Online Program

Integration of prevention, care and treatment in Broward County, Florida

Tuesday, November 3, 2015

Shaundelyn DeGraffenreidt, MSHL, Human Services Department, Community Partnerships Division, Health Care Services, Ryan White Part A Program Office, Broward County Government, Fort Lauderdale, FL
Janelle Taveras, BS, MPH, PhDc, HIV/AIDS and Viral Hepatitis Program, Florida Department of Health - Broward County, Fort Lauderdale, FL
Broward County Ryan White Part A Program and the Florida Department of Health in Broward County (DOH-Broward) HIV Prevention Program have taken an integrated approach to prevention and care. It’s been reaffirmed in 2013 by a joint letter, where the Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA) expressed their support for integrated HIV prevention and care planning. Even with the support of integration, little guidance has been provided as to how best initiate the process.

The aim of integration in Broward County is to streamline HIV prevention and care planning in a manner that will enhance High Impact Prevention efforts for the highest risk populations and best address the continuum of Care for those infected with HIV to create a coordinated response to the HIV epidemic and a seamless provision of HIV services.

Collective Impact Methodology (CIM) was applied by the Part A Program and DOH-Broward, creating a mechanism by which the complex issues of achieving a coordinated response to the HIV epidemic could be addressed. This was achieved by using a systematic approach, including collaboration from the federal government, local and state health department, Part A Program, HIV providers and community participation. Through the use of this methodology, the Ryan White HIV Planning Council (HIVPC) and the Broward County HIV Prevention Planning Council (BCHPPC) have aligned their planning efforts while remaining independent planning bodies to ensure integrated HIV prevention, screening, care, and treatment funding and services.

Learning Areas:

Program planning
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the role of local health departments, Ryan White Grantees, and local planning bodies in HIV integration planning, creating a comprehensive work plan, and maximizing collaboration during implementation. Identify the critical elements of integrated planning using the Collective Impact Methodology Explain the integration process from the perspective of a local health department and Ryan White Part A Program in their experiences initiating, structuring their planning bodies, and coordinating their response to the HIV epidemic in a metropolitan MSA.

Keyword(s): HIV/AIDS, Organizational Change

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As the Monitoring and Evaluation Consultant for the HIV/AIDS Program for the Florida Department of Health in Broward County, I am a key Stake holder for the local integration process.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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