; email records, monitoring and evaluation plan, monitoring and evaluation reports.
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care), AETC
2.2.B.2 - Work with the STD Section to develop evaluation mechanisms within the PRISM database
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes; email records, PRISM reports (see P4C Project for example)
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care), STD and Viral Hepatitis Section, AETC
2.2.B.3 - Identify opportunities to streamline processes and reduce barriers to Test and Treat
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes; email records. FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care), AETC
2.2.B.4 - Explore options through the Department to purchase starter packs of HIV medications to facilitate expedited treatment and finalize Test and Treat protocol
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email records, meeting minutes/summaries from medical director.
FDOH – HIV/AIDS Section (Medical, Patient Care), Central Pharmacy
2.2.B.5 - Provide education and training to all health departments, community health centers, hospitals and other community-based partners on the Test and Treat initiative
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Training materials and participant records (sign in sheets, etc.)
FDOH – HIV/AIDS Section (Medical, Patient Care, Prevention), AETC, Florida Comprehensive Planning Network (FCPN) members
2.2.B.6 - Promote the Test and Treat initiative through medical associations, grand rounds, professional conferences and other such opportunities
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Written Test and Treat guidance; logs or other records of guidance dissemination
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care), AETC
2.2.B.7 - Develop monitoring and evaluation plan, to include data collection, quality assurance measures and feedback loops
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Monitoring and evaluation plan FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care, Surveillance)
Strategy 2.2.C.: Reduce barriers to linkage (for example, stigma, structural issues, processes)
Strategies 2.2.C. (1 - 8)
2.2.C.1 - Explore ways to streamline processes at the state and local level that pose barriers to linkage
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes; email records; list of strategies developed.
FDOH – HIV/AIDS Section (Prevention, Patient Care), STD and Viral Hepatitis Section
2.2.C.2 - Streamline and automate the RW eligibility process and better integrate RW systems throughout the state
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women
RW eligibility process guidance FDOH – HIV/AIDS Section (Patient Care)
Commented [KBN14]: What is expected to be evaluated? PRISM is now STARS
Commented [KBN15]: Duplicate of 1.1.A
Rev 2.2 10
Black, White, Hispanic IDU
2.2.C.3 - Promote the Florida HIV/AIDS Hotline as an informational resource for HIV-infected persons seeking entry/re-entry into medical care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Florida HIV/AIDS Hotline report FDOH – HIV/AIDS Section (Prevention)
2.2.C.4 - Expand social media and marketing campaigns to address stigma associated with HIV medical care and explain the importance of beginning medical care soon after diagnosis
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List/catalog of social media and marketing campaigns
FDOH – HIV/AIDS Section (Prevention)
2.2.C.5 - Identify opportunities to train private medical providers on how to link newly diagnosed HIV-infected individuals into the Ryan White program with cultural sensitivity incorporation
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Logs of trainings private medical providers
FDOH – HIV/AIDS Section (Patient Care, Medical, Prevention)
2.2.C.6 - Expand the use of peer navigators/peer programs to facilitate the linkage-to-care process
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of peer navigators/peer programs FDOH – HIV/AIDS Section (Prevention, Patient Care)
2.2.C.7 - Expand access to care by working with community health centers and federally qualified health centers (FQHCs) to identify new HIV medical care providers
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of community health centers and federally qualified health centers (FQHCs) providing HIV care
FDOH – HIV/AIDS Section (Prevention, Patient Care, Medical), AETC
2.2.C.8 - Increase the number of PLWHA in Florida’s Ryan White Programs (A-D) who obtain and maintain health insurance
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Annual ADAP transition project report # of ADAP clients transitioned each year
FDOH – HIV/AIDS Section (Patient Care)
Objective 2.3.: By December 31, 2021, increase the proportion of HIV-infected persons retained in care from 64 percent (2014) to 90 percent.
Strategy 2.3.A.: Ensure that care systems include access to support and behavioral health services
Activities 2.3.A. (1 - 4)
2.3.A.1 - Strengthen partnerships between HIV care providers and substance abuse treatment centers and mental health providers
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of partnerships; MOAs and/or referral protocols
FDOH – HIV/AIDS Section (Patient Care, Medical)
2.3.A.2 - Expand the use of holistic health approaches that address physical, mental and psychosocial aspects of PLWH
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of approaches implemented (including type and location)
FDOH – HIV/AIDS Section (Patient Care, Medical)
2.3.A.3 - Expand risk reduction activities and develop initiatives to address drug user health
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of initiatives FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical)
2.3.A.4 – Ensure HIV care providers have access to support and behavioral health services on-site or have MOAs with local providers to facilitate linkage to these services
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Local MOAs and/or referral protocols FDOH – HIV/AIDS Section (Patient Care)
Strategy 2.3.B.: Create mechanisms to identify and respond to individuals at risk of dropping out of care
Activities 2.3.B. (1 - 3)
2.3.B.1 – Increase number of Ryan White case managers to reduce workload and provide training and education on their role in retaining HIV-infected clients in care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Guidance to case managers # of case managers trained and educated # of training and education sessions
FDOH – HIV/AIDS Section (Patient Care)
Commented [KBN16]: Duplicate of 2.2.A.7
Commented [KBN17]: Strengthen to do…? The HIV/AIDS Section is working on this with a focus on pregnant women.
Commented [KBN18]: This may be a local effort
Commented [KBN19]: May be addressed through statewide efforts around opioid epidemic which is DCF with SAMHSA grant.
Commented [KBN20]: CBOs and ASOs need to do this. We may be able to include language in our contracts with those entities.
Commented [KBN21]: This part shouldn’t be part of this activity. Training and education among case managers is in progress.
Rev 2.2 11
2.3.B.2 - Expand the use of the ARTAS intervention to Ryan White case managers, where applicable
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of trained ARTAS facilitators, with indication of role (case manager) # ARTAS facilitators through MAI contracts
FDOH – HIV/AIDS Section (Prevention, Patient Care)
2.3.B.3 - Expand the use of Data-to-Care to identify and re-link clients who have fallen out of care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of Data-to-Care participants FDOH – HIV/AIDS Section (Prevention, Surveillance, Data Integration)
Strategy 2.3.C.: Reduce the barriers to retention in care (for example, stigma, structural issues, transportation, etc.)
Activities 2.3.C. (1 - 10)
2.3.C.1 - Identify opportunities for improvement within the Ryan White eligibility process
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Meeting minutes, RW eligibility process guidance
FDOH – HIV/AIDS Section (Patient Care)
2.3.C.2 - Identify barriers to care on the part of providers through community engagement
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Semi-annual Part B needs assessment survey report
FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical)
2.3.C.3 – Assess service and expenditure patterns and assure availability of key information for consumers, providers and policy makers.
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Catalog of technical assistance available by AETC
FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical); AETC
2.3.C.4 - Increase HIV awareness among members of the general public, community leaders, and policy makers
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Marketing materials and distribution log
FDOH – HIV/AIDS Section (Patient Care, Prevention)
2.3.C.5 - Market the availability of case management services provided in the local area to the hospitals and private providers
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Marketing materials and distribution log
FDOH – HIV/AIDS Section (Patient Care, Medical)
2.3.C.6 - Expand social media and marketing efforts to integrate messaging around the importance of retention in care on health outcomes
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of social media and marketing efforts by message type
FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical)
2.3.C.7 - Ensure retention in care is a key component of the CQM initiative Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
CQM initiative materials FDOH – HIV/AIDS Section (Patient Care, Medical, Prevention)
2.3.C.8 - Strengthen relationships between testing sites and access points to care Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of MOAs and/or referral protocols FDOH – HIV/AIDS Section (Prevention, Patient Care)
2.3.C.9 - Increase the number of trained clinicians providing Ryan White HIV care Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of trained clinicians providing Ryan White HIV care (from Medical Director and/or AETC)
FDOH – HIV/AIDS Section (Medical, Patient Care)
2.3.C.10 - Collaborate with other state agencies and DOH programs to promote integration of client services wherever possible
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email or meeting minutes documenting collaboration.
FDOH – HIV/AIDS Section (Patient Care, Medical)
Strategy 2.3.D.: Increase the number of PLWHs that are in stable housing, within the RW Part (A, B, C, D, ADAP) programs
Commented [KBN22]: What is considered “key information”?
Commented [KBN23]: This should be a local effort.
Rev 2.2 12
Activities 2.3.D. (1 - 2)
2.3.D.1 - Evaluate HOPWA criteria and establish a baseline percentage of mortgage assistance
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
HOPWA criteria and baseline FDOH – HIV/AIDS Section (Patient Care)
2.3.D.2 - Increase the number of PLWH served by the State’s HOPWA Program (not City HOPWA) who are in a stable housing arrangement
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
State HOPWA Program report FDOH – HIV/AIDS Section (Patient Care)
Strategy 2.3.E.: Strategize on the development of a family-focus model for HIV care to increase retention (improves partner involvement and provides access to care for other children in the household)
Activities 2.3.E. (1 - 4)
2.3.E.1 - Research best practices implemented by other states Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of best practices FDOH – HIV/AIDS Section (Patient Care)
2.3.E.2 - Educate providers of medical care and case management on these objectives
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email and other correspondence FDOH – HIV/AIDS Section (Patient Care, Medical)
2.3.E.3 - Strengthen partnerships with Parts A-D to increase the services provided through Part D and community based organizations
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List MOAs and/or referral protocols (esp. Part D and CBOs)
FDOH – HIV/AIDS Section (Patient Care)
2.3.E.4 - Promote Part D family centered care model with other programs to assist with patient assistance
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email and other correspondence FDOH – HIV/AIDS Section (Patient Care, Medical)
Objective 2.4.: By December 31, 2021, increase the proportion of HIV-infected persons with a suppressed viral load (<200 copies/mL) from 58 percent (2014) to 80 percent.
Strategy 2.4.A.: Increase the number of diagnosed PLWHs on ART
Strategies 2.4.A. (1 - 5)
2.4.A.1 - Identify gaps and constraints that impede PLWH from achieving viral suppression
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Semi-annual Part B needs assessment survey report
FDOH – HIV/AIDS Section (Patient Care, Medical)
2.4.A.2 - Develop and implement adherence interventions Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
List of interventions FDOH – HIV/AIDS Section (Prevention, Patient Care)
2.4.A.3 - Collaborate with industry partners to provide tools that assist with adherence
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email and other correspondence; MOAs/MOUs
FDOH – HIV/AIDS Section (Prevention, Patient Care, Medical)
2.4.A.4 - Implement adherence interventions for Ryan White clients who are not virally suppressed
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Report from CAREWare custom tab for adherence interventions
FDOH – HIV/AIDS Section (Patient Care, Prevention)
Commented [KBN24]: Need to discuss if this strategy should be included in the Part B integrated plan. Whose role is this?
Commented [KBN25]: Combined 2.4.A.2, 2.4.A.3, 2.4.A.4, and 2.4.A.5
Rev 2.2 13
2.4.A.5 - Enhance systems and strategies to locate and re-engage clients lost to follow-up
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Linkage team reports FDOH – HIV/AIDS Section (Prevention, Surveillance, Data Integration, Patient Care); STD and Viral Hepatitis Section
Strategy 2.4.B.: Increase understanding of viral suppression as a key health indicator
Activities 2.4.B. (1 - 4)
2.4.B.1 - Conduct focus groups to determine the best ways to improve access to and utilization of treatment
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Focus group reports FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical)
2.4.B.2 - Develop strategies to address the stigma that prevents individuals infected with HIV from adhering to treatment
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Social marketing materials and distribution log; meeting minutes; related artifacts.
FDOH – HIV/AIDS Section (Prevention, Patient Care)
2.4.B.3 - Promote knowledge of the research detailing the benefits or value of PLWHA starting ART early
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Test and Treat meeting minutes and reports.
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care)
2.4.B.4 - Expand the use of social marketing to educate clients on the importance of viral suppression and its effect on health outcomes
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Social marketing materials and distribution log
FDOH – HIV/AIDS Section (Patient Care, Prevention)
Strategy 2.4.C.: Develop and implement effective adherence strategies
Activities 2.4.C. (1 - 5)
2.4.C.1 - Interview persons who remain suppressed to understand effective strategies and approaches
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Interview logs FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical)
2.4.C.2 - Research the literature for models that have proven success Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Overview of literature review; meeting minutes
FDOH – HIV/AIDS Section (Patient Care, Prevention, Medical)
2.4.C.3 - Seek provider input on effective strategies through quality management activities
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email to providers FDOH – HIV/AIDS Section (Patient Care, Medical)
2.4.C.4 - Develop and implement strategies based on community and stakeholder input
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Program implementation notes; meeting minutes.
FDOH – HIV/AIDS Section (Patient Care, Prevention)
2.4.C.5 - Enhance the use of peers Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Peer program reports FDOH – HIV/AIDS Section (Prevention, Patient Care)
Objective 2.5.: By December 31, 2021, increase the proportion of ADAP clients with a suppressed viral load (<200 copies/mL) from 89 percent (2014) to 94 percent
Strategy 2.5.A.: Develop and implement effective adherence strategies for ADAP clients
Activities 2.5.A. (1 - 6)
2.5.A.1 - Interview clients who remain suppressed to understand effective strategies and approaches
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women
Interview logs FDOH – HIV/AIDS Section (Patient Care)
Commented [KBN26]: This can be combined with Strategy 2.4.A
Rev 2.2 14
Black, White, Hispanic IDU
2.5.A.2 - Determine the role of ADAP staff and pharmacists in obtaining better outcomes for ADAP clients than other populations
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP workgroup meeting minutes FDOH – HIV/AIDS Section (Patient Care, Medical)
2.5.A.3 - Research the literature for models that have proven success Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
DUPLICATIVE OF 2.4.C.2? FDOH – HIV/AIDS Section (Patient Care)
2.5.A.4 – Increase CAG membership and include CAG and provider input on effective strategies
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email records; interview logs DUPLICATE 2.4.C.3
FDOH – HIV/AIDS Section (Patient Care)
2.5.A.5 - Develop and implement strategies based on client, CAG and provider input Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Implementation records DIPLICATE 2.4.C.4
FDOH – HIV/AIDS Section (Patient Care)
2.5.A.6 - Enhance the use of peers Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Peer program reports DUPLICATE 2.4.C.5
FDOH – HIV/AIDS Section (Patient Care)
Strategy 2.5.B.: Enhance support for treatment adherence
Activities 2.5.B. (1 - 2)
2.5.B.1 - Establish a protocol for adherence intervention referral services Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Adherence protocol FDOH – HIV/AIDS Section (Prevention, Patient Care, Medical)
2.5.B.2 - Monitor client pick up activity for antiretroviral regimens Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP Database (Provide) reports FDOH – HIV/AIDS Section (Patient Care, Data Integration)
Strategy 2.5.C.: Establish a protocol for ART regimen review
Activities 2.5.C. (1 - 2)
2.5.C.1 - Identify clients who are picking up regularly for at least six months but are
not achieving viral suppression for antiretroviral therapy appropriateness review
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP Database (Provide) reports crosschecked with Part B CAREWare
FDOH – HIV/AIDS Section (Patient Care, Data Integration)
2.5.C.2 - Develop/incorporate an electronic ADAP system component to hard-halt
the provision of ADAP medication services when clients are attempting to pick-up
inappropriate ART regimens
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP Database (Provide) reports FDOH – HIV/AIDS Section (Patient Care, Data Integration)
Strategy 2.5.D.: Enhance program operations to facilitate ease of access to medication treatment
Activities 2.5.D. (1 - 5)
2.5.D.1 - Evaluate existing infrastructure for service delivery effectiveness to
identify opportunities for community mobilization
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Patient Care evaluation report FDOH – HIV/AIDS Section (Patient Care)
2.5.D.2 - Develop standards for prompt and equitable services statewide Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women
Standards document FDOH – HIV/AIDS Section (Patient Care, Medical)
Rev 2.2 15
Black, White, Hispanic IDU
2.5.D.3 - Increase local communication with external pharmaceutical providers
statewide
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Email and other correspondence; MOAs/MOUs
FDOH – HIV/AIDS Section (Patient Care, Medical)
2.5.D.4 - Educate and create awareness of the ADAP service delivery system among
all persons who serve ADAP clients in the continuum of care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP marketing materials and distribution log
FDOH – HIV/AIDS Section (Patient Care)
2.5.D.5 - Add new antiretroviral classes to the ADAP formulary within 90 days of
publication in the PHS guidelines
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP formulary FDOH – HIV/AIDS Section (Patient Care, Medical); Central Pharmacy
Strategy 2.5.E.: Build partnerships with state and local entities to identify and re-engage clients who have been lost to care
Activities 2.5.E. (1 - 3)
2.5.E.1 - Develop a protocol to identify and inform service providers when clients stop medication pick up and fall out of care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Protocol FDOH – HIV/AIDS Section (Patient Care, Medical)
2.5.E.2 - Use Data-to-Care to locate clients lost to care
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Data-to-Care reports FDOH – HIV/AIDS Section (Surveillance, Patient Care, Prevention, Data Integration)
2.5.E.3 - Increase the use of peers Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
Peer program reports
FDOH – HIV/AIDS Section (Prevention, Patient Care)
Strategy 2.5.F.: Increase the number of ADAP clients who are covered by insurance plans
Activities 2.5.F. (1 - 3)
2.5.F.1 - Expand the range of insurance options supported by ADAP Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP program guidance FDOH – HIV/AIDS Section (Patient Care)
2.5.F.2 - Minimize eligibility requirements for insurance coverage supported by ADAP
Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP program guidance FDOH – HIV/AIDS Section (Patient Care)
2.5.F.3 - Ensure client readiness for insurance coverage Black, White, Hispanic MSM Black Hetero Men and Women Hispanic Hetero Men and Women Black, White, Hispanic IDU
ADAP marketing materials and distribution log; ADAP Database (Provide) reports
FDOH – HIV/AIDS Section (Patient Care)
NHAS Goal 3: Reducing HIV related disparities and health inequities
Objective 3.1.: By December 31, 2021, reduce the annual number of newly diagnosed HIV infections in Florida’s black population from 2,024 (2014) to 1,757.
Strategy 3.1.A.: Ensure universal access to and availability of PrEP and increase awareness of nPEP
Activities 3.1.A. (1 - 6)
3.1.A.1 - Expand the use of culturally competent PrEP navigators in counties/areas with active PrEP clinics
Black Hetero, Black MSM, Black IDU Inventory of PrEP navigators in areas with PrEP clinics
FDOH – HIV/AIDS Section (Prevention)
Commented [KBN27]: This is covered under Data-2-Care activities above. Not sure it needs to be separated out.
Commented [KBN28]: Change to match our internal strategic plan (we moved to rate instead of case count): reduce the rate per 100,000 population of HIV transmissions diagnosed annually in Florida’s Black population, from 66.9 per 100,000 population (2015) to 65.0 per 100,000 population (2021)
Rev 2.2 16
# of PrEP locations/providers All CHDs are active PrEP providers
3.1.A.2 - Develop social marketing and educational materials that contain information on PrEP and nPEP (basic information, how to access, etc.) specific to Florida’s black population
Black Hetero, Black MSM, Black IDU Inventory of resources # of PrEP materials developed and distributed - quarterly
FDOH – HIV/AIDS Section (Prevention, Medical)
3.1.A.3 - Provide education and training to healthcare providers, hospitals, emergency departments and sexual assault nurses on the delivery of nPEP specific to Florida’s black population
Black Hetero, Black MSM, Black IDU Number of trainings provided FDOH – HIV/AIDS Section (Prevention, Medical)
Strategy 3.1.B.: Ensure access to and availability of culturally-appropriate prevention activities
Activities 3.1.B. (1 - 11)
3.1.B.1 - Maintain representation and feedback from agencies or individuals from at-risk and special populations (e.g., persons living with HIV/AIDS, incarcerated and persons recently released from jail or prison, injection drug users, men who have sex with men, transgender individuals and youth) and key HIV/AIDS stakeholders on the Florida Comprehensive Planning Network (FCPN) to inform stigma-reducing and service activities
Black Hetero, Black MSM, Black IDU List of FCPN members, alternates FDOH – HIV/AIDS Section (Prevention, Patient Care)
3.1.B.2 - Sustain the use of epidemiologic data to focus prevention activities Black Hetero, Black MSM, Black IDU Inventory of prevention activities compared with local area data
FDOH – HIV/AIDS Section (Prevention)
3.1.B.3 - Sustain condom distribution and outreach activities conducted by health departments and community-based organizations
Black Hetero, Black MSM, Black IDU Condom distribution reports
FDOH – HIV/AIDS Section (Prevention)
3.1.B.4 - Increase community mobilization and engagement activities (e.g., SOS, Man-Up, etc.) through DOH Minority AIDS Coordinators, other key partners and use of community resources
Black Hetero, Black MSM, Black IDU Inventory of mobilization initiatives/activities # of SOS chapters in the state (ask Ron)
FDOH – HIV/AIDS Section (Prevention)
3.1.B.5 - Sustain culturally appropriate social media and marketing activities to Florida’s black populations to increase awareness of available prevention activities and reduce stigma
Black Hetero, Black MSM, Black IDU Inventory of social marketing and media activities
FDOH – HIV/AIDS Section (Prevention)
3.1.B.6 – Ensure availability of HIV/AIDS surveillance data; prevention and care information; and educational resources for consumers, providers, policy makers and other key stakeholders.
Black Hetero, Black MSM, Black IDU Email records, meeting minutes, website information
FDOH – HIV/AIDS Section (Surveillance, Prevention, Patient Care)
3.1.B.7 - Ensure the availability of cultural competency training on at-risk and special populations to front-line HIV prevention and care staff
Black Hetero, Black MSM, Black IDU Number of trainings provided FDOH – HIV/AIDS Section (Prevention)
3.1.B.8 - Increase knowledge and sense of urgency to act through culturally tailored social media and marketing campaigns
Black Hetero, Black MSM, Black IDU New social media and marketing activities
FDOH – HIV/AIDS Section (Prevention)
3.1.B.9 - Promote capacity building assistance (CBA) to increase minority providers Black Hetero, Black MSM, Black IDU Number of CBA trainings provided FDOH – HIV/AIDS Section (Prevention)
3.1.B.10 - Expand the Business and Faith Responds to AIDS (BRTA, FRTA) initiatives in communities with the highest HIV disease burden
Black Hetero, Black MSM, Black IDU Inventory of FRTA activities and partners # of partners onboarded each quarter
FDOH – HIV/AIDS Section (Prevention)
3.1.B.11 - Expand HIV prevention services to Florida’s black population through contracted community-based organizations
Black Hetero, Black MSM, Black IDU Number of service providers We have 44 providers with the new Prevention contract/RFA
FDOH – HIV/AIDS Section (Prevention)
Strategy 3.1.C.: Reduce barriers to service access and address social determinants that increase risk
Strategies 3.1.C. (1 - 8)
3.1.C.1 – Expand and strengthen community partnerships of traditional and non-traditional stakeholders to support prevention and care services and identify areas to increase for Florida’s black population
Black Hetero, Black MSM, Black IDU Inventory of community partnerships FDOH – HIV/AIDS Section (Prevention, Patient Care)
Commented [KBN29]: Not sure how this links to the strategy
Rev 2.2 17
3.1.C.2 - Conduct community engagement activities, town halls, stakeholder and community forums, etc. to identify barriers to service access and improve recruitment process for local planning councils
Black Hetero, Black MSM, Black IDU Number of engagement activities conducted
FDOH – HIV/AIDS Section (Prevention)
3.1.C.3 - Sustain data collection and reporting systems that allow for detailed analysis of risk factors and social determinants that increase HIV infection among Florida’s black population
Black Hetero, Black MSM, Black IDU Current data collection systems FDOH – HIV/AIDS Section (Surveillance, Data Integration, Prevention, Patient Care)
3.1.C.4 - Examine state, local and Departmental policies and resources to identify operational and funding opportunities for reducing barriers to prevention and care services access
Black Hetero, Black MSM, Black IDU Current policies that pose barriers FDOH – HIV/AIDS Section (Prevention, Patient Care)
3.1.C.5 - Promote awareness of the HIV care continuum and level of engagement needed to lower viral load among key stakeholders, consumers, advocates, policy makers and health professionals to ensure the coordination and collaboration required to reduce HIV
Black Hetero, Black MSM, Black IDU Emails, meetings minutes, website information
FDOH – HIV/AIDS Section (Prevention, Patient Care, Medical)
3.1.C.6 - Provide education and training for HIV prevention and care providers around social determinants, stigma and discrimination
Black Hetero, Black MSM, Black IDU Number of trainings provided FDOH – HIV/AIDS Section (Prevention)
3.1.C.7 - Expand the use of structural interventions, such as condom distribution, in communities with the highest HIV disease burden
Black Hetero, Black MSM, Black IDU Condom distribution reports FDOH – HIV/AIDS Section (Prevention)
3.1.C.8 - Expand the use of holistic health models and integrated health services Black Hetero, Black MSM, Black IDU Inventory of current holistic health providers
FDOH – HIV/AIDS Section (Prevention, Patient Care)
Objective 3.2. By December 31, 2021, reduce the annual number of newly diagnosed HIV infections in Florida’s men who have sex with men (MSM) population from 2,761 (2014) to 2,397.
Strategy 3.2.A.: Ensure universal access and availability of PrEP and increase awareness of nPEP
Activities 3.2.A. (1 - 6)
3.2.A.1 - Explore non-traditional ways to fund and purchase PrEP medications MSM
Inventory of methods for purchasing PrEP medications
FDOH – HIV/AIDS Section (Medical, Prevention)
3.2.A.2 - Develop toolkits, guidelines and other resources to assist health department and community-based organizations in implementing PrEP and nPEP clinics [redundant]
MSM Inventory of resources FDOH – HIV/AIDS Section (Prevention,
Medical)
3.2.A.3 - Develop social marketing and educational materials that contain information on PrEP and nPEP (basic information, how to access, etc.) specifically for gay, bisexual and other MSM
MSM Inventory of resources FDOH – HIV/AIDS Section (Prevention,
Medical)
3.2.A.4 - Provide education and training to healthcare providers, hospitals, emergency departments and sexual assault nurses on the delivery of nPEP
MSM Number of trainings provided FDOH – HIV/AIDS Section (Medical,
Prevention)
3.2.A.5 - Expand the use of culturally competent PrEP navigators in counties/areas with active PrEP clinics
MSM Inventory of PrEP navigators in areas with PrEP clinics
FDOH – HIV/AIDS Section (Prevention)
3.2.A.6 - Develop a statewide inventory of providers who are able and willing to prescribe PrEP and nPEP
MSM Inventory of PrEP/nPEP providers FDOH – HIV/AIDS Section (Prevention,
Medical)
Strategy 3.2.B.: Ensure access to and availability of culturally-appropriate prevention and care activities
Activities 3.2.B. (1 - 12)
3.2.B.1 - Maintain representation and feedback from agencies or individuals from at-risk and special populations (e.g., persons living with HIV/AIDS, incarcerated and persons recently released from jail or prison, injection drug users, men who have sex with men, transgender individuals and youth) and key HIV/AIDS stakeholders on the Florida Comprehensive Planning Network (FCPN) to inform stigma-reducing and service activities
MSM
List of FCPN members, alternates FDOH – HIV/AIDS Section (Prevention, Patient Care)
3.2.B.2- Sustain culturally appropriate social media and marketing activities for MSM to increase awareness of available prevention activities and reduce stigma
MSM Inventory of social marketing and media activities
FDOH – HIV/AIDS Section (Prevention)
3.2.B.3 - Sustain the use of epidemiologic data to focus prevention activities MSM
Inventory of prevention activities compared with local area data
FDOH – HIV/AIDS Section (Prevention, Surveillance)
Rev 2.2 18
3.2.B.4 - Sustain condom distribution and outreach activities conducted by health departments and community-based organizations
MSM Condom distribution reports
FDOH – HIV/AIDS Section (Prevention)
3.2.B.5 - Conduct community engagement activities, town halls, community forums, etc. to identify barriers to service access and opportunities for community mobilization
MSM Number of engagement activities FDOH – HIV/AIDS Section (Prevention,
Patient Care)
3.2.B.6 - Promote capacity building assistance to increase LGBT-specific providers MSM Number of CBA trainings provided FDOH – HIV/AIDS Section (Prevention)
3.2.B.7 - Ensure availability of HIV/AIDS surveillance data; prevention and care information; and educational resources for consumers, providers, policy makers and other key stakeholders.
MSM Email records, meeting minutes, website information
FDOH – HIV/AIDS Section (Surveillance, Prevention, Patient Care)
3.2.B.8 - Ensure the availability of cultural competency training on at-risk and special populations to front-line HIV prevention and care staff
MSM Number of trainings provided FDOH – HIV/AIDS Section (Prevention,
Patient Care)
3.2.B.9 - Increase knowledge and sense of urgency to act through culturally tailored social media and marketing campaigns
MSM New social media and marketing activities
FDOH – HIV/AIDS Section (Prevention)
3.2.B.10 - Increase cultural diversity training for HIV service providers in the Ryan White program
MSM Number of trainings FDOH – HIV/AIDS Section (Prevention)
3.2.B.11 - Require cultural competency trainings for all HIV/AIDS, Ryan White providers in the state of Florida
MSM Number of trainings FDOH – HIV/AIDS Section (Prevention,
Patient Care)
3.2.B.12 - Expand HIV prevention services to Florida’s gay, bisexual and other MSM through contracted community-based organizations
MSM Number of service providers FDOH – HIV/AIDS Section (Prevention)
Strategy 3.2.C.: Reduce barriers to service access and address social determinants that increase risk
Activities 3.2.C. (1 - 8)
3.2.C.1 - Examine current state, local and Departmental policies to identify opportunities for reducing barriers to prevention and care services access
MSM Inventory of policies FDOH – HIV/AIDS Section (Prevention,
Patient Care)
3.2.C.2 - Sustain data collection and reporting systems that allow for detailed analysis of risk factors and social determinants that increase HIV infection among gay, bisexual, other MSM and transgender individuals
MSM Current data collection systems FDOH – HIV/AIDS Section (Surveillance,
Data Integration, Prevention, Patient Care)
3.2.C.3 - Conduct community engagement activities, town halls, community forums, etc. to identify barriers to service access
MSM Number of engagement activities conducted
FDOH – HIV/AIDS Section (Prevention)
3.2.C.4 - Provide education and training for HIV prevention and care providers around social determinants, stigma and discrimination
MSM Number of trainings FDOH – HIV/AIDS Section (Prevention)
3.2.C.5 - Strengthen community partnerships of traditional and non-traditional stakeholders to support prevention and care services for Florida’s gay, bisexual, other MSM and transgender populations
MSM Number of partnerships FDOH – HIV/AIDS Section (Prevention)
3.2.C.6 - Promote awareness of the HIV care continuum and level of engagement needed to lower viral load among key stakeholders, consumers, advocates, policy makers and health professionals to ensure the coordination and collaboration required to reduce HIV
MSM
Emails, meetings minutes, website information
FDOH – HIV/AIDS Section (Surveillance, Prevention, Patient Care, Medical)
3.2.C.7 - Expand the use of holistic health models and integrated health services for gay, bisexual, other MSM and transgender individuals
MSM Inventory of service providers FDOH – HIV/AIDS Section (Prevention)
3.2.C.8 - Expand the use of drop-in centers and safe spaces for gay, bisexual, other MSM and transgender individuals, especially for youth and youth of color
MSM Inventory of drop-in centers FDOH – HIV/AIDS Section (Prevention)
Objective 3.3.: By December 31, 2021, reduce the rate of new HIV infections in Miami-Dade and Broward counties from 45.8 (2014) to 39.7 and 38.6 (2014) to 33.5, respectively so these counties will no longer be in the top three U.S. MSA/divisions with the highest rate of new HIV infections diagnosed.
Strategy 3.3.A.: Ensure all newly diagnosed persons have immediate access to care and ART
Activities 3.3.A. (1 - 5)
3.3.A.MD.1 - FDOH-MDC will optimize patient health by ensuring newly diagnosed HIV positive persons identified through the “Test and Treat” model will have received antiretroviral therapy within seven (7) days following diagnosis
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
Commented [KBN30]: Combined and reworded to 3.2.B.4 in revised table
Commented [KBN31]: Not sure what this speaks to.
Commented [KBN32]: We need to ask if Miami-Dade and Broward have these activities in their local plans. If not, I suggest remove them from integrated plan and just track local plans.
Rev 2.2 19
3.3.A.MD.2 - FDOH-MDC and publicly funded testing sites will provide linkage within 30 days to HIV care, treatment, and prevention services for those persons testing HIV positive or currently living with HIV/AIDS
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.A.MD.3 - FDOH-MDC 80% of “Data to Care” clients with positive diagnosis but without CD4/VL data will be contacted to determine eligibility for linkage to care in Miami-Dade County
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.A.MD.4 - FDOH-MDC will collaborate with Ryan White Part A and B to streamline the enrollment process, improving timely access to ARV medications.
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.A.MD.5 - FDOH-MDC will collaborate with partners to expand the “Test and Treat” model to other locations in the County, increasing availability for newly diagnosed HIV positive persons to access same-day HIV clinical services
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.A.B.1 - Design a Ryan White/Prevention Collaborative model that ensures a seamless continuum for PLWH to transition from testing and counseling sites to linkage, treatment and retention in Medical Care
Broward County Priority populations; PLWH
Design a model that ensures a seamless continuum
FDOH – Broward County
3.3.A.B.2 - Implement “Test and Treat” immediately following a positive HIV test result to reduce transmission and improve morbidity and mortality in all stages of infection
PLWH Number of clients that received ART following the “Test and Treat” model
FDOH – Broward County
3.3.A.B.3 - Design and/or modify data reporting systems to track PLWH along the HIV Care Continuum from time of diagnosis
PLWH Data reporting systems designed FDOH – Broward County
3.3.A.B.4 - Develop targeted strategies and interventions for individuals who may not seek care or who may fall out of care
PLWH Number of developed interventions for vulnerable populations who may not seek care or who may fall out of care.
FDOH – Broward County
3.3.A.B.5 - Establish pilot project for integrated electronic medical record sharing across providers
Ryan White Providers Pilot project established FDOH – Broward County
3.3.A.B.6 - Strengthen coordination across data systems and the use of data to inform decision making among grantees and local organizations
HIV prevention, care and treatment providers; ancillary providers
Data systems strengthened; Data systems used to inform decision making
FDOH – Broward County
Strategy 3.3.B.: Ensure universal access and availability of PrEP and increase awareness of nPEP
Activities 3.3.B. (1 - 5)
3.3.B.MD.1 - FDOH-MDC will partner with identified agencies to create a local directory of providers prescribing PrEP and nPEP.
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.B.MD.2 - FDOH-MDC will partner with medical providers to expand services and availability of PrEP/nPEP within the County
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.B.MD.3 - FDOH-MDC will provide adherence and behavioral interventions to clients seen at the PrEP Clinic
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.B.MD.4 - FDOH-MDC will organize PrEP presentations in the community improving awareness and acceptability of PrEP and nPEP
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.B.MD.5 - FDOH-MDC will implement a PrEP clinic in the local health department infrastructure
Hispanic, Black and White MSM Black Hetero Men and Women
FDOH – Miami- Dade County
Rev 2.2 20
Hispanic Hetero Men and Women
3.3.B.B.1 - Conduct a demonstration project involving the direct provision of PrEP/nPEP through STD clinics or with community clinical partners with specific emphasis on minority communities
Broward County Priority Populations; STD Clinics; Community clinic partners
Demonstration project conducted
FDOH – Broward County
3.3.B.B.2 - Develop and implement PrEP community ambassadors program and marketing materials to disseminate information and available PrEP resources to individuals who are at-risk of new HIV infections
Broward County Priority Populations
PrEP community ambassadors program implemented; Number of marketing materials distributed.
FDOH – Broward County
3.3.B.B.3 - Conduct public health detailing and companion workshops to support implementation of PrEP throughout Broward County
Medical and non-medical providers Number of public health detailing and workshops conducted
FDOH – Broward County
3.3.B.B.4 - Include PrEP/nPEP as a core competency in provider-focused HIV prevention education and training with special emphasis on clinical settings and emergency departments
Medical providers
Number of provider-focused HIV prevention education and trainings that include PrEP/nPEP as a core competency
FDOH – Broward County
3.3.B.B.5 - Develop a Broward PrEP/nPEP Referral Network and provide technical assistance to sites wishing to participate
Medical providers Broward PrEP/nPEP Referral Network developed; Number of sites that received technical assistance
FDOH – Broward County
3.3.B.B.6 - Monitor the uptake of PrEP/nPEP in Broward County through the use of surveys, provider report forms, databases, etc. to further guide program implementation
Broward County Priority Populations
Monitoring and Evaluation plans conducted
FDOH – Broward County
Strategy 3.3.C.: Expand routine HIV screening in health care settings as part of medical care and targeted HIV testing in non-health care settings
Activities 3.3.C. (1 - 5)
3.3.C.MD.1 - FDOH-MDC will explore partnerships with hospitals to conduct routine HIV testing.
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.C.MD.2 - FDOH-MDC will support the education of medical providers on routine opt-out testing
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.C.MD.3 - FDOH-MDC will support community mobilization initiatives to create environments that support HIV prevention and treatment by actively involving community members in efforts to raise awareness and motivate individuals to end HIV stigma
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.C.MD.4 - FDOH-MDC will promote and coordinate Take Control events in identified high prevalence areas
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.C.MD.5 - FDOH-MDC will coordinate outreach and testing events targeting priority populations (Hisp. MSM, B Hetero M and W, Black MSM, White MSM, and H Hetero M and W)
Hispanic, Black and White MSM Black Hetero Men and Women Hispanic Hetero Men and Women
FDOH – Miami- Dade County
3.3.C.B.1 - Provide education and promote adherence to operate under the guidance of the new Florida HIV Testing Law (Statute 381.004)
Medical Providers Number of educational sessions provided
FDOH – Broward County
3.3.C.B.2 - Establish a collaborative agreement to model routine testing in accordance with the new Florida HIV Testing Law (Statute 381.004)
Medical Providers Collaborative agreements established
FDOH – Broward County
3.3.C.B.3 - Use geo mapping to identify areas that are underserved by HIV/STI/HCV testing staff in order to
Broward County Priority Populations Number of testing activities conducted in underserved areas identified
FDOH – Broward County
Rev 2.2 21
coordinate testing activities by using geo-mapping and other methodologies
3.3.C.B.4 - Develop and implement concierge in-home HIV testing
Broward County Priority Populations Number of in-home HIV testing conducted
FDOH – Broward County
3.3.C.B.5 - Conduct geo mapping and ethnographic methodologies to identify underserved areas Underserved Areas
Number of identified underserved areas through the use of geo mapping and ethnographic methodologies
FDOH – Broward County
Objective 3.4: By December 31, 2021, reduce the annual number of newly diagnosed HIV infections in Florida’s Hispanic population from 1,281 (2014) to 1,112.
Strategy 3.4.A: Ensure universal access to and availability of PrEP and increase awareness of nPEP
Activities 3.4.A. (1 - 6)
3.4.A.1 - Develop Spanish-language social marketing and educational materials that contain information on PrEP and nPEP and are representative of Florida’s Hispanic population
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.A.2 - Develop a statewide inventory of providers who are able and willing to prescribe PrEP and nPEP
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention, Medical)
3.4.A.3 - Expand the use of culturally-competent PrEP navigators in counties and areas with active PrEP clinics
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Medical, Prevention)
3.4.A.4 - Develop toolkits, guidelines, and other resources to assist CHDs and CBOs in implementing PrEP and nPEP clinics
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention, Medical)
3.4.A.5 - Provide education and training to health providers, hospitals, emergency departments and sexual assault nurses on the delivery of nPEP
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Medical, Prevention); AETC
3.4.A.6. - Identify and collaborate with national and regional providers that have experience and can share best practices in working with Hispanic populations on the delivery of PrEP and nPEP
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care), AETC
Strategy 3.4.B: Ensure access to and availability of culturally-appropriate prevention activities
Activities 3.4.B. (1 - 9)
3.4.B.1 - Develop a survey that assesses whether prevention and care activities are culturally appropriate for the Hispanic population
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.B.2 - Create a clearing house to increase media and marketing for the Hispanic community and ensure social marketing and educational material are linguistically and culturally appropriate to reduce stigma and increase awareness
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.B.3 - Coordinate with the Department’s Statewide Latino AIDS Coordinator to lead and implement community mobilization efforts targeting the Hispanic community
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care)
3.4.B.4 - Strengthen community partnerships of traditional and non-traditional stakeholders to support prevention and care services for Florida’s Hispanic population
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.B.5 - Maintain community mobilization and engagement activities through Department MACs and other key partners
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
Rev 2.2 22
3.4.B.6 - Expand the BRTA and FRTA initiatives in communities with the highest HIV disease burden
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention); Statewide Minority AIDS Coordinator
3.4.B.7 - Expand HIV prevention services to Florida’s Hispanic population (with an emphasis on Hispanic gay, bisexual, and other MSM) through contracted community providers
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.B.8 - Maintain representation and feedback from agencies or individuals from at-risk and special populations (for example, PLWH, incarcerated and persons recently released from jail or prison, IDUs, gay, bisexual, and other MSM, transgender individuals, and youth) and key HIV/AIDS stakeholders on the Florida Comprehensive Planning Network (FCPN) to inform stigma-reducing and service activities
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention, Patient Care)
3.4.B.9 - Identify and collaborate with national and regional providers that have experience and can share best practices in working with Hispanic populations on the delivery of culturally-competent prevention services
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care), AETC
Strategy 3.4.C: Reduce barriers to service access and address social determinants that increase risk
Activities 3.4.C. (1 - 8)
3.4.C.1 - Provide training to HIV specific providers and health departments on the risk of intimate partner violence and substance abuse among the Hispanic population
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Patient Care, Medical)
3.4.C.2 - Disseminate information that immigration status does not affect seeking HIV testing and care to the community and partners
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.C.3 - Conduct community engagement activities, town halls, community forums, etc., to identify barriers to service access and improve recruitment process for local planning councils
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.C.4 - Expand the use of holistic health models and integrated health services
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care)
3.4.C.5 - Examine current state, local, and Departmental policies and practices to identify opportunities for reducing barriers to prevention and care services access and improving process to better monitor and manage integrated plan objectives and activities
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention, Patient Care)
3.4.C.6 - Maintain data collection and reporting systems that allow for detailed analysis of risk factors and social determinants that increase HIV infection among Florida’s Hispanic population
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Surveillance, Data Integration, Prevention, Patient Care)
3.4.C.7 - Strengthen community partnerships of traditional and non-traditional stakeholders to support prevention and care services for Florida’s Hispanic population
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Prevention)
3.4.C.8 - Identify and collaborate with national and regional providers that have experience and can share best practices in working with Hispanic populations
Hispanic MSM, Hispanic Hetero Men and Women
FDOH – HIV/AIDS Section (Medical, Prevention, Patient Care), AETC