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Priority Setting & Resource Allocation Data Presentation

Priority Setting & Resource Allocation Data Presentation. Ryan White Part A Las Vegas TGA Grant Year 2010-2011. Preparation is Key. Welcome Introductions Agenda and Materials Breaks as Needed Lunch 11:30 am. Don’t be Stranded without the Right Tools to do the Job.

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Priority Setting & Resource Allocation Data Presentation

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  1. Priority Setting &Resource AllocationData Presentation Ryan White Part A Las Vegas TGA Grant Year 2010-2011

  2. Preparation is Key Welcome Introductions Agenda and Materials Breaks as Needed Lunch 11:30 am

  3. Don’t be Stranded without the Right Tools to do the Job • Brief overview of the Ryan White Modernization Act and Parts • Epidemiologic Data • Service Utilization and Cost Data • Needs Assessment Data • Historical Priorities and Allocations • Preliminary Priority Setting and Resource Allocation by PS/RA Committee following presentation Today’s Presentation

  4. Anger Management Ground Rules Please be courteous and respectful at all times If you have a question…ASK

  5. Certification by Planning Council Member Foot in Mouth I, __________________________________, certify that I understand the process being used by the Ryan White Part A HIV Services Planning Council to set priorities and allocate resources for the Las Vegas Transitional Grant Area (TGA). I will participate in a data presentation sponsored by the Planning Council on Wednesday, July 15th beginning at 9a.m. at the Planning Council office on 1140 Almond Tree Lane, Las Vegas, NV 89104. I understand that after the date specified above no more data will be brought to the table for use in priority setting and resource allocation. The priority setting and resource allocation process for the full Planning Council will take place on Wednesday, July 22nd beginning at 1 p.m. at the Planning Council office on 1140 Almond Tree Lane, Las Vegas, NV 89104 upon which it will be finalized for procurement by the Grantee. I also certify that I will independently prioritize service categories, and that I will base my priorities on available data assessing the needs of people with HIV and AIDS within the Las Vegas TGA, including individuals currently in and out of HIV-related primary medical care.

  6. Part A Local areas hardest hit by the epidemic Part B States, including AIDS Drug Assistance Programs (ADAP) Part C Community early intervention services Part D Services for children, youth, women with HIV disease and their families Part F Includes Special Programs of National Significance (SPNS), AIDS Education and Training Centers (AETC), HIV/AIDS Dental Reimbursement Program (DRP), Community Based Dental Partnership Program (CBDPP); and the Minority AIDS Initiative (MAI) Ryan White Modernization Actlargest Federally funded program exclusively for HIV/AIDS Care

  7. Service Categories Part A Can Fund

  8. Legislative Requirements Considerations; • Core services must receive no less than 75% of allocated funding • Must fund by service category regardless of who provides the service • Size and demographics of PLWH/A and their needs • Cost effectiveness of services • Priorities of the communities that are infected • Coordination among funding streams both Ryan White and non-Ryan White • Availability of government resources • Capacity development needs

  9. Las Vegas TGAEpidemiologic Data

  10. Out of Care PopulationData provided by: the Southern Nevada Health District’s Out of Care Project

  11. ***As of Feb 28, 2009

  12. Why They Aren’t Accessing Care Their Primary Care Needs

  13. Needs Assessment Data

  14. 1-Ambulatory/Outpatient Medical Care 2-AIDS Pharmaceutical Assistance 3-Dental/Oral Health Care 4-Early Intervention Services 5-Health Insurance Premium and Cost Sharing Assistance 6-Food Bank/Home Delivered Meals 7-Mental Health Services 8-Emergency Financial Assistance 9-Housing Assistance 10-Medical Nutrition Therapy 11-Transportation 12-Medical Case Management 13-Substance Abuse Services: Outpatient 14-Legal Services 15-Psychosocial Support Services 16-Referrals for Health Care/Support Services 17-Rehabilitation Services 18-Substanhce Abuse-Residential 19-Linguistic Services 20-Child Care Services Consumer Survey Results Consumer Service Priorities:

  15. Focus Group Barriers to Care MSM of Color • Transportation • Housing • Geographical Distances between Providers • Navigation of the System White MSM • Difficulty Navigating the System • Self-conscious about Body Changes/Stigma • Inconsistencies with Services • Transportation • Housing

  16. Focus Group Barriers to Care Men IDU • Lack of Compassion and Understanding Among Providers • Difficulty Navigating the System • Stable Housing Women IDU • Drug Use (when actively using) • Transportation • Housing

  17. Profile of Provider Capacity and Capability Results of 35 Provider Surveys • Over 60% indicated serving a larger population including those who have HIV/AIDS while 11% were AIDS Service Organizations • Nearly all (96.2%) of organizations provide translation services with bi-lingual staff on hand and 42.3% provide information in languages other than English • The majority provide services in Clark County, NV (91.4%) with 25.7% in Nye County, NV and 22.9% in Mohave County AZ • Public transportation is readily accessible near 94.3% • 23.1% offer hours beyond the regular 8am to 5pm business day and 19.2% offer weekend hours • The majority indicated that services are free (52.9%) with 26.5% offering a sliding scale fee and 26.5% requiring a minimal fee

  18. Impact of the Economy on the Provider Community • 68.8% of providers reported an increase in clients seeking services at their agency within the past 12 months • 59.4% of providers indicated they had a decrease in the amount of funding received from any funding stream this year in comparison to their last fiscal year • 56.3% reported an increase in demand for services from clients within the last 12 months • 34.4% indicated a decrease in the amount of funding received from private donations within the last 12 months

  19. In order to Increase Capacity to Serve More PLWH/A • 55.9% of agencies need more funding to expand current capacity • 52.9% of agencies need increased partnerships with HIV/AIDS specialty agencies and organizations • 23.5% of agencies need training in HIV/AIDS • 20.6% need funding to develop new capacity

  20. Barriers to Providing Care • Clients don’t have a payment source-41.2% • Our agency doesn’t provide all the services a person needs-35.3% • Limited community partnerships/linkages with specialized HIV organizations-35.3% • Not enough resources at my agency-29.4% • Clients routinely miss appointments-23.5% • Insufficient staff to provide services-23.5% • Staff training in HIV/AIDS is limited-20.6% • Client distrust and suspicion-14.7% • Clients have trouble getting to our offices-14.7%

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