Ryan White Part A Program Update Health & Family Services Department Presentation to the Board of County Commissioners June 12, 2007
Ryan White Part A Program Update Presentation Outline History Governance Disease Trends Clients Served Program Challenges
Ryan White Part A History
Federal Program enacted 1990 Orange County has been funded since 1994 2006 reauthorization renamed the Ryan White HIV/AIDS Treatment Modernization Act (Part A): Changed emphasis from acute care & support to longer term care Funding formula changed to include HIV cases as well as AIDS
Ryan White Part A History Funding of last resort for people living with HIV/AIDS tied to medical outcomes Serves Orange, Osceola, Lake and Seminole Counties FY 06/07 funding: $8,579,297 Current year funding: $7,483,770 does not include Minority AIDS Initiative (MAI) grant which is pending ($925,000 MAI funding requested)
Ryan White Part A Services Include Outpatient Medical Care Drugs Medical case management Dental Early Intervention/testing Transportation to medical care Food & nutritional supplements Mental health/substance abuse counseling, psychosocial support Insurance assistance New act: 75% core services
Ryan White Part A Governance
HIV Health Services Planning Council Appointed by Mayor Represents specified parts of community Orange County supports Council Sets priorities for services and allocates funding Ryan White office contracts for services
Ryan White Part A Disease Trends
New HIV drugs allow persons living with AIDS to remain relatively healthy, employed and self-sufficient Disease rate higher in Minority Communities Emphasis on getting people into care and keeping them in care
Ryan White Part A Disease Trends Incidence of new cases of HIV in the U.S. has not changed Approximately 40,000 new cases per year 25% of persons infected do not know their status Don’t seek care May infect others
Ryan White Part A Clients Served
Ryan White Part A Disease Trends This Eligible Metropolitan Area (EMA) Includes Orange, Osceola, Lake and Seminole Counties. A total of 11,572 people who are HIV positive and are aware of their status live in this EMA. 76% of this total live in Orange County (8,799) 61% are minorities
Ryan White Program Disease Trends
Incidence by Race/Ethnicity Black WhiteHispanic Other % Incidence
Ryan White Part A Disease Trends % of minorities served is greater than or = to their % of persons infected with HIV Black WhiteHispanic Other % Incidence % Clients
Ryan White Part A Trends Title I Funding Grant Funding 6,800,000 7,000,000 7,200,000 7,400,000 7,600,000 7,800,000 8,000,
Ryan White Part A Program Challenges
Ryan White Part A Challenges Provide medical care, drugs and support services to newly diagnosed patients Provide services for patients with advanced stages of the disease who have greater disabilities Address barriers to receiving care
Ryan White Part A Challenges Ensure disproportionately impacted and underserved populations are equitably served Increase capacity building Maintain funding while serving more clients Emphasis on medical treatment versus support services (75% medical/25%support required by Federal Grant)
Ryan White Part A Challenges Develop quality management systems to insure and document program success Develop services for a “chronic disease management system” designed to maintain health and self-sufficiency
Ryan White Part A Program Update Health & Family Services Department Presentation to the Board of County Commissioners June 12, 2007