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Ryan White Program

Ryan White Program. Orange County Board of County Commissioners. November 23, 2010. Ryan White Program Outline. History Structure Roles & Responsibilities Utilization Services Updates and Challenges. Ryan White Program. History Structure Roles & Responsibilities Utilization

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Ryan White Program

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  1. Ryan White Program Orange County Board of County Commissioners November 23, 2010

  2. Ryan White Program Outline • History • Structure • Roles & Responsibilities • Utilization • Services • Updates and Challenges

  3. Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates and Challenges

  4. Ryan White ProgramHistory • The Ryan White Act, enacted by Congress in 1990, is the largest federal program focused exclusively on HIV/AIDS care • Program is named for Ryan White, a teenager from Indiana who campaigned for federal legislation before he died of AIDS in 1990 • Program has been amended and reauthorized four times: 1996; 2000, 2006, and 2009

  5. Ryan White Program History • Funds are distributed to Eligible Metropolitan Areas (EMA’s), specifically to the Chief Elected Official of the largest government entity in the geographic region (Mayor of Orange County). • The Orlando EMA consists of a four (4) county area which includes Orange, Osceola, Seminole, and Lake counties.

  6. Ryan White Program History ORLANDO EMA FLORIDA

  7. Ryan White ProgramHistory • EMA has received funds since 1994 • The EMA began receiving additional funds for the Minority Aids Initiative (MAI) in 2001 • The Orange County Department of Family Services, Youth and Family Services Division is the designated Grantee Office for the Orlando EMA • Services are provided through contracts with not-for-profit, private, public and government entities

  8. Ryan White ProgramHistory Fiscal Year

  9. Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates and Challenges

  10. Ryan White Program Structure Orlando EMA Funding Flow CONGRESS HRSA Grantee Orange County Government Planning Council Providers Consumers

  11. Ryan White Program Structure Three components • CEO/Grantee Office • Planning Council • Planning Council Support

  12. Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates and Challenges

  13. Ryan White Program Roles and Responsibilities Grantee • Establishing and supporting an effective Planning Council • Procurement of all service providers • Contracting for services • Contract monitoring • Technical assistance to service providers • Clinical quality management • Consumer grievances

  14. Ryan White Program Roles and Responsibilities Planning Council (PC) • Comprised of 24 members • 33% of the PC members must be individuals with HIV/AIDS, other members represent local service providers and health organizations • Sets funding priorities and allocates resources by categories • Assesses the administrative mechanism

  15. Ryan White Program Roles and Responsibilities Planning Council Support (PCS) • Orange County employees • Ensures member orientation and training, including development and implementation of a training plan • Provides advice to PC regarding federal legislation, guidelines, PC roles & responsibilities • Responsible for supporting the work of the PC and its committees

  16. Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates and Challenges

  17. Ryan White ProgramUtilization Consumer served by County and Year

  18. Ryan White ProgramUtilization Median Time* From AIDS Diagnosis To Death by Race/Ethnicity in 3 Time Periods, Florida * The median means that half the deaths occurred before and half occurred after the number of months shown. Source: Florida Department of Health, Bureau of HIV/AIDS 19

  19. Ryan White Program Utilization

  20. Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates and Challenges

  21. Ryan White Program Services • Services are procured through Orange County purchasing and procurement processes, Purchasing and Contracts Division • The EMA Currently has 15 provider agencies for 11 categories • Service Categories may change annually based upon the needs of the client community

  22. Ryan White ProgramServices

  23. Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates and Challenges

  24. Ryan White ProgramUpdates and Challenges • Need to increase capacity and availability of medical care providers • Reducing and/or eliminating barriers to obtaining care • Enhancing/Improving the system of care for clients • Termination of unsatisfactory provider performance • Strengthen relationship between Planning Council and Grantee’s office • Freshening Planning Council with new leadership and membership

  25. Ryan White Program Updates and Challenges • Memorandum of Understanding completed • By-Laws are being updated • Greater Performance Evaluations • Staff reassignments • Improve grant performance • Meetings with Purchasing & Contracts and Comptroller’s Office • Improving coordination between procurement process, provider payment processes and federal grant deadlines

  26. Ryan White Program Summary • Orange County EMA has received Ryan White grant funds since 1994 • Over 6,000 individuals assisted annually • Updating program administration and improving service levels and access to care

  27. Ryan White Program Orange County Board of County Commissioners November 23, 2010

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