ryan white program january 10, 2012 orange county board of county commissioners
TRANSCRIPT
Ryan White Program
January 10, 2012
Orange County Board of County Commissioners
Ryan White ProgramRyan White Program Outline Outline
Ryan White ProgramRyan White Program Outline Outline
• History
• Structure
• Roles & Responsibilities
• Utilization
• Services
• Updates & Improvements
Ryan White ProgramRyan White Program
Ryan White ProgramRyan White Program
•History• Structure
• Roles & Responsibilities
• Utilization
• Services
• Updates & Improvements
Ryan White Program Ryan White Program History History
Ryan White Program Ryan White Program History History
• The Ryan White Act enacted by Congress in 1990 is the largest federal program focused exclusively on HIV/AIDS care
• The Orlando EMA consists of a four (4) county area: Orange, Osceola, Seminole, and Lake counties
• EMA has received funds since 1994
• Services are provided through contracts with not-for-profit, private, public and government entities
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FY 0
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FY 1
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FY 1
1-12
I nitial Award
Carryover
The Orlando EMA FY 2003/2004 – 2011/12 Award Releases
Ryan White ProgramRyan White Program History History
Ryan White ProgramRyan White Program History History
Ryan White ProgramRyan White Program History History
Funding consists of three components:
• Formula, the largest amount which is based on the active HIV/AIDS cases in the four county area. 95% of this amount must be spent to maintain the grant.
• Supplemental, which is based on the strength of the grant application.
• Minority AIDS Initiative (MAI), to ensure that grant dollars reach the minority community in a significant way.
Ryan White Program Ryan White Program Ryan White Program Ryan White Program
• History
•Structure• Roles & Responsibilities
• Utilization
• Services
• Updates & Improvements
Orlando EMA Funding Flow
Ryan White Program Structure
Ryan White Program Structure
Congress
HRSA
GranteeOrange County
Government
Providers
Consumers
PlanningCouncil
Ryan White Program Structure
Ryan White Program Structure
• CEO Orange County Mayor (Grantee)
• Grantee Office
• Planning Council
• Planning Council Support
Four components:
Ryan White ProgramRyan White ProgramRyan White ProgramRyan White Program
• History
• Structure
•Roles & Responsibilities• Utilization
• Services
• Updates & Improvements
Ryan White Program Ryan White Program Roles and ResponsibilitiesRoles and Responsibilities
Ryan White Program Ryan White Program Roles and ResponsibilitiesRoles and Responsibilities
• 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
Grantee/Grantee Office
Ryan White Program Ryan White Program Roles and Responsibilities Roles and Responsibilities
Ryan White Program Ryan White Program Roles and Responsibilities Roles and Responsibilities
• Comprised of 14 members– 35% un-conflicted PLWH/As
• Sets funding priorities and allocates resources
• Assesses the Administrative Mechanism
Planning Council
Ryan White Program Ryan White Program Roles and ResponsibilitiesRoles and Responsibilities
Ryan White Program Ryan White Program Roles and ResponsibilitiesRoles and Responsibilities
• Orange County employees.
• Provides new member orientation and assists with development of planning council trainings.
• Provides guidance to PC regarding federal legislation, and PC roles & responsibilities.
• Responsible for supporting the work of the PC and its committees.
Planning Council Support
Ryan White ProgramRyan White ProgramRyan White ProgramRyan White Program
• History
• Structure
• Roles & Responsibilities
•Utilization• Services
• Updates & Improvements
Ryan White ProgramRyan White ProgramUtilizationUtilization
Ryan White ProgramRyan White ProgramUtilizationUtilization
Total Consumers Served by Year
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7000
8000
9000
04--05 05--06 06--07 07--08 08--09 09--10 10--11
Ryan White ProgramRyan White ProgramUtilizationUtilization
Ryan White ProgramRyan White ProgramUtilizationUtilization
Consumer served by County
2010-2011
6500
7000
7500
8000
8500
9000
9500
Epi Profile EMA
9,050
7,651
Ryan White ProgramRyan White ProgramUtilizationUtilization
Ryan White ProgramRyan White ProgramRyan White ProgramRyan White Program
• History
• Structure
• Roles & Responsibilities
• Utilization
•Services• Updates & Improvements
• Services are procured through the Orange County purchasing and procurement processes, Purchasing and Contracts Division
• The EMA Currently has 13 provider agencies for 11 categories
• Service Categories may change annually based upon the needs of the client community
Ryan White ProgramRyan White ProgramServicesServices
Ryan White ProgramRyan White ProgramServicesServices
Ryan White ProgramRyan White ProgramProcurement ServicesProcurement ServicesRyan White ProgramRyan White ProgramProcurement ServicesProcurement Services
Service Category Providers
OAMC OrCHD/HUG-Me, Osceola CHD, Seminole CHD, Lake CHD, and AHF
AIDS Pharmaceutical Assistance Bioscrip, Orange CHD and Osceola CHD
Oral Health Care (Management) CMWP
Medical Case Management Hope & Help, Miracle of Love, NEED and Orange CHD
Health Insurance Continuation Hope and Help
Mental Health Services CFDFL
Substance Abuse Services (Output) Turning Point, CFDFL
Medical Nutrition Therapy PLACE of Comfort ( distribution of Nutritional supplements)
Food Bank/Delivered Meals PLACE of Comfort
Transportation NEED (Management)
Psychosocial Support Services (Peers) Hope & Help, CMWP, OrCHD/HUG-Me
Ryan White ProgramRyan White ProgramProcurement ServicesProcurement ServicesRyan White ProgramRyan White ProgramProcurement ServicesProcurement Services
Service Categories
OAMC
AIDS Pharmaceutical Assistance
Oral Health Care (Management)
Transportation
Requests for proposal or bid are currently open
Ryan White Program Ryan White Program Ryan White Program Ryan White Program
• History
• Structure
• Roles & Responsibilities
• Utilization
• Services
•Updates & Improvements
Ryan White ProgramRyan White ProgramUpdates & ImprovementsUpdates & Improvements
Ryan White ProgramRyan White ProgramUpdates & ImprovementsUpdates & Improvements
• Full-Time Grant Administrator hired – Stephanie Bowser
• Developed collaboration with State of Florida
• Expanding medical care capacity in under served communities.
• Patient care database maintained by Orange
County ISS.
• New Grantee website www.ocfl.net/hiv
• Part A Program Brochures– English, Spanish & Creole
• Marketing Plan to promote services
• Reassessing staff roles and assignments
• Improved Planning Council/Grantee office partnership
Ryan White ProgramRyan White ProgramUpdates & ImprovementsUpdates & Improvements
Ryan White ProgramRyan White ProgramUpdates & ImprovementsUpdates & Improvements
Planning Council MembersPlanning Council Members
Officers:
Dr. Gerald Horton Chevelle Howard Sidney LewisJesus Roman
Members:
David Cavalleri Shirley Lanier Luis Castro Chair Chair-Elect PLWH/A Rep
Monica Rutherford Nicola GuerreroJim Aplin
Maria FilionDebbie TucciSheila FrenchJoseph Bowles
Ryan White Program
January 10, 2012
Orange County Board of County Commissioners