TABLE OF CONTENTS

WELCOME LETTERS ...... 2 Dr . Cheever ...... 2 Mrs . White-Ginder ...... 3 CONFERENCE THEME & GOALS FOR 2016 ...... 4 KEY LOCATIONS ...... 5 Getting Around the Conference (includes venue maps) ...... 5 Registration ...... 9 Help Desks ...... 9 Exhibit Hall ...... 9 Continuing Education & Meeting Evaluation Stations ...... 9 Respite Room ...... 10 Lactation Room ...... 10 Special Services ...... 10 Gender-Neutral Restrooms ...... 10 FOOD OPTIONS ...... 11 TRAVEL/METRO ...... 12 CONTINUING EDUCATION/ MEETING EVALUATION ...... 13 CONFERENCE TRACKS ...... 19 AGENDA AT A GLANCE ...... 20 CLINICAL PATHWAY AGENDA AT A GLANCE . . . . . 21 PLENARY SCHEDULE ...... 25 PLENARY SPEAKERS ...... 27 WORKSHOPS ...... 35 POSTER PRESENTATIONS ...... 165 Poster Index ...... 173 EXHIBITORS ...... 201 Exhibitor Hall Times ...... 201 Exhibitor Listing ...... 201 List of Organizations by Title ...... 215 Federal Exhibitors ...... 215 WORKSHOPS BY TRACK ...... 218

1

Dear Colleague:

On behalf of the Health Resources and Services Administration’s HIV/AIDS Bureau, I would like to welcome you to the 2016 National Ryan White Conference on HIV Care and Treatment . Our theme this year is “Forward Momentum: Accelerating Access. Optimizing Care. Transforming Public Health.”— fitting as the Ryan White HIV/AIDS Programs enters the next quarter century of providing comprehensive HIV care and treatment services to people living with HIV in the United States . This year’s theme also aligns with the program’s commitment to the National HIV/AIDS Strategy: Updated to 2020, which is intended to decrease HIV infections and provide unfettered access to high-quality, life-extending HIV care and treatment without stigma and discrimination .

The Health Resources and Services Administration’s HIV/AIDS Bureau hosts this conference every two years, providing grantees, consumers, stakeholders, and health care professionals with essential knowledge, training, and technical assistance . The conference provides a forum to share best practice models and strategies that will help us facilitate a coordinated national response designed to reduce new HIV infections and HIV-related health disparities . This conference is the largest gathering of HIV/AIDS health care providers, grantees, consumers, and stakeholders in the United States .

This meeting has several objectives, including identifying strategies to enhance grantees’ knowledge of programmatic and fiscal requirements of the Ryan White HIV/AIDS Program. In addition, we are excited to present keynote sessions and workshops that address a wide array of issues related to providing high-quality models of health care focused on lifesaving and life- extending services. We encourage grantees to network among themselves and to find areas of collaboration whenever appropriate . Your attendance at this biennial conference is vital to the success of this program, so please share your ideas and knowledge with one another .

We hope you’ll find this conference to be a rewarding and productive exchange of valuable knowledge and information . Thank you for your commitment to providing care and treatment to people living with HIV .

Sincerely,

Laura Cheever, MD, ScM Associate Administrator, HIV/AIDS Bureau

2021061 National6 National Ryan Ryan White White Conference Conference on on HIV HIV Care Care and & Treatment 2 Dear Attendee:

Welcome to the 2016 National Ryan White Conference on HIV Care and Treatment! The theme of this conference is “Forward Momentum: Accelerating Access . Optimizing Care . Transforming Public Health ”.

Forward momentum is what occurred in 1990 when Ryan White was very sick in the hospital . I received a call from Senator Ted Kennedy asking if they could name this new bill The Ryan White Care Act . I said yes, never knowing how enormous this bill would become . Ryan passed away soon after . Several weeks later, Senator Kennedy and Senator Orrin Hatch contacted me about Senate hearings. At first, I said no; emotionally, I was a mess. I said, “I’m afraid I would hurt the cause more than help .” Senator Kennedy told me, “Please do this on behalf of all people living with AIDS. We have a chance now to make a difference while Ryan’s death is on everyone’s minds . We have people caring about people with AIDS . It’s important we do this now ”. Senator Hatch said, “We have 25 senators lined up to hear from you, and all we want you to do is to be a mom and tell us what it’s like to watch your son live and die from AIDS .” Senator Hatch persisted by saying, “Jeanne, we need your voice!” At that time, people were afraid to speak publicly about AIDS, as there was so much stigma and discrimination related to it .

Forward momentum is still happening today . Our voices are still necessary as we continue to educate the public about HIV/AIDS . People still don’t believe it will happen to them . We need to erase stigma and discrimination . The South, in particular, has had challenges in addressing the disease, and that’s why the numbers remain high there . People are still afraid to test and go public with their HIV status in the South, for fear of stigma and discrimination – much the same as Ryan and I experienced firsthand back in the 1980s. I feel love and have many thanks for all of the hard work and dedicated people who brought us to where we are today . Let’s make our voices LOUD again .

Last year, on August 18, 2015, we commemorated the 25th Anniversary of the Ryan White CARE Act . As Ryan used to say, “Let’s treat it (AIDS) like a disease, and not a dirty word!” I know that’s what the attendees at this conference do on a daily basis, and I want to thank you for your continued work in supporting and caring for people living with HIV/AIDS .

Sincerely,

Jeanne White Ginder

3 2016 National Ryan White Conference on HIV Care & Treatment CONFERENCE THEMES & GOALS

Optimizing Care. Transforming Public Health.” It recognizes the Ryan White HIV/AIDS Program’s Ryan White is the name of a unwavering commitment to the National HIV/AIDS Strategy: Updated to 2020 . boy and a program – and a The Strategy strives to: metaphor for good deeds . ƒƒ decrease new HIV infections, His story should be retold . ƒƒ reduce HIV-related health disparities, and ƒƒ improve access to HIV care and treatment without stigma and discrimination .

Sponsored and funded by the Health Resources Ryan was a courageous Indiana teenager who and Services Administration’s HIV/AIDS Bureau, fought AIDS-related discrimination and helped the National Ryan White Conference on HIV educate the nation about the disease . He was Care and Treatment is a biennial event that diagnosed with AIDS at age 13 . Ryan and his delivers program and policy updates, training, mother Jeanne White Ginder fought for his right and technical assistance to Ryan White HIV/ to attend school, gaining international attention . AIDS Program recipients, people living with Ryan testified before national panels and was HIV, stakeholders, and health care and service the subject of countless news stories, television delivery providers . shows, and magazine covers . His visibility and humility moved the nation to a better place . Ryan Attendees from across the country come White died on April 8, 1990, at the age of 18, together to: just a few months before Congress passed the ƒƒ learn the latest advancements in HIV care AIDS bill that bears his name – the Ryan White and treatment from leaders in the field, Comprehensive AIDS Resources Emergency (CARE) Act . The legislation has been reauthorized ƒƒ identify strategies to enhance recipients’ four times since – 1996, 2000, 2006, and in 2009, programmatic and fiscal knowledge, as the Ryan White HIV/AIDS Treatment Extension ƒƒ offer opportunities for collaboration, and Act of 2009 . ƒƒ share best practices .

Ryan’s mother, Jeanne White Ginder, continues his work, as does the program named after him, Within this program book, you’ll find information providing hope and a legacy of care for people about key locations throughout the hotel; living with HIV/AIDS . helpful resources for navigating the venue and the event; special services available; meeting This year’s conference continues to build on that schedules, agendas and speaker biographies; legacy . continuing education resources; dining options and getting around; and much more. The theme of the 2016 National Ryan White Conference on HIV Care and Treatment is We hope you’ll find the week’s activities “Forward Momentum: Accelerating Access. informative and productive .

2016 National Ryan White Conference on HIV Care and Treatment 4 KEY LOCATIONS

GETTING AROUND THE CONFERENCE ƒƒ Mezzanine Level: Red The Marriott Marquis is one of Washington, ƒƒ Lobby Level: Orange D .C .’s largest hotel and meeting facilities — as ƒƒ Meeting Level One: Blue well as being one of the city’s newest and most modern. This is also the first year that the Ryan ƒƒ Meeting Level Two: Purple White recipient event has been held at this ƒƒ Meeting Level Three: Silver facility, and you’ll find conference activities on ƒƒ Meeting Level Four: Green every meeting level, including the mezzanine . To help participants more easily find where they need to be, each meeting level has been assigned a color:

MEZZANINE / RED

5 2016 National Ryan White Conference on HIV Care and Treatment KEY LOCATIONS

LOBBY / ORANGE

MEETING LEVEL 1 / BLUE

2016 National Ryan White Conference on HIV Care and Treatment 6 KEY LOCATIONS

MEETING LEVEL 2 / PURPLE

MEETING LEVEL 3 / SILVER

7 2016 National Ryan White Conference on HIV Care and Treatment KEY LOCATIONS

MEETING LEVEL 4 / GREEN

2016 National Ryan White Conference on HIV Care and Treatment 8 KEY LOCATIONS

REGISTRATION EXHIBIT HALL The registration area for the 2016 National Ryan The Exhibit Hall is located on Meeting Level Four/ White Conference on HIV Care and Treatment Green Level in the Independence Ballroom . is located on the Mezzanine/Red Level . All In the Exhibit Hall you’ll find national and attendees, including plenary speakers, workshop community-based organizations as well as and poster presenters, exhibitors, and HAB staff, private-sector companies . The Exhibit Hall also is will check in at registration and collect a printed home to the conference’s Federal Village, where badge and lanyard . It will be important to keep government agencies will exhibit . Throughout your badge on you at all times . Please note that the meeting, please visit the Exhibit Hall, where participants in the Clinical Pathway track also you’ll also find areas to lounge, meet with use the main registration area . There is not a colleagues, and recharge your electronic devices . separate check-in process for this track . Please see the Exhibitors section of the program book for Exhibit Hall hours, as well as a list and Registration hours are: description of all exhibitors . ƒƒ Monday: 3:00 PM – 7:00 PM CONTINUING EDUCATION & MEETING ƒƒ Tuesday: 7:00 AM – 5:30 PM EVALUATION STATIONS ƒ ƒ Wednesday: 7:00 AM – 5:30 PM Take advantage of this opportunity to earn ƒƒ Thursday: 7:00 AM – 5:30 PM continuing education (CE) credit valuable to ƒƒ Friday: 7:00 AM – 12:00 PM your professional discipline . If you would like to receive CE credit for the workshops you attend, HELP DESKS please be sure to complete your online session evaluations . Laptop stations are available on The primary Help Desk is located on the Meeting Levels One/Blue, Two/Purple, Three/ Mezzanine/Red Level . There will be satellite Help Silver, and Four/Green . At these stations, Desks located on each meeting floor. Visit any you’ll be able to log your CE sessions, as well one of the Help Desks if you have questions or as complete conference evaluations . Please need information about special services . Help note that the Clinical Pathway track uses a Desk volunteers are specially trained to help you different continuing education process than solve onsite problems and to help maximize your the overall conference. For more information experience at Ryan White 2016 . on obtaining continuing education credit or completing meeting evaluations, visit the Help Desk hours are: Continuing Education/Meeting Evaluation section ƒƒ Monday: 3:00 PM – 7:00 PM of the program book . ƒƒ Tuesday: 7:00 AM – 5:30 PM ƒƒ Wednesday: 7:00 AM – 5:30 PM ƒƒ Thursday: 7:00 AM – 5:30 PM ƒƒ Friday: 7:00 AM – 2:00 PM

9 2016 National Ryan White Conference on HIV Care and Treatment KEY LOCATIONS

RESPITE ROOM SPECIAL SERVICES In room 2060 on the Mezzanine/Red Level there Among the goals of the 2016 National Ryan White is a Consumer Respite Room that provides HIV-­ Conference on HIV Care and Treatment is to -positive attendees with a quiet place to rest, ensure that all event attendees have complete store medication or get a drink . The room is and unfettered access to all of the event’s not locked, however, so consumers should be meetings, activities, tools, and materials . During advised to not leave valuables unattended . There the registration process, attendees were asked will be a HAB staff volunteer assigned to the to provide conference planners with information room to help and guide attendees as needed . The about any special onsite needs they may have . If room will be open during conference hours . you were unable to make a special-needs request prior to arriving at the conference, please visit LACTATION ROOM any of the Help Desks, and a volunteer will do his A lactation area will be available on the or her best to accommodate your request . Sign- Mezzanine/Red Level in Room 2054 to support language interpreters will be available during nursing mothers . The room will be open during conference hours Tuesday-Friday . conference hours and is equipped with a refrigerator and a sink . Nursing mothers will GENDER-NEUTRAL RESTROOMS need to provide their own pump . All Lactation Clearly marked gender-neutral restrooms are Room users are expected to clean up after each located on Meeting Levels Two/Purple and Four/ use and allow enough time within a visit to clean Green . spills and dispose of trash properly .

2016 National Ryan White Conference on HIV Care and Treatment 10 FOOD OPTIONS

Meals will not be provided during the 2016 In addition, to provide conference-goers with a National Ryan White Conference on HIV Care unique taste of D C. ., food trucks will be available and Treatment . But there are plenty of options outside the L Street exit (at the rear) of the nearby to grab a quick bite, a cup of coffee, hotel during program lunch breaks (12:00-1:30 or a leisurely evening meal . The word is out: PM) on Wednesday and Thursday . The trucks Washington, D .C ., is a foodie destination . The city available (which are subject to change) during recently was selected by Bon Appétit magazine as the conference offer a range of lunch options for the publication’s choice for Best Restaurant City purchase . of the Year . WEDNESDAY, AUGUST 24 The hotel and nearby neighborhoods offer a ChixnStix (chicken and fries) broad range of dining options . In the Marriott Four Guys (sandwiches and salads) Marquis, Anthem serves seasonal cuisine in Halal Kitchen (kabobs) bright, friendly surroundings . Or stop at the Midnight Confections (cupcakes) Dignitary, a whiskey bar offering food, and a range of local and regional bourbons and THURSDAY, AUGUST 25 handcrafted cocktails served by experienced Ahhh Wah Gwaan (Jamaican) mixologists . If you’re a sports fan, head to High Crepe Love (crepes) Velocity, an interactive, high-tech sports bar with DC Pollo (Peruvian) more than 40 large flat-screen HDTVs, free Wi-Fi Habebe Truck (kabob) and 48 beers on tap ranging from imports to local microbrews. The Lobby Bar offers a more low-key For more information on convenient dining option; bask in the natural light flowing in from options near the Marriott Marquis, visit the glass ceiling overhead and enjoy signature www .ryanwhite2016 org/dining. for links to cocktails and locally sourced small bites . A nearby restaurants in different categories. Starbucks is on premises, in addition to one Also please visit any Help Desk for advice or across the street at the Washington Convention recommendations on where to eat . Center, and there are plenty of other good coffee shops nearby as well, including La Colombe at 900 6th St. NW; Chinatown Coffee Company at 475 H St. NW at 5th St., or Compass Coffee at 650 F St . NW at 7th St .

11 2016 National Ryan White Conference on HIV Care and Treatment TRAVEL/METRO

The Marriott Marquis is convenient to multiple Reagan National Airport . Amtrak and MARC trains stops on Washington, D .C .’s Metrorail system . serve BWI from Union Station in Washington, D .C . One-way fares to BWI from Union Station are The closest stops are Mt . Vernon Square 7th St /. approximately $7 . Shuttle buses at the airport’s Convention Center (Green and Yellow Lines), train station take passengers directly to the which is across 9th street underneath the airport terminal . Union Station is connected to convention center, and Gallery Place/Chinatown, Metro’s Red line . To Dulles International Airport, which is a half mile from the hotel . Three of Metro offers the Silver Line Express Bus, which Metrorail’s six transit lines stop at Gallery Place/ provides a connection between the Dulles Main Chinatown (Red, Yellow and Green) . To reach the Terminal and the Silver line’s Wiehle-Reston Blue, Orange, or Silver lines, from Gallery Place East Metrorail station, about 15 minutes away take the Red line going in the direction of Shady from the deposit . The bus service is $5 each way Grove and get off at the first stop, Metro Center. (cash or credit card only; SmartTrip Cards not accepted) . Maps of the Metrorail system are available at all Metrorail stations and at www .wmata .com . Be advised that the Metro system has been You also can plan your rides on Metrorail by undergoing significant renovation (an extensive typing your starting point and destination into project called SafeTrack) . Be sure to visit www . the Metrorail website’s Trip Planner . WMATA also wmata com. in advance of your trip to learn about has an extensive bus system; the website will any possible service alerts/disruptions for your acquaint you with its routes as well . route .

The hotel does not offer shuttle service to any of Of course, taxis are easily available at the hotel . If the region’s three major airports: Ronald Reagan you need advice on getting around, don’t hesitate National Airport (DCA), 4.6 miles; Washington to stop at one of the Help Desks for information . Dulles International Airport (IAD), 21.6 miles; The hotel’s concierge also can help with travel or Baltimore/Washington National Thurgood arrangements . Marshall Airport (BWI), 31 7. miles . Metro’s Yellow and Blue lines serve Ronald

2016 National Ryan White Conference on HIV Care and Treatment 12 CONTINUING EDUCATION/ MEETING EVALUATION

Continuing education (CE) and evaluation services ƒƒ Health Educators: National Commission for the 2016 National Ryan White Conference for Health Education Credentialing (NCHEC) on HIV Care and Treatment are provided by ƒƒ Social Workers: National Association of Professional Education Services Group . Social Workers (NASW) ƒ Educational sessions are intended for nurses, ƒ Health Care Administrators: American dentists, dietitians, health educators, social College of Healthcare Executives (ACHE) workers, and other health care professionals All other health care professionals completing with a specific interest in identifying strategies this continuing education activity will be issued that have been developed over the past 25 years a Statement of Participation . Please consult your of the Ryan White HIV/AIDS Program to improve accrediting organization or licensing board for systems of HIV/AIDS care and increase program their acceptance of this CE activity . recipients’ knowledge of program and fiscal requirements . DISCLOSURE STATEMENT It is the policy of Professional Education Services CONTINUING EDUCATION Group that the faculty and all staff with the INFORMATION potential to influence content will disclose real Professional Education Services Group, an or apparent conflicts of interest relating to the accredited provider of continuing education, topics of their educational activity . Additionally, and HRSA have planned and implemented this disclosure will be made of any intended conference in accordance with all applicable discussions of unlabeled/unapproved uses of accrediting bodies’ standards and polices . drugs or devices . Speakers/authors are required to prepare fair and balanced presentations that CE Sessions have been accredited for the are objective and are biased in scientific fact. Full disciplines listed below: disclosure will be proved to learners onsite at the 2016 National Ryan White Conference on HIV ƒƒ Physicians: Accreditation Council for Continuing Medical Education (ACCME); Care and Treatment . AMA PPRA Category 1 Credit PESG, LRG, and HSRA staff have no relevant ƒ ƒ Nurses: American Nurses Credentialing financial relationships to disclose. Center (ANCC) ƒƒ Dentists: American Dental Association COMMERCIAL SUPPORT CERP (ADA CERP) Commercial support was not received in ƒƒ Dietitians: Commission on Dietetic association with this educational conference . Registration This continuing education activity is provided through a Joint-Providership Agreement between the conference contractor, LRG, and Professional Education Services Group (PESG) in conjunction with HRSA for this event . This activity will provide continuing education for nurses, pharmacists and pharmacy technicians, respiratory therapists, and social workers . All other health care professionals

13 2016 National Ryan White Conference on HIV Care and Treatment CONTINUING EDUCATION/ MEETING EVALUATION

completing this continuing education activity will to assist dental professionals in identifying be issued a Certificate of Participation. Please quality providers of continuing dental education . consult your accrediting organization or licensing ADA CERP does not approve or endorse board for their acceptance of this CE activity . individual activities of instructions, nor does it imply accordance of credit hours by boards of ACCREDITATION STATEMENTS dentistry . PDE designates this activity for 12 .0 Physicians hours of continuing education credits . This activity has been planned and implemented in accordance with the accreditation Dieticians requirements and policies of the Accreditation PESG is a Continuing Professional Education Council for Continuing Medical Education (CPE) Accredited Provider with the Commission (ACCME) through the joint providership of on Dietetic Registration (CDR) . CDR Credentialed Professional Education Services Group and the Practitioners will receive 12 0. Continuing Defense Centers of Excellence for Psychological Professional Education units (CPEUs) for Health and Traumatic Brain Injury (DCOE) . completion of this activity/material . Professional Education Services Group is accredited by the ACCME to provide continuing Health Educators medical education for physicians . This activity Sponsored by Professional Education Services has been approved for a maximum of 12 .0 hours Group, a designated provider of continuing of AMA PRA Category 1 Credits™ . Physicians education contact hours (CECH) in health should only claim credit to the extent of their education by the National Commission for Health participation . Education Credentialing, Inc . This program is designated for Certified Health Education Nurses Specialists (CHES) and/or Master Certified Health Nurse CE is provided for this program through Education Specialists (MCHES) to receive up to collaboration between DCOE and Professional 12 .0 total Category I contact education contact Education Services Group . Professional Education hours . Services Group is accredited as a provider of continuing nursing education by the American Social Workers Nurses Credentialing Center’s Commission on This Program is approved by The National Accreditation (ANCC) . This activity provides a Association of Social Workers for 12 0. Social Work maximum of 12 .0 contact hours of nurse CE continuing education contact hours . credit . Health Care Administrators Dentists Category II Credit (American College of This continuing education activity has been Healthcare Executives) planned and implemented in accordance with Professional Education Services Group is the standards of the ADA Continuing Education authorized to award 12 0. hours of pre-approved Recognition Program (ADA CERP) through joint ACHE Qualified Education credit (non-ACHE) efforts between PESG, HSRA, and LRG. PESG is for this program toward advancement, or an ADA CERP Recognized Provider . ADA CERP recertification in the American College of is a service of the American Dental Association Healthcare Executives . Participants in this

2016 National Ryan White Conference on HIV Care and Treatment 14 CONTINUING EDUCATION/ MEETING EVALUATION

program wishing to have the continuing attendees will need to register new accounts for education hours applied toward ACHE CE evaluations . If you signed into the 2016 Ryan Qualified Education credit should indicate their White Abstract System you must register a new attendance when submitting application to the account for CE evaluations . The system will be American College of Healthcare Executives for available to evaluate sessions and claim your CE advancement or recertification. credit until September 10, 2016 .

Other Professionals How to Earn CE Credit Other professionals participating in this activity 1 . Go to: http://ryanwhite cds. pesgce. com. may obtain a General Participation Certificate 2 . Select the activity: 2016 National Ryan White indicating participation and the number of hours Conference on HIV Care and Treatment of continuing education credit . 3 . This will take you to the log in page if you are not already logged into the system . Enter your CONFERENCE EVALUATION e-mail address and password from previous INFORMATION sign-ins . If you are not already registered, you All conference evaluations and workshop will be prompted to complete the information evaluations are available online . You may necessary to do so . Select “I Forgot My Pass visit any of the computer kiosks provided for Phrase” if you need to reset the password you evaluations while at the meeting . If you prefer set up . to complete the evaluations from your personal 4 . Verify, correct, or add your information . laptop or PDA, please visit http://ryanwhite .cds . 5 . If you wish to also obtain the Certificate of pesgce .com to complete your evaluation . Completion, select “Certificate of Completion” in the professional information section of the How to Evaluate Conference Sessions and signup/verification page. Receive Your CE Transcript and Certificate of 6 . Proceed and complete evaluations for the Completion sessions you attended . Certificates will only be distributed online. 7 . Upon completing the required overall To receive a Certificate of Completion or CE conference evaluation, you can print your CE Certificates, you must complete the online Certificate. Your CE record will also be stored evaluation . Participants will be able to complete here for later retrieval . individual session evaluations at PESG’s Web site 8 . The website is open for completing your for the 2016 National Ryan White Conference evaluation for 14 days . on HIV Care & Treatment: http://ryanwhite cds. . 9 . After the website has closed, you can pesgce .com . An overall conference evaluation return to the site at any time to print your must be completed to obtain CE credits or print certificate, but you will not be able to add any a non-CE Transcript . If you have ever completed evaluations . an evaluation with another one of PESG’s clients, then your login credentials will be on file. If not,

15 2016 National Ryan White Conference on HIV Care and Treatment CONTINUING EDUCATION/ MEETING EVALUATION

How to Evaluate Non-CE Sessions will be prompted to complete the information 1 . Go to the following URL: necessary to do so . Select “I Forgot My Pass http://ryanwhite cds. pesgce. .com Phrase” if you need to reset the password you 2 . Select the activity: 2016 National Ryan White set up . Conference on HIV Care and Treatment (Non- 4 . Verify, correct, or add your information . CE) 5 . Proceed and complete the overall conference 3 . This will take you to the log in page if you are evaluation, after which you can print your not already logged into the system . Enter your Certificate of Completion. Your record will also e-mail address and password from previous be stored here for later retrieval . sign-ins . If you are not already registered, you 6 . The website is open for completing your will be prompted to complete the information evaluation for 14 days . necessary to do so . Select “I Forgot My Pass 7 . After the website has closed, you can come Phrase” if you need to reset the password you back to the site at any time to print your set up . certificate. 4 . Verify, correct, or add your information . 5 . If you wish to also obtain the Certificate of CLINICAL PATHWAY TRACK Completion, select “Certificate of Completion” CONTINUING MEDICAL EDUCATION in the professional information section of the (CME), NURSING AND PHARMACY signup/verification page. CREDITS 6 . Proceed and complete evaluations for the This CME activity is sponsored by the sessions you attended . International Antiviral Society-USA (IAS-USA) . 7 . Upon completing the required overall The continuing education credits for the Clinical conference evaluation, you can print your non- Pathway track are obtained via a different system CE Transcript . Your non-CE record will also be than the rest of the Ryan White 2016 conference . stored here for later retrieval . Please ask IAS-USA staff onsite if you have 8 . The website is open for completing your any questions about the CME process for this evaluation for 14 days . program . 9 . After the website has closed, you can come back to the site at any time to print your IAS–USA is accredited by the Accreditation certificate, but you will not be able to add any Council for Continuing Medical Education evaluations . to provide continuing medical education for physicians . How to Obtain the Certificate of Completion Only The IAS–USA designates this live activity for 1 . Go to: a maximum of 14 .25 AMA PRA Category 1 http://ryanwhite cds. pesgce. .com Credits™ . Physicians should claim only the 2 . Select the activity: Overall Conference credit commensurate with the extent of their Certificate of Completion Only participation in the activity . 3 . This will take you to the log in page if you are not already logged into the system . Enter your e-mail address and password from previous sign-ins . If you are not already registered, you

2016 National Ryan White Conference on HIV Care and Treatment 16 CONTINUING EDUCATION/ MEETING EVALUATION

Nursing Credits CLAIMING CONTINUING EDUCATION CREDITS Educational Review Systems is an approved OR A CERTIFICATE OF PARTICIPATION provider of continuing nursing education by the Alabama State Nursing Association, an accredited 1 . At the end of the Clinical Pathway track, all approver by the American Nurses Credentialing attendees will receive a final e-mail with the Center’s Commission on Accreditation . Provider # overall Clinical Pathway track evaluation . 5-115 . This program is approved for 14 .25 hours 2. Complete and submit the final evaluation of continuing nursing education . form .

Educational Review Systems is also approved 3 . After the evaluation form submission, you for nursing continuing education by the state of will be redirected to the online claim form California, the state of Florida and the District of on the IAS–USA website . Sign in to your Columbia . IAS–USA account and click “Log in .” If you do not already have an IAS–USA account, Pharmacy Credits please follow the instructions below to Educational Review Systems is accredited by the create an account . Accreditation Council for Pharmacy Education 4 . Once logged in, click on “Request your (ACPE) as a provider of continuing pharmacy certificate.” education . This program is approved for 14 25. hour (1 .425 CEUs) of continuing pharmacy If you are a physician, you will need to education credit . Proof of participation will be enter the total hours you attended and click posted to your NABP CPE profile within 4 to 6 “Submit ”. weeks to participants who have successfully completed the post-test . Participants must participate in the entire presentation and To determine the number of CME credits or complete the course evaluation to receive CE hours that you can claim, calculate your continuing pharmacy education credit . time spent attending the Clinical Pathway UAN # Day 1 0761-9999-16-202-L02-P, track, including plenary sessions and Day 2 0761-9999-16-203-L02-P, Day 3 workshops . For example, if you attended 0761-9999-16-204-L02-P 2 plenary talks (8:30 AM to 9:30 AM) and 1 workshop (4:00 PM to 5:00 PM), you would have a total of 2 hours to apply toward CME credits or CE credits for that day . At the end of the Clinical Pathway track, please add the total hours you attended for your certificate. The total number of CME or CE credits can be found in the Clinical Pathway track e-syllabus or here .

17 2016 National Ryan White Conference on HIV Care and Treatment CONTINUING EDUCATION/ MEETING EVALUATION

To create an IAS–USA account 5 . If you are a nonphysician, click “Submit” to 1 . Click on Create new account claim your Certificate of Participation. 2 . Complete the required information 6. Click “Print your Certificate.” This certificate 3 . Click on the “Create new account” button at is also available for you to print from your the bottom of the page IAS–USA account under My Certificates. 4 . You will receive an e-mail with a link to validate your account . If you did not CME Credits receive the validation e-mail, please e-mail CME-accredited providers are required to registration@iasusa .org or call the IAS–USA document the number of CME credits that each office at 415-544-9400. registered physician intends to claim for a CME activity . 5 . A CME hour worksheet can be found here: http://www .iasusa .org/sites/default/ Pharmacy and Nursing Credits files/2016-clinical-pathway-track-cme- The information of those claiming pharmacy worksheet pdf. credits will be sent to Educational Review Systems following the Clinical Pathway track . Your credits will post to your account within 60 days of the completion of the Clinical Pathway track .

Please note: to claim pharmacy credit, you must provide your NABP CPE# and your date of birth . Please update your account on the IAS–USA website .

2016 National Ryan White Conference on HIV Care and Treatment 18 CONFERENCE WORKSHOP TRACKS

The backbone of the 2016 National Ryan White men who have sex with men, transgender Conference on HIV Care and Treatment is a individuals and pregnant women; integration of robust schedule of oral presentations and HIV care, primary care, and behavioral health; posters . In keeping with the theme for this year’s trauma informed care models; and structural conference—”Forward Momentum: Accelerating interventions such as housing and employment . Access . Optimizing Care . Transforming Public Health .”—six new session tracks will serve as HEALTH CARE LANDSCAPE the basis for this year’s workshop and poster This track will examine the changing health sessions . care landscape, including health policy issues, workforce capacity development, and outreach CLINICAL PATHWAY and enrollment initiatives to engage PLWH in This track, which is conducted by the health care coverage . International Antiviral Society-USA (IAS-USA), is exclusively designated for experienced clinical INNOVATIVE PRACTICES decision-makers and key medical care teams who This track will describe and demonstrate treat people living with HIV . This track will provide innovative programmatic approaches to improve state-of-the-art workshops and presentations on health outcomes for PLWH and to achieve the research and comprehensive care and treatment National HIV/AIDS Strategy: Updated to 2020 of HIV. Please note that the Clinical Pathway track goals. Specific examples of the track content are: will be held Tuesday through Thursday during the using learning collaborative models to improve National Conference, and separate registration health outcomes; collaboration across Ryan was required prior to attending this track’s White HIV/AIDS Program (RWHAP) parts and general sessions and workshops . community partners such as community health centers; strategies for linkage and retention; DATA TO CARE replication of Special Projects of National This track will examine the collection and use of Significance program models; and data utilization program and surveillance data to achieve the for improving health outcomes for people living National HIV/AIDS Strategy: Updated to 2020 with HIV . goals and to improve the health outcomes of people living with HIV (PLWH) . QUALITY MANAGEMENT This track will examine mechanisms and best EMERGING ISSUES clinical quality management practices to measure This track will examine critical, emergent and improve patient care, health outcomes, issues important to the delivery of high-quality, and patient satisfaction in order to progress the comprehensive HIV care and treatment and RWHAP and National HIV/AIDS Strategy: Updated to the achievement of the National HIV/AIDS to 2020 goals and objectives for HIV care and Strategy: Updated to 2020 goals. Specific treatment . examples of the track content are: jurisdictional approaches to ending the HIV epidemic; implementation of pre-exposure prophylaxis (PrEP) services; use of social media; population specific interventions for youth, black gay

19 2016 National Ryan White Conference on HIV Care and Treatment AGENDA AT A GLANCE

MONDAY, Lunch on Your Own/Exhibit Breakout Sessions Hall & Poster Sessions 3:30 PM-5:00 PM AUGUST 22 12:00 PM-1:30 PM Registration & Help Desk 3:00 PM-7:00 PM Breakout Sessions FRIDAY, 1:30 PM-3:00 PM AUGUST 26 Registration & Help Desk TUESDAY, Break/Exhibit Hall & Poster 7:00 AM-12:00 PM AUGUST 23 Sessions 3:00 PM-3:30 PM Registration & Help Desk Breakout Session 7:00 AM-5:30 PM 8:00 AM-9:30 AM Breakout Sessions 3:30 PM-5:00 PM Program-Specific Meetings Break/Exhibit Hall & Poster 8:30 AM-11:30 AM Sessions 9:30 AM-10:00 AM Lunch on Your Own/Exhibit THURSDAY, Hall & Poster Sessions AUGUST 25 Breakout Sessions 11:30 AM-1:00 PM Registration & Help Desk 10:00 AM-11:30 AM 7:00 AM-5:30 PM Program-Specific Meetings Break/Exhibit Hall & Poster 1:00 PM-2:30 PM Plenary Session Sessions (Marquis Ballroom) 11:30 AM-11:45 AM Plenary Session 8:30 AM-10:00 AM (Marquis Ballroom) Closing Plenary Session 3:00 PM-4:30 PM Break/Exhibit Hall & Poster (Marquis Ballroom) Sessions 11:45 AM-12:45 PM 10:00 AM-10:30 AM WEDNESDAY, Conference Adjourns AUGUST 24 Breakout Sessions Registration & Help Desk 10:30 AM-12:00 PM 7:00 AM-5:30 PM Lunch on Your Own/Exhibit Plenary Session Hall & Poster Sessions (Marquis Ballroom) 12:00 PM-1:30 PM 8:30 AM-10:00 AM Breakout Sessions Break/Exhibit Hall & Poster 1:30 PM-3:00 PM Sessions 10:00 AM-10:30 AM Break/Exhibit Hall & Poster Sessions Breakout Sessions 3:00 PM-3:30 PM 10:30 AM-12:00 PM INFORMATIONCLINICAL PATHWAY AGENDA LOREMTUESDAY, AUGUST IPSUM 23 – THURSDAY, AUGUST 25

TUESDAY, 9:55 AM-10:25 AM 12:50 PM-1:50 PM HIV Cures and Antiretroviral Therapy: AUGUST 23 Immunotherapy: New Cases From the Clinic(ians): Horizons A Case-Based, Panel General Session: Liberty Daniel C . Douek, MD, MRCP, PhD Discussion Ballroom (Level Four/Green) Chief of Human Immunology Michael S . Saag, MD Section Vaccine Research Center Professor of Medicine, Associate 9:00 AM-9:15 AM National Institute of Allergy and Dean for Global Health, School Welcome and Introductions Infectious Diseases of Medicine Bethesda, Md . University of Alabama at 9:15 AM-9:45 AM Birmingham Birmingham, Ala . Overview of the Ryan White 10:25 AM-10:35 AM HIV/AIDS Program Question-and-Answer Laura W . Cheever, MD, ScM Period 1:50 PM-2:00 PM Associate Administrator, Chief Question-and-Answer Medical Officer HIV/AIDS Bureau Period Health Resources and Services 10:35 AM-11:05 AM Administration State-of-the-Art in 2:00 PM-2:30 PM Rockville, Md . Antiretroviral Therapy: Practical Management of Optimal Initial Regimens in Transgender Patients at 9:45 AM-9:55 AM 2016 Risk for HIV Question-and-Answer Rajesh Tim Gandhi, MD Tonia C . Poteat, PhD, MPH, PA-C Period Associate Professor of Medicine Assistant Professor Harvard Medical School Johns Hopkins Bloomberg Boston, Mass . School of Public Health Baltimore, Md . 11:05 AM-11:15 AM Question-and-Answer Period 2:30 PM-2:40 PM Question-and-Answer Period 11:15 AM-12:50 PM Lunch on Your Own

21 2016 National Ryan White Conference on HIV Care and Treatment CLINICAL PATHWAY AGENDA TUESDAY, AUGUST 23 – THURSDAY, AUGUST 25

2:40 PM-3:00 PM Managing HIV Infection in 10:55 AM-11:25 AM Break Adolescents: “Everything” You Need to Transitioning From Know About Pre-exposure Adolescents to Adults Prophylaxis and Post- 5:00 PM-6:00 PM Congress (Level Four/Green) exposure Prophylaxis in 30 Four Small-Group Focused Donna C . Futterman, MD Minutes Concurrent Workshops: Professor of Clinical Pediatrics Raphael J . Landovitz, MD, MSc Albert Einstein College of Associate Professor of Medicine Changes and Opportunities Medicine University of California Los in Recent Medicaid and Bronx, New york Angeles Medicare Regulations Los Angeles, Calif . Treasury (Level Four/Green) Kerri Cornejo, MPH WEDNESDAY, 11:25 AM-11:35 AM Office of Planning, Analysis, and AUGUST 24 Evaluation Question-and-Answer Health Resources and Services Period General Session: Liberty Administration Ballroom (Level Four/Green) Rockville, Md . 11:35 AM-12:05 PM Perplexed by Your Patients? Rita Vandivort-Warren, MSW 10:15 AM-10:45 AM Mental Health Screening Public Health Analyst What’s All the Fuss About May Have the Answer Health Resources Services the Microbiome? Francine Cournos, MD Administration, E . Turner Overton, MD Professor of Clinical Psychiatry Washington, D .C . Associate Professor of Medicine Columbia University University of Alabama at New York, N Y. . Case Scenarios: Initiating Birmingham Birmingham, Ala . Antiretroviral Therapy 12:05 PM-12:15 PM Archives (Level Four/Green) Question-and-Answer Rajesh Tim Gandhi, MD 10:45 AM-10:55 AM Period Associate Professor of Medicine Question-and-Answer Harvard Medical School Period Boston, Mass . 12:15 PM-1:30 PM Lunch on Your Own Clinical Management of Transgender Women with HIV Infection Capitol (Level Four/Green) Tonia C . Poteat, PhD, PA-C Assistant Professor Johns Hopkins Bloomberg School of Public Health Baltimore, Md .

2016 National Ryan White Conference on HIV Care and Treatment 22 CLINICAL PATHWAY AGENDA TUESDAY, AUGUST 23 – THURSDAY, AUGUST 25

1:30 PM-2:00 PM Antiretroviral Therapy: THURSDAY, Future Directions: Managing Failure Investigational Approaches Archives (Level Four/Green) AUGUST 25 to Antiretroviral Therapy David H . Spach, MD Joseph J . Eron Jr ., MD Professor of Medicine General Session: Liberty Professor of Medicine University of Washington Balroom (Level Four/Green) University of North Carolina at Seattle, Wash . Chapel Hill 10:15 AM-10:45 AM Chapel Hill, N .C . Treatment for Hepatitis C Sexually Transmitted Virus (HCV) Infection Infections and HIV Infection: 2:00 PM-2:10 PM Treasury (Level Four/Green) Epidemiology, Management, Debika Bhattacharya, MD, MS Question-and-Answer and Interventions Associate Clinical Professor of Period Connie L . Celum MD, MPH Medicine Professor, Department of University of California Los Medicine Adjunct Professor 2:10 PM-2:40 PM Angeles School of Medicine of Epidemiology University of Hepatitis C Virus: Los Angeles, Calif, Washington HIV/HCV Coinfection Seattle, Wash . Debika Bhattacharya, MD, MS Making Pre-exposure Associate Clinical Professor of Prophylaxis Available in the Medicine Clinic: Considerations and 10:45 AM-10:55 AM Question-and-Answer University of California Los Pathways Forward Period Angeles School of Medicine Capitol (Level Four/Green) Los Angeles, Calif . Raphael J . Landovitz, MD, MSc Associate Professor of Medicine 10:55 AM-11:25 AM 2:40 PM-2:50 PM University of California Los HIV Testing: What’s New? Question-and-Answer Angeles What’s Next? Period Los Angeles, Calif . Bernard M . Branson, MD Principal Consultant Scientific Affairs, LLC 2:50 PM-3:10 PM Preconception Care and Management of Pregnancy Atlanta, Ga . Break in Women With HIV- Infection 11:25 AM-11:35 AM 3:10 PM-4:10 PM Capitol (Level Four/Green) Question-and-Answer Four Small-Group Focused Erika Z . Aaron, MSN, ANP, CRNP, Period Concurrent Workshops Assistant Professor of Medicine Drexel University College of Medicine, Philadelphia, Pa .

23 2016 National Ryan White Conference on HIV Care and Treatment CLINICAL PATHWAY AGENDA TUESDAY, AUGUST 23 – THURSDAY, AUGUST 25

11:35 AM-12:05 PM 3:00 PM-3:20 PM Opioids and HIV: From Pain Strategies for Linkage and Break Management to Addiction Engagement in HIV Care Treatment Julie C . Dombrowski, MD, MPH Treasury (Level Four/Green) Assistant Professor, Division of 3:40 PM-4:40 PM Chinazo Cunningham, MD, MS Allergy & Infectious Diseases Four Small-Group Focused Professor of Medicine University of Washington Concurrent Workshops Albert Einstein College of Seattle, Wash . Medicine Antiretroviral Therapy: Bronx, N .Y . Switching in the Setting of 12:15 PM-1:30 PM Effective Suppression Lunch on Your Own Archives (Level Four/Green) Michael S . Saag, MD 1:30 PM-2:30 PM Professor of Medicine, Associate Conundrums From The Dean for Global Health, School Clinic: A Grab Bag, Case- of Medicine Based, Panel Discussion University of Alabama at David H . Spach, MD Birmingham Professor of Medicine Birmingham, Ala . University of Washington Seattle, Wash . Review of Issues in Liver Diesease for the 2:30 PM-2:40 PM Nonhepatologist Question-and-Answer Capitol (Level Four/Green) Period Kenneth E . Sherman, MD, PhD Gould Professor of Medicine, Director, Division of Digestive 2:40 PM-3:10 PM Diseases State-of-the-Art Prevention University of Cincinnati College and Management of of Medicine Hepatitis B Virus Infection Cincinnati, Ohio Kenneth E . Sherman, MD, PhD Gould Professor of Medicine, Challenges in Managing Director, Division of Digestive HIV Infection in Rural Diseases Environments University of Cincinnati College Capitol (Level Four/Green) of Medicine Michelle D . Collins-Ogle, MD Cincinnati, Ohio Director, Infectious Deseases Warren-Vance Community 3:10 PM-3:20 PM Health Center, Inc Question-and-Answer Henderson, North Carolina Period

2016 National Ryan White Conference on HIV Care and Treatment 24 PLENARY SCHEDULE

Tuesday, August 23, 2016 Wednesday, August 24, 2016 3:00 PM-4:30 PM 8:30 AM-10:00 AM Marriott Marquis Ballroom Marriott Marquis Ballroom

The opening plenary session for the 2016 This plenary session focuses on how social National Ryan White Conference on Care and determinants of health impact the HIV care and Treatment will focus on the scientific and treatment system and how the Ryan White HIV/ programmatic advancements in HIV care and AIDS Program has a role in achieving health treatment and the role of the Ryan White HIV/ equity for all people living with HIV . Presenters AIDS Program in achieving the goals of the will provide an overview of health equity, specific National HIV/AIDS Strategy . Presenters also will examples of policy and programmatic work to discuss the federal government’s response to the address health equity issues, and a personal HIV epidemic . perspective on the importance of health equity to achieving maximal health outcomes. Speakers will include: ƒƒ Secretary Sylvia Burwell, U .S . Department of Speakers will include: Health and Human Services ƒƒ Heather Hauck, MSW, LICSW, Deputy ƒƒ Dr . Amy Lansky, Director, White House Associate Administrator, Health Resources Office of National AIDS Policy and Services Administration, HIV/AIDS Bureau ƒƒ Dr . Laura Cheever, Associate Administrator ƒ and Chief Medical Officer, Health Resources ƒ Brian Smedley, PhD, Co-founder and and Services Administration, HIV/AIDS Executive Director, National Collaborative Bureau for Health Equity ƒ ƒƒ Jim Macrae, Acting Administrator, Health ƒ DeAnn Gruber, PhD, LCSW, Program Resources and Services Administration Director, Office of Public Health, STD/HIV Program, State of Louisiana Department of ƒ ƒ Dr . Anthony Fauci, Director, National Health and Hospitals Institute of Allergy and Infectious Diseases ƒƒ David Holtgrave, PhD, Chair, Department of Health, Behavior, and Society, John Hopkins University, Bloomberg School of Public Health and Co-Chair of PACHA ƒƒ Gina Brown, MSW, Coordinator, New Orleans Regional AIDS Planning Council .

25 2016 National Ryan White Conference on HIV Care & Treatment Thursday, August 25, 2016 Closing Plenary Session 8:30 AM-10:00 AM Friday, August 26, 2016 Marriott Marquis Ballroom 11:45 AM-12:45 PM Marriott Marquis Ballroom This plenary will highlight innovative initiatives and models for HIV programs and service This plenary will draw the conference to a close . delivery . Presenters will provide an overview of HIV/AIDS Bureau leadership will summarize HIV prevention and care and treatment initiatives conference highlights and thank participants for and collaborations and specific examples of their engagement over the past four days . programmatic work to improve health outcomes for people living with HIV. Speakers will include: ƒƒ Dr . Laura Cheever, Associate Administrator Speakers will include: and Chief Medical Officer, HIV/AIDS ƒƒ Harold Phillips, Director, Health Resources Bureau, Health Resources and Services and Services Administration, HIV/AIDS Administration Bureau, Office of Training and Capacity ƒƒ RADM Sylvia Trent Adams, PhD, RN, FAAN, Development Deputy Surgeon General ƒƒ Jonathan Mermin (RADM, USPHS), Director, CDC National Center on HIV, Viral Hepatitis, STD, and Tuberculosis Prevention ƒƒ Diana Jordan, RN, MS, ACRN, Director, Division of Disease Prevention, Virginia Department of Health ƒƒ Kimberly Butler Willis, MPH, Director, Ryan White Wellness Center, Roper St . Francis Health Care ƒƒ Mario Pérez, Director, Division of HIV and STD Programs, Los Angeles County

2016 National Ryan White Conference on HIV Care & Treatment 26 PLENARY SPEAKERS

Gina Brown Secretary Burwell has called for the department to operate under three guiding tenets: to deliver Gina Brown, MSW, is the results on a wide range of complex issues, to planning council coordinator strengthen the relationships that drive progress, at the New Orleans Regional and to build strong teams with the talent and focus AIDS Planning Council . Ms . needed to deliver impact for the American people . Brown has worked in the field of HIV for 12 years and Most recently, Burwell served as director of the has been living with HIV for Office of Management and Budget (OMB), where 20 years . She graduated she worked closely with Congress to help return to magna cum laude from Southern University at New a more orderly budget and appropriations process Orleans, with a bachelor of social work and a minor that brought needed stability to the economy and in history in 2011 and received her master’s degree middle-class families . She led the administration’s in 2012 . Ms . Brown is the past-vice president of the efforts to deliver a smarter, more innovative and School of Social Works’ service organization, and more accountable government . She oversaw historian of Psi Phi SUNO’s chapter of Phi Alpha the development of the president’s second-term Social Work Honors Society . She has served on Management Agenda, including efforts to expedite numerous boards and committees . Ms . Brown is high-impact permitting projects, drive efficiencies a public speaker and community advocate . Ms . and improve customer service . Additionally, she Brown truly believes in service work and has made worked to ensure that our regulatory system it her life’s mission to help the broader community protects the health and safety of Americans, while gain a higher level of health literacy . promoting economic growth, job creation, and innovation . Secretary Sylvia Burwell Prior to serving in the administration, Burwell Sylvia Mathews Burwell served as president of the Walmart Foundation was sworn in as the 22nd in Bentonville, Ark., where she led efforts to fight Secretary of U .S . Department hunger in America, empower women around the of Health & Human Services world, and leverage Walmart’s presence in local (HHS) on June 9, 2014 . communities to reach millions of people . During her tenure, the foundation surpassed $1 billion in A results-driven manager, total giving . Secretary Burwell has led large and complex organizations across the public and private sectors . Before joining the foundation in 2012, she was president of the Global Development Program Secretary Burwell oversees more than 77,000 at the Bill & Melinda Gates Foundation in Seattle, employees in work that touches the lives of where she spent 10 years working on some of the Americans at every age, from every background, in world’s most pressing challenges, from vaccinations every part of our country . She is committed to the to children’s health to agricultural development . mission of ensuring that every American has access She also served as the foundation’s first chief to the building blocks of healthy and productive operating officer. lives .

27 2016 National Ryan White Conference on HIV Care and Treatment PLENARY SPEAKERS

During the Clinton Administration, Burwell served Hospital . Dr . Cheever received her medical as deputy director of OMB, deputy chief of staff degree from Brown University and is board to the president, chief of staff to the secretary of certified in infectious diseases. the Treasury, and staff director of the National Economic Council . Anthony Fauci Anthony Fauci, MD, was Prior to joining the Clinton Administration, Burwell appointed director of the worked for McKinsey & Company . She has served National Institute of Allergy on the boards of the Council on Foreign Relations, and Infectious Diseases MetLife, and the University of Washington Medical (NIAID) in 1984 . He oversees Center, among other organizations . an extensive research portfolio of basic and Secretary Burwell received an A .B . from Harvard applied research to prevent, University and a B .A . from Oxford University, where diagnose, and treat established infectious diseases she was a Rhodes Scholar . such as HIV/AIDS, respiratory infections, diarrheal diseases, tuberculosis and malaria as well as Laura Cheever emerging diseases such as Ebola and Zika . NIAID Laura Cheever, MD, ScM, is also supports research on transplantation and the associate administrator immune-related illnesses, including autoimmune and chief medical officer disorders, asthma and allergies . The NIAID budget for the HIV/AIDS Bureau of for fiscal year 2016 is approximately $4.6 billion. the Health Resources and Dr. Fauci has advised five presidents and the U.S. Services Administration Department of Health and Human Services on HIV/ (HRSA) . Dr . Cheever AIDS and many other domestic and global health previously served as the issues . He was one of the principal architects of deputy associate administrator and chief medical the President’s Emergency Plan for AIDS Relief officer of the HIV/AIDS Bureau, responsible (PEPFAR), a program that has saved millions of lives for leading the Ryan White HIV/AIDS Program throughout the developing world . and HRSA’s programming for the President’s Emergency Plan for AIDS Relief . She has also Dr . Fauci also is the long-time chief of the provided national leadership for HIV/AIDS care NIAID Laboratory of Immunoregulation . He and treatment, including the development of has made many contributions to basic and federal guidelines for HIV care . Dr . Cheever clinical research on the pathogenesis and joined HRSA in 1999 as the chief of the HIV treatment of immune-mediated and infectious Education Branch where she was responsible diseases. He helped pioneer the field of human for providing HIV/AIDS clinical education and immunoregulation by making important basic training for the nation’s health care providers . scientific observations that underpin the current Before joining HRSA, Dr . Cheever was an understanding of the regulation of the human assistant professor of medicine at Johns Hopkins immune response . In addition, Dr . Fauci widely University . She is committed to serving the HIV is recognized for delineating the precise ways population and volunteers at the Moore Clinic that immunosuppressive agents modulate the for HIV Care at the Johns Hopkins University human immune response. He developed effective

2016 National Ryan White Conference on HIV Care and Treatment 28 PLENARY SPEAKERS

therapies for formerly fatal inflammatory and Koch Gold Medal, the Prince Mahidol Award, and immune-mediated diseases such as polyarteritis the Canada Gairdner Global Health Award. He also nodosa, granulomatosis with polyangiitis (formerly has received 43 honorary doctoral degrees from Wegener’s granulomatosis), and lymphomatoid universities in the United States and abroad . granulomatosis . A 1985 Stanford University Arthritis Dr . Fauci is a member of the National Academy Center Survey of the American Rheumatism of Sciences, the American Academy of Arts and Association membership ranked Dr . Fauci’s work Sciences, the Institute of Medicine, and the on the treatment of polyarteritis nodosa and American Philosophical Society, as well as other granulomatosis with polyangiitis among the most professional societies including the American important advances in patient management in College of Physicians, The American Society rheumatology over the previous 20 years . for Clinical Investigation, the Association of American Physicians, the Infectious Diseases Dr . Fauci has made seminal contributions to the Society of America, The American Association of understanding of how HIV destroys the body’s Immunologists, and the American Academy of defenses leading to its susceptibility to deadly Allergy, Asthma & Immunology . He serves on the infections . Further, he has been instrumental in editorial boards of many scientific journals; as an developing treatments that enable people with HIV editor of Harrison’s Principles of Internal Medicine; to live long and active lives . He continues to devote and as author, coauthor, or editor of more than much of his research on the immunopathogenic 1,280 scientific publications, including several mechanisms of HIV infection and the scope of the textbooks . body’s immune responses to HIV . DeAnn Gruber In 2003, an Institute for Scientific Information study DeAnn Gruber, PhD, LCSW, is indicated that in the 20-year period from 1983 to the administrative director of 2002, Dr . Fauci was the 13th most-cited scientist the Louisiana Office of Public among the 2 .5 million to 3 million authors in all Health, STD/HIV Program . Dr . disciplines throughout the world who published Gruber’s experience includes articles in scientific journals during that time more than 20 years in the frame. In a 2016 analysis of Google Scholar HIV/AIDS field and her areas citations, he ranked as the 18th most highly cited of expertise include program researcher of all time . management/administration, planning and evaluation, and resource development and grant Dr . Fauci has delivered major lectures all over writing . She was the program evaluator for the the world and is the recipient of numerous Centers for Disease Control and Prevention-funded prestigious awards, including the Presidential ARTAS II project that analyzed the effectiveness of Medal of Freedom (the highest honor given to a strengths-based case management model with a civilian by the president of the United States), newly diagnosed persons with HIV in Baton Rouge the National Medal of Science, the George M . and their success in accessing medical care . Kober Medal of the Association of American Physicians, the Mary Woodard Lasker Award for Public Service, the Albany Medical Center Prize in Medicine and Biomedical Research, the Robert

29 2016 National Ryan White Conference on HIV Care and Treatment PLENARY SPEAKERS

Heather Hauck Community Planning group . He also served as a member and vice-chair of the Presidential Advisory Heather Hauck, MSM, LICSW, Council on HIV/AIDS . is the deputy associate administrator of the HIV/AIDS Dr . Holtgrave also participated in economic Bureau (HAB) at the Health evaluations of interventions designed to reduce Resources and Services smoking behaviors . Administration (HRSA) in the U .S . Department of Health and Human Services (HHS) . Diana Jordan She was the director of the Division of State HIV/ Diana Jordan, RN, MS, has AIDS Program (DSHAP) in HAB . HAB provides more than 29 years of leadership and resources to assure access to experience providing high and retention in high quality, integrated care and quality health care services treatment services for vulnerable people living with with a focus on HIV/STDs HIV and their families . Ms . Hauck was the director prevention and treatment . of the Maryland Department of Health and Mental She has worked in acute care, Hygiene, Infectious Disease and Environmental public health, community- Health Administration . based and ambulatory outpatient settings serving clients, educating health care professionals, and David Holtgrave managing systems of care . She currently serves as the director of the Division of Disease Prevention The research of David at the Virginia Department of Health . She is Holtgrave, PhD, has focused responsible for overseeing multiple statewide on the effectiveness and programs and services related to the surveillance, cost-effectiveness of a variety prevention, testing and treatment of HIV/AIDS, of HIV prevention and care STDs and viral hepatitis . interventions (including the provision of housing as a structural HIV/AIDS Amy Lansky intervention), and the relationship of the findings Amy Lansky, PhD, MPH, of these studies to HIV prevention policy making . is director of the Office of He has served on an Institute of Medicine panel National AIDS Policy . In this charged with recommending methods to improve role, she is the president’s the public financing and delivery of HIV care in the lead advisor on domestic HIV/ United States . He also served as the director of the AIDS and is responsible for Division of HIV/AIDS Prevention — Intervention overseeing implementation Research & Support at the Centers for Disease of the National HIV/AIDS Control and Prevention . In addition, Dr . Holtgrave Strategy and guiding the administration’s HIV/AIDS has investigated the relationship among social policies across federal agencies . capital measures, infectious disease rates and risk behavior prevalence . He has worked extensively on Previously, Dr . Lansky was a senior policy advisor HIV prevention community planning, and served to the Office of National Drug Control Policy and as a member of the Wisconsin HIV Prevention Office of National AIDS Policy where she ensured

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coordination on issues of substance abuse and Prior to his years at OPR, Macrae served in several HIV infection, and co-authored the National HIV/ capacities within BPHC from 1992 to 2000 . As AIDS Strategy: Updated to 2020 . Prior to joining ’director of the Office of State and National the White House, Dr . Lansky served as the deputy Partnerships, he worked with national and state director for surveillance, epidemiology, and associations across the country to increase access, laboratory science in the Centers for Disease reduce disparities in health outcomes and improve Control and Prevention’s Division of HIV/AIDS the delivery of health services to underserved Prevention where she provided scientific direction populations . and oversight for HIV surveillance activities, epidemiologic studies and clinical trials, and Before joining HRSA in 1992, Macrae was a laboratory research . presidential management intern at HHS, where he worked on the Medicare and Medicaid programs as Dr . Lansky holds doctoral and master’s degrees in well as in the department’s Office of Planning and public health from the University of North Carolina Evaluation . at Chapel Hill, and a bachelor’s degree in political Macrae has received numerous awards, including science from Swarthmore College . the Hubert H . Humphrey Award for Service to America (2015), the HRSA Administrators Award Jim Macrae for Equal Opportunity Achievement (2014), the Presidential Meritorious Executive Rank Award Jim Macrae became acting (2010), HRSA Administrator’s Award for Excellence administrator for the U .S . (2005), Special Citations for Outstanding Individual Department of Health and (1996) and Group Performance (1996, 1999, 2001, Human Services’ (HHS) Health 2008, 2009, 2010, and 2012), the National Health Resources and Services Service Corps Recognition Award (1998), and the Administration (HRSA) in April BPHC Special Recognition Award for Leadership 2015 . (1994) . Previously, as head of the Bureau of Primary Health Macrae earned his bachelor of arts degree in Care (BPHC), Macrae managed a $5 billion budget sociology from Illinois Wesleyan University, a that supports the health care safety net for many master’s degree in sociology from Duke University, underserved people across the country . Most of and a master’s degree in public policy from Harvard these funds support more than 9,000 health center University . sites . Located in communities nationwide, these sites provide comprehensive, culturally competent, quality primary health care to nearly 23 million Jonathan H. people . Mermin Jonathan Mermin, MD, Macrae also served as associate administrator for MPH (RADM, USPHS), is HRSA’s Office of Performance Review (OPR) from 2000 the director of the National to 2006, where he oversaw the work of staff in regional Center for HIV/AIDS, Viral divisions across the country . OPR was the agency’s focal Hepatitis, STD, and TB point for reviewing and improving the performance of Prevention (NCHHSTP) . HRSA-supported programs in states and communities .

31 2016 National Ryan White Conference on HIV Care and Treatment PLENARY SPEAKERS

From 2009-2013, Dr . Mermin served as director Harold Phillips of the Division of HIV/AIDS Prevention, NCHHSTP . Harold Phillips is the director Under his leadership, the division spearheaded a for the U .S . Department of new approach to HIV prevention, called High Impact Health and Human Services Prevention, that aligned funding with epidemiology Health Resources and and ensured program and research activities had Services Administration’s the greatest effect on reducing incidence and HIV/AIDS Bureau (HRSA/ improving health equity . Dr . Mermin also served HAB), Office of Training as director of CDC-Kenya and HHS Public Health and Capacity Development, Attaché for the U .S . embassy from 2006-2009, which administers the Ryan White Program’s AIDS where he oversaw the Centers for Disease Control Education and Training Center Program, Special and Prevention’s (CDC) largest country office, Projects of National Significance and the President’s implementing programs and research involving a Emergency Plan for AIDS Relief . His work spans broad range of infectious diseases, including HIV, more than 20 years in the field of HIV/AIDS and malaria, tuberculosis and emerging infections . includes past positions as the deputy director of From 1999-2006, he was director of CDC-Uganda the Ryan White Part B and AIDS Drugs Assistance where he oversaw CDC’s HIV prevention and care Program at HAB, director of technical assistance programs, including implementation of the first and training at the National Minority AIDS Council, antiretroviral treatment program funded by CDC and eight years as an independent consultant outside of the United States, and the development working with Ryan White grantees to strengthen of a basic care package that was incorporated into health care systems and provide workforce training, President’s Emergency Plan for AIDS Relief and planning, policy and program development . His World Health Organization guidelines . expertise includes work on disparities in access to health care for key and priority populations . Mr . Dr . Mermin began his career at CDC in 1995 as Phillips served on the CDC/HRSA AIDS Advisory an Epidemic Intelligence Service officer with the Committee from 2003–2010 . He has a master’s Foodborne and Diarrheal Diseases Branch . He degree in urban and regional planning from the completed an internal medicine residency at University of North Carolina at Chapel Hill and an San Francisco General Hospital and a preventive undergraduate degree from Kalamazoo College in medicine residency at CDC and the California Michigan . Department of Health Services . He is a graduate of Harvard College and Stanford University School of Medicine, and received his master’s degree Mario J. Pérez in public health from Emory University . He has As director of the Los Angeles co-authored more than 150 scientific articles. He County Department of serves as an adjunct professor at Emory University Public Health Division of HIV School of Public Health . and STD Programs (DHSP), Mario Pérez is responsible

for guiding the work of more than 320 employees and managing the annual investment of more than $105 million in local, state and federal resources that support the delivery

2016 National Ryan White Conference on HIV Care and Treatment 32 PLENARY SPEAKERS

of HIV and STD services through nearly 80 county and policy conferences across the country . As partner organizations . He is a leader on state, executive director of the National Collaborative, Dr . local, and national HIV policy issues, serving as a Smedley directs several large projects, including past member of the Presidential Advisory Council Place Matters, an effort to build the capacity of on HIV and AIDS, the board of directors of the leaders around the country to address social, National Minority AIDS Council, a member of the economic, and environmental determinants of National Council of STD Directors, a new member health and health inequities, and other projects of the AIDS United Public Policy Committee and a to assess the impact of the Affordable Care Act on member of the Los Angeles County Commission health inequities . Dr . Smedley serves as co-principal on HIV . Mr . Pérez began providing HIV education investigator and supports the project’s Washington- and awareness services in 1990 while a student at based activities . the University of California, Berkeley . Over the last 20 years, he has testified before Congress, the Los Besides serving as professor and department chair, Angeles County Board of Supervisors and the Los he is co-director of the Center for Implementation Angeles City Council to address a range of HIV/AIDS Research in the Johns Hopkins Bloomberg School issues, including the need for scientifically proven of Public Health, and is the interim director of the interventions, adequate resources and increased Lerner Center for Public Health Promotion . accountability . Mr . Pérez has received recognition for his leadership in the fight against HIV/AIDS Sylvia Trent-Adams from more than a dozen local organizations and As Deputy Surgeon General, more than a dozen state and local elected officials. Rear Admiral (RADM) Sylvia He was born, raised and lives in Los Angeles . He Trent-Adams advises and earned a bachelor’s degree in biology from UC supports the surgeon general Berkeley and a master of public health degree from regarding operations of the the University of California, Los Angeles . U .S . Public Health Service (USPHS) Commissioned Corps Brian D. Smedley and in communicating the Brian D . Smedley, PhD, is best available scientific information to advance the co-founder and executive health of the nation . She has served as the chief director of the National nurse officer of the USPHS since November 2013. Collaborative for Health In this role, she advises the Office of the Surgeon Equity, an organization that General and the U S. . Department of Health seeks to foster partnerships and Human Services (HHS) on the recruitment, to advance health equity . assignment, deployment, retention, and career From 2008 to 2014, Dr . development of Corps nurse professionals . Smedley was vice president and director of the Health Policy Institute of the Joint Center for RADM Trent-Adams has held various positions in Political and Economic Studies in Washington, D C. . HHS, working to improve access to care for poor Dr . Smedley is a well-known thought leader in and underserved communities . As a clinician and health equity whose publications include numerous administrator, she has had a direct impact on building journal articles, book chapters, and essays . Dr . systems of care to improve public health for marginalized Smedley also is a frequent speaker at health equity populations domestically and internationally .

33 2016 National Ryan White Conference on HIV Care and Treatment PLENARY SPEAKERS

Prior to joining the Office of the Surgeon Kimberly Butler General, Trent-Adams was the deputy associate Willis administrator for the HIV/AIDS Bureau, Health Kimberly Butler Willis is the Resources and Services Administration . She director of the Roper St . assisted in managing the Ryan White HIV/AIDS Francis Ryan White Wellness Treatment Extension Act of 2009 (Ryan White HIV/ Center in Charleston, S .C . She AIDS Program) . The $2 .3 billion program funds received a bachelor of science medical care, treatment, referrals and support degree in exercise science services for uninsured and underserved people and a master’s of public living with HIV disease as well as training for health health in health promotion, education and behavior care professionals . from the University of South Carolina, and is near completion of her doctoral studies . She has been She began her career in the Commissioned active in the field of sexual health education and Corps of the USPHS in 1992 . She has published community health, and has been a certified health numerous articles, participated in research education specialist for nearly 10 years . As director studies, and presented to a variety of domestic of the wellness center, Ms . Willis works with a team and international organizations and professional to provide comprehensive medical care for adults groups . Prior to joining the USPHS, Trent-Adams living with HIV/AIDS in the Lowcountry of South was a nurse officer in the U.S. Army. She also Carolina . As a native of a small, rural town outside served as a research nurse at the University of of Charleston, Ms . Willis is passionate about her Maryland . RADM Trent-Adams also completed work and committed to fighting for equal health two internships in the U .S . Senate where she opportunities for her community . focused on the prospective payment system for skilled nursing facilities and scope of practice for nurses and psychologists . She has served as guest lecturer at the University of Maryland and Hampton University . Her clinical practice was in trauma, oncology, community health, and infectious disease . She currently serves as the chair of the Federal Public Health Nurse Leadership Council, and the Federal Nursing Service Council .

RADM Trent-Adams received her bachelor of science in nursing from Hampton University, a master’s degree in nursing and health policy from the University of Maryland, Baltimore, and a doctorate in philosophy from the University of Maryland, Baltimore County . She became a fellow in the American Academy of Nursing in 2014 .

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TUESDAY, equity for all people living with HIV . Presenters will provide an overview of health equity, specific AUGUST 23, 2016 examples of policy and programmatic work to PLENARY SESSION address health equity issues, and a personal 3:30 PM - 4:30 PM perspective on the importance of health equity on achieving maximal health outcomes . TUES, AUGUST 23 TUES, Meeting Room: Marriott Marquis Ballroom Speakers include: (Level 2/Purple) ƒƒ Heather Hauck, MSW, LICSW, Deputy This plenary session will focus on the scientific Associate Administrator, HIV/AIDS and programmatic advancements in HIV care and Bureau, Health Resources and Services treatment and the role of the Ryan White HIV/AIDS Administration Program in achieving the goals of the National ƒƒ Brian Smedley, PhD, Co-founder and HIV/AIDS Strategy . Presenters will also discuss the Executive Director, National Collaborative federal government’s response to the HIV epidemic . for Health Equity Speakers: ƒƒ DeAnn Gruber, PhD, LCSW, Program ƒƒ Secretary Sylvia Burwell, U .S . Department of Director, Office of Public Health, STD/HIV Health and Human Services Program, Louisiana Department of Health and Hospitals ƒƒ Dr . Amy Lansky, Director, White House Office of National AIDS Policy ƒƒ David Holtgrave, PhD, Chair, Department of Health, Behavior, and Society, Johns ƒƒ Dr . Laura Cheever, Associate Administrator Hopkins University, Bloomberg School of and Chief Medical Officer, HIV/AIDS Public Health and Co-Chair of PACHA Bureau, Health Resources and Services Administration ƒƒ Gina Brown, MSW, Coordinator, New Orleans Regional AIDS Planning Council ƒƒ Jim Macrae, Acting Administrator, Health Resources and Services Administration ƒƒ Dr . Anthony Fauci, Director, National CONCURRENT SESSIONS, SERIES A Institute of Allergy and Infectious Diseases, 10:30 AM - 12:00 PM National Institutes of Health Session ID: 4002 Track: Quality Management WEDNESDAY, Session Title: The Improvement Journey: AUGUST 24, 2016 From Beginning to Continued Improvement PLENARY SESSION Meeting Room: Treasury (Level 4/Green) 8:30 AM - 10:30 AM Continuing Education: No Meeting Room: Marriott Marquis Ballroom (Level Learning Objectives: 2/Purple) ƒƒ Explain the importance of consumers as This session focuses on how social determinants of equal partners in the recipients’ clinical health impact the HIV care and treatment system quality management programs . and how the RWHAP has a role in achieving health

35 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24

ƒƒ Describe how to prioritize indicators for Presenters: a system-wide quality initiative, engage ƒƒ Lori DeLorenzo providers and consumers in quality ƒ management initiatives and design an ƒ Michael Hager effective health campaign. ƒƒ Susan Thorner ƒƒ Describe several models of consumer ƒƒ Nanette Magnani involvement in quality management ƒƒ Clemens Steinbock activities . Description: The National Quality Center provides Session ID: 4026 technical assistance (TA) to over 90 percent of all Ryan White HIV/AIDS Program (RWHAP) recipients Track: Health Care Landscape and has established itself as the premier TA Session Title: Building HIV Capacity in center for clinical quality management (CQM) . Primary Care and Integrating HIV Care This workshop will discuss three key subjects to Within Federally Qualified Health Centers assist RWHAP recipients in building a sustainable Meeting Room: Dupont Circle (Level 3/Silver) quality management program: basic principles Continuing Education: No and practice of quality improvement, using data to inform improvements, and sustaining the Learning Objectives: program and conducting effective evaluations. ƒƒ Describe the role of the MATEC Scholars Basic information on the practice of quality Program in addressing the shortage in HIV improvement will be introduced and will give care providers in primary care . attendees the opportunity to discuss their ƒƒ Identify foundational steps to application with the presenters . The performance establishing and evaluating an FQHC- measurement piece will build on the HAB based HIV Medicine rotation for Family presentation on Policy Clarification Notice 15-02 Medicine trainees, and identify potential concerning the requirements for a clinical quality opportunities and challenges that may arise management program . Real-world examples when initiating an HIV training experience will be introduced to elucidate key concepts . The for Primary Care residents training within workshop then moves into the importance of using an FQHC setting . data to improve and how to conduct successful PDSA Cycles . These cycles are key to introducing ƒƒ Discuss the lessons learned from two change to an organization in an organized fashion . models of collaboration and integration Lastly, we discuss strengthening the clinical between RWHAP and FQHCs . quality management program, including how Description: Rapidly evolving HIV treatment to manage effective CQM committees, assess paradigms, the aging out of existing providers, the current program using standardized tools, and the fact that persons living with HIV/AIDS and how to write/routinely update QM plans (PLWHA) have longer and healthier lives, mandate and corresponding work plans . Attendees are the need to maximize future workforce capacity introduced to a validated OA tool and taught how to care for PLWHA . Potential strategies to address to apply it using a case study . HIV workforce capacity within the Primary Care- centered health care system include engaging new clinical providers in the HIV workforce and

2016 National Ryan White Conference on HIV Care and Treatment 36 WORKSHOPS

improving integration of HIV care with existing Session ID: 6182 primary care infrastructure . Simultaneously, the Track: Health Care Landscape Patient Protection and Affordable Care Act is Session Title: An Examination of Quality giving millions of Americans new access to health Improvement Methodology and Health 10:30 AM - 12:00 PM insurance, emphasizing primary care settings as Insurance Access in a Low-Incidence State the focus of care for most chronic conditions,

WED, AUGUST 24 and giving Federally Qualified Health Centers Meeting Room: Silver Linden (Mezzanine/Red) (FQHCs) a key role in providing needed primary Continuing Education: Yes care capacity . Therefore, increasing the number Level: Beginner/Intermediate/Advanced of qualified HIV clinicians within such primary care settings may be an effective strategy to meet Learning Objectives: the future health access needs of PLWHA . In this ƒƒ Identify a minimum of two PDSA cycle session, we will review two distinct approaches models for achieving improvement in to bringing new providers into the HIV primary insurance payment error rate and cycle care workforce and explore the challenges and time . opportunities of integrating Ryan White HIV/ ƒƒ Describe a minimum of three strategies AIDS Programs (RWHAP) into FQHCs . The session for raising the visibility of and advancing includes a presentation on a community-based Ryan White Care Program priorities among mentorship program to train new HIV providers clinical providers and marketplace carriers . and a presentation on an FQHC-based HIV rotation ƒ for Family Medicine residents . These are followed ƒ Describe methodology for monitoring, by a panel discussion from leaders of four FQHCS assessing and tracking invoice error rate participating in the Special Projects of National and type through the utilization of quality Significance Workforce Development Initiative, improvement tools . discussing the opportunities and challenges of Description: In this session, participants will integrating RWHAP and FQHC programs . hear about a state-level collaborative quality Moderator/Presenter: Steven Bromer improvement (QI) effort to increase efficiencies in Affordable Care Act marketplace and Ryan Presenters: White Care Program (RWCP) coverage for people ƒƒ Jeannette Aldous living with HIV in New Hampshire . In 2015, the ƒƒ Malinda Boehler NH RWCP assembled a QI team tasked with assessing and addressing issues of coordination ƒƒ Steven Bromer with marketplace carriers and clinical providers . ƒƒ Bill Hoelscher The assessment process identified multiple ƒƒ Ricardo Rivero systemic failures, resulting in coverage delays and billing errors . Through a series of PDSA (Plan, ƒƒ Zack Sharp Do, Study, Act) cycles, the team tested methods ƒƒ María Luisa Zúñiga for increasing efficiencies, such as direct onsite ƒƒ Danielle Lazar educational sessions with provider billing offices and the development and dissemination of billing guidance materials. Results identified were: (1) a decrease in the billing error rate from 51 percent to 24 percent; (2) more than 41 hours of staff time

37 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24 saved annually; and (3) 80 percent of providers ƒƒ Demonstrate the ability to integrate receiving an educational visit, which indicated an transnationalism into intervention increase in their knowledge of billing and coverage delivery and evaluation through tools policies and procedures . As a result of this QI including navigator notes and logs, process, the RWCP team identified additional ETAC transnational framework, and CHS coverage needs for clients . Examples of these are: transnational checklist . (1) The RWCP staff worked with the contracted Description: Transnationalism refers to living Pharmacy Benefit Manager to resolve challenges and operating across national boundaries and is related to mail-order requirements, resulting considered non-linear and fluid. For migrants this in increased consistencies in critical medication process can involve maintaining connections with access; (2) In late 2015, the RWCP expanded home communities while establishing themselves in coverage of health insurance premiums to include places of settlement . As part of the Medicare Supplementary plans, resulting in HRSA/SPNS Culturally Appropriate Interventions of increased parity of coverage for all clients; and (3) Outreach, Access and Retention among Latino(a) The RWCP identified a marketplace carrier with a Populations, three geographically diverse sites statewide provider network to ensure coverage developed novel interventions incorporating regardless of geographic location . transnationalism to engage and retain participants in Presenters: HIV care . Two sites developed individual, one-on-one ƒƒ Kirsten Durzy patient navigator interventions targeting men and women of Mexican origin; one site developed cultural ƒ ƒ Sarah McPhee competency training for providers delivering health ƒƒ Christopher Cullinan care to justice-involved Puerto Ricans living in New York and transitioning from jail to the community . The patient navigator interventions are being implemented Session ID: 6332 in two very different settings: small, disperse cities Track: Emerging Issues and towns across the state of North Carolina and a Session Title: Transnational Practices and large urban county including the city of Chicago . In Engagement in Care: Lessons from the SPNS both sites, the patient’s life story provides a foundation Latino Access Initiative for collaborative reflection about transnational Meeting Room: Capitol (Level 4/Green) influences on health beliefs, stigma, gender roles, and engagement in health care . The patient navigators Continuing Education: Yes focus on critical transnational factors such as social Level: Intermediate support networks in the United States and countries of Learning Objectives: origin, mobility and employment, and stigma related to disclosure, among others . The third site, located in ƒƒ Define what is meant by transnationalism New York City, is training jail and community providers and describe what influences transnational on culturally appropriate patient engagement and practices . service delivery . They also are matching Puerto Rican ƒƒ Apply knowledge gained in this workshop patients transitioning to the community with Puerto to successfully integrate transnational goals Rican care coordinators and have partnered with a into an ongoing intervention, intervention Puerto Rican-based community organization to secure development, or clinical practice . care transition over the “air bridge” between New York and Puerto Rico .

2016 National Ryan White Conference on HIV Care and Treatment 38 WORKSHOPS

Presenters: who attend HIV outpatient/ ambulatory care ƒƒ Lisa Hightow-Weidman medical appointments, have mental/oral health screenings, obtain viral load suppression, etc ., and ƒƒ Janet Wiersema provide verification through a “health passport”

10:30 AM - 12:00 PM ƒƒ Pamela Vergara-Rodriguez during each group session are given charms as performance measure acknowledgements

WED, AUGUST 24 for improved health outcomes . This is similar Session ID: 6345 to acknowledgements for sobriety-time in the Track: Innovative Practices Narcotics Anonymous 12-step realm, which Session Title: Phenomenal Woman! Peer to uses key chains . The intended audience for this Peer Psychosocial Group workshop is consumers, peer leaders, directors, Meeting Room: Catholic University (Level 1/Blue) program coordinators, and other frontline staff. This workshop is a highly interactive session that Continuing Education: Yes will invoke creativity in engaging consumers to Level: Intermediate play a vital role in your organization’s, quest to Learning Objectives: enhance health outcomes via adapting the core components to the PWPPPG model . ƒƒ Identify an exciting new model that integrates peer support into the medical Presenters: care setting . ƒƒ Danielle Warren-Dias ƒƒ Identify how to adapt core components of ƒƒ Myrna Millet-Saez the presented peer-to-peer psychosocial group model to different populations. Session ID: 6380 ƒƒ Recognize ways to use this peer-to-peer Track: Emerging Issues group model for quality improvement projects . Session Title: Retaining Multiply Diagnosed, Homeless HIV Positive Individuals in This highly effective and cost-efficient Description: Medical Care, Behavioral Health, and Case peer-to-peer group model was developed for and Management by HIV-positive women . The core elements of the model are adaptable to serve all vulnerable Meeting Room: LeDroit Park (Level 3/Silver) populations . PWPPPG was developed from a Continuing Education: Yes gap in services identified by clients and support Level: Intermediate staff; it addresses needs specific to women living Learning Objectives: with HIV in a safe, supportive and confidential environment . The peer-to-peer group model ƒƒ Describe challenges experienced by HIV uses a hybrid of adapted core components from positive individuals with mental health the evidence-based 12-Step recovery program, and/or substance use disorders who are Narcotics Anonymous, and best practices from our homeless or unstably housed . program’s models . The 12 steps are used to guide peer participants to a healthier “me” through the integration of HRSA’s performance measures into the group setting . For example, peer participants

39 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24

ƒƒ Articulate effective strategies to engage housing status for HHR clients . The presentation and retain HIV positive individuals with will conclude with an interactive and experiential mental health and/or substance use process that engages the audience in discussing disorders who are homeless or unstably case studies of clients with complex needs and housed in medical care and treatment . potential strategies to promote desired outcomes . ƒƒ Discuss appropriate interventions and strategies to address client needs and Session ID: 6393 challenges as described in selected case Track: Health Care Landscape vignettes . Session Title: Closing Gaps in the Presenters: Continuum By Employing Certified HIV Peer ƒƒ Luis Moreno Navigators ƒƒ Benjamin Callaway Meeting Room: Scarlet Oak (Mezzanine/Red) Description: The HRSA/SPNS Initiative, “Building a Continuing Education: Yes Medical Home for Multiply Diagnosed HIV-positive Level: Intermediate Homeless Populations” aims to achieve the NHAS Learning Objectives: goals of retention in care, viral suppression and improving housing stability for people living with ƒƒ Recall the NYS AIDS Institute and New York HIV and who are experiencing homelessness Ryan White Part A EMA’s efforts to support or unstable housing . The Health, Hope, and the development of a peer workforce to Recovery (HHR) program of AIDS Arms in Dallas address gaps in the care continuum . provides intensive case management utilizing ƒƒ Increase knowledge of NYS AIDS Institute’s evidence-based strategies to engage HIV-positive work on peer certification to inform local, individuals with mental health and/or substance jurisdictional peer certification efforts. use disorders, and who are homeless, in HIV ƒƒ Increase understanding of best practices medical care. These individuals are difficult to to support the development of a peer reach and face significant challenges and barriers workforce through procurement, training, to engaging with and being retained in HIV and technical assistance . medical care, behavioral health care and/or social services. This presentation will review specific Description: The New York State (NYS) Blueprint strategies and tools that have shown promise with for Ending the Epidemic recommended that the engaging and retaining clients in care, including NYS AIDS Institute (NYS AI) develop a process motivational interviewing, cognitive behavioral for certification of peer workers. Peer-delivered therapy and solution-focused therapy, strengths- services are an important component in meeting based counseling, and harm reduction, as well as the NYS goal of ending the AIDS epidemic . It is the provision of emergency housing . It will discuss anticipated that peer workers will play a critical strategies for transitioning high-acuity clients from role in increasing linkage and retention in care intensive care coordination to standard of care . It for people with HIV/AIDS (PLWHA) and HCV . The also will explore the role of community partners in NYS Peer Certification effort standardizes training helping to serve complex needs of this population and will increase recognition of peer workers and address sustainability . The presentation will throughout the care and support service system provide outcomes data on retention in care and with future plans for Medicaid reimbursement . In alignment with the NYS Peer Certification efforts,

2016 National Ryan White Conference on HIV Care and Treatment 40 WORKSHOPS

the NYC Part A program has incorporated HIV ƒƒ Identify communication barriers with Peer Navigators in Ryan White service models providers, consumers, or other community to support engagement of PLWHA in care and partners . treatment while also addressing income as a social Description: Jill Weber, Jenna Kivanc, and Amanda 10:30 AM - 12:00 PM determinant of health for PLWHA . Use of peer Hurley are part of the Portland TGA Part A Grantee workers in the program supports effective helping team . They have more than 20 combined years of WED, AUGUST 24 relationships through the employment of trained experience in administering and providing Ryan staff with common experiences to foster trust and White services/programs . As research analysts, support linkage and retention in care and viral Jill and Jenna are responsible for oversight of load suppression . The NYS AI will share its peer data management, and collection/reporting of certification development process, established clinical outcomes and performance measures . competencies, code of ethics, practicum, and Amanda is the Part A contract monitor and works training requirements while the NYC RW Part A closely with providers to ensure that programs program will review service models incorporating remain in compliance . The team has worked to peer workers, training requirements, tips on RFP provide more data to inform program design and language, contracting, and technical assistance to improve communication with stakeholders . to ensure adequate support of a peer workforce . The Part A Portland TGA Grantee team has Through this panel discussion, other jurisdictions found dynamic ways to interact and effectively that are interested in supporting a peer workforce communicate with providers and the Planning will learn best practices to incorporate peer staff Council . These communication tactics include a in their local health care systems . Ryan White contractor website, webinars in how to Presenters: use CAREWare, and popular education techniques ƒƒ Graham Harriman used to explain performance measures . This session will describe the various strategies used ƒ ƒ Cassandra Kahl that have improved stakeholder relations and have increased the use of data to inform program Session ID: 6421 planning . Improvements that have been noted Track: Innovative Practices as a result of these communication strategies include: decreased administrative burden for Session Title: Use of Multiple providers and grantees, increased knowledge Communication Strategies for Stakeholder of HRSA performance measures, increased Engagement understanding of HRSA reporting requirements, Meeting Room: University of District of Columbia and improved access to data about Ryan White (Level 1/Blue) clients that has helped contractors improve their Continuing Education: No programs . This session will include an interactive data training activity that can be adapted to meet Level: Intermediate the needs of individual grantees . Learning Objectives: Presenters: ƒƒ Facilitate interactive activities to explain ƒƒ Amanda Hurley HAB/HHS measure definitions. ƒƒ Jenna Kivanc ƒƒ Adapt communication methods to engage stakeholders effectively. ƒƒ Jill Weber

41 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24

Session ID: 6463 footing in order to achieve the funding levels Track: Innovative Practices necessary to support statewide improvements for National HIV/AIDS Strategy (NHAS) success . The Session Title: Putting Care Before session will describe how to establish a system Competition: SC Works Together for NHAS of funding for NHAS Interventions such as: 1) Success An outreach workforce that is linked to Data to Meeting Room: Gallaudet (Level 1/Blue) Care and the In+Care Campaign; 2) Specialized Continuing Education: No medical case management for PLWH as they re-engage in care; 3) Peer treatment adherence Level: Intermediate and peer training to promote retention in care Learning Objectives: and therapy; and 4) Viral hepatitis expansion ƒƒ “Build It and They Will Come”–Participants for PLWH through the ADAP . Program directors, will learn replicable techniques used managers and coordinators will hear about South in South Carolina to develop statewide Carolina’s innovative approach to “vigorously initiatives that support targeted NHAS pursuing” health insurance coverage, which set improvement . the stage for fiscal collaboration and enabled the ƒƒ “Show Me the Money”–Participants will state to channel millions of dollars to address learn replicable strategies from the SC RW unmet needs across RW-Parts A-F . Participants Part B Program to: 1) vigorously pursue will learn quality strategies to enhance ACA enrollment and 2) leverage care and performance outcomes of new and existing treatment cost-savings to fill unmet need interventions by using existing data systems to gaps statewide, across programs and Ryan avail useful information to providers when it White funding parts . Participants will also is needed most – just prior to point of service . learn how 340B spending compliance Participants will leave with replicable methods ensures sustainable resources for NHAS of innovation, as South Carolina shares its four initiatives and service expansion needs (4) successful strategies during the interactive identified through the SCSN and integrated session topics: 1) Build It and They Will Come; 2) planning process . Participants will learn Show Me the Money; 3) ADAPting for Treatment replicable strategies to expand provider Success; and 4) The Proof Is in the Pre-visit. capacity through technology enhancements Presenters: by awarded funds from ADAP . ƒƒ Roshan McDaniel ƒƒ ADAPting for Treatment Success — ƒƒ Christal Davis Participants will learn replicable strategies ƒƒ Birddie Felkel from the SC ADAP to expand access to treatment, to address the enhanced care needs of PLWH who are on ART, and to Session ID: 6469 coordinate systems of client-centered Track: Quality Management solutions among ADAP . Session Title: The DCHAP Clinical Site Description: The SC Ryan White Part B Program Visit Review for Recipients and Clinical demonstrates its use of four innovative strategies Reviewers: Tools and Tips that shifted the HIV/AIDS Care System 340B Meeting Room: Shaw (Level 3/Silver) programs from a competitive to a collaborative

2016 National Ryan White Conference on HIV Care and Treatment 42 WORKSHOPS

Continuing Education: Yes Learning Objective: Level: Advanced ƒƒ List the ways that coordinating health Learning Objectives: and housing care systems improve health outcomes for persons living with HIV/AIDS

10:30 AM - 12:00 PM ƒ ƒ Discuss at least one of the requirements to (PLWH) . be a RWHAP Part C and D clinical site visit

WED, AUGUST 24 reviewer . Description: Studies consistently find homelessness and housing instability are directly ƒ ƒ Discuss at least three items that will be linked to higher viral loads and failure to achieve reviewed during the RWHAP Part C and D or sustain viral suppression, even after controlling clinical site visit review and verbalize the other factors known to impact treatment rationale behind those items . effectiveness, such as substance use and mental ƒƒ Name and identify at least three resources health needs . In order to ensure that PLWH to prepare for the RWHAP Part C and D achieve maximum health outcomes, health care, clinical site visit review . and housing services systems must find unique Description: Are you interested in becoming a Ryan strategies to fund a collaborative system of care White HIV/AIDS Program (RWHAP) Part C and/or for people experiencing housing instability . D clinical site visit reviewer? Do you want to know During this workshop, federal employees from what the clinical review at your site will entail? If so, HRSA’s HIV/AIDS Bureau and HUD’s Office of this very engaging and interactive session is for you! AIDS Housing will discuss how each program can The session will be tailored to RWHAP Part C and D support housing and housing support services as recipients and aspiring clinical site visit reviewers . The well as the ways each program can work together session will provide a better understanding of the to bridge gaps in care . The bulk of the session will clinical portion of the site visit review . Clinical site visit focus on Ryan White HIV/AIDS Program (RWHAP) tools will be shared and resources will be provided to and Housing Opportunities for Persons with AIDS support the clinical and clinical quality management (HOPWA) recipients who have developed unique program . Guidance and suggestions will be provided funding strategies to augment health care and on how to ensure your program in up to date and, if housing programs targeting PLWH . The recipients not, where to find additional assistance. will discuss their innovative strategy for leveraging health care and housing funding, highlight Presenter: solutions to commonly experienced barriers, ƒƒ Carrie Jeffries and initiate dialogue with attendees interested in implementing new strategies . Session ID: 6528 Moderator/Presenter: Amy Griffin Track: Emerging Issues Presenters: Session Title: Leveraging Federal Ryan ƒƒ Rita Flegel White HIV/AIDS Program and Housing ƒƒ Benjamin Ayers Funds and Services ƒƒ Harold Phillips Meeting Room: Judiciary Square (Level 3/Silver) ƒƒ Kate Briddell Continuing Education: Yes ƒƒ Gilo Thomas Level: Intermediate ƒƒ Mary Marr

43 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24

ƒƒ Amy Palilonis developed by HHR include commentary from an ƒƒ Jennifer Pepper interventionist to highlight the various strategies and techniques used to increase housing stability ƒ ƒ Nahid Suleiman and linkage to and retention in care . Community exCHANGE: “People Living with …” is the second Session ID: 6529 season of the Asian & Pacific Islander Wellness Center podcast . This season’s stories explore the Track: Emerging Issues intersectionality of stigma and the experiences of Session Title: Everybody Loves a Good Story: PLWH, racism, transphobia, mental health issues, Using Digital Media to Capture and Share substance use, and more . A group activity will Patient Stories be included to assist other agencies in drafting Meeting Room: Capitol Hill (Level 3/Silver) a basic plan on how to design and create digital Continuing Education: Yes media product for their agency . Level: Beginner Presenters: Learning Objectives: ƒƒ Jane Fox ƒƒ Describe two types of digital storytelling ƒƒ Janell Tryon used . ƒƒ Nicole Chisolm ƒƒ Discuss some of the successes and challenges in producing the digital media Session ID: 6575 products presented . Track: Healthcare Landscape ƒƒ Describe basic elements needed to design Session Title: Identifying and Assessing digital media products . Business Model Adoption for HIV Program Description: Digital storytelling is powerful Sustainability methodology to document patient stories to Meeting Room: Dogwood (Mezzanine/Red) inspire, influence, inform, move, and engage others in efforts related to providing care and Level: Intermediate/Advanced services to PLWH . This workshop will showcase Learning Objectives: digital media products of two SPNS-funded ƒƒ Understand the need to assess agencies working with PLWH who are homeless organizational and program sustainability in or unstably housed . Presenters will share their the changing HIV and healthcare landscape processes in designing and creating their digital ƒƒ Identify existing opportunities to implement media products, their experiences in working new business models for HIV program with PLWH on these stories, successes and sustainability challenges encountered, and how they plan to use and disseminate their digital media products . ƒƒ Describe existing tools for assessing Health, Hope and Recovery (HHR) at AIDS Arms organizational capacity, internal and in Dallas employs care coordinators to deliver a external opportunities and threats, and high-intensity patient navigation intervention . HHR assumed risk to determine business model is developing narrated photo stories to explore adoption the patients’ experience completing the HHR Description: The new HIV care delivery model in intervention and achieving stability . The stories the US, impacted by the ACA and private market

2016 National Ryan White Conference on HIV Care and Treatment 44 WORKSHOPS

reforms, is driving public funding reallocations Continuing Education: Yes resulting in cuts to ASO/CBOs and their publicly Level: Intermediate funded HIV prevention services . National health policy developments stemming from Learning Objectives:

10:30 AM - 12:00 PM the National HIV/AIDS Strategy, Healthy People ƒƒ Describe RWHAP Policy Clarification 2020, and CDC’s and HRSA’s Strategic Plans, Notices (PCN) 15-03 and 15-04 related to

WED, AUGUST 24 among others, also are driving rapid change in RWHAP-related program income and service delivery, payment reform and technology pharmaceutical rebates . utilization at the local level . The intersecting ƒƒ Understand of how to use the program complexities of healthcare reform and HIV guidance in RWHAP PCNs 15-03 and 15-04 require implementation of new business models in program implementation . to enhance organizational fiscal management, ƒƒ Share strategies to appropriately use revenue diversification and generation, and RWHAP-related program income and partnership development to sustain HIV services rebates in a manner consistent with RWHAP within ASO/CBOs . Leaders of these organizations PCNs 15-03 and 15-04 . are not adequately equipped to respond to the changing landscape, but are charged with Description: The HIV/AIDS Bureau has released ensuring the sustainability of their organization . several policy notices: 15-03: Clarifications This 90-minute workshop will address how ASO/ Regarding the Ryan White HIV/AIDS Program CBO leaders can assess organizational capacity and Program Income and 15-04: Utilization and and risk in implementing sustainable business Reporting of Pharmaceutical Rebates, to provide models within their organizations . As ASO/CBOs further clarification on how program income and are weighing opportunities to integrate third- pharmaceutical rebates must be reported and party billing, expand clinical services in HIV or used . Changes in the health care system have other disease states, and/or become a medical resulted in many RWHAP recipients and providers provider or medical home, there are various receiving program income due to an increased factors that must be assessed to identify the number of clients becoming eligible for services practicality of those endeavors . The workshop paid for by other payers . Some recipients and will discuss several business model opportunities subrecipients have developed processes and and walk participants through the utilization of mechanisms to expend their program income an assessment tool that addresses organizational and rebate dollars in an efficient, effective, and capacity, internal and external opportunities and scalable manner while recognizing that program threats, and assumed risk in order to determine income and pharmaceutical rebate dollars may the most beneficial business model for their vary from year to year . This interactive session organization . Presenters: Marissa Tonelli will provide additional guidance related to policy clarification notices 15-03 and 15-04 and will provide participants with an opportunity to Session ID: 6643 share their own strategies for appropriately Track: Quality Management planning for and expending program income and Session Title: Addressing the Opportunities pharmaceutical rebates . and Challenges Afforded by Program Presenters: Income and Pharmaceutical Rebates ƒƒ Connie Jorstad Meeting Room: Marquis Salon 14 (Level 2/Purple)

45 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24

ƒƒ Holly Berilla and Implementing Targeted Evidence-based/ ƒƒ Glenn Clark informed Interventions, Linkage to Care and Affordable Care Act (ACA)-Related Changes to HIV ƒ ƒ Michelle Li Care Systems . The ultimate goal of the project is to help Part A jurisdictions develop tailored, Session ID: 6654 innovative approaches to 1) improvement in Track: Innovative Practices the HIV care continuum outcomes; 2) apply data-driven, evidence-based strategies for Session Title: Strengthening/Improving the improving population health and specific HIV HIV Care Continuum within Ryan White outcomes across systems of care; and 3) scale- HIV/AIDS Program Part A Jurisdictions up interventions to improve HIV outcomes by Meeting Room: George Washington University stimulating action across city/county health (Level 1/Blue) departments. The first learning collaborative Continuing Education: Yes will be launched in July 2016 . A virtual platform supports regular interactive meetings, multi- Level: Intermediate directional file sharing, synchronous and Learning Objectives: asynchronous communication, organized ƒƒ Understand how RWHAP Part A jurisdictions training and technical assistance, and peer-to- are applying the HIV care continuum peer learning . A mixed method evaluation of framework to their HIV prevention and care success will be conducted through key informant activities . interviews/discussions, data analysis, and post- collaboration activities . Proximal outcomes ƒƒ Give examples of specific HIV care measures may include: new data sharing continuum improvement domains that can agreements, improvement in linkage activities, be pursued within or across jurisdictions . and implementation of new strategies and new ƒƒ Identify the approaches/techniques cross-jurisdictional/system level activities . involved in a national learning collaborative Moderator/Presenter: Monique Richards model . Presenter: Description: In response to the 2015 National HIV/AIDS Strategy, Goal 2, HRSA/HAB has funded ƒƒ Steven Young a national project engaging Ryan White HIV/ AIDS Program (RWHAP) Part A recipients in an Session ID: 6657 interactive process to address the HIV epidemic in their respective jurisdictions using the HIV Care Track: Data to Care Continuum framework. This effort is consistent Session Title: Examining Ryan White with other HAB priorities related to data Program Funding: Is the Money Following utilization/integration, and evidence-informed the Epidemic? intervention dissemination and implementation Meeting Room: Marquis Salon 13 (Level 2/Purple) with specific populations. Eighty percent of Continuing Education: Yes RWHAP Part A recipients participated in the first phase to identify domains of interest: Data Level: Intermediate Access and Coordination, Using Data to Inform Learning Objectives: Evidence-based/informed Approaches, Identifying

2016 National Ryan White Conference on HIV Care and Treatment 46 WORKSHOPS

ƒƒ Understand the congressional Presenters: appropriations process and current ƒƒ Natalie Kean funding status for the Ryan White HIV/AIDS ƒ Program . ƒ Nick Taylor

10:30 AM - 12:00 PM ƒƒ Learn where the Ryan White Program funding is being distributed by each Session ID: 6660 WED, AUGUST 24 program part and how much each state/ Track: Emerging Issues territory is receiving per HIV case count . Session Title: 101: Strengthening the Health ƒƒ Learn how current supplemental funding is Care Delivery System through Planning being distributed and discuss ideas on how Meeting Room: Magnolia (Mezzanine/Red) to distribute funding to areas with unmet Continuing Education: Yes need . Level: Basic/Intermediate Description: One of the National HIV/AIDS Strategy’s goals is to bring more people living with Learning Objectives: HIV into care and treatment and retain them in ƒƒ Identify the key components of the care in order to achieve viral suppression . The planning cycle and how it is used to achieve Ryan White HIV/AIDS Program (RWHAP) is critical NHAS goals . to achieving this goal . The strategy also discusses ƒƒ Apply Parity, Inclusion and Representation, the importance of the need for funding to follow and data-driven decision-making in the epidemic . In order to achieve the strategy’s planning . goals, the RWHAP must continue to be funded and its grant awards should be following the epidemic . ƒƒ Use planning to develop approaches that This workshop will examine recent funding for lead to a reduction in health disparities . each part of the Ryan White Program, including Description: Good planning is imperative for the president’s budget and congressional action, effective decision-making to develop systems along with an update on the fiscal year 2017 of prevention and care that are responsive to appropriations process . Second, a nationwide the needs of persons at risk for HIV infection analysis of where current Ryan White Program and PLWH . Planning is a multi-step process and funding is distributed by part will be presented is the most essential role of a planning body . A along with an analysis of the funding in relation to strong planning process allows the planning body the number of HIV/AIDS cases in each state . Third, to develop a course for effectively meeting the analysis will be presented on the distribution of service delivery needs of PLWH and for achieving a Part B Base and ADAP Supplemental Funding comprehensive system of care . Duties of a planning along with ideas on how funding can better be body include setting priorities and allocating distributed to those areas with unmet need . resources, developing and completing a needs Audience members will be able to react to the assessment, comprehensive planning, evaluating data presented, offer their views on how well Ryan the effectiveness of care strategies, developing White Program grants are being distributed under service standards, and quality management . It is the current law, and suggest changes that could important to establish infrastructure for planning be made in the future . bodies to create an environment where all equally Moderator: Carl Schmid participate and carry out planning tasks or duties in the planning process .

47 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24

Moderator/Presenter: Amelia Khalil for AI/AN patients are highly variable by state . This Presenters: panel discussion will present field-based examples of successes and challenges that IHS and Ryan ƒ ƒ Lennwood Green White programs have had when collaborating on ƒƒ Frances Hodge continuity of care for patients in Indian Country ƒƒ Gary Cook with special attention to the practicalities of working with rural HIV+ populations . This panel is ƒƒ Hila Berl ideal for any participants who are seeking to work ƒƒ Emily McKay closer with AI/AN populations in their state . Moderator/Presenter: Theresa Friend Session ID: 6669 Presenter: Track: Health Care Landscape ƒƒ Candace Webb Session Title: Improving Continuum of Care Outcomes in the American Indian/ Alaska Native population Session ID: 6686 Meeting Room: Cherry Blossom (Mezzanine/Red) Track: Emerging Issues Continuing Education: Yes Session Title: The Modernization of Case Management: Lessons from the Road and Level: Beginner on the Ground Learning Objectives: Meeting Room: Georgetown (Level 1/Blue) ƒƒ Define HIV/AIDS epidemiology and trends Continuing Education: Yes among AI/AN persons . Level: Intermediate ƒƒ Identify and prioritize barriers and Learning Objectives: opportunities to linkage to care for AI/AN patients . ƒƒ Learn about best practices in case management of HIV . ƒƒ Improve linkage to care and customer service for AI/AN patients . ƒƒ Conceptualize the role of training in the development of case management capacity . Description: The Indian Health Service (IHS) is a federal agency under HHS that is the primary ƒƒ Learn how the Iowa Part B grantee has health care provider to American Indian/ utilized training and structural changes to Alaska Native (AI/AN) populations . IHS serves ensure clients/patients are getting the level approximately 2 million American patients across and quality of services they need . 35 states . The IHS system is composed of hospitals Description: Case management is one of the most and a large network of rural primary health clinics . critical pieces of any HIV service delivery system . A While in absolute numbers the number of AI/ case manager is the gatekeeper to resources and AN patients with HIV are relatively low, gaps in referrals, a teacher of HIV health literacy, a builder care exist . According to CDC, survival rates of AI/ of motivation to change, and a therapeutic ear AN after an AIDS diagnosis are among the lowest hearing stories of stigma, discrimination, trauma, of any race/ethnicity . However, some states addiction, homelessness and other intense issues . have recently reported that AI/AN have excellent The ability of a case manager to meet diverse linkage to care, suggesting that linkages to care roles is a key determinant of health outcomes .

2016 National Ryan White Conference on HIV Care and Treatment 48 WORKSHOPS

Finding best practices in case management has ƒƒ Report on the successes and challenges of been difficult since it evolved, and continues engaging community leaders around HIV/ to evolve, differently around the country. This AIDS . workshop examines intersecting efforts to identify ƒƒ Identify the roles of community leaders 10:30 AM - 12:00 PM best practices in case management. The first in shaping the response to HIV/AIDS perspective comes from the Iowa Department disparities experienced by communities of WED, AUGUST 24 of Public Health (IDPH), which recently has taken color . on a complete overhaul of its case management system, instituting a comprehensive tiered Description: This workshop assesses the role of approach . The second is from a training and the grantee and other stakeholders in reducing the quality perspective as the nonprofit Coldspring impact of HIV/AIDS in disproportionately affected Center has searched for a way to partner with populations of color . Racial disparities persist across grantees and providers to improve the capacity the treatment cascade . Addressing racial dipartites of case management services across the country . in HIV/AIDS is implicit in the responsibilities of the These searches for best practices connected grantee, planning council and community leaders . five years ago when IDPH brought Coldspring Our main objective is presenting efforts through Center staff to Des Moines for a medical case systems assessments, workgroup formulation, key- management certificate program. This workshop informant interviews, and strategic planning . We brings together the lessons learned by both employ principles of community-based participatory parties and how training and capacity building research (CBPR) to form three distinct workgroups has been positioned to improve outcomes . Learn made up of community leaders, including HIV how grantees can combine research, training, and prevention and care staff. The objectives are to systems thinking to modernize case management analyze two main systems activities: community to meet the evolving health care challenges in this engagement with the Ryan White Planning Council time of uncertainty and change . and culturally specific gaps in the provision of care and prevention services . Moderator/Presenter: Matt Bennett Presenter: Presenter: ƒƒ Thuan Micah Tran ƒƒ Holly Hanson ƒƒ Elton Naswood

Session ID: 6702 Session ID: 6745 Track: Innovative Practices Track: Emerging Issues Session Title: Engaging Community Leaders at the Intersection of Advances in HIV/AIDS Session Title: Current and Future Trends in care & Persistent Racial Disparities HIV Housing Policy Meeting Room: Howard University (Level 1/Blue) Meeting Room: Union Station (Level 3/Silver) Continuing Education: Yes Continuing Education: Yes Level: Beginner Level: Advanced Learning Objectives: Learning Objectives: ƒƒ Describe the CBPR approach to addressing HIV/AIDS disparities .

49 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM WED, AUGUST 24

ƒƒ Overview of current national policy efforts strategies to create effective housing systems related to the expansion of housing integrated with Ryan White, and provide best resources for persons living with HIV/AIDS . practices and strategies to enhance local housing ƒƒ Discuss examples of local strategies to advocacy efforts to better connect with health and increase and better coordinate housing other systems of care . with Ryan White and Medicaid . Moderator/Presenter: Russell Bennett ƒƒ Provide community-level examples of policy Presenters: and advocacy strategies to increase ƒƒ Russell Bennett housing resources . ƒƒ Kathy Hiers Description: The National AIDS Housing ƒ Coalition (NAHC) works to sustain and increase ƒ Shawn Lang the array of housing options for persons living with HIV/AIDS . NAHC accomplishes this work Session ID: 6767 through policy analysis and advocacy, research Track: Data to Care dissemination, and capacity development . With the implementation of ACA and the accompanying Session Title: Methods to Generate a Local Estimate of the Prevalence of HIV/ expansion of Medicaid, the systems of care AIDS Including those Undiagnosed in supporting individuals living with HIV/AIDS are Massachusetts changing . There is increased recognition supported by a body of peer-reviewed research Meeting Room: Marquis Salon 12 (Level 2/Purple) demonstrating housing as an effective structural Continuing Education: Yes intervention critical to HIV prevention, increased Level: Advanced access to care, increased maintenance of care, and improved health outcomes . NAHC has hosted the Learning Objectives: Housing and HIV Research Summit for eight years, ƒƒ Learn about different methods of bringing together researchers, practitioners, and estimating undiagnosed HIV infected policy-makers to develop evidence-based housing population . practices and their positive effects on treatment ƒƒ Outline the variations of prevalence using outcomes. Key to these housing efforts is the different methods. Housing Opportunities for Persons with AIDS ƒ (HOPWA) Program . HOPWA is critical to connecting ƒ Communicate different strategies of the multiple systems that constitute the array of estimating prevalence . services accessed by persons living with Description: Community advocates expressed HIV/AIDS including health care, affordable concerns that nationally published estimates of housing, employment, behavior health, and HIV prevalence in Massachusetts overestimated education . This session will focus on key policy the undiagnosed population; however no and program initiatives not only to expand and systematic evidence was available to test these improve the HOPWA program (i .e ., HOPWA concerns . We reviewed the literature for methods modernization) but other affordable housing that would allow use of local data as parameters resources. The session also will discuss efforts for simple models to estimate the number of to expand housing resources through Medicaid people living with HIV/AIDS (PLWHA) . We selected and other health care providers, discuss current four methods based on data available locally .

2016 National Ryan White Conference on HIV Care and Treatment 50 WORKSHOPS

These were: 1) the ”multi-parameter evidence ƒƒ Discuss political strategies for implementing synthesis” method developed by the Working streamlined eligibility systems in multi- Group on Estimation of HIV Prevalence in Europe, jurisdiction areas . which uses seroprevalence by risk group; 2) the ƒƒ Gain a high-level understanding of 10:30 AM - 12:00 PM Fellows et al . method to estimate the undiagnosed technology resources that support higher fraction of HIV cases, developed in Seattle; eligibility compliance rates and decreased WED, AUGUST 24 3) the CDC ”back calculation” method, based RSR reporting burden . on HIV surveillance data with SAS and R code made available by CDC; and 4) the Lodwick et Description: “The burden of eligibility paperwork!” al. ”modified London” method to estimate HIV wailed thousands of clients and hundreds of Ryan infected persons with need for treatment based White providers from across the country . How can on CD4+ T-cell count at diagnosis . We adapted we accelerate access when our eligibility systems these methods using local publicly funded HIV are bogged down in red tape, varying eligibility testing data and HIV surveillance data . Through due dates, and errors? The Phoenix EMA has been these methods, we estimated 22,500-33,200 testing and implementing centralized eligibility PLWHA, including those who were undiagnosed . models since 2007 when it was revealed that an Three of the methods yielded similar values average of 37 percent of all applications were fully ranging from 22,500-24,500, with the CDC method compliant . In a review of 2015 data, 99 percent of yielding 33,200 individuals . Local data applied to the 692 eligibility checks were compliant . During more than one method can provide a range of the 2015 RSR reporting cycle, only 12 of 4,143 values that enable a more realistic estimate of clients had missing data . This session will present undiagnosed HIV-positive individuals to guide HIV four centralized eligibility solutions that support prevention program activities . NHAS goals to increase access to care and achieve a more coordinated response . The solutions range Presenter: in complexity from a single eligibility reviewer ƒƒ Betsey John located in the Ryan White Part A Office to a statewide Ryan White eligibility status that can be generated and accepted by both Ryan White Session ID: 6782 Part A and ADAP staff. Throughout the session, Track: Innovative Practices participants will access contract language and Session Title: How to Implement a Highly detailed implementation tools, and discuss data Compliant, Centralized Eligibility System system requirements for central eligibility models . Meeting Room: Mount Vernon Square Participants will review automated logic checks (Level 3/Silver) that support high compliance and completion of required data . Panelists will present political Continuing Education: Yes strategies for implementing centralized eligibility Level: Advanced when relationships are tense and how eligibility Learning Objectives: data was integrated into the clinical quality improvement framework . Most importantly, this ƒƒ Review and identify at least one centralized session will present how multiple programs and eligibility intervention that could be recipients came together to meet compliance implemented in the local jurisdiction . requirements leading to a PATIENT FIRST cross- part eligibility system . –Participants are asked to

51 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24 bring their cell phones to vote during the session. CONCURRENT SESSIONS, SERIES B Moderator/Presenter: Carmen Batista 1:30 PM - 3:00 PM Presenter: Session ID: 4011 ƒƒ Rose Conner Track: Emerging Issues Session Title: Emergency Preparedness Session ID: 8008 Planning for Ryan White Programs Track: Health Care Landscape Meeting Room: Marquis Salon 15 (Level 2/Purple) Session Title: Forward Momentum, HRSA Continuing Education: Yes Implementation of the National HIV/AIDS Strategy: Updated to 2020 Learning Objectives: Meeting Room: Georgetown (Level 1/Blue) ƒƒ Describe basic components of an emergency preparedness plan . Continuing Education: No ƒƒ Identify resources for developing an Description: This panel will explore the Health emergency preparedness plan . Resources and Services Administration’s response to the National HIV/AIDS Strategy: Updated to 2020 ƒƒ Determine next steps for developing and (NHAS 2020) and discuss progress-to-date on 2016 implementing an emergency preparedness commitments and beyond . Included in this panel plan in your Ryan White program or agency . are discussions from HRSA staff about how they Description: This session will provide an are carefully focusing existing work and tailoring opportunity to learn, share, and discuss new activities for the NHAS 2020 . Participants emergency preparedness planning in the context can expect to learn about HRSA key action items, of Ryan White programs . The workshop will open progress to date, and key challenges and successes with small-group discussion related to personal to its implementation of NHAS 2020 . and professional experience with emergency Moderators: planning and response . Next, Ryan White-funded programs from the New York City Department ƒƒ Tanchica Terry of Health and Mental Hygiene and the Oregon Presenters: AIDS Drugs Assistance Program will provide ƒƒ Laura Cheever examples of emergency preparedness activities, including assessment of emergency preparedness ƒƒ Amy Lansky among sub-recipients, contractual interventions, ƒƒ Antigone Dempsey components of an emergency preparedness plan, communication with stakeholders, and resources to consider when developing a plan . The session will conclude with an opportunity to develop and share action steps with other participants . Presenters: ƒƒ Rachel Davis ƒƒ Christy Hudson ƒƒ Beau Mitts

2016 National Ryan White Conference on HIV Care and Treatment 52 WORKSHOPS

into programs to improve cessation delivery . Session ID: 4033 Case studies will help to identify HIV/AIDS-related issues and medication and cost issues and offer Track: Innovative Practices

1:30 PM - 3:00 ways to break down barriers related to delivery Session Title: Implementing Tobacco of cessation interventions . Role play/simulation Cessation Strategies for PLWH activities will foster and improve smoking

WED, AUGUST 24 Meeting Room: Capitol Hill (Level 3/Silver) cessation counseling techniques and provide the opportunity to practice using the algorithm tool to Continuing Education: No promote cessation . Learning Objectives: Presenters: ƒƒ Examine data related to prevalence and ƒƒ Madelyne Ann Bean health outcomes from tobacco use among PLWH . ƒƒ Lauren Richey ƒƒ Implement evidence-based tools for ƒƒ Amber Casey tobacco cessation, including medication ƒƒ Stephen Hile use, counseling services, and promotional ƒƒ Linda Drach materials . ƒƒ Jonathan Livingston ƒƒ Motivate readiness for tobacco cessation strategies for both clients and organizations . Session ID: 6294 Description: Compared to the general population, Track: Emerging Issues people living with HIV and AIDS (PLWH) have Session Title: PLWH Listening Session with higher rates of tobacco abuse, decreased rates of the HAB Associate Administrator treatment utilization, decreased quit rates, and Meeting Room: Chinatown (Level 3/Silver) increased risk of morbidity from tobacco-related diseases . Improved cessation strategies involve Continuing Education: No efficient and proactive opt-out smoking cessation Level: Intermediate strategies embedded in all aspects of the care Learning Objectives: continuum . This smoking cessation workshop will review literature for smoking cessation, ƒƒ The HAB associate administrator will hear use of a validated and recently published concerns and issues from PLWH . cessation algorithm tool for PLWH, and results ƒƒ PLWH will have opportunity to interact with of various implementation strategies among the HAB associate administrator . three different Ryan White programs. Audience ƒƒ PLWH will hear about some of the activities participation and activities will include breakout that HAB is working on in support of PLWH . groups, case studies, and role play/simulation . The workshop will begin with breakout groups Description: This session will offer HAB Associate that will discuss current practices and barriers Administrator Dr . Laura Cheever, the opportunity to cessation implementation and delivery in the to hear directly from the people living with participants’ clinics . Breakout groups at the end HIV (PLWH) who are attending the conference . will discuss cases that are representative of clinical Please come and share your views of how the quandaries and brainstorm ideas to implement Ryan White HIV/AIDS Program is working in your

53 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24 community and what the HIV/AIDS Bureau could active participants in the Houston Ryan White do to improve Ryan White services . Dr . Cheever Planning Council (RWPC) and/or the Community will highlight recent HAB activities that focus on Prevention Group (CPG) . II: Education Buffet the support of PLWH . Questions and answers will for Council Members: Council members need, be entertained . (Please note: This is a closed session, and want, ongoing education so that they are open to PLWH participation only). engaged and equipped to participate in the annual Moderator: Ryan White (RW) planning process . This portion of the presentation will describe educational ƒ ƒ Helen Rovito opportunities that can be laced throughout all council, committee, and workgroup meetings . Session ID: 6360 Presenters: Track: Innovative Practices ƒƒ Carin Martin Session Title: Education Buffet for ƒƒ Isis Torrente Consumers and Council Members ƒƒ Steven Vargas Meeting Room: Gallaudet (Level 1/Blue) ƒƒ Victoria Williams Continuing Education: No Learning Objectives: Session ID: 6464 ƒƒ Create educational opportunities for Track: Health Care Landscape potential council and CPG members that increase membership on local planning Session Title: Impact of the Affordable Care bodies . Act on the Ryan White HIV/AIDS Program ƒƒ Develop educational opportunities for Meeting Room: Scarlet Oak (Mezzanine/Red) council members to help members feel Continuing Education: Yes better informed and result in increased Level: Intermediate member participation and retention . Learning Objectives: ƒƒ Develop educational opportunities that ƒ empower PLWHA to access HIV-related ƒ Compare how the evolving health care services, navigate a variety of payer systems landscape differentially impacted Ryan and advocate for themselves within the White HIV/AIDS Program clients and system . providers in Medicaid expansion states and non-Medicaid expansion states . Description: Planning is an acquired skill that has ƒ to be learned and practiced . In order to recruit and ƒ Discuss the important role of the Ryan train Council members, especially consumers, the White HIV/AIDS Program in the evolving Houston EMA provides education before and after health care landscape . individuals are appointed to the planning council . ƒƒ Understand the range services provided for One result is excellent retention rates among different client profiles and the drivers of Houston Council members . The presentation is longer and shorter outpatient ambulatory divided into three sections: I: Project LEAP: This medical care (OAMC) service times . comprehensive training program builds skills Description: Medicaid expansion and access and confidence to encourage PLWHA to become to qualified health plans changed health care

2016 National Ryan White Conference on HIV Care and Treatment 54 WORKSHOPS

coverage options for many Ryan White HIV/ AIDS Program (RWHAP) clients . This workshop Session ID: 6487 will describe changes in RWHAP clients’ health Track: Emerging Issues

1:30 PM - 3:00 care coverage and clinical outcomes after the implementation of the Affordable Care Act. The Session Title: Building a Linkage and presentation will highlight the findings from two Retention Collaborative Learning Network

WED, AUGUST 24 projects, HRSA HIV/AIDS Bureau’s analysis of to Impact Patient Outcomes national Ryan White Services Report (RSR) data, Meeting Room: Congress (Level 4/Green) and HRSA’s special study on the effect of the Continuing Education: Yes ACA on RWHAP service providers and clients . Level: Beginner/Intermediate/Advanced The session will include an interactive discussion with session attendees regarding how ACA has Learning Objectives: affected service provision in their communities/ ƒƒ Review the background data and impact of jurisdictions . Using RSR data from 2012 to 2014, linkage and retention in care on the the percentage of uninsured RWHAP clients HIV/AIDS care continuum and client decreased by 6 .1 points in Medicaid expansion outcomes . states and did not change in nonexpansion ƒƒ Analyze the process of building a linkage states . The percentage of RWHAP clients covered and retention collaborative learning by Medicaid increased by 3 .9 points in Medicaid network, tools developed, and the impact expansion states and decreased by 4 .2 points in on linkage rates . nonexpansion states . Nationally, the proportion of virally suppressed clients increased over ƒƒ Generate a plan on how you would like to time (2012: 75.0 percent, 2014: 81.4 percent); develop a linkage and retention learning across all analysis years, viral suppression was collaborative and/or apply the strategies approximately 2 percentage points higher in shared . Medicaid expansion states (2012: 76 .6 percent, Description: In this interactive workshop, 2014: 82 .7 percent) than in nonexpansion states participants will learn about our experience with (2012: 73 .4 percent, 2014: 80 .4 percent) . The building a linkage and retention network, share study of OAMC services illustrated the wide strategies for improving engagement in care, range of services that comprise the OAMC and have a chance to apply what is learned to visit. Sites identified an essential set of RWHAP their own work . Engagement in care remains the services; however, the level of intensity varied biggest gap in the national HIV care continuum, greatly with client visits that varied in length with only about 40 percent of people living with from 15 minutes to four hours, depending on HIV/AIDS engaged in care . Data suggest that the client’s medical and psychological needs . people not engaged in care are more likely to Presenters: die and account for an estimated 92 percent of new infections . In 2012, recognizing the steep ƒƒ Michael Costa drop-off in engagement in care, the local RW A/C ƒƒ Robert Mills grantees and AETC in Oakland, Calif ,. brought ƒƒ Liza Solomon together a representative group of community workers, case managers, public health, and clinic ƒƒ Pamela Klein administrators to tackle this problem . The East ƒƒ Antigone Dempsey Bay linkage and retention network identified a

55 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24 need to develop network-wide protocols and ƒƒ Provide tools, techniques including new and tools, share resources, and learn skills in client- existing best practices to improve the web centered techniques . Together we implemented presence of the Ryan White/HIV Programs . an updated online contact list, cross-site warm Description: Numerous Ryan White HIV/AIDS handoff protocol, linkage and retention protocols, Programs (RWHAP) throughout the country completed a literature review on the best have a digital presence through their website . A practices for improving linkage and retention, and common practice for these planning bodies is to conducted trainings on supporting clients with only use their sites as a means to post minutes, mental health, substance abuse, and housing agendas and necessary documents, satisfying the challenges . Linkage-to-care rates in Alameda federal legislative requirements under RWHAP . County increased from 70 percent in 2012 to 73 Often these websites are a missed opportunity percent in 2013, and among RW Part C clinics to strengthen and support the service delivery the rates increased from 83 percent in 2014 to system and people living with HIV (PLWH) . 94 percent in 2015 . This evidence suggests that The impact a well-designed site can have is building a collaborative learning network has a far-reaching and instrumental in a program’s significant impact on implementing community mission to align itself to the National HIV/AIDS standards in client-centered care and outcomes Strategy to achieve an AIDS-free generation along the HIV care continuum . by 2020 . By utilizing best practice principles Presenters: of graphic design, information architecture, ƒƒ Sophy Wong plain writing and clear communications, health literacy, and health education, RWHAP websites ƒ ƒ Megan Crowley can be a significant digital tool used to engage and empower consumers, support providers, Session ID: 6531 and involve stakeholders in the community . Track: Emerging Issues The work done to enhance the website for the Las Vegas Transitional Grant Area (TGA) uses Session Title: Using Design and Information plain language and best practice principles of Architecture to Improve Awareness, Access information architecture and graphic design to and Enrollment in HIV Care Services create a web experience that serves a number Meeting Room: Treasury (Level 4/Green) of populations — those unaware of their status, Continuing Education: Yes the newly diagnosed, those engaged in HIV care, service providers, and planning council members . Level: Intermediate Information on HIV testing, health literacy, Learning Objectives: RWHAP eligibility, provider locations has created ƒƒ Increase awareness of how graphic design, a virtual model of early intervention services information architecture and its principles demystifying the care experience for PLWH living can impact outcomes along the HIV care or relocating to the TGA which has one of the continuum . fastest growth rates in the country . ƒƒ Enhance understanding of the role websites Presenters: play in creating and supporting the service ƒƒ Alisha Barrett delivery system for providers and people ƒƒ Daniel Truesdale living with HIV .

2016 National Ryan White Conference on HIV Care and Treatment 56 WORKSHOPS

groups, organized by Ryan White HIV/AIDS Session ID: 6565 Program Part, will focus on exchanging ideas and solutions regarding clinical quality management Track: Quality Management

1:30 PM - 3:00 infrastructure, performance measurement, and Session Title: Implementing a Clinical quality improvement . Participants will leave Quality Management Program that Meets with tools and resources to continue to improve

WED, AUGUST 24 Ryan White HIV/AIDS Program Expectations their clinical quality management programs, Meeting Room: University of District of Columbia including National Quality Center tools, to engage (Level 1/Blue) consumers in clinical quality management and Continuing Education: Yes guide them in partnering with subcontractors . Level: Beginner/Intermediate/Advanced Presenter: Learning Objectives: ƒƒ Emily Chew ƒƒ Provide a solid foundation about Ryan White HIV/AIDS Program clinical quality Session ID: 6599 management expectations . Track: Emerging Issues ƒƒ Share participants’ experiences with Session Title: Office of HIV/AIDS Housing the implementation of clinical quality Update 2016 management activities . Meeting Room: LeDroit Park (Level 3/Silver) ƒƒ Focus on exchanging ideas and solutions Continuing Education: No regarding clinical quality management Level: Beginner infrastructure, performance measurement and quality improvement . Learning Objectives: Description: Clinical quality management is ƒƒ Describe the purpose, goals and activities a legislative requirement for all Ryan White of the HOPWA program . HIV/AIDS Program Parts A-D . A clinical quality ƒƒ Identify HUD’s role in meeting the goals of management program can be instrumental in the National HIV/AIDS Strategy . improving client health outcomes, decreasing ƒƒ Describe three of HUD’s major HIV/AIDS gaps along the HIV care continuum, and housing-related initiatives. advancing National HIV/AIDS Strategy 2020 goals . The workshop goals are two-fold: 1) to Description: The U S. . Department of Housing and provide a solid foundation about Ryan White Urban Development’s (HUD) Office of HIV/AIDS Program clinical quality management HIV/AIDS Housing manages the Housing expectations; and 2) to share participants Opportunities for Persons with AIDS (HOPWA) experiences with the implementation of clinical program, the only federal program dedicated quality management activities . The workshop will to the housing needs of persons living with HIV/ balance between presentation and small group AIDS (PLWHA) . Under HOPWA, HUD makes grants discussions . Program experts will provide an to cities, states, and nonprofit organizations for overview of Ryan White HIV/AIDS Program clinical projects that provide housing and supportive quality management expectations for Parts A-D services to low-income PLWHA and their families . (based on Ryan White HIV/AIDS Program policy The first part of the workshop will provide an clarification notice 15-02). Facilitated breakout overview of HOPWA, including the purpose

57 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24 and major goals of the program, the types of ƒƒ Consider a systems approach (from a housing and services funded under the program, technical advisor workshop presenter) to program beneficiary demographics, and program increase the health literacy of the RWHAP outcomes . The second part of the workshop will care and treatment system, health care provide an overview of HUD’s role in meeting providers and clients regarding use of the the goals of the National HIV/AIDS Strategy with health care system . a focus on three major HUD/HOPWA initiatives: ƒƒ Explore and actively engage with a HUD’s ongoing efforts to modernize the HOPWA workshop presenter focusing on a client program, including the funding formula; HUD’s perspective, the role of self determination, partnership with the U S. . Department of Justice on and broad support for people living with a demonstration initiative focused on improving HIV to remain engaged in comprehensive coordination between HIV housing and service care, including support for treatment providers and domestic violence, dating violence, adherence . sexual assault, and stalking service providers; and HUD’s partnership with the National AIDS Housing Description: It is predicted that advances in Coalition on the HIV Housing Care Continuum biomedical, behavioral, and structural strategies initiative, which seeks to increase the capacity of to prevent and control HIV will significantly lead to HOPWA grantees to demonstrate the impact of better health outcomes for people living with HIV housing on HIV care and treatment outcomes . (PLWH) in the United States . However, assessing and engaging best practices for outreach and Presenters: enrollment and health literacy for PLWH is a ƒƒ Benjamin Ayers critical pathway to achievement of the National ƒƒ Rita Flegel HIV/AIDS Strategy (NHAS) goals and objectives . This informative workshop session explores ƒ ƒ Amy Palilonis opportunities for RWHAP recipients to learn methods to increase their capacity and capability Session ID: 6639 to enroll and engage PLWH in expanded health Track: Health Care Landscape coverage, and to increase the health literacy of the RWHAP care and treatment system, including Session Title: Establishing Winnable health care providers and clients . The chief aims Communities of Readiness via Literacy, of the session are to present a unique interactive Conversation and HIV Client-Centered Care approach and to learn firsthand to various Meeting Room: Dogwood (Mezzanine/Red) disciplines serving within the changing health care Continuing Education: Yes landscape (consumers, clinicians, administrators, counselors, navigators, planning councils, Level: Beginner networks, etc .) . Session features include dynamic Learning Objectives: perspectives from an HIV consumer and executive ƒƒ Outline and explore inputs and outputs for director along with a technical advisor to health an innovative process to enroll and engage departments and Ryan White recipients nationally PLWH in expanded health care coverage to discussing the partnership(s) and program increase positive health care outcomes for implementation required to fully facilitate and PLWH and the overall health care system . proactively engage PLWHs in the post-ACA-health- serving environments . A blended approach that

2016 National Ryan White Conference on HIV Care and Treatment 58 WORKSHOPS

incorporates tailored TA planning for RWHAP Part Care Continuum Collaborative (H4C), involved recipients and community providers by way of all RWHAP recipients from five states: Arizona, communities of conversation, and peer-facilitated Missouri, Mississippi, New Jersey, and Ohio . The

1:30 PM - 3:00 support will be introduced and highlighted . goals were to build regional CQM capacity to Moderator/Presenter: Melanie Ogleton close gaps across the HIV care continuum and to implement joint QI activities to coordinate

WED, AUGUST 24 Presenters: HIV services seamlessly across all parts . Each ƒƒ Ron Simmons quantitative and qualitative collaborative goal ƒƒ Jacqueline Coleman was achieved (e g. ,. all states had key CQM infrastructure components in place, including ƒƒ Sandra Houston the establishment of written statewide QM plans and local statewide response teams; viral load Session ID: 6649 suppression increased from 74 2. percent to Track: Quality Management 79 .2 percent and the last data submission cycle included 79 agencies across five states with Session Title: Lessons Learned from the H4C over 31,000 patients) . In this workshop, H4C Collaborative: What Other States Can Learn participants will share lessons learned, tools, from this Improvement Initiative and resources from this successful collaborative . Meeting Room: Catholic University (Level 1/Blue) Specifically, H4C participants will share their Continuing Education: No individual and statewide improvement activities and discuss how they measured performance Level: Advanced using a viral nonsuppression cohort and HIV Care Learning Objectives: Continua at several levels . Attendees receive a CD- ƒƒ Identify key infrastructure elements that ROM with all relevant NQC publications and tools regional teams of recipients need to put developed by H4C participants . together to jointly improve HIV care . Moderator/Presenter: Clemens Steinbock ƒƒ List effective strategies that have reduced Presenters: gaps along the HIV Care Continuum and led ƒƒ Kawanis Collins to measurable improvements in viral load suppression . ƒƒ Lori DeLorenzo ƒƒ Define successful approaches to developing ƒƒ Lea Dooley a cohort of individuals who are not virally ƒƒ Theresa Fox suppressed . ƒƒ Michael Hager Description: The National Quality Center (NQC) ƒƒ Julia Schlueter provides technical assistance (TA) to more than 90 percent of all Ryan White HIV/AIDS Program (RWHAP) recipients and has established itself as the premier TA center for clinical quality management (CQM) . In 2014, NQC and HAB launched a new cross-part collaborative aimed at improving recipient performance along the HIV Care Continuum . This initiative, called HIV Cross-

59 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24

more limited than in Sub-Saharan Africa due Session ID: 6674 to local and national laws, health professional culture, and health care system policies and Track: Innovative Practices strategies, including a public health approach to Session Title: Shaping the HIV Workforce: treatment regimen selection globally . Scope of Lessons Learned from Task-Shifting in Sub- practice limitations, recruitment and retention of Saharan Africa and the United States staff, maintenance of current HIV knowledge, and Meeting Room: Howard University (Level 1/Blue) integration of nonphysician providers into health Continuing Education: Yes care teams remain challenges . Globally, HRSA has created enabling environments to support Level: Beginner task shifting by providing training and technical Learning Objectives: assistance at the appropriate levels of the health ƒƒ Learn strategies used for task-shifting in the system (planning, regulatory, training, etc .) to HIV workforce in the United States and enable community health workers, other para- Sub-Saharan Africa . professionals and/or peer navigators to play a key role in diffusing and reinforcing prevention, ƒƒ Learn the successes and challenges of care, and treatment principles . task-shifting in the United States and Sub- Saharan Africa . Moderator/Presenter: Rupali Doshi ƒƒ Identify key components of task-shifting Presenter: programs for implementation in their clinics ƒƒ Philippe Chiliade or jurisdictions . ƒƒ Wayne Steward Description: The scale-up of HIV care and ƒƒ Steve Bromer treatment services in the United States and Sub-Saharan Africa has challenged the health ƒƒ Liz Rolon workforce capacity to provide high quality care to ƒƒ Carl Henn people living with HIV (PLWH) . Task-shifting is one ƒƒ Mie Okamura cost-effective strategy to address this challenge. ƒ We will examine successes and challenges with ƒ Judy Khanyola implementation of task-shifting by specific HRSA- supported providers and training programs in Session ID: 6680 the United States (funded by the Ryan White Track: Innovative Practices HIV/AIDS Program) and Sub-Saharan Africa (supported by the president’s Emergency Session Title: Planning to the Outcome: Coordination of EIS with Competing Plan for AIDS Relief, or PEPFAR) . In the United Providers States, HRSA-funded clinics have increased the capacity of a diverse group of nonphysician HIV Meeting Room: Georgetown (Level 1/Blue) providers over time . In Sub-Saharan Africa, HRSA- Continuing Education: Yes supported programs have strategically developed Level: Intermediate sustainable health workforce plans by using task- shifting for areas of high need and to increase Learning Objectives: the time for clinical engagement with patients . The use of task-shifting in U .S . programs remains

2016 National Ryan White Conference on HIV Care and Treatment 60 WORKSHOPS

ƒƒ Increase understanding of how coordination among providers improves an Session ID: 6703 EMA’s EIS capacity . Track: Emerging Issues 1:30 PM - 3:00 ƒƒ Describe a process for creating a 24/7 EIS Session Title: Mobilizing Your Community coverage activity for an expanded testing Partners to Reduce New HIV Transmissions: site .

WED, AUGUST 24 A New Model for PrEP ƒ ƒ Identify opportunities within their areas to Meeting Room: Judiciary Square (Level 3/Silver) increase capacity through more effective coordination of EIS activities with their Continuing Education: Yes important community partners . Level: Beginner Description: This workshop will highlight new Learning Objectives: innovative practices within the Detroit Part A ƒƒ Create ideas to mobilize diverse community EMA to coordinate EIS to better engage newly partners to establish a low-cost PrEP clinic diagnosed individuals and individuals at risk for the uninsured . for falling out of care . EIS processes have ƒƒ Research and identify possible funding been reconfigured away from single-agency sources . activities to form a “community” of providers who coordinate with points of entry to increase ƒƒ Learn practices for clinic procedures and access for all PLWH in the EMA . As an outcome of identification and resolution of possible this innovation, EIS staff from all agencies have challenges . shared training, tools, processes, outcomes and Description: Despite efforts to disseminate sexual quality assurance support . The outcomes of this health information to at-risk populations, new innovative community approach to EIS are: infections for HIV remain high . New infection ƒƒ Increased capacity to get PLWH into clinics rates in central Florida are among the highest in the same day of initial contact . the nation. An effective strategy to reduce new infections is to provide pre-exposure prophylaxsis, ƒƒ Significant connectivity with STD/DIS/PS otherwise known as PrEP, to people who may staff. be concerned about their risk for HIV infection . ƒƒ Coordination with Part B EIS activities . The PrEP medical protocol involves prescribing a ƒƒ The development of shared staffing once-daily pill to help at-risk individuals protect models, including 24/7 coverage of a themselves from HIV infection . This session, testing program in a large urban hospital provided by Two Spirit Health Services, Inc ., an emergency department . LGBT primary care/medical clinic, and Hope & Presenters: Help, Inc ., a Ryan White Part A service provider of case management and supportive services, ƒ ƒ Mark Peterson will discuss the development of our innovative low-cost PrEP program, how we identified and mobilized key stakeholders, identified and accessed funding to support the clinic, and our clinical and administrative challenges during operations, and how we sought to overcome them . Our PrEP clinic collaborative focused

61 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24 principally on low-income, uninsured and under- session providing an overview of practice and insured MSM in central Florida and is the only research related to housing as a proven structural program of its kind in the region . intervention while also providing practical Moderator/Presenter: David Baker-Hargrove organization- and community-level examples of efforts to better integrate housing and health care Presenter: systems, including HOPWA and Ryan White . Often ƒƒ Lindsay Kincaide these systems do not work in tandem . This session will provide examples of community integration efforts, including: building local HIV housing Session ID: 6726 care, cascades to demonstrate the effectiveness Track: Emerging Issues of current systems of care, improve current Session Title: Housing and Health: systems of care, and advocate for better system Integration for Improved Health integration; providing local examples of housing Meeting Room: Mount Vernon Square and health integration including the use of (Level 3/Silver) Medicaid funding, integrated case management, and program coordination; and giving insights on Continuing Education: Yes future trends and promising practices to expand Level: Advanced housing options for persons living with HIV/AIDS . Learning Objectives: Moderator/Presenter: Russell Bennett ƒƒ Demonstrate housing as a key social Presenters: intervention for improving health and well- ƒƒ Crystal Pope being for persons living with HIV/AIDS . ƒƒ Katie Pittenger ƒƒ Explain best practices and strategies to improve housing and health integration for improved health outcomes . Session ID: 6748 ƒƒ Discuss future trends and strategies to Track: Emerging Issues improve housing and health coordination . Session Title: Supporting Planning Councils/ Planning Bodies in Improving HIV Services: Description: It is estimated that nearly 50 Staff Sharing Session percent of persons living with HIV/AIDS will have a housing crisis in their lifetime . Further housing Meeting Room: Marquis Salon 12 (Level 2/Purple) often is cited as a top need in community needs Continuing Education: No assessments for persons living with HIV/AIDS . Level: Beginner/Intermediate Research, however, has demonstrated housing as a proven structural intervention for improving Learning Objectives: access to care, maintenance of care, and health ƒƒ Describe at least three common challenges outcomes along the care continuum . Additionally, facing planning councils (PCs) and planning stable, affordable housing also is a strong bodies (PBs) and three innovative strategies predictor of increased well-being, employment, that have been used successfully to and education attainment . Housing is recognized increase PC/PB capacity to strengthen HIV as a critical structural intervention in the National services and improve performance on the HIV/AIDS Strategy as necessary for HIV prevention HIV care continuum . and care . The session will be an interactive

2016 National Ryan White Conference on HIV Care and Treatment 62 WORKSHOPS

ƒƒ Identify at least one strategy or model to Presenters: strengthen their PC/PB and at least one ƒƒ Hila Berl other colleague they can contact for advice ƒƒ Emily McKay

1:30 PM - 3:00 and support . ƒƒ Identify strategies for increasing peer communications throughout the year . Session ID: 6783 WED, AUGUST 24 Description: Ryan White Part A and Part B PCs Track: Health Care Landscape and PBs play a key role in determining use of Session Title: Getting Ready for Open funds, shaping the system of care, and — through Enrollment diverse membership and a strong consumer role Meeting Room: Cherry Blossom (Mezzanine/Red) — improving performance along the HIV care Continuing Education: Yes continuum . However, their responsibilities have become more complex for many reasons, among Level: Beginner them advances in prevention and care, Affordable Learning Objectives: Care Act implementation, integrated planning, ƒƒ Use data to plan for, document and monitor challenges in data access, and funding limitations . health coverage enrollment activities . The staff supporting these PCs and PBs at the metropolitan and state levels face considerable ƒƒ Train staff to engage and enroll people challenges in helping planning groups meet their living with HIV in health coverage . often complex responsibilities — some of them ƒƒ Train staff to help clients maintain and use legislatively required . A 2016 assessment of PCs health coverage after they have enrolled . and PBs indicated that staff need opportunities Description: Open Enrollment for 2017 to share information and ideas with their peers . marketplace health insurance plans begins on The session will provide a forum for identifying November 1, 2016. Programs and staff should challenges and discussing specific ways in which start preparing now to engage unenrolled and staff are helping PCs and PBs improve the system newly eligible clients and to support clients of HIV services and performance on the HIV who enrolled in previous years to compare care continuum under current legislation and options and find an affordable, quality plan for guidelines . It will explore the often innovative 2017 . In this interactive workshop, the HRSA- ways in which staff are addressing changes and supported ACE TA Center will provide recipient challenges . Participants in the session will help and subrecipient organizations with a roadmap determine which topics will be addressed in to prepare for the 2017 Open Enrollment Period . depth, which are expected to include: member The ACE TA Center has been helping RWHAP orientation and training, leadership development, staff to enroll and retain their clients in health obtaining and use of data including HIV care coverage since 2013. ACE TA Center staff will continuum and quality improvement findings, and share best practices, practical strategies, and the PC- and PB-recipient collaboration . PC and PB tools and resources to train new and existing support staff, including resource people from Part staff to (1) determine coverage eligibility, A planning councils and Part B planning bodies, understand financial assistance options, and will share challenges and effective strategies for handle renewals and redeterminations; (2) use addressing them . The format will be a facilitated data to plan for and monitor Open Enrollment discussion and may include small-group work . activities; and (3) support clients to use and

63 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24 maintain their coverage after they’ve enrolled . ƒƒ Identify ways to better tailor interventions Participants will learn how to best support to improve their patients’ health clients who are currently enrolled in a 2016 outcomes that address their social coping marketplace plan to reassess available plans mechanisms and mental health concerns for 2017, given changes to clients’ needs, plan that serve as individual and structural options, and eligibility for financial assistance. barriers to treatment and care . To support clients who have not yet enrolled, Description: LGBT people experience significant participants will learn strategies to address health disparities, including increased tobacco common questions and concerns about health and drug use, increased risk of HIV, and lower insurance . Through hands-on activities such as life expectancy . A recent CDC report shows the audience polling and interactive case studies, overall rate of HIV infection is declining, yet the participants will practice these strategies and risk of HIV infection remains very high among learn how to use ACE TA Center tools with their racial and ethnic minority men who have sex with clients . Participants will also learn about a web- men (MSM) insofar that one in two black MSM based self-assessment to help them determine and one in four Latino MSM will be diagnosed their organization’s readiness for enrollment . with HIV in their lifetime . Furthermore, MSM Presenters: represent approximately 90 percent of new HIV ƒƒ Juli Powers cases among 13-19 year olds . The Substance Abuse and Mental Health Services Administration ƒ ƒ Mira Levinson awarded a supplement to the Pacific Southwest ƒƒ Elizabeth Costello Addiction Technology Transfer Center to create the Center of Excellence on Racial and Ethnic Minority Young Men Who Have Sex with Men and Session ID: 6790 Other Lesbian, Gay, Bisexual, and Transgender Track: Emerging Issues Populations (YMSM+LBGT CoE) . This 60-minute Session Title: Securing Your Oxygen Mask interactive workshop, designed for clinicians and First! Unspoken Cultural Norms Influencing case managers, will illustrate how the evidence- Quality HIV/AIDS Care for Women of Color based practice of motivational interviewing (MI) Meeting Room: Union Station (Level 3/Silver) can be used to identify and strengthen intrinsic motivation to change behaviors such as high-risk Continuing Education: Yes sexual activity, as well as substance use and HIV Level: Intermediate/Advanced treatment adherence . Participants will receive Learning Objectives: a concise overview of MI essentials and have opportunities to strategize and practice effective ƒƒ Describe evidence-informed interventions MI techniques focused on a specific change goal. and data requirements to explore the pre- Prior knowledge of MI is helpful but is not a existing stigma and perception . requirement for participation in this workshop . ƒƒ Recognize how unspoken cultural norms Presenter: can influence how this population accesses, understands and seeks care . ƒƒ Natalie A . Solomon-Brimage

2016 National Ryan White Conference on HIV Care and Treatment 64 WORKSHOPS

discuss supervision and support for medical Session ID: 6807 case management teams . This presentation will be targeted to case managers, direct care Track: Health Care Landscape

1:30 PM - 3:00 providers and supervisors/administrators . Session Title: The Identity Crisis of the Presenter: Medical Case Manager ƒ

WED, AUGUST 24 ƒ Amy Downs Meeting Room: Magnolia (Mezzanine/Red) Continuing Education: Yes Session ID: 6927 Level: Intermediate Track: Data to Care Learning Objectives: Session Title: From Data Sharing to ƒƒ Define and identify points of medical case Incentivizing a Viral Suppression management involvement along the NHAS Performance Measure: Collaborating with 2020 and HIV continuum of care . Medicaid in Louisiana ƒƒ Identify the various roles of the medical Meeting Room: Marquis Salon 13 (Level 2/Purple) case manager and their effects on the Continuing Education: Yes delivery of HIV care . Level: Intermediate ƒƒ Discuss ways of developing a supportive environment and effective supervision Learning Objectives: of the multiple roles of HIV medical case ƒƒ Learn methods utilized to strengthen managers . collaboration with a state Medicaid office. Description: Medical case management is an ƒƒ Understand data-sharing methods and essential component in addressing the goals in analyses to determine viral suppression the National HIV/AIDS Strategy: Updated to 2020 performance measure . and the HIV/AIDS continuum of care . Medical ƒƒ Identify benefits of collaborating with case managers often serve as the link to care Medicaid to improve linkage to care and for people living with HIV (PLWH), support the viral suppression rates . retention and adherence to treatment, and provide numerous support services for the Description: Beginning in 2013, collaboration most vulnerable clients . Continuing changes in between the Louisiana Office of Public Health HIV care service delivery require medical case (OPH) and Bureau of Health Services Financing managers to serve in multiple roles in the lives (BHSF) significantly increased. As a result, a of PLWH, ranging from insurance agents to data-sharing agreement was executed, allowing medical liaisons; thus medical case management the agencies to exchange Medicaid and public activities continue to evolve in order to best health data . Approximately one-third of PLWH in serve and support PLWH . This interactive Louisiana are enrolled in Medicaid and in order presentation will provide a brief overview and to improve outcomes among Medicaid recipients, definition of medical case management in a an incentive-based performance measure for HIV Ryan White setting, discuss the integration viral load suppression was included in the 2015 and benefits of case management in a clinical contracts with the five Medicaid managed care setting, identify the current and foreseeable organizations (MCOs) . Medicaid claims data from future roles of medical case managers, and October 2014 to September 2015 were linked

65 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 WED, AUGUST 24 to HIV surveillance data . Viral suppression was ƒƒ List three examples of innovative programs calculated separately for each plan for PLWH to enhance care continuum outcomes for who had an HIV-related claim . Individual-level youth with HIV . data were provided to each MCO to determine Description: Three agencies (NIH, CDC, and if they met the viral suppression target set by HRSA) joined efforts to develop and implement Medicaid . Each quarter, OPH receives a new an innovative approach to improving care Medicaid file for the previous 12 months. There continuum outcomes for youth living with were 5,288 persons enrolled in Medicaid with an HIV (YLWH) . The goals of this collaboration, HIV-related claim and matched to a case in the HIV conducted in two phases as SMILE (structural surveillance database; 3,467 of these PLWH (65.6 enhancements to the strategic multi-site initiative percent) were virally suppressed . Linking Medicaid for identification, linkage, and engagement-to- claims data and HIV surveillance data allows the care) and subsequently PEACOC (Project for the MCOs to better monitor HIV-related outcomes Enhancement and Alignment of the Continuum among their enrollees and identify and implement of Care for HIV-Infected Youth), were to improve effective strategies to improve linkage to care and the identification of YLWH; better link, engage, viral suppression . Also, based on these data, there and retain them in medical care; and identify is justification to increase the viral suppression and address structural and community-level target . Finally, as a new Medicaid expansion barriers to testing, linkage, and retention . In state (June 2016), this existing collaboration SMILE, NICHD’s Adolescent Medicine Trials with Medicaid will be instrumental to continue Network (ATN) collaborated with CDC to facilitate monitoring viral suppression data as more PLWH agreements between ATN clinical sites and are enrolled in Medicaid . CDC Health Department grantees . Established Presenter: through memoranda of understanding, these ƒƒ DeAnn Gruber agreements were designed to facilitate linkage of newly identified YLWH to youth-friendly clinics with adolescent HIV expertise . This collaborative Session ID: 6942 process was continued and enhanced through Track: Emerging Issues PEACOC, in which four HRSA Ryan White Session Title: Enhancing Care Continuum HIV/AIDS Program (RWHAP) Part D recipients Outcomes for Youth Living with HIV: An located in cities with ATN sites were funded Innovative Multi-Agency Collaboration through the Secretary’s Minority AIDS Initiative Fund to implement enhanced activities for Meeting Room: Shaw (Level 3/Silver) minority YLWH . Linkage-to-care workers Continuing Education: Yes at RWHAP and ATN sites were trained in Level: Beginner motivational interviewing to address issues of cultural competence and increase uptake of Learning Objectives: linkage offers. In addition, RWHAP sites joined ƒƒ Identify the roles played by different ATN sites in community coalitions (Connect- agencies and organizations in promoting to-Protect) designed to identify and remediate health outcomes for youth living with HIV . structural barriers to linkage and retention . ƒƒ Describe interviewing techniques that may Presentations will include multi-agency facilitate better communication between perspectives on collaboration, illustration of the program staff and HIV-positive youth. motivational interviewing and Connect-to-Protect

2016 National Ryan White Conference on HIV Care and Treatment 66 WORKSHOPS

interventions, and selected examples of lessons ƒƒ Jussara Madrid learned and program successes . Moderator/Presenter: Carrie Jeffries Session ID: 8001 1:30 PM - 3:00 Presenters: Track: Health Care Landscape ƒƒ Linda Koenig Session Title: The Core Medical Services WED, AUGUST 24 ƒƒ Sonia Lee Waiver Standard: Part A Waiver Requests Trends and Analysis ƒƒ Dennis Fortenberry Meeting Room: Marquis Salon 14 (Level 2/Purple) Continuing Education: No Session ID: 6975 Learning Objectives: Track: Innovative Practices ƒƒ Understand the history of core medical Session Title: Food is Medicine: Integrating services waiver standard implementation Nutrition in a Ryan White Clinic and the documentation requirements of Meeting Room: George Washington University the current waiver standard . (Level 1/Blue) ƒƒ Understand recipient waivers who Continuing Education: Yes requested and received approval for Part Level: Intermediate A core medical waiver request, 2013-2015 Learning Objectives: and core medical services to support service funding allocations in approved ƒ ƒ Define the scope of medical nutrition waiver requests . therapy for persons living with HIV/AIDS . ƒƒ Understand service gaps to be covered ƒ ƒ Discuss the importance of internal and in approved waiver requests and external partnerships in developing an considerations for future core medical integrated nutrition program . services standard revisions . ƒ ƒ Describe the effectiveness of nutritional Description: Beginning in 2006, the Ryan White services on HIV-related health outcomes . Program legislation required that Part A, Part B, Description: Access to adequate food supplies and Part C grant recipients allocate and expend at and receipt of medically appropriate nutrition least 75% of service funds on core medical services . services are vitally important for people living The legislation defined core medical services and with HIV/AIDS . By providing a registered dietitian provided a waiver to this requirement if recipients to conduct individualized medical nutrition could demonstrate that core medical services are therapy as well as group education, PLWHA can available and accessible to all eligible clients in have improved health outcomes as well as better their state, jurisdiction or service area, and there access to fresh produce and healthy, shelf-stable is no current waiting or anticipated ADAP waiting foods . This workshop describes the development list in their state . The current waiver standard was and implementation of a comprehensive nutrition established in 2013 in response to a need to clarify program within a Ryan White clinic . documentation requirements, implementation Presenters: of the Affordable Care Act which provides more coverage for core medical services, and to provide ƒ ƒ Andrew Moore more flexibility for submitting a core medical

67 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24 service waiver request . Since the establishment of Description: This session will provide an overview the current waiver standard, the number of core of two different routine HIV testing initiatives in medical waiver requests from Part A jurisdictions large metropolitan areas, summarizing lessons have increased steadily and reached a high of 13 in learned from programs at an emergency FY 2015. This session will present findings from an department and five community health centers. analysis of the Part A core medical services waiver Interventions included: institutional policy change, request received and approved from 2013 to implementation of electronic health record (EHR) present. Specific trends in the number of requests modifications and data reports, clinic work flow received and approved, proposed service funding changes, and provider training . allocation ratios from waiver approvals, and In the emergency department example, the support service gaps to be covered from waiver implementation of a policy for routine, opt-out approvals will be described and discussed . testing, combined with an EHR report to prompt Presenter: HIV testing for eligible patients resulted in the ƒƒ Gary Cook testing of 8,007 patients, and the identification of 60 HIV cases during the first year, including 4 CONCURRENT SESSIONS, SERIES C acute infections. 75 percent of identified patients 3:30PM - 5:00PM were linked to HIV medical care . In the community health center example, the implementation of Session ID: 4001 multiple interventions resulted in the delivery of Track: Innovative Practices over 77,760 HIV across five health centers over the course of 30 months . Sixty-four HIV cases were Session Title: Interventions to Increase identified, 89 percent of which have been linked to Routine, Opt-Out HIV Testing in care . Community Health Centers and Emergency Departments Presenters will describe their experiences implementing the interventions described above Meeting Room: George Washington University and offer recommendations for institutions (Level 1/Blue) considering implementing routine, opt-out HIV Continuing Education: No testing . They will also lead a group discussion to Learning Objectives: help participants identify action steps to bring back to their workplaces . ƒƒ Review the importance of routine opt- out HIV testing for identifying and linking Presenters: people living with HIV/AIDS to care . ƒƒ Catherine Holdsworth ƒƒ Analyze the relative impact of a variety of ƒƒ Sophy Wong practice-changing HIV testing interventions in health care settings, including modifications to the electronic health Session ID: 4029 record (EHR) . Track: Emerging Issues ƒƒ Identify interventions that participants Session Title: Integrating HIV Care into can use to change provider and clinic-level Primary Care Settings: Two Paths to habits around HIV testing and promote a Improving the HIV Continuum culture for routine, opt-out testing . Meeting Room: Dupont Circle (Level 3/Silver)

2016 National Ryan White Conference on HIV Care and Treatment 68 WORKSHOPS

Continuing Education: No Continuing Education: No Learning Objectives: Learning Objectives: ƒ ƒ 3:30PM - 5:00PM ƒ Describe the current HIV care continuum ƒ Foster the growth of the clinical quality and how primary care integration of HIV management program in subrecipients . care can fill the gaps. ƒƒ Recognize the elements and action steps to

WED, AUGUST 24 ƒƒ Describe two different models for primary foster a network-wide culture of quality . care integration of HIV services . ƒƒ Understand the role of data with ƒƒ Describe challenges to ensuring ongoing subrecipients and how to best to coach high-quality care and tools to resolve these subrecipients to improve . challenges . Description: The National Quality Center provides Description: The changing HIV landscape creates technical assistance (TA) to all Ryan White HIV/ a growing need for sophisticated HIV care to be AIDS Program (RWHAP) recipients . Recipients are integrated into primary care services focusing often challenged to engage subrecipients in their on health promotion and prevention . Greater CQM programs, conduct local quality improvement Lawrence Family Health Center (GLFHC) is a (QI) activities, and align them with the recipient family medicine-based FQHC that has successfully CQM program to meet HAB expectations . In implemented a new model of HIV care to address addition, subrecipients may not be as familiar this need while improving the HIV care continuum . with using data to construct the basics of their Community Health Center, Inc . is the largest FQHC clinical quality management program . This in Connecticut, using innovative technology, like session focuses on concrete ways to implement Project ECHO, to train primary care providers in a robust and sustainable CQM program across a comprehensive HIV management and ongoing network of subrecipients and the use of data to quality improvement . These two models of care inform improvement decisions . Various tools and provide patients with better access to care and publications will be presented to assist attendees consistently monitored clinical interventions . in evaluating the clinical quality management Presenters: program . The workshop will also discuss the use of data and its presentation to a wide audience . ƒƒ Christopher Bositis Presenters: ƒƒ Marwan Haddad ƒƒ Clemens Steinbock ƒƒ Kathleen Harding ƒƒ Jenna Kivanc ƒƒ Sandra Silva ƒƒ Donna Rivera Session ID: 4048 Track: Emerging Issues Session ID: 4034 Session Title: Transgender People and Track: Quality Management Antiretrovirals across the Care and Session Title: Fostering the Clinical Quality Prevention Continuum Management Program Using Quality Meeting Room: Union Station (Level 3/Silver) Improvement Practices Continuing Education: No Meeting Room: Dogwood (Mezzanine/Red) Learning Objectives:

69 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24

ƒƒ Understand how transgender women could transgender patients, increase clinical outcomes, benefit from PrEP, and be able to address and highlight public and private insurance concerns about feminizing hormones and considerations . NASTAD will showcase Crossroads: PrEP . ADAP Considerations for Transgender Health, ƒƒ Participants will gain insight into the unique highlighting three areas for ADAP staff and challenges many transgender people providers to consider in ensuring trans-inclusive face as they attempt to navigate their care and treatment options: (1) insurance way through the complex world of ADAP purchasing and coverage, (2) ADAP formulary formularies, provider competency and navigation, and (3) collection of sexual orientation sensitivity, coverage assessment, and data and gender identify data . collection . Presenters: ƒƒ Understand structural and systemic ƒƒ Sean Cahill changes required to ensure transgender ƒƒ Joe Caldwell people’s access to antiretroviral ƒ medications across the continuum of care ƒ JoAnne Keatley and prevention . Description: Clinical trials have demonstrated Session ID: 5942 PrEP’s effectiveness among MSM, heterosexuals Track: Emerging Issues and PWID . Transgender women have been Session Title: Implementing and Evaluating included in some PrEP trials, but only as a small a Peer Enhanced Navigation Intervention: minority of participants . Until a 2015 analysis of Results from a Randomized Control Trial transgender data from the iPrEx and OLE studies, Meeting Room: Magnolia (Mezzanine/Red) it was not clear whether PrEP is effective in transgender women . Questions about interactions Continuing Education: No between hormones and PrEP have been raised . Level: Intermediate Some transgender women have pondered Learning Objectives: whether they should await further research before using PrEP . Well-designed research is needed to ƒƒ Describe the peer intervention designed to demonstrate PrEP’s effectiveness in transgender re-engage and retain people of color living women and to better understand hormone effects with HIV/AIDS . on the ability of PrEP to concentrate in rectal ƒƒ Identify potential facilitators and barriers to tissue . Normative public health bodies should implementing a peer enhanced navigation issue clear guidance for transgender women model . regarding PrEP that acknowledge remaining ƒƒ Describe the impact and patient outcomes gaps in knowledge . Medical providers caring resulting from the implementation of the for transgender patients should discuss PrEP as peer enhanced navigation model at the an option that they should consider . NASTAD three clinic sites . has developed a toolkit intended for providers and AIDS Drug Assistance Programs (ADAPs) to Description: Two of the four key goals of the advance awareness of transgender health issues, National HIV/AIDS Strategy are to increase access assist in the development of core competencies to care to improve health outcomes for PLWH around treatment and care considerations for and reduce HIV-related disparities and health

2016 National Ryan White Conference on HIV Care and Treatment 70 WORKSHOPS

inequities . Racial and ethnic minorities with co- Level: Intermediate morbidities of mental health and/or substance Learning Objectives: use disorders as well as housing needs are at ƒ 3:30PM - 5:00PM particularly high risk of non-engagement in ƒ Define essential community provider HIV care . The SPNS Minority AIDS Initiative, categories and provider types and funded to Boston University School of Public understand the implications of the

WED, AUGUST 24 Health, was a two-year randomized control trial requirements to Ryan White programs . examining the use of peers to re-engage and ƒƒ Discuss a collaborative, multi-Ryan White retain persons of color living with HIV in HIV grantee approach to supporting inclusion of primary care who were not engaged in HIV care Ryan White clinics as Essential Community in three urban clinics, located in Brooklyn, N Y. ,. Providers in marketplace insurance plans . Miami, and San Juan, Puerto Rico . All project ƒƒ Identify learning lessons and best practices peers received standardized training . Peer for addressing ECP issues . tasks included: outreach to out-of-care PLWHA, Description: Ryan White grantees have worked link those newly diagnosed in care, conduct hard to ensure PLWHA have gained access to standardized educational sessions, and provide health care coverage under the Affordable Care emotional and practical support . This session will Act . Many of these individuals have received their include a detailed description of the intervention care for years from safety net providers, such model including supporting materials developed as community health centers and Ryan White (intervention implementation manual and medical providers . Recognizing the important comprehensive training curricula for peers and role these providers play in promoting continuity supervisors), a description of the implementation of care as people transition between programs of the model at the PATH Center at the Brooklyn when their income changes, Congress established Hospital Center, the data collection methods general requirements to ensure that these and patient outcome findings from the multi- providers have the opportunity to participate in site evaluation and a discussion on how the the qualified health plans that are offered through intervention can be replicated at other RW the marketplaces . These safety net clinics, Ryan provider agencies . White providers and hospitals are referred to as Presenters: essential community providers (ECP), and the ACA ƒƒ Jane Fox specifically requires that qualified health plans ƒƒ Janet Goldberg available through the federal or state insurance marketplaces to include Ryan White providers based on certain criteria . This panel presentation Session ID: 6320 reviews the definition of ECP, examines the federal Track: Health Care Landscape and state rules that govern the extent to which plans must include Ryan White providers in their Session Title: Understanding Essential Community Provider Requirements of networks, discusses the particular importance of the ACA and Implications for Ryan White these rules to ensure PLWHA have access to care, Programs and identifies the variation from state to state. Meeting Room: Silver Linden (Mezzanine/Red) Presenters: Continuing Education: Yes ƒƒ Rose Conner

71 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24

ƒƒ Cheri Tomlinson the health department and medical providers . ƒƒ Carmen Batista New York will examine the key elements and benefits of early peer support and factors that led ƒ ƒ Amy Killelea to full adoption by the demonstration sites and expansion to other agencies . Virginia will explore Session ID: 6382 a care coordination intervention that facilitates Track: Innovative Practices expedited access to medication and medical care for persons living with HIV who have recently been Session Title: Using the Learning released from correctional facilities, resulting Collaborative Model to Craft and in documented improvements in retention and Test Systems-Level Linkage to Care viral suppression rates and expansion of the Interventions model to local and regional jails . Data showing Meeting Room: Tulip (Mezzanine/Red) the impact of the interventions will be presented Continuing Education: No along with challenges faced and lessons learned . Implementation manuals and protocols for each Level: Intermediate intervention will be shared so that others can Learning Objectives: apply the learning to their setting . ƒƒ Identify the major components of the Moderator/Presenter: Lori DeLorenzo Learning Collaborative model . Presenters: ƒƒ Describe a range of successful strategies to ƒƒ Anne Rhodes link and retain clients in care . ƒƒ Steven Sawicki ƒƒ Discuss challenges faced, lessons learned and the impact of the respective ƒƒ Sophie Lewis interventions . Description: This interactive workshop will Session ID: 6397 explore how the Learning Collaborative model Track: Health Care Landscape was used to develop and implement systems- level interventions across three states as part Session Title: ADAPs’ Optimization of Client Health Outcomes in an Evolving Health of the SPNS’s Linkages and Access to Care for Care Landscape Populations at High Risk of HIV Infection initiative . The components of the Learning Collaborative will Meeting Room: Scarlet Oak (Mezzanine/Red) be discussed, along with strategies for engaging Continuing Education: Yes participants, testing out new interventions, and Level: Intermediate lessons learned . Participants will examine select interventions and explore how they were used to Learning Objectives: generate new ideas and avenues for collaboration, ƒƒ Understand the continuum ADAP client thereby extending the reach and impact of the engagement and its interplay with the original scope . Massachusetts will discuss a broader HIV care continuum . standardized system for assessing client acuity ƒƒ Observe ways in which ADAPs have of need for all funded medical case management expanded their programs by capitalizing providers and a mechanism for communicating on the creation of ACA marketplaces and HIV laboratory data and patient follow-up between Medicaid expansion .

2016 National Ryan White Conference on HIV Care and Treatment 72 WORKSHOPS

ƒƒ Recognize how ADAPs work in concert with ƒƒ Discuss strategies that can be used other payers (e g. ., Medicaid, Medicare) to address stigma at the individual, to reduce health inequities among key community, and systems levels in order to

3:30PM - 5:00PM populations (e .g ,. Non-Hispanic, Black/ promote linkage and engagement in HIV African American) . care . Description: As a long-standing activity conducted Description: For people living with HIV/AIDS WED, AUGUST 24 by the National Alliance of State & Territorial (PLWHA) addressing stigma is critical to promoting AIDS Directors (NASTAD), the National AIDS Drug engagement in HIV care and achieving viral Assistance Program (ADAP) Monitoring Project suppression . PLWHA who are homeless may documents key trends over time among ADAPs experience stigma from multiple dimensions . A nationally . In recent years, the National ADAP recent study of PLWHA who are homeless Monitoring Project has illustrated the adaptations reported that approximately two-thirds experience and growth ADAPs have undergone in response stigma from people they know due to HIV, one- to the implementation of the Affordable Care third felt they were treated worse than people Act (ACA) and the National HIV/AIDS Strategy . who have a stable place to live, one-quarter This presentation includes the most recent data experienced stigma due to substance use, and one available and emphasizes the impact the creation out of five felt they were treated poorly due to a of ACA marketplaces and Medicaid expansion mental health or emotional problem . The Health continue to have on ADAPs, how ADAPs have Resources and Services Administration, HIV/AIDS improved health outcomes among the clients they Bureau through its Special Projects of National serve, and the ways in which ADAPs contribute Significance is working to address these effects toward efforts to reduce health inequities. of stigma through building patient-centered Presenter: medical homes for multiply diagnosed HIV-positive homeless and unstably housed populations . A ƒ ƒ Amanda Bowes key service delivery strategy is the use of patient navigators and care coordinators to engage Session ID: 6428 and retain HIV homeless and unstably housed Track: Emerging Issues individuals in care and assist with obtaining stable housing . This workshop will describe the methods Session Title: Understanding and used to assess stigma, review initial results, and Addressing the Multiple Dimensions of describe some strategies that can be used to help Stigma to Promote Engagement in HIV Care clients and providers in addressing stigma and Meeting Room: Marquis Salon 14 (Level 2/Purple) building resilience . Continuing Education: Yes Moderator/Presenter: Serena Rajabiun Level: Beginner Presenters: Learning Objectives: ƒƒ Manisha Maskay ƒƒ Increase knowledge related to the various ƒƒ Ruthanne Marcus dimensions of stigma . ƒƒ Lisa McKeithan ƒƒ Learn about strategies to measure stigma .

73 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24

setting . Application of MNT access and tools to Session ID: 6511 improve patients’ retention in care and success in treatment will be demonstrated by the innovative Track: Innovative Practices and acclaimed Palm Beach County RWHAP- Session Title: Using Medical Nutrition funded MNT program, using affordable foods Therapy Innovative Practices in HIV Clinical in HIV ambulatory outpatient medical clinics . Care to Improve Health Outcomes Participants will engage in free discussions Meeting Room: University of District of Columbia to spread best practices of medical nutrition (Level 1/Blue) therapy and food security programs, which will Continuing Education: Yes include promotion of networking among nutrition experts and RWHAP recipient staff and identify Level: Beginner questions that remain as barriers . Learning Objectives: Moderator: Kathleen Edelman ƒƒ Justify implementation of medical nutrition Presenters: therapy in Ryan White HIV/AIDS Program- funded clinical settings using RWHAP ƒƒ Shana Bayder legislation, guidance, and evidence-based guidelines . Session ID: 6574 ƒƒ Use essential tools to facilitate medical Track: Quality Management nutrition therapy for people living with HIV/ Session Title: Service Standards: What Are AIDS in the clinical setting . They; Why Are They Important, and How ƒƒ Model innovative MNT and food security Are They Integral to RWHAP Functions? program to increase their clients’ retention Meeting Room: Marquis Salon 15 (Level 2/ in HIV clinical care and treatment . Purple) Description: People living with HIV/AIDS (PLWH) Continuing Education: No may struggle with malnutrition, nutrition-related Level: Beginner/Intermediate/Advanced complications and food insecurity . Medical nutrition therapy (MNT), added as a core medical Learning Objectives: service to the Ryan White HIV/AIDS Treatment ƒƒ Describe the purpose of service standards . Modernization Act of 2006, remains a core ƒƒ Identify the components that comprise a medical service in the Ryan White HIV/AIDS service standard . Treatment Extension Act of 2009 . MNT, provided by the registered dietitian (RD), and food security ƒƒ List the steps in a successful process to helps to improve PLWHs’ immune function and develop and update service standards. overall well-being . The RD’s role is critical in HIV/ Description: Service standards, also known AIDS care . This panel of three highly experienced as standards of care, outline the elements and RDs will provide participants with a brief history expectations a Ryan White HIV/AIDS Program of MNT in the Ryan White HIV/AIDS Program service provider follows when implementing a (RWHAP) and up-to-date, evidence-based specific service category. The purpose of service recommendations and peer-reviewed tools to standards is to ensure that all Ryan White facilitate medical nutrition therapy and optimize HIV/AIDS Program service providers offer the food security for PLWH in the outpatient clinical same fundamental components of the given

2016 National Ryan White Conference on HIV Care and Treatment 74 WORKSHOPS

service category across a service area . Service ƒƒ Discover how Ryan White funds are being standards establish the minimal level of service used to support using data to drive linkage or care that a Ryan White HIV/AIDS Program- to care activities by communicable disease

3:30PM - 5:00PM funded agency or provider may offer within a investigators (CDIs) . state, territory, or jurisdiction . This workshop ƒƒ Learn about specific roles and will provide a broad orientation to service responsibilities of CDIs and other staff who WED, AUGUST 24 standards . Attendees will become familiar with implement Data to Care . the essential components of service standards and strategies for developing service standards Description: In California in 2014, 29 percent for all funded services; and will understand how of diagnosed people living with HIV (PLWH) service standards should be used in monitoring, were out of care and 43 percent were not virally developing subrecipient agreements, and as suppressed, leading to poorer clinical outcomes the basis of their clinical quality management and increased risk of HIV transmission . In March programs to ensure that clients achieve 2016 the California Office of AIDS (OA) started maximal health outcomes . A panel of recipients releasing monthly county-level lists of out of will present on their processes to develop, care and non-virally suppressed PLWH based update, and monitor service standards . The on HIV surveillance data (out-of-care lists) . Five workshop will balance between presentation of pilot local health departments are using the lists materials, sharing of recipient experiences, and to find and re-engage PLWH in care. Lists are brainstorming solutions . prioritized to facilitate effective use of limited staff time; high-priority groups include PLWH Presenters: diagnosed in the last year but not linked to care; ƒƒ Emily Chew and PLWH out of care for more than a year and ƒƒ Marlene Matosky not virally suppressed . OA is monitoring linkage to care rates at each pilot location to identify ƒ ƒ Susan Robilotto best practices for effective use of the out-of-care lists . OA will present an overview of processes to Session ID: 6596 develop the out-of-care lists, describe statewide barriers to implementing outreach activities Track: Data to Care based on the out-of-care lists, and describe the Session Title: Using Early Intervention process for ongoing monitoring . The County of Services to Maximize Coordination Between San Diego Public Health Services program will Surveillance and Care provide local perspectives on how the out-of-care Meeting Room: Marquis Salon 12 (Level 2/Purple) lists are being used . Presentations will highlight Continuing Education: Yes challenges experienced and best practices . Level: Intermediate Moderator/Presenter: Kama Brockmann Learning Objectives: Presenter: ƒƒ Learn about using HIV surveillance data to ƒƒ Lauren Brookshire improve data to care activities to link out- of-care people back into care .

75 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24

that, they received an Ohio Department of Health Session ID: 6629 Innovations in Quality grant and developed a more formal intervention that was peer led, Track: Emerging Issues supported by more motivational interviewing Session Title: Strategies to Improve Viral training, and used a digital package created by Load Suppression in Hardest-to-Reach staff and peers that included MI prompts, short Patients videos, documentation forms, adherence surveys Meeting Room: Judiciary Square (Level 3/Silver) and other tools . Both sets of panelists will discuss Continuing Education: Yes successes and challenges, share tools/resources and answer questions . Level: Beginner Presenters: Learning Objectives: ƒƒ Brigid Kennedy ƒƒ Describe the H4C closed cohort viral load suppression project purpose and results . ƒƒ Michelle Kucia ƒƒ List three strategies for helping hardest- ƒƒ Kate Bennett to-reach patients achieve viral load ƒƒ Gerald Wolfe suppression . ƒƒ Iris Almos ƒƒ Identify two tools or resources they might use in their own programs . Session ID: 6644 Description: The session will consist of two Track: Health Care Landscape parts. The first half will showcase three Ohio Part C programs and their closed cohort viral load Session Title: Aligning RWHAP Policy with suppression project in conjunction with the HRSA/ the Health Care Landscape: A Review of Select Policy Clarification Notices NQC Cross-Part Care Continuum Collaborative (H4C). In the first year of the intervention, the Meeting Room: Shaw (Level 3/Silver) programs helped between 47 percent and 69 Continuing Education: Yes percent of the patients who were virally Level: Intermediate unsupressed at the start of the project (the “closed cohort”) become suppressed . One clinic focused Learning Objectives: primarily on medical visit adherence, another on ƒƒ Review the RWHAP policy clarification intensive wraparound services, especially mental notices related to the Affordable Care Act. health and substance abuse, and a third piloted ƒƒ Describe the challenges that the policy one-on-one motivational interviewing adherence clarification notices seek to address. work . The second half of the workshop will consist of a different panel (including patient navigators) ƒƒ Share how the policy clarification notices that will take a more in-depth look at that third have helped participants expand clients’ program’s intervention and its work . The original access to health care and health care pilot was small in scale, informal, and without coverage . standard documentation . The MI sessions were Description: The Ryan White HIV/AIDS Treatment conducted by staff, patients were chosen by staff Extension Act of 2009 was enacted before preference, and staff could decide whether to the Affordable Care Act changed the health use patient navigators to assist . Subsequent to care landscape . As the health care landscape

2016 National Ryan White Conference on HIV Care and Treatment 76 WORKSHOPS

has changed, the HIV/AIDS Bureau (HAB) has ƒƒ Understand the process used to solicit continually assessed how these changes will stakeholder input, include new trends in intersect with the RWHAP program legislation . HIV and adult learning, redefine the primary

3:30PM - 5:00PM HAB has released seven policy clarification target audience, create a new national notices to help recipients abide by the legislative coordinating center and new regional requirements of the RWHAP while maximizing configuration, and determine funding for

WED, AUGUST 24 the opportunities of the Affordable Care Act each region . (ACA) . RWHAP recipients have gone through two Description: This panel presentation will open enrollment seasons and have rendered review the HRSA HIV/AIDS Bureau (HAB) operational several HAB policy clarification notices restructuring of the AETC Program in 2014- related to the ACA . This interactive session will 2015 . We will discuss the process used to consider how these policy clarification notices solicit stakeholder input, including new trends anticipated and addressed challenges as the in HIV, redefine the primary target audience, ACA was implemented, review these notices, create a new national coordinating center and and discuss how they remain relevant now that new regional configuration, and determine the ACA has been implemented . Participants funding for each regional award recipient . The will be encouraged to share their experiences in AETC Program provides training and technical operationalizing these policies and share ongoing assistance to improve HIV prevention, care, challenges that might be overcome with further and treatment . There is a special emphasis on policy clarification or technical assistance. training for minority/minority-serving health care Presenters: professionals . The National HIV/AIDS Strategy, ƒƒ Connie Jorstad released in 2010, necessitated a critical review of the training needs of the HIV workforce in the ƒ ƒ Theresa Jumento United States . Literature review and internal/ ƒƒ Holly Berilla external stakeholder input revealed common themes, including a need to demonstrate program impact on the transformation of practice Session ID: 6681 by prioritizing interprofessional education, Track: Innovative Practices centralized development of HIV provider Session Title: Restructuring the AIDS competencies and curriculum, increased use of Education and Training Centers Program telehealth, and alignment with the National Meeting Room: Catholic University (Level 1/Blue) HIV/AIDS Strategy with specific foci on the training needs of novice and expert HIV providers . We Continuing Education: No prepared a communications strategy for the Level: Beginner roll out of the FOA . We used an evidence-based Learning Objective: approach that included epidemiology and health services and workforce data to determine the regional configurations and funding amounts. Leadership buy-in was key to the process . Stakeholders included multiple bureaus and offices within HRSA, AETC award recipients, consumers, providers, and educators . Resources included publicly available epidemiologic data and

77 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24 the HRSA Data Warehouse . HAB used quantitative for clients who cannot afford them. Access is one and qualitative data to make significant changes key goal of ADAPs, reinforced by the legislation in the AETC structure and budgets . This discussion that requires states to “provide therapeutics to will provide lessons learned to programs that treat HIV/AIDS” and “facilitate access to treatments may be considering changes to their professional for such individuals; and document the progress training programs . made in making therapeutics . . available to Moderator/Presenter: Andrea Knox individuals eligible for assistance ”. However, ADAPs are uniquely positioned to create quality Presenters: management programs that use performance ƒƒ Rupali Doshi measures to additionally demonstrate the health ƒƒ Jewel Bazilio-Bellegarde impact of providing medication access to persons living with HIV/AIDS (PLWHA), and to implement ƒƒ Sherrillyn Crooks health and adherence-related QI activities, highlighting the importance of ADAP services in Session ID: 6682 the coordinated effort to effectively treat and Track: Quality Management prevent HIV disease . With renewed attention and efforts toward linkage and retention to care, Session Title: Health and Adherence- supported by the National HIV/AIDS Strategy, use Related Quality Management (QM): of care continuums, and the accepted evidence Considerations for AIDS Drug Assistance that HIV transmission can be reduced through the Programs (ADAPs) benefits of effective treatment, it is essential that Meeting Room: LeDroit Park (Level 3/Silver) states consider ways to implement measures that Continuing Education: No address health and adherence outcomes of ADAP Level: Intermediate/Advanced services, and implement activities that improve those outcomes . ADAPs can establish a process to Learning Objectives: identify and develop health and adherence-related ƒƒ Describe how an ADAP’s Quality performance measures (and related performance Management (QM) program can send improvement activities) to illustrate and enhance powerful messages to its community the success of ADAP services . This process takes about ADAP’s role in supporting health and time, and it is well worth the effort to invest in the adherence . infrastructure and stakeholder support to sustain ƒƒ Identify strategies to involve provider it . State examples, including Massachusetts, will be stakeholders in developing health and highlighted . adherence-related QM approaches, and Presenters: integrate into the state’s QM Plan . ƒƒ Steven Bailey ƒ ƒ Identify strategies and data exchange ƒƒ Ann Lefert options to align ADAP performance ƒ measurement and quality improvement (QI) ƒ Britten Pund initiatives with clinical sites . ƒƒ Annette Rockwell Description: AIDS Drug Assistance Programs (ADAPs) are established under Ryan White legislation to provide access to HIV medications

2016 National Ryan White Conference on HIV Care and Treatment 78 WORKSHOPS

Session ID: 6752 environment from which these health disparities Track: Emerging Issues emerge . TransAccess has reached 70 HIV-positive transwomen of color in San Francisco . At baseline, Session Title: Radical Health Care: Fighting 3:30PM - 5:00PM 22 percent were within the top 2-5 percent Transphobia, Providing Trans-Affirming HIV of medical-service utilizers in San Francisco . Care Compared to the national average of 30 percent

WED, AUGUST 24 Meeting Room: Mount Vernon Square virally suppressed, 72 percent of TransAccess (Level 3/Silver) clients are virologically suppressed . Continuing Education: Yes Presenters: Level: Intermediate ƒƒ Janell Tryon Learning Objectives: ƒƒ Royce Lin ƒƒ Intersecting medical and psychosocial ƒƒ Kate Franza factors that frequently impede access to care and retention in care among transgender women of color living with HIV . Session ID: 6754 ƒƒ Discrete programmatic elements that Track: Emerging Issues contributed to successful HIV care for this Session Title: Housing Data: An population Interdisciplinary Approach to Improved Health Outcomes for PLWHA ƒƒ Preliminary mixed-method intervention outcomes Meeting Room: Georgetown (Level 1/Blue) Description: Nationwide, transgender women, Continuing Education: Yes particularly those of color, experience worse Level: Intermediate outcomes at each stage of the HIV care continuum Learning Objectives: compared to the general population . These disparities are driven by the disproportionately ƒƒ Distinguish concrete ways to improve high risk of homelessness, poverty, inadequate housing-related data collected through employment access, trauma, and substance use . the SNA and client focus groups, as well as These associations between psychosocial and steps for meaningful analysis . medical factors required an innovative model of ƒƒ Describe new ways to assess the housing care to address this population’s exceptionally stability of PLWH in caseloads or across high acuity . In 2013, the San Francisco Department communities . of Public Health and the Asian & Pacific Islander ƒƒ Discuss how housing stability impacts Wellness Center created the TransAccess Project positive health outcomes . to improve HIV outcomes among transwomen of color . Integrating psychosocial services, ƒƒ Describe specific ways to use HIV housing TransAccess offers an open-access model of HIV data to advocate for PLWH locally in their care, strategically located in a trans-affirming communities . community-based organization . TransAccess Description: Recent HIV/AIDS housing research expands upon traditional standards of health finds positive relationships between stable care, addressing the microcosm of the patient housing and improved health-related outcomes . experience as well as the socio-political In New Orleans, an interdisciplinary team of

79 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24 providers, regional planning body members, advocates, clients, and technical assistance Session ID: 6757 providers worked in partnership to examine Track: Innovative Practices key housing indicators over time to better understand the local housing and support needs Session Title: Transforming Overwhelming of PLWHA . The coalition helped form a valid into Possible: Innovative Models by HIV basis for assessing the current system of housing Pharmacies interventions within the larger system of care . Meeting Room: Gallaudet (Level 1/Blue) These research efforts scrutinized the housing and Continuing Education: Yes services questions on the RW needs assessment Level: Intermediate and revised the survey to include only those housing questions tied to meaningful analysis on Learning Objectives: measuring housing stability for PLWHA . Between ƒƒ Assessment of a pharmacy’s readiness for 2013 and 2016, selected SNA data elements and a successful HIV patient-centered culturally series of consumer focus groups provided robust competent care — as pharmacy staff, as information on factors related to housing stability clinicians, as RWHAP planners, and/or as including history of homelessness, substance clients . use, mental health, housing affordability, and ƒƒ Describe at least three key components accessibility for PLWHA . In alignment with Goal of successful patient-centered, culturally- 4 of the National HIV/AIDS Strategy: Updated to competent HIV pharmacy services that 2020, the longitudinal analysis was leveraged seem both feasible and desirable . to develop local policies on the use of federal funds to coordinate services and address the ƒƒ Identify and describe at least two to three social determinants of health that are known tools provided in the workshop that can impediments to achieving viral suppression for help participants maintain and improve many clients. The impact of these efforts includes their HIV pharmacy services . new housing programs with increased access for Description: People living with HIV (PLWH) across PLWHA . Additionally, improvements in clinical the country, especially PLWH with low literacy, health measures have also been seen for clients low insurance literacy and/or limited English stabilized through this permanent housing proficiency, are facing numerous challenges in programming . These data-driven collaborative adherence to treatment . New models of care efforts are well documented for New Orleans and highlight patient-centered, team-based care can be replicated to improve HIV systems of care and link payment to the achievement of positive in other communities . clinical outcomes . As the awareness of the Moderator: Fran Lawless importance of cultural competence grows, incorporating patient-centered culturally Presenters: sensitive approaches becomes a critical need . ƒƒ Crystal Pope This workshop will identify and explore key ƒƒ Brandi Bowen factors in successful patient-centered, culturally- competent pharmacy services . It will convey the ƒƒ Alice Riener experiences of two experienced practitioners: a ƒƒ Katie Pittenger clinical infectious diseases pharmacy supervisor and a business manager at a community

2016 National Ryan White Conference on HIV Care and Treatment 80 WORKSHOPS

specialty pharmacy . The session will address such for people living with HIV . While linkage has aspects of patient-centered care as adherence received attention for years, evidence-based management, patient education, and medication strategies for improving retention in care are

3:30PM - 5:00PM adverse effect counseling, proactive patient sorely needed . Average retention rates continue outreach for prescription refill and renewal, to be low throughout the United States, impacting benefits investigation, financial assistance, etc. viral suppression rates, risk of transmission,

WED, AUGUST 24 The session will also investigate creative ways of and overall quality of life for people living with dealing with language barriers, as well as cultural HIV . Ranging from a high-touch, women-focused beliefs and behaviors toward health and illness . linkage-and-retention program in Oakland, Calif ., In addition to the individual experiences of the to intensive case management in the face of pharmacy practitioners, the session will present stigma in rural Georgia to a “one-stop shop” model the best practices and findings by the American in Queens, N Y. ,. in this workshop representatives College of Clinical Pharmacy (ACCP) and the from five different organizations will present American Pharmacists Association (APhA) . information on why their programs are designed Presenters: the way they are and why they work so well . Each presenter will take 10 minutes to present ƒ ƒ Hila Berl data on program demographics and evidence of ƒƒ Alton Condra effectiveness, explain the particular strategies ƒƒ Catherine Knochel used, and discuss what makes their programs unique and tailored to their populations . Twenty minutes will then be spent highlighting various Session ID: 6762 program elements, their benefits and drawbacks, Track: Innovative Practices and walking through a series of brief group Session Title: Linkage and Retention in HIV activities . Designed to help participants determine Care: One Size Does NOT Fit All! the best ways to apply the information learned to their own settings and target populations, Meeting Room: Howard University (Level 1/Blue) activities will include an interactive review of Continuing Education: Yes case studies as well as handouts that prompt Level: Intermediate participants to identify their clients’ biggest retention challenges and to strategize methods Learning Objectives: to effectively support retention. The remaining 20 ƒƒ Recognize the importance of tailoring minutes will be reserved for participant questions . strategies for retention in care for people Moderator/Presenter: Shelley Facente living with HIV . Presenters: ƒƒ Identify at least three retention strategies that would be effective for a particular ƒƒ Kristina Wong target population . ƒƒ Robert Candage ƒƒ Understand benefits and drawbacks of at ƒƒ Rosemary Lopez least five different retention strategies. ƒƒ Johnny Rogers Description: This 90-minute workshop will ƒƒ DornuBari John-Miller highlight a range of effective community-based services to support linkage and retention in care

81 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24

and recently released individuals . One model Session ID: 6926 uses video conferencing between HIV-positive incarcerated individuals and a community- Track: Innovative Practices based case manager to prepare the incarcerated Session Title: Translation and Replication of individuals for release; another model focuses SPNS Models: Moving Hard-to-Reach Clients on care coordination to ensure uninterrupted along the HIV Care Continuum access to HIV medications and medical care after Meeting Room: Chinatown (Level 3/Silver) release . Other featured models expand hepatitis Continuing Education: Yes C (HCV) treatment for HIV-HCV coinfected patients in both ACA Medicaid expansion and Level: Intermediate nonexpansion states by colocating care in a Learning Objectives: primary care setting. Program staff integral to the ƒƒ Identify resources developed to support implementation of the SPNS models, including the implementation and replication of those from the Virginia Department of Health, successful models of HIV care . the Louisiana Department of Health & Hospitals, Washington University, and the University of ƒƒ Describe two models for preparing HIV- California, San Francisco, will describe their positive incarcerated individuals for release intervention models, the staffing, and resource and linking them to care . capacity required for implementation and steps ƒƒ Describe two models for addressing necessary for replication . Presenters will also comorbid HCV infection among people discuss challenges encountered and describe the living with HIV/AIDS . sustainability of their models . Description: The Health Resources and Moderator/Presenter: Sarah Cook-Raymond Services Administration (HRSA) supports the Presenters: implementation and replication of successful models of HIV care through Integrating HIV ƒƒ Shelly Kowalczyk Innovative Practices (IHIP) tools and resources ƒƒ Karissa Page gathered from evidence-informed Special ƒƒ Tawnya Brown Projects of National Significance (SPNS) interventions, and the provision of technical ƒƒ Lauren Yerkes assistance support . IHIP tools, resources, and capacity building activities equip HIV Session ID: 6943 service providers with knowledge of tested Track: Data to Care approaches for improving the delivery of HIV care . This workshop will highlight innovative Session Title: The Whoosh: Innovative Data SPNS models featured in an implementation Exchange to Save Time and Improve Care in Hawaii, Boston and Rikers Island manual designed to facilitate replication of successful models . The manual — and this Meeting Room: Marquis Salon 13 (Level 2/Purple) session — provide comprehensive steps for Continuing Education: Yes replicating the intervention models, potential Level: Intermediate/Advanced challenges, and lessons learned . We will feature state health department linkage-to-care and Learning Objectives: medication-access models for incarcerated

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ƒƒ Understand how a paradigm of health coined “The Whoosh,” which has transferred more information exchange can free up time than 2 million data elements in just one year, better spent on client care and quality saving time and improving service coordination .

3:30PM - 5:00PM improvement . Distilling lessons learned across these diverse ƒƒ Describe how to adopt and adapt strategies regions and projects, overall principles of effective and tools to implement web-based collaboration, communication, and systems WED, AUGUST 24 resources to achieve federal compliance coordination are presented to inform the growing and improved quality management . trend for data exchange across the nation . ƒƒ Understand the pitfalls and benefits of Moderator/Presenter: Jesse Thomas implementing health information exchange, Presenters: including the adoption of federal Office of ƒƒ Alison Jordan the National Coordinator (ONC) standards . ƒƒ Ray Higa Description: Three case studies from diverse ƒ regions illustrate the importance, barriers, ƒ Eric Thai successes and lessons learned in successful data ƒƒ Benjamin Penningroth exchange that transformed federal reporting into an efficient process for quality improvement. Session ID: 8009 The Hawaii Department of Health, the Boston Eligible Metropolitan Area (EMA), and NYC Health Track: Emerging Issues + Hospitals share their diverse perspectives as Session Title: U.S. Counties’ Vulnerability to a State Part B recipient, an EMA, and a large Rapid Dissemination of HIV/HCV Infections multi-funded provider, respectively . Leveraging Among Persons who Inject Drugs resources, from HRSA Special Projects of Meeting Room: Cherry Blossom (Mezzanine/Red) National Significance (SPNS), the State of Hawaii Continuing Education: No will present its statewide RSR- and ADR-ready eCOMPAS system, including how they securely Level: Beginner share its Part C clinic’s data with the statewide Learning Objectives: network, providing information for case managers, ƒƒ Describe the factors associated with acute quality managers, and the State’s ADAP program . hepatitis C infection rates in the United This system provides more than 300 million data States from 2012 through 2013 . elements to case managers while saving 6,000 hours per year across state agencies . The Boston ƒƒ Increase provider awareness of the EMA presents its case study for publishing open geographic areas identified as vulnerable to data standards to allow sub-recipients to upload rapid spread of human immunodeficiency electronic medical record data for RSR reporting, virus (HIV), if introduced, and new or program compliance, and quality management, continuing high rates of hepatitis C virus eliminating double-data entry burden of 600,000 (HCV) infections among persons who inject data elements each year . Utilizing multiple drugs and the HIV infection proximity in SPNS projects, including replication activities in these areas . Puerto Rico, the NYC Health + Hospitals Warm Transitions program presents its outcomes and lessons learned from its data exchange program

83 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30PM - 5:00PM WED, AUGUST 24

ƒƒ Describe three actions that state and Presenter: local health departments can do to better ƒƒ Michelle Van Handel understand their local vulnerability to rapid spread of HIV or HCV infections among persons who inject drugs . Session ID: 8010 Description: A recent HIV outbreak in a rural Track: Emerging Issues network of persons who inject drugs (PWID) Session Title: 201: Strengthening the Health underscored the intersection of the expanding Care Delivery System through Planning epidemics of opioid abuse, injection drug use Meeting Room: Capitol Hill (Level 3/Silver) (IDU), and associated increases in HCV infections . Continuing Education: Yes We sought to identify U .S . communities that are especially vulnerable to rapid spread of Learning Objectives: IDU-associated HIV, if introduced, and new or ƒƒ Identify the key components of the continuing high rates of HCV infections . planning cycle and how it is used to achieve We conducted a multi-step analysis to identify NHAS goals . which indicator variables were highly associated ƒƒ Apply Parity, Inclusion and Representation with IDU . We then used these indicator values to (PIR) and data-driven decision-making in calculate vulnerability scores for each county to planning . identify which were most vulnerable . ƒƒ Use planning to develop approaches that We used confirmed cases of acute HCV infection lead to a reduction in health disparities . reported to the National Notifiable Disease Description: HIV community planning in the Surveillance System, 2012-2013, as a proxy United States has used the principles of parity, outcome for IDU, and 15 county-level indicators inclusion and representation (PIR) to support available nationally in Poisson regression stakeholder engagement . These principles can models to identify indicators associated with be essential in meeting the goals of the National higher county acute HCV infection rates . Using HIV/AIDS Strategy in a changing health care these indicators, we calculated composite index landscape . With the appropriate infrastructure scores to rank each county’s vulnerability . A and representation in place, the planning bodies parsimonious set of six indicators were associated will have clear and direct input on the goals and with acute HCV infection rates (proxy for IDU): data-driven decision-making activities surrounding drug overdose deaths, prescription opioid sales, national and local HIV issues . per capita income, white, non-Hispanic race/ ethnicity, unemployment, and buprenorphine Presenters: prescribing potential by waiver . Based on these ƒƒ Gary Cook indicators, we identified 220 counties in 26 states ƒƒ Lennwood Green within the 95th percentile of most vulnerable . Our analysis highlights U .S . counties that are ƒƒ Frances Hodge potentially vulnerable to HIV and HCV infections ƒƒ Amelia Khalil among PWID in the context of the national opioid ƒƒ Emily McKay epidemic . State and local health departments will need to further explore vulnerability and target interventions to prevent transmission .

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THURSDAY, CONCURRENT SESSIONS, SERIES D AUGUST 25, 2016 10:30 AM - 12:00 PM PLENARY SESSION 10:30 AM - 12:00 PM Meeting Room: Marriott Marquis Ballroom Session ID: 4022 (Level 2/Purple) Track: Innovative Practices

THURS, AUGUST 25 THURS, This plenary will highlight innovative initiative and Session Title: Planning for the Ryan White models for HIV programs and service delivery . Care Continuum: Prevention, Care and the Presenters will provide an overview of HIV Councils prevention and care and treatment initiatives Meeting Room: Howard University (Level 1/Blue) and collaborations and specific examples of Continuing Education: No programmatic work to improve health outcomes for people living with HIV. Learning Objectives: Speakers: ƒƒ Describe the roles of local health departments, Ryan White grantees and ƒƒ Harold Phillips, Director, Office of Training local planning bodies in HIV integrated and Capacity Development, HIV/AIDS planning, creating a comprehensive work Bureau, Health Resources and Services plan and maximizing collaboration efforts. Administration ƒƒ Discuss experiences in initiating an ƒƒ Jonathan Mermin MD, MPH (RADM, USPHS), integrated planning process, structuring Director, National Center on HIV, Viral planning bodies, best practices and lessons Hepatitis, STD, and Tuberculosis Prevention, learned to coordinate a response to the HIV Centers for Disease Control and Prevention epidemic . ƒƒ Diana Jordan, RN, MS, Director, Division of Description: This workshop will focus on the Disease Prevention, Virginia Department of successes of Broward County HIV Health Health Services Council (HIVPC), the Broward County ƒƒ Kimberly Butler Willis, MPH, Director, Ryan HIV Prevention Planning Council (BCHPPC), and White Wellness Center, Roper St . Francis the Metropolitan Washington Regional Ryan Health Care White Planning Council in redesigning and ƒƒ Mario Perez, Director, Division of HIV and revamping the manner in which these bodies STD Programs, Los Angeles County plan for prevention and care services in their respective jurisdictions . In Broward County, the planning groups aligned their planning efforts to ensure integrated HIV prevention, care, and treatment funding and services . Integration work products, processes, and methods will be shared in order to highlight best practices and display recommendations for implementation . Collective Impact Methodology (CIM) was the process chosen by the Part A Program and DOH-Broward, creating a mechanism by which the complex

85 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM THURS, AUGUST 25 issues of achieving a coordinated response to the groups throughout the United States . These HIV epidemic could be addressed . In Washington, groups provide a powerful mechanism for local a new structure was developed that governs the peer learning . About 257 RWHAP recipients planning body: a community co-chair (elected participate in NQC regional groups, representing from and by the body) and a government co- 43 percent (257 out of 587) of all recipients, chair (hired by the Department of Health) . The the most widely used ongoing QI initiative for decision to reconstitute the planning council was RWHAP recipients . Regional group participants made to enhance the council’s capacity to plan demonstrate statistically significant improvements for the care and support services of people living on key performance measures, including with HIV/AIDS in the eligible metropolitan area . increased viral load suppression, and show This workshop will provide the audience with greater improvements compared to agencies information on the rationale for the changes in that do not participate in regional groups . The planning models and planning structures and the South Carolina Regional QI Team has operated steps and processes that were taken to achieve a regional group since 2006 . Since that time the the change . This includes providing details on group has fostered an expanded peer learning the time required, key stakeholders, key staff, environment, incorporated consumers into the roles and responsibilities, and a status update on group and moved toward focusing on disparity . how this change has improved the work of the South Carolina brings the invaluable experience planning bodies . of the 10-year evolution of its regional group and Presenters: the success and challenges, it has faced along the way . North Carolina will also be discussing ƒ ƒ Lamont Clark how its regional group has made a statewide ƒƒ Shaundelyn Emerson impact . Participants in this workshop will gain a ƒƒ Ebony Fortune full understanding of the importance and positive benefits of regional groups. ƒƒ Ka’leef Morse Presenters: ƒƒ Robert Sandrock ƒƒ Mulamba Lunda ƒƒ Clemens Steinbock Session ID: 4023 ƒ Track: Quality Management ƒ Theresa Rubin Session Title: Using Regional Groups to ƒƒ Pam McKnight Effect Positive Change in HIV Care ƒƒ Scott Parker Meeting Room: University of District of Columbia ƒƒ Amy Heine (Level 1/Blue)

Continuing Education: No Session ID: 4025 Description: This session will offer three Track: Emerging Issues presentations on how regional groups effectively Session Title: Strategies to Improve make positive changes in a cooperating group Engagement in Community HIV Care for of Ryan White HIV/AIDS Program recipients . People who are Releasing from Prison The National Quality Center (NQC) currently Meeting Room: Union Station (Level 3/Silver) facilitates and/or participates in 28 regional

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Continuing Education: No ƒƒ List the differences between a 340B Description: This session will review Wisconsin’s pharmacy and a traditional pharmacy . patient navigation program and Louisiana’s ƒƒ Identify collaborative strategies to build videoconferencing intervention for HIV-positive capacity, encourage ART adherence and 10:30 AM - 12:00 PM persons discharging from prison within their improve viral load suppression . respective state prison systems . The Wisconsin Description: The eight FQHC look-alike facilities AIDS/HIV Program and Louisiana STD/HIV Program

THURS, AUGUST 25 THURS, of the Philadelphia Department of Public Health are participants in the Systems Linkages and (PDPH) provide safety net primary care and Access to Care for Populations at High Risk of pharmacy services to more than 1,000 PLWH . To HIV Infection initiative, which is funded by the address gaps in ART adherence and viral load Special Projects of National Significance program suppression, PDPH, with support from a RWHAP of the U .S . Health Resources and Services capacity development grant, convened a clinician- Administration . The projects involve implementing pharmacy collaborative with input from advanced a novel intervention aimed at improving retention practice pharmacists and community pharmacy in HIV care after patients are released from representatives, the local AETC performance site prison back to the community . This session will and PDPH personnel to provide tailored, technical include a presentation on the implementation assistance, evaluation, and other activities over of each intervention and experiences working in a one-year period . The University of Toledo correctional systems . Presenters will discuss data Medical Center (UTMC) Ryan White Clinic has collection using CAREWare, state surveillance an on site 340B pharmacy that provides “high systems, and electronic health records, and touch” services to patients, including medication provide quantitative analyses and preliminary therapy management, vaccinations, counseling findings assessing the interventions. and pill boxes. In addition to its financial support Presenters: for the Ryan White program, patients who use ƒƒ Karli Hochstatter the pharmacy have lower viral loads and higher visit and lab compliance than those who do not . ƒ ƒ Karissa Page Both Philadelphia and UTMC have used different pharmacy models to care for their patients and Session ID: 4036 have evaluated the influence of those models on Track: Innovative Practices patient care outcomes . In this session, we will discuss the impact of these pharmacy models Session Title: Innovative Pharmacy on patient care outcomes, the key planning Collaboration: Playing a Role in Viral items needed when starting an on-site 340B Suppression and Retention in Care pharmacy, and available resources to programs . Meeting Room: George Washington University Additionally, we will focus on the interplay (Level 1/Blue) between pharmacies, benefits, patient behaviors, Continuing Education: No and prescription fills. Both programs will then take questions on their pharmacy models, patient Learning Objectives: outcomes, and clinical services offered. ƒƒ Identify resources for starting an onsite Presenters: pharmacy and summarize the impact it can have on patient care outcomes . ƒƒ Lindsey Eitniear

87 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM THURS, AUGUST 25

ƒƒ Helena Kwakwa services paid by insurers . We discuss ways ƒƒ Joan Duggan that HIV providers can advocate for insurance payments for preventive services provided by ƒ ƒ Nicole Hamons medical case managers and other workers . We highlight strategies for educating Medicaid and Session ID: 4043 Medicare policymakers, commercial insurers, and Track: Health Care Landscape health care systems about how HIV providers can offer evidence-based, cost-effective, and Session Title: Creating New Opportunities high-quality services. We offer strategies for HIV for Delivering HIV Prevention, Care, providers to collaborate in insurance contracting and Management Services to Insured and billing . Part 2 of the session focuses on DCM Populations methods that can be adopted by medical case Meeting Room: Magnolia (Mezzanine/Red) managers . Newly emerging roles for medical case Continuing Education: No managers on health care teams are highlighted . Patient case studies highlight the complexity of Learning Objectives: DCM clients and ways to address their clinical and ƒƒ Trainees will be able to identify three ways psychosocial needs . Do you want to learn about that the ACA promotes HIV prevention and practical ways to expand HIV services to insured disease care management services . populations? This is the session for you . ƒƒ Trainees will become familiar with common Presenter: components of disease care management . ƒƒ Julia Hidalgo ƒƒ Trainees will acquire an understanding of how they can collaborate with other HIV providers to address insurance contracting Session ID: 4047 and billing challenges . Track: Emerging Issues Description: The HIV care continuum is rapidly Session Title: Engaging Transgender Women evolving and offers new opportunities for of Color Living with HIV into Health Care: integrating HIV prevention, management, and Lessons from Nine SPNS Projects treatment . The broader health care insurance Meeting Room: Mount Vernon Square system also can promote integration and (Level 3/Silver) payment for these services . Expanded insurance enrollment, ACA preventive service provisions, Continuing Education: No and recent changes in Medicaid and Medicare Learning Objectives: policies offer new opportunities for HIV programs. ƒƒ Describe HIV-related health disparities Insurers seek effective disease case management among transgender women of color . (DCM) models to promote wellness, avoid unnecessary costs, and address disparities in ƒƒ List innovative approaches that CBOs and access. Part 1 of this session addresses specific health care organizations can use to link ways that HIV programs can be paid for HIV and retain transgender women of color outreach, biomedical and behavioral prevention, into HIV care and complementary clinical testing, linkage, and DCM. Tips are offered for services . becoming familiar with prevention and DCM

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ƒƒ Identify innovative strategies to successfully promote treatment adherence . engage young transgender women and Presenters: adolescents of color living with HIV into ƒ health care . ƒ Jeffrey Birnbaum

10:30 AM - 12:00 PM ƒƒ Kelly Ducheny Description: Transgender women of color experience significant HIV disparities. HRSA’s ƒƒ Frank Galvan Special Programs of National Significance (SPNS) ƒ THURS, AUGUST 25 THURS, ƒ JoAnne Keatley funded nine demonstration sites – consisting ƒƒ Royce Lin of five clinics and four community-based organizations – to implement interventions ƒƒ Luis Molano to improve engagement in health care among ƒƒ Tooru Nemoto transgender women of color living with HIV . ƒƒ Josie Paul During this interactive session conference participants will hear updates and lessons ƒƒ Cathy Reback learned from this ongoing national project . ƒƒ Greg Rebchook The session will begin with an overview and ƒƒ Tiffany Woods history of the initiative, a description of the nine demonstration sites, and the Evaluation and Technical Assistance Center will present Session ID: 6213 baseline data describing the participants in the Track: Emerging Issues national evaluation as well as demographic, Session Title: Living with HIV in Rural U.S. structural, and psychosocial variables associated Jurisdictions: Effects of Stigma on HIV Care with engagement in HIV care . Two panels will Continuum Outcomes provide opportunities for the community-based organizations and clinical providers to highlight Meeting Room: LeDroit Park (Level 3/Silver) important lessons learned and emerging best Continuing Education: Yes practices in the implementation and delivery Learning Objectives: of each intervention and to describe how their ƒ programming addresses different stages of the ƒ Recognize the differences in HIV care HIV continuum of care . Additionally, one clinical continuum outcomes for persons living site that focused on adolescent and young with HIV (PLWH) in rural and non-rural adult transgender women of color will present jurisdictions of the United States . its preliminary local evaluation data . Topics ƒƒ Identify types of stigma experienced by addressed may include: creating and sustaining PLWH in rural jurisdictions of the United successful CBO-clinical collaborations, how States . non-clinical providers can implement and ƒƒ Discuss ways to decrease organizational support novel approaches to link and retain stigma for PLWH accessing health care in transgender women of color into HIV care and rural jurisdictions of the United States . complementary clinical services, utilizing peer navigators in organizations with clinical services Description: Despite efforts to decrease new HIV to reach trans women of color living with HIV, infections and to increase HIV testing, diagnosis, the role of CBOs in advocating for high-quality care linkage, care retention, and viral suppression among persons living with HIV in the United States trans-related and HIV health care, and how to

89 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM THURS, AUGUST 25 and its territories, significant disparities exist for Continuing Education: No those living in rural areas . Studies have shown that Level: Intermediate/Advanced HIV testing, care retention and viral suppression are significantly less likely to happen for persons Learning Objectives: living in rural areas of the country . In addition to ƒƒ State the difference between directional physical barriers (i e. ., distance to HIV care provider and directive counseling . or HIV testing site), the stigma associated with ƒƒ Demonstrate the process of focusing and HIV infection and HIV-related risk behaviors also the mutual . has been identified as preventing persons at-risk ƒƒ List at least four discord evoking MI and living with HIV from engaging in health care . incongruent styles of interaction . As a result, significantly more persons living with HIV in rural areas are diagnosed late in the HIV- Description: LGBT people experience significant disease process compared to similar persons in health disparities, including increased tobacco urban settings . The AETC Program Rural Health and drug use, increased risk of HIV, and lower Committee proposes to present the following: life expectancy . A recent CDC report shows the results of a study done by the AETC Program overall rate of HIV infection is declining, yet the Rural Health Committee in collaboration with risk of HIV infection remains very high among the CDC comparing outcomes of persons from racial and ethnic minority men who have sex with rural and non-rural jurisdictions; a short video men (MSM) insofar that one in two black MSM of interviews with health care providers working and one in four Latino MSM will be diagnosed with HIV-infected people from rural communities with HIV in their lifetime . Furthermore, MSM regarding the effects of stigma on accessing health represent approximately 90 percent of new HIV care and of persons living with or at-risk of HIV cases among 13-19 year olds . The Substance living in rural areas answering how stigma has Abuse and Mental Health Services Administration affected their experiences in getting health care; awarded a supplement to the Pacific Southwest and a discussion of reducing stigma to increase Addiction Technology Transfer Center to create engagement of persons living with or at-risk of HIV the Center of Excellence on Racial and Ethnic infection in rural communities . Minority Young Men Who Have Sex with Men and Other Lesbian, Gay, Bisexual, and Transgender Moderator: John Nelson Populations (YMSM+LBGT CoE) . This 60-minute Presenters: interactive workshop, designed for clinicians and ƒƒ Anna Kinder case managers, will illustrate how the evidence ƒƒ Donna Sweet based practice of motivational interviewing (MI) can be used to identify and strengthen intrinsic ƒ ƒ Theresa Bramel motivation to change behaviors such as high-risk sexual activity, as well as substance use and HIV Session ID: 6295 treatment adherence . Participants will receive a concise overview of MI essentials and have Track: Emerging Issues opportunities to strategize and practice effective Session Title: Transforming Health an Inside MI techniques focused on a specific change goal. Job: Using Motivational Interviewing to Prior knowledge of MI is helpful but is not a Build Health Momentum requirement for participation in this workshop . Meeting Room: Marquis Salon 14 (Level 2/Purple) Moderator/Presenter:

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ƒƒ Paul Warren within 180 days, and 55 percent were retained in care with two visits more than 90 days apart in the follow-up year; and 51 percent had evidence Session ID: 6446 of VLs within 180 days . Initial implementation led

10:30 AM - 12:00 PM Track: Data to Care to very long lists that gradually shortened over Session Title: Clinic-Based Retention in time . After at least 12 months of implementation, Care: Description, Outcomes, and Lessons staff time ranged from four to 20 hours per week

THURS, AUGUST 25 THURS, Learned for client follow-up and one to five hours per Meeting Room: Silver Linden (Level 2/Purple) month for data management and list generation . Staff buy-in, the time period by which out-of- Continuing Education: Yes care status was determined, and when to initiate Level: Intermediate the protocol varied per site . Implementing Learning Objectives: the protocol led to systematic changes in intervention sites’ retention efforts and the ƒƒ Understand how to create and use out-of- implementation of additional interventions such care lists in various clinic settings . as “no-show” policies and increased focus on case ƒƒ Describe key qualitative and quantitative management for new patients . findings of this intervention, and how Presenters: they can be used to inform future implementation of similar protocols . ƒƒ Jenna Donovan ƒƒ Assess an organization’s capacity to develop ƒƒ Evelyn Quinlivan retention efforts. Description: As part of the Systems Linkages Session ID: 6509 Initiative, the NC LINK Project developed a Track: Emerging Issues clinic-based protocol that five Ryan White clinics Session Title: Systems Linkages Institute used to retain people living with HIV (PLWH) 101: Systems Linkages and Access to Care: in care . This session will explore the outcomes A Special Projects of National Significance and lessons learned, and include an interactive (SPNS) Initiative program assessment for interested sites to determine necessary resources to implement Meeting Room: Marquis Salon 13 (Level 2/Purple) the retention protocol . Intervention sites used Continuing Education: No electronic medical records to generate lists of Learning Objectives: PLWH without care in more than six to nine ƒƒ Describe the different interventions months and employed letters, phone calls, and implemented under the Systems Linkages database searches to contact and reschedule and Access to Care Initiative . patients . Activity data were collected in CAREWare and used along with surveillance data to assess ƒƒ Identify the barriers and facilitators to clinical outcomes . Individual site visits were implementing the interventions . conducted after the intervention period to assess ƒƒ Evaluate the benefits provided by two successes, discuss lessons learned, and ensure distinct interventions used to facilitate future sustainability of the protocol . For patients engagement and re-engagement in HIV who were found by the clinics, 58 percent care . returned to care within 90 days, 75 percent

91 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:30 AM - 12:00 PM THURS, AUGUST 25

Description: In 2011, HRSA’s Special Projects ƒƒ Michelle Broaddus of National Significance launched the Systems ƒƒ Katie Lass Linkages and Access to Care for Populations at High Risk of HIV Infection Initiative . Six state health departments were funded to develop Session ID: 6601 and implement HIV testing, linkage-to-care, and Track: Health Care Landscape re-engagement/retention-in-care interventions . Session Title: Valuing Medicaid The principal goals of this initiative were to Participation in Louisiana Ryan White develop new or improve existing systems that Quality Initiatives in the wake of Medicaid effectively integrated previously siloed public Expansion health sectors serving people at risk or living Meeting Room: Dogwood (Level 2/Purple) with HIV . Health department representatives partnered with collaborators located in a variety Continuing Education: No of settings such as correctional facilities, HIV Level: Intermediate testing agencies, community-based agencies, and Learning Objectives: HIV clinics . In this session, we will characterize the interventions, describe the essential ƒƒ Describe strategies for engaging Medicaid factors shaping the implementation of these managed care plan staff in Ryan White interventions, and present two case studies . cross-part quality groups . Louisiana’s videoconferencing intervention ƒƒ Identify how Ryan White quality groups can provided an opportunity for patients discharging partner with Medicaid managed care plans from correctional facilities to meet virtually with to reach out to providers and advocate for a case manager in the community they planned policies that benefit people living with HIV. to be released to, to learn about the social ƒƒ List examples of how Medicaid plans can supports offered through case management, contribute to Ryan White quality groups by and the importance of being engaged in HIV clarifying payer perspectives, policies and care . Wisconsin’s Linkage to Care Specialists priorities . intervention provided intensive, short-term case management and patient navigation for people Description: The Louisiana HIV Clinical Quality living with HIV who were newly diagnosed, Group (LHQG) was organized in 2014 as a cross- recently released from incarceration, or part Ryan White quality group inclusive of non- sporadically engaged in medical care . Specialists Ryan White-funded private clinical partners focused on increasing care engagement while and Medicaid managed care representatives . working to address additional barriers such After a data-sharing agreement was reached as housing, insurance, and mental health . As between Louisiana Medicaid and the Louisiana qualitative researchers involved in this important Office of Public Health, STD/HIV Program initiative, our work has been instrumental in leadership extended an invitation to Medicaid explaining the factors leading to the successful managed care organizations to participate in implementation of these interventions . The results the LHQG in anticipation of Medicaid expansion . will be described in this session . Subsequently, in January 2016, the newly elected governor announced that Louisiana will expand Moderator/Presenter: Kimberly Koester Medicaid . This landmark decision resulted in Presenters: increasingly active participation in the LHQG

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from local Medicaid managed care plans that ƒƒ Identify how the HRSA/HAB policy anticipate record enrollment of people living clarification notices affect recipient and with HIV . As Medicaid expansion is imminent, the subrecipient programs . establishment of this collaborative relationship ƒƒ Develop and implement monitoring 10:30 AM - 12:00 PM better positions both parties to work through systems that test recipient or subrecipient the challenges related to HIV care quality . The compliance with RWHAP legislative and objectives of this panel discussion are to: 1) programmatic requirements . THURS, AUGUST 25 THURS, generate discussion with other states concerning the mutual benefits of recruiting and engaging Description: Ryan White HIV/AIDS Program active Medicaid representation in Ryan White grant recipients are responsible for ensuring cross-part quality groups; and 2) brainstorm that funds are spent in accordance with the and/or share experiences through which these legislative and programmatic requirements of the partnerships could be further leveraged to RWHAP . Fiscal management systems help grant improve care quality for people living with HIV as recipients comply with legislative, policy, and they move toward Medicaid coverage . Examples of grants management requirements and manage bidirectional resource sharing and peer learning program income, expenses, and third-party on topics such as: the HIV care continuum, re- contracting and reimbursement . Grant recipients engagement into care, tracking PrEP utilization, must consider how the new and revised fiscally HIV/STD comorbidity, incentivizing STI screening related HRSA/HAB policy clarification notices may and more will be shared . Experiences and ideas affect recipient and subrecipient programs. Of from workshop participants will also be solicited . significant importance is the Uniform Guidance. Ensuring that key fiscal activities comply with the Moderator/Presenter: Adrienne Warren Uniform Guidance is essential for developing Presenters: effective internal recipient accounting processes, ƒƒ Seema Gai and in providing fiscal oversight to subrecipients. The impact of changes to reporting requirements, ƒ ƒ Raymond Poliquit including the allowable and unallowable costs, reallocation of certain line items to different Session ID: 6664 cost categories, and salary limitations affect Track: Health Care Landscape agencies’ fiscal health. A strong understanding of budget management strategies is central to Session Title: Fiscal Responsiveness and Accountability in a Time of Change avoiding pitfalls and penalties, such as restricted drawdown, conditions of awards, and delayed Meeting Room: Dupont Circle (Level 3/Silver) approval of budgets . Continuing Education: Yes Moderators: Learning Objectives: ƒƒ Amelia Khalil ƒ ƒ Identify the authoritative source documents ƒƒ Lawrence Momodu for the legislative and programmatic ƒ requirements governing the Ryan White ƒ Monique Worrell program . Presenter: ƒƒ Mae Rupert ƒƒ Julia (Lolita) Cervera

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Session ID: 6749 Session ID: 6984 Track: Innovative Practices Track: Data to Care Session Title: Workflow Mapping as a Tool Session Title: SPNS: Fusing All Parts Data, for Organizational Change My CareContinuum Dashboard, Low Health Literacy Patient Portal Meeting Room: Catholic University (Level 1/Blue) Meeting Room: Scarlet Oak (Level 2/Purple) Continuing Education: No Continuing Education: Yes Learning Objectives: Level: Intermediate ƒƒ Describe the workflow mapping process. Learning Objectives: ƒƒ Verbalize the do’s and don’ts related to the workflow mapping process. ƒƒ See how a paradigm of merging disparate data sources across funding silos can be ƒƒ Describe the workflow mapping as a tool accomplished to improve quality of care . for organizational change . ƒƒ Describe how to replicate or adapt Description: The Cook County Health and Hospitals strategies and tools to implement novel System (CCHHS) Ruth M . Rothstein CORE Center approaches to impacting the outcomes in Chicago embarked on the path to implement along the care continuum . the Patient Centered Medical Home (PCMH) model in 2012 . As part of a practice transformative ƒƒ Understand the pitfalls and benefits of model SPNS grant, workflow mapping was implementing health information exchange, implemented as a tool to identify processes within including the adoption of federal Office of the organization/systems to facilitate and enhance the National Coordinator (ONC) standards . the implementation of a PCMH model . The goals Description: Part I . HRSA Special Projects are to improve service delivery and implement of National Significance is supporting an the organizational changes to: enhance access innovative project led by the City of Paterson and continuity of care, improve team-based care, (N .J .) Department of Health and Human Services implement population health management, to electronically exchange and merge Parts establish care plans and self-care management and A, B, C, and D data for the construction of an support, track and coordinate care, and improve interactive, web-based HIV Care Continuum CQI measures and processes . The overall goal is to dashboard to support funded providers with improve the patient experience . In this workshop, planning and quality improvement activities . The workflow mapping will be described as a tool novel initiative represents the culmination of for practice transformation within a large urban the first-ever state-city collaboration and a Part public health clinic within a large bureaucracy . A-Part C/D partnership to securely exchange Implementation challenges and successes will be health information . The stories, methodologies, discussed presented as well an opportunity for and lessons learned of deriving and sustaining small group discussions . the win-win collaborations will be presented . Moderator/Presenter: Marisol Gonzalez Drido Part II . The initiative further allows low- health-literate consumers to access their care Presenter: coordination information via a patient portal ƒƒ Allison Precht tethered to the enhanced health information

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exchange, helping to empower and engage ƒƒ Discuss post-release patient outcomes . consumers in their own health care decisions . Description: Correctional facilities represent a The story of how this award-winning patient crucial component in the continuum of care for portal was designed, replicated, and adapted people living with HIV/AIDS . Thus re-engagement 10:30 AM - 12:00 PM from another SPNS project is presented as to care post-release from correction facilities is of replication is a key objective and valuable prime significance in achieving or maintaining viral outcome of the HRSA SPNS program . Findings, suppression and in preventing further spread of THURS, AUGUST 25 THURS, obstacles, success stories, lessons learned, and infection into the larger community . We describe principles are disseminated from this SPNS the individual-level re-entry and risk-reduction initiative from multiple perspectives in an program for HIV, STDs, and hepatitis from the interactive session . This session also will provide prison system to the community . We targeted two follow-up information to the well-received correctional facilities in Delaware County, Pa ., and 2012 presentation where a HRSA SPNS Health a halfway house that also serves as a drug and Information Technology project helped support alcohol treatment center . Prior to release, our major positive outcomes such as a 44 percent outreach project staff members go these sites to improvement in medical visit retention, a 28 conduct pre-release medical and social support percent improvement of medication adherence, needs assessment . Following release, those who a 107 percent improvement in syphilis contact our project staff for medical needs are screening, and a 38 .6 percent improvement in scheduled for medical visits within 24 hours . Our viral load suppression . medical facility serves as a one-stop shop for HIV, Presenters: STD, and hepatitis treatment care and behavioral ƒƒ Milagros Izquierdo health care . Clients also are assigned to case managers who assist them with resettlement . ƒ ƒ Jesse Thomas Between January 2015 and March 2016, 27 former ƒƒ Patricia Virga inmates remained in care . The mean age for the ƒƒ Peter Gordon linked cohort was 44 . The majority was male (86 percent) . Currently more than 65 percent have achieved viral suppression with improved Session ID: 6994 CD4 counts and are in treatment for chemical Track: Emerging Issues dependency . Our program underscores the Session Title: Beyond the Prison Walls: Re- importance of a hand-held navigation approach linkage and Retention 2.0 with social services support post-incarceration as an effective intervention in reducing risk, Meeting Room: Shaw (Level 3/Silver) enhancing the HIV continuum of care, and Continuing Education: Yes integration into the larger society . Level: Intermediate Moderator/Presenter: James Ealy Learning Objectives: Presenters: ƒƒ Identify effective ways in linking inmates to ƒƒ Rahab Wahome care post-release . ƒƒ Regina Ubaldi-Rosen ƒƒ Emphasize the importance of collaboration between clinical and support staff in enhancing the continuum of care .

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and those that precipitated the HIV outbreak Session ID: 6998 (i e. ., injection drug use), are not unique to Scott County . Recognizing similarities, four health Track: Emerging Issues districts in southwest Virginia took action to Session Title: Establishing and Sustaining prepare for identifying and responding to a HIV Care and Treatment in Communities regional HIV outbreak . In April 2016, the health Vulnerable to Large Increases in HIV/HCV districts and state health department organized Meeting Room: Treasury (Level 4/Green) a tabletop HIV outbreak exercise with community Continuing Education: Yes partners to discuss procedures, capabilities and readiness to recognize and respond to a large Learning Objectives: number of HIV cases. As a result, efforts are being ƒƒ Better identify the conditions for undertaken to establish local HIV capacity, such vulnerability to an HIV and HCV outbreak as through implementation of telemedicine and related to injection drug use, particularly in enhanced linkage to care services . The workshop suburban and rural communities . will examine issues of vulnerability to HIV and HCV ƒƒ Organize opportunities and formulate among people who inject drugs, particularly in plans for identifying and responding to an suburban and rural areas that lack sufficient HIV increase in HIV and HCV among people care and treatment, and approaches to building who inject drugs, particularly in suburban this capacity within communities . and rural areas that lack existing HIV Moderator: Gretchen Weiss prevention, care, and treatment capacity . Presenters: ƒƒ Identify approaches to building and ƒƒ LaNisha Childs sustaining HIV care and treatment services within communities where there are limited ƒƒ Kimberly Scott or no existing infrastructure, resources and ƒƒ Tammie Woodson capacity . Description: In January 2015, a disease Session ID: 7015 intervention specialist identified 11 new cases Track: Emerging Issues of HIV linked to a rural community in Scott County, Ind ., where there had only been three Session Title: Best Practices for Providing new infections in 2014 . As of April 20, 2016, Substance Use Disorder Treatment and HIV- Related Services to Minority YMSM more than 190 new HIV infections have been diagnosed, of which more than 90 percent are Meeting Room: Congress (Level 4/Green) co-infected with HCV . The outbreak was tied to the Continuing Education: Yes injection of prescription opiates within a dense Learning Objectives: and intergenerational needle sharing network . In a community with one primary care provider ƒƒ Increase understanding of the specialized and very limited experience and resources to needs of YMSM enrolled in SUD treatment support HIV medical care, support services and and HIV services and the particular prevention efforts, there were significant gaps challenges that exist in engaging and to address during the emergency response, keeping them in services . and in the years to come . These circumstances,

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ƒƒ Increase the number of YMSM clients with the goal of arming participants with engaged in SUD treatment and HIV services tools they can take back to their communities through enhanced recruitment, retention to address the needs of minority YMSM . and aftercare skills . Moderator/Presenter: Edwin Craft 10:30 AM - 12:00 PM ƒ ƒ Empower participants to share new Presenters: knowledge and skills gained from the ƒ presentation with colleagues at their home ƒ Lindsay Slay THURS, AUGUST 25 THURS, agency . ƒƒ Wendell Glenn Description: According to the latest CDC ƒƒ Ashley Martell data, among all gay and bisexual men, black gay and bisexual men accounted for Session ID: 7036 10,600 (36 percent) of the estimated new HIV infections in 2010 . The largest number Track: Emerging Issues of new infections among black gay and Session Title: Women and Girls: Taking on bisexual men (4,800, or 45 percent) occurred Behavioral Health, HIV and Hepatitis for in those aged 13 to 24 . From 2008 to 2010, Better Health Outcomes new infections increased 20 percent among Meeting Room: Marquis Salon 15 (Level 2/Purple) young black gay and bisexual men aged 13 to Continuing Education: Yes 24 . Additionally, among all gay and bisexual men, Hispanic/Latino gay and bisexual men Learning Objectives: accounted for 6,700 (22 percent) estimated ƒƒ Discuss the feasibility of integrating IPV and new HIV infections in 2010 . The largest trauma into your programmatic activities . number of new infections among Hispanic/ ƒƒ Recognize MAT’s role to engage the opioid Latino gay and bisexual men (3,300, or 39 crisis . percent) occurred in those aged 25 to 34 . SAMHSA has developed a grant program ƒƒ Establish neighborhood awareness of targeted specifically toward addressing the available complementary services for HIV-related needs of minority YMSM enrolled holistic treatment of the whole person . in substance use disorder (SUD) treatment . Description: Whether at home or abroad, women In this session, grantees will describe the and girls are feeling the lopsided effects of HIV. best practices they are using to meet the Put another way, nearly 1,000 young women are needs of the target population; and how newly infected with HIV daily . Trauma and intimate those are facilitating HIV testing, referral to partner violence (IPV) are but numerous factors HIV medical care and monitoring adherence driving this epidemic . Here in the United States, to HIV medical treatment . They will also black women and Latinas are disproportionately address challenges in recruiting, retaining, affected by IPV and HIV; representing 40.4 percent and providing aftercare for clients, and of reported lifetime IPV and 80 percent of new the lessons they have learned for not only HIV infections . SAMHSA is undertaking a multi- successfully recruiting clients, but retaining faceted approach to engage behavioral health them in treatment . Following individual issues, the substance abuse, violence, HIV/AIDS grantee presentations, a moderated syndemic, and the opioid (e .g ., prescriptions, discussion with the audience will be held, heroin) epidemic . Targeted Capacity Expansion

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(TCE-HIV and TCE-HIV: Minority Women) program recipients are delivering culturally competent Session ID: 8000 and effective behavioral health treatment within Track: Emerging Issues communities that are living with or who are at risk for HIV/AIDS . Likewise, Medication Assisted Session Title: Philadelphia Integrative Treatment – Prescription Drug and Opioid Behavioral Health Initiative: Improved Addiction (MAT-PDOA) program recipients are Retention in HIV/AIDS Care scaling-up comprehensive, coordinated care Meeting Room: Judiciary Square (Level 3/Silver) and evidence-based MAT and recovery support Continuing Education: No services to communities in need . The TCE-HIV: Learning Objectives: Minority Women program has enabled more than 1,600 high-risk negative clients maintain their ƒƒ Describe successful integration of sero-negativity as a trauma-informed approach behavioral health into HIV specialty care facilitated net reductions such as injection drug with a collocated, integrated behavioral use (IDU) (32 .0 percent) and depression (24 .0 health specialist . percent). Likewise, TCE-HIV grantees in fiscal year ƒƒ Identify effective strategies for retention in 2012 facilitated risky behavior reductions such as HIV medical care . IDU (57 .1 percent) for 5,581 clients . MAT-PDOA ƒƒ Discuss sustaining behavioral health care anticipated client outcomes include reduced services with a variety of funding sources . prescription opioid misuse . Innovative behavioral health programs that develop and implement Description: Based on the Primary Care integrated behavioral health and HIV care plans Behavioral Health (PCBH) model, the Philadelphia for clients can connect those who test positive Integrative Health Initiative was developed in to life-saving care and treatment . Furthermore, response to SAMHSA’s Minority AIDS Initiative high-impact care coordination involves a process Targeted Capacity Expansion: Integrated viewpoint that is mindful of the whole person Behavioral Health/Primary Care Network as they are engaged throughout their own care Cooperative Agreements in 2012–2014 . Objectives delivery . Thus, high-risk populations are able included improved retention in care, increased to have their HIV under control, live clean lives, rates of viral suppression and reduced behavioral change risky behaviors, and navigate their journey health and HIV-related health disparities . This along the pathway of recovery . program integrated and collocated services, using six behavioral health consultants (BHCs), either Presenters: psychologists or licensed clinical social workers, ƒƒ Alton King and one ”mobile” BHC, including nine clinical ƒƒ Sherrye McManus settings that are housed in six of Philadelphia’s largest HIV treatment programs . The intervention ƒƒ Lara Stepleman targeted clients with HIV/AIDS that were determined to have behavioral health needs based on a preliminary assessment, and were enrolled in BHC services between Jan . 1, 2012 and March 31, 2013 . Pre- and post-intervention rates of retention in care (evidence of two or more medical visits at least 90 days apart in a one-year

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measurement period), receipt of ART (prescription through the Secretary’s Minority AIDS Initiative of ART during the measurement period), and viral Fund and the Community Health Center Fund suppression (HIV-1 RNA more than 200 copies per established by section 10503 of the Affordable milliliter closest to the end of the measurement Care Act . The goals of the project are to build

10:30 AM - 12:00 PM period) were compared . The BHC services for sustainable partnerships among CDC-funded PLWHA resulted in improvements in retention in state health departments and HRSA-funded care and ART use. These activities are reflected in health centers to support expanded HIV service

THURS, AUGUST 25 THURS, NHAS Step 2 .A 2,. ensuring linkages to HIV medical delivery in communities highly affected by care and improving retention to care for people HIV, especially among racial/ethnic minorities . living with HIV . Health departments and health centers are Moderator/Presenter: Ilze Ruditis working together to increase the identification of undiagnosed HIV infection, integrate HIV services Presenters: into primary care, enhance the use of surveillance ƒƒ Bryce Carter and electronic health record data to improve ƒƒ Emerson Evans linkage to and retention in care, and improve HIV outcomes along the continuum of care for people ƒƒ Lisa Kaplowitz living with HIV . These activities support and build ƒƒ David Martin upon Data to Care, a public health strategy that aims to use HIV surveillance data to improve outcomes across the HIV care continuum . Under Sessions ID: 8005 P4C, Data to Care implementation has included Track: Innovative Practices data systems enhancements for improved reach Session Title: Partnerships for Care (P4C): and usability, development and implementation Data to Care Approaches through Primary of data-sharing agreements and protocols for Care-Public Health Partnerships case conferencing, field investigations and linkage Meeting Room: Gallaudet (Level 1/Blue) or re-engagement in care, operationalizing statutes and policies for bi-directional exchange Continuing Education: Yes of data, and a continuous quality improvement Level: Intermediate approach to identifying and sharing best practices . Learning Objectives: P4C grantees are working to identify emerging, promising and sustainable P4C-funded activities ƒƒ Increase understanding of the Data to Care post-project within and across states . This strategy and its utilization by CDC-funded presentation will describe the P4C project, review health departments and HRSA-funded P4C approaches to Data to Care implementation, health centers under the Partnerships for identify approaches to mitigate challenges and Care (P4C) project . offer considerations for future work. ƒƒ Understand opportunities and challenges in Moderator/Presenter: Data to Care implementation . ƒƒ Rene Sterling ƒƒ Discuss the benefits of primary care public health partnerships for improving ƒƒ Andrew Margolis outcomes across the HIV care continuum . Presenters: Description: Partnerships for Care (P4C) is ƒƒ M . Maximillion Wilson a three-year, multi-agency project funded

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ƒƒ Sophie Lewis CMS in April 2016, would implement key parts of ƒƒ Rachel Malloy the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) . MACRA provides a new ƒ ƒ Hannah Rettler framework for paying clinicians under Medicare ƒƒ Marilyn Morales for the value and quality of care they provide . Session attendees will learn about the objectives of these new rules and the changes coming Session ID: 8006 to Medicare, Medicaid, and CHIP – especially Track: Health Care Landscape coverage, beneficiary protections, payment, Session Title: Medicaid/CHIP Managed Care quality, and opportunities for stakeholder and Medicare MACRA Rules: What’s New engagement . The session will also delve into the and Relevant for HIV Stakeholders? components of these rules most relevant to HIV Meeting Room: Chinatown (Level 3/Silver) providers, advocates, and people living with HIV . The session will alert stakeholders to important Continuing Education: Yes considerations and opportunities for the RWHAP Level: Intermediate and HIV care and treatment . Learning Objectives: Presenters: ƒƒ Attendees will leave the session with an ƒƒ Rita Vandivort-Warren understanding of the managed care and ƒƒ Kerri Cornejo quality changes coming to Medicaid, CHIP, and Medicare . ƒƒ Attendees will leave the session with insight Session ID: B1 into how these changes will affect the HIV Beacon Session community . Session Title: Conversations with PLWH ƒƒ Attendees will leave the session with Leaders recommendations for action to ensure that Meeting Room: Capitol (Level 4/Green) the design and implementation of federal Continuing Education: No and state policies support access to high- quality care and treatment for people living Description: This panel will include leaders with HIV . who are living with HIV . These leaders work in government, nonprofit and private sectors to Description: Staff from HRSA’s Office of Policy address the HIV epidemic in the United States and Analysis will provide an overview of two recent globally . The panelists will engage in a dialogue that rules from the Centers for Medicare and Medicaid highlights their personal experiences and stories Services (CMS) . The Medicaid and CHIP Managed as public leaders: What decision-making process Care Final Rule issued by CMS in April 2016 aligns led them to share their HIV publicly? What have Medicaid and CHIP managed care with other they learned? What do they wish they knew then health coverage programs, modernizes how that they know now? What have they learned as a states purchase managed care and strengthens leader from deciding to be public with their HIV? consumer protections. It is the first major update to Medicaid and CHIP managed care regulations Moderator: Antigone Dempsey in more than a decade . The Medicare Quality Presenters: Payment Program Proposed Rule, also issued by

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ƒƒ Douglas Brooks outcomes, workforce shortages, and funding ƒƒ Grissel Granados changes . Additionally, the National HIV/AIDS Strategy calls for a more coordinated response ƒƒ Lennwood Green

1:30 PM - 3:00 to the HIV epidemic, underscoring the need ƒƒ Venton Jones to integrate HIV prevention and care services ƒƒ Murray Penner more fully across varied program models and funding streams . Community-based, collaborative ƒ THURS, AUGUST 25 THURS, ƒ Harold Phillips efforts to implement PrEP services can also help overcome disparities and address patient/provider knowledge and engagement . The purpose of this CONCURRENT SESSIONS, SERIES E session is to highlight efforts the Pacific AETC 1:30 PM - 3:00 PM and National Clinician Consultation Center have undertaken to help increase PrEP awareness and capacity among primary care providers and others Session ID: 4008 who serve individuals potentially eligible for PrEP . Track: Innovative Practices This workshop is targeted to individuals/programs Session Title: Increasing Access to interested in implementing high-quality PrEP and Biomedical HIV Prevention: Incorporating HIV prevention services within their communities PrEP and PEP through TA, Consultation and and will also introduce participants to novel Training resources for supporting PrEP uptake . Meeting Room: George Washington University Presenters: (Level 1/Blue) ƒƒ Mona Bernstein Continuing Education: Yes ƒƒ Steven Bromer Learning Objectives: ƒƒ Carolyn Chu ƒƒ State the three best approaches to ƒƒ Ronald Goldschmidt integrating PrEP and PEP services in Ryan White Program and other health care settings to increase access for populations Session ID: 4009 most at risk for HIV . Track: Quality Management ƒƒ Identify when and how patients undergoing Session Title: Innovative Approaches to HIV post-exposure evaluations may be Drive Successful Quality Improvement counseled on PrEP eligibility and initiation . Meeting Room: University of District of Columbia ƒƒ Describe two methods to reach the most (Level 1/Blue) at-risk populations in order to address Continuing Education: No disparities in PrEP uptake . Learning Objectives: Description: The success of PrEP as a new biomedical HIV-prevention option raises ƒƒ Learn LEAN visual tools to pull data out of important issues of awareness and access . hidden files and turn it into visual, daily This is even more critical for populations and metrics . regions that are disproportionately affected ƒƒ Understand the essential components and by an evolving HIV epidemic, disparities in flow of a CQI process using innovative tools.

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ƒƒ Learn how to breathe new life into their ƒƒ Natasha Ritchison quality programs and improvement ƒƒ Kathleen Harding processes . Description: This workshop will highlight three Session ID: 4013 unique programs that have used out-of-the-box approaches to transform their quality programs . Track: Emerging Issues Facilitators from Siouxland Community Health Session Title: Mentor Program Center in Iowa will present new tools such as Development and Implementation for HIV- a “huddle board” that can be used as a visual Infected Youth and Young Adults management tool to discuss and measure daily Meeting Room: Dupont Circle (Level 3/Silver) metrics and an A3 problem-solving form that will Continuing Education: Yes help participants to develop their own ways to manage their quality improvement efforts. All Learning Objectives: tools are based on LEAN health care . An example ƒƒ Identify four components of an HIV mentor of a successful improvement project using these training program and expectation for tools will be presented . A facilitator from GMHC mentor performance . will present a novel, comprehensive, continuous ƒƒ Identify the benefits to the mentors and the quality improvement process, including effective mentees of participation in the program . problem identification scope, conducting data- driven root cause analysis, creating an action ƒƒ Identify the issues arising from a clinical and monitoring plan, and evaluating progress supervision program involving mentors adjusting as needed . New tools will be introduced, and mentees and best practices to address such as the Ishikawa diagram, Seven Whys, and them . interview techniques that support deep analysis . Description: HIV-infected youth and young adults The Connecticut group will discuss the Clinical are likely beneficiaries of skills management group Microsystem Model as a quality assessment/ interventions, given their suboptimal medication improvement tool . The discussion will include a adherence, lack of basic information about HIV, description of the Microsystem, which is a small, and the need to manage their health care on functional, frontline unit that uses a specific set their own as they transition to adult venues of of tools to evaluate the patient population, those care . Incorporating peer mentoring into skills working in the unit, the processes used, and management group intervention provides the the patterns that characterize the functioning benefits of social support shown to contribute to of the unit with the goal to improve patient improved adherence and self-efficacy. This session outcomes through critical analysis . Throughout describes the development and implementation this workshop, the three programs will emphasize of a training program for youth peer clients in how focusing on big picture measurable outcomes an urban clinical adolescent HIV program . The can transform an agency into a data-driven, self- training program also included bi-weekly group reflective, and innovative environment supervision from a clinical psychologist totaling Presenters: 20 hours to help support mentors in their role and to learn more about the complex issues ƒƒ Hannah Hirschland facing HIV-infected mentors and their infected ƒƒ Darla Peterson mentees . Post-training, mentors assisted in the implementation of an 11-session skills

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management group intervention in summer 2015 ƒƒ Learn about how Ryan White grant involving 15 youth, reminding mentees to attend recipients (both those at the programmatic sessions (“engaging mentees in the program”), and clinical level) have adapted to changes

1:30 PM - 3:00 and facilitating small mentee groups. The first in the health care delivery landscape . presentation will describe program evaluation Description: New coverage opportunities results including mentor satisfaction with and and non-discrimination provisions under the utility of the training as well as participant Affordable Care Act (ACA) mean that people with THURS, AUGUST 25 THURS, satisfaction with their mentors and the social HIV have greater access to health insurance than support they provided . The second presentation at any time in the past . This session explores how will report on the themes arising from the clinical Ryan White grant recipients (and sub-recipients) supervision process and recommended best have prepared for and implemented changes practices . The workshop concludes with the to service provision and resource allocation implications for mentor program development in to ensure the needs of HIV+ individuals are the clinical setting and the issues that need to be met. The first presentation in this session will addressed in their implementation . examine how clinical environments are adapting Presenters: to the new health care landscape under the ƒƒ Susan Abramowitz law . Findings presented are drawn from key stakeholder interviews conducted with high-level ƒ ƒ Mathew Hirsch clinical and administrative personnel in HIV care settings from five states (CA, NY, FL, GA, TX). The Session ID: 4016 second presentation provides an in-depth local perspective, examining how Broward County, Track: Health Care Landscape Florida’s Part A program used a high functioning Session Title: HIV Service Provision in the and coordinated planning process to anticipate ACA Era: Impact on Providers and Local effects of the ACA. Doing so allowed effective Planning prioritization and allocation of resources to Meeting Room: Magnolia (Level 2/Purple) ensure the availability of quality comprehensive Continuing Education: No services to low income and uninsured HIV+ residents . Both presentations explore how Ryan Learning Objectives: White grant recipients are addressing key issues ƒƒ Learn about how the ACA has changed the facing their programs in the ACA era, including landscape in which HIV care is delivered Medicaid expansion and the ACA coverage gap, and be able to identify the major coverage workforce capacity, building internal and client reforms and provisions under the law that level insurance literacy, contracting with carriers, underpin these changes . impact of coverage changes on bottom line, and ƒƒ Identify methods and strategies to prioritize compliance with Ryan White’s payer of last resort and allocate resources, ensuring the Ryan requirement . White HIV/AIDS Program remains payer of Presenters: last resort . ƒƒ Lindsey Dawson ƒƒ William Card ƒƒ Brithney Johnson

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on bus lines as well as in digital media, accessing Session ID: 4021 hook-up apps and Spanish language webpages to encourage linkage to care . In Texas, AIDS Arms’ Track: Emerging Issues Viviendo Valiente program uses multi-layered Session Title: Linking Mexican and Mexican- approaches to link individuals to medical care . American MSM to HIV care through At the individual level, the Promotores de Salud culturally innovative program design initiative uses the evidence-based Anti-Retroviral Meeting Room: Catholic University (Level 1/Blue) Treatment and Access to Services intervention Continuing Education: No to link newly diagnosed and/or out-of-care individuals . A promotor then maintains ongoing Learning Objectives: contact based on the client’s acuity and needs . ƒƒ Define transnationalism and describe Intervention encounters are Mexican-centric influences on transnational practices. with the promotor assessing, reviewing and ƒƒ Apply knowledge gained in this workshop addressing the clients’ transnational practices . In to successfully integrate transnational goals Los Angeles County, Calif ,. Fuerza Positiva employs into an ongoing intervention, intervention multiple strategies to identity and engage clients in development, or clinical practice . to improve linkage and retention in care . Both messaging and engagement activities incorporate ƒƒ Demonstrate the ability to integrate a transnational framework to acknowledge the transnationalism into intervention barriers that clients experience when accessing delivery and evaluation through tools the HIV service delivery system . including navigator notes and logs and the transnational framework checklist used in Moderator: Janet Myers the SPNS initiative . Presenters: Description: Transnationalism refers to the varied ƒƒ Brendan O’Connell means by which migrants and other individuals ƒƒ Amy Johnson with ties outside the mainland United States maintain connections with their place of origin . ƒƒ Martha Guerrero As part of the HRSA/SPNS Culturally-Appropriate ƒƒ Jeff Bailey Interventions of Outreach, Access, and Retention among Latino(a) Populations (2013-2018), each of Session ID: 4024 the sites included in this panel developed novel interventions incorporating transnationalism to Track: Emerging Issues link and engage participants in care . Three sites Session Title: Planning Council Strategies are featured in this presentation, all focusing on for Integration of HIV Prevention and Care linking or re-linking HIV-positive Mexican migrants Meeting Room: Union Station (Level 3/Silver) or Mexican-identified people with HIV care. The Continuing Education: No AIDS Foundation Chicago site used formative research to develop a social marketing campaign Learning Objectives: featuring the popular loteria game with messages about accessing general and HIV-specific health care regardless of immigration or insurance status . This site placed social marketing materials

2016 National Ryan White Conference on HIV Care and Treatment 104 WORKSHOPS

ƒƒ Discuss how to integrate diverse planning efficient collaborative planning, and decision- bodies into a cohesive set of work groups making by prevention and care . including discussing the process for Presenters:

1:30 PM - 3:00 integrating concurrent working groups ƒ into the formulation of a complete product ƒ Parrish Oglesby (integrated plan of care) . ƒƒ Michael Wallace ƒƒ Discuss how to integrate diverse planning ƒƒ Jennifer Myers THURS, AUGUST 25 THURS, bodies into a single planning group that serves its population in an efficient and Session ID: 4027 effective manner while maintaining the requirement and objective of both groups . Track: Quality Management ƒƒ Recognize how collaboration on Session Title: Quality Matters: Comprehensive Systematic Approaches to development of the integrated plan and in Quality Management combining councils can be used to create structures and processes for ongoing Meeting Room: Gallaudet (Level 1/Blue) collaboration, both between prevention and Continuing Education: No care and across Ryan White Program parts Description: This presentation will discuss and community partners . the critical role quality management plays in Description: The workshop will highlight two ensuring that services delivered to clients are different approaches for using planning councils improving their health outcomes . Participants to integrate HIV prevention and care services, will learn about using multiple mechanisms and including the combining of care and prevention strategies to conduct QI activities and techniques councils into one council serving both, and how two for capacity building at the provider and system statewide and one TGA planning council worked level and for people living with HIV/AIDS . This together to complete an integrated HIV prevention session will also highlight successes and areas and care plan . The Memphis TGA will focus on how for improvement while working across multiple it used its planning bodies (prevention and care) to systems . The early years of the Memphis Ryan provide the structure and creation of one combined White TGA were fraught with problems, including council that focuses of HIV prevention and care poor continuity of staff, a general lack of interest and the subsequent outcomes of that combined in quality management and quality improvement council . The Indianapolis TGA will focus on the role on the part of HIV care providers, and a lack of of the three planning bodies (Part A, Part B, and focus and collaboration on quality improvement prevention) in the creation and implementation projects . However, with improved data collections of the integrated HIV prevention and care plan and analysis, comprehensive education, and for the state of Indiana and how these processes extensive motivational techniques, the TGA has lend themselves to future collaborations . Lessons created a sustainable and innovative quality learned and recommendations for future management program . The New Orleans EMA integrative planning groups will be presented, with has implemented several efforts to improve special emphasis on how other states can use their services and health outcomes . To implement QI various planning bodies, consumers, and recipient projects, several activities were implemented to staff to ensure access to needed resources for improve provider capacity-using tools such as the decision-making and facilitate ongoing timely, fishbone diagram and the storyboard. Broward

105 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 1:30 PM - 3:00 THURS, AUGUST 25

County EMA’s Clinical Quality Management (CQM) process, transitioned to a pharmacy benefits Program has been nationally recognized for its manager for increased pharmacy network use of an integrated data software system to access and improved client data management, collect client-level demographic and epidemiologic and overhauled the program’s overall design characteristics, intake and eligibility data, detailed to better meet evolving client needs . The procedure-level service units, clinical outcomes, second presentation will consist of a panel with and an invoice and payment system, as well as representatives from Mississippi, Arkansas, and synchronized, real-time care coordination of more Tennessee, moderated by the Ryan White Part than 7,500 clients annually . A Program of the Memphis TGA . The Memphis Presenters: TGA consists of eight counties across three states: Tennessee, Arkansas, and Mississippi . ƒ ƒ Vatsana Chanthala Each state has unique opportunities and ƒƒ Shaundelyn Emerson challenges in providing a continuum of care for ƒƒ Charles Kolesar individuals living with HIV . For example, Arkansas has expanded Medicaid, while Tennessee and ƒƒ Amy Newton Mississippi are left out of Medicaid expansion . The Memphis Ryan White Part A Program has Session ID: 4030 worked diligently to support a network of collaboration across the three states to ensure Track: Health Care Landscape high-quality care . These collaborations can be Session Title: Building, Improving, and seen throughout the TGA in Memphis’s approach Innovating to Overcome Obstacles in the to grant making, prevention and care planning, Southern United States and the delivery of services . This session will Meeting Room: Cherry Blossom (Level 2/Purple) highlight some of the successes and challenges of Continuing Education: No working across the different states. Learning Objective: Presenters: ƒƒ Allow shared learning and the ƒƒ Megan Wright establishment of networks that may be ƒƒ Jennifer Pepper perpetuated beyond the limits of the ƒƒ Harold Clayton conference . ƒƒ Tonya King Description: This session will demonstrate three key components for Ryan White programs ƒƒ James Stewart to thrive in the southern United States: being innovative, being willing to improve, and building Session ID: 4037 relationships. In the first presentation, the Track: Quality Management Louisiana Ryan White Part B ADAP Program will share a case study in program improvement Session Title: Impacting the Cascade: through broad changes designed to promote Approaches to Drilling Down Data and HIV-related health outcomes and insured rates Evidence-Informed Interventions while operating in a non-Medicaid expansion Meeting Room: Howard University (Level 1/Blue) and ACA-resistant southern state . The ADAP Continuing Education: No evolved from a fragmented to unified enrollment

2016 National Ryan White Conference on HIV Care and Treatment 106 WORKSHOPS

Learning Objectives: ƒƒ Mississippi (Coastal FHC, Delta RMC, GLF ƒƒ Articulate two approaches to drilling down Magnolia MC, Southeast MS Rural Health clinical data to identify subpopulations of Initiative, University of Mississippi Medical

1:30 PM - 3:00 patients by disparity and by patient level Center): Identifying patient level reasons for reasons . nonsuppression, targeting interventions, and results . ƒƒ Describe some of the tools, terms and ƒƒ Chicago (Howard Brown HC): Care

THURS, AUGUST 25 THURS, resources available to conduct a disparities analysis and a simple cross-sectional coordination to integrate behavioral health disparities analysis . and HIV care to facilitate VL suppression . ƒ ƒƒ Define a) reasons for non suppression; b) ƒ Eastern PA (Family First HC, St . Luke’s evidence informed interventions to increase University HN, Pinnacle Health Systems): VL suppression; and c) how to sustain gains Targeting a sub-population to increase through several RWPs’ experiences . retention and suppression and continual improvement and sustaining gains over Description: With the goal of meeting the 2020 time . National HIV/AIDS Strategy Objectives, Ryan White ƒ Programs across the country are increasingly ƒ Massachusetts (Greater New Bedford, focusing their quality improvement initiatives Holyoke Health Center): Continual on achieving high rates of VL suppression . Two improvement and sustaining gains over distinct approaches to analyzing the percentage time . of non-suppressed patients, using the data Presenters: for improvement, and sustaining results are ƒƒ Paul Cassidy presented by RWPs representing the National ƒ Quality Center’s Regional Groups of RWPs ƒ Eric Moore in Arizona, Chicago, eastern Pennsylvania, ƒƒ Tara Radke Massachusetts, and Mississippi . The RWPs ƒƒ Kelly Sellers represent patient caseloads from 125 to 4,000 ƒƒ Shannon McElroy from community health centers and hospital clinics, located in urban, rural, and small cities in ƒƒ Kawanis Collins the Midwest, Northeast, South, and Southwest . ƒƒ Meagan Ellzey Results have been impressive . Members from ƒƒ Tonya Green these groups will present their data, findings, interventions and results in a panel format: ƒƒ Nanette Magnani ƒƒ Arizona (El Rio CHC, Maricopa Integrated ƒƒ Rebecca Geiser Health System): Demonstration of a cross- ƒƒ Katey Ruppert sectional formula to identify statistically ƒƒ Chad Neal significant disparities in large RWPs and for a Regional Group . ƒƒ Ashley Smith

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supportive services for the enrolled patients . Session ID: 4040 The model was implemented across four community health center sites in the state and Track: Innovative Practices initially targeted for intervention were the 25 Session Title: Innovative Models Driving percent to 30 percent of clients not meeting one Improvements Across the HIV Care or both of the measures (viral load suppression Continuum and retention) who were most difficult Meeting Room: Georgetown (Level 1/Blue) to engage or re-engage in care, requiring Continuing Education: No intensive outreach efforts. Project CAATCH has demonstrated significant improvement in Learning Objectives: the HIV care continuum for both performance ƒƒ Describe two models for improving HIV measures . For the upcoming grant year we will core performance measures . expand the model to include all newly enrolled ƒƒ Identify key personnel for implementation MassCARE consumers at the community sites . of models/interventions . Presenters: ƒƒ Explain methods for tracking and ƒƒ Sandra Broughton measuring quality improvement outcomes. ƒƒ Pamela Gorman Description: The Cooper Health System Early Intervention Program (EIP) Clinical Navigation Session ID: 4044 Model has been demonstrated to be an effective approach for identifying newly diagnosed and Track: Emerging Issues lost-to-care HIV-positive patients and linking/ Session Title: Changing the Narrative for re-engaging those patients to care . There are Women & Girls - Treatment, Recovery & two HIV clinical navigators, the nurse navigator, More who remains on site in the clinic and outreach Meeting Room: Silver LInden (Mezzanine/Red) clinical navigator who works collaboratively Continuing Education: No with community partners out in the field. This model drives patients into care through Learning Objectives: internal and external communication channels ƒƒ Recognize how the SAVA syndemic affects between our program staff, health departments, your clients . community-based organizations, and federally ƒƒ Discuss innovative approaches to engage qualified health centers (FQHC). This model has women where they are at and to move demonstrated improvements in performance them forward (e .g ,. TCE-HIV, NORA’s measurements across the HIV continuum . Recovery Support Service Model) . MassCARE, a Massachusetts Ryan White Part D-funded program, implemented Project ƒƒ Understand how Recovery Support Services CAATCH (Consumer Access and Adherence can assist at-risk populations . to Care for HIV) in 2014 to increase viral load Description: Innovation . Perseverance . suppression and retention rates among HIV- Dedication . Adaptation . These are but a few positive women and transitioning youth . An words that describe behavioral health programs intervention was designed using peers and the that help clients to be treated for their substance delivery of a series of educational sessions, plus use or co-occurring disorder, obtain and/or

2016 National Ryan White Conference on HIV Care and Treatment 108 WORKSHOPS

sustain their recovery, and enjoy a renewed/ ƒƒ Use the Building Blocks of Primary Care reinvigorated life of their choosing . Creative Assessment (BBPCA) tool to identify one interventions will be discussed that canvas the organizational challenge and map it to the

1:30 PM - 3:00 entire U .S . and several of its dependent areas HIV care continuum around the globe . Communities of color are the Description: Revitalization and reinvestment in focus for these programs, where many experience the nation’s primary care infrastructure is central the adverse effects of discrimination and the to the implementation of the Affordable Care THURS, AUGUST 25 THURS, social determinants of health . Utilizing a trauma- Act . The Building Blocks of Primary Care is one informed model of care is a lynchpin whereby of the leading evidence-based models helping to many clients adopt a recovery lifestyle, address transform the care system toward more patient- the impact of violence and trauma in their lives, centered, effective and efficient care models. In build up their knowledge and readiness to engage the same timeframe, the nation’s response to in safer sex practices, empowered to make the AIDS epidemic has increasingly adopted the informed decisions about their behavioral health, framework of the care continuum to address and receive culturally appropriate, women, and current challenges . These two congruent foci have family-centered services . HIV and viral hepatitis created unique spaces for productive interaction services are provided and/or referred to under a between Primary Care and the HIV care system . robust care coordination framework (including to In this interactive workshop, participants will other complimentary services – e .g ., housing, life learn how the Building Blocks of Primary Care can skills training) whereby the whole person is being provide a conceptual framework for addressing the treated and not their individual parts . challenges characterized by the Care Continuum . Presenters: After a brief introduction to the Building Blocks ƒƒ Alton J . King model, data from the SPNS Workforce initiative will be presented highlighting several key ƒ ƒ Anita Bradley lessons from the Building Blocks of Primary Care Assessment (BBPCA), which was completed at Session ID: 6467 baseline with each of the 15 RWHAP-funded sites Track: Innovative Practices participating in this initiative . Next, using two Practice Transformation Sites from the Pacific AIDS Session Title: The Building Blocks of Primary Education and Training Center as case studies, the Care and the HIV Care Continuum participants will use data from these sites’ BBPCA to Meeting Room: Tulip (Mezzanine/Red) identify areas for improvement . In the case studies, Continuing Education: Yes participants will have the opportunity to discuss how the BBPCA can help identify potential barriers Level: Intermediate to sustainable change and create a roadmap for Learning Objectives: successful improvements . The participants will ƒƒ Identify 2-3 key findings from the baseline assess the most strategic area to focus resources multi-site organizational assessment in the for improvement and identify at least one next step SPNS Workforce initiative . for practice improvement . ƒƒ Name the four foundational Building Blocks Presenters: and discuss two ways they relate to the ƒƒ Steven Bromer outcomes of the HIV care continuum ƒƒ Wayne Steward

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and to ensure they achieve viral suppression . The Session ID: 6621 approaches include clinic-, hospital-, city-, and state-level interventions, such as text message Track: Emerging Issues reminders for medication adherence, peer Session Title: Pregnant, HIV-Positive and outreach escort services, hospital multidisciplinary Lost to Care rounds with OB and pediatric departments, and Meeting Room: Congress (Level 4/Green) NYCDOH outreach efforts. This presentation Continuing Education: No will include an overview of emerging issues, challenging case studies, successful innovative Learning Objectives: approaches, Q&A, and replication strategies for ƒƒ Identify emerging issues in caring for HIV- other RW provider agencies . positive pregnant women . Moderator/Presenter: Grace Appert ƒ ƒ Identify strategies to engage HIV-positive Presenter: pregnant women into care . ƒƒ Jolene Bastas ƒƒ Identify stakeholders and develop collaborative models to retain HIV-positive pregnant women in HIV and OB care . Session ID: 6632 Description: Reducing the number of new Track: Emerging Issues infections is one of the four goals that the Session Title: New York Links: A National HIV/AIDS Strategy emphasizes to guide Communitywide Response Contributing to the response to the HIV epidemic . Thousands End the Epidemic in New York State of women living with HIV in the United States Meeting Room: Treasury (Level 4/Green) give birth annually, and the majority of children Continuing Education: Yes diagnosed with HIV became positive through perinatal transmission . This session will include Learning Objectives: a qualitative report of emerging issues and ƒƒ Understand a dynamic structure and innovative approaches to caring for pregnant approach to create regionally specific women with HIV at the Brooklyn Hospital Center’s systems focused on reducing the gaps PATH Center . Our patients live in an urban found within the HIV care continuum, setting, live at or below the poverty line, and face contributing toward New York state’s goal high rates of unstable housing and co-occurring to end the HIV epidemic by 2020 . disorders, often influencing treatment adherence. ƒƒ Learn how regional surveillance data, Women who find out they are HIV positive during along with agency-specific data (including pregnancy can provide challenges to retention in electronic medical records systems) prenatal and HIV care while they come to terms and quality improvement methodology, with their diagnosis and its implications . Women are used to inform interventions and living with HIV through perinatal transmission collaboration to improve public health and often have psychosocial barriers to medication individual health outcomes, inclusive of adherence and are becoming pregnant at higher populations disproportionately impacted by rates as they reach childbearing age . Patients with HIV/AIDS . poor treatment adherence require rigorous and innovative approaches to engage them in care

2016 National Ryan White Conference on HIV Care and Treatment 110 WORKSHOPS

ƒƒ Hear individual perspectives from a Presenters: panel of NYLinks partners about the ƒƒ Susan Weigl achievements, benefits, and unique ƒƒ Kimberly Smith

1:30 PM - 3:00 strategies to mobilize individual communitywide responses/networks to ƒƒ Jennifer Knight impact health outcomes toward ending the ƒƒ Rebecca Green HIV epidemic in across the state . ƒ THURS, AUGUST 25 THURS, ƒ Dawn Trotter Description: With a vision to reduce HIV- related morbidity/mortality and corresponding community viral burden, the AIDS Institute Session ID: 6720 designed NYLinks based on principles of quality Track: Emerging Issues improvement (QI) and data driving improvement . Session Title: Combating Discrimination Focused on individual and public health outcomes, Against People with HIV/AIDS including linkage, retention, and viral load Meeting Room: Marquis Salon 13 (Level 2/Purple) suppression, through involvement of community representatives and consumers, local public health Continuing Education: Yes entities, clinical, and supportive service providers, Learning Objectives: including populations disproportionately impacted ƒƒ Define discrimination against persons with by HIV/AIDS and local leadership, NYLinks HIV/AIDS in employment, housing, and the facilitates the use of surveillance data, along with provision of public and private services . agency-specific data (including electronic medical records systems) to analyze health outcomes, ƒƒ Determine what to do if someone has been inform implementation strategies, and drive illegally discriminated against based on HIV/ locally specific improvement goals. Areas for AIDS . collaboration focus on decreasing the gaps and ƒƒ Provide a brief introduction to LGBTI disparities reflected in local and facility-level HIV protections . treatment cascades . We will share this dynamic Description: The Civil Rights Division of the model through short presentations by three Department of Justice (DOJ) enforces federal civil agencies that participated in this QI initiative, rights laws, which make discrimination illegal demonstrating their interventions and results . against persons with HIV/AIDS in employment, In addition, we will share key strategies used to housing, and the provision of public and private empower local partners to take up ownership services . This presentation will describe frequent within region-led systems as part of this statewide forms of discrimination, what to do if someone initiative to end the HIV epidemic . An HIV clinical has been illegally discriminated against, and provider, non-clinical provider, local county/city where to get additional information to empower health department employee, and a consumer clients with HIV to advocate for themselves or will highlight achievements and challenges to to get recourse when faced with discrimination . building community ownership of the initiative The presentation also will cover recent DOJ and applying QI across the continuum of care in enforcement actions and current investigations on their respective agencies and regions . behalf of individuals with HIV/AIDS . Moderator/Presenter: Elisabeth Oppenheimer

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Presenter: ƒƒ Elizabeth Redpath Session ID: 6923 Track: Data to Care Session ID: 6832 Session Title: Understanding Ryan White Track: Emerging Issues Services (RSR) Data Validations Session Title: Intensive Case Management: Meeting Room: Shaw (Level 3/Silver) Working with HIV Positive Adolescents and Continuing Education: No Young Adults Level: Intermediate Meeting Room: Marquis Salon 14 (Level 2/Purple) Learning Objectives: Continuing Education: Yes ƒƒ Define the three outcomes that occur when Learning Objectives: data that violate a system data validation ƒƒ Case management tools to enage youth in check are submitted . medical care ƒƒ Identify the system data validation checks ƒƒ Skills to engage youth in supportive services that may obstruct the submission of their 2016 Ryan White Services Report (RSR) data ƒƒ Best practices to retain youth in the or will require additional followup . continuum of care ƒƒ Correctly respond to triggered data Description: At the University of California, San validations (i e. ., data revision, comment Diego Mother Child Adolescent HIV Program, we explaining data, etc ). . face weekly new diagnoses of high school and college age youth . The proximity to the Mexican Description: This session provides an in- border has a significant impact on the number depth look at how to understand and address of positive youth from these border towns . The system-generated data validations on the RSR . interactive panel will include youth from our In completing the RSR each year, recipients and program sharing their stories, experiences linking sub-recipients may receive errors, warnings, to care, and their perspective on the integral role and alerts that indicate a potential data quality of intensive case management in the cascade issue in their report and/or client-level data . of HIV care . Our youth are the voices of the Validation messages are designed to assist users community and have taught service providers the in resolving issues before they submit the report, need for all psychosocial issues to be supported but interpreting data validation messages and simultaneously to achieve viral suppression . The knowing how to respond to them often are a viral suppression rate for our youth is 93 percent . source of confusion for many users . This session will teach participants to distinguish the type Moderator: Anthony Johnson of data validations they may receive; identify Presenter: which data validations will prevent submission ƒƒ Gila Cohen or require followup; and respond to validations if appropriate . Particular attention will be paid to common issues with data validation messages experienced by users on the 2015 RSR with a focus on instructing participants on how to best address these issues in future submissions .

2016 National Ryan White Conference on HIV Care and Treatment 112 WORKSHOPS

Presenter: Recipients and subrecipients will also be offered ƒƒ Hilary Mitchell strategies that agencies around the country are using to meet the reporting requirement . While ƒƒ Felicia White

1:30 PM - 3:00 the eligible scope reporting requirement can be straightforward for many programs, there Session ID: 6987 are nuances that affect programs and present Track: Health Care Landscape problems . This session will provide tailored THURS, AUGUST 25 THURS, guidance to recipients and subrecipients that Session Title: Meeting and Understanding will address unique and common program the Eligible Scope Reporting Requirement circumstances . It will also facilitate the building Meeting Room: Dogwood (Level 2/Purple) of an inter-cooperative network of providers who Continuing Education: No have faced similar setbacks in meeting this new reporting requirement . Level: Intermediate Moderator/Presenter: Michael Grier Learning Objectives: ƒƒ Understand the full eligible scope reporting requirements . Session ID: 7002 Track: Emerging Issues ƒƒ Understand common challenges Ryan White recipients and subrecipients Session Title: Optimizing HIV Health face when meeting the eligible scope Outcomes: Integration of Mental Health requirements . Treatment into HIV Medical Care ƒƒ Know five strategies they can implement Meeting Room: Capitol (Level 4/Green) to meet the eligible scope reporting Continuing Education: Yes requirements . Learning Objectives: Description: The implementation of the eligible ƒƒ Articulate prevalence rates of mental health scope reporting requirement by HAB in 2015 disorders among people living with HIV and has presented a variety of challenges and the impact on HIV health outcomes . opportunities to recipients and subrecipients . ƒ These challenges include additional data entry, ƒ Describe strategies to integrate mental addressing consent for clients not enrolled in health disorder treatment into HIV medical the Ryan White HIV/AIDS Program (RWHAP), care . and understanding reporting requirements for ƒƒ Suggest ways to measure and report client privately funded provider care . This session is outcomes related to treatment adherence designed to address these and other challenges and viral suppression . through a balanced technical assistance approach, Description: Mental illness and substance abuse interactive learning activities that will allow (MI/SA) can negatively impact the care that HIV- recipients and subrecipients to answer de- positive individuals receive as well as their health identified technical assistance questions that outcomes . They may not be prescribed HIV have been presented to technical assistance medications due to medical provider concerns contractors over the 2015 calendar year and about mental health stability . They may be unable an engaging Q &A session that will provide to navigate the health care system and have answers from a knowledgeable professional . difficulty staying in care or adhering to treatment.

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The literature indicates that MI in HIV-positive Learning Objectives: individuals ranges from 30 to 63 percent . Based on ƒƒ Describe how the three conditions of HIV AIDS Arms’ experience, 50 percent of HIV-positive illness, psychiatric disorders and substance individuals seeking care screen positive on the use disorders are intertwined . Substance Abuse and Mental Illness Symptoms ƒ Screener . Studies show that only 26 percent of ƒ Understand the importance and the triply diagnosed adults receive mental health components of an integrated care in the services and 15 percent receive substance abuse management of “triple diagnosis .” services . Providing integrated models of care for ƒƒ Identify the barriers to integrated care and HIV positive individuals dually diagnosed with MI/SA strategies to address them . can help achieve viral suppression and improved Description: Integrated care combines HIV health outcomes . In this session, presenters will: primary care with psychiatric and substance review the importance of integrated models of care use services to provide a single coordinated in helping to achieve the updated 2020 NHAS goals; approach, rather than fragmented, leading to a discuss the development and implementation of negative impact on HIV outcomes . It addresses the AIDS Arms Behavioral Health Program, which the various clinical complexities — whether provides onsite integrated behavioral health care mental health, substance abuse, and/or HIV for HIV positive individuals dually diagnosed with care — associated with having multiple needs MI/SA and who are receiving outpatient HIV medical and conditions, in a holistic, evidence-based, care; explore the challenges and potential pitfalls and humanistic approach . Patients with “triple related to program implementation; and provide diagnosis” (psychiatric and substance use client outcomes related to MI and HIV treatment disorders co-occurring with HIV) often have adherence as well as viral suppression for those higher levels of distress and physical impairment engaged in behavioral health care compared to compared to individuals with no diagnosis, or a the overall clinic population . They also will facilitate psychiatric or a substance use disorder alone . interactive discussions based on case vignettes . Not only does having a psychiatric disorder or Moderator: Benjamin Callaway substance abuse problem affect adherence to Presenter: antiretroviral regimens when occurring alone, but when they co-occur they lead to decreased ƒ ƒ Manisha Maskay adherence . For those who are consistent with their medication regimens, the HIV antiretroviral Session ID: 7007 regimens themselves often precipitate or worsen psychiatric symptoms, inhibiting positive health Track: Emerging Issues outcomes . These issues underscore the need for Session Title: Challenges in the Integrated early diagnosis and treatment in order to reduce Care of Patients with HIV Illness and psychiatric illness and substance use, slow HIV Substance Use Disorders disease progression and decrease mortality . Meeting Room: Judiciary Square (Level 3/Silver) There is a “triple stigmatization” associated Continuing Education: No with having HIV, a psychiatric illness and a substance use disorder . Stigma results in the extreme marginalization of this population and further reduces self-esteem, often potentially delaying or undermining treatment . Clinicians

2016 National Ryan White Conference on HIV Care and Treatment 114 WORKSHOPS

treating triple diagnosis should view it as a Description: The Office of Disability Employment unified diagnosis comprised of three intertwined Policy (ODEP) and the Rehabilitative Services condition . Successful care of individuals with Administration (RSA) have facilitated employment

1:30 PM - 3:00 triple diagnosis requires integrated treatment: a opportunities for PLWHA since the pandemic’s holistic approach provided by an interdisciplinary, onset. RSA sponsored the first training manual culturally sensitive clinical team, who share a for workforce development professionals coordinated treatment plan . working with PLWHA in 1988 . It considered the THURS, AUGUST 25 THURS, Moderator/Presenter: Antoine Douaihy medical, cultural, social, legal, psychological, and economic implications of HIV/AIDS, and how these factors relate to VR and SE . Likewise, Session ID: 7068 in 1990, RSA awarded demonstration grants to Track: Emerging Issues HIV/AIDS organizations to develop innovative VR Session Title: Employment as a Treatment services, including Multitasking Systems (MTS) that Works: Vocational Rehabilitation and of New York . Linda Laubenstein (1947–1992), Workforce Development within the HIV/ MTS’s principal founder, anecdotally noted that AIDS Health Care Continuum patients who continued working appeared to live longer and seemed less susceptible to depression Meeting Room: Mount Vernon Square than those who ceased employment . A study of (Level 3/Silver) AIDS progression and employment outcomes Continuing Education: Yes for 385 MTS consumers served between March Level: Advanced 1989 and April 1992 is central to this panel’s presentation . ODEP, in coordination with HUD Learning Objectives: in 2014, developed and implemented Getting ƒƒ Understand why employment is included to Work, an online capacity-building curriculum within the NHAS health care continuum . for HIV/AIDS organizations considering inclusion ƒƒ Identify an array of workforce of employment within health care service development initiatives pursuant to one continuums . This presentation will include a or more program-specific funding streams synopsis of NHAS-related VR, SE and related encompassed within the Workforce workforce development programs within the Innovation and Opportunity Act (WIOA) WIOA administered by the departments of Labor that are applicable to diverse PLWHA and Education, and Getting to Work highlights populations . about innovative HIV/AIDS workforce programs, ƒƒ Identify action steps to increase the rate including MTS . It likewise will reference current of participation by PLWHA within WIOA’s VR and SE regulations for the national state VR/SE workforce development system, and the services programs, HIV/AIDS employment policies, quality of the employment outcomes and SSDI/SSI work incentive programs . facilitated by this comprehensive system’s Moderator/Presenter: Mark Misrok core programs, including vocational Presenters: rehabilitation (VR) and supported ƒƒ Sandy DeRobertis employment (SE) . ƒƒ Meredith DeDona

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Step 2 .A .2, and ensuring linkages to HIV medical Session ID: 8004 care improving retention to care for people living with HIV is addressed in these activities . Track: Emerging Issues Moderator/Presenter: Ilze Ruditis Session Title: Integrating HIV and Hepatitis Care into Behavioral Health Care — Presenters: SAMHSA’s MAI Continuum of Care Pilot ƒƒ Judith Ellis (MAI-CoC) ƒƒ Stephen Carrington Meeting Room: Marquis Salon15 (Level 2/Purple) ƒƒ Lisa Kaplowitz Continuing Education: Yes ƒƒ Seth Himelhoch Learning Objectives: ƒƒ Moneta Sinclair ƒƒ Describe integrated care models for HIV and hepatitis screening, testing and care in behavioral health care settings . Session ID: 8007 ƒƒ Identify internal and external partnerships Track: Emerging Issues required for integrated care, including Prioritizing Pre-Exposure Prophylaxis prevention and treatment . within the HRSA ƒƒ Discuss advantages and strategies working Meeting Room: LeDroit Park (Level 3/Silver) in integrated behavioral health and medical Continuing Education: No services . Description: This panel will describe the Health Description: SAMHSA’s Minority AIDS Initiative Resources and Services Administration’s (HRSA) Continuum of Care (MAI-CoC) Pilot integrates response to one of the National HIV/AIDS screening and medical care for HIV and hepatitis Strategy: Updated to 2020 priority items and with substance use and mental disorder powerful HIV prevention tools, Pre-Exposure treatment and prevention, and assists clients Prophylaxis (PrEP) . Included in this panel are with HIV to maintain behavioral health treatment presentations from HRSA staff across bureaus adherence, and achieve and maintain more on program opportunities and limitations, key optimal health . Projects also support ongoing guidance and grant recipient models of PrEP prevention services, testing and education . implementation . Participants can expect to With projects located in 34 behavioral health learn about HRSA key action items, progress care settings, this presentation will provide to date and key challenges and successes to an overview of the MAI-CoC program, and its implementation of NHAS 2020 . This panel examples of progress in three grantee projects in discussion is especially important to ensure that different geographic settings — Denver, Atlanta, the stakeholder communities understand HRSA’s and Baltimore . Presenters include Ryan White role, involvement and limitations in providing providers working closely in treatment settings support of PrEP uptake across the country . whose primary focus is on mental illness and Moderator: Antigone Dempsey substance use disorder treatment . Managers, clinicians, and planners will learn about current Presenters: collaborations, integration models, including HIV ƒƒ Heather Hauck and hepatitis testing, care and linkages, NHAS ƒƒ Rene Sterling

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ƒƒ Tanchica Terry Session ID: 8012 Session ID: 8011 Track: Emerging Issues 1:30 PM - 3:00 Track: Emerging Issues Session Title: The Center for Engaging Black Session Title: 301: Strengthening the Health MSM Across the Care Continuum (CEBACC): Care Delivery System through Planning Operationalizing Practice and Innovation to

THURS, AUGUST 25 THURS, Strategize Provider Engagement to Elevate Meeting Room: Scarlet Oak (Level 2/Purple) the Standard of Care for Black Gay/Bisexual Continuing Education: Yes Men in HIV Prevention, Care and Treatment Learning Objectives: Meeting Room: Tulip (Level 2/Purple) ƒƒ Identify the key components of the Continuing Education: No planning cycle and how it is used to achieve Learning Objectives: NHAS goals . ƒƒ Learn efficacious communication strategies ƒƒ Apply Parity, Inclusion and Representation to engage health care professionals in and data-driven decision-making in practicing cultural competency and cultural planning . humility . ƒƒ Use the planning to develop approaches ƒƒ Identify assets-based directives for which lead to a reduction in health empowering health care providers to assess disparities . critical gaps in training . Description: Data-driven decision-making can ƒƒ Discover strengths and challenges be used to develop comprehensive, community unearthed during the development and driven approaches to reduce health disparities implementation process of building the within HIV communities . CEBACC resource . Presenters: Description: HIV-positive black men who have ƒƒ Gary Cook sex with men (MSM) may experience significant structural and psychosocial barriers that occlude ƒƒ Lennwood Green access, engagement, and retention into quality ƒƒ Frances Hodge health care . While numerous behavioral and ƒƒ Amelia Khalil clinical research studies emphasize existing racial disparities in HIV health outcomes as ƒƒ Hila Berl compared to MSM from other racial and ethnic ƒƒ Emily McKay groups, few studies seek to identify promising strategies for successful care engagement designed specifically for black MSM that leverage training opportunities among health care provider workforces . In addition to discovery of unique clinical challenges and psychosocial barriers that inhibit successful HIV care and treatment, the National Alliance of State and Territorial AIDS Directors (NASTAD) highlights the process for

117 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30 PM - 5:00 THURS, AUGUST 25 developing an online resource center designed ƒƒ Heather Faison to enhance engagement of black MSM in HIV ƒƒ Sherilyn Ferdinand prevention and care management by targeting health care providers and myriad public health stakeholders who function as operators and CONCURRENT SESSIONS, SERIES F facilitators to health care . During the CBEACC 3:30 PM - 5:00 PM development phase (July 2014 to July 2016), clinical primary and HIV care practitioners (i .e ., physicians, Session ID: 4003 nurse practitioners, and physician assistants) from Track: Quality Management several states participated in approximately 30 key informant interviews and 10 focus groups . Session Title: Addressing Disparities Through Multiple Modalities Providers shared their clinical experiences working with black gay and bisexual patient communities Meeting Room: Howard University (Level 1/Blue) including strategies and innovative program Continuing Education: No features implemented to better engage black Learning Objectives: MSM in care within their respective care settings . These settings include community–based health ƒƒ Examine disparities among the National organizations (CBOs), health departments, and HIV/AIDS Strategy subpopulations . privately and publicly funded health clinics . ƒƒ Use two tools to address disparities along NASTAD conducted user testing, including e– the continuum . user profile developments, continuing medical ƒƒ Review two improvement efforts by education critical review and analysis, and creative recipients to reduce disparities . conceptualization to develop targeted social media campaigns, video and imagery to better Description: The National Quality Center (NQC) reach patient and provider communities . Taking and Callen-Lorde Community Health Center an assets-based approach, NASTAD leveraged the will facilitate this workshop . The NQC provides CEBACC to develop two targeted online platforms, technical assistance to Ryan White HIV/AIDS HisHealth .org, focused on engaging provider Program recipients throughout the United States audiences through dissemination of continuing and its territories . Callen-Lorde Community education units and models of care, and Health Center is New York City’s leading health WellVersed .org, a user-friendly website designed care facility dedicated to meeting the needs of to help black MSM patients maximize their LGBTQ people and those living with HIV/AIDS . time before, during and after their patient visit . The workshop will first focus on the HIV/AIDS Engaging both providers and black MSM patients Strategy goals for reducing disparities and how in judgement-free, bilateral communications via to address them at different points along the HIV a number of technological strata bears great care continuum . The discussion will then center promise in improving the health care experience, on drilling down your data and examining where and thusly, the HIV health care outcomes of same- disparities exist . From there, we will discuss gender loving black male patient communities . tools that can be used to build your agency-level treatment cascade and engage staff in addressing Presenters: disparities . These tools include the NQC- ƒƒ Omoro Omoighe developed disparities calculator and the clinical ƒƒ Xavior Robinson quality management plan . We will discuss ways to

2016 National Ryan White Conference on HIV Care and Treatment 118 WORKSHOPS

share your improvement projects with your peers discuss their Global Nurse Capacity Building and the lessons learned by the presenters as they Program in the context of the global shortage have pursued addressing disparities . of HIV nurses . This program aims to expand,

3:30 PM - 5:00 Presenters: enhance, and sustain the quantity, quality, and relevance of the nursing and midwifery workforce ƒ ƒ Isaac Evans-Frantz to realize an AIDS-free generation . ƒ ƒ Michael Hager Presenters: THURS, AUGUST 25 THURS, ƒ ƒ Natasha Goykhberg ƒƒ Ann Downer ƒƒ Michael Reyes Session ID: 4005 ƒƒ Judy Khanyola Track: Health Care Landscape Session Title: Global HIV Capacity Session ID: 4006 Development: Mapping to the HIV Care Continuum and Building Nurse Capacity Track: Emerging Issues Meeting Room: Magnolia (Level 2/Purple) Session Title: Using a Bilingual Telenovela to Educate Communities and Providers, Continuing Education: No Including U.S./Mexico Border Promotores Learning Objectives: Meeting Room: Dupont Circle (Level 3/Silver) ƒ ƒ Recognize the relationship between HIV Continuing Education: Yes epidemic control and global clinical capacity development efforts. Learning Objectives: ƒ ƒƒ Describe the three components of the ƒ Demonstrate the effectiveness of using UNAIDS 90-90-90 strategy for getting to the Sin Vergüenza telenovela for igniting zero . conversation in Latino communities around HIV treatment, HIV-related stigma and ƒ ƒ Consider how to apply lessons learned from shame, and treatment adherence through the experience of HRSA Global Program the use of educational entertainment . implementing partners to domestic HIV ƒ epidemic control . ƒ Learn ways to implement the telenovela in health care settings that targets Latino and Description: Presenters will discuss HIV other underserved communities . workforce capacity development accomplished ƒ as HRSA HAB Global Program implementing ƒ Evaluate the use of Sin Vergüenza to partners under the president’s Emergency educate the community and train providers, Plan for AIDS Relief (PEPFAR) . The International including U .S /Mexico. border promotores . Training and Education Center for Health (I-TECH) Description: Latinos account for 23 percent at the University of Washington, in collaboration of persons living with HIV in the United States, with the University of California, San Francisco, including 42 percent in Los Angeles County, Calif . and ICAP at Columbia University will discuss their Startlingly, less than half of Latinos living with HIV capacity building work in Africa, Asia, Eastern HIV are receiving medication to treat their HIV Europe and the Caribbean . I-TECH will discuss infection . Stigma and shame continue to be the their health system strengthening activities greatest obstacles for persons living with HIV to mapped to the HIV Care Continuum . ICAP will seek medical treatment and adhere to treatment .

119 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30 PM - 5:00 THURS, AUGUST 25

Culturally competent educational materials are ƒƒ Participants will be able to describe lessons essential to help engage in conversations and learned in the implementation of the increase awareness on high-impact prevention Hawaii ADAP HCV screening project . efforts, such as PrEP and Treatment as Prevention ƒƒ The learner will be able to identify the for these communities . Through the telenovela significance between peer learning and format, providers also are able to address difficult collaboration for improving outreach efforts testing and continuity of HIV care discussions that and be able to identify new strategies for can help identify, link and keep these hard-to- outreach engagement . reach populations in continuous, high-quality HIV ƒ care . AltaMed’s English and Spanish telenovela ƒ The learner will be able to recognize the web series, Sin Vergüenza (Without Shame), was value of using ADAP funding and program developed to address the impact HIV has on the support to improve health outcomes for Latino community . Now in its second season, Sin clients . Vergüenza highlights the importance of testing Description: New and innovative initiatives are and accessing HIV medical treatment and support needed to help move the needle in modern HIV for coping with a diagnosis . The session will health care . ADAP has become a mechanism highlight the benefits of using the telenovela as a to help battle health disparities and reduce the tool to reach a broad Latino audience and address transmission of disease outside the traditional the disparities that exist for those living with role of providing medications . In this session, HIV or at risk of becoming infected . The session participants will learn about two advanced, also will describe how the telenovela series will forward-thinking programs set to reduce be used as an educational tool in a curriculum coinfections and improve health outcomes of being developed by the U S. ./Mexico Border AETC the HIV community . Hepatitis C virus (HCV) is a Steering Team and the U .S ./Mexico Border Health significant comorbidity among persons living with Commission to train border promotores . HIV (PLWH) . Rates of liver disease and liver-related Presenters: death from HCV are three times higher in co- infected individuals as compared to mono-infected ƒ ƒ Pedro Coronado individuals. HCV screening rates may be affected ƒƒ Thomas Donohoe by provider and patient perception of risk, cost ƒƒ Nicole Mandel of screening, and other factors . The Hawaii ADAP began offering HCV screening to ADAP-enrolled ƒ ƒ Natalie Sanchez clients in hopes this screening effort would increase identification and treatment of HCV. Session ID: 4010 Literature provides evidence that community Track: Innovative Practices health workers (CHW) skilled in motivational interviewing and quality management can Session Title: Expanding the Role of ADAP to help retain patients in care and adherent to Improve Health Outcomes antiretrovirals . Pennsylvania focused on enrolling Meeting Room: George Washington University lost-to-care individuals into ADAP and linking (Level 3/Silver) them to Ryan White core medical services . We will Continuing Education: Yes demonstrate how CHW and hot-spotting played a significant role in streamlining operations, Learning Objectives: creating new processes and providing CHW with

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the skills to empower others to re-engage them specialized intensive case management services into medical care . This session will review the in the Greater Hartford Transitional Grant Area; results of the HCV screening effort, including costs and a partial-rent subsidy program intended

3:30 PM - 5:00 and number of new HCV infections identified, to improve viral suppression among PLWH of as well as showcase successes and challenges color in California . These Ryan White initiatives of multi-agency participation in the creation of a will highlight what is needed to coordinate with community health worker program . other community resources, maximize funding, THURS, AUGUST 25 THURS, Presenters: and implement the programs . Ultimately, this workshop will provide participants with the short- ƒ ƒ Timothy McCormick and long-term effects that housing support and ƒƒ Richard Smith mobile HIV care can have on health outcomes, while discussing the potential for improving and expanding these services within the three Session ID: 4012 jurisdictions and across the country . Track: Emerging Issues Presenters: Session Title: Housing as Health Care: Improving Health Outcomes through ƒƒ Melanie Alvarez Mobile Care and Housing Support Services ƒƒ Juan Garcia Meeting Room: Union Station (Level 3/Silver) ƒƒ Liz Hall Continuing Education: No ƒƒ Tamarra Jones Learning Objectives: ƒƒ Janell Tryon ƒƒ Learn about the importance of addressing the needs of people living with HIV who are Session ID: 4018 homeless or unstably housed in order to Track: Innovative Practices improve their improve health outcomes . Session Title: Approaches to Practice ƒƒ Understand what is needed in terms Transformation to Improve Care Along the of funding, infrastructure and staff to HIV Care Continuum successfully implement and sustain housing and mobile care programs . Meeting Room: Georgetown (Level 3/Silver) ƒƒ Gain tools and best practices for program Continuing Education: No provision, stakeholder collaboration and Learning Objectives: community resource navigation . ƒƒ Discuss the processes for practice Description: This session will provide three transformation within clinical care sites innovative approaches for addressing the diverse based on two separate models . needs of people living with HIV (PLWH) who are ƒƒ Identify methods for developing facing chronic homelessness or housing instability . interprofessional practice to improve These approaches include: a multidisciplinary clinical care and behavioral health team-based intervention providing mobile care integration within the HIV care continuum . to multiply-diagnosed, chronically homeless PLWH in San Francisco; a program that provides HIV-positive clients with complex housing issues,

121 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30 PM - 5:00 THURS, AUGUST 25

ƒƒ Discuss opportunities and challenges of practice transformation, best practices Session ID: 4019 and implications for future funding and Track: Health Care Landscape interventions . Session Title: Making the Most of Your Description: Increased access to care, improved Patient-Centered Medical Home: Guidance health outcomes and reduced HIV-related and Best Practices disparities are important objectives of the National HIV/AIDS Strategy and are supported by Meeting Room: Cherry Blossom (Level 2/Purple) the Affordable Care Act (ACA). The ACA, through Continuing Education: No expanded insurance access and encouragement Learning Objectives: of health care delivery system transformation, ƒƒ Identify approaches to establishing a RW aims to serve more people and achieve better PCMH to deliver multidisciplinary, team- health outcomes . The Special Projects of based, quality HIV care . National Significance (SPNS) program launched the “System-level Workforce Capacity Building ƒƒ Identify strategies to enhance access to HIV Initiative” and the national AIDS Education and care by implementing a call center using Training Centers Program (AETC) launched a new existing staff. “Practice Transformation” initiative within the ƒƒ Identify effective interventions to engage AETCs nationwide . These projects are funded and retain patients and achieve viral load by Ryan White, Part F . This session will provide suppression in a RW PCMH . information and approaches used by these Description: The National HIV/AIDS Strategy 2020 two types of projects to develop, evaluate and calls for comprehensive, coordinated, patient- disseminate practice transformation models (PTM) centered care for people living with HIV . Building a that accelerate access to HIV care, optimize care Patient-Centered Medical Home (PCMH) is essential delivery to serve a growing population of PLWH to facilitate access to, engagement with, and and expand HIV- prevention strategies . retention in HIV care . Recommendations to Ryan Presenters: White grantees considering PCMH certification will ƒƒ Linda Frank be shared by one site’s achievement/recertification of NCQA PCMH Level 3 . Key program components ƒƒ Mila Gonzalez Davila for a successful application include a robust ƒƒ Susan Olender electronic medical record, a foundational quality ƒƒ Tina Penrose improvement program, team-based care, project ƒƒ Jesse Thomas plan, and commitment to sustain change . Patient- centered care requires enhanced access to care . ƒ ƒ Susan Winters A second site implemented a call center by using a workforce capacity development intervention . The site redeployed existing staff into new roles, increasing capacity from two to six agents (a 300 percent increase) to meet the call volume and decrease daytime voicemails, thereby increasing access to care. Research has shown a significant association between early retention in care and

2016 National Ryan White Conference on HIV Care and Treatment 122 WORKSHOPS

viral load suppression among patients receiving support, sex, and drug risk behaviors in four HIV medical care . A third site will present the best sessions from 2008–2015 . Understanding best practices of their HIV Medical Home model in practices for HIV and mental health treatment

3:30 PM - 5:00 achieving and maintaining high viral suppression and coordination and continuing to develop a rates, which rose from 79 percent in 2011 to 91 workforce to implement those best practices are percent in 2016 . Operating within a Level 3 PCMH critical to maintaining quality in our expanding federally qualified health center (FQHC), this site care system. The Affordable Care Act is creating

THURS, AUGUST 25 THURS, has attained a comprehensive and coordinated historic new incentives to coordinate primary level of service delivery that has translated to care, mental health care and addiction services a high retention in care . Innovative, evidenced- previously lacking . Strategies to improve client based interventions used in this PCMH include participation in ongoing mental health screening data-driven outreach, multidisciplinary care team and assessment, as well as discrepancies and communication, case management with adherence changes in mental health metrics over time, support, patient navigator, and structured will be explored . This workshop will present the monitoring of viral load and medical visit frequency . evidence base of best practices for HIV and mental Presenters: health care integration as a platform from which pragmatic, focused program planning and future ƒ ƒ Sneha Jacob training can be developed and implemented . ƒ ƒ Deborah McMahon Presenters: ƒ ƒ Allison Precht ƒƒ Jennifer Lewis ƒƒ John Nelson Session ID: 4020 ƒƒ Francine Cournos Track: Emerging Issues ƒƒ Susan Abramowitz Session Title: Including Mental Health Services in HIV Primary Care Challenges and Needs Session ID: 4031 Meeting Room: Marquis Salon 14 (Level 2/Purple) Track: Emerging Issues Continuing Education: No Session Title: Confronting the Opioid Epidemic: The HRSA Response Description: This workshop highlights a toolkit for integrating mental health care into HIV care and Meeting Room: Dogwood (Level 2/Purple) the implementation of an empirically guided and Continuing Education: Yes comprehensive mental health bio-psychosocial Learning Objectives: assessment program (BAP) . Developed by the AETC Program Mental Health Committee, the ƒƒ Explain the impact of the opioid epidemic toolkit provides assistance in making changes and its implications for HIV/AIDS . to HIV programs seeking to expand behavioral ƒƒ Identify how HRSA and the Ryan White HIV/ health services . Behavioral health factors are AIDS Program community can respond instrumental in primary HIV prevention, HIV to opioid misuse and outline strategies testing, and HIV treatment outcomes . The BAP for community preparedness in high-risk assessed HIV-infected youth 6–24 years of age communities . for cognitive function, depression, anxiety, social

123 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30 PM - 5:00 THURS, AUGUST 25

ƒƒ Describe the Midwest AETC’s response to the HIV outbreak in Indiana . Session ID: 4045 Description: In February 2015, the Indiana State Track: Data to Care Department of Health announced an HIV outbreak Session Title: Initiatives to Improve Data in southeastern Indiana . At the time, there were Accuracy, Completeness and Timeliness 26 confirmed and four preliminary cases of HIV across the HIV Care Continuum infection . his outbreak, related to the opioid epidemic, continued until there were 188 confirmed Meeting Room: Catholic University (Level 1/Blue) HIV infections in a town of just 4,295 people . Continuing Education: Yes According to the CDC, the rate of overdose deaths Learning Objectives: involving opioids has nearly quadrupled since 1999 . ƒƒ Assess data gaps in a jurisdictional HIV The president has made clear that addressing this Continuum of Care . epidemic is a priority for his administration, and as a result, HHS and HRSA are working to expand ƒƒ Identify data sources to improve Care access to treatment, prevent overdose deaths, Continuum measures . and increase community prevention strategies . ƒƒ Identify interventions/methods to improve The first half of this workshop will emphasize Care Continuum measures . how opioid use affects the provision of HIV care Description: This session will explore initiatives services, address HRSA’s participation in addressing from HRSA and jurisdictions that aim to improve this crisis and detail ways recipients can leverage surveillance and other data utilized for HIV resources in the event of an outbreak . The second Continuum of Care and for Data to Care efforts half will focus on the HIV outbreak in Indiana and at a local and jurisdictional level . It will include how MATEC-Indiana assisted in the response by presentations from HRSA on health information identifying and coordinating resources as well technology projects funded through the Special as their continued role in building community Projects of National Significance (SPNS), and capacity . MATEC-Indiana also will explore how presentations from three jurisdictions on how other AETCs might help prepare for or prevent they have utilized and improved their state future outbreaks in rural communities . HIV data systems so that data are more timely, Moderator: Cara Alexander accurate and complete . Virginia will present on Presenters: the development of their Care Markers database, while North Carolina will present on the data ƒƒ Malinda Boehler system utilized for engaging out of care clients ƒƒ Amy Griffin across the state and Louisiana will present ƒƒ Karen Curd improvements to their HIV Surveillance system . ƒƒ Karen Wade Moderator: ƒƒ Glenn Clark Presenters: ƒƒ Adan Cajina ƒƒ Anne Rhodes ƒƒ Evelyn Quinlivan ƒƒ Debbie Wendell

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provide cohesive and optimal care by consistently Session ID: 4053 diagnosing oral health issues and providing opportunities for teams to collaborate on care . Track: Data to Care

3:30 PM - 5:00 For example, improving use of this app could Session Title: The Collaboration of increase medical provider awareness of oral Dental and Medical Providers in Linkage, disease to improve the systemic health of PLWHA Adherence and Retention in Care through referral and linkage systems . The app

THURS, AUGUST 25 THURS, Meeting Room: Tulip (Level 2/Purple) could impact patient and provider communication, Continuing Education: No increase knowledge and improve collaboration between interdisciplinary teams . The dental app Learning Objectives: will be demonstrated during this session . Use ƒƒ Demonstrate along the AIDS Cascade of the dental app to identify oral manifestations where the oral health care team can have would positively impact increase optimal goals an impact and work collaboratively with along the care continuum . medical professionals . Presenters: ƒƒ Utilize a dental app to maximize optimal ƒƒ Helene Bednarsh health care for PLWHA . ƒƒ Anna Kinder ƒƒ Discuss oral health issues relative to HIV in the era of ARVs . ƒƒ Mark Schweizer Description: The HIV Care Continuum (AIDS Cascade) is used as a guide to define the HIV Session ID: 6368 epidemic . It is highlighted in the 2015 National Track: Emerging Issues AIDS Strategy, which set goals to improve the Session Title: Behavioral Health Treatment health status of persons living with HIV/AIDS on Demand (PLWHA) . The focus of this session, referring to Meeting Room: Scarlet Oak (Level 2/Purple) the AIDS Cascade, is to explain where the oral health care team can assist in diagnosis, linkage, Continuing Education: No adherence, and retention in medical and dental Level: Intermediate care so as to have better health outcomes and Learning Objectives: be more likely virally suppressed . Healthy People 2020 HIV-13 relates to being aware of HIV status ƒƒ Understand what mental health treatment and this can be increased if oral health care teams on demand is and how to apply the inquire as to HIV status, discuss CDC testing principles to their own practice settings . recommendations with all patients on a routine ƒƒ Improve their knowledge of barriers basis and can link patients to medical care/testing . to behavioral health care and develop Healthy People 2020 HIV-19-22 can be impacted strategies to address those barriers . by the oral health care team and this will be Description: This session will focus on using discussed using the AIDS Cascade . Knowledge treatment on demand as a modality to address of oral manifestations and their relevance is the behavioral health needs of an HIV-positive important to medical and dental providers and population . We will look at data from a Ryan will be discussed . A newly developed dental app White-funded case management program that is designed to assist interdisciplinary teams to supports how this modality can increase patient

125 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30 PM - 5:00 THURS, AUGUST 25 access to behavioral health services . The session ƒƒ Describe the needs of people living format will use a program overview that looks with HIV/AIDS who are experiencing at behavioral health data before and after a homelessness or unstable housing and the treatment on demand model was implemented . unique challenges in achieving retention in Presenters will discuss treatment on demand care and viral suppression . as a modality, barriers to utilizing this model, ƒƒ Learn strategies to address the challenges and how providing treatment on demand has at the patient, provider, and system levels . helped to engage clients in not only behavioral ƒ health care, but also in case management and ƒ Develop strategies to build staff skills and HIV medical care . AIDS care has been able to create external partnerships to facilitate reach hard-to-engage clients using this model, care and services . and as a result clients are open to behavioral Description: Data from the national Ryan White health care and are staying in HIV medical care . Program estimated that more than 16 percent Case studies will illustrate the model in practice . of people living with HIV/AIDS have temporary The target audience for this presentation or unstable housing situations . This is critical to will be Ryan White programs that provide address because those with unstable housing behavioral health care, HIV medical clinics that also are less likely to be retained in medical care are considering how behavioral health care and virally suppressed . The HRSA/SPNS Initiative, might improve their patients’ outcomes, and “Building a Medical Home for Multiply Diagnosed case management agencies that are considering HIV-positive Homeless Populations,” is aimed how to provide more comprehensive support at achieving the National AIDS Strategy (NAS) services to their clients . goals of retention in care and viral suppression Moderator/Presenter: Jill Sabatine and improving housing stability for people living with HIV who are experiencing homelessness or Presenters: unstable housing . HRSA funded nine sites and ƒƒ Jillian Murphree an evaluation center to implement and evaluate ƒƒ Jill Sabatine innovative models that would address client- and system-level barriers to HIV care and treatment and housing stability . Through this initiative, Session ID: 6424 approximately 1,000 PLWHA who experience Track: Emerging Issues homelessness or are unstably housed have Session Title: Homeless Institute 101: been served in this initiative . In this workshop, Providing Care to People Who are presenters will describe the specific co-morbidities Homeless or Unstably Housed: Barriers and such as substance use, mental health disorders, Facilitators to Achieving the NAS Goals stigma, barriers to care and treatment, and unmet medical and psychosocial needs faced by Meeting Room: Gallaudet (Level 1/Blue) their clients . Presenters also will share strategies Continuing Education: No such as developing staff and stakeholder skills Learning Objectives: to address the needs of PLWHA who experience homelessness and unstable housing and reduce barriers to care, treatment, and stable housing . Moderator/Presenter: Serena Rajabiun

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Presenters: Care Continuum. The plans reflect a jurisdictional ƒƒ Deborah Borne discussion of existing resources, needs and gaps in HIV prevention and care services, including ƒƒ Lisa McKeithan

3:30 PM - 5:00 key features on how HIV prevention and care ƒƒ Luis Moreno services, interventions, and strategies are being delivered and used in states and cities across the United States . This presentation will review Session ID: 6474 THURS, AUGUST 25 THURS, key features of the CDC/HRSA integrated HIV Track: Emerging Issues prevention and care plan guidance, describe Session Title: Integrating HIV Prevention innovative practices that support collaboration and Care Plans and Planning: Moving and coordination among diverse HIV prevention Forward and care stakeholders in the development of Meeting Room: Marquis Salon 14 (Level 2/Purple) plans, identify trends and examples of integrated HIV prevention and care planning processes, and Continuing Education: Yes discuss strategies for operationalizing plans into Level: Intermediate HIV prevention and care service delivery systems . Learning Objectives: Moderator/Presenter: ƒƒ Describe innovative practices that support ƒƒ Michael Goldrosen collaboration and coordination to develop Presenters: integrated HIV prevention and care plans . ƒƒ Candace Webb ƒƒ Identify trends and examples of integrated HIV prevention and care planning . ƒƒ Amelia Khalil ƒƒ Discuss how to operationalize integrated ƒƒ June Mayfield HIV prevention and care plans into HIV ƒƒ Erica Dunbar prevention and care service delivery systems . Session ID: 6514 Description: The National HIV/AIDS Strategy and Track: Emerging Issues the White House HIV Care Continuum Initiative have bolstered integration of HIV prevention Session Title: Getting to Work: Expanding and care efforts and fostered new approaches Employment and Housing in a Changing HIV to addressing barriers to HIV testing, care, and Epidemic treatment . To better support the integration of HIV Meeting Room: Marquis Salon 15 (Level 2/Purple) prevention and care service delivery, the Health Continuing Education: No Resources and Services Administration’s HIV/AIDS Bureau (HRSA HAB) and the Centers for Disease Learning Objectives: Control and Prevention’s Division of HIV/AIDS ƒƒ Describe how changes in the HIV/AIDS Prevention (CDC DHAP) created a framework for a epidemic in the United States and advances single guidance for CDC HIV Prevention recipients in treatment have impacted employment- and HRSA-funded Ryan White HIV/AIDS Program related service needs for people living with Part A and B recipients to develop integrated HIV/AIDS . HIV prevention and care plans within their jurisdictions to improve outcomes along the HIV

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ƒƒ Discuss the correlation between and serving additional households as well as employment and the potential for improved preventing the spread of HIV . health . Moderator/Presenter: Benjamin Ayers ƒ ƒ Identify a range of components included in Presenter: employment services, as well as promising ƒ strategies for delivering employment ƒ Meredith DeDona services . Description: HIV/AIDS service providers Session ID: 6548 historically have not provided access to Track: Data to Care employment programs for individuals living with Session Title: Using Technology to HIV/AIDS because until recently, side effects of Coordinate HIV Prevention, Care & medications and the debilitating nature of the Treatment Services disease prevented individuals living with HIV/ Meeting Room: Mount Vernon Square AIDS from participating in employment . HIV/AIDS (Level 3/Silver) service providers therefore implemented service models focused on reliance on local and federal Continuing Education: Yes resources for housing, food, clothing, and medical Level: Intermediate care . However, recent advances in treatment Learning Objectives: and care provide an opportunity for individuals living with HIV/AIDS to return or enter into the ƒƒ Understand how to use an integrated workforce . Housing and employment have been management information system (MIS) for shown to increase health outcomes, improve the coordination of care across multiple- quality of life, and reduce social service costs . In funded services to monitor and improve light of this, HUD’s Office of HIV/AIDS Housing clients’ clinical health outcomes and conducted a pilot initiative to evaluate if HIV/AIDS integrating performance measure data into service providers could successfully provide access decision-making . to employment programs and if beneficiaries ƒƒ Understand how multiple funders could successfully enter or reintegrate into the collaborate and interact to ensure workforce system . The initiative was a success continuity of HIV prevention, care, and and led to a partnership with the departments of treatment services in Broward County, Fla . Labor and Justice to develop the Getting to Work ƒƒ Understanding how the Ryan White Part curriculum . The curriculum is designed to educate A Program is using an MIS to address grantees and service providers on employment challenges via data sharing agreements and HIV/AIDS issues. Topics covered include: the with multiple funders of HIV prevention, changing epidemic, connections between care, and treatment services . employment and health, the impact of advances in treatment on employment-related service Description: The Broward County Ryan White needs, the impact of employment on benefits, Part A Program Office uses an integrated data how to best deliver employment services, and software system known as Provide Enterprise how to identify/engage with partners to provide (PE) developed by Groupware Technologies, Inc . employment services. This is an effective tool as PE is a web-based relational, integrated data a long-term strategy for stretching grant funds system used to collect client-level demographic and epidemiologic characteristics, intake and

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eligibility data, detailed procedure-level service units, and clinical outcomes, and serve as an Session ID: 6668 invoice and payment system . Broward County Track: Health Care Landscape

3:30 PM - 5:00 receives funding for Ryan White Parts A-F, HOPWA and Prevention . This presentation will discuss how Session Title: Retreat for Progress: Ryan the county uses technology across a network of White Part B and C Program Collaboration, funders to collect data that are subsequently used Integration, and Sustainability

THURS, AUGUST 25 THURS, for electronic reporting as well as synchronized Meeting Room: Silver Linden (Level 2/Purple) real-time care coordination in reporting across the Continuing Education: Yes county . The use of PE has increased awareness Level: Advanced among funders about their contributions to the improving health outcomes and the importance Learning Objectives: of care coordination for clients receiving HIV ƒƒ Define the message and involve prevention, care, and treatment services in stakeholders . Participants will glean Broward County . Collaboration among state and information on how to get buy-in from local health department colleagues from HIV stakeholders to shift their programs, and surveillance, HIV prevention, Ryan White HIV/AIDS planning, to work toward a common goal . Programs, and other public health stakeholders, ƒƒ Coordinate planning across Part B and C including private entities, to identify the main grantees . Participants will learn strategies data sources and data systems is essential . Data to align Part B and C program activities sharing among funders presents a challenge to to effectively use resources and further ensuring clients’ needs are addressed consistently program development . across the care continuum . With many clients receiving services from various funding sources, ƒƒ Find sustainable solutions to addressing data sharing is critical in providing clients with change . Participants will learn how to break complete and efficient services. Limitations down common grantee challenges and in data sharing among state and local entities identify ways to generate improvement . compromise the program’s ability to be fully Description: As with many states, Iowa is at a informed . Integrated data systems are critical in critical juncture in addressing HIV. Significant promoting effective linkage of newly identified changes in the health care environment, HIV-positive individuals to ensure linkage to combined with studies that demonstrate the utility outpatient/ambulatory medical care centers . of treatment as prevention, have significantly Presenter: altered the way in which state and local programs deliver prevention, care, and treatment services . ƒƒ Shaundelyn Emerson Beginning in 2014, Iowa began a specific, targeted ƒƒ Leonard Jones process of convening Ryan White Part C clinics ƒƒ Leonard Jones that also receive a Ryan White Part B subaward to strategically address how to move forward to most effectively reach a goal of an AIDS-free generation. Over the course of five in-person meetings and much work in between, these co-housed grantees worked to answer the questions: where are we now, where are we going, and how do we get

129 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30 PM - 5:00 THURS, AUGUST 25 there? This model sought to create a safe space of ƒƒ Identify and describe at least two to three open dialogue about how individuals’ programs tools provided in the workshop that can can best be configured to provide care across the help in continuing and expanding their continuum for people living with HIV . Participants collaborative prevention-care planning . were provided opportunities to leave their daily Description: Ryan White Part A and Part B obligations, get to the root of frustrations and programs and HIV prevention programs will determine realistic solutions . Those solutions be submitting new, five-year comprehensive have come in the form of changes that range from plans to the HIV/AIDS Bureau (HAB) and the simple to sweeping . This session will provide an Centers for Disease Control and Prevention overview of the process to come together and a (CDC) at the end of September 2016 . Many will roadmap to move forward . be submitting integrated HIV prevention-care Presenters: plans . Some plans will address Part B and HIV ƒƒ Holly Hanson prevention, some Part A and HIV prevention, and others will include Part A and Part B programs ƒ ƒ Elizabeth McChesney as well as prevention and care (for example, ƒƒ Britten Pund the state plans for Maryland and Indiana) . One ƒƒ Gregory Gross of the greatest benefits of collaboration on the integrated plan is the opportunity created for ƒƒ Tricia Kroll ongoing collaborative planning . This workshop ƒƒ Darla Peterson will identify and explore types of collaboration between prevention and care planning bodies, and share tools (including written templates and Session ID: 6753 procedures) to support them . It will address ways Track: Emerging Issues of building on relationships and experiences from Session Title: After the Plan: Tools for joint integrated planning, and include ongoing Ongoing Cross-Part/Prevention-Care collaboration that is cross-part as well as across Collaborative Planning prevention and care. HRSA has identified six types Meeting Room: Judiciary Square (Level 3/Silver) of collaborative planning . Besides development of an integrated prevention and care plan, they Continuing Education: Yes include information sharing, cross-representation, Level: Intermediate integrated information gathering and/or data Learning Objectives: analysis or other joint projects and activities, an integrated committee of a larger planning body, ƒƒ Self-assess their RWHAP planning body’s and a unified prevention-care planning body. current prevention-care and cross-part The session will focus on joint activities, use collaborative community planning and its of integrated committees or work groups, and readiness for enhanced collaboration . conditions that facilitate establishing a unified ƒƒ Describe at least two kinds of enhanced planning body . Participants will complete a collaborative planning that seem feasible written self-assessment on current and planned and desirable for their planning body and collaboration, and discussion will be integrated program . into the presentations . Presenters:

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ƒƒ Emily McKay risk factors for sexual victimization in prisons . ƒƒ Hila Berl For PLWH, we also will describe models to increase treatment adherence in prisons and

3:30 PM - 5:00 jails where HIV stigma is a barrier to treatment Session ID: 6814 adherence . We also will discuss HIV and HCV Track: Emerging Issues screening, and the importance of screening Session Title: Incarceration, Sexual upon release. We will then focus on different THURS, AUGUST 25 THURS, Victimization, Reintegration and the HIV models of continuity of care (i e. ., discharge and Care Continuum transitional planning and case management) for PLWH returning to the community . Finally, we Meeting Room: Marquis Salon 13 (Level 2/Purple) will review an evidence-based model currently Continuing Education: Yes being implemented in prisons and jails around Learning Objectives: the country and internationally to improve continuity-of-care, support social reintegration, ƒƒ Learn about different prevention and and reduce recidivism . testing models currently implemented in prisons and jails . Presenters: ƒƒ Understand efforts to reduce sexual ƒƒ Sean Cahill victimization and trauma in prisons and ƒƒ Barry Zack jails through implementation of Prison Rape Elimination Act standards . Session ID: 6956 ƒƒ Learn about specific, evidence-based Track: Innovative Practices corrections-related continuity-of-care models . Session Title: Using the ECHO Model for HIV Education and Improving Health Outcomes Description: One-and-a-half percent of U .S . prisoners are living with HIV, four times the Meeting Room: Shaw (Level 3/Silver) rate of the general population . Each year Continuing Education: Yes approximately 17 percent of PLWH in the Learning Objectives: United States spend at least some time in jail or prison . Many people in prison and jail struggle ƒƒ Discuss how the project ECHO model has with mental illness and substance use . We been used for HIV clinical education . will describe the intersecting epidemics of HIV ƒƒ Compare how the New Mexico AETC/South and incarceration, and review prevention and Central AETC and the Mountain West AETC testing efforts taking place in the correctional have used the ECHO model . setting. We will describe efforts to reduce ƒƒ Identify at least one way in which the sexual victimization and trauma in prisons and project ECHO model could be used to for jails through the Prison Rape Elimination Act, practice transformation and improve HIV with particular attention to gay and bisexual care in your community . men who are 11 times more likely to be raped in prison than heterosexual men . We also Description: Project ECHO (Extension for will address sexual victimization and trauma Community Healthcare Outcomes) is a replicable with transgender women . Race, complexion, model to build care capacity on the ground and younger age, and smaller physical size also are share best practice care for underserved people

131 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 3:30 PM - 5:00 THURS, AUGUST 25 around the world . Developed by the University of New Mexico (UNM) Health Sciences Center, Session ID: 7005 this model delivers complex specialty medical Track: Emerging Issues care to rural providers through innovative technology . The New Mexico AIDS Education and Session Title: Addressing Employment Training Center (AETC), at UNM, under the South Needs: Providing a Roadmap to Achieve Central AETC and the Mountain West AETC at Employment-Related National HIV/AIDS Strategy Goals the University of Washington, have successfully used this low-cost, high-impact model to Meeting Room: Capitol Hill (Level 3/Silver) build HIV capacity and education across their Continuing Education: Yes respective regions . Using case-based learning Learning Objectives: to connect expert interdisciplinary teams with regional providers, particularly in rural areas, ƒƒ Cite research findings related to the ECHO engages clinicians in a long-term learning employment needs of PLHIV and the impact environment that empowers them to care for of employment as a social determinant of difficult patients. Unlike traditional telemedicine, health . in which the specialist assumes care of the ƒƒ Address/explain individual and patient, ECHO builds capacity in the field, where administrative barriers to developing and the clinician retains responsibility for managing linking to employment services . the patient . This allows clients to stay in their ƒƒ Use a toolkit of resources, strategies and home communities and receive high-quality, networks to facilitate successful linkage to complex HIV care, addressing challenges that employment services . rural America faces in accessing care . Participants from federally qualified health centers and other Description: The updated NHAS identifies clinics will transform their HIV practice with employment as a key social determinant of ECHO . Not only does regular access to specialty health and recommends promoting linkage to care continuously develop a provider’s knowledge employment services as an important response base, the peer learning network built by ECHO to achieve its goals . This workshop will include a reinforces the relationships between providers review of research findings related to the unmet facing similar challenges across a region . This vocational needs of people living with HIV as well session will discuss successes with the model and as evidence related to the role of employment explore new possibilities for expanding ECHO to as a social determinant of health . The director care for people living with HIV . of GMHC’s employment programs will provide a personal and professional perspective on Presenters: the challenges that PLHIV face connecting with ƒƒ Tracy Jungwirth employment services and effective strategies for ƒƒ Natalia Martinez-Paz addressing these challenges . Finally, the president of the National Working Positive Coalition will provide a roadmap of widely available community- level employment-related resources and supports, and a review of strategies to facilitate effective linkage to employment services . Presenters:

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ƒƒ Liza Conyers are embarrassed to ask questions when they have ƒƒ Mark Misrok not adequately understood the information they receive, and the feedback loop using the ‘teach ƒƒ April Watkins

8:00 AM - 9:30 back method’ is not completed . In this session, the presenter will address: a) the importance of

FRI, AUGUST 25 FRI, Session ID: 7014 health literacy in helping achieve the updated Track: Emerging Issues 2020 NHAS goals; b) existing gaps in promoting health literacy among people living with HIV; c) Session Title: Promoting Health Literacy best practices related to use of plain language and through Clear Communication: Implications clear communication techniques to improve and for People Living with HIV sustain health literacy; and d) tailoring techniques Meeting Room: Dogwood (Mezzanine/Red) to meet specific cultural/age related needs of Continuing Education: Yes diverse populations . In addition, strategies and tools to promote health literacy will be used as Learning Objectives: part of an interactive exercise . ƒƒ Identify potential gaps in promoting health Presenter: literacy . ƒƒ Manisha Maskay ƒƒ Describe key elements of clear communication . ƒƒ Explore best practices for promoting health FRIDAY, AUGUST 26, 2016 literacy . Description: The importance of health literacy is universally acknowledged . Promoting health CONCURRENT SESSIONS, SERIES G literacy must be intentional and ongoing and 8:00 AM - 9:30 AM evolve to meet a person’s changing health care needs . It must include navigation of the health Session ID: 4028 care system as well as health insurance and Track: Emerging Issues financial components. Health literacy is crucial Session Title: Engagement and Retention for a person to move successfully through the Strategies for Populations with Unique HIV care continuum, achieve viral suppression, Needs: Women, African-Born and optimize health outcomes and reduce risk Caribbean-Born Communities of transmission . The National Action Plan to Meeting Room: Marquis Salon 14 (Level 2/Purple) Improve Health Literacy (2010) emphasized the importance of clear communication and the use Continuing Education: No of plain language as a strategy for promoting Learning Objectives: health literacy . Unfortunately, practitioners in ƒƒ Learn non-traditional strategies to engage the field and society in general have not paid women and African and Caribbean adequate attention to the guidance provided by communities . this and other strategy documents . Clinicians continue to use complex language and jargon, ƒƒ Learn methods to address HIV testing for consumers obtain much of their health-related women and in an African and Caribbean information from the internet or television and cultural context .

133 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25

ƒƒ Facilitate linkage to medical care and retention in care for women and for African Session ID: 4039 and Caribbean communities . Track: Innovative Practices Description: Women contribute substantially Session Title: What, Why, and How: Health to the domestic HIV epidemic, as do the African- Literate Strategies to Improve Black MSM born and Caribbean-born . We present two Engagement in Care programs effectively engaging these communities in HIV testing, clinical and support services . In Meeting Room: George Washington University Oakland, Calif ., Women Organized to Respond to (Level 1/Blue) Life-threatening Disease (WORLD) has developed Continuing Education: No outreach programs linking local women to Learning Objectives: HIV testing, care and services . WORLD also ƒƒ Apply health-literate approaches to improve targets women previously diagnosed with HIV your communication . who have trouble accessing care or have fallen out of care, linking them to primary care and ƒƒ Understand why health-literate support services . In Philadelphia, the African organizations are important to black MSM . Diaspora Health Initiative (ADHI) collaborates Description: CDC’s recent estimate that one with local African and Caribbean communities in two black MSM will get HIV in his lifetime to engage them in HIV testing and care using underscores how critical it is for black MSM to a community-based model of Clinics Without find, understand and use HIV prevention, care Walls . Both organizations conduct outreach and treatment information. The ability to find, to their respective target populations, linking understand, and use health information is called them to HIV testing and prevention services, health literacy . In It Together: National Health and as necessary to HIV primary care . Between Literacy Project for Black MSM is designed 2011 and 2015, 4,152 African and Caribbean to improve health outcomes along the HIV immigrants were served by ADHI, half of them care continuum by developing health-literate female . More than 90 percent of those testing organizations and promoting health literacy as positive were linked to care . Best practices for a component of culturally appropriate service engaging the African and Caribbean communities delivery . Participants in this workshop will take include close collaboration with community part in a community training that provides rich leaders and offering bundled screening in Clinics information on why health literacy is important Without Walls. Together these two projects offer to HIV treatment and care, how health literacy successful models of engagement in HIV testing affects health outcomes of black MSM, how and care for disenfranchised women, and for culture affects black MSM’s engagement in integrating immigrant African and Caribbean care, how spoken and written communication communities from areas reporting high techniques can improve health literacy, and what prevalence of HIV . actions organizations can take to become health- Presenters: literate health care organizations . Participants will practice approaches that encourage and ƒƒ Denise Jones improve health-literate conversations between ƒƒ Helena Kwakwa health professionals and black MSM, such as the Universal Precautions approach, the “teach back

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method” and Ask Me 3™ technique . Additionally, Presenters: participants will work together to identify ƒƒ Mayla Jackson barriers to health literacy in their communities ƒƒ Mari Ruetten

8:00 AM - 9:30 and suggest ways in which organizations can introduce or strengthen health-literate ƒƒ Casey Schumann

FRI, AUGUST 25 FRI, conversations and services . Presenters: Session ID: 4050 ƒƒ Rene Esler Track: Emerging Issues ƒƒ Devin Hursey Session Title: Novel Public Health ƒƒ Nathan Townsend Approaches to Enhance Engagement in Care ƒƒ Eddie Wiley Meeting Room: Union Station (Level 3/Silver) Continuing Education: No Session ID: 4049 Learning Objectives: Track: Innovative Practices ƒƒ Describe benefits and barriers of a unique Session Title: Developing, Implementing, linkage to care specialist positions for and Sustaining Effective Patient Navigation Models: Experiences from the Philadelphia clients . and Wisconsin Health Departments ƒƒ Compare and contrast linkage to care Meeting Room: Georgetown (Level 1/Blue) specialists with other case managers or systems representatives . Continuing Education: No ƒƒ Identify ways to optimize surveillance data Learning Objectives: for use in identifying out-of-care patients . ƒƒ Describe the benefits of patient navigation Description: This session will focus on two programs that are designed to improve different state-level interventions: the first using linkage, retention, and viral suppression . a newly created position called “linkage to care ƒƒ Define key elements of effective patient specialists” to increase engagement in care for navigation programs . high-risk HIV-positive populations, and the second ƒƒ Discuss strategies for sustaining navigation using HIV surveillance data to identify patients programs . who may have fallen out of care . Qualitative data from specialists and clients in Wisconsin were Description: The Philadelphia and Wisconsin collected during the pilot and implementation health departments will describe their experiences phases of the program to assess initial areas in developing and implementing HIV-specific of improvement and perspectives on its patient navigation programs to improve effectiveness. The unique nature of the position engagement in care and viral suppression . The allowed specialists to address clients’ multiple session will cover lessons learned during the needs, and to form relationships that provided development and implementation of patient clients motivation to maintain good health . navigation programs, qualitative and quantitative Massachusetts’s pilot project used surveillance program outcomes, and fiscal and programmatic laboratory data to identify out-of-care individuals plans to sustain the novel programs . at participating facilities and communicate

135 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25 this to clinical staff. These staff then would diagnosed clients within 30 days, thereby reaching review medical records to confirm whether the the NHAS 2020 goals . In addition, by creating a patients were in fact out of care, and notify HIV position solely dedicated to patient navigation, surveillance . Reviewing care status with clinical we saw a dramatic increase in linkage to care staff was found to be essential in confirming over the last four years . The next challenge in patients’ true care status . the continuum of care is retaining patients once Presenters: they have been linked . The presence of HIV in the rural South presents unique opportunities ƒ ƒ Michelle Broaddus to initiate retention programs tailored for these ƒƒ John Christian Hague under-resourced communities . At a rural clinic in Session ID: 4051 North Carolina, three retention interventions were implemented and measured at 12 and 24 months . Track: Innovative Pratcices All three retention measures were successful and Session Title: The Southern Strategy for HIV sustainable 24 months after implementation, Testing, Linkage, and Retention in Care; suggesting that tailored and structured Don’t Miss Your Shot! intervention is associated with improved viral Meeting Room: Howard University (Level 1/Blue) suppression . Qualitative examination of testing, Continuing Education: No linkage to care, and retention from the perspective of providers in the South, both rural and urban, Learning Objectives: can provide nuanced insight into strengths and ƒƒ Describe successful strategies for limitations of community-based organizations implementing rapid HIV testing/linkage-to- to inform improvement efforts. These issues are care at high-risk venues . explored in Louisiana and North Carolina with ƒƒ List the steps necessary to successfully applicability to neighboring deep Southern states . integrate patient navigation into prevention Presenters: and primary care departments . ƒƒ Katherine Conner ƒƒ Implement tailored strategies to improve ƒƒ Michelle Ogle retention in indigent, under-resourced communities . ƒƒ Joseph Olsen Description: The 2020 goals from the National HIV/AIDS Strategy emphasize increased linkage Session ID: 6157 to care in less than 30 days, prevention efforts Track: Innovative Practices in high-risk, hard-to-reach populations, and Moving Research Findings into Ryan White establishing systems that support retention Practice: Adapting to the Real World in care to achieve viral suppression . First, we will cover our implementation of HIV testing Meeting Room: Scarlet Oak (Mezzanine/Red) services in local high-risk bars, consulates, Continuing Education: Yes courthouses, methadone clinics, and discuss how Level: Intermediate we incorporated rapid routine testing in health care settings . By using a rapid/rapid testing Learning Objectives: algorithm, we have expedited linkage to care . We ƒƒ Participants will be able to describe the have been able to link the vast majority of newly goals of the overall initiative .

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ƒƒ Participants will be able to discuss the four impede the adoption, adaptation and integration adapted interventions . of a similar new intervention in their settings . ƒƒ Participants will be able to describe Moderator: Johanna Goderre Jones 8:00 AM - 9:30 elements in their own agency that would Presenters: support or challenge the integration of a

FRI, AUGUST 25 FRI, ƒ new intervention . ƒ Jane Fox ƒƒ Erin Nortrup Description: Increasing access to care and reducing HIV-related disparities are two of the foundational goals of the HIV/AIDS strategy . Session ID: 6204 Over the years, the Ryan White Program has Track: Health Care Landscape demonstrated high rates of retention and viral suppression among clients served, and several Session Title: Intersection of Ryan White Services and the Affordable Care Act: SPNS initiatives have focused on developing Changes and Challenges innovative models to improve access to and retention in HIV care while reducing health Meeting Room: Dogwood (Mezzanine/Red) inequities for vulnerable HIV-positive populations . Continuing Education: Yes Findings and best practices from these initiatives, Level: Beginner while published, have not been frequently incorporated into practice by HIV provider Learning Objectives: organizations . Successful dissemination and ƒƒ Demonstrate the benefits and challenges replication of these previously-proven SPNS to developing new models of HIV service interventions focused on improving linkage delivery . to and retention in HIV primary care are key ƒƒ Describe lessons learned about in improving health outcomes along the HIV CommunityLinks . care continuum . This workshop will provide an overview of a unique SPNS collaboration ƒƒ Identify concepts and action steps to between AIDS United and Boston University to inform organizations regarding service and fund, implement and evaluate the replication of financing transformation. four adapted interventions: peer linkage and re- Description: The AIDS Foundation of Chicago engagement of HIV+ women of color; enhanced (AFC) has proudly served the HIV community for patient navigation for HIV-positive women of decades . To continue to reach our clients and color; integrating of buprenorphine treatment in expand services, AFC prioritized “repackaging” HIV care; and transitional care coordination with how and what services we deliver – not only for jails . Presenters will discuss the four adapted Ryan White but also HIV prevention, CDC and interventions, identification, and funding of other funded services . Taking into account the performance sites distributed across all regions of changing health care landscape, we assessed the country, development of the implementation- our programs as potential service lines focusing science- based national evaluation, and the on managed care organizations – most notably preliminary stages of training and technical Medicaid . In 2014, AFC launched an innovative assistance for selected sites . A group-level activity third party payer program, CommunityLinks, to will be included to assist sites in assessing agency transform existing community-based HIV services readiness and factors that would promote or into business products that could be marketed to

137 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25 health insurance plans . best ways to maximize sustainability and health Presenter: outcomes. Health departments have identified key program areas on which to focus change efforts, ƒ ƒ Kathye Gorosh all consisting of reimagining the role of prevention and care programs in alignment with contextual Session ID: 6336 changes in the jurisdiction . Early process data from Track: Innovative Practices HI-TAPS indicates that health department-led, strengths-based change produces results . Evidence Session Title: High-Intensity Technical includes new partnerships and altered internal Assistance and Problem Solving with State communication processes . NASTAD has developed and Local Health Departments HI-TAPS action plans with participating jurisdictions Meeting Room: Cherry Blossom (Mezzanine/Red) that are working across prevention, care, and Continuing Education: Yes surveillance programs to modernize their care delivery systems and internal health department Level: Intermediate structures . Progress toward health department Learning Objectives: change goals are monitored and evaluated via ƒƒ Recognize how integrated progamming subsequent in-person follow-up meetings where leads to measureable program change . action plans are discussed and revised based on incremental change that occurs between visits . ƒƒ Discuss how strengths-based assessments facilitate achievable goal-setting . Moderator/Presenter: ƒƒ Identify ways in which the HI-TAPS model ƒƒ Blake Rowley may be applicable for agency-wide program change . Session ID: 6410 Description: NASTAD draws on the experience Track: Emerging Issues of its vast national network and brings it to bear Session Title: Systems Linkages Institute on program administration challenges identified 201: Systems Linkages and Access to Care: by NASTAD members (i .e ., state AIDS directors A Special Projects of National Significance and their staff). This peer-based model for (SPNS) Initiative delivery of technical assistance (TA) is central to NASTAD’s approach to problem solving for Meeting Room: Tulip (Mezzanine/Red) program improvement . Highly-Intensive Technical Continuing Education: No Assistance and Problem Solving (HI-TAPS) Level: Intermediate represents NASTAD’s Prevention and Health Equity programmatic approach to address health Learning Objectives: department infrastructure, policy development, ƒƒ Identify why a balance between depth and communication and information exchange, breadth is crucial in a statewide response partnerships, and services to advance the goals of to close the HIV care continuum gaps . the NHAS during this time of significant change. ƒƒ Understand the design and outcomes of Much in the same way that agencies are asking care systems-level interventions deployed in and prevention programs to integrate and work in three states . tandem, HI-TAPS is designed to bring together all parts of HIV programs, and collectively decide the

2016 National Ryan White Conference on HIV Care and Treatment 138 WORKSHOPS

ƒƒ Characterize the kinds of patients and ƒƒ Anne Rhodes needs best served by interventions that aim ƒƒ Wayne Steward for breadth over depth versus interventions ƒƒ Sophie Lewis

8:00 AM - 9:30 that aim for depth over breadth . Session ID: 6425 Description: Major policy initiatives have set FRI, AUGUST 25 FRI, ambitious goals for enhancing engagement in Track: Emerging Issues care among people living with HIV . The Systems Session Title: Homeless Institute 201: Using Linkages and Access to Care Initiative, a Special Interdisciplinary Teams to Provide Care Project of National Significance (SPNS), developed to People Living with HIV/AIDS who Are and evaluated interventions to improve states’ Homeless or Unstably Housed coordinated response to HIV . Completely closing Meeting Room: Marquis Salon 15 (Level 2/Purple) care continuum gaps will require deployment of Continuing Education: No strategies that balance breadth and depth . Broad interventions can address the majority of the Level: Intermediate engagement in care gaps through the delivery of Learning Objectives: limited services that ensure most clients link to care . ƒƒ Describe the needs of people living But in-depth interventions are necessary to close with HIV/AIDS who are experiencing the smaller portion of the gap due to clients with homelessness or unstable housing and the complex needs . In this session, we will highlight unique challenges in achieving retention in the importance of this balance by discussing the care and viral suppression . outcomes of interventions differing in breadth and depth . North Carolina’s State Bridge Counseling ƒƒ Learn strategies to address the challenges program aims for breadth by improving linkages at the patient, provider and system levels . to care, achieved through the provision of time- ƒƒ Develop strategies to build staff skills and limited services to newly diagnosed individuals and create external partnerships to facilitate clients who are lost to care (in services six to nine care and services . months earlier, but now cannot be located by the Description: Providing care and treatment to clinic) . Virginia has implemented an intervention people who are experiencing homelessness or to facilitate care coordination after release from unstable housing requires an interdisciplinary incarceration . This program has been successful team working across medical, behavioral health, because it aims for more depth but less breadth by housing and other social support systems . Nine focusing enhanced attention on a subset of clients sites participating in the HRSA/SPNS Initiative, known to face greater challenges re-engaging in “Building a Medical Home for Multiply Diagnosed HIV services . Finally, Massachusetts implemented a HIV-positive Homeless Populations,” have navigator program led by nurse-peer dyads . It strives established teams of care coordinators and for depth, by focusing on the unique challenges to patient navigators, medical providers, mental retention in care that are experienced by individuals health and substance use treatment providers, with a high acuity of need . and housing providers to address the unmet Moderator/Presenter: Wayne Steward needs of their clients . In this workshop, four Presenters: sites will describe their models for building a medical home that is unique for PLWHA who are ƒƒ Jenna Donovan homeless or unstably housed . Sites will describe

139 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25 the staff roles and responsibilities, protocols, ƒƒ Provide education on opioid and illicit drug resources, and tools on how staff members addiction as it relates to the spread of HIV outreach and engage PLWHA who are homeless infection and its link to injecting drugs and or unstably housed, assess and identify patient the sharing of needles . needs, provide medical, psychiatric care and Description: The purpose of this workshop other support services, and make and complete is to help participants come up with creative referrals so patients are linked, retained in approaches to HIV minority outreach . The primary care, virally suppressed, and stably housed . vision of the National HIV/AIDS Strategy is to Presenters also will share the systems developed reduce stigma and make quality HIV medical care and implemented for internal and external accessible to Americans regardless of age, race, partnerships with hospitals, rehabilitation gender, sexual orientation, or socio-economic centers, medical specialists, housing, and other status . According to the Centers for Disease service providers to care for PLWHA who are Control and Prevention, the African-American homeless or unstably housed . community carries the highest burden of HIV Moderator: Carole Hohl among all other racial and ethnic groups . Factors Presenters: fueling the HIV epidemic in communities of color in northwest Ohio include stigma, fear, ƒ ƒ Deborah Borne religious beliefs, socio-economic status, and ƒƒ Amelia Broadnax abuse of prescription opioids . Due to stricter ƒƒ Matt Feaster opioid regulations and, consequently, greater difficulty in acquiring opioids legally, Ohio has ƒƒ Kendall Guthrie become a hotspot for illicit intravenous drug use. Amid state efforts to regulate opioids, Session ID: 6460 heroin use has increased and many areas are Track: Innovative Practices experiencing surging outbreaks of HIV infection in the intravenous- drug-using population . The Session Title: “Meet Them Where They Are”: University of Toledo Ryan White Program has used Best Practices in Minority Outreach a number of strategies to educate, offer testing to, Meeting Room: Magnolia (Mezzanine/Red) and improve the health outcomes of those living Continuing Education: No with HIV infection among communities of color . These unique strategies have served to effectively Level: Beginner link newly diagnosed and those lost to HIV medical Learning Objectives: care . These strategies have also served as an ƒƒ Provide HIV education to minority effective way to raise awareness, promote testing communities and encourage HIV and education within hard-to-reach communities . negative consumers to remain negative Presenters: by promoting the use of Pre-Exposure ƒƒ Monawaldai (Moni) Featchurs Prophylaxis . ƒƒ Kennyetta White ƒƒ Improve treatment of people living with HIV and identify, link, and re-engage HIV ƒƒ Mary Jay positives lost to care .

2016 National Ryan White Conference on HIV Care and Treatment 140 WORKSHOPS

programmatic and clinical staff more time to focus Session ID: 6518 on clients and service delivery . This presentation will provide a background on the challenges Track: Quality Management

8:00 AM - 9:30 identified by the dually funded agencies that led Session Title: Using Data Quality Managers to a need for the data quality managers, how the to Improve the Integration of Parts B & C FRI, AUGUST 25 FRI, solution was developed, and the work that data Meeting Room: Marquis Salon 13 (Level 2/Purple) quality managers have been done thus far . This model can be adopted by other states to improve Continuing Education: Yes service delivery and address programmatic and Level: Intermediate data system challenges . Learning Objectives: Presenters: ƒƒ Describe the challenges agencies funded ƒƒ Katie Herting for both Ryan White Parts B and C have ƒƒ Holly Hanson identified, and identify the need for the data quality managers . ƒƒ Summarize the work that has been done Session ID: 6645 thus far by the data quality managers . Track: Health Care Landscape ƒƒ Examine and assess the implications Session Title: Allowable Uses of RWHAP of using this model in the participants’ Funds: A Closer Look at the Updated Service programs . Categories Description: In 2015, the Iowa Ryan White Part B Meeting Room: Gallaudet (Level 1/Blue) Program funded three new data quality manager Continuing Education: Yes positions that were located at each of the dually Level: Intermediate funded Part B and C agencies in Iowa . In the new era of health care, a challenge identified by Learning Objectives: these dually funded agencies was the integration ƒƒ Understand policy clarification notice 16- of not only the Part B and C programs, but their 02 RWHAP Services: Eligible Individuals associated data systems as well . The data quality and Allowable Uses of Funds category manager position was created to help improve definitions. service delivery though increased coordination ƒƒ Apply the RWHAP policy clarification notice and collaboration between Parts B and C . This is 16-02 service category clarifications in achieved by the data quality managers using a program implementation . variety of quality management (QM) and quality improvement (QI) tools, including the PDSA ƒƒ Understand where to find the RWHAP policy cycle, building QM infrastructure, flowcharting, clarification notice 16-02 and supporting implementing QI projects, etc . To address the materials . integration of data systems, the data quality Description: Over the past 12 months, the managers are tasked with developing an export HIV/AIDS Bureau has released several policy of data from the Part C electronic health records clarification notices relating to issues in Ryan into CAREWare, which is used to house Part B White HIV/AIDS Program implementation . and C service data . This will eliminate duplicate One of these notices is 16-02 Ryan White HIV/ data entry, allowing case managers and other AIDS Program Services: Eligible Individuals

141 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25 and Allowable Uses of Funds . This notice ƒƒ Learn at least three new skills in continuous defines, describes, and offers guidance on the QI methods to improve linkage and core medical services and the support service reengagement services . categories for which recipients may use their Description: The NHAS stresses effective linkage program funds . HAB has received more than and reengagement services to ensure rapid 100 questions from recipients and subrecipients clinical assessment, access to ARVs, and reduce related to this policy clarification notice. The community viral load . There is a growing need to session will provide an opportunity for focused adopt replicable, evidence-based interventions in discussion about the service categories that designing new programs and improving existing have received the most number of questions ones . This interactive workshop is based on a asked . The service categories being addressed national HAB-funded assessment of linkage are: PrEP coverage, early intervention coverage best practices and the three-year HIV Care and requirements and coverage of copays and Collaborative (HCC) undertaken in public health antiretrovirals . The session will provide further settings in Atlanta, Houston, and Philadelphia . program guidance on these service categories In this session, we present the HCC intervention and will respond to additional questions that arise model and lessons learned in its implementation . during this interactive session . Key skills and personal attributes of workers Presenters: are identified, based on the work of industrial ƒƒ Tarsha Cavanaugh psychologists . Methods to recruit workers with these attributes, their training needs and ƒ ƒ Monique Hitch supervision strategies are discussed . Ways to ƒƒ Mark Peppler assess barriers to linkage and re-engagement, effective referral methods and direct intervention strategies are highlighted . Common barriers to Session ID: 6691 care and ways to overcome them are presented . Track: Innovative Practices Successful methods for integrating workers in Session Title: Building Effective Linkage and clinical care teams are highlighted . Strategies for Reengagement Services: Lessons Learned documenting services provided are offered. We From the HIV Care Collaborative describe quality improvement (QI) techniques to Meeting Room: University of District of Columbia measure worker performance, ways to analyze (Level 1/Blue) process and clinical outcomes data related to linkage and re-engagement, and design of Continuing Education: No worker-initiated QI projects to test new processes . Level: Beginner Tools for reviewing linkage clients’ charts for Learning Objectives: supervision and QI are described . Case studies are offered throughout the session to give ƒƒ Become familiar with common components workshop participants an interactive opportunity of linkage and re-engagement methods and to apply new techniques gained in the workshop . program design . This session is designed for funders, program ƒƒ Identify at least three key components managers, QI staff, and front-line workers who of effective linkage and reengagement are interested in designing effective linkage and programs . reengagement services .

2016 National Ryan White Conference on HIV Care and Treatment 142 WORKSHOPS

Presenter: group will be asked to identify key challenges ƒƒ Julia Hidalgo they face, and then selected resource people and members of the audience and participants

8:00 AM - 9:30 will briefly describe their innovative and effective Session ID: 6746 strategies and initiatives, including difficulties and

FRI, AUGUST 25 FRI, Track: Emerging Issues lessons learned . Approaches that seem widely applicable will be discussed in more depth, with Session Title: Engaging RWHAP Consumers in Planning and Needs Assessment suggestions for refinement and sharing of hints for successful implementation . The intent is to Meeting Room: Catholic University (Level 1/Blue) offer approaches that Part A and Part B planning Continuing Education: Yes bodies can use to strengthen their community Level: Intermediate planning activities and ensure ongoing, active consumer input and participation as planning Learning Objectives: body members and leaders . In addition, the ƒƒ Describe at least one challenge experienced audience and participants will learn about use and one strategy from their planning of new and innovative models for improving council/planning body (PC/PB) that can be consumer responsiveness to needs assessment used for enhancing consumer engagement and obtaining useful information for decision- in planning bodies, committees and needs making about service priorities, allocations, and assessment activities . service strategies . ƒƒ Identify at least two strategies and models Presenters: used to enhance the involvement of RWHAP ƒƒ Emily McKay consumers as members of PCs and PBs and consumer committees that may be ƒƒ Hila Berl appropriate for use in their program . ƒƒ Describe at least three innovative strategies Session ID: 6760 for obtaining input on consumer service Track: Emerging Issues needs, gaps and barriers that do not involve Session Title: Optimizing Care for Youth typical consumer surveys or focus groups . Living with HIV: The Larkin Street Youth Description: This interactive workshop will engage Services Model participants in sharing and exploring promising Meeting Room: Dogwood (Mezzanine/Red) initiatives and strategies for engaging consumers Continuing Education: No of Ryan White HIV/AIDS Program (RWHAP) services at a time of change . There will be a brief Level: Beginner presentation of key findings from the DMHAP- Learning Objectives: supported assessment of PCs and PBs regarding ƒƒ Understand how Larkin Street’s innovative how the changing HIV/AIDS service environment youth-centered, low-barrier, one-stop and the varied health and employment status service model addresses NHAS goals 1, 2 of PLWH are affecting Ryan White consumer and 3 . participation as planning body members and committee members, and as sources of input regarding service needs, gaps, and barriers . The

143 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25

ƒƒ Learn techniques and best practices around and access to services . Participants will learn how rapid HIV treatment initiation and achieving our ACAC care model optimizes health outcomes . virologic suppression in this special Moderator/Presenter: Adam Leonard population . Presenter: ƒƒ Share their own experiences in working ƒ with similar populations and learn from ƒ Jazmine Mincey other programs’ best practices . Description: The Assisted Care/Aftercare (ACAC) Session ID: 6779 Program at Larkin Street Youth Services in San Track: Emerging Issues Francisco was the first of its kind in the nation, Session Title: Building a Successful Linkage serving homeless youth through an integrated to Continuum of Care Program for Latinos service model that combines health, support and Meeting Room: Capitol (Level 4/Green) housing services in a one-stop location . ACAC clients primarily are people of color (79 percent), Continuing Education: No MSM (95 percent), sex workers (51 percent), PWID Level: Beginner/Intermediate (44 percent), and transgender or gender non- Learning Objectives: conforming (10-20 percent) . ACAC recognizes the unique needs of these special populations . ƒƒ Explain how community health clinics, Its innovative model works to reduce HIV-related hospitals and correctional facilities can help health disparities and inequities, increase access link those identified as HIV-positive into HIV and care to improve health outcomes for PLWH, care services . and reduce new infections . Recognizing the ƒƒ Discuss three strategies for engaging and importance of increased and accelerated access growing community partnerships that to HIV treatment and care, ACAC has become strengthen their ability to identify target the “youth rapid hub” in San Francisco, receiving populations . referrals for all new youth diagnoses . Once in ƒƒ Design strategies to overcome barriers to care, ACAC sees improved health outcomes — 73 engagement in HIV care . percent of youth are on ARVs, and 90 percent of clients housed in our licensed facility for more Description: For individuals with HIV to fully than 60 days achieve good to excellent medication benefit from combination antiretroviral therapy, adherence . All clients in our transitional housing they need to know that they are infected, be program self-manage their medications, and engaged in ongoing regular HIV care, and receive 75 percent of our program population was and adhere to effective antiretroviral therapy. virologically suppressed in December 2015 . Deficits in the spectrum of engagement in HIV ACAC’s developmentally appropriate, holistic care include late HIV diagnosis, suboptimal linkage approach has supported 81 percent of clients to and retention in HIV care, insufficient use of to remain housed or exit to stable housing . This antiretroviral therapy, and suboptimal adherence workshop will detail ACAC’s successful model that to therapy . A complex interplay of factors — supports youth throughout the care continuum, structural, economic, environmental, and cultural from diagnosis through viral suppression and — make Latinos more vulnerable to HIV infection, stabilization . The one-stop program reduces more likely to test due to illness, and less likely barriers to care such as stigma, housing instability to test as part of routine preventive care . These

2016 National Ryan White Conference on HIV Care and Treatment 144 WORKSHOPS

issues can include discrimination, poverty, low ƒƒ Learn examples of Ryan White Program health literacy, stigma, homophobia, and limited processes to address overpayment or access to care . Stigma related to an HIV diagnosis underpayment of the premium tax credit

8:00 AM - 9:30 also may cause people to avoid getting tested or when the Ryan White Program provided avoid medical care after diagnosis because their premium assistance .

FRI, AUGUST 25 FRI, HIV infection may become known and lead to Description: Taxes may not be fun, but through rejection by family, friends, and co-workers . This the Affordable Care Act they now play an coupled with the distance from health facilities, important role in helping make health coverage lack of specialized HIV care specialists, inadequate more affordable. During tax time, consumers transportation, and substance abuse and/or must provide proof of health coverage and mental health issues can forestall or delay entry reconcile premium tax credits if they received into care . This workshop will examine data from financial support through the marketplace. Ryan September 2012 through 2016, barriers to care, White HIV/AIDS Program (RWHAP) recipients and strategies that were developed to build a link and subrecipients are responding by helping to continuum of care programs . This program has clients understand what to do at tax time . This linked more than 400 Latinos into HIV care since session will provide an overview of how health mid-2012 . Their service area covers 3,643 square coverage and taxes are connected and provide miles across three counties on the U .S .-Mexico detailed information on what clients need to do border . This session is intended for those working at tax time, depending on their health coverage with newly diagnosed individuals or those who type, including tools and resources for clients have dropped out of care . and case managers. The session will specifically Moderator/Presenter: Pedro Coronado address how to navigate the premium tax credit reconciliation process, how RWHAP insurance assistance programs are coordinating with the Session ID: 6784 premium tax credit reconciliation process and Track: Health Care Landscape related HRSA policies . This includes examples Session Title: The Connection Between Tax of jurisdictions’ processes to pursue any excess Filing and Health Coverage—What Does It premium tax credit a client receives from the IRS Mean for Ryan White Programs? upon submission of the client’s tax return or to Meeting Room: Silver Linden (Mezzanine/Red) assist clients with money owed to the IRS as a result of an overpayment of premium tax credits Continuing Education: Yes throughout the year . This interactive session Level: Intermediate will use case examples, tool demonstrations, Learning Objectives: and facilitated discussions with participants to ensure participants gain a clear understanding ƒƒ Understand what clients need to do at of how to guide clients through the tax filing tax time, based on their type of health and reconciliation processes as well as HRSA coverage . policy requirements related to underpayment or ƒƒ Understand the requirement to file and overpayment when premium assistance has been reconcile taxes to be eligible for tax credits provided . next year . Presenters: ƒƒ Elizabeth Costello

145 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25

ƒƒ Stewart Landers Moderator/Presenter: Amelia Khalil ƒƒ Sean Dickson Presenters: Session ID: 6799 ƒƒ Antigone Dempsey Track: Emerging Issues ƒƒ Jesse Milan Session Title: Leadership in Action: ƒƒ Candace Webb Strategies to Promote Public Leadership for PLWH Session ID: 6818 Meeting Room: Dupont Circle (Level 3/Silver) Track: Emerging Issues Continuing Education: No Session Title: Women Services Rock @ Level: Beginner/Intermediate/Advanced GMHC: Keeping Clients Engaged and Virally Learning Objectives: Suppressed ƒƒ Identify existing strategies for PLWH Meeting Room: Mount Vernon Square leadership development . (Level 3/Silver) ƒƒ Describe barriers and gaps in PLWH Continuing Education: Yes leadership development . Level: Beginner ƒƒ Identify strategies to improve gaps in PLWH Learning Objectives: leadership development . ƒƒ How to leverage strengths of staff to best Description: The Ryan White HIV/AIDS Program meet the specific needs of clients. (RWHAP) is responsible for providing HIV-related ƒƒ How to create a staffing structure that services to People Living with HIV (PLWH) and actively engages clients about the their families through cities, states, and local importance of treatment and adherence community-based organizations . The NHAS while efficiently collecting clinical data. Updated to 2020 calls on all of us to reduce stigma and discrimination experienced by PLWH, and to ƒƒ How to make performance indicators a promote public leadership of PLWH, specifically meaningful part of everyday work . identifying important actions we all can take . Description: Women In Action (WIA) is a harm HAB convened a one-day, in-person consultation/ reduction recovery (HRR) program with a target meeting with experts to better understand and population of HIV-positive women who have a identify existing strategies that promote the public history of substance use and abuse . Many of the leadership of PLWH, address the barriers and women also have experienced incest, domestic gaps in the public leadership of PLWH and explore violence, rape, and/or abandonment issues . From strategies to improve these gaps . This facilitated 2013 to 2015, WIA performed better on all quality discussion results in suggested strategies or indicators such as documenting viral load and actions for HAB to take toward addressing the CD4 labs, documenting primary care engagement, gaps in the public leadership of PLWH . There are and linkage to substance use services within three unique challenges to engaging PLWH in public months of reporting high-risk substance use than leadership opportunities and strategies from work the averages of New York City HRR programs . conducted outside of the field of HIV informs the More than 90 percent of clients in this program in RWHAP’s current approach to serving PLWH and 2015 had undetectable viral loads. Staff employs involving them in a leadership capacity .

2016 National Ryan White Conference on HIV Care and Treatment 146 WORKSHOPS

several strategies to achieve these excellent ƒƒ Participants will improve their outcomes: clients are assessed and matched to understanding and use of new vocabulary . a counselor who best fits their specific needs; Description: This interactive 90-minute workshop

8:00 AM - 9:30 a counseling assistant coordinates clinical data is provided by the HIV/AIDS Bureau (HAB) and collection for all clients; counseling assistants will include an overview of the structure and FRI, AUGUST 25 FRI, meet clients monthly to ensure engagement with effective dates of 45 CFR Part 75 - Uniform their primary care doctors, review lab results, Administrative Requirements, Cost Principles, and discuss medication adherence, and coordinate Audit Requirements for Federal Awards (the “HHS appointments; and counselors ensure the data Uniform Guidance”) and changes of note for HAB that are collected inform clients’ service plans . grant and cooperative agreement recipients . The An additional strength is that this is a program presentation will cover the subparts of 45 CFR designed by women for women. Program staff is 75 and provide insight on the rationale for the comprised exclusively of women of color, native changes . The presenter will focus on the most New Yorkers, women in recovery from substance important changes to 45 CFR 75 and discuss use disorders and/or women living with HIV . changes in vocabulary, procurement thresholds, Staff share their lived experiences as part of indirect costs, subrecipient monitoring and select their interventions with clients and convey the items of cost, and audit requirements . Participants message that they can relate to what clients are will have an opportunity to engage in a game experiencing and provide a model example of (https://getkahoot com/. ) to test their knowledge what is possible with support and hard work . of 45 CFR Part 75 interactively . The game is played Moderator/Presenter: Glynis Simmons with a mobile telephone, laptop, or iPad . Presenter: Presenters: ƒƒ Hannah Hirschland ƒƒ Frances Hodge ƒƒ Jan Joyce Session ID: 6880 ƒƒ Monique Worrell Track: Health Care Landscape Session Title: The Super Circular: Uniform Session ID: 6891 Administrative Requirements, Cost Track: Emerging Issues Principles, and Audit Requirements for HHS Awards, 45 CFR 75 Session Title: Training the Next Generation of Spanish-Speaking HIV Physicians: Meeting Room: LeDroit Park (Level 3/Silver) Experiences from a Minority AIDS Initiative Continuing Education: Yes (MAI) Project Level: Intermediate Meeting Room: Marquis Salon 12 (Level 2/Purple) Learning Objectives: Continuing Education: Yes ƒƒ Participants will gain a thorough knowledge Level: Intermediate of the HHS Uniform Guidance . Learning Objectives: ƒ ƒ Participants will increase their awareness of ƒƒ Explain how Spanish speakers have unique changes in administrative requirements . health disparities and needs that impact use of HIV services .

147 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 8:00 AM - 9:30 FRI, AUGUST 25

ƒƒ Discuss the important role Spanish- Presenter: speaking family medicine physicians can ƒƒ Thomas Donohoe play in impacting the HIV epidemic . ƒƒ Consider developing HIV testing and PrEP Session ID: 6992 programs locally for Spanish-speaking physicians . Track: Emerging Issues Description: Research has shown that patient- Session Title: Addressing HIV and PrEP physician language discordance can impact not only Stigmas Impacting LGBT Health comprehension but adherence to medical care . Meeting Room: Chinatown (Level 3/Silver) Monolingual Spanish-speaking people who are Continuing Education: No at risk of HIV infection or are living with HIV often Level: Intermediate prefer to speak Spanish with their medical providers . Despite this need, many primary care and HIV Learning Objectives: clinics do not have access to Spanish-speaking HIV- ƒƒ Describe how HIV and PrEP stigmas can act trained physicians . In urban areas like Los Angeles, as barriers to care . the second largest city in the nation, Spanish as ƒƒ Explore the current landscape of HIV and the first language is the number one predictor PrEP stigmas in LGBT health care . for late HIV testing (an AIDS diagnosis within one month of HIV test results) . Over the past four years, ƒƒ Identify culturally appropriate models and an MAI project of the Pacific AIDS Education and practices that address HIV and PrEP stigmas Training Center and the UCLA Department of Family for integration in Ryan White settings . Medicine’s International Medical Graduate (FM IMG) Description: In a survey of members of the program has trained Spanish-speaking physicians National Coalition for LGBT Health, respondents on HIV-related topics, including HIV treatment and cited HIV and pre-exposure prophylaxis (PrEP) care, retention, pre-exposure prophylaxis (PrEP), stigmas encountered by LGBT individuals within and HIV/HCV screening/referral . The MAI program health care settings and the impact on health simultaneously informs trainees of their HIV-related outcomes as a top concern . The need for culturally roles as Spanish-speaking physicians in underserved appropriate training that improves provider communities . More than 90 HIV-trained, Spanish- engagement with LGBT individuals, including speaking FM IMG physicians have been matched people living with HIV (PLWH), also was noted to family medicine residencies in underserved by a majority of participants . Stigma, whether communities of California . Their training included real or perceived, can lead to non-adherence to interactive workshops and clinical rotations at Ryan antiretroviral treatments and limited use of HIV White and other HIV specialty clinics . As a result of prevention services . One in two black men who this MAI program, two family medicine residency have sex with men (MSM) and one in four Latino programs serving predominantly Spanish-speaking MSM is estimated to be infected with HIV in their patients are conducting routine HIV screening, and lifetime . Twenty-eight percent of transgender one IMG program graduate is pursuing specialty women are HIV-positive . Twenty percent of work in HIV . This workshop will discuss the PLWH reported being denied necessary care . important role of Spanish-speaking family medicine Furthermore, only 26 percent of gay and bisexual residents in identifying, linking and retaining HIV men know about PrEP . To address this issue, patients in care . the Coalition and the Pozitively Healthy Coalition

2016 National Ryan White Conference on HIV Care and Treatment 148 WORKSHOPS

developed culturally appropriate trainings on ƒƒ Participants will be able to explain the stigmatization for clinical providers and a stigma business case for working with Medicaid awareness campaign to increase knowledge and and HIV surveillance colleagues to collect

8:00 AM - 9:30 improve the health outcomes of LGBT individuals . and report HIV viral suppression data . The workshop will cover current information on Description: The Affordable Care Act requires FRI, AUGUST 25 FRI, the role of stigma in accessing care, HIV incidence, the development, reporting, and publishing of a PrEP usage, and best practices for increasing core set of measures for Medicaid-eligible adults . and implementing culturally appropriate care . State Medicaid programs choose which measures Presentations, resource sharing to address HIV and to report . The 2016 measure set consists of 28 PrEP stigmas, and group discussions based on case measures, which have been selected to reflect studies will be used to enhance knowledge and the diverse populations served by Medicaid . One skills building . Participants will engage in a role- of the measures included in that set is National playing scenario to identify HIV and PrEP stigmas Quality Forum 2082: HIV Viral Load Suppression . and ways to address stigma in health care settings . The most recent HHS Secretary’s Annual Report Presenters: on the Quality of Health Care for Adults Enrolled ƒƒ Brian Hujdich in Medicaid reported that very few states have elected to report data for the HIV viral suppression ƒ ƒ Ryan Meyer measure . This low participation rate is notable ƒƒ Rebecca Vargas-Jackson because the HIV viral suppression measure is one ƒƒ Michael Shankle of the few measures that track a clinical outcome in the Medicaid Adult Core Set . This workshop ƒƒ Dawn Maker will provide an overview of the Medicaid Quality Measurement Program, discuss state approaches Session ID: 8003 to reporting data on HIV viral suppression, and Track: Quality Management identify opportunities for state HIV prevention (including surveillance) and Ryan White HIV/AIDS Session Title: HIV Viral Suppression in State Program Part B programs to engage and make the Medicaid Programs business case with their Medicaid colleagues to Meeting Room: Judiciary Square (Level 3/Silver) report on and improve HIV viral suppression . Continuing Education: Yes Presenters: Learning Objectives: ƒƒ Marlene Matosky ƒƒ Participants will be able to describe the ƒƒ Josh Hardy Medicaid Quality Reporting Program, ƒƒ Abigail Viall including the HIV measures in the program . ƒƒ Participants will be able to identify state Medicaid programs that have submitted HIV viral suppression data and methods used to collect performance measure data .

149 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25

CONCURRENT SESSIONS, SERIES H system levels . So far, 10 trainings with more than 10:00 AM - 11:30 AM 200 consumers have been held across the United States . Orange County, Calif ,. will describe its Session ID: 4004 quality initiative campaign that was developed by providers and consumers . The resulting innovative Track: Quality Management marketing materials were shown to be effective in Session Title: Lessons Learned from improving retention in medical care . Middlesex- Fostering Consumer Involvement in Quality Somerset-Hunterdon (N .J .) Part A Program will Management Activities present its model for the Part A Consumer Meeting Room: George Washington University Quality Workgroup, emphasizing consumer (Level 1/Blue) recruitment and decision-making power in quality Continuing Education: Yes management activities . Missouri’s Part D Program will discuss its consumer ladder . Virginia’s Part Learning Objectives: B program will describe consumer engagement ƒƒ Explain the importance of consumers as using the Peer Educator training program . Finally, equal partners in the recipients’ clinical the Washington Cross Part Collaborative will quality management programs . describe A4Q or Advocates for Quality . This group ƒƒ Describe how to prioritize indicators for of consumers trains the recipients of Ryan White a system-wide quality initiative, engage services on what comprehensive HIV care should providers and consumers in quality be according to the Health and Human Services management initiatives and design an (HHS) guidelines for the treatment of HIV . effective health campaign. Presenters: ƒƒ Describe several models of consumer ƒƒ Safere Diawara involvement in quality management ƒƒ Theresa Fox activities . ƒƒ Mindy He Description: As greater emphasis is placed on decision-making between providers and health ƒƒ Kneeshe Parkinson care users, the need to promote meaningful ƒƒ Ricardo Salcido consumer participation in the implementation of ƒƒ Daniel Tietz CQM activities is clearly identified. This workshop showcases the importance of involving consumers as stakeholders in CQM programs and successful Session ID: 4007 strategies to meaningfully engaging them as Track: Emerging Issues equal improvement partners . In this session, Session ID: National, State and Local many dimensions of consumer involvement will Responses to Addressing Hepatitis C among be described using real world examples . NQC People Living with HIV developed its first-ever Training of Consumers Meeting Room: Dupont Circle (Level 3/Silver) on Quality (TCQ) Program, a rigorous face-to-face training session for consumers receiving RWHAP Continuing Education: Yes services, to build their capacity to be active Learning Objectives: partners in the planning and implementation of quality improvement (QI) efforts at the clinical and

2016 National Ryan White Conference on HIV Care and Treatment 150 WORKSHOPS

ƒƒ Learn why HIV/HCV coinfection is an ƒƒ Amanda Bowes important health care and public health ƒƒ Rupali Doshi issue to address . ƒƒ Sarah McBeth ƒƒ Learn how the Ryan White HIV/AIDS 10:00 AM - 11:30 Program is addressing HIV/HCV coinfection .

FRI, AUGUST 25 FRI, Session ID: 4015 ƒƒ Identify strategies to reduce barriers to HCV treatment among people living with HIV, Track: Health Care Landscape including AIDS Drug Assistance Programs . Session Title: Three Approaches for Transforming Practice to Optimize HIV Description: Approximately one-quarter of people Care: the SPNS Workforce Capacity Building living with HIV (PLWH) are coinfected with hepatitis Initiative C (HCV) . People with HIV/HCV coinfection have higher liver-related morbidity and mortality even Meeting Room: Howard University (Level 1/Blue) when their HIV infection is well controlled, and Continuing Education: No liver disease is one of the most common causes Level: Intermediate of non-AIDS deaths among PLWH . New directly acting antiviral (DAA) HCV medications represent Learning Objectives: a watershed opportunity to cure HCV, including ƒƒ Understand the dynamics contributing to among those coinfected with HIV . Despite these HIV workforce challenges and why practice advances, only a small percentage of HIV/HCV transformations are needed coinfected people have received treatment . ƒƒ Ddescribe the strategies for transforming Identified barriers to increased treatment uptake practice through the expansion of the HIV include the high cost of these newer treatments, care workforce, enhanced “sharing the a lack of providers trained and willing to treat care,” and improved patient engagement . HCV, and health care systems that do not support treatment and follow-up of HCV . Additional work ƒƒ Identify barriers and facilitators to is needed to expand treatment of HCV among successful practice transformations that individuals who are coinfected with HIV/HCV . This expand the HIV care workforce, enhance presentation will review Ryan White HIV/AIDS “sharing the care,” and improving patient Program activities that have addressed hepatitis engagement . C among PLWH as well as future approaches to Description: As the demand for HIV care expand treatment . Because increasing numbers continues to rise, the number of HIV specialists of AIDS Drug Assistance Programs (ADAPs) have may soon decline, particularly as a first generation chosen to add DAAs to their formularies only to of HIV providers retires . It is critical to identify be met with low uptake, barriers and successful strategies that ensure the healthcare workforce strategies for maximizing DAA utilization continues to meet the needs of all HIV patients . among ADAP clients will be reviewed . Finally, The Special Projects of National Significance (SPNS) the experience of an urban Ryan White clinic in program has launched the System-level Workforce treating HCV among PLWH will be presented using Capacity Building Initiative to develop and illustrative actual patient cases to spark discussion evaluate practice transformations that enhance regarding strategies for clinicians working to treat access to HIV care and optimize the efficiency HCV in their patients . of its delivery . The initiative’s 15 demonstration Presenters: projects are tackling the challenges of workforce

151 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25 capacity using a variety of approaches, each of which fits into one of three categories. The first Session ID: 4035 seeks to optimize outcomes through workforce Track: Quality Management expansion by training primary care providers in community healthcare settings to deliver HIV Session Title: Leveraging Existing Data services and by enhancing their coordination with Systems to Improve the Quality of HIV Care: HIV specialists . The second approach enhances Two Innovative Approaches access and quality of care by “sharing the care,” or Meeting Room: Catholic University (Level 1/Blue) more efficiently distributing work among clinical Continuing Education: No team members . It increases the responsibilities Learning Objectives: placed upon mid-level providers and clinical staff so that they are able to address patients’ routine ƒƒ Understand how the New York State and non-HIV care needs . The third transformation HIV Quality of Care program uses an approach strives to improve how patients engage organizational assessment to help facilities with services, specifically by promoting receipt of improve and develop capacity for quality routine and preventive care in order to reduce management, and how this new domain, acute and emergency care needs . The goal is to which encourages the use of facility level strengthen patients’ HIV self-management skills HIV care cascade . and improve their communication with providers . ƒƒ From both a community health center and a In this session, we will describe each of the three large metropolitan hospital clinic located in transformation approaches and identify best New York City learn how to develop and use practices for successful implementation . facility level cascades to improve HIV care Moderator/Presenter: Wayne Steward and outcomes . Understand the barriers and challenges they experienced during this Presenters: process, and how they overcame obstacles . ƒƒ Ann Avery ƒƒ From a non-urban AIDS service organization ƒƒ David Bradley in rural Alabama learn how to use quality ƒƒ Marisol Gonzalez Drigo management practices to enhance and ƒƒ Camilo Guevara track retention in care, to monitor viral suppression, and to compare adherence, ƒ ƒ Valerie Kirby retention and viral load suppression across ƒƒ Lissette Maestre at risk population . ƒƒ Deborah McMahon Description: HIV treatment cascades are a ƒƒ Wayne Steward powerful public health tool to visualize the number of individuals with HIV in the United ƒƒ Alison Jordan States (a state, city, community) that is engaged at ƒƒ Christian Ramers various stages in the continuum of care, providing ƒƒ Susan Olender an organizing framework on how to end the HIV epidemic . In the state of New York, the HIV ƒƒ Catalina Sol Quality of Care Clinical, and Consumer Advisory ƒƒ Allan Rodriguez committees developed an assessment tool that challenges organizations to use their facility level

2016 National Ryan White Conference on HIV Care and Treatment 152 WORKSHOPS

data to develop and use HIV treatment cascades for quality improvement . This assessment tool Session ID: 4041 will be shared alongside facility- level cascade Track: Innovative Practices presentations from two agencies, demonstrating

10:00 AM - 11:30 how the tool guides organizations in effectively Session Title: Promoting Perinatal HIV Service Coordination: Inside Your Program FRI, AUGUST 25 FRI, utilizing care engagement and VLS status information to improve patient and public health and Beyond outcomes. Effective strategies and challenges in Meeting Room: Cherry Blossom (Mezzanine/Red) developing and implementing a facility-level HIV Continuing Education: No cascade will be highlighted . In rural Alabama, Learning Objectives: Health Services Center (HSC), is a Ryan White- funded, non-profit AIDS service organization, ƒƒ Highlight gaps in the perinatal HIV founded in 1987 as a grassroots organization prevention cascade, including post-partum of consumers and physicians . HSC has been retention in care . fortunate to receive Ryan White supplementary ƒƒ Discuss individualized care coordination funding for staff training in motivational and treatment strategies for HIV-infected interviewing related to adherence and intensive pregnant woman and their infants . case management for linkage and retention in ƒƒ Illustrate the role of perinatal HIV service care for at risk populations . Using these strategies, coordination within Ryan White networks HSC continues to show steady improvement with the goal of eliminating perinatal HIV in linkage to care for newly diagnosed PLWHA, transmission among Ryan White Part B, C, retention in care, persons receiving ART, and viral and D and public health partners . load suppression . All measures are well above national averages despite the challenges faced by Description: Effective planning, support services, patients in this low resource, underserved area . and coordination of care can limit risk of HIV We will include linkage, retention and adherence transmission and improve retention in care strategies and present programmatic data . of both mother and baby during the perinatal period and after delivery . Participants will engage Presenters: in case-based discussion to highlight potential ƒƒ Rebecca Green gaps in the perinatal HIV prevention cascade with ƒƒ Sonia Preston attention paid to resources currently available in individual programs . We will then explore ƒƒ Bruce Agins cross-program strategies to provide perinatal HIV ƒƒ Randi Scott service coordination among Ryan White networks ƒƒ Lisa Reid to eliminate perinatal HIV infection . ƒƒ Susan Weigl Presenters: ƒƒ Mary-Margaret Andrews ƒƒ Margery Donovan ƒƒ Mary Edinger ƒƒ Nicole Leedy ƒƒ Timothy Mok

153 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25

ƒƒ Florence Momplaisir traumatization while creating healing relationships ƒƒ JoNell Potter and environments that help individuals to regain control of their lives . Next, the workshop will examine how the Iowa Part B Program put into Session ID: 4042 practice trauma-informed care within the state Track: Emerging Issues health department, its sub-recipients and its sub- Session Title: The Trauma-Informed recipients’ entire organizations . In addition, to R-Evolution in Motion: Using Trauma- assess the impact of trauma on Iowans living with Informed Principals to Address Social HIV, questions were summed to get an adverse Determinants of Health at Federal, State childhood experience score on Iowa’s 2016 and Local Levels comprehensive consumer needs assessment . The results were staggering and showed significant Meeting Room: Union Station (Level 3/Silver) impact of traumatic childhood events for PLWH Continuing Education: No compared to the general population for all eight Level: Intermediate types of child abuse and household dysfunction . Learning Objectives: Finally, a multidisciplinary leadership team from the state health department, including domestic ƒ ƒ Increase knowledge and awareness of violence, tobacco, substance abuse, health the impact of a trauma history on human promotion, cancer, HIV, and family health will be development and the critical role on health showcased to demonstrate recent activities of a outcomes, including for people living with workgroup designed to ensure trauma-informed HIV . excellence is present in programs across the state ƒƒ Increase understanding of the trauma- health department . informed paradigm and what leaders can Presenters: do to integrate it into their state and local ƒ programs and community centers . ƒ Matt Bennett ƒ ƒƒ Concrete examples of how programs and ƒ Holly Hanson targeted interventions can promote healing ƒƒ Elizabeth McChesney and growth by reviewing Iowa’s response to how trauma aligns with federal initiatives Session ID: 4052 and the National HIV/AIDS Strategy . Track: Emerging Issues Description: Recent research on the brain and trauma gives us an entirely new paradigm Session Title: UCARE4Life and Bijou: to conceptualize the impact of trauma on the Utilizing Mobile and Online Methods in the Improvement of Health Outcomes in HIV- human mind . Understanding how trauma impacts Positive Youth brain development puts harmful behaviors and destructive thinking patterns in context and gives Meeting Room: Mount Vernon Square us a roadmap for promoting healing and growth . (Level 3/Silver) This training presents the trauma-informed Continuing Education: Yes paradigm in a practical context, giving learners a Level: Intermediate theoretical basis and tools to apply immediately to their healing work . Learners can minimize re- Learning Objectives:

2016 National Ryan White Conference on HIV Care and Treatment 154 WORKSHOPS

ƒƒ Identify at least two improvements seen among UCARE4Life intervention Session ID: 6059 participants . Track: Innovative Practices ƒƒ Identify two ways that relevant innovative

10:00 AM - 11:30 Session Title: Mind, Body, Self: an and gamified technology-based platforms, integration of Mindfulness Based Stress FRI, AUGUST 25 FRI, such as Bijou, can better the health Reduction and Chronic Disease Self- outcomes of HIV-positive YMSM . Management ƒƒ Articulate a better understanding of how Meeting Room: Georgetown (Level 1/Blue) the use of technology-based strategies and Continuing Education: Yes platforms among youth may be applicable in their practice settings . Level: Intermediate Description: Limited economic resources and a Learning Objectives: range of sociocultural factors increase exposure ƒƒ Describe how patient training in MBSR to traumatic events among African American and CDSMP can positively impact health women that are associated with increased outcomes . vulnerability to HIV . The objective of this ƒƒ Articulate the rationale for providing both presentation is to describe the implementation of interventions as components of patient a trauma-informed HIV prevention and vocational self-management training . development intervention for African American Women Living with HIV/AIDS and report initial ƒƒ Discuss the key practices/tools taught in findings from a formal program evaluation of this each intervention and practical strategies intervention . This study used grounded theory for program replication . methods to provide evidence-based support for Description: Despite advances in clinical this intervention and to illustrate the relationship management of HIV care, our patients have among key components of the intervention continued to struggle with appointment that explain program success . Presenters attendance and treatment adherence . In will review the background and development response, we have introduced a patient self- of Common Threads intervention that also management program with two synergistic includes a discussion of the trauma-informed components: Mindfulness Based Stress Reduction framework, examine the state of research related (MBSR) and Chronic Disease Self-Management to integrated vocational and HIV prevention Program (CDSMP) . MBSR (developed in 1979) intervention, present findings on a pilot study of and CDSMP (developed in 1991) are evidence- the Common Threads program, and discuss the based interventions that have been extensively implications of these results and future directions researched, demonstrating their effectiveness at to improve health and vocational outcomes for improving health outcomes . Both interventions African American women living with HIV . teach patients concrete tools to help them Presenters: manage daily stressors, including chronic diseases . These practices teach patients how to develop ƒƒ Carrie Jeffries a different relationship with the mind, body, ƒƒ Helene Kirschke-Schwartz and self. Each intervention offers patients the ƒƒ Renata Thompson opportunity to learn new skills that they practice on their own between sessions during which

155 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25 they obtain feedback and guidance from trained ƒƒ Recognize the significant psychosocial facilitators . Although the principles that guide impact of institutionalization and trauma MBSR and CDSMP are different, the goal of each on language, cognition and behavior and intervention is to enable participants to develop identify resources . sustainable practices and become fully engaged Description: As perinatal transmission of in self management . Preliminary results of an HIV decreases domestically, the number of evaluation of retention and viral load suppression internationally adopted children with HIV is rates that compared patients who completed both increasing in pediatric HIV/AIDS programs interventions with those who partially completed in the United States . These children present one or both and those who have not participated with unique medical and psychosocial needs in either will be presented . Join us for an requiring a comprehensive evaluation based on interactive session during which we will practice best practice recommendations from pediatric selected elements of each intervention and HIV care and adoption medicine . In addition, discuss lessons learned during implementation, the psychosocial impact of trauma, loss, and which may be useful for replication . While institutionalization cannot be minimized and interesting to a broad audience, this session may must be addressed . Pediatric HIV/AIDS programs be most useful for those involved in program are in a unique position to screen and address development, patient retention, treatment concerns of HIV-infected, internationally adopted adherence, mental health, and case management . children for the following reasons: infectious Presenters: diseases are among the most common medical ƒƒ Katelin Thomas diagnoses identified in international adoptees after arrival, HIV care typically involves frequent ƒ ƒ Genevieve Dauble visits for monitoring of antiretroviral response allowing multiple opportunities to address the Session ID: 6164 medical, complex psychosocial and parenting concerns of the adopted child, HIV care typically is Track: Emerging Issues provided in tertiary settings allowing for referral to Session Title: International Adoption and subspecialists in the medical and developmental Pediatric HIV: The Changing Demographics care of children, and most programs provide and Needs intense nursing and social work case management Meeting Room: University of District of Columbia services to address the comprehensive, overall (Level 1/Blue) care needs of the HIV-infected child . Through use Continuing Education: Yes of case studies, we will describe the process of pre-adoption evaluation of medical records and Level: Beginner/Intermediate pre-travel consultation with prospective adoptive Learning Objectives: parents, and outline the medical and psychosocial ƒƒ Describe the changing demographics of evaluations recommended post-adoption . pediatric HIV . Resources for guidelines, recommendations, referrals, and intervention strategies will be ƒƒ Identify the specific medical evaluation provided for medical evaluation, immunization of a child with HIV who is internationally review, language acquisition, adoptive parenting adopted . guidance, attachment, developmental screening, and educational advocacy as part of the ongoing

2016 National Ryan White Conference on HIV Care and Treatment 156 WORKSHOPS

care of these children and families . that are used to support all QM and QI projects Presenters: across the state . The data also are pertinent to the priority setting and resource allocation process ƒ ƒ Teresa Courville for all Ryan White-funded programs . The audience

10:00 AM - 11:30 ƒƒ Julie Haining also will learn how streamlined care in the state

FRI, AUGUST 25 FRI, has become . This includes explaining how the use of standardized user agreements, client release of Session ID: 6214 information, and consent forms have decreased Track: Data to Care barriers . Connecticut is using about 90 percent Session Title: Forward Momentum: of CAREWare functionality including the HL7 Accelerating Access to Care and Improving function, which allows for importing lab data for Quality through Centralized Data System a number of Ryan White-funded medical sites . Meeting Room: Chinatown (Level 3/Silver) Connecticut hopes to be fully paperless utilizing the CAREWare system . Continuing Education: Yes Presenter: Level: Advanced ƒƒ Peta-Gaye Nembhard Learning Objectives: ƒƒ Recognize the importance of having a central server system for HIV care and Session ID: 6348 support services . Track: Innovative Practices ƒƒ Recognize the importance of incorporating Session Title: Using Performance-Based data in quality management programs and Contract Reimbursement to Promote priority setting and resource allocation Accountability, Data Quality, and Ensure processes . Payer of Last Resort ƒƒ Recognize the importance of standardizing Meeting Room: Shaw (Level 3/Silver) processes for data collection and how Continuing Education: Yes this reduces barriers and increases client Level: Intermediate satisfaction . Learning Objectives: Description: The presenter will describe how for nearly nine years Connecticut has been ƒƒ Define the crucial elements of performance- able to successfully implement and sustain a based reimbursement . centralized CAREWare data system for all 50 of ƒƒ Describe how to use tools to develop its Ryan White-funded sites . During this session, payment points and rates . the audience will understand how the centralized ƒƒ Describe how to develop feedback loops system has improved service delivery, eliminated with providers and planning bodies to service duplication and aids in the work done improve service provision and spending . at the Connecticut HIV Planning Consortium, a joint advisory planning body for the state’s HIV Description: Performance-based reimbursement prevention and care programs and services . The allows grant recipients to spend program funds based central server system has afforded Connecticut on services delivered, not strictly on agency staffing the ability to collect and analyze eight years of costs, thereby ensuring that resources are committed domainwide performance measurement data to the needs of people living with HIV . This workshop

157 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25 will explain how federal data reporting requirements ƒƒ Understand which types of interventions offer a strategic opportunity to align reimbursement were associated with improved care with programmatic and fiscal accountability while continuum outcomes . also improving data quality . Grant recipients can ƒƒ Characterize the level of effort required translate client-level records entered into payment to achieve desired outcomes and the points that provide the grantee and subcontractor implications of these findings for policy with a feedback loop that is useful for managing formation and program planning . programmatic fidelity, monitoring programmatic and fiscal targets and data reporting. Grantees can Description: The Special Projects of National use performance-based/fee-for-service to ensure Significance Program’s Systems Linkages and payer of last resort in a time of a changing health care Access to Care for Populations at High Risk of HIV landscape and expanding Medicaid and Insurance Infection initiative is a multistate demonstration coverage . Presenters will share best practices based project and evaluation of innovative models of on their experience moving nearly 100 contractors linkage to and retention in HIV care . The initiative across nine service categories to performance-based funded six demonstration states (Louisiana, reimbursement . They will also share imperatives Massachusetts, New York, North Carolina, Virginia, for organizational change necessary to implement and Wisconsin) for five years to design, implement, performance-based reimbursement, general and evaluate innovative strategies to integrate strengths and limitations of the methodology, different components of their public health technical assistance required for all parties, systems including surveillance, counseling and considerations for monitoring and compliance, and testing, and treatment to create new and effective issues to consider before and during a transition to systems of linkages and retention in care for performance-based reimbursement . hard-to-reach populations who have never been in care, have fallen out of care, or are at-risk for Presenters: falling out of care . Populations of interest included ƒƒ Amber Casey those persons at high risk for and/or are infected ƒƒ Beau Mitts with HIV but are unaware of their HIV status; were aware of their HIV infection but have never been referred to care; or were aware but have refused Session ID: 6373 referral to care . This session will present the main Track: Emerging Issues outcomes of the initiative in terms of the collective Session Title: Systems Linkages Institute impact of the states’ interventions on the HIV care 301: Systems Linkages and Access to Care: continuum outcomes of linkage, engagement, and A Special Projects of National Significance viral suppression . We also will present data on Initiative the types and amounts of intervention services delivered and what the “threshold” effects of Meeting Room: Magnolia (Mezzanine/Red) intervention delivery are relative to continuum Continuing Education: No outcomes . Findings indicate that there was Level: Advanced considerable diversity in cost and outcomes across states . In general, patient characteristics Learning Objectives: influenced the degree to which interventions were ƒƒ Identify the cross-state methods and final successful in linking and re-engaging patients . result of the Systems Linkages Initiative . Moderator/Presenter: Steve Morin

2016 National Ryan White Conference on HIV Care and Treatment 158 WORKSHOPS

Presenters: unstably housed . Strategies to be discussed will ƒƒ Edwin Charlebois include: using Part A dollars to increase access to housing and support services, training staff to ƒ ƒ Janet Myers be certified navigators, using Medicaid dollars to

10:00 AM - 11:30 pay for services, and working with HUD partners

FRI, AUGUST 25 FRI, Session ID: 6426 and private landlords to find and secure safe, Track: Emerging Issues affordable housing. Session Title: Homeless Institute 301: Moderator/Presenter: Jane Fox Leveraging Resources to Sustain Programs Presenters: for HIV Care and Housing for People Living ƒƒ Jodi Davich with HIV ƒƒ Sharon Joslin Meeting Room: Marquis Salon 14 (Level 2/Purple) ƒƒ Manisha Maskay Continuing Education: No ƒƒ Nancy Miertschin Level: Advanced Learning Objectives: Session ID: 6500 ƒƒ Learn strategies to use Ryan White, Medicaid, and other public and private Track: Innovative Practices funding to obtain integrated health care Session Title: Framework: Plan to End the and housing services . HIV Epidemic in the District of Columbia ƒƒ Identify opportunities to build the skills of Meeting Room: Capitol Hill (Level 3/Silver) agency staff and stakeholders to provide Continuing Education: No care, treatment, and housing support . Level: Beginner/Intermediate ƒƒ Generate other resources that can sustain Learning Objectives: medical homes and housing for persons living with HIV who are homeless or ƒƒ Participants will be able to identify and unstably housed . explain the plan development phases and strategies for achieving results . Description: Creating and sustaining programs into a seamless network of services to address the ƒƒ Participants will learn strategies for medical and psychosocial needs for PLWHA who engaging community partners during the are homeless/unstably housed requires a network development process . of stakeholders such as health, behavioral health, ƒƒ Participants will be able to identify housing, and other community providers . Ryan limitations on District of Columbia policy, White programs must start early and be creative statute, regulations and reporting around to foster and sustain those relationships . Sites HIV . participating in the HRSA/SPNS Initiative, “Building Description: According to the latest available a Medical Home for Multiply Diagnosed HIV- surveillance data, the number of newly diagnosed positive Homeless Populations,” will share their HIV cases in the nation’s capital has dropped strategies and lessons learned from working with for seven consecutive years . This presentation stakeholders to build a system level of care and follows the evolution of the District of Columbia’s obtain housing for PLWHA who are homeless or response to HIV and shares the development

159 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25 of a framework designed to further reduce the of underserved communities that include LGBT, epidemic . Through a public-private partnership, the formerly incarcerated, immigrants, and the Washington Department of Health and homeless people. Services offered within the Appleseed Center for Law and Justice, developed program include infectious disease clinic, medical the 90-90-90-50 by 2020 Plan . The plan has four case management, HIV testing and prevention, NC goals: 90 percent of people with HIV aware of their REACH (a demonstration project funded by HRSA’s status, 90 percent of people who are living with Special Projects of National Significance Initiative), the virus maintain treatment, 90 percent of people hepatitis C therapy, PrEp, adherence support, HIV with HIV have an undetectable viral load, and 50 support group, peer support, and transportation . percent reduction in the number of new diagnoses The integration of these services within one in Washington, by 2020 . medical home and the patient-centered health Presenter: home (PCHH) team effectiveness has fostered and cultivated a culture of health and wellness . ƒ ƒ Lena Lago Additionally, the medical home model of care at CWH has resulted in improvements in population Session ID: 6581 health and a growing satisfaction among patients Track: Emerging Issues and clinicians . This presentation will convey the social determinants at play for this population Session Title: Creating a Culture of Wellness and disseminate knowledge about the distinct in a Rural Health Care Setting for Patients challenges faced by clients in rural North Carolina who are HIV-Positive and our strategies for addressing them . Moreover, Meeting Room: Marquis Salon 13 (Level 2/Purple) we will review how the PCHH model in a rural Continuing Education: No health care setting has improved the quality of care for patients and facilitated engagement Level: Beginner/Intermediate and retention in care . The panel will discuss and Learning Objectives: inform other service providers who work with ƒƒ Discuss the medical home model and how rural populations of the value of a medical home . Positive Life and NC REACH have integrated Moderator/Presenter: Lisa McKeithan care . Presenters: ƒƒ Discuss strategies to work in partnership ƒƒ Mirna Allende with patients to assure all medical and non- medical needs are met . ƒƒ Stephanie Atkinson ƒƒ Inform other service providers who work ƒƒ Albrea Crowder with rural populations . ƒƒ Karen Daniels Description: For more than 29 years, the Positive ƒƒ Makondo Shimukowa Life program at CommWell Health (CWH) has been actively involved in the fight against HIV and AIDS in southeastern North Carolina . CWH’s mission is to compassionately deliver quality medical, dental, and behavioral health services for all . The Positive Life program is an innovative medical home that provides care to a diverse population

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of health insurance terms in plain language, Session ID: 6773 and a series of consumer resources that answer common questions that clients have about Track: Emerging Issues enrolling in health insurance, help newly enrolled

10:00 AM - 11:30 Session Title: Building Health-Literate clients get started using their insurance, and help Organizations and Health Insurance FRI, AUGUST 25 FRI, clients understand what they need to do to keep Literacy to Support People Living with HIV their insurance throughout the year . Meeting Room: Marquis Salon 15 (Level 2/Purple) Presenters: Continuing Education: Yes ƒƒ Elizabeth Costello Level: Intermediate ƒƒ Mira Levinson Learning Objectives: ƒƒ Rene Esler ƒƒ Define health literacy and explain how Session ID: 6929 health-literate organizations can support Track: Innovative Practices PLWH . Session Title: Expanding Access to HIV ƒ ƒ Describe the 10 attributes of a health- Screening and HIV/AIDS Care at 10 literate organization . Community Health Centers in Indianapolis ƒƒ Demonstrate how to use ACE TA Center and Indiana tools to improve health insurance literacy Meeting Room: LeDroit Park (Level 3/Silver) among clients . Continuing Education: No Description: A health-literate organization makes Level: Intermediate it easier for people living with HIV to navigate, understand, and use information and services to Learning Objectives: take care of their health . For people living with HIV ƒƒ Describe the Eskenazi Health HIV enrolled in expanded health insurance options Expansion Project, from planning through under the Affordable Care Act, the benefits of implementation . coverage depend, in part, on their ability to ƒƒ Discuss data representing strengths, navigate the coverage environment and use their challenges and opportunities associated insurance . Therefore, it is crucial for health-literate with the project . organizations to take action to help improve their clients’ health insurance literacy . This workshop ƒƒ Explain how other health systems might will broadly review how the Institute of Medicine’s increase access to HIV care using similar (IOM) “Ten Attributes of Health Literate Health strategies . Care Organizations” supports people living Description: In November 2014,, the Health with HIV . Participants will engage in interactive Foundation of Greater Indianapolis awarded a $1 activities, including polling, case studies, and role million grant to Eskenazi Health to expand access playing, to learn how to apply two of the IOM to HIV/AIDS care . Eskenazi Health used this grant attributes that focus on health insurance literacy . to implement routine HIV screening at 10 Eskenazi The session also will highlight tools and resources Health Center locations and to expand access to to help improve clients’ health insurance literacy, HIV care by assembling, training, and credentialing including a discussion guide for case managers a traveling team dedicated solely to providing HIV to talk with clients about enrollment, a glossary care beyond the main campus of the hospital . From

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November 1, 2014 to March 31, 2016, Eskenazi ƒƒ Identify at least three strategies to increase Health screened nearly 7,000 patients for HIV, HIV testing in individuals over 40 years of identified 10 new cases of HIV infection, and created age . eight new access points for HIV/AIDS care, using Description: In 2013, 8,575 (18 percent) of new an innovative model that brings expert HIV care to infections were seen in Americans age 50 years neighborhood health centers . This care is provided and older (CDC, 2015) . More alarming, individuals by a small group of clinicians called the Traveling in this age bracket are being diagnosed at later HIV Care Team . This team consists of a nurse stages of the disease . GMHC’s Early Intervention practitioner, a clinical pharmacist, and an HIV care Program (EIP) targets individuals over the age coordinator . Based on a predetermined schedule, of 40 and seeks to provide meaningful HIV this team travels between multiple sites providing testing, linkage to care, and prevention services HIV care that is offered in collaboration with the to this underserved population . In the 2014- team’s primary care medical home . The team 2015 contract year, 557 high-risk individuals, carries mobile phones that make them accessible over the age of 40, were tested, 12 (2 2. percent to patients and providers as they travel about the seropositivity) with positive results . Of the 12 city . This presentation will discuss how Eskenazi individuals who tested positive, 11 (91 .7 percent) Health implemented this programming and how were successfully linked to care . In contract year others might replicate this work without the need 2015-2016, of the 575 individuals who were for $1 million in startup funds, including the team’s tested, five had positive results. All were linked experiences with reimbursement for HIV screening . to care . Since March 1, 2016, we have tested 81 Presenters: individuals, four of whom tested positive, which ƒƒ Malinda Boehler represents a seropositivity rate of 4 9. percent . Three of the four who tested positive have been ƒ ƒ Thomas Kleyn linked to care thus far . GMHC’s Early Intervention ƒƒ Nancy Miles Olmstead Program was deemed a high-performing testing program by our funder, Public Health Solutions, as a result of our linkage to care strategies . Session ID: 6971 Moreover, GMHC’s seropositivity rate is higher Track: Innovative Practices than the NYCDOMH seropositivity rate of Session Title: Elder Sexual: Addressing a approximately 1 percent . GMHC believes that our Forgotten Age Group in HIV Prevention & programmatic success is based largely on our Linkage to Care highly effective linkage to care program, which Meeting Room: Tulip (Mezzanine/Red) seeks to assist individuals who test positive in addressing barriers to care by providing them with Continuing Education: Yes holistic, strength–based wrap around services that Level: Beginner validates the client and their experiences and can Learning Objectives: be replicated by other CBOS . ƒƒ Identify at least three effective engagement Moderator/Presenter: Lynnette Ford strategies to address challenges in engaging individuals over 40 years of age . ƒƒ Write a linkage to care protocol that uses holistic, strength-based approach .

2016 National Ryan White Conference on HIV Care and Treatment 162 WORKSHOPS

analyzing needs and barriers to reducing HIV Session ID: 6993 incidence, increasing access to care, optimizing health outcomes, reducing HIV-related health Track: Innovative Practices disparities, and strengthening competitiveness

10:00 AM - 11:30 Session Title: Using Multilingual, Audio- for scarce financial resources. Across these Assisted Web & Mobile Evidence-Based FRI, AUGUST 25 FRI, three diverse regions, 2,041 consumers have Needs Assessments to Plan, Fund and been surveyed, in two languages across 1,913 Actuate Care Services municipalities, producing more than 2 8. million Meeting Room: Dogwood (Mezzanine/Red) data elements in real-time and resulting in Continuing Education: Yes approximately 1,750 staff hours and more than 26,000 pages of paper saved . Level: Advanced Presenters: Learning Objectives: ƒƒ Michael McNeill ƒƒ See how a paradigm of improved data collection strengthens grant applications, ƒƒ Jesse Thomas provides answers to community planning ƒƒ Jonathan Hanft bodies, illuminates counterintuitive insights ƒƒ Holly Hanson important for the description of barriers . ƒƒ Patrick Tschida ƒƒ Describe how to adopt and adapt strategies and tools to deliver web-based technology to the community and planning bodies Session ID: 6995 while overcoming real and perceived digital Track: Emerging Issues divides . Session Title: Redefining Cultural ƒƒ Understand the challenges and benefits Competence for MSM of Color through of an innovative program for mobile/web- System Transformation based, audio-assisted, multilingual needs Meeting Room: Judiciary Square (Level 3/Silver) assessments and client satisfaction surveys . Continuing Education: Yes Description: Building upon 2012’s well-received Level: Intermediate panel on how three regions used a web-based needs assessments for in-care and out-of- Objectives: care populations, while saving money and ƒƒ Understand how low cultural competence producing better data, this panel presentation within health care organizations negatively will demonstrate how such strategies have been impacts the health of MSM of color . implemented by four different grant types in ƒƒ Adapt culturally appropriate mechanisms three different regional geographies: Iowa’s Part and procedures that are responsive and B recipients, the Minneapolis-St . Paul Transitional accepting of MSM of color . Grant Area Part A program, the Minnesota Part B program, and North Carolina’s Access Network ƒƒ Identify strategies that address system of Care Collaborative (which includes 5 Part C transformation within health departments, and 2 Part D grantees) . Each program will detail ASOs and CBOs by redefining cultural how it used an online, evidence-based approach competence . to improving its response to the epidemic by Description: Research continues to show the

163 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25 increased rates of HIV among men who have sex with men (MSM) of color . If current HIV diagnoses Session ID: 7030 rates persist, about one in two black MSM and Track: Emerging Issues one in four Latino MSM in the United States will be diagnosed with HIV during their lifetime, according Session Title: Program Evaluation of a to the Centers for Disease Control and Prevention . Trauma-Informed HIV Prevention and HIV is but one disease or condition among many, Vocational Development Intervention for African American Women including STIs, mental health issues, hepatitis C, and substance use, that drive, amplify, impact, Meeting Room: Scarlet Oak (Mezzanine/Red) and ultimately undermine the health outcomes Continuing Education: Yes of MSM of color . This syndemic is fueled further Level: Intermediate by interrelated social determinants of health where the nexus of stigma, homophobia, and Learning Objectives: racism are demonstrated via the lack of culturally ƒƒ Recognize the infusion of a trauma- competent prevention and care systems that informed framework in the design of the marginalize MSM of color . Our health care system Common Threads intervention for African views cultural competence as existing or not, and American women living with HIV . disregards the nuanced spectrum in between, ƒƒ Describe evidence-based results of a leaving MSM of color unengaged or not retained grounded theory program evaluation of the in care . HealthHIV provides training and technical Common Threads intervention . assistance to health departments, ASOs/CBOs, and ultimately MSM of color, on HIV prevention ƒƒ Identify key strategies and direction and care, as well as comprehensive behavioral to improve the health and vocational health and social services through a new national development outcomes for African curriculum . This experience informs the most American women with HIV . timely approaches to MSM of color-specific HIV Description: Limited economic resources and a prevention and care, and encompasses the entire range of sociocultural factors increase exposure system . This workshop addresses the expanded to traumatic events among African American role of cultural competence and appropriateness women that are associated with increased within organizations to maximize health vulnerability to HIV . The objective of this outcomes . presentation is to describe the implementation of Moderator/Presenter: Dana Cropper-Williams a trauma-informed HIV prevention and vocational development intervention for African American Presenters: women Living with HIV/AIDS and report initial ƒƒ Michael Shankle findings from a formal program evaluation of this ƒƒ Dawn Maker intervention . This study used grounded theory methods to provide evidence-based support for ƒƒ Darwin Thompson this intervention and to illustrate the relationship among key components of the intervention that explain program success . Presenters will review the background and development of Common Threads intervention that also includes a discussion of the trauma-informed framework,

2016 National Ryan White Conference on HIV Care and Treatment 164 WORKSHOPS

examine the state of research related to integrated the Consumer Advisory Board . PATH has part- vocational and HIV prevention intervention, time and full-time positions available to enable present findings on a pilot study of the Common flexibility, and provides peer trainings internally Threads program, and discuss the implications and through collaboration with other agencies .

10:00 AM - 11:30 of these results and future directions to improve Prior to starting a peer program, policies must

FRI, AUGUST 25 FRI, health and vocational outcomes for African be in place that acknowledge peers as staff, American women living with HIV . including privacy training . The site must be Presenters: multicultural, family friendly, have a culture of patient-focused care, and be “peer positive .” The ƒ ƒ Liza Conyers dynamic connection between a peer and a patient ƒƒ Vanessa Johnson helps break down certain barriers with respect to ƒƒ Hsiao-YIng Chang patient care . The ability to connect positively has shown peers that they can impact their community through educating about HIV prevention, Session ID: 7037 treatment, and retention . The peer program has Track: Innovative Practices supported peers in raising their curiosity and Session Title: Peer Services: Positive their willingness to speak about the evolvement Impacts on Peers and Patients of HIV treatment . As peers they recognize their importance as a role model to others living with Meeting Room: Gallaudet (Level 1/Blue) HIV . This reciprocated support system between Continuing Education: No patients and peers has molded a foundation for Level: Intermediate positive outcomes on both ends . The opportunity to help patients empowers peers to make a Learning Objectives: difference in their own lives. ƒƒ Understand how the peer program helped Moderator/Presenter: Janet Goldberg peers to increase their confidence levels. Presenters: ƒƒ Recognize how the connection with patients has helped peers breakdown their walls . ƒƒ Lisa Khaleque ƒƒ Value the observations that peers have ƒƒ Shaquana Simpson about HIV patient care, which may differ from other staff members’ perspectives. Session ID: B2 Description: Through this presentation, Beacon Session participants will hear from peers about the Session Title: Jurisdictional Strategies to program and the impact it has had on them and End AIDS/Frameworks for “Getting to Zero” the patients they serve. Peers are defined as staff who have a “shared living experience” with Meeting Room: Marquis Salon 12 (Level 2/Purple) the patients they serve . The Brooklyn Hospital’s Continuing Education: No PATH Center has integrated peer services into Learning Objectives: our health care model . PATH’s peers conduct HIV testing, facilitate support groups, provide new patient welcome services, provide linkage- to-care activities, and provide leadership for

165 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOPS 10:00 AM - 11:30 FRI, AUGUST 25

ƒƒ Identify various approaches taken by ƒƒ Dr . Laura Cheever, Associate Administrator jurisdictions to pull together a plan for and Chief Medical Officer, HIV/AIDS ending the HIV epidemic and getting to zero Bureau, Health Resources and Services new infections . Administration ƒƒ Analyze components of the “getting to zero” ƒƒ RADM Sylvia Trent-Adams, PhD, RN, FAAN, toolbox for applicability in their professional Deputy Surgeon General setting . ƒƒ Discuss and choose among approaches to evaluating progress and using various available metrics . Description: This panel will consist of representatives from jurisdictions that have released strategies for ending the HIV epidemic . The representatives will present the components of their strategies; steps taken to develop and release the strategies; engagement of stakeholders in promoting and evaluating the strategies; and charting progress of implementing and achieving the intended outcomes . Moderator: Steven Young Presenters: ƒƒ Demetre Daskalakis ƒƒ Johanne Morne ƒƒ Lance Toma ƒƒ Jeffrey Cheek ƒƒ Richard Aleshire

CLOSING PLENARY SESSION Meeting Room: Marriott Marquis Ballroom (Level 2/Purple) This plenary will draw the conference to a close . HIV/AIDS Bureau leadership will summarize conference highlights and thank participants for their engagement over the past four days . Speakers:

2016 National Ryan White Conference on HIV Care and Treatment 166 POSTER PRESENTATIONS

MEZZANINE POSTER ZONE 1

ZONE 1 POSTERS: 1-48 Innovative Practices 49-71 Health Care Landscape

MEETING LEVEL 4 POSTER ZONES 2 + 3

ZONE 2 POSTERS: 72-103 Quality Management

ZONE 3 POSTERS: 104-128 Data to Care 129-154 Emerging Issues

Poster Session Hours: Posters are available for viewing throughout the conference, but there are specific times that have been set aside for posters during breaks.

• Tuesday, Aug. 23: 11:30 a.m. to 1:00 p.m. • Wednesday, Aug. 24: 10:00 to 10:30 a.m.; 12:00 to 1:30 p.m.; 3:00 to 3:30 p.m. • Thursday, Aug. 25: 10:00 to 10:30 a.m.; 12:00 to 1:30 p.m.; 3:00 to 3:30 p.m. • Friday, Aug. 26: 9:30 to 10:00 a.m.; 11:30 to 11:45 p.m.

167 2016 National Ryan White Conference on HIV Care and Treatment POSTER PRESENTATIONS

POSTER PRESENTATIONS BY TRACK INNOVATIVE PRACTICES P1 Use of an Outreach Coordinator to Re-engage and Retain Patients with HIV in Care P2 Positive Peers: Stakeholder Engagement Informs App Development for 13- to 34- Year- Olds Living with HIV P3 Promoting the 2020 National HIV/AIDS Strategy in Southern West Virginia P4 Promoting Cultural Responsiveness Among HIV Providers in North Carolina P5 Portland TGA HIV Services Planning Council Annual Planning Process

P6 Project STOP: The Syphilis to PrEP Cascade P7 The Process and Utility of Conducting a Formative Assessment Prior to Implementing an Intervention P8 Implementation of Group Prenatal Care for HIV-Positive Minority Women in an Urban University Hospital P9 Evaluating an Innovative Collaborative Model to Build Statewide Improvements in HIV Linkage and Retention P10 Lessons Learned from a Peer-Led Chronic Conditions Self-Management Training and Mentorship Project P11 A Sex Trafficking Intervention Initiative with Transwomen in New York City P12 Adherence to Antiretroviral Therapy Among Clients of Wisconsin’s Linkage to Care Intervention: A Qualitative Exploration P13 Improving CBDPP Training and Service Through Client Input P14 Poster withdrew prior to start of conference P15 Developing an Integrated HIV Surveillance, Prevention and Care Plan Using Community Participatory Model: Puerto Rico P16 Feasibility of Shared Decision Making in People Living with HIV/AIDS P17 Rapid HIV Testing in a Dental School Clinic P18 Nursing Education for an AIDS-Free Generation: Evaluating an Option B+ E-Learning Module P19 Peer Advocacy: Breaking Down Barriers to Care

P20 Utilizing Social Networking to Increase HIV Testing and Awareness P21 Impact of Perinatal HIV Case Management on HIV Care Continuum Outcomes for Pregnant and Postpartum WLWH, Philadelphia 2005–2013 P22 Utilizing a Practice-Based Approach to Impact the HIV Care Continuum in Rhode Island

2016 National Ryan White Conference on HIV Care and Treatment 168 POSTER PRESENTATIONS

P23 Using a Low-Cost Framework to Improve the Retention of HIV Patients in Care P24 HUD’s Use of Housing as a Structural Intervention to End the AIDS Epidemic P25 Implementation of Collaborative Care for Depression in an Urban HIV Clinic P26 AIDS Free Pittsburgh — An Allegheny County Initiative: Eliminating AIDS and Reducing HIV Infection P27 The Clinician Consultation Center Substance Use Warmline: A New Resource for HIV Primary Care P28 Impact of Clinical HIV Pharmacist Medication Education Visits on Antiretroviral Adherence P29 Providing HCV Therapy to PLWH in Settings of Limited Resources: The Puerto Rico Experience P30 Effect of a Patient-Centered Medical Home on Viral Suppression P31 Strategies and Performance Trends for a Decentralized HIV Part C Program in Rural Northern Maine P32 Prevention Programs as the First Step to Comprehensive Care P33 Innovative Nutritional Assessment and Intervention in a Primary Care HIV Clinic P34 Patient-Centered Clinical Pharmacy Services: Promoting Appropriate Utilization of Over- the-Counter Products: Focus on Natural Supplements P35 The Effectiveness of Social Network Strategies for HIV Screening in a Multi-Site, State- Funded Testing Initiative P36 Modified Oral Health Care Model to Increase the Pool of Dental Providers and Client Engagement P37 Recent Best Practices — HIV Care Continuum-Related Program Improvements P38 Patient Retention — Best Practices P39 The Pathway to an Integrated Primary and HIV Specialty Care Model P40 Changing HIV Testing Habits at Community Health Centers: Effective Strategies for Sustaining Change P41 Building Nurses’ Capacity to Provide Comprehensive Care to MSM: Collaboration Between NECA, CAI, and GNYANAC P42 Implementation of ePRO Assessments to Improve Clinical Care Among PLWHA in Underserved Populations P43 Baseline Characteristics and Retention Rates in HIV Patients Participating in and Declining Patient Advocacy Navigation P44 Helping Clients Overcome Stigma in a Rural-Based Peer Coach Program P45 Cooper EIP Patient-Centered Education Model to Improve Treatment Adherence and Chronic Disease Self-Management

169 2016 National Ryan White Conference on HIV Care and Treatment POSTER PRESENTATIONS

P46 Using Social Media and Mobile Technology to Improve HIV Health Outcomes Among Young HIV-Positive Populations P47 Using Social Media to Improve HIV Care Linkage, Retention, and Health Outcomes Among Young MSM P48 Optimizing HIV Care Engagement Among Postpartum HIV-Infected Women in Atlanta, Georgia: A Multidisciplinary Approach

HEALTH CARE LANDSCAPE P49 SPNS Projects and AETCs Fostering Practice Transformation in Health Centers: First Steps P50 Using Needs Assessment to Guide Improvement of the HIV Care Continuum P51 Linkage and Retention Intervention Adoption Without Funding: What Motivates HIV Agencies to Adopt SPNS Interventions P52 Examining the Need for Increased HIV Testing at Community-Oriented Primary Care Clinics in Dallas P53 Evaluation of a Nonprescription Syringe Sale Webinar for California Community Pharmacists

P54 Poster withdrew prior to start of conference P55 Assessing RWHAP Core Medical Providers’ Capacity for Contracting and Reimbursement Expansion with Insurance Plans P56 Screen . Engage . Treat . Train (SETT): Building HIV Capacity Today and for Tomorrow P57 District of Columbia AIDS Drug Assistance Program: Then and Now P58 Virginia AIDS Drug Assistance Program: A Systemic Change Agent P59 Insurance Coverage and Rapid HIV Test Results: Implications for HIV Screening Under the ACA P60 Variability in Fibrosis Evaluation Methods in Patients with Chronic Hepatitis C in a Community Health Center P61 Using Agency-Wide Goals to Unify Strategy Across an Organization and with the National HIV/ AIDS Strategy P62 The Impact of Comprehensive Ryan White Services on HIV Outcomes P63 Findings from a Needs Assessment of Faculty Participating in the AETC Interprofessional Education Program P64 AIDS Education and Training Center Program Outcome Findings Along the HIV Care Continuum P65 University of New Mexico Truman Health Services: A Place Called Home P66 Growing Excitement: New Strategies for Interprofessional Education on HIV Primary Care

2016 National Ryan White Conference on HIV Care and Treatment 170 POSTER PRESENTATIONS

P67 Determinants of ADAP-Facilitated Health Insurance Enrollment, and Impact on Targeted HIV Health Outcomes P68 The Impact of Housing on HIV Care Among Virginia Ryan White Clients P69 The ACA and Burden of High Cost Sharing on Access to HIV Medications for PLWHA P70 Interprofessional Education and Practice-Focused on Oral and Maxillofacial Disease P71 Healthvana Social Media Intervention to Improve Engagement and Retention of PLWHA in Chicago, Illinois

QUALITY MANAGEMENT P72 Line of Sight Toward Viral Suppression P73 Data Sharing Between Institutional Electronic Health Records and CAREWare — Bridging the Chasm P74 Ending the HIV Epidemic by 2020: The Importance of Supportive Services Over Medical Visit Frequency P75 Comparison of Intervention Times with Patient Re-engagement in Mississippi Ryan White- Funded Clinics P76 Impacting Health Outcomes Through a Statewide Ryan White Quality Management Collaborative Approach P77 Value of Medications Error Reporting in the Ambulatory Care HIV Setting P78 An AETC Training Continuum: Strengthening Collaborative Best Practices Between the Newark EMA and NECA AETC P79 A Model for Successful Community-Based Dental Partnership Programs P80 Developing Quality Data Dashboards — AHF’s Journey P81 Using Client Responses to Drive Quality Improvement Initiatives P82 HPV Screening in HIV-Positive Women Under 30: What Are We Missing? P83 Incentivized Care Coordination Services Improve Cervical Cancer Screening Rates Among Urban, HIV-Infected Women P84 Maximizing Viral Load Suppression: Prolonging Life and Enhancing Quality of Life for HIV- Infected Clients P85 Patients with Medicaid or Older Less Likely to Decrease Viral Loads and Stay in Care P86 Improving Mammogram Completion Outcomes in Women with HIV P87 From Good to Great: Strategies to Enhance Viral Load Suppression in a Southern RW Clinic

P88 Performance Improvement: Reducing Wait Time and Increasing Access to Care for PLWHA

171 2016 National Ryan White Conference on HIV Care and Treatment POSTER PRESENTATIONS

P89 Increased Percentage of Newly Diagnosed Persons Linked to HIV Medical Care Through Onsite Rapid Testing P90 Back to Basics: Using Quality Improvement Methodology to Impact Retention P91 Improving the Ryan White Services Report through a Data Improvement Project P92 Laying a Strong Foundation in Support of HIV Quality Care P93 A Strategy to Support the Successful Integration of Preconception Care in an HIV Care Setting P94 Quality Management Through a Collaborative Learning Process: Virginia Ryan White Part B Peer Review P95 Antiretroviral Therapy (ART) Regimen Changes During Pregnancy: Do HIV-Positive Women Tolerate ART Well? P96 The Role of Quality Improvement in Improving Viral Load Suppression: A Missouri Case Study P97 2015 Viral Load Suppression Project: A Multidisciplinary Team Approach in Addressing Potential Barriers to ART Adherence P98 Coordination of Care for HIV-Positive Pregnant Clients to Prevent Perinatal Transmission P99 Consumer Advisory Boards, Engagement, and Impact on the Gap in Care P100 How Is Your Cervix? Incentives for a Better Screening P101 The Ohio Quality Crusaders P102 Predicting Risk of STIs among Transgender Females in New York City P103 Sharing Technical Assistance and Training Online — and Evaluating Our Success: TARGET Center

DATA TO CARE P104 Mixed Methods Process Evaluation of SPNS Interventions Implemented by HIV Agencies Participating in NYLinks P105 Data Packages Created Collaboratively with Consumers and Providers Improve Local HIV Decision Making P106 Utilizing HIV Surveillance Data to Reach Out-of-Care Persons: The Virginia Data-to-Care Project P107 Developing Surveillance System to Identify and Re-engage PLWH Who Have Fallen Out of Medical Care P108 Improved Outcomes in HIV Care with Patient Navigation in Rural Central Virginia P109 Out of Care by Medical Visits Does Not Mean Out of Virologic Suppression: A Look at Churners

2016 National Ryan White Conference on HIV Care and Treatment 172 POSTER PRESENTATIONS

P110 Using Cloud-Based Data Solutions to Better Understand and Address Factors Related to HIV Viral Suppression P111 Quality Management Strategies to Improve Tracking of Health Outcomes for Ryan White Case Management P112 Implementing Local Data to Care: Using HIV Surveillance Data to Inform Partner Services in Alameda County, California P113 Leveraging Electronic Health Record Data to Complement an HIV Surveillance Registry P114 Reducing Waste — Information Sharing P115 AIDS Education and Training Centers Increase the Volume and Diversity of the HIV Workforce P116 Trends in Racial/Ethnic Disparities in Antiretroviral Therapy Prescription and Viral Suppression — United States, 2009-2013 P117 Antiretroviral Therapy and Viral Suppression by Jurisdiction, Medical Monitoring Project — 2009–2013 P118 Practical Adherence Measure — Helping the Patient Understand and Control Adherence P119 Using CAREWare to Identify Unsuppressed PLWHA by Care and Antiretroviral Status in the District of Columbia P120 Improved Housing and HIV-Related Outcomes Among Multiple-Diagnosed Homeless Patients with HIV After Intensive Case-Management Intervention P121 “In Da House” — Transgender Women Outreach Initiative P122 Patient Adherence to Antiretroviral Medications Among Patients Using HIV-Specialized Pharmacy and Traditional Pharmacy Settings P123 Drilling Down Data: Barriers to Care for Black Women with Unsuppressed Viral Loads P124 Drilling Down Data: Impact of Service Utilization on Viral Suppression for Black MSM P125 Sexual Orientation and Gender Identity Data Collection — Best Practices P126 Structuring an Electronic Medical Record Tracking System for HIV Testing P127 “Call Me, Maybe”: An Interprofessional Approach to Retention in HIV/AIDS Care P128 Utilizing an Integrated Data System for HIV Prevention, Surveillance, and Care

EMERGING ISSUES P129 Red Cord Initiative — A Community-Based HIV Continuum of Care for Those Engaged in Prostitution P130 Testing, Risk Practices, and Barriers to Care in MSM in Rural Louisiana

173 2016 National Ryan White Conference on HIV Care and Treatment POSTER PRESENTATIONS

P131 How Primary Care and Preventive Medical Services Are Provided in Ryan White-Funded Medical Care Settings P132 Integrated HIV and STD Prevention and Care in Detroit, Michigan P133 The Importance of Case Management in Making an Impact on Transgender Consumers P134 Promoting Adherence to Post Exposure Prophylaxis Following Sexual Assault in Children and Adolescents: What Works? P135 HIV Knowledge Among HIV-Infected Young Men Who Have Sex with Men in NYC Jails P136 Poster withdrew prior to start of conference P137 Knowledge and Perceptions of HIV Among South Asian Americans and the Impact on Community Uptake of HIV Testing P138 Hepatitis C Treatment in HIV Patients in a Multisite Community Health Center Setting P139 Behavioral Health’s Role in the Continuum of Care for At-Risk Minority Populations P140 Challenges Associated with Adapting an HIV Prevention Intervention for Young HIV-Positive MSM in the Jail Setting P141 Dolutegravir Use in an HIV-Positive Renal Transplant Patient P142 HIV Outcomes for Foreign-Born Patients P143 Addressing the Forgotten Age Group: People Who Are 40+ P144 Engagement in Care Among Transgender Women of Color Living with HIV P145 HIV Risk Perception and Openness to PrEP Among Black African, Caribbean, and U .S . Women P146 Early Experience with Treating Hepatitis C Co-Infection with DAA in a Southern Part C Ryan White Clinic P147 Community Needle Kiosk: A Pilot Program P148 Housing and Clinical HIV Outcomes in the Ryan White HIV/AIDS Program P149 Branches, Twigs, and Leaves: Michigan’s Innovative Approach to Integrated HIV Prevention and Care Planning P150 Real World Hepatitis C Treatment Outcomes in Dallas, Texas P151 Enhancing HIV Care for Rural Areas in the Midst of an Opioid Epidemic: Interventions of the Mid-Atlantic AETC P152 Trauma Informed Excellence: A Paradigm Shift to Reach Positive Health Outcomes

P153 Implementing Trauma-Informed HIV Care Services P154 Pennsylvania Minority AIDS Initiative: An ADAP Collaboration Through Quality Management and Innovation

2016 National Ryan White Conference on HIV Care and Treatment 174 POSTER INDEX

P1 - Use of an Outreach Coordinator to Re- P4 - Promoting Cultural Responsiveness engage and Retain Patients with HIV in Care Among HIV Providers in North Carolina Location: Zone 1 Location: Zone 1 Author(s): Madelyne Bean, Linda Scott, Lauren Author(s): Christina Taylor, Nicole Beckwith, Richey Douglas K. Griffin; Jacquelyn Clymore Abstract Number: 6180 Abstract Number: 6357 At the Medical University of South Carolina’s Ryan An overview of the Culturally Competent Care White Clinic, we classified and contacted out-of- training series, a curriculum designed to increase care patients and used an outreach coordinator cultural competence and responsiveness to reengage the out-of-care patients back into in health care and social service settings . care . In this poster, we present our linkage and Presentation includes evaluation outcomes and retention in care results . potential impact on linkage, retention and re- engagement in HIV care . P2 - Positive Peers: Stakeholder Engagement Informs App Development for 13- to 34- Year- P5 - Portland TGA HIV Services Planning Olds Living with HIV Council Annual Planning Process Location: Zone 1 Location: Zone 1 Abstract Number: 6338 Author(s): Tom Cherry, Alison Frye, Jenna Kivanc, Positive Peers is a mobile application aimed at Margy Robinson engaging young people in HIV care while creating Abstract Number: 6418 a private, stigma-free, and supportive community . This poster graphically demonstrates the Creatively engaging young people living with HIV Priorities Setting and Resource Allocation (PSRA) in the app’s development makes it innovative in process developed in the Portland, Oregon, both content and design . The application features TGA . The poster also provides examples of the self-management tools, social networking and annual calendar and the scorecards used to information . share summary information regarding utilization, funding, and outcomes . P3 - Promoting the 2020 National HIV/AIDS Strategy in Southern West Virginia P6 - Project STOP: The Syphilis to PrEP Cascade Location: Zone 1 Location: Zone 1 Author(s): Christine Teague Author(s): Daniel Davidson, Krystn Wagner, Abstract Number: 6352 Marianne Buchelli, AC Demidont, Sarah For more than 15 years, the Charleston Area Calabrese, Ramon Rodriguez Santana Medical Center (CAMC) Ryan White Part C Abstract Number: 6494 Program has grown to address the HIV epidemic Using information from the STD disease in southern West Virginia . Applying the 2020 investigation program to identify Connecticut National HIV/AIDS Strategy as a road map, residents with an HIV-positive sexual partner or a the CAMC Ryan White Program highlights an recent syphilis infection, Project Syphilis to PrEP interdisciplinary medical home model, rapid (Project STOP) is a state health department model testing, retention and PrEP . Care continuum for linking individuals at high risk of HIV infection statistics for 2014 and 2015 are presented . to PrEP education and medical services .

175 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

P7 - The Process and Utility of Conducting a LTI program provides training to adults, young Formative Assessment Prior to Implementing adults, and incarcerated individuals . an Intervention Location: Zone 1 P11 - A Sex Trafficking Intervention Initiative Abstract Number: 6508 with Transwomen in New York City Location: Zone 1 P8 - Implementation of Group Prenatal Care Author(s): Jessica Contreras, Sabina Hirshfield, for HIV-Positive Minority Women in an Urban Martin J . Downing Jr ., Luis Freddy Molano University Hospital Abstract Number: 6595 Location: Zone 1 This presentation examines the New York Author(s): Olga Villar-Loubet, Lunthita Duthely, Human Trafficking Intervention initiative, that Nelly Diaz-Mendez, Lindsay Smith, Sindy was instituted in 2013, and a successful diversion Jaramillo, Marisa Echenique, Barbara Messick, program in Queens, New York (Community JoNell E . Potter Health care Network), for transwomen who have Abstract Number: 6547 been arrested for prostitution . The UM Prenatal Immunology Program, funded by Ryan White Care Act since 1990, is a P12 - Adherence to Antiretroviral Therapy comprehensive prenatal program for pregnant Among Clients of Wisconsin’s Linkage to Care women living with HIV . In March 2015, a patient- Intervention: A Qualitative Exploration centered, evidence-based model of group Location: Zone 1 prenatal care, CenteringPregnancy, was modified Author(s): Michelle Broaddus and adapted for women living with HIV . Abstract Number: 6603 Clients of Wisconsin’s Linkage to Care Specialists P9 - Evaluating an Innovative Collaborative discussed barriers to adherence including side Model to Build Statewide Improvements in effects, dislike of pills, housing instability, cost HIV Linkage and Retention or insurance difficulties, privacy concerns, and Location: Zone 1 substance use. Specialists positively affected Abstract Number: 6562 medication adherence through navigation of insurance and ADAP, communicating with P10 - Lessons Learned from a Peer-Led Chronic medical care providers, reminders, and social Conditions Self-Management Training and support . Mentorship Project Location: Zone 1 P13 - Improving CBDPP Training and Service Author(s): Justin LiGreci, John Hatchett, Casey Through Client Input Selwyn, Lindsay Senter, Stephanie Bogdewic Location: Zone 1 Abstract Number: 6585 Author(s): Kavita Ahluwalia, Hosam Alrqiq, Emily Funded by the New York State Department of Byington, Carol Kunzel, Burton Edelstein Health AIDS Institute, CAI implements the People Abstract Number: 6687 with AIDS Leadership Training Institute (PWA Under the HRSA CBDPP grant, Columbia LTI) . Using the Stanford Chronic Disease Self- University College of Dental Medicine Advanced Management Program model to promote PWAs’ Education in General Dentistry and Dental Public self-management-, life- and job-related skills . The Health residents treat various HIV populations .

2016 National Ryan White Conference on HIV Care and Treatment 176 POSTER INDEX

We aim to assess clients’ oral health literacy, Chipungu, Paul Sakanda, Adeline Chabela, access to oral health care and dental service Nthabiseng Molise, Theresa Sikateyo, Jessica utilization to improve quality of care and our Rowe, Marita Murrman, Elaine Abrams, Andrea programs . Howard, Janette Yu-Shears, Susan Michaels- Strasser P14 - Poster withdrew prior to start of conference. Abstract Number: 6955 This program evaluated the effectiveness P15 - Developing an Integrated HIV of an e-learning module in Lesotho, Malawi, Surveillance, Prevention and Care Plan Using and Zambia for improvement in nursing and Community Participatory Model: Puerto Rico midwifery students’ knowledge of initiating and Location: Zone 1 managing antiretroviral therapy for HIV-infected Author(s): Sandra Miranda, Angel L . Ortiz, Anitza pregnant and breastfeeding women and care Cox, Norma Delgado, Yomary Reyes, Johany for exposed infants according to the Option B+ Velázquez, Carmen Díaz, Ricardo Torres approach . Abstract Number: 6889 Collaboration is an essential tool to accelerate P19 - Peer Advocacy: Breaking Down Barriers access, optimize care and improve health to Care outcomes of people living with HIV (PLWH), based Location: Zone 1 on a community participatory approach, including Abstract Number: 6965 all Ryan White HIV/AIDS Program, Centers for Disease Control and Prevention recipients and P20 - Utilizing Social Networking to Increase sub-recipients, PLWH and other stakeholders, in HIV Testing and Awareness Puerto Rico, in the submission of an Integrated Location: Zone 1 State/City HIV Surveillance, Prevention, and Care Author(s): Eishelle Tillery Plan 2017-2021 . Abstract Number: 6996 The Leaders In Networking and Knowledge P16 - Feasibility of Shared Decision Making in (LINK) program provides comprehensive HIV People Living with HIV/AIDS testing, and referral services through use of a Location: Zone 1 social-network based recruitment strategy to Abstract Number: 6919 600 people annually . It targets, Black/African American, Hispanic MSM and individuals of trans P17 - Rapid HIV Testing in a Dental School experience, engaged in sex work, and their sexual Clinic partners . Location: Zone 1 Abstract Number: 6924 P21 - Impact of Perinatal HIV Case Management on HIV Care Continuum P18 - Nursing Education for an AIDS-Free Outcomes for Pregnant and Postpartum Generation: Evaluating an Option B+ WLWH, Philadelphia 2005-2013 E-Learning Module Location: Zone 1 Location: Zone 1 Abstract Number: 6999 Author(s): Janel Smith, Judy Khanyola, Mie Okamura, Amina Khawja, Mary Poliwka, Gertrude

177 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

risk of homelessness, and access to care; and P22 - Utilizing a Practice-Based Approach to provides an overview of the U .S . Department of Impact the HIV Care Continuum in Rhode Housing and Urban Development (HUD)’s policy Island goals and major initiatives regarding HIV/AIDS Location: Zone 1 housing . Author(s): Christopher Botelho, Fizza Gillani, Joseph Garland, Erna Kojic, Aadia Rana, Daniel P25 - Implementation of a Collaborative Care Zariczny for Depression in an Urban HIV Clinic Abstract Number: 6979 Location: Zone 1 Impacting the HIV care continuum requires a Author(s): Ann Avery, Mallika Lavakumar, Diana multidisciplinary approach to support consistent Gurley engagement with care . We provide our Abstract Number: 6527 experiences of a practice-based intervention, Patients living with HIV have high reported rates using established resources, to improve HIV of depression . Untreated depression is associated virologic suppression and reduce gaps in care at with worse HIV outcomes . The collaborative care an urban HIV clinic . model may improve depression care . As part of a HRSA-funded Practice Transformation Initiative, P23 - Using a Low-Cost Framework to Improve we are implementing this model in our urban HIV the Retention of HIV Patients in Care clinic . Location: Zone 1 Author(s): Alfred Addo Larbi, Nnemdi Kamanu P26 - AIDS-Free Pittsburgh — An Allegheny Elias, Freya Spielberg, Erin Athey, Nancy Murphy, County Initiative: Eliminating AIDS and Ngozi Ogbuawa Reducing HIV Infection Abstract Number: 6939 Location: Zone 1 Sustained engagement in care promotes Author(s): Harold Wiesenfeld, Stuart Fisk, Richard improved adherence to antiretroviral therapy and Smith, Deborah McMahon thereby reduces viral load and promotes good Abstract Number: 6536 health. Aware of the benefits of retention, the In Pennsylvania, Allegheny County has the Infectious Disease Care Center of United Medical second-highest county in terms of the number Center has implemented a low-cost framework of new HIV diagnoses and cumulative number intended to improve the rate of HIV patient of PLWHA . In 2015, the Allegheny County Health retention . Department the Allegheny Health Network (Part C), the Jewish Health Care Foundation (Part B P24 - HUD’s Use of Housing as a Structural fiscal agent), UPMC (Parts C, D, F), and regional Intervention to End the AIDS Epidemic organizations formed the AIDS Free Pittsburgh Location: Zone 1 collaborative to implement the National HIV/AIDS Author(s): Amy Palilonis Strategy . Abstract Number: 6607 This poster provides information on the P27 - The Clinician Consultation Center connection between housing and improved HIV Substance Use Warmline: A New Resource for care outcomes; highlights the HOPWA program’s HIV Primary Care client outcomes regarding housing stability, Location: Zone 1

2016 National Ryan White Conference on HIV Care and Treatment 178 POSTER INDEX

Author(s): Brenda Goldhammer, Carolyn Chu, Author(s): Marisol Gonzalez, Chester Kelly Ron H . Goldschmidt Abstract Number: 6523 Abstract Number: 6272 Targeted multidisciplinary individualized In collaboration with HRSA’s Bureau of Primary interventions improves clinical outcomes . The Health Care, the National Clinician Consultation proportion of nonvirally suppressed patients Center piloted a Substance Use Warmline in decreased to 35 percent in a cohort of 468 2015–2016 to assist primary care providers in patients empaneled to a Patient-Centered substance use evaluation and management . This Medical Home (PCMH) compared to a decrease to poster describes how the Warmline works, who 43 percent among a similar cohort of 468 patients has called and what types of consultations have not empaneled to a PCMH . been provided . P31 - Strategies and Performance Trends for P28 - Impact of Clinical HIV Pharmacist a Decentralized HIV Part C Program in Rural Medication Education Visits on Antiretroviral Northern Maine Adherence Location: Zone 1 Location: Zone 1 Author(s): Erica Famous, Erin Appleby, Michael Author(s): C . Ryan Tomlin Edwards Abstract Number: 6388 Abstract Number: 7011 Clinical pharmacist-led medication education Successful collaboration among health and social sessions can improve antiretroviral therapy (ART) service agencies can be used to deliver effective adherence by assessing a patient’s readiness to rural early intervention services . Support for start ART, providing information on HIV and its adherence to ART delivered by traditional ASOs, treatment, and involving the patient in the ART infectious disease providers, and mental health regimen selection . counselors resulted in progressive improvements of adherence and viral suppression, with 95 P29 - Providing HCV Therapy to PLWH in percent of clients achieving viral suppression . Settings of Limited Resources: The Puerto Rico Experience P32 - Prevention Programs as the First Step to Location: Zone 1 Comprehensive Care Author(s): Celeste Rodríguez Location: Zone 1 Abstract Number: 6568 Author(s): Idiana Velez A presentation of the hepatitis C pilot project Abstract Number: 6738 clinical criteria developed by the Puerto Rico Community Health Center, Inc ., is the largest Department of Health and how the Ryan White FQHC in Connecticut with a successful prevention Part B/ADAP Program refines the process to treat program rooted in a CDC multiple-session, effective co-infected PLWH with new high cost DAA drugs behavioral intervention called CLEAR . CLEAR then when resources are limited for treatment and serves as the cornerstone of linkage, engagement HCV-specialized lab assays . and retention in care at a rate of 100 percent .

P30 - Effect of a Patient-Centered Medical P33 - Innovative Nutritional Assessment and Home on Viral Suppression Intervention in a Primary Care HIV Clinic Location: Zone 1 Location: Zone 1

179 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

Author(s): Miriam Irwin, Taylor Simpson, Jeanne for HIV testing . In this analysis, we compare Spencer the effectiveness of SNT to a traditional client- Abstract Number: 6728 initiated counseling, testing and referral program Optimal nutrition improves immune function . and describe implementation challenges and Unfortunately, nutritional knowledge and lessons learned . resources are often lacking for our patients . To address this, we conduct a biannual cooking P36 - Modified Oral Health Care Model to class taught by our hospital chef and dietician . Increase the Pool of Dental Providers and We provide participants ingredients for the Client Engagement demonstrated recipes, fruit-and-vegetable farm Location: Zone 1 market vouchers, and filtered water pitchers. Author(s): Shonita Savage, Caila Nickerson, Mark Baker, Kate Briddell P34 - Patient-Centered Clinical Pharmacy Abstract Number: 7022 Services: Promoting Appropriate Utilization of This poster presentation will highlight how a Over-the-Counter Products, Focus on Natural modified service delivery model for oral health Supplements care in the Seattle Transitional Grant Area yielded Location: Zone 1 both increased dental provider participation in Author(s): Kalumi Ayala-Rivera, Ivan Melendez- the Ryan White Part A Program and higher use of Rivera services by Part A-eligible clients . Abstract Number: 7025 Patients living with HIV often seek natural P37 - Recent Best Practices — HIV Care supplements as an adjunct to their antiretroviral Continuum-Related Program Improvements therapy (ART) . Integrating a pharmacist to an Location: Zone 1 interprofessional HIV health care team is crucial Author(s): Katie Himich, Jamie Dowling Tawes in obtaining information regarding the use Abstract Number: 6455 of natural supplements, identifying potential Documented improvement options to increase drug interactions that could possibly lead to positive outcomes related to the HIV care ART failure or toxicities and provide adequate continuum . education . P38 - Patient Retention – Best Practices P35 - The Effectiveness of Social Network Location: Zone 1 Strategies for HIV Screening in a Multisite, Author(s): Katie Himich, Jamie Dowling Tawes State-Funded Testing Initiative Abstract Number: 6457 Location: Zone 1 Use your consumer advocates to develop Author(s): Karli Hochstatter, Danielle Kahn, Jacob positive, accepting relationships with patients, in Dougherty, Megan Elderbrook, Casey Schumann, addition to traditional medical case management, Mari Gasioriwicz, James Vergeront, Timothy Hess, to improve retention outcomes . Ryan Westergaard Abstract Number: 6402 P39 - The Pathway to an Integrated Primary A social network testing (SNT) strategy that and HIV Specialty Care Model used peer-based referrals was implemented Location: Zone 1 in Wisconsin to recruit high-risk individuals Author(s): Bruce Williams, Jamie Finkelstein,

2016 National Ryan White Conference on HIV Care and Treatment 180 POSTER INDEX

Marlinda Quintana-Jefferson P42 - Implementation of ePRO Assessments Abstract Number: 6918 to Improve Clinical Care Among PLWHA in Our continuum of care comprises HIV testing, Underserved Populations HIV treatment and primary care services . We Location: Zone 1 evaluated our services with a special focus Author(s): Monica Godfrey on clinical processes and health outcomes . Abstract Number: 6614 Results indicated that our continuum facilitated In affiliation with the University of Washington, identification and early diagnosis of HIV and this study was designed to improve clinical care enabled achievement of HIV and primary care by addressing unidentified needs among HIV- health outcomes . infected patients through the use of computer- based, patient-reported outcome assessments P40 - Changing HIV Testing Habits at in an effort to determine the prevalence of Community Health Centers: Effective comorbid conditions . Strategies for Sustaining Change Location: Zone 1 P43 - Baseline Characteristics and Retention Author(s): Sophy Wong, Megan Crowley Rates in HIV Patients Participating in and Abstract Number: 6613 Declining Patient Advocacy Navigation Five federally qualified health centers in a large Location: Zone 1 metropolitan area implemented routine, opt- Author(s): Marysia Grzybowski, Alexandra out HIV screening . Analysis of monthly testing McMillian, Barry White, Abigail Boyer, Nada Fadul data revealed that the combination of EHR tools Abstract Number: 6967 and staff workflow training were necessary to This study describes the baseline characteristics sustain routine HIV screening . Overall testing of HIV-positive patients in eastern North Carolina rates improved 217 percent from baseline to year during the initiation of a patient navigation (PN) three . project . Patients who accepted to participate in the PN were compared to those who declined P41 - Building Nurses’ Capacity to Provide participation . Comprehensive Care to MSM: Collaboration between NECA, CAI, and GNYANAC P44 - Helping Clients Overcome Stigma in a Location: Zone 1 Rural-Based Peer Coach Program Author(s): Deborah Batson, Stephanie Bogdewic, Location: Zone 1 Leslie Herman, Casey Selwyn, Lindsey Senter, Author(s): Nahuel Smith Becerra, Pamela Bickley, Melanie Steilen Rebecca Dillingham, Anna Greenlee, Vanessa Abstract Number: 6624 Johnson, Erin Plews-Ogan, Veronica Ross, Linda This poster describes the unique collaboration Scruggs, Ashley Shoell, Gregory Townsend of CAI, a Northeast Caribbean AETC local Abstract Number: 6791 performance site, and the Greater New York The Peer Coach Program at the University of Chapter of ANAC in developing a learning series Virginia bridges gaps in care by using peers for nurses around compassionate clinical care for to help at-risk patients overcome stigma and the MSM population . manage HIV . The program was developed to facilitate the creation of social support networks in rural populations .

181 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

Author(s): Scott D . Rhodes, Lilli Mann, Amanda P45 - Cooper EIP Patient-Centered Education E . Tanner, Katherine R . Schafer, Jorge Alonzo, Model to Improve Treatment Adherence and Eunyoung Song, Elias Arellano, Manuel Garcia Chronic Disease Self-Management Abstract Number: 6314 Location: Zone 1 We used a community-based participatory Author(s): Iris Acevedo, Luz Avila, Pamela research approach to develop weCare, an Gorman, Joshua Hatfield, Yolanda Smith, Lucy intervention to improve care linkage and Suokhrie retention and health outcomes among racially/ Abstract Number: 6887 ethnically diverse MSM, 13 to 34 years of age, The Cooper Health System Early Intervention with HIV . WeCare harnesses established social Program established a health education model media that young MSM commonly use, including for patient-centered education . The education Facebook, text messaging, and GPS-based mobile intervention is the Stanford University School applications . of Medicine, Chronic Disease Self-Management program . Key personnel lead workshops and P48 - Optimizing HIV Care Engagement Among recruit patients and employees to participate Postpartum HIV-infected Women in Atlanta: A in workshops . This model has led to improved Multidisciplinary Approach patient satisfaction and health care outcomes . Location: Zone 1 Author(s): Stephanie Hackett, Martina Badell, P46 - Using Social Media and Mobile Andres Camacho, Jeronia Blue, Joy Ford, Lisa Technology to Improve HIV Health Outcomes Curtin, Anandi Sheth Among Young HIV-Positive Populations Abstract Number: 6490 Location: Zone 1 Postpartum HIV care retention and viral Author(s): Ronald A . Brooks, Dallas Swendeman, suppression are suboptimal, which increase Melissa Medich, Ramon Cervantes-Tadeo, W . perinatal transmission risk during subsequent Scott Comulada, Uyen Kao, Thomas Donohoe, pregnancies . Using a simple, multidisciplinary, Janet Myers clinic-based care coordination intervention Abstract Number: 6481 among Ryan White Part D stakeholders, we For the SPNS Social Media Initiative, 10 saw a statistically significant improvement demonstration sites are implementing in postpartum care retention and virologic interventions using social media and mobile suppression . technologies to engage, retain and achieve viral suppression among HIV-positive youth and P49 - SPNS Projects and AETCs Fostering young adults . The UCLA Evaluation and Technical Practice Transformation in Health Centers: Assistance Center designed a comprehensive First Steps typology that categorizes intervention Location: Zone 1 components and their functions . Author(s): Linda Rose Frank, Tracy Conti, E . Shenouda, Gordon Liu, Samantha Faulds, P47 - Using Social Media to Improve HIV Care Bethany Blackburn, Deborah McMahon Linkage, Retention and Health Outcomes Abstract Number: 6265 Among Young MSM The SPNS program and the AETC have effectively Location: Zone 1 collaborated to provide assessment and

2016 National Ryan White Conference on HIV Care and Treatment 182 POSTER INDEX

educational intervention to improve the HIV care Author(s): Bethany DeBoer, Traneika Turner continuum to a primary care clinic in a medically Abstract Number: 6578 underserved areas in McKeesport, Pennsylvania . Despite updated HIV screening guidelines, many patients are not getting tested, and enter into P50 - Using Needs Assessment to Guide HIV care later . Parkland Hospital has a network Improvement of the HIV Care Continuum of community-oriented primary care clinics that Location: Zone 1 were established to provide comprehensive Author(s): Ann Rompalo, Holly Hagle medical care to underserved neighborhoods . We Abstract Number: 6270 examined the need for increased HIV testing at The health professionals need assessment for these sites . Region III of the USPHS was conducted by the Mid-Atlantic AETC in collaboration with the P53 - Evaluation of a Nonprescription Syringe STD/HIV Training Center and the Addictions Sale Webinar for California Community Technology Transfer Center . The results are Pharmacists presented that will guide the training plans for Location: Zone 1 the region . Training, consultation, and technical Author(s): Linda Chen, Kirsten Balano, assistance on management substance use and Alessandra Ross, Valerie Rose psychiatric illness were rated the highest in need Abstract Number: 6586 for health care practitioners . Community pharmacists can play a large role in expanding syringe access by providing needles P51 - Linkage and Retention Intervention and syringes for sale without a prescription . Adoption Without Funding: What Motivates However, barriers exist . This poster presents HIV Agencies to Adopt SPNS Interventions research that analyzes the effectiveness of Location: Zone 1 an educational webinar targeting community Author(s): Abigail Baim-Lance, Lauren Suchman, pharmacists regarding nonprescription syringe Diane Addison, Daniel Belanger, Nanette sales . Magnani, Steve Sawicki, Clemens Steinbock, Daniel Tietz, Susan Weigl, Bruce Agins, Denis P54 - Poster withdrew prior to start of conference. Nash Abstract Number: 6561 P55 - Assessing RWHAP Core Medical Providers’ NYLinks developed three evidence-based linkage Capacity for Contracting and Reimbursement and retention interventions for New York’s HIV Expansion (CRE) with Insurance Plans health care facilities . We explored why facilities Location: Zone 1 agreed to voluntarily implement interventions Author(s): Beth Hurley, Dawn Middleton, Lindsay without funding . Key drivers were nonmonetary Senter, Deborah Isenberg, Casey Selwyn support, such as training and data management Abstract Number: 6281 systems development, and a reasonable degree CRE conducted an assessment to determine of implementation flexibility. providers’ capacity in contracting with and billing P52 - Examining the Need for Increased HIV Medicaid and marketplace insurance plans . Testing at Community-Oriented Primary Care Results revealed many strengths, including Clinics in Dallas, Texas committed leadership, existing systems for Location: Zone 1 contracting and billing and strong capacity in

183 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

outreach and enrollment . The assessment results staff and community organizations to overcome shaped CRE’s the design and delivery of TA . challenges associated with the health coverage paradigm change . P56 - Screen. Engage. Treat. Train (SETT): Building HIV Capacity Today and for Tomorrow P59 - Insurance Coverage and Rapid HIV Test Location: Zone 1 Results: Implications for HIV Screening Under Author(s): Deborah McMahon, Linda Frank, the ACA Tracey Conti, Emeil Shenouda, Gordon Liu Location: Zone 1 Abstract Number: 6478 Author(s): Cedrina Calder, Mary Mbaba, Celia SETT addresses the care continuum by building Maxwell, Tammey Naab, Kwame Tuffuor HIV care capacity at a primary care practice Abstract Number: 6968 in a medically underserved community, and The Affordable Care Act seeks to decrease the trains the next generation of HIV providers in number of uninsured Americans, partially by partnership with a Part C site and MAAETC to expanding Medicaid coverage to individuals reduce community HIV viral load and address the with incomes of up to 138 percent of the federal shortage of HIV providers . poverty level . The expansion of Medicaid in the District of Columbia may further the opportunity P57 - District of Columbia AIDS Drug for HIV screening . Assistance Program (ADAP): Then and Now Location: Zone 1 P60 - Variability in Fibrosis Evaluation Author(s): Bethlehem Tadesse, Nelly Otieno Methods in Patients with Chronic Hepatitis C Abstract Number: 6991 in a Community Health Center D .C . ADAP revised several established care and Location: Zone 1 delivery processes to meet Ryan White legislative Author(s): H . Anyimadu, Gary F . Spinner, Bryan and HRSA guidance . Training was conducted Gallego for case managers to ensure accurate and Abstract Number: 6822 complete application submission . Using real-time Evaluation of liver fibrosis is important before enrollment data, ADAP has been able to examine treating patients with chronic hepatitis C because trends and report on better process outcomes it helps predict liver-related morbidity, mortality that resulted from streamlining its processes . and complications of portal hypertension . Noninvasive methods to estimate fibrosis P58 - Virginia AIDS Drug Assistance Program replaces liver biopsy . Using three noninvasive (ADAP): A Systemic Change Agent tests of liver fibrosis, we found variability in Location: Zone 1 results with some discordance . We suggest two Author(s): Steven Bailey, Carrie Rhodes methods and the importance of clinical exam to Abstract Number: 6054 accurately stage disease . Virginia ADAP continually supports Affordable Care Act insurance enrollment during the P61 - Using Agency-Wide Goals to Unify specified open enrollment period, increasing Strategy Across an Organization and with the access to health care and medications for National HIV/AIDS Strategy previously uninsured persons with HIV/AIDS . Location: Zone 1 ADAP staff worked in collaboration with HIV clinic Author(s): Hannah Hirschland

2016 National Ryan White Conference on HIV Care and Treatment 184 POSTER INDEX

Abstract Number: 7343 P64 - AIDS Education and Training Center With the release of the National HIV/AIDS (AETC) Program Outcome Findings along the Strategy, AIDS service organizations have the HIV Care Continuum opportunity to revisit and re-energize their Location: Zone 1 own strategies to align with the national plan . Author(s): Sally Stephens, Liz Worthy, Mi-Suk GMHC developed a core set of agency goals and Kang Dufour, Janet Myers a comprehensive monitoring strategy to mark Abstract Number: 7989 progress . Summarizes outcome evaluation findings from a six-week follow-up survey of AETC trainees P62 - The Impact of Comprehensive Ryan attending skills building trainings . We report White Services on HIV Outcomes on the effectiveness of AETC training in funding Location: Zone 1 year 2014–2015 (July 1, 2014, to August 31, 2015) Author(s): Rose Bono, Karen Diepstra, April on increasing knowledge, improving skills, and Kimmel, Sonam Patel, Anne Rhodes implementing newly acquired skills as a result of Abstract Number: 6706 training . This study examined the impact of three distinct RW service categories — core, dupport, and P65 - University of New Mexico Truman Health medication assistance — on retention and viral Services: A Place Called Home suppression . The results suggest receipt of a Location: Zone 1 package of Ryan White-funded services improves Author(s): Bruce Williams, Jamie Finkelstein, viral suppression and that the full scope of Marlinda Quintana-Jefferson services may be needed to address gaps in the Abstract Number: 6700 continuum . The Patient-Centered Medical Home model has transformed the health care landscape P63 - Findings from a Needs Assessment across the nation. The benefits of this model of Faculty Participating in the AETC align with the National HIV/AIDS Strategy . Our Interprofessional Education Program (IEP) coordinated and seamless system of primary and Location: Zone 1 HIV specialty care resulted in improved patient’s Author(s): Sally Stephens, Liz Worthy, Mi-Suk health outcomes and decreased rates of health Kang Dufour, Janet Myers disparities . Abstract Number: 6775 Summarizes findings from a needs assessment P66 - Growing Excitement: New Strategies for conducted to better understand the needs of Interprofessional Education on HIV Primary faculty participating in the AETC Interprofessional Care Education project, with emphasis on their current Location: Zone 1 teaching and confidence in teaching of HIV- Author(s): Paul Cook, Marla Corwin, Samantha focused IPE and current level of HIV IPE content Meiring, Laurie Conratt incorporation in their course(s) and clinical Abstract Number: 6203 experiences . Health professional education is the best time to prepare clinicians for interprofessional HIV primary care . We recruited 110 primary care faculty, most with no HIV care experience, for

185 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

one-to-one mentoring and group training . With The out-of-pocket costs for HIV medications were these faculty, we presented case examples, HIV calculated for ACA marketplace plans offered to content, interprofessional care principles, and residents in Detroit, Michigan . In 2016, 70 percent practicum opportunities to students . of insurance carriers decreased the number of HIV medications placed on higher cost- P67 - Determinants of ADAP-Facilitated Health sharing tiers from 2015 . High medication costs Insurance Enrollment, and Impact on Targeted undermine health care access for PLWHA and HIV Health Outcomes interrupt medication adherence . These results Location: Zone 1 demonstrate the need for increased transparency Author(s): Renae Furl, Elizabeth Lyden, Susan of discriminatory plan benefit designs which Swindells, Shinobu Watanabe-Galloway negatively impact PLWHA . Abstract Number: 6821 We evaluated the impact of ADAP-facilitated P70 - Interprofessional Education and Practice health insurance enrollment in Nebraska and Focused on Oral and Maxillofacial Disease factors that influenced enrollment. Insurance Location: Zone 1 enrollment was associated with improved health Author(s): Kishore Shetty outcomes, including a significant association Abstract Number: 7016 with undetectable viremia (p < .0001) . Minority This is an innovative pilot program that populations and unstably housed individuals strategically combines interprofessional were at increased risk of not enrolling in education and interprofessional practice, insurance programs . expanding proven models of patient centered care in the diagnosis and management of oral P68 - The Impact of Housing on HIV Care and maxillofacial diseases in the HIV-positive Among Virginia Ryan White Clients patient . Location: Zone 1 Author(s): Mary Browder, Kathryn Gilmore, P71 - Healthvana Social Media Intervention to Sonam Patel, Anne Rhodes, Kimberly Scott Improve Engagement and Retention of PLWHA Abstract Number: 6558 in Chicago A higher number of Ryan White (RW) clients Location: Zone 1 in Virginia with stable housing were virally Author(s): James Zuniga, Kristin Keglovitz Baker, suppressed (92 percent), compared to those with Gregory Phillips II unstable housing (76 percent) in 2014, suggesting Abstract Number: 6302 that housing may impact HIV outcomes . This Mobile platforms and apps can be used to analysis examines the relationships among improve medication adherence and retention housing status, HIV outcomes and RW services in rates among populations at greater risk of being 2015 . lost to followup . Mobile technology in conjunction with other services can prove to be instrumental P69 - The ACA and Burden of High Cost Sharing in removing many barriers to care that on Access to HIV Medications for PLWHA underserved and at risk populations experience . Location: Zone 1 Author(s): Yasamean Zamani-Hank P72 - Line of Sight Toward Viral Suppression Abstract Number: 6628 Location: Zone 2

2016 National Ryan White Conference on HIV Care and Treatment 186 POSTER INDEX

Author(s): Amanda Hurley, Marisa McLaughlin at improving viral suppression rates to greater Abstract Number: 6177 than 90 percent . Providers created a line-of-sight diagram for each service category and were able to discuss P75 - Comparison of Intervention Times with how their work impacted the TGA and HIV Care Patient Re-engagement in Mississippi Ryan Cascade . This poster shows the single line of sight White Funded Clinics toward viral suppression for all service categories Location: Zone 2 within the Portland, Oregon, TGA . Subsequent Author(s): James D . Stewart, Jacinda Roach, quality management activities focused on Kendra Johnson improving medical engagement performance Abstract Number: 6385 measures . Retention in HIV care is a noted problem in Mississippi due to high levels of poverty and P73 - Data Sharing Between Institutional stigma . A pilot study was completed in Ryan Electronic Health Records and CAREWare — White Part B-funded provider sites to determine Bridging the Chasm the effectiveness of using established standards Location: Zone 2 for reengagement through the intervention of Author(s): Ayesha Mirza, Nizar Maraqa, Alma social workers and DIS . Interventions included Biba, Kendall Guthrie, Mobeen H . Rathore phone calls, home visits, and mailing of certified Abstract Number: 6313 letters . Interventions occurred immediately Integration of CAREWare with the institutional after patients missed treatment or follow- electronic health record (EHR) system is critical up appointments . Patient demographics, for quality improvement . The University of Florida interventions, and viral loads were tracked Center for HIV/AIDS Research, Education and for a period of one year using CAREWare . The Service (UF CARES) reviewed retention-in-care reengagement rate of patients receiving the strategies using system EHR and CAREWare . interventions was significantly higher than sites Findings point to the need of streamlining not employing the intervention . Analysis was information systems to avoid duplicate data entry conducted to determine the relationship between and improve patient quality of care . the time of the intervention and the patient’s viral load . Results demonstrate that aggressive P74 - Ending the HIV Epidemic by 2020: The retention interventions are effective and worthy Importance of Supportive Services Over of future study in Mississippi . Medical Visit Frequency Location: Zone 2 P76 - Impacting Health Outcomes Through a Author(s): Shaw-Ree Chen, Mary Jones, William Statewide Ryan White Quality Management Schaefer, Ashley Zuppelli, William Valenti Collaborative Approach Abstract Number: 6341 Location: Zone 2 Despite growth in our HIV patient population in Author(s): Safere Diawara the last four years, the percentage of patients Abstract Number: 6477 virally suppressed rose by 7 percent even as Virginia Ryan White (RW) HIV/AIDS Program Part medical visit frequency decreased 10 percent . B grantee strengths: The quality management This poster examines potential factors behind program through the development of these changes, and presents a QI project aimed collaborative model and capacity building efforts

187 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

including 14 RW grantees and 50 sub-recipients . Radke, Neal Demby It sets out to improve HIV Continuum of Care Abstract Number: 6739 measures by engaging participants in quality NYU Lutheran Family Health Centers partners improvement projects and sharing best practices . with El Rio Community Health Services for the Ryan White Part F Community Based Dental P77 - Value of Medications Error Reporting in Partnership (CBDP) Program to provide dental the Ambulatory Care HIV Setting treatment to HIV/AIDS patients in Tucson, Location: Zone 2 Arizona . Based on an extremely successful HRSA Author(s): Linda Chen, Sheri VanOsdol, Kirsten site visit, this retrospective program analysis will Balano focus on examining keys aspects of operating a Abstract Number: 6592 successful CBDP program . Little has been publicly reported regarding medication errors occurring in the outpatient P80 - Developing Quality Data Dashboards — setting . By not identifying, analyzing, and AHF’s Journey addressing these errors, systems remain flawed Location: Zone 2 and errors repeat . This poster presents data from Author(s): Amelia Gonzalez, Julie Booth, a voluntary medication error reporting system Clemente Estrella in a primary care clinic for an HIV-seropositive Abstract Number: 6911 population . The strategy used by AIDS Health Care Foundation (AHF) to provide a data monitoring P78 - An AETC Training Continuum: tool for its Ryan White funded facilities is Strengthening Collaborative Best Practices explored . Theoretical framework, implementation Between the Newark EMA and NECA AETC strategy, and lessons learned are reviewed . Location: Zone 2 Author(s): Peter Oates, Ketlen Alsbrook, Heidi P81 - Using Client Responses to Drive Quality Haiken, Laura Bogert, Michelle Thompson, Daria Improvement Initiatives Boccher-Lattimore Location: Zone 2 Abstract Number: 6610 Abstract Number: 7020 In order to make an impact on the HIV/AIDS epidemic, the Northeast/Caribbean P82 - HPV Screening in HIV-Positive Women AIDS Education and Training Center Regional Under 30: What Are We Missing? Partner site located at the François-Xavier Location: Zone 2 Bagnoud Center at the Rutgers School of Author(s): Andrea Jurgrau, Whitney Ale Nursing collaborated with the Newark Eligible Abstract Number: 6962 Metropolitan Area on new and innovative ways to Before 2015, the extent of HPV screening for improve quality of care by sustained meaningful HIV-positive women was unclear . We routinely partnerships and opportunities . screened for HPV . For women under the age of 30 this is no longer recommended . We assessed P79 - A Model for Successful Community-Based the burden of HPV disease by chart review, on Dental Partnership Programs 140 pap-eligible women followed in our Part D Location: Zone 2 cohort 2014-2016, to see if new guidelines yielded Author(s): Amy Hisiger, Dana Cernigliaro, Tara modified outcomes.

2016 National Ryan White Conference on HIV Care and Treatment 188 POSTER INDEX

P83 - Incentivized Care Coordination Services P86 - Improving Mammogram Completion Improve Cervical Cancer Screening Rates Outcomes in Women with HIV Among Urban HIV-Infected Women Location: Zone 2 Location: Zone 2 Author(s): Helen Ferlazzo, Fran Stein, Mary Tyson Author(s): Anna Haywood, Rondalya DeShields, Abstract Number: 6264 Shobha Swaminathan, Debra Chew, Michelle VNACJ CHC is a small Ryan White Part C program DallaPiazza of 145 patients with a very disenfranchised Abstract Number: 7000 population in Asbury Park, an urban/suburban We assessed the impact of intensive care area of Monmouth County, New Jersey . The coordination and incentives on cervical cancer grant originally was written for the out-of-care screening rates among HIV-infected women and hard-to-reach populations . These patients presenting for care . required extensive and intensive medical case management . A PDSA project initiated in P84 - Maximizing Viral Load Suppression: 2014–2015 to track and improve mammogram Prolonging Life and Enhancing Quality of Life completion rates by using dedicated nurse for HIV Infected Clients navigator along with the entire HIV team . Location: Zone 2 Abstract Number: 6449 P87 - From Good to Great: Strategies to The purpose of this project is to get as many Enhance Viral Load Suppression in a Southern clients as possible to an undetectable viral load Ryan White Clinic (≤ 40) level. Keeping viral load levels as low Location: Zone 2 as possible for as long as possible decreases Author(s): Melissa Stuntz, Shannon Stephenson, long-term complications, stops the progression Brooke Weaver, Austin Sizemore from HIV to AIDS, and maximizes immune Abstract Number: 6626 reconstitution . HIV viral load suppression has positive implications for both individual and public P85 - Patients with Medicaid or Older Less health . Chattanooga Cares, a free-standing Ryan Likely to Decrease Viral Loads and Stay in Care White clinic, describes how implementing new Location: Zone 2 initiatives, including daily huddles, transportation Author(s): Debbie Y Mohammed, Raymund services, an onsite market, and a peer program Sison, Prerak Shukla, Jihad Slim have increased viral load suppression from 70 Abstract Number: 6764 percent to 87 percent . We implemented a clinic-wide intervention from March 2014 to February 2016 for patients with P88 - Performance Improvement: Reducing HVL >/=1,000 copies . Of 595 patients, 331 (56 Wait Time and Increasing Access to Care for percent) became suppressed . Higher proportions People Living with HIV/AIDS with HVL or not retained were between the ages Location: Zone 2 of 41 and 50, or 51 and 60, or had Medicaid . Author(s): Eric Ellison, Samantha Hypes, Sherry These patients need additional targeted Inskeep, Andrea Ropp ,Karen Rubin, Jean Tidd, interventions to keep them in care and decrease Kelly Wesp, Debbie Ziccardi HVL . Abstract Number: 6462

189 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

Outcomes are presented from a performance The Washington, D .C ,. EMA reviewed its 2011 RSR improvement team examining medical case submissions. The Completeness Report identified management at Equitas Health in Ohio . The team high rates of unknown and missing data elements conducted a series of PDSA cycles to improve that contribute to the measurement of patient the consistency of practices, increase efficiency outcomes . A data improvement project (DIP) in work flow and documentation and reduce the was undertaken to improve data quality and wait time for new patients across 13 locations . timeliness . After the DIP, improvements were noted . P89 - Increased Percentage of Newly Diagnosed Persons Linked to HIV Medical Care P92 - Laying a Strong Foundation in Support of Through Onsite Rapid Testing HIV Quality Care Location: Zone 2 Location: Zone 2 Author(s): Andrew Coco, Jim Bond Author(s): Daniel Astorga, Tamra Williams, Abstract Number: 6944 Marlinda Quintana-Jefferson, Hazel Erickson Description of a prospective, observational study Abstract Number: 6930 of the association between onsite rapid HIV The aim of this study was to examine quality testing and timeliness and long-term linkage into of care in the context of organizational care . structure, processes and outcomes . Applied the Donabedian (2005) conceptual framework P90 - Back to Basics: Using Quality to assess quality performance across three Improvement Methodology to Impact domains: structure, process (treatment), and Retention health outcomes . Our quality outcomes were Location: Zone 2 associated with a strong organizational structure . Author(s): Phyllis Ballard, Middy Estabrook, Maria Freshman, Ericka Hayes, Elizabeth Neuf, P93 - A Strategy to Support the Successful Kelly Nolan, Julia Schlueter Integration of Preconception Care in an HIV Abstract Number: 6304 Care Setting The Washington University Pediatric HIV Clinic Location: Zone 2 implemented two quality improvement activities Author(s): Laura Bogert, Mary Jo Hoyt, Joanne that impacted retention among patients . The Phillips, Noa’a Shimoni gap measure decreased from 21 percent (2013) Abstract Number: 6186 to 10 percent (2015) . The medical visit frequency This poster describes outcomes of a project measure improved from 71 percent (2013) to that engaged an HIV primary care clinic in a 76 percent (2015) . Improvements were attained strategic planning project to support integration by returning to the basic principles of quality of preconception and HIV care services . improvement . Standardized preconception care quality indicators and staff perceptions about the P91 - Improving the Ryan White Services process of implementation of services were Report through a Data Improvement Project assessed at baseline and at 12 months . Location: Zone 2 Author(s): Luau P . Montealegre Abstract Number: 6695

2016 National Ryan White Conference on HIV Care and Treatment 190 POSTER INDEX

P94 - Quality Management Through a increased viral load suppression (VLS) rates from Collaborative Learning Process: Virginia Ryan 80 .7 percent in December 2013 to 85 percent in White Part B Peer Review December 2015 . Additionally, 545 nonsuppressed Location: Zone 2 RW patients who enrolled in a closed cohort Author(s): Michelle Shearer, D’Juan Waller, study achieved VLS . Suzanne Lavoie, Safere Diawara Abstract Number: 6560 P97 - 2015 Viral Load Suppression Project: The Virginia Ryan White Part B (RWB) peer- A Multidisciplinary Team Approach in review team works in collaboration with more Addressing Potential Barriers to ART than 30 subcontractors receiving RWB funding . Adherence The standardized process developed serves to Location: Zone 2 assist in identifying strengths and challenges . Author(s): Oumar Gaye, Mayla Jackson, Helena Challenges drive quality-improvement projects, Kwakwa and strengths allow agencies to highlight their Abstract Number: 6974 quality-improvement efforts. The Philadelphia Department of Public Health (PDPH) initiated a project to raise viral load P95 - Antiretroviral Therapy (ART) Regimen suppression (VLS) among HIV patients from Changes During Pregnancy: Do HIV-Positive 75 percent to 80 percent . PDPH’s HIV CQI Women Tolerate ART Well? team identified challenges for unsuppressed Location: Zone 2 patients. Efforts that included patient navigation, Author(s): Katie L . Axford, Lisa E . Dumkow, pharmacy staff training, and tracking of patient Nnaemeka E . Egwuatu, Minerva A . Galang, C . SPBP coverage raised VLS rates to 79 75. percent . Ryan Tomlin, Lauren Wolf Abstract Number: 6937 P98 - Coordination of Care for HIV-Positive A retrospective cohort study of HIV-positive Pregnant Client to Prevent Perinatal pregnant patients receiving ART at a single adult Transmission HIV clinic is assessed to determine the incidence Location: Zone 2 of ART regimen change and the reason for Author(s): Pamposh Kaul, Krista Andrews, Lois change between different ART in HIV-positive Bull, Corinne Lehmann, Melody Lunney, Jan pregnant women . Stockton, Caroline Yorio Abstract Number: 6260 P96 - The Role of Quality Improvement in A formalized process of care coordination Improving Viral Load Suppression: A Missouri was designed to prevent vertical transmission Case Study of HIV from mother to infant, incorporating Location: Zone 2 communication and service coordination across Author(s): Obianuju Okoye, Christine Smith, multiple settings, including community clinics, Jamie Shank, Julia Schlueter, Sally Neville, Katie physicians’ offices, and rural hospitals, to Wolf, Megan Unnerstall, Meg Ebersoldt, Lauri improve access to expert care for the HIV-positive Massey, Kneeshe Parkinson, Barbara Boshard pregnant woman . Abstract Number: 6337 This is a Missouri study of a sample of 3,962 Ryan White (RW) patients across the state . Missouri

191 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

P99 - Consumer Advisory Boards, Engagement Author(s): Tyler B . Evans, Satoko Kanahara, and Impact on the Gap in Care Freddy Molano, Location: Zone 2 Abstract Number: 6769 Author(s): Piper Duarte, Gregg Gunter This was a retrospective study primarily intended Abstract Number: 6759 to explore differences in the prevalence of Consumers play an integral role in addressing the gonorrhea, chlamydia, and syphilis between black Gap in Care measure . Parkland’s HIV Consumer non-Hispanic and nonblack Hispanic transgender Advisory Board (CAB) distributed Patient (TG) patients, as well as analyze differences Satisfaction Surveys to create a 2015 consumer between those engaged in sex work . As these education series with emphasis on health literacy STIs increase the risk of HIV, understanding and technology empowerment . CAB outreach these population disparities is highly germane to improved the gap in care and diversified the population health in TG care . board . P103 - Sharing Technical Assistance and P100 - How Is Your Cervix? Incentives for a Training Online — and Evaluating Our Success: Better Screening TARGET Center Location: Zone 2 Location: Zone 2 Author(s): Ivan Melendez-Rivera, Sylvia Rodriguez Author(s): Nicolé Mandel, Jayson Jaynes, Alan Abstract Number: 7043 Gambrell, Mary Salome, Nancy Warren, Michael Annual cervical screening is still the best tool for Reyes cancer detection . Cultural and individual aspects Abstract Number: 6800 can interfere with screening . Discover simple, Technical assistance and training for the Ryan patient centered initiative, not identified by that White HIV/AIDS Program is centralized under the root cause analysis, to increase the screening TARGET Center (targethiv org. ) . The project team rate . uses a continuous quality improvement approach to identify problems and make improvements . P101 - The Ohio Quality Crusaders This poster outlines the kind of evaluation Location: Zone 2 questions that different stakeholders have and Author(s): Kate Bennett, Kate Burnett Bruckman, how best to answer them . Lea Dooley, Brigid Kennedy, Katherine Kerr Abstract Number: 6824 P104 - Mixed Methods Process Evaluation Ohio participated in the H4C collaborative and of SPNS Interventions Implemented by HIV was able to create a statewide cross-parts quality Agencies Participating in NYLinks management plan, analyze bimonthly data Location: Zone 3 reporting using a data dashboard, host trainings Author(s): Diane Addison, Abigail Baim-Lance, and conferences specifically for consumers, and Lauren Suchman, Benjamin Katz, Kelly Piersanti, achieve viral load suppression in a closed cohort Carol-Ann Swain, Clemens Steinbock, Steven of previously unsuppressed patients . Sawicki, Bruce Agins, Denis Nash Abstract Number: 6567 P102 - Predicting Risk of STIs Among For the SPNS System Linkages and Access to Care Transgender Females in New York City Initiative, New York Links agencies implemented Location: Zone 2 three interventions to improve linkage to and

2016 National Ryan White Conference on HIV Care and Treatment 192 POSTER INDEX

retention in HIV care: peer support, appointment Author(s): Veronica Calvin, Melissa Morrison, procedures, antiretroviral treatment, and access Shanell McGoy, Carolyn Wester, Tonya King to services . Using mixed methods, we explored Abstract Number: 6798 challenges and enabling factors influencing Tennessee Department of Health’s Care and implementation processes . Prevention in the United States demonstration project used HIV surveillance data to equip P105 - Data Packages Created Collaboratively disease intervention specialist case managers with Consumers and Providers Improve Local to identify and locate known persons living with HIV Decision Making HIV in Tennessee who have been out of care for Location: Zone 3 more than one year and to facilitate their re- Author(s): Carol-Ann Swain, Steven Sawicki, engagement into HIV care . Diane Addison, Ben Katz, Kelly Piersanti, Denis Nash, Clemens Steinbock, Bruce Agins P108 - Improved Outcomes in HIV Care with Abstract Number: 6640 Patient Navigation in Rural Central Virginia Interaction with the end-user supports better Location: Zone 3 understanding and use of data . However, Author(s): Johanna Brown, Mary Ellen Bryant dissemination of state and national HIV data Abstract Number: 6976 products rarely includes input from these Through the addition of patient navigators, our stakeholders . Our objective was to package program has seen an improvement in outcomes HIV data to meet the needs of HIV-related for persons living with HIV . services organizations in New York State using a participatory process . P109 - Out of Care by Medical Visits Does Not Mean Out of Virologic Suppression: A Look at P106 - Utilizing HIV Surveillance Data to Reach Churners Out-of-Care Persons: The Virginia Data-to-Care Location: Zone 3 Project Author(s): Michelle Kucia, Barbara Gripshover Location: Zone 3 Abstract Number: 7029 Author(s): Amanda Saia, Lauren Yerkes, Fatima Many patients out of care by medical visit Elamin, Susan Carr, Celestine Buyu, Tammie measures remain virologically suppressed on Woodson, Kimberly Scott, Mary Browder, Anne medication . Eighty-one percent of 73 patients out Rhodes of care in 2014 who subsequently returned have Abstract Number: 6690 undetectable HIV RNA levels on their most recent This poster details the Virginia Department of tests . Those not suppressed at baseline are most Health’s statewide implementation of the Data likely to remain so and warrant more attention . to Care initiative, and offers recommendations and lessons learned for other jurisdictions P110 - Using Cloud-Based Data Solutions considering implementing Data to Care . to Better Understand and Address Factors Related to HIV Viral Suppression P107 - Developing Surveillance System to Location: Zone 3 Identify and Re-engage PLWH Who Have Fallen Author(s): Ben Penningroth, Eric Thai Out of Medical Care Abstract Number: 7344 Location: Zone 3 This poster contains a demographic overview

193 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

of Part A Boston EMA clients and an exploration P113 - Leveraging Electronic Health Record of a logistic regression model that examines Data to Complement an HIV Surveillance factors associated with viral suppression . It also Registry details the next steps the Boston Public Health Location: Zone 3 Commission will take to continue advancing data Author(s): Jennifer Cukrovany, Brenda Moncur, to care in the Boston EMA . Joseph Kerwin, Travis O’Donnell, Bridget J . Anderson, Lou C . Smith, Yunshu Li, Rebecca P111 - Quality Management Strategies to Hoen, Annalisa Wilde, Thomas Moore, Thomas Improve Tracking of Health Putcomes for Ryan Check White Case Management Abstract Number: 6604 Location: Zone 3 The New York State Department of Health has Author(s): Charlotte Detournay, Joel Ritsema, partnered with Healthix, a health information Alanna Berdanier exchange, to receive member level data Abstract Number: 7001 on all HIV-diagnosed patients . This project To provide an overview of methods and visual demonstrates the great potential and challenges presentation of the dashboard implemented at in the automated use of electronic health record the AIDS Foundation of Chicago to track, monitor, data to enhance HIV surveillance and Data-to- and report on core case-management standards . Care activities . By improving transparency in our methods and more consistent tracking of performance P114 - Reducing Waste — Information Sharing measures, documentation and quality of services Location: Zone 3 will significantly improve. Author(s): Katie Himich, Jamie Dowling Tawes Abstract Number: 6454 P112 - Implementing Local Data to Care: Take advantage of CAREWare’s capabilities to Using HIV Surveillance Data to Inform Partner streamline programmatic processes, improve Services in Alameda County, California efficiency and decrease administrative burdens. Location: Zone 3 Author(s): Neena Murgai, Janet Tang P115 - AIDS Education and Training Centers Abstract Number: 7353 Increase the Volume and Diversity of the HIV The objective of this poster is to describe Workforce Alameda County’s implementation of Data to Location: Zone 3 Care to support partner services . Prevention Author(s): Mi-Suk, Kang Dufour, Janet Myers and Care Engagement (also known as PACE) — Abstract Number: 6620 a locally designed database — was developed Summarizes findings from analysis that examined to identify newly diagnosed cases using the the extent to which the AIDS Education and Enhanced HIV/AIDS Reporting System and local Training Centers (AETCs) increased the number lab surveillance database and to document and racial/ethnic diversity of HIV MPs . We services over time . used AETC data and compared it to American Community Survey data to determine the AETC training participation rate by professional group and race/ethnicity .

2016 National Ryan White Conference on HIV Care and Treatment 194 POSTER INDEX

P116 - Trends in Racial/Ethnic Disparities in P119 - Using CAREWare to Identify Antiretroviral Therapy Prescription and Viral Insuppressed People Living wth HIV/AIDS, by Suppression — United States, 2009–2013 Care and Antiretroviral Status in the District Location: Zone 3 of Columbia Author(s): Linda Beer, Heather Bradley, Location: Zone 3 Christopher H . Johnson, Brooke Hoots, Christine Author(s): Lena Lago, Justin Britanik L . Mattson, R . Luke Shouse Abstract Number: 6497 Abstract Number: 6179 Despite significant scaleup of HIV programs We used surveillance data from the Medical across Washington, D .C ,. suboptimal engagement Monitoring Project to estimate trends — overall in care and treatment remains an issue among and among MSM — in racial/ethnic disparities in certain populations . There was a need for real- ART prescription and viral suppression among time identification of populations, in the Ryan HIV-positive adults receiving medical care in the White system, with unsuppressed HIV viremia United States from 2009 to 2013 . and non-compliance to HIV treatment .

P117 - Antiretroviral Therapy and Viral P120 - Improved Housing and HIV-Related Suppression by Jurisdiction, Medical Outcomes Among Multiple Diagnosed Monitoring Project — 2009-2013 Homeless Patients with HIV After Intensive Location: Zone 3 Case-Management Intervention Author(s): Heather Bradley, Joseph Prejean, R . Location: Zone 3 Luke Shouse, Sandra Stockwell Author(s): Siavash Pasalar, Jessica Davila, Abstract Number: 6770 Charlene Flash, Nancy Miertschin, Robert This poster presents the prevalence of Betancourt, Yasmeen Quadri, and Thomas antiretroviral therapy prescription and sustained Giordano viral suppression among HIV-positive adults Abstract Number: 6778 receiving medical care in the United States from 2009 to 2013 by jurisdiction using data from the P121 - “In Da House” –Transgender Women Medical Monitoring Project . Outreach Initiative Location: Zone 3 P118 – Practical Adherence Measure — Author(s): Ivan Melendez-Rivera, Teodoro Colon, Helping the Patient Understand and Control Raul Correa Adherence Abstract Number: 6941 Location: Zone 3 Effective intervention model aimed at the Author(s): Romano Baroni, Ivan Melendez-Rivera transgender community . The intervention Abstract Number: 6946 facilitates access to HIV prevention, early Pill counting is one of the more accurate methods HIV diagnosis and link to care by providing of measuring medication adherence, but percent a home environment that is safe and free determination always takes time . This poster of discrimination . This model can be easily looks at integrating a spreadsheet as a tool to duplicated and flexible enough to adapt for help speed up compliance calculation and its different populations. implication in adherence counseling intervention .

195 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

benefit black MSM by analyzing viral suppression P122 - Patient Adherence to Antiretroviral and utilization data for the Ryan White Part A Medications Among Patients Using HIV- program . Specialized Pharmacy and Traditional Pharmacy Settings P125 - Sexual Orientation and Gender Identity Location: Zone 3 Data Collection (SOGI) — Best Practices Author(s): John G . Hou, Heather Kirkham, Glen Location: Zone 3 Pietrandoni, Ambrose Delpino Author(s): Douglas Janssen, Kasey Harding- Abstract Number: 6925 Wheeler HIV-specialized pharmacies have staff with Abstract Number: 6269 advanced disease state education and provide The poster describes in detail the process face-to face proactive patient services . Our study developed for the collection of comprehensive determined that patients with HIV who receive SOGI data at the largest FQHC in Connecticut . service of antiretroviral medications from HIV- This includes several PDSA cycles, data collection, specialized pharmacies have higher medication provider and patient surveys to assess process adherence rates . Pharmacists are uniquely and, ultimately, a playbook for use by all staff. valuable for patients with HIV . The SOGI data collection is an integral tool for providers to use in during visits with patients and P123 - Drilling Down Data: Barriers to Care for the data collection also allowed us to refer to Black Women with Unsuppressed Viral Loads patients by their preferred names and pronouns Location: Zone 3 from the moment they call in for appointments . Author(s): Amy Newton, Kelsey Holloman Abstract Number: 6705 P126 - Structuring an Electronic Medical In Broward County, Florida, black women Record (EMR) Tracking System for HIV Testing have poorer health outcomes, including lower Location: Zone 3 percentages of viral suppression, than women Author(s): Janet Goldberg, Lisa Khaleque of other races/ethnicities . This project aims to Abstract Number: 6551 assess the extent to which a given medical or Utilizing the EMR system to help track HIV tests social service barrier makes it difficult for black and troubleshoot clinic flow issues when it comes women to obtain medical care and achieve viral to routinizing HIV testing in hospitals . suppression . P127 – “Call Me, Maybe”: An Interprofessional P124 - Drilling Down Data: Impact of Service Approach to Retention in HIV/AIDS Care Utilization on Viral Suppression for Black MSM Location: Zone 3 Location: Zone 3 Author(s): Samantha Faulds, Liza Caringi, Lauren Author(s): Amy Newton, Kelsey Holloman Baumann, Cameron Mager, Tamara Robinson, Abstract Number: 6980 Bethany Blackburn, Linda Despines In Broward County, Florida, black MSM Abstract Number: 6451 experience poorer health outcomes, including According to the HIV Care Continuum, only 39 lower percentages of viral suppression, compared percent of patients receive HIV medical care . to MSM of other races/ethnicities . This study aims The Gaps in Medical Visits HIV/AIDS Bureau to identify medical and support services that measure was used to assess the status of patient

2016 National Ryan White Conference on HIV Care and Treatment 196 POSTER INDEX

engagement in an urban outpatient program . A Abstract Number: 6766 high-touch approach toward engagement in care Rural populations have unique barriers with was initiated and monitored . respect to HIV prevention and testing . In this study, we sought to describe behavioral practices, P128 - Utilizing an Integrated Data System for HIV testing frequency, and pursued community HIV Prevention, Surveillance, and Care input into creating solutions . Location: Zone 3 Author(s): Gordana Cokrlic, Lindsey VanderBusch P131 - How Primary Care and Preventive Abstract Number: 6933 Medical Services Are Provided in Ryan White- This poster describes the creation and Funded Medical Care Settings implementation of an integrated data system for Location: Zone 3 the collection and retention of HIV prevention, Author(s): Imogen Fua, Ellie Coombs HIV surveillance, and Ryan White Part B data into Abstract Number: 6827 a web-based system . This system allows for case People living with HIV (PLWH) are living longer managers, DIS and surveillance coordinators to and fuller lives and likely to develop common have access to the most complete and up-to-date health problems that also affect both the general information on an individual living with HIV/AIDS . and aging population . This poster presents preliminary findings from a study conducted by P129 - Red Cord Initiative — A Community- HRSA’s HIV/AIDS Bureau to examine the provision Based HIV Continuum of Care for Those of primary care and preventive services to PLWH Engaged in Prostitution in Ryan White HIV/AIDS Program-funded clinics . Location: Zone 3 Author(s): Alison Johnson P132 - Integrated HIV and STD Prevention and Abstract Number: 6564 Care in Detroit, Michigan Red Cord Initiative is a diversion and social Location: Zone 3 services program for those engaged in Author(s): Elizabeth Secord, Christopher prostitution aimed at providing practical and Finch, Jerry Burns, Brian McClatchey, Christine emotional support to improve their quality of Heumann, Patrick Yankee, Dawn Lukomski life and positive health behaviors . The program Abstract Number: 6950 addresses the individual, social, and structural In Detroit, Centers for Disease Control and determinants of HIV among those selling sex Prevention and Ryan White Program funds for money and those purchasing sex . Clients support test counselors, clinicians, non-medical receive high-quality, comprehensive HIV care, case managers and disease intervention treatment and wellness maintenance through the specialists in an integrated system that screens coordination of social support and other ancillary and enrolls STD clinic clients into antiretroviral services . treatment or antiretroviral prevention .

P130 - Testing, Risk Practices, and Barriers to P133 - The Importance of Case Management in Care in MSM in Rural Louisiana Making an Impact on Transgender Consumers Location: Zone 3 Location: Zone 3 Author(s): Nicholas Van Sickels, Paula Seal, Author(s): Maria Lorenzo Christopher LaCross, Alexandra Abrams-Downey Abstract Number: 7034

197 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

Case management can be a high-impact tool in P136 - Poster withdrew prior to conference. the engagement of the transgender population, especially those who have previously experienced P137 - Knowledge and Perceptions of HIV stigma or discrimination . CHCI has developed Among South Asian Americans and the Impact tools and interventions that target high-level on Community Uptake of HIV Testing case management to those patients who need Location: Zone 3 it the most and provide opportunities for those Author(s): Sneha Jacob, Sheenu Chandwani, patients to represent our patient population on Amoli Joshi, Devangi Shukla, Sunanda Gaur boards and committees within the agency . Abstract Number: 8061 According to the Centers for Disease Control and P134 - Promoting Adherence to Post Exposure Prevention, HIV testing rates are significantly Prophylaxis Following Sexual Assault in low among Asians . We examined the attitudes, Children and Adolescents: What Works? knowledge, and barriers related to HIV Location: Zone 3 testing among 665 South Asian Americans . Author(s): Kristen Lamberjack, Alexandrea Lux, The frequency of HIV testing was found to be Linda Crim considerably low in this community and was Abstract Number: 7035 strongly influenced by inaccurate perceptions Post-exposure prophylaxis (PEP) is a treatment about HIV and lack of physician recommendation . strategy to reduce HIV infection after sexual assault . The FACES program implemented P138 - Hepatitis C Treatment in HIV Patients in a seven-day starter pack in the emergency a Multisite Community Health Center Setting department with the remaining 28-day provided Location: Zone 3 at the first visit. We sought to assess the Author(s): Christine Kerr, Kaai Yee impact of this change on completion rates and Abstract Number: 6437 attendance to care . Limited data exists on treatment of patients coinfected with hepatitis C and HIV in the P135 - HIV Knowledge Among HIV-Infected community health setting . We recommend a Young Men Who Have Sex with Men in NYC multidisciplinary approach, geared towards case Jails management and training in HCV insurance Location: Zone 3 approval process and internal/external appeals . Author(s): Janet Wiersema, Anthony J . Santella, Press Canady, Neha Qureshi, Alison O . Jordan P139 - Behavioral Health’s Role in the Abstract Number: 7342 Continuum of Care for At-Risk Minority Jail-based patient care coordinators in NYC Populations implemented an adapted evidence-based Location: Zone 3 intervention, personalized cognitive counseling, to Author(s): Alton King reduce high-risk sexual behavior among 30 young Abstract Number: 6951 (20–29 years of age) minority (African-American SAMHSA’s TCE-HIV program is ever evolving to and Latino) HIV-infected MSM in 2014 and 2015 . address facilitators of new HIV infections and Average participant knowledge increased from hurdles to viral suppression . From substance use pre- to post-intervention from 15 .2 to 16 .5 correct disorders to intimate partner violence, program responses (out of 18 questions, p=0 .035) . recipients are changing the lives of clients daily

2016 National Ryan White Conference on HIV Care and Treatment 198 POSTER INDEX

through novel approaches such as trauma- P143 - Addressing the Forgotten Age Group: informed care and robust care coordination . People Who Are 40+ Location: Zone 3 P140 - Challenges Associated with Adapting Author(s): Eishelle Tillery an HIV Prevention Intervention for Young HIV Abstract Number: 7334 Positive MSM in the Jail Setting GMHC changed its target population after Location: Zone 3 seeing a growing trend in the Early Intervention Author(s): Press Canady, Allison Dansby, Alison Program, which targeted individuals over the age O . Jordan, Anthony J . Santella, Janet Wiersema of 50 and it is now focusing on individuals older Abstract Number: 7329 than 40 . Changing the target population has This poster explains how the Correctional Health allowed GMHC’s Geffen Center to provide testing Services team at Rikers Island in New York City for a population that is often overlooked . adapted an HIV-prevention intervention for incarcerated people living with HIV . P144 – Engagement in Care Among Transgender Women of Color Living with HIV P141 - Dolutegravir Use in an HIV-Positive Location: Zone 3 Renal Transplant Patient Author(s): JoAnne Keatley, Greg Rebchook, Location: Zone 3 Starley Shade, Deepalika Chakravarty, Cathy Author(s): Patricia Fulco, Crystal Leibrand Reback, Jeffrey Birnbaum, Robert Contreras, Judy Abstract Number: 6785 Perloff, Kelly Ducheny Recent data support the success of solid organ Abstract Number: 6736 transplants in HIV patients on suppressive Transgender women of color (TWOC) experience ART . Dolutegravir is not a cytochrome P450 significant HIV disparities. Preliminary 12-month substrate, inhibitor or inducer and would prevetn follow up data collected at nine SPNS-funded immunosuppressive drug-drug interactions . sites (N=158) revealed that TransLatinas were We report on two HIV-positive patients who less likely to receive HIV care than other TWOC . received kidney transplants and were successfully Health care empowerment and receiving support transitioned to ART regimens containing in seeking care were associated with an increased dolutegravir . likelihood of receiving care .

P142 - HIV Outcomes for Foreign-Born Patients P145 – HIV-Risk Perception and Openness to Location: Zone 3 PrEP Among Black African, Caribbean, and U.S. Author(s): Christine Pack, Arti Barnes, Henry Women Pacheco Location: Zone 3 Abstract Number: 6371 Author(s): Sophia Bessias, Helena Kwakwa, The purpose of this study was to explore how Natasha,Mvula, Donielle Sturgis, Gina Walton the health care system can better address HIV Abstract Number: 6972 management to non-U .S .-born patients living An examination of HIV risk perception and with HIV in the United States . This was done by openness to PrEP among black women in determining which countries of origin have the best Philadelphia, Pennsylvania, from Africa, the and worst HIV outcomes in the Dallas, Texas, area . Caribbean, and the United States . High/moderate participant-perceived risk was rare, particularly

199 2016 National Ryan White Conference on HIV Care and Treatment POSTER INDEX

among African/Caribbean (AC) women . A smaller P149 - Branches, Twigs, and Leaves: Michigan’s percentage of AC women than U .S . women were Innovative Approach to Integrated HIV open to PrEP. Data reflects the challenges of Prevention and Care Planning assessing HIV risk among women . Location: Zone 3 Author(s): Yasamean Zamani-Hank P146 - Early Experience with Treating Hepatitis Abstract Number: 6427 C Co-Infection with DAA in a Southern Part C The Michigan Department of Health and RW Clinic Human Services convened a Statewide Location: Zone 3 Integrated Planning Summit in April 2016 . Author(s): Melissa Stuntz, Shannon Stephenson, Ninety stakeholders representing diverse areas Brooke Weaver, Austin Sizemore of expertise were invited . The mind-mapping Abstract Number: 6627 approach was used to catalyze multidisciplinary Directly acting antivirals have revolutionized collaboration and develop innovative strategies the treatment of hepatitis C . Those coinfected to achieve the NHAS goals and improve health with HIV have increased morbidity and mortality outcomes for People Living with HIV/AIDS . related to hepatitis C . Chattanooga Cares, a free standing Ryan White clinic in Chattanooga, P150 - Real World Hepatitis C Treatment Tennessee, describes its efforts to overcome Outcomes in Dallas, Texas barriers and successfully treat hepatitis C in these Location: Zone 3 patients over the last year . Author(s): Patrick Clay, Jason Gillman, Jialiang Liu, Deanna Rogers, Lauren Rogers, Gary Sinclair, P147 - Community Needle Kiosk: A Pilot Sumihiro Suzuki, Gene Voskuhl Program Abstract Number: 6208 Location: Zone 3 A retrospective chart review was conducted of Author(s): Rachel Moloney patients with HIV/HCV co-infection who initiated Abstract Number: 8060 HCV treatment in Dallas, Texas . Over a two- An outdoor needle kiosk located at a community year period, 96 percent of patients successfully health center in Boston, Massachusetss, and why completed therapy and 83 percent of patients it is important . achieved SVR-12 . Funding sources were reviewed as well as programmatic approaches to facilitate P148 - Housing and Clinical HIV Outcomes in treatment uptake . the Ryan White HIV/AIDS Program Location: Zone 3 P151 - Enhancing HIV Care for Rural Areas in Author(s): Rupali Doshi, Amy Griffin, John Milberg the Midst of an Opioid Epidemic: Interventions Abstract Number: 6928 of the Mid-Atlantic AETC Lack of stable housing places people living with Location: Zone 3 HIV at risk of poor retention in care and death . Author(s): Linda Frank, Matt Garafalo, Jeannette We analyzed demographics, service use, retention Southerly, Johanna McKee, Leigh Guarinello in care, and viral suppression by housing status Abstract Number: 6303 (stable, temporary, and unstable), among clients The Mid-Atlantic AETC has developed in the Ryan White Services Report . interventions to reach rural areas of the USPHS Region III to address not only the HIV epidemic

2016 National Ryan White Conference on HIV Care and Treatment 200 POSTER INDEX

but co-epidemics of hepatitis C and substance by using hot-spotting and quality management use . The multifaceted approach includes techniques. CHWs can play a significant role interprofessional education along with education, in streamlining operations and creating new consultation, and technical assistance to address processes that empower clients, while addressing these co-epidemics . personal and systematic barriers .

P152 - Trauma Informed Excellence: A Paradigm Shift to Reach Positive Health Outcomes Location: Zone 3 Author(s): Brooke Bender, Bettina Harmon Abstract Number: 6802 The Trauma Informed Excellence (TIE) model and training program was developed to align with SAMHSA and HRSA’s emphasis on creating trauma informed organizations, and uses research from the fields of neurobiology, leadership, genetics, and psychology . The goal: Create services in which those who have experienced trauma reach positive health outcomes .

P153 - Implementing Trauma Informed HIV Care Services Location: Zone 3 Author(s): Christy Hudson Abstract Number: 6150 The experience of trauma throughout the life span is very common among People Living with HIV/AIDS . This poster highlights how trauma- informed care has been used by the Part B grantee in Oregon .

P154 - Pennsylvania Minority AIDS Initiative: An ADAP Collaboration through Quality Management and Innovation Location: Zone 3 Author(s): Kyle Fait, Deborah Murdoch, Richard Smith Abstract Number: 6716 This initiative demonstrates how community health workers (CHW) can support retain in care

201 2016 National Ryan White Conference on HIV Care and Treatment Want to sharpen your social media skills to use in your HIV programs? Whether you are new or experienced, visit the Lab. No appointment needed! HRSA and AIDS.gov staff are ready to answer your questions and provide customized technical assistance (TA) on using social media to help engage clients and partners in your HIV prevention, care, and treatment work. Come by to talk about your communication work or just to charge your devices.

VISIT THE SOCIAL MEDIA LAB WITH AIDS.GOV AND HRSA LOCATED IN EXHIBIT HALL, FEDERAL VILLAGE

Wednesday, August 24 & Thursday, August 25 10am-5pm

2016 National Ryan White Conference on HIV Care and Treatment 202 BLOG.AIDS.GOV FACEBOOK.COM/AIDSGOV @AIDSGOV @AIDSGOV EXHIBITORS

EXHIBIT HALL TIMES Location: Federal Village Want to sharpen your social media skills to use The Exhibit Hall will open on Tuesday, August 23, in your HIV programs? Whether you are new at 11:30 AM and will be open during conference or experienced, visit the Social Media Lab . No hours until Friday, August 26, at 12:45 PM . appointment needed! HRSA and AIDS.gov staff are ready to answer your questions and provide Special times have been allocated in the customized technical assistance on using social conference schedule to encourage exhibit hall media to help engage clients and partners in your attendance . HIV prevention, care, and treatment work . Come by to talk about your communication work and Tuesday, August 23 charge your devices . ƒƒ 11:30 AM-1:00 PM Wednesday, August 24 ƒƒ 10:00 AM-10:30 AM EXHIBITOR LISTING ƒƒ 12:00 PM-1:30 PM AIDS Education and Training Center (AETC) ƒƒ 3:00 PM-3:30 PM National Coordinating Resource Center Thursday, August 25 www .aidsetc .org ƒƒ 10:00 AM-10:30 AM FXB Center ƒƒ 12:00 PM-1:30 PM 65 Bergen St ., 8th Floor Newark, NJ 07101 ƒƒ 3:00 PM-3:30 PM Primary Contact: Judy Collins Friday, August 26 Contact Email: collinj3@sn .rutgers edu. ƒƒ 9:30 AM-10:00 AM 973-972-5528 ƒƒ 11:30 AM-11:45 AM The AETC National Coordinating Resource Center (NCRC) provides access to education, capacity- DON’T MISS THE SOCIAL MEDIA building assistance, and other training resources LAB WITH AIDS.GOV AND HRSA for the AETC Program of eight regional centers, three national centers, and five health profession Wednesday, August 24 training programs . Additionally, the AETC NCRC ƒƒ 10:00 AM-5:00 PM coordinates AETC network communities of practice to support the program mission of Thursday, August 25 offering timely, high-quality, state-of-the-science ƒƒ 10:00 AM-5:00 PM

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information to health care professionals working see a list of the clients who are part of each with existing and emerging populations affected summary count . This dashboard technology will by HIV . The AETC Program is part of the Ryan make the information in the CAREWare database White HIV/AIDS Program . more accessible, intuitively summarized and graphically powerful . AIDS United www .aidsunited .org American Academy of HIV Medicine Primary Contact: Cody Barnett www .AAHIVM .org Contact Email: cbarnett@aidsunited .org 1705 DeSales St . NW, Suite 700 202-408-4848, ext . 271 Washington, DC 20036 Primary Contact: Jim Friedman AIDS United’s mission is to end the AIDS epidemic Contact Email: jfriedman@aahivm .org in the United States. We seek to fulfill our mission 202-659-0699, ext . 19 through strategic grantmaking, capacity building, policy/advocacy, technical assistance and The American Academy of HIV Medicine is a formative research . professional organization that supports the HIV practitioner and promotes accessible, A.J. Boggs & Company quality care for all Americans living with HIV www .ajboggs com. disease . Our membership of HIV practitioners 4660 S . Hagadorn Rd ., Suite 290 and credentialed HIV specialists, HIV experts, East Lansing, MI 48823 and HIV pharmacists provide direct care to Primary Contact: Clarke Anderson more than three-fourths of HIV patients in the Contact Email: jca@ajboggs .com United States . AAHIVM believes in giving HIV 517-253-0051 frontline practitioners the support, resources and educational opportunities they need for A .J . Boggs and Company’s IXN Division brings providing optimal care for those living with HIV more than 11 years of experience in hosting disease . The academy’s provider credentialing CAREWare services to Ryan White Programs . program is the only one of its kind in the United We currently manage CAREWare services for States, offering clinicians the ability to become customers in 12 jurisdictions and are consistently certified as an HIV Specialist (AAHIVS), HIV Expert adding new clients to our portfolio . Currently, we (AAHIVE), or HIV Pharmacist (AAHIVP) . are in the final stages of working alongside CDPH to develop a CAREWare Dashboard Reporting American Academy of Physician Assistants System (www.lifia.org), which is a self-enrollment www .aapa .org portal for ADAP registration and eligibility . 2318 Mill Rd ., Suite 1300 Through lifia.org we are able to improve Alexandria, VA 22314 reporting performance for case management and Primary Contact: Eric Peterson clinical services from the CAREWare database by Contact Email: epeterson@aapa .org helping with process improvement . The summary 571-319-4407 report and services report are similar to the standard HRSA Ryan White HIV/AIDS Program Founded in 1968, the American Academy of services report with the ability to drill down and Physician Assistants (AAPA) is the national

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professional society for physician assistants launched by the CDC and the White House (PAs) . It represents a profession of over in April 2009, and HIV Treatment Works, a 108,500 certified PAs across all medical and national HIV education campaign under AAA that surgical specialties in all 50 states, the District encourages people living with HIV to get in and of Columbia, the majority of the U .S . territories stay in care . and the uniformed services . AAPA advocates and educates on behalf of the profession and American International Health Alliance the patients PAs serve . We work to ensure the www .aiha com. professional growth, personal excellence and 1225 Eye St . NW, Suite 205 recognition of PAs . We also enhance their ability Washington, DC 20005 to improve the quality, accessibility and cost- Primary Contact: Kathryn Utan effectiveness of patient-centered health care. Contact Email: kutan@aiha com. 202-719-1152 American Institutes for Research www .air .org The American International Health Alliance (AIHA) 1000 Thomas Jefferson Street NW is an international nonprofit working to advance Washington, DC 20007 global health through sustainable health systems Primary Contact: Lori Agin strengthening (HSS) and human resources for Contact Email: lagin@air .org health interventions . AIHA’s vision is a world Phone Number: 404-260-1043 with access to quality health care for everyone, everywhere . Our mission is to strengthen health AIR’s mission is to conduct and apply the best systems and workforce capacity worldwide behavioral and social science research and through locally driven, peer-to-peer institutional evaluation toward improving people’s lives, partnerships that work to create a strong with a special emphasis on health disparities foundation for delivering comprehensive, and social determinants . We design and inclusive health services . AIHA has established implement innovative, evidence-based strategic 175 health partnerships in 34 countries and communication programs that inform, educate, currently manages a broad HSS portfolio that empower, engage, and help eliminate health includes the PEPFAR/HRSA-funded HIV/AIDS disparities, to affect lasting behavior change Twinning Center and Volunteer Health Care among individuals, families, communities, Corps and the PEPFAR/CDC-funded Technical organizations and systems—translating science Assistance Support for the Strengthening of for all . AIR has a deep understanding of HIV/ Blood Transfusion Services in Asia Project . Since AIDS prevention and treatment issues and has 1992, AIHA has been awarded $326 million in provided communication counsel, product U .S . government grants, which we’ve leveraged development, community engagement and with $293 million in in-kind contributions of message dissemination services to federal professional time and resources from partners at and private organizations . This work includes 210 U S. . hospitals, health systems and academic supporting the Centers for Disease Control institutions . and Prevention’s (CDC) Division of HIV/AIDS Prevention on Act Against AIDS (AAA), a multi- year, multifaceted communication effort

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Anthem/Simply Health Care Plans/Clear CAI is a leading, mission-driven organization Health Alliance dedicated to improving the health and well-being www .antheminc .com of underserved populations in the United States www .clearhealthalliance .com and internationally . The passion and commitment 9250 W Flagler St ., Suite 600 of our diverse, professional staff inspires positive Miami, FL 33174 change for a more equitable world . Our global Primary Contact: Sam Quintero perspective and mission drives us to identify Contact Email: Squintero@clearhealthalliance .com and confront emerging issues facing vulnerable 305-421-1958 / 305-794-7362 communities, regardless of location .

As a wholly owned subsidiary of Anthem, Inc ., Coldspring Center for Social and Health Simply Health Care Plans, Inc . and its Clear Innovation Health Alliance plan are part of an organization www .coldspringcenter .org that is the nation’s leading provider of health P .O . Box 18292 care solutions for state-sponsored programs . Denver, CO 80218 Currently operating in 20 states, we serve more Primary Contact: Brooke Bender than 6 million people in Medicaid and other Contact Email: Bender@ColdspringCenter .org state-sponsored programs through local affiliate 303-960-6033 health plans . This deep national experience Coldspring Center is a nonprofit passionate includes over 25 years of development and about furthering the art and science of healing . implementation of innovative programs that We provide expert training, facilitation, technical draw upon the latest best practices in such areas assistance and quality improvement solutions . as local provider networks, service coordination, Our team brings decades of experience care management, specialized populations, and working with the clinical, programmatic and value-based purchasing, customized to meet administrative aspects of Ryan White and HIV state-specific needs. Clear Health Alliance is a service delivery . Coldspring Center works with Medicaid Specialty Plan for people living with Part A, B, C and D grantees and direct service HIV/AIDS . Clear Health Alliance is a health plan providers and delivers quality improvement for people receiving Medicaid benefits who are coaching and training, evaluation, and in-person living with HIV/AIDS . Members of the plan can and online training in Trauma Informed Care, see highly trained HIV/AIDS doctors and service Motivational Interviewing, and Medical Case providers . Clear Health Alliance also helps Management . members access community services to help them stay well . ContextMedia:Health www .contextmediainc com. CAI (Cicatelli Associates Inc.) 330 N . Wabash Ave ., Suite 2500 www .caiglobal .org Chicago, IL 60611 505 8th Ave ., Suite 1900 Primary Contact: Jeanette Wochinski New York, NY 10018 Contact Email: jeanette wochinski@. Primary Contact: Beth Hurley contextmediainc com. Contact Email: bhurley@caiglobal .org 309-940-2111 212-594-7741, ext . 235

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ContextMedia:Health is the largest and most change through motivational interviewing and innovative provider of digital education solutions other interventions, leading to improved clinical at the point of care . ContextMedia:Health outcomes . All actions, interventions, results delivers hyper-targeted patient education and comments are tracked by a sophisticated to waiting and exam rooms, impacting over software system designed and developed by 12 million patient visits monthly . Recently, CCN . ContextMedia:Health introduced Patient Wi-Fi and the Digital Exam Room Wallboard, which Duke University School of Nursing guarantee patients access to relevant health www .nursing .duke .edu information during resolution moments of their 307 Trent Drive treatment . The Digital Exam Room Wallboard Durham, NC 27520 features an interactive physician mode, which Primary Contact: Nicole Fleming provides technology to educate patients with 3-D Contact Email: [email protected] responsive anatomical diagrams that physicians 919-684-9163 can mark to illustrate aspects of patient illness and communicate treatment information to The Duke University School of Nursing offers improve retention . programs of study ranging from the Accelerated Bachelor of Science in Nursing, Master of Science Coordinated Care Network in Nursing, Post-Graduate Certificate in Nursing, www .coordinatedcarenetwork .com Doctor of Nursing Practice, and PhD levels of 300 Penn Center Blvd . Suite 505 education . Pittsburgh, PA 15235 Primary Contact: Lori Hunt Epividian, Inc. Contact Email: lhunt@ccnrx .com www .epividian com. 412-779-1336 4819 Emperor Blvd ., Suite 400 Durham, NC 27513 CCN is a 340B Contracted Pharmacy that Primary Contact: Rodney Mood provides specialty mail order and custom delivery Contact Email: Rodney Mood@epividian. .com services to Ryan White Programs and their 919-323-8728 patients . CCN was formed in 1996 by a network of safety-net providers and was originally funded Epividian advances the mission of HIV treatment by the U .S . Department of Health and Human and research by empowering and providing novel Services to build its 340B program and specialty research services for clinical practice, clinical pharmacy . CCN provides a one-on-one care research, academic, public health and regulatory representative for every patient, multi-dose purposes . Our unique approach combines packaging and 24/7 access to a CCN pharmacist . real world clinical data throughout the medical CCN Pharmacy’s Adherence Program is an ecosystem from clinical research to clinical innovative clinical model designed to provide application . Point-of-care observational data from support and consultation to at-risk patients . the doctor-patient encounter is used to support Through the program, clinical pharmacists real-world medical research . Our mission is the engage patients who meet retrospective risk mission of medicine: solving complex problems assessment criteria and foster behavioral to improve the health of individuals and the

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public . Each participating clinic has access to Germane Solutions Epividian’s unique CHORUS™ analytics platform, www .germane-solutions com. a sophisticated health care analytics solution 10552 Success Lane designed specifically to help clinicians treating Dayton, OH 45458 patients with HIV and HCV . CHORUS includes Primary Contact: Marcos Alcorn additional functionality such as an automated Contact Email: malcorn@germane-solutions .com CAREWare interface and PQRS reporting . 937-818-7017

François-Xavier Bagnoud (FXB) Center Founded in 2002, Germane & Co ,. Inc ,. d ba. . www .fxbcenter .org Germane Solutions, is a health care and 65 Bergen St ., 8th Floor technology consulting firm that is composed of Newark, NJ 07101 a team of top industry executives . As a leader Primary Contact: Mary Jo Hoyt in Health Access, Germane Solutions boasts Contact Email: hoyt@sn .rutgers .edu significant engagement with federally qualified 973-972-9230 health centers, HIV/AIDS-serving organizations, behavioral health centers, public health entities, The François-Xavier Bagnoud Center (FXB Center) safety net organizations, patient-centered within the Rutgers School of Nursing is a leader medical homes/health homes, and accountable in the collaborative development of sustainable care organizations . We focus on optimizing programs for vulnerable women, children, youth operations, providing quality improvement, and families, including those infected/affected identifying innovative processes, improving by HIV . One of the roles of the FXB Center is to operational and fiscal performance, supporting provide technical expertise and administrative viable health policy and offering expert planning support to the CDC’s Expert Panel on and implementation of programs for population Reproductive Health and Preconception Care for health . Our team is organized, detail-oriented Persons Living with HIV . Together with the expert and effective when managing client projects, as panel, the FXB Center has developed a set of demonstrated in work conducted for Ryan White provider tools and patient education materials to organizations throughout the country . support the integration of quality preconception counseling and care in HIV primary care settings . HealthHIV Preconception care for people living with HIV www .HealthHIV org. aims to promote planned pregnancies, support 2000 S St . NW safer conception strategies for serodifferent or Washington, DC 20009 serodiscordant partner, prevent perinatal HIV Primary Contact: Michael Shankle transmission and optimize parental and infant Contact Email: michael@healthhiv .org health outcomes . HIV providers are positioned to address the preconception care needs of HealthHIV is a national 501(c) (3) nonprofit HIV-positive men and women of reproductive organization whose mission is to advance potential . effective prevention, care and support for people at risk for or living with HIV through education and training, capacity building and technical assistance, advocacy and health

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services research and evaluation . HealthHIV’s in advocating on critical Ryan White policy and Fiscal Health: Systems to SustainabilityTM is an programmatic issues . education, training, and technical assistance program that addresses the fiscal sustainability Johns Hopkins School of Nursing of Ryan White-funded recipients by building their www .nursing .jhu edu. organizational fiscal management capacity. This 1909 McElderry St . HealthHIV-led and Health Resources and Services Baltimore, MD 21205 Administration/HIV/AIDS Bureau-supported Primary Contact: Kelly Lowensen program utilizes a diverse and culturally Contact Email: klowens1@jhu edu. competent team of fiscal management experts 410-955-7168 to design and implement effective trainings and technical assistance . The program focuses The Johns Hopkins University School of Nursing on HRSA fiscal and program requirements and R E. .A .C H. . Collaboratory brings together HRSA- contracts management with specifications for the supported AETC programs for both pre-service states in which recipients reside . (National AETC for Nurse Practitioner Education) and in-service (MidAtlantic AETC JHU Regional HIV Medicine Association/Ryan White Partner) for HIV care as well as CDC-supported Medical Providers Coalition initiatives to increase Pre-Exposure Prophylaxis www .hivma .org and HIV testing in Baltimore, Md . 1300 Wilson Blvd ., Suite 300 Arlington, VA 22209 JProg Primary Contact: Andrea Weddle www .jprog .com Contact Email: aweddle@hivma .org 1215 Prytania St ., Suite 235 703-299-0915 New Orleans, LA 70130 Primary Contact: Bill Devlin The HIV Medicine Association (HIVMA) is an Contact Email: billdevlin@jprog com. organization of more than 5,000 clinicians 504-486-0702, ext . 428 and researchers whose professional focus is HIV medicine . HIVMA’s mission is to promote Since 1999, jProg has been the developer of quality in HIV care by advocating for policies that CAREWare and has run the CAREWare Help Desk . ensure a comprehensive and humane response jProg is now offering a cloud-based CAREWare to the AIDS pandemic informed by science hosting service . jProg can migrate your current and social justice . Nested within the Infectious CAREWare server to a secure Amazon Web Diseases Society of America, HIVMA’s work Services server that has been specifically includes creating clinical and educational tools approved for hosting PII . jProg manages all of the and resources; supporting clinical training and technical aspects that are necessary to ensure research opportunities to build HIV workforce your organization has a CAREWare server that capacity and promoting policies and programs works . These services include secure backups, to improve access to HIV prevention and setting up a test server when you decide to care . HIVMA sponsors the Ryan White Medical upgrade to new CAREWare builds, and seamlessly Providers Coalition, which provides medical moving those builds to production when you’re providers in Ryan White-funded clinics a voice ready . All hardware and software, including

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operating systems and SQL server licenses, are founded by its president, Kelly Garry Burks, RN, included in the fee . MBA. The joint venture, MSCG, is certified by the U S. . Small Business Administration as an 8(a) JSI Small Disadvantaged (SDB) and minority Women- www .targethiv .org/ace Owned Small Business (WOSB) Our. joint venture www .jsiwww .jsi .com partnership comprises two highly qualified 44 Farnsworth St . women-owned businesses that are richly Boston, MA 02210 experienced in public health services, technical Primary Contact: Courtney Winger assistance and training (TTA), policies, and Contact Email: courtney_winger@jsi .com regulations for the Health Resources and Services Administration (HRSA) bureaus and offices. We The HRSA-supported Affordable Care Enrollment support the HIV/AIDS Bureau (HAB) by providing (ACE) TA Center helps Ryan White HIV/AIDS technical assistance and site visit expertise to Program recipients and subrecipients enroll ensure HAB grant recipients are compliant . diverse clients, especially people of color, in health coverage . Through national and targeted MassCARE, Massachusetts Department of efforts, the ACE TA Center has developed and Public Health distributed practical, culturally competent, www .mass gov/dph/masscare. timely and relevant resources that are designed 250 Washington St . to build the capacity of organizations, case Boston, MA 02108 managers, clinicians and consumers . ACE TA Primary Contact: Sandra Broughton Center resources address the spectrum of Contact Email: sandra .broughton@state ma. .us health coverage challenges including engaging 617-994-9819 consumers in conversations about getting coverage, helping consumers learn to make the MassSTYLE (success through youth leadership most of their health coverage, and managing and empowerment) is part of MassCARE, a Ryan gaps and transitions between coverage options . White Part D program, and utilizes a model The ACE TA Center is a project of JSI Research & of “Engage, Educate and Empower .” Program Training Institute, Inc . (JSI) . activities move youth from idea through product development by 1) engaging youth through site- Management Strategists Consulting Group, based programs while accessing their expertise LLC and experience 2) providing expert education www .mscgjv .com and skill development to inform the messaging Primary Contact: Latonya Dunlow and producing a quality product that can 3) help Contact Email: ldunlow@imstrategists .com empower the youth to share their message with 571-334-4889 their peers and the community . An example of this process is the recently finished product and Management Strategists Consulting Group, LLC educational/awareness music video “We Won’t is a joint venture of Innovative Management Quit ”. The youths wrote, recorded and produced Strategists LLC (IMS) founded by its president, an original song, then wrote, filmed and edited Latonya Dunlow, DHA, MPH, and Management the final video (The music video highlights Solutions Consulting Group, Inc . (MSCG, Inc .), positive young people’s message for their lives

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in their own voice . The video will be shown National Alliance of State and Territorial alongside the program’s publication “Moving on AIDS Directors (NASTAD) Positively”, a guidebook for youth, Caregivers and 444 N . Capitol St . NW, Suite 339 providers on health transition materials will be Washington, DC 20001 available) . Primary Contact: Ann Lefert Contact Email: alefert@nastad .org MediraRx 202-434-8090 www .medirarx .com 1517 Avenue H, Suite #2 Founded in 1992, National Alliance of State & Brooklyn, NY 11230 Territorial AIDS Directors (NASTAD) is a nonprofit Primary Contact: Ira Landsman association that represents public health Contact Email: ira@medirarx .com officials who administer HIV and hepatitis health 800-581-3402, ext . 104 care, prevention, education, and supportive service programs funded by state and federal MediraRx is a 340B Program administrator that governments in all 50 U S. . states, the District of has been helping Ryan White grantees and Columbia, Puerto Rico, the U S. . Virgin Islands, and subgrantees including Aids Service Organizations the U.S. Pacific Islands. NASTAD also supports (ASO) manage, oversee, and maximize their 340B partner governments in Africa, Central America, programs since 2009 . The 340B Drug Discount and the Caribbean . Program is a federal government program created in 1992 that requires drug manufacturers National Center for Innovation in HIV Care to provide outpatient drugs to eligible health www .nationalhivcenter .org care organizations at significantly reduced prices. The Fenway Institute MediraRx provides a wide range of services to 1340 Boylston St . all 340B covered entities including real-time Boston, MA 02215 comprehensive regulatory compliance, patient Primary Contact: Sean Cahill eligibility, pharmacy replenishment, program Contact Email: scahill@fenwayhealth .org tracking and reporting . Through MediraRx’s 617-927-6013 340B innovative Ryan White pharmacy network program, organizations can work with their The National Center for Innovation in HIV Care neighborhood pharmacies and chains to allow provides free training and technical assistance their patients/clients to fill prescriptions near to Ryan White-funded AIDS service organizations where they live, work and receive care . Patients (ASOs) and community-based organizations can also have prescriptions filled using specialty (CBOs) to help them navigate the changing or mail order pharmacies . For those interested health care landscape . Funded by HRSA/HAB, the in learning more about the 340B program, center helps organizations develop strategies MediraRx can help . to improve their organizational sustainability as well as the treatment outcomes of their clients . Much of this is done by helping organizations explore models for developing their own medical services or partnering with other health care organizations to be a part of the provision of

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these services . The center is a collaboration program, national and regional training between The Fenway Institute, AIDS United, and conferences, a treatment and research program, the AIDS Resource Center of Wisconsin . The a leadership pipeline program and numerous booth will be staffed by representatives of the electronic/social media engagements and center and will include tools, briefs and other materials . NMAC’s Leadership Pipeline division resources for ASOs and CBOs interested in serves as a vehicle for developing minority adapting to the changes in health care . leaders that strive to end the HIV epidemic in America . This division was formed in December National Quality Center 2014 in response to stakeholder feedback www .nationalqualitycenter .org obtained via NMAC’s strategic planning process . 90 Church St ., 13th Floor This division will promote integration of racial New York, NY 10007 and social justice within NMAC’s overall projects Primary Contact: Clemens Steinbock and engage new and emerging leaders with Contact Email: clemens .steinbock@health ny. gov. existing champions to build networks between 212-417-4730 the past, present and future response to HIV .

The National Quality Center (NQC), in conjunction PACT - Partnership for Access to Clinical with HRSA HIV/AIDS Bureau, provides no-cost, Trials state-of-the-art technical assistance for all Ryan www .niaid .nih gov/Volunteer/HIVandInfectious/. White HIV/AIDS Program recipients to improve Pages/pact aspx. the quality of HIV care nationwide . NQC currently 700 King Farm Blvd ,. Suite 500 provides technical assistance to over 90 percent Rockville, MD 20850 of all Ryan White recipients and has established Primary Contact: Karen Davison itself as the premier TA center on clinical quality Contact Email: kdavison@mmgct com. management . NQC provides a myriad of quality 301-348-1606 improvement services built around the core needs of HIV providers, including sharing, The Partnership for Access to Clinical Trials training and consulting . program brings together Washington, D C. . metropolitan-area community-based health NMAC care providers, their patients and research www .nmac .org clinicians from the National Institute of Allergy Primary Contact: Jacqueline Coleman and Infectious Diseases at the National Institutes Contact Email: jcoleman@nmac .org of Health Clinical Center in Bethesda, Md . The 202-460-1407 PACT program staff educate patients, providers and community groups about clinical research NMAC (formerly known as the National Minority studies and advances in treatments for infectious AIDS Council) is a 501(c)(3) organization . NMAC diseases such as HIV/AIDS, hepatitis C, and leads with race to urgently fight for health equity tuberculosis . The focus of the program is to and racial justice to end the HIV epidemic in the increase access to research for people who may United States . Since 1987, NMAC has advanced be underrepresented in clinical studies . The this mission through a variety of programs and team assists in overcoming barriers which may services, including: a public policy education limit patients’ participation, such as language,

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transportation and culture . and HOPWA grantees around the nation for data collection, patient record management, Project Inform inter-agency communication, federal and state www .projectinform .org reporting, collecting needs assessment and 273 Ninth Street client satisfaction data, and assessing client level San Francisco, CA 94103 outcomes for their RWAP and HOPWA services . Primary Contact: Alan McCord Contact Email: amccord@projectinform .org REPRIEVE Phone Number: 415-580-7307 www .reprievetrial .org 8757 Georgia Ave, 12th Floor Project Inform fights the HIV and hepatitis C Silver Spring, MD 20910 epidemics by assuring the development of effective Primary Contact: Katie Fitch treatments and a cure; supporting individuals to Contact Email: [email protected] make informed choices about their health; advocating 617-724-8015 for quality, affordable health care; and promoting medical strategies that prevent new infections . People living with HIV are 50 percent to 100 percent more likely to develop heart disease — RDE Systems Support Group LLC this includes heart attack and stroke — compared www .e-compas .com with people who do not have HIV . REPRIEVE, 275 Paterson Ave . which stands for a Randomized Trial to Prevent Little Falls, NJ 07424 Vascular Events in HIV, is the first large-scale Primary Contact: Susan Shane randomized clinical research trial to test a Contact Email: Susan@rdesystems .com strategy for heart disease prevention among 973-773-0244 people living with HIV. Specifically, REPRIEVE will test whether a daily dose of a statin (pitavastatin) RDE System Support Group, LLC’s exhibit at the reduces the risk of heart disease among HIV- 2016 National RW Conference will include the infected individuals . The REPRIEVE trial will provision of technical assistance to conference include 6,500 participants and will be conducted attendees on topics to include data systems at approximately 100 clinical research sites in the and data management for quality management United States and abroad . The trial is supported and improved outcomes, and RSR and ADR by the NIH’s National Heart Lung and Blood compliance. RDE will also disseminate findings Institute and the National Institute of Allergy and and lessons learned from over a dozen successful Infectious Diseases and is conducted through the SPNS projects in which it has partnered as AIDS Clinical Trials Network and many other sites technical advisor with Part A and Part C grantees . approved by the NIH Division of AIDS . eCOMPAS and its second generation, e2, created by RDE, are nationally recognized, innovative, secure web-based data management and outcomes measurement systems designed specifically for the data management needs of HIV/AIDS care and treatment programs . eCOMPAS is currently in use by Ryan White

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Ryan White Clinics for 340B Access The Scientific Consulting Group, Inc. www.rwc340b.org www .scgcorp .com 517 C St . NE 656 Quince Orchard Rd ,. Suite 210 Washington, DC 20002 Gaithersburg, MD 20878 Primary Contact: Jessica Reinhart Primary Contact: Erica Ahmed Contact Email: Jessica .Reinhart@aidshealth org. Contact Email: eahmed@scgcorp com. 323-203-6146 301-670-4990

RWC-340B was organized in 2013 by a group of SCG is a woman-owned company established providers with one common goal: to preserve in 1991 that specializes in communicating the benefits of the 340B program for themselves scientific information that improves the quality and for all private nonprofit 340B program of our lives and the environment in which we participants that provide primary care with a live . We adhere to seemingly simple principles particular focus on persons living with HIV/AIDS. — we listen to our clients’ needs, develop While many of these are grantees under the creative approaches to meet those needs, and Ryan White program, others might participate implement those approaches cost effectively in the 340B program as federally qualified with unsurpassed passion and dedication to health centers or other provider types . Most excellence . SCG supports the Health Resources importantly, all rely on the 340B program to do and Services Administration’s HIV/AIDS Bureau more for their patients with less funding . by developing and coordinating communication and outreach activities to expand awareness Ryan White TARGET Center and understanding of the Ryan White HIV/AIDS www .careacttarget .org Program . We also provide health communication 1700 Owens Street, Suite 316 materials to RWHAP stakeholders to increase San Francisco, CA 94158 engagement with the program and address Primary Contact: Nicolé Mandel health disparities . Contact Email: Nicole Mandel@ucsf. edu. 415-575-0502 UCHAPS: Urban Coalition for HIV/AIDS Prevention Services The TARGET Center website is the central www .uchaps .org source of technical assistance (TA) and training Primary Contact: Dea Varsovczky resources for the Ryan White HIV/AIDS Program . Contact Email: dea@uchaps .org The site is the one-stop shop for tapping into 202-469-3454 the full array of TA and training resources funded by the Health Resources and Services The Urban Coalition for HIV/AIDS Prevention Administration’s HIV/AIDS Bureau . Key features Services (UCHAPS) is a national collaboration of include a resource library, TA calendar, contact community partners and health departments, information for Ryan White recipients and TA dedicated to preventing new HIV infections providers, and an online Help desk . “TARGET” and reducing health disparities, morbidity and stands for Technical Assistance Resources, mortality . UCHAPS member jurisdictions are Guidance, Education & Training . among the epicenters of the urban HIV epidemic and are often at the forefront of piloting new

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intervention strategies . UCHAPS collaborates with allied organizations and federal partners to reach WRMA, Inc. our common goals, and continually explores www .wrma com. ways to improve the delivery of services by using 12300 Twinbrook Pkwy ,. Suite 310 a peer technical assistance model to exchange Rockville, MD 20852 expertise, strategies, and solutions to common Primary Contact: Rachel Gross challenges . Contact Email: rgross@wrma .com 301-881-0096, ext . 243 University of Rochester Center for Health and Behavioral Training WRMA is a woman-owned small business which www .chbt .org has implemented hundreds of customized www .urmc .rochester .edu/medicine/infectious- projects . WRMA has more than 30 years of disease .aspx experience and expertise in research, evaluation, 853 W . Main Street performance measurement and monitoring, and Rochester, NY 14611 data and IT analytic services . We currently have Primary Contact: Juhua Wu 60 employees spread across the country, with Contact Email: juhuawu@monroecounty gov. two main offices in Rockville, Md., and Arlington, 585-753-5376 Va . Our primary mission is to provide system- wide improvements in support of the delivery of The University of Rochester Center For programs for children and families, communities, Health and Behavioral Training (UR-CHBT) is a and at-risk populations . With our team of top capacity building and training center within the research social scientists, we are committed university’s Infectious Diseases Division . With to the delivery of quality, evidence-based over 25 years of experience providing training/ deliverables for our clients . education, patient care and clinical consultation in the field of HIV and STDs, UR-CHBT is Federal Exhibitors committed to its mission of providing HIV/STD/ VH prevention and care services to communities Health Resources and Services with disparities, and bridging science and Administration (HRSA) practice through training and capacity building Office of Human Resources to advance HIV/STD prevention and care . CHBT- UR faculty/staff have a unique combination of Health Resources and Services clinical, behavioral, and prevention expertise in Administration (HRSA) public health practice, as well as in the provision Office of Information Technology of training and technical assistance . UR-CHBT is a capacity building assistance provider funded by the CDC to provide services on HIV prevention interventions including biomedical interventions such as PrEP and PEP to state/jurisdictional health departments . UR-CHBT is also designated as a Regional Training Center and STD Center for Excellence by the AIDS Institute .

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Health Resources and Services guidelines and related materials; and AIDSource Administration (HRSA) — a portal containing information from federal HRSA-OFAM-Division of Independent Review and nonfederal sources on various aspects of 5600 Fisher Lane 10-57B HIV/AIDS . Rockville, MD 20857 Primary Contact: Amir Izadi SAMHSA-HRSA Center for Integrated Health Contact Email: Aizadi@hrsa .gov Solutions 301-443-2744 www .integration SAMHSA. gov. Secondary Contact: Jeannie Davis 1400 K Street NW, Suite 400 Contact Email: jdavis@hrsa .gov Washington, DC 20005 301-443-4767 Primary Contact: Laura Galbreath Contact Email: laurag@thenationalcouncil .org The purpose of the Division of Independent 202-684-7457, ext . 231 Review (DIR) is to plan, direct, and carry out fairly and objectively HRSA’s independent review The SAMHSA-HRSA Center for Integrated Health process of applications for discretionary grants Solutions (CIHS) promotes the development of and cooperative agreements . DIR‘s goals are integrated primary and behavioral health services to ensure that reviews comply with applicable to better address the needs of individuals with statute, regulations and standard operating mental health and substance use conditions, procedures, to ensure a fair, ethical and objective whether seen in specialty behavioral health or review of each application, and to ensure that primary care provider settitngs . CIHS provides results represent an appropriate ranking of the practical resources, training and technical highest-qualified applications. assistance to safety net providers across the country . National Library of Medicine www .nlm .nih .gov USAID 6707 Democracy Plaza, Two Democracy Plaza, www .usaid gov. Suite 510 1300 Pennsylvania Ave . NW Bethesda, MD 20892 Washington, DC 20523 Primary Contact: Andrew Plumer Primary Contact: Elizabeth Kane Contact Email: plumera@nlm .nih .gov Contact Email: ekane@usaid gov. 301-451-4451 517-551-7336

The National Library of Medicine (NLM), one of USAID is the lead U .S . government agency the 27 institutes and centers of the National that works to end extreme global poverty and Institutes of Health is the world largest medical enable resilient, democratic societies to realize library . NLM has a variety of biomedical their potential . USAID works in partnership resources covering HIV/AIDS, including: PubMed with countries, communities, international — over 26 million citations for biomedical donors, and the private sector to make smart literature; MedlinePlus — consumer information investments that save lives . USAID’s global health including HIV/AIDS, STDs, TB, hepatitis and more; efforts also concentrate on addressing the dual AIDSinfo — the federal HIV/AIDS treatment HIV and tuberculosis (TB) epidemics by targeting

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HIV-associated TB and reducing co-morbidity and François-Xavier Bagnoud (FXB) Center mortality . USAID is addressing the challenges Germane Solutions of TB and HIV by working with its partners to HealthHIV implement collaborative TB-HIV activities such as HIV Medicine Association/Ryan White Medical leading and strengthening national TB strategies Providers Coalition and programs in countries with high rates of TB, Johns Hopkins School of Nursing multidrug-resistant TB, and HIV-associated TB . JProg JSI U.S. Department of Justice, Civil Rights Management Strategists Consulting Group, LLC Division, Disability Rights Section MassCARE, Massachusetts Department of Public www .ada .gov/aids/ Health Primary Contact: Elizabeth Redpath MediraRx Contact Email: Elizabeth .redpath@usdoj .gov National Alliance of State and Territorial AIDS 202-616-2390 Directors (NASTAD) National Center for Innovation in HIV Care The U .S . Department of Justice (DOJ) is National Quality Center responsible for enforcing federal laws and NMAC ensuring fair and impartial administration PACT - Partnership for Access to Clinical Trials of justice for all Americans . DOJ’s Civil Rights Project-Inform Division works to eradicate discrimination against RDE Systems Support Group LLC people with disabilities, including those with HIV/ REPRIEVE AIDS, through enforcement of the Americans with Ryan White Clinics for 340B Access Disabilities Act . Ryan White TARGET Center The Scientific Consulting Group, Inc. List of Organizations by Title UCAPS: Urban Coalition for HIV/AIDS Prevention AIDS Education and Training Center (AETC) Services National Coordinating Resource Center University of Rochester Center for Health and AIDS United Behavioral Training A .J . Boggs & Company WRMA, Inc . American Academy of HIV Medicine American Academy of Physician Assistants Federal Exhibitors American Institutes for Research HRSA: Office of Human Resources American International Health Alliance HRSA: Office of Information Technology Anthem/Simply Health Care Plans/Clear Health HRSA: Office of Independent Review (DIR) Alliance National Library of Medicine CAI (Cicatelli Associates Inc .) SAMHSA-HRSA Center for Integrated Health Coldspring Center for Social and Health Solutions Innovation USAID ContextMedia:Health U .S . Department of Justice, Civil Rights Division, Coordinated Care Network Disability Rights Section Duke University School of Nursing Epividian, Inc .

217 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOP SESSIONS BY TRACK

WORKSHOP SESSIONS BY TRACK

2016 National Ryan White Conference on HIV Care and Treatment 218 WORKSHOP SESSIONS BY TRACK

BEACON SESSION B1 Conversations with People Living with AIDS Leaders Thursday, 10:30 AM-12:00 PM B2 Jurisdictional Strategies to End AIDS/Frameworks for Friday, 10:00 AM-11:30 AM “Getting to Zero”

DATA TO CARE 4045 Initiatives to Improve Data Accuracy, Completeness Thursday, 3:30 PM-5:00 PM and Timeliness across the HIV Care Continuum 4053 The Collaboration of Dental and Medical Providers in Thursday, 3:30 PM-5:00 PM Linkage, Adherence and Retention in Care 6214 Forward Momentum: Accelerating Access to Care and Friday, 10:00 AM-11:30 AM Improving Quality Through Centralized Data system 6446 Clinic-Based Retention in Care: Description, Outcomes Thursday, 10:30 AM-12:00 PM and Lessons Learned 6548 Using Technology to Coordinate HIV Prevention, Care, Thursday, 3:30 PM-5:00 PM and Treatment Services 6596 Using Early Intervention Services to Maximize Wednesday, 3:30 PM-5:00 PM Coordination Between Surveillance and Care 6657 Examining Ryan White Program Funding: Is the Money Wednesday, 10:30 AM-12:00 PM Following the Epidemic? 6767 Methods to Generate a Local Estimate of the Wednesday, 10:30 AM-12:00 PM Prevalence of HIV/AIDS Including Those Undiagnosed in Massachusetts 6923 Understanding Ryan White Services Data Validations Thursday, 1:30 PM-3:00 PM 6927 From Data Sharing to Incentivizing a Viral Suppression Wednesday, 1:30 PM-3:00 PM Performance Measure: Collaborating with Medicaid in Louisiana 6943 The Whoosh: Innovative Data Exchange to Save Time Wednesday, 3:30 PM-5:00 PM and Improve Care in Hawaii, Boston, and Rikers Island 6984 SPNS: Fusing All Parts data, My CareContinuum Thursday, 10:30 AM-12:00 PM Dashboard, Low Health Literacy Patient Portal

EMERGING ISSUES 4006 Using a Bilingual Telenovela (Sin Vergüenza) to Thursday, 3:30 PM-5:00 PM Educate Communities and Providers, Including U .S /. Mexico Border Promotores 4007 National, State and Local Responses to Addressing Friday, 10:00 AM-11:30 AM Hepatitis Among People Living HIV

219 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOP SESSIONS BY TRACK

4011 Emergency Preparedness Planning for Ryan White Wednesday, 1:30 PM-3:00 PM Programs 4012 Housing as Healthcare: Improving Health Outcomes Thursday, 3:30 PM-5:00 PM Through Mobile Care and Housing Support Services 4013 Mentor Program Development and Implementation Thursday, 1:30 PM-3:00 PM for HIV-Infected Youth and Young Adults 4020 Including Mental Health Services in HIV Primary Care: Thursday, 3:30 PM-5:00 PM Challenges and Needs 4021 Linking Mexican and Mexican-American MSM to HIV Thursday, 1:30 PM-3:00 PM Care Through Culturally Innovative Program Design 4024 Planning Council Strategies for Integration of HIV Thursday, 1:30 PM-3:00 PM Prevention and Care 4025 Strategies to Improve Engagement in Community HIV Thursday, 10:30 AM-12:00 PM Care for People Who Are Releasing from Prison 4028 Engagement and Retention Strategies for Populations Friday, 8:00 AM-9:30 AM with Unique Needs: Women, African-Born, and Caribbean-Born Communities 4029 Integrating HIV Care into Primary Care Settings: Two Wednesday, 3:30 PM-5:00 PM paths to Improving the HIV Continuum 4031 Confronting the Opioid Epidemic: The HRSA Response Thursday, 3:30 PM-5:00 PM 4042 The Trauma Informed R-Evolution in Motion: Using Friday, 10:00 AM-11:30 AM Trauma-Informed Principals to Address Social Determinants of Health at Federal, State, and Local Levels 4044 Changing the Narrative for Women and Girls: Thursday, 1:30 PM-3:00 PM Treatment, Recovery, and More 4047 Engaging Transgender Women of Color Living with HIV Thursday, 10:30 AM-12:00 PM into Healthcare: Lessons from Nine SPNS Projects 4048 Transgender People and Antiretrovirals Across the Wednesday, 3:30 PM-5:00 PM Care and Prevention Continuum 4050 Novel Public Health Approaches to Enhance Friday, 8:00 AM-9:30 AM Engagement in Care 4052 UCARE4Life and Bijou: Utilizing Mobile and Online Friday, 10:00 AM-11:30 AM Methods in the Improvement of Health Outcomes in HIV-Positive Youth 5942 Implementing and Evaluating a Peer Enhanced Wednesday, 3:30 PM-5:00 PM Navigation Intervention: Results from a Randomized Control Trial

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6164 International Adoption and Pediatric HIV: The Friday, 10:00 AM-11:30 AM Changing Demographics and Needs 6213 Living with HIV in Rural U.S. Jurisdictions: Effects of Thursday, 10:30 AM-12:00 PM Stigma on HIV Care Continuum Outcomes 6294 PLWH Listening Session with the HAB Associate Wednesday, 1:30 PM-3:00 PM Administrator 6295 Transforming Health an Inside Job: Using Motivational Thursday, 10:30 AM-12:00 PM Interviewing to Build Health Momentum 6332 Transnational Practices and Engagement in Care: Wednesday, 10:30 AM-12:00 PM Lessons from the SPNS Latino Access Initiative 6368 Behavioral Health Treatment on Demand Thursday, 3:30 PM-5:00 PM 6373 Systems Linkages Institute 301: Systems Linkages Friday, 10:00 AM-11:30 AM and Access to Care: A Special Projects of National Significance Initiative 6380 Retaining Multiply Diagnosed, Homeless HIV-Positive Wednesday, 10:30 AM-12:00 PM Individuals in Medical Care, Behavioral Health, and Case Management 6410 Systems Linkages Institute 201: Systems Linkages Friday, 8:00 AM-9:30 AM and Access to Care: A Special Projects of National Significance Initiative 6424 Homeless Institute 101: Providing Care to People Thursday, 3:30 PM-5:00 PM Who Are Homeless/Unstably Housed: Barriers and Facilitators to Achieving the NAS Goals 6425 Homeless Institute 201: Using interdisciplinary Teams Friday, 8:00 AM-9:30 AM to Provide Care to People Living with HIV/AIDS Who Are Homeless/Unstably Housed 6426 Homeless Institute 301: Leveraging Resources to Friday, 10:00 AM-11:30 AM Sustain Programs for HIV Care and Housing for People Living with HIV 6428 Understanding and Addressing the Multiple Wednesday, 3:30 PM-5:00 PM Dimensions of Stigma to Promote Engagement in HIV Care 6474 Integrating HIV Prevention and Care Plans and Thursday, 3:30 PM-5:00 PM Planning: Moving Forward 6487 Building a Linkage and Retention Collaborative Wednesday, 1:30 PM-3:00 PM Learning Network to Impact Patient Outcomes 6509 Systems Linkages Institute 101: Systems Linkages Thursday, 10:30 AM-12:00 PM and Access to Care: A Special Projects of National Significance (SPNS) Initiative

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6514 Getting to Work: Expanding Employment and Housing Thursday, 3:30 PM-5:00 PM in a Changing HIV Epidemic 6528 Leveraging Federal Ryan White HIV/AIDS Program and Wednesday, 10:30 AM-12:00 PM Housing Funds and Services 6529 Everybody Loves a Good Story: Using Digital Media to Wednesday, 10:30 AM-12:00 PM Capture and Share Patient Stories 6531 Using Design and Information Architecture to Improve Wednesday, 1:30 PM-3:00 PM Awareness, Access, and Enrollment in HIV Care Services 6581 Creating a Culture of Wellness in a Rural Healthcare Friday, 10:00 AM-11:30 AM Setting for Patients Who Are HIV-Positive 6599 Office of HIV/AIDS Housing Update 2016 Wednesday, 1:30 PM-3:00 PM 6621 Pregnant, HIV-Positive and Lost to Care Thursday, 1:30 PM-3:00 PM 6629 Strategies to Improve Viral Load Suppression in Wednesday, 3:30 PM-5:00 PM Hardest to Reach Patients 6632 New York Links: A Communitywide Response Thursday, 1:30 PM-3:00 PM Contributing to End the Epidemic in New York State 6660 101: Strengthening the Healthcare Delivery System Wednesday, 10:30 AM-12:00 PM Through Planning 6686 The Modernization of Case Management: Lessons Wednesday, 10:30 AM-12:00 PM from the Road and on the Ground 6703 Mobilizing Your Community Partners to Reduce New Wednesday, 1:30 PM-3:00 PM HIV Transmissions; A New Model for PrEP 6720 Combating Discrimination Against People with HIV/ Thursday, 1:30 PM-3:00 PM AIDS 6726 Housing & Health: Integration for Improved Health Wednesday, 1:30 PM-3:00 PM 6745 Current and Future Trends in HIV Housing Policy Wednesday, 10:30 AM-12:00 PM 6746 Engaging RWHAP Consumers in Planning and Needs Friday, 8:00 AM-9:30 AM Assessment 6748 Supporting Planning Councils/Planning Bodies in Wednesday, 1:30 PM-3:00 PM Improving HIV Services: Staff Sharing Session 6752 Radical Healthcare: Fighting Transphobia, Providing Wednesday, 3:30 PM-5:00 PM Trans-Affirming HIV Care 6753 After the Plan: Tools for Ongoing Cross-Part/ Thursday, 3:30 PM-5:00 PM Prevention-Care Collaborative Planning 6754 Housing Data: An Interdisciplinary Approach to Wednesday, 3:30 PM-5:00 PM Improved Health Outcomes for People Living with HIV 6760 Optimizing Care for Youth Living with HIV: The Larkin Friday, 8:00 AM-9:30 AM Street Youth Services Model

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6773 Building Health-Literate Organizations and Health Friday, 10:00 AM-11:30 AM Insurance Literacy to Support People Living with HIV 6779 Building a Successful Linkage to Continuum of Care Friday, 8:00 AM-9:30 AM Program for Latinos 6790 Securing Your Oxygen Mask First! Unspoken Cultural Wednesday, 1:30 PM-3:00 PM Norms Influencing Quality HIV/AIDS Care for Women of Color 6799 Leadership in Action: Strategies to Promote Public Friday, 8:00 AM-9:30 AM Leadership for PLWH 6814 Incarceration, Sexual Victimization, Reintegration, and Thursday, 3:30 PM-5:00 PM the HIV Care Continuum 6818 A . Women Services Rock and GMHC: Keeping Clients Friday, 8:00 AM-9:30 AM Engaged and Virally Suppressed 6832 Intensive Case Management: Working with HIV- Thursday, 1:30 PM-3:00 PM Positive Adolescents and Young Adults 6891 Training the Next Generation of Spanish-Speaking HIV Friday, 8:00 AM-9:30 AM Physicians: Experiences from a Minority AIDS Initiative Project 6942 Enhancing Care Continuum Outcomes for Youth Living Wednesday, 1:30 PM-3:00 PM with HIV: An Innovative Multi-Agency Collaboration 6992 Addressing HIV Stigma and its Impact on LGBT Health Friday, 8:00 AM-9:30 AM 6994 Beyond the Prison Walls: Re-linkage and Retention 2 .0 Thursday, 10:30 AM-12:00 PM 6995 Redefining Cultural Competence for MSM of Color Friday, 10:00 AM-11:30 AM Through System Transformation 6998 Establishing and Sustaining HIV Care and Treatment Thursday, 10:30 AM-12:00 PM in Communities Vulnerable to Large Increases in HIV/ HCV 7002 Optimizing HIV Health Outcomes: Integration of Thursday, 1:30 PM-3:00 PM Mental Health Treatment into HIV Medical Care 7005 Addressing Employment Needs: Providing a Roadmap Thursday, 3:30 PM-5:00 PM to Achieve Employment-Related National HIV/AIDS Strategy Goals 7007 Challenges in the Integrated Care of Patients with HIV Thursday, 1:30 PM-3:00 PM illness and Substance Use Disorders 7014 Promoting Health Literacy through Clear Thursday, 3:30 PM-5:00 PM Communication: Implications for People Living with HIV 7015 Best Practices for Providing Substance Use Disorder Thursday, 10:30 AM-12:00 PM Treatment and HIV-Related Services to Minority YMSM

223 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOP SESSIONS BY TRACK

7030 Program Evaluation of a Trauma-Informed HIV Friday, 10:00 AM-11:30 AM Prevention and Vocational Development Intervention for African American Women 7036 Women and Girls: Taking on Behavioral Health, HIV, Thursday, 10:30 AM-12:00 PM and Hepatitis for Better Health Outcomes 7068 Employment as a Treatment that Works: Vocational Thursday, 1:30 PM-3:00 PM Rehabilitation and Workforce Development Within the HIV/AIDS Healthcare Continuum 8000 Philadelphia Integrative Behavioral Health Initiative: Thursday, 10:30 AM-12:00 PM Improved retention in HIV/AIDS Care 8004 Integrating HIV and Hepatitis Care into Behavioral Thursday, 1:30 PM-3:00 PM Health Care: AMHSA’s MAI Continuum of Care Pilot 8007 Prioritizing Pre-Exposure Prophylaxis Within the HRSA Thursday, 1:30 PM-3:00 PM 8008 Forward Momentum: HRSA Implementation of the Wednesday, 10:30 AM-12:00 PM National HIV/AIDS Strategy: Updated to 2020 8009 U .S . Vulnerability to Rapid Dissemination of HIV/HCV Wednesday, 3:30 PM-5:00 PM Infections Among Persons who Inject Drugs 8010 201: Strengthening the Healthcare Delivery System Wednesday, 3:30 PM-5:00 PM Through Planning 8011 301: Strengthening the Healthcare Delivery System Thursday, 1:30 PM-3:00 PM Through Planning 8012 The Center for Engaging Black MSM Across the Care Thursday, 1:30 PM-3:00 PM Continuum: Operationalizing Practice and Innovation to Strategize Provider Engagement to Elevate the Standard of Care for Black Gay/Bisexual Men in HIV Prevention, Care, and Treatment

HEALTHCARE LANDSCAPE 4005 Global HIV Capacity Development: Mapping to the HIV Thursday, 3:30 PM-5:00 PM Care Continuum and Building Nurse Capacity 4015 Three Approaches for Transforming Practice to Friday, 10:00 AM-11:30 AM Optimize HIV Care: the SPNS Workforce Capacity Building Initiative 4016 HIV Service Provision in the ACA Era: Impact on Thursday, 1:30 PM-3:00 PM Providers and Local Planning 4019 Making the Most of Your Patient-Centered Medical Thursday, 3:30 PM-5:00 PM Home: Guidance and Best Practices 4026 Building HIV Capacity in Primary Care and Integrating Wednesday, 10:30 AM-12:00 PM HIV Care within Federally Qualified Health Centers

2016 National Ryan White Conference on HIV Care and Treatment 224 WORKSHOP SESSIONS BY TRACK

4030 Building, Improving, and Innovating to Overcome Thursday, 1:30 PM-3:00 PM Obstacles in the Southern United States 4043 Creating New Opportunities for Delivering HIV Thursday, 10:30 AM-12:00 PM Prevention, Care, and Management Services to Insured Populations 6182 An Examination of Quality Improvement Methodology Wednesday, 10:30 AM-12:00 PM and Health Insurance Access in a Low-Incidence State 6204 Intersection of Ryan White Services and the Affordable Friday, 8:00 AM-9:30 AM Care Act: Changes and Challenges 6320 Understanding Essential Community Provider Wednesday, 3:30 PM-5:00 PM Requirements of the ACA and the Implications for Ryan White Programs 6393 Closing Gaps in the Continuum By Employing Certified Wednesday, 10:30 AM-12:00 PM HIV Peer Navigators 6397 ADAPs’ Optimization of Client Health Outcomes in an Wednesday, 3:30 PM-5:00 PM Evolving Health Care Landscape 6464 Impact of the Affordable Care Act on the Ryan White Wednesday, 1:30 PM-3:00 PM HIV/AIDS Program 6575 Identifying and Assessing Business Model Adoption Wednesday, 10:30 AM-12:00 PM for HIV Program Sustainability 6601 Valuing Medicaid Participation in Louisiana Ryan Thursday, 10:30 AM-12:00 PM White Quality Initiatives in the Wake of Medicaid Expansion 6639 Establishing Winnable Communities of Readiness via Wednesday, 1:30 PM-3:00 PM Literacy, Conversation and HIV Client Centered Care . 6644 Aligning RWHAP Policy with the Healthcare Landscape: Wednesday, 3:30 PM-5:00 PM A Review of Select Policy Clarification Notices 6645 Allowable Uses of RWHAP Funds: A Closer Look at the Friday, 8:00 AM-9:30 AM Updated Service Categories 6664 Fiscal Responsiveness and Accountability in a Time of Thursday, 10:30 AM-12:00 PM Change 6668 Retreat for Progress: Ryan White Part B and C Thursday, 3:30 PM-5:00 PM Program Collaboration, Integration, and Sustainability 6669 Improving Continuum of Care Outcomes in the Wednesday, 10:30 AM-12:00 PM American Indian/Alaska Native population 6783 Getting Ready for Open Enrollment Wednesday, 1:30 PM-3:00 PM 6784 The Connection Between Tax Filing and Health Friday, 8:00 AM-9:30 AM Coverage- What Does it Mean for Ryan White Programs?

225 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOP SESSIONS BY TRACK

6807 The Identity Crisis of the Medical Case Manager Wednesday, 1:30 PM-3:00 PM 6880 The Super Circular: Uniform Administrative Friday, 8:00 AM-9:30 AM Requirements, Cost Principles, and Audit Requirements for HHS Awards, 45 CFR 75 6987 Meeting and Understanding the Eligible Scope Thursday, 1:30 PM-3:00 PM Reporting Requirement 8001 The Core Medical Services Waiver Standard: Part A Wednesday, 1:30 PM-3:00 PM Waiver Requests Trends and Analysis 8006 Medicaid/CHIP Managed Care and Medicare MACRA Thursday, 10:30 AM-12:00 PM Rules: What’s New and Relevant for HIV Stakeholders?

INNOVATIVE PRACTICES 4001 Interventions to Increase Routine, Opt-Out HIV Wednesday, 3:30 PM-5:00 PM Testing in Community Health Centers and Emergency Departments 4008 Increasing Access to Biomedical HIV Prevention: Thursday, 1:30 PM-3:00 PM Incorporating PrEP and PEP through TA, Consultation, and Training 4010 Expanding the Role of ADAP to Improve Health Thursday, 3:30 PM-5:00 PM Outcomes 4018 Approaches to Practice Transformation to Improve Thursday, 3:30 PM-5:00 PM Care Along the HIV Care Continuum 4022 Planning for the Ryan White Care Continuum: Thursday, 10:30 AM-12:00 PM Prevention, Care, and the Councils 4033 Implementing Tobacco Cessation Strategies for Wednesday, 1:30 PM-3:00 PM People Living with HIV 4036 Innovative Pharmacy Collaboration: Playing a Role in Thursday, 10:30 AM-12:00 PM Viral Suppression and Retention in Care 4039 What, Why, and How: Health Literate Strategies to Friday, 8:00 AM-9:30 AM Improve Black MSM Engagement in Care 4040 Innovative Models driving improvements Across the Thursday, 1:30 PM-3:00 PM HIV Care Continuum 4041 Promoting Perinatal HIV Care Coordination: Inside Friday, 10:00 AM-11:30 AM Your Program and Beyond 4049 Developing, Implementing, and Sustaining Effective Friday, 8:00 AM-9:30 AM Patient Navigation Models: Experiences from the Philadelphia and Wisconsin Health Departments

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6059 Mind, Body, Self: An Integration of Mindfulness- Friday, 10:00 AM-11:30 AM Based Stress Reduction and Chronic Disease Self- Management 6157 Moving Research Findings into Ryan White Practice: Friday, 8:00 AM-9:30 AM Adapting to the Real World 6336 High-Intensity Technical Assistance and Problem Friday, 8:00 AM-9:30 AM Solving with State and Local Health Departments 6345 Phenomenal Woman! Peer-to-Peer Psychosocial Wednesday, 10:30 AM-12:00 PM Group 6348 Using Performance-Based Contract Reimbursement Friday, 10:00 AM-11:30 AM to Promote Accountability, Data Quality, and Ensure Payer of Last Resort 6360 Education Buffet for Consumers and Council Wednesday, 1:30 PM-3:00 PM Members 6382 Using the Learning Collaborative Model to Craft and Wednesday, 3:30 PM-5:00 PM Test Systems-Level Linkage to Care Interventions 6421 Use of Multiple Communication Strategies for Wednesday, 10:30 AM-12:00 PM Stakeholder Engagement 6460 “Meet Them Where They Are”: Best Practices in Friday, 8:00 AM-9:30 AM Minority Outreach 6463 Putting Care Before Competition: South Carolina Wednesday, 10:30 AM-12:00 PM Works Together for NHAS Success 6467 The Building Blocks of Primary Care and the HIV Care Thursday, 10:30 AM-12:00 PM Continuum 6500 Framework: Plan to End the HIV Epidemic in D C. . Friday, 10:00 AM-11:30 AM 6511 Using Medical Nutrition Therapy Innovative Practices Wednesday, 3:30 PM-5:00 PM in HIV Clinical Care to Improve Health Outcomes 6654 Strengthening/Improving the HIV Care Continuum Wednesday, 10:30 AM-12:00 PM Within Ryan White HIV/AIDS Program Part-A Jurisdictions 6674 Shaping the HIV Workforce: Lessons Learned from Wednesday, 1:30 PM-3:00 PM Task-Shifting in Sub-Saharan Africa and the United States 6680 Planning to the Outcome: Coordination of EIS with Wednesday, 1:30 PM-3:00 PM Competing Providers 6681 Restructuring the AIDS Education and Training Wednesday, 3:30 PM-5:00 PM Centers Program

227 2016 National Ryan White Conference on HIV Care and Treatment WORKSHOP SESSIONS BY TRACK

6691 Building Effective Linkage and Reengagement Friday, 8:00 AM-9:30 AM Services: Lessons Learned From the HIV Care Collaborative 6702 Engaging Community Leaders at the Intersection Wednesday, 10:30 AM-12:00 PM of Advances in HIV/AIDS Care and Persistent Racial Disparities 6749 Workflow Mapping as a Tool for Organizational Thursday, 10:30 AM-12:00 PM Change 6757 Transforming Overwhelming into Possible: Innovative Wednesday, 3:30 PM-5:00 PM Models by HIV Pharmacies 6762 Linkage and Retention in HIV Care: One Size Does Wednesday, 3:30 PM-5:00 PM NOT Fit All! 6782 How to Implement a Highly Compliant, Centralized Wednesday, 10:30 AM-12:00 PM Eligibility System 6926 Translation and Replication of SPNS Models: Moving Wednesday, 3:30 PM-5:00 PM Hard-to-Reach Clients Along the HIV Care Continuum 6929 Expanding Access to HIV Screening and HIV/AIDS Friday, 10:00 AM-11:30 AM Care at 10 Community Health Centers in Indianapolis, Indiana . 6956 Using the ECHO Model for HIV Education and Thursday, 3:30 PM-5:00 PM Improving Health Outcomes 6971 Elder Sexual: Addressing a Forgotten Age Group in HIV Friday, 10:00 AM-11:30 AM Prevention and Linkage to Care 6975 Food is Medicine: Integrating Nutrition in a Ryan White Wednesday, 1:30 PM-3:00 PM Clinic 6993 Using Multilingual, Audio-Assisted Web and Mobile Friday, 10:00 AM-11:30 AM Evidence-Based Needs Assessments to Plan, Fund, and Actuate Care Services 7037 Peer Services: Positive Impacts on Peers and Patients Friday, 10:00 AM-11:30 AM 8005 Partnerships for Care: Data-to-Care Approaches Thursday, 10:30 AM-12:00 PM Through Primary Care-Public Health Partnerships 4051 The Southern Strategy for HIV Testing, Linkage, and Friday, 8:00 AM-9:30 AM Retention in Care: Don’t Miss Your Shot!

QUALITY MANAGEMENT 4002 The Improvement Journey; From Beginning to Wednesday, 10:30 AM-12:00 PM Continued Improvement 4003 Addressing Disparities Through Multiple Modalities Thursday, 3:30 PM-5:00 PM

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4004 Lessons Learned from Fostering Consumer Friday, 10:00 AM-11:30 AM Involvement in Quality Management Activities 4009 Innovative Approaches to Drive Successful Quality Thursday, 1:30 PM-3:00 PM Improvement 4023 Using Regional Groups to Effect Positive Change in HIV Thursday, 10:30 AM-12:00 PM Care 4027 Quality Matters: Comprehensive Systematic Thursday, 1:30 PM-3:00 PM Approaches to Quality Management 4034 Fostering the Clinical Quality Management Program Wednesday, 3:30 PM-5:00 PM Using Quality Improvement Practices 4035 Leveraging Existing Data Systems to Improve the Friday, 10:00 AM-11:30 AM Quality of HIV Care: Two Innovative Approaches 4037 Impacting the Cascade: Approaches to Drilling Down Thursday, 1:30 PM-3:00 PM Data and Evidence-Informed Interventions 6469 The DCHAP Clinical Site Visit Review for Recipients and Wednesday, 10:30 AM-12:00 PM Clinical Reviewers: Tools and Tips 6518 Using Data Quality Managers to Improve the Friday, 8:00 AM-9:30 AM Integration of Parts B and C 6565 Implementing a Clinical Quality Management Wednesday, 1:30 PM-3:00 PM Program that Meets Ryan White HIV/AIDS Program Expectations 6574 Service Standards: What Are They? Why Are They Wednesday, 3:30 PM-5:00 PM Important? How Are They Integral to RWHAP Functions? 6643 Addressing the Opportunities and Challenges Wednesday, 10:30 AM-12:00 PM Afforded by Program Income and Pharmaceutical Rebates 6649 Lessons Learned from the H4C Collaborative: What Wednesday, 1:30 PM-3:00 PM Other States Can Learn from this Improvement Initiative 6682 Health and Adherence-related Quality Management: Wednesday, 3:30 PM-5:00 PM Considerations for AIDS Drug Assistance Programs 8003 HIV Viral Suppression in State Medicaid Programs Friday, 8:00 AM-9:30 AM

229 2016 National Ryan White Conference on HIV Care and Treatment