Harvey MakadonDirector of Education and Training, The Fenway Institute

Sean CahillDirector of Health Policy Research, The Fenway Institute 

Michael KaplanPresident and CEO, AIDS United

Mike GiffordPresident and CEO, ARCW

Ryan KruisCenter Manager, The Fenway Institute

Town Hall Meeting

Housekeeping Introduction to the Center 2014 ASO/CBO Needs Assessment Moderated Core Team Discussion Open Q&A

Agenda

Housekeeping

Introduction to the Center

Changes in the health care landscape• Affordable Care Act• Ryan White HIV/AIDS Funding • National HIV/AIDS Strategy• Treatment as Prevention

Fiscal and organizational health of ASOs/CBOs

The Context

HRSA/HAB-funded cooperative agreement with the Fenway Institute, in collaboration with AIDS United and AIDS Resource Center Wisconsin (ARCW)

Works with ASOs/CBOs to help them navigate the changing health care landscape

Two focus areas:• Improving organizational sustainability and

effectiveness• Improving treatment outcomes along the HIV

care continuum (the treatment cascade)

Who are we?

Webinars• Live webinars with experts in the field• Archived for on-demand viewing

What do we do?

2014 Webinars

The Ryan White HIV/AIDS Program:

What is its Role Now and Where is

it Headed?

The Affordable Care Act:

Implications for AIDS Service

Organizations and People Living with HIV/AIDS of AIDS

Service Organizations

Sector Transformation

and Organizational Sustainability

Engagement as Prevention: The

HIV Care Continuum in

Action

Sustainability: The State of HIV/AIDS

Service Organizations

Technical Assistance• Site-visits/reverse site visits• Teleconference coaching sessions• Business plan review• Providing resources and referrals

Issue Briefs and Tool Kits

What do we do?

Contact us with any questions about the Center or to get added

to our mailing list!

617.927.6028 nationalhivcenter@fenwayhealth.org

www.nationalhivcenter.org

Contact Us!

2014 ASO/CBO Needs Assessment

129 unique responses 32 States + DC represented

• 37% based in states that have not yet expanded Medicaid 43% ASOs, 21% CBOs, 21% FQHCs Wide range of budgets

• 1/3 < 1 million, 1/3 between 1-5 million, 1/3 > 5 million Wide range of services provided

• Case management, testing and prevention, and treatment adherence counseling were among the top reported services provided

• 58% reported having worked toward providing their own health care services

2014 ASO/CBO Needs Assessment

Interests in Organizational Sustainability

Developing an in-house pharmacy vs. partnering with a private company

Getting your board on board with organizational change

Adopting Electronic Health Records

Contracting for services, including non-HIV related services

Understanding & moving toward Patient Centered Medical Home

Social entrepreneurship & revenue diversification for ASOs

Adding billable mental health services

Adding billable substance use services

Developing new service lines

Business planning for ASOs

How ASOs are navigating the changing health care landscape

The ACA and its implications for AIDS Service Organizations (ASOs)

Best practices for organizational sustainability

The future of Ryan White and the role of medical care in HIV care

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Very Interested Somewhat Interested Not Interested

Interests in Improving Treatment Outcomes

HIV & Hep C testing & treatment among prisoners & ex-prisoners

The National HIV/AIDS Strategy 4 years in: Implications for ASOs

Understanding the new paradigm of antiretrovirals as prevention

Improving outcomes among Latinos, including migrant workers

Improving outcomes in care among women

Addressing disparities in viral suppression

Substance use and treatment outcomes

HIV and STIs

Hepatitis C and HIV

Partnering with medical providers to improve treatment outcomes

Improving outcomesamong gay and bisexual men and other MSM

How does your organization perform with your clients in regard to the HIV care continuum?

Improving outcomes among transgender women

Improving outcomes in care among people 50 and older

Improving outcomes among young MSM of color

Improving outcomes among youth (13-29)

Improving testing, linkage to care and maintenance in care

Best practices toward improving outcomes on the HIV continuum

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Very Interested Somewhat Interested Not Interested

Moderated Core Team Discussion

Core Leadership Team

Harvey Makadon

Sean Cahill Michael Kaplan

Vignetta Charles

Mike Gifford

Ryan Kruis

The Fenway Institute The Fenway Institute AIDS United AIDS United ARCW The Fenway InstituteDirector of Education &

TrainingDirector of Health Policy

ResearchPresident & CEO Senior Vice President President & CEO Center Manager

Q&A Discussion

Email additional questions to nationalhivcenter@fenwayhealth.org.

Webinars are available on our website for on-demand viewing.

Please complete the evaluation at the end of the webinar. Your feedback will inform our programming.

If you are interested in individualized technical assistance, please visit our website and complete a TA Request Form.

Join us for our next webinar!

Out 2 Enroll: Reaching & Connecting LGBTQ Communities to ACA Coverage Options

Wednesday, January 21 at 1:00 PM ET(Find a link to register at our website: www.nationalhivcenter.org )

Conclusion Slide