2016 annual report Transforming Community Health We’ve had much to report in recent years about growth. Many As I enter my third and final year as President of the Board factors have contributed to this, but most significant is the of Directors, I am continually impressed and inspired by the Affordable Care Act. Since its launch the ACA has dramatically work of this organization, and the people who carry it out reduced the number of uninsured lesbian, gay, and bisexual (LGB) every day. people, and by removing the ban on pre-existing conditions, Planning for the move to Broad and Bainbridge Streets has enabled people with HIV to obtain health insurance for the first challenged our board to think critically about goals and time; significant expansion in insurance coverage of transgender priorities, to carefully evaluate our available resources, related medical care will enable many to live a fuller life in their and to deepen and reaffirm our commitment to Mazzoni’s true gender. mission of providing quality, affirmative care and support The introduction of pre-exposure prophylaxis (PrEP) has had with a focus on LGBTQ Philadelphians and those living with huge implications for HIV prevention, and we now have over 600 HIV/AIDS. patients in our care who are taking PrEP. Thanks to a major CDC It has been a privilege and an honor to help usher in this grant, we’re able to initiate a Community PrEP Clinic to provide exciting new era for the organization. I am proud of the work individuals, especially youth at high risk for HIV, with access to we’ve accomplished, and I look forward to much more. PrEP. Sincerely, These are exciting developments, but the growth of so many programs has maxed out our physical capacity at both 809 Locust and 21 S. 12th Streets. Client waiting areas are crowded, and new patients are faced with a three-month wait for their first Jimmy Ruiz, MD, appointment. President of the Board of Directors That’s why we are thrilled to share that in summer 2017 Mazzoni Center will move into a new home at Broad and Bainbridge Streets. We will consolidate our programs under one roof, double our capacity for medical and mental health, and launch the region’s first intensive outpatient LGBTQ program for substance abuse. Patients will not only avoid long waiting periods, they’ll enjoy FY2016 Board of Directors enhanced coordination of care and far greater convenience, with Jimmy J. Ruiz, MD, President all of our programs and services housed in one place. Jason K. Cohen, Esq., Vice President Anthony F. Verdi, Ph.D., Treasurer None of this would be possible without the continued support of Michael Weiss, Secretary individuals, corporate partners and foundations. We are deeply Mark H. Blecher, MD grateful for your past contributions, and ask that your help us Marla J. Gold, MD realize our vision and become a major gift supporter. We’ll have Kelly A. Harris updates in the months ahead, so keep an eye on our blog at Russell H. Harris, MD www.mazzonicenter.org. Dorothy Mann Sincerely, Kathleen R. Padilla Sheila E. Peopples, MBA Anthony R. Rodriguez, MD Thomas I. Runkle Nurit Shein, CEO Michael J. Wolf, MD HIV Prevention & Testing Our outreach team made 21,000 individual contacts, and distributed 192,000 condoms and safer sex kits in FY2016. HIV testing demographics among MSM* Mazzoni Center provided 6,656 rapid HIV tests at our 58% White Washington West Project,which is 20% 20% African American 58% open six days a week for walk-in screenings and meetings with our knowledgeable counseling team. 11% Latino 11% 11% other race 11% 3,370 of those we tested were MSM. Navigation Services 68 people tested positive for HIV at With grant funding from the CDC and support from the Philadelphia Washington West. Department of Public Health, Mazzoni will launch an exciting new program in Fall 2016 focused on providing navigation services 60 of those people were MSM. to men of color who have sex with men, as well as transgender women of color, who are HIV negative. Our aim is to help people 82% of those who tested positive were at high risk of acquiring HIV maintain their negative status by between the ages of 18 and 34. improving access to PrEP and addressing key social determinants of health such as education, employment, housing, mental health, 72% of MSM who tested positive were and substance abuse. African-American or Latino. *MSM = men who have sex with men Family & Community Medicine How our patients self-identify by gender 2344 cisgender female 3.5% 25% 3718 cisgender male 2984 transgender 39.7% 31.8% 323 genderqueer left to right: Lin-Fan Wang, MD, Maxwell Parrish, CRNP, Tinika Feaster, MA, and Joey Parzanese, MA Mazzoni Center Family & Community Mazzoni Center Medicine welcomed Mark Watkins, DO, Family & Community Medicine of nearby Triangle Medical Inc. (253 S. 10th had 9,369 active patients Street) to our clinical staff in summer 2016. Dr. in FY2016, who made a Watkins is an experienced and total of much admired practitioner 21,784 visits. of family medicine with special expertise in caring for people with HIV and LGBTQ Achieving an undetectable viral load is the ultimate goal individuals. He has practiced in medical treatment of HIV, because it not only promotes family medicine for more the health and longevity of the patient, it also virtually than 25 years and currently has an active patient eliminates the risk of transmitting the virus to another base of over 1,700 individuals. Dr. Watkins will person. Nationally, the CDC estimates that 60% of people continue to see patients at his 10th Street offices living with HIV have reached this benchmark. until Summer 2017, when Mazzoni moves to its new home at Broad and Bainbridge. In FY2016 we provided medical care for 973 people living with HIV, 85% of whom had an undetectable viral load. Medical Assistant Elizabeth Torres (left) with Practice Manager Valerie Canavin Behavioral Health Integration in Connecting People to PrEP Primary Care Medicine Through our medical practice and the work of our HIV LGBTQ individuals are disproportionately affected by mental prevention and outreach teams, Mazzoni Center has health issues and less likely to seek treatment. Since 2014 intensified our efforts at connecting people at high risk our Behavioral Health Consultant has served as an integral of HIV with PreExposure Prophylaxis, commonly referred member of Mazzoni Center’s primary care team. Our to as “PrEP.” PrEP has become a transformational tool in BHC offers support for patients experiencing a range of preventing HIV infection, with 99% success rates in study psychosocial or emotional issues: depression, panic, anxiety, after study since it was introduced. anger management, relationship conflicts, disturbed sleep, smoking cessation, as well as substance abuse and dependence. Growth in patients on 609 Behavioral Health Consultant PrEP from FY2014 to FY2016. Charles Grove, PhD, LSW 304 76 2014 2015 2016 Since the program’s start in June 2014, our BHC has patients, met with over 1,000 The number of patients in our for a total of 3,135 medical practice who take individual sessions. 700 PrEP has increased more than 700% in three years. To date, over 10% of our active patient population in This year 305 patients in primary care has benefited our medical practice from BHC services. started on PrEP. 305 During fiscal year 2016, 343 people who visited the we provided BHC services to Washington West Project, 544 patients through 343 our walk-in testing clinic, were 1,459 documented sessions. educated about PrEP by our counseling, testing and referral team. Knowledgeable, affirming care and support for ining for othe d tra r trans and gender nonconforming people an ial servi on soc ce ti and A ca l increase s u ica rs to s Mazzoni Center continues to be a national leader in the d d ide g is E e v petency en ta m ro com d n provision of quality, patient-centered care for trans and p s a e c an n r e tr d m w l gender nonconforming individuals of all ages. n e a it c a r h h m g k a a e n e l h r t g i , e We provided 2,338 adult patients with trans care w s s m l r d g a n e u n services in FY2016, up 115% from last year. t a i s d t l , i e r s e l v TRANS i C o s e p i c h n d l p u o o i S u n r o l c o o i l CLINICAL o o m c a a u r v c a d r b t i f e s d i o i n SERVICES e d w r a a r e i t s t t i i h o o n P n e s o h a d y f n o r c u d r e c h m g a o- d o a ti n r n rd on n a e e in tio nd t g Informa e h r g er ls fo s; ap referra rie y urge affirming s g atin coordin are p c follow-u New patient intakes Our Trans Care Services team provided 559 adult intake assessments in FY2016, 559 P ACTS Youth families helped an increase of 15% over last year. We welcomed 202 new families to our PACTS 487 (Pediatric and Adolescent Comprehensive Trans Services) program, an increase of 143% over last year.