Baltimore Eligible Metropolitan Area (EMA) Planning Council Meeting Baltimore City Health Department Ryan White Program Client-Level Data Presentation Fiscal Year 2018 March 1st, 2018 – February 28th, 2019 Baltimore Eligible Metropolitan Area (EMA) Planning Council Meeting May 20th, 2019 Presenter CAREWare Database Administrator, Stephon Effinger

Mission Improve the quality of life for people living with HIV/AIDS and their families in Baltimore City and surrounding counties Provide comprehensive guidance to Ryan White providers and the Baltimore Planning Council to ensure compliance with Ryan White legislations and standards of care Objective Demonstrate 2018 fiscal year’s client level data for resource allocation decision making

Ending the HIV Epidemic HRSA HAB has focused on four goals to inform programmatic efforts and funding to end the HIV epidemic. Reduce the number of people who become infected with HIV Increase access to care and improve health outcomes for people living with HIV Reduce HIV-related health disparities Achieve a more coordinated national response to the HIV epidemic

Client Level Data inclusion criteria Client with at least one Ryan White defined service regardless of payer Client with a confirmed HIV diagnosis Client age > 2 years old Client’s Federal Poverty Level <= 500%

FY18 Clients N = 12,735 2% increase from FY17 (n=245) 79.2% of clients received a service supported by Part A funds (n=10,089) 9.6% of clients received a service supported by Part A MAI funds (n=1,220) 12 clients received Hospice Care 110 clients received Other Professional Services (Legal)

Core Medical Services Support Services 94.0% of clients have received at least one Core Medical Service (n=11,965) 56.7% of clients have received at least one Support Service (n=7,226) 50.8% of clients have received both a Core Medical & Support Service (n=6,471) 5.9% of clients have received a Support Service only (n=755)

Key Populations Due to notable disparities, HRSA HAB has enhanced its efforts to improve HIV- related health outcomes among several key populations

Key Populations Black/African American or Hispanic Women Black/African American or Hispanic men who have sex with men 19.7% (n=2,510) Youth (age 13 to 24) 3.5% (n=444) Trans Persons 1.5% (n=195)

Housing Status Unstable/Temporary/Non-Permanently Housed 6% All Clients (n=563) 9% Trans Persons (n=13) 8% Youth (n=23) 6% African American or Hispanic Women (n=158) 6% African or Hispanic MSM (n=114) Note: 68% of clients (n=8,694) has an Housing Assessment

Retention in HIV Medical Care HRSA Ryan White HIV/AIDS Bureau (HAB) Monitoring Clinical Outcomes Retention in HIV Medical Care Retention in HIV medical care is defined as PLWH who had at least 1 outpatient ambulatory health services (OAHS) visit in the measurement year, with a second visit at least 90 days after. Retention in HIV Medical Care Baltimore EMA Numerator Baltimore EMA Denominator Baltimore EMA Percentage National Average 8,666 11,057 78% 81% Note: Nation Average based upon 2017 Ryan White HIV/AIDS Program Annual Client Level Report Ryan White HIV/AIDS Program Services Report (RSR)

Viral Load Suppression HRSA Ryan White HIV/AIDS Bureau (HAB) Monitoring Clinical Outcomes Viral Load Suppression Viral suppression is calculated among PLWH who had at least 1 OAHS and at least 1 viral load during the measurement year. Viral suppression is defined as a most recent viral load test result <200 copies/mL. Viral Load Suppression Baltimore EMA Numerator Baltimore EMA Denominator Baltimore EMA Percentage National Average 9,047 10,376 87% 86% Note: Nation Average based upon 2017 Ryan White HIV/AIDS Program Annual Client Level Report Ryan White HIV/AIDS Program Services Report (RSR)

Limitations A Ryan White documented HIV care visit in CAREWare are those who have had a funded RW visits. Variances in clinical and demographic data are attributed to individual Program operations & Ryan White consumers receiving care outside of the network of Ryan White Providers. Data Source: Maryland CAREWare All Client Data extract 05/15/2019 for period covering 03/01/2018 through 02/28/2019

Thank you for your time! Questions? stephon.effinger.bchd@gmail.com