1. Nebraska HIV CARE & Prevention Consortium (NHCPC) Orientation Guide Individually we are special but together we are spectacular !

2. THANK YOU For joining us as we strive to reduce the number of new cases of HIV within Nebraska and to improve the quality of life for those who are HIV +.

3. History of the NHCPC 1)In 1993, the Centers for Disease Control (CDC) mandated the implementation of the community planning process for HIV prevention. 2)February 1994 – a forum was held which created six regional planning groups and one statewide planning group. 3)Fall 1995 – the first meeting of the statewide planning group occurred. 4)January 1996 – the HIV Community Planning Coordinator position was developed.

4. 5)1998 – the Ryan White Title II Consortia groups and the six regional planning groups formally merged at the community level. The union of these organizations provides focused decision-making essential to comprehensive planning. 6) March 2000 – the first official meeting of the NHCPC was held which consisted of reviewing the NHCPC Mission and Purpose, objectives, community structures and administrative issues. History of the NHCPC

5. The mission of the NHCPC is to develop a comprehensive HIV CARE and Prevention Plan for the State of Nebraska by identifying specific strategies and interventions that are responsive to validated needs within defined target populations affected by HIV. Mission of the NHCPC

6. The purpose of the NHCPC is to act in an advisory capacity to the Nebraska Department of Health and Human Services HIV Prevention Program and the Direct Care Services Programs (Ryan White and Housing Opportunities for Persons With AIDS [HOPWA]). Purpose of the NHCPC

7. Responsibilities of the NHCPC 1.To assess the extent of the HIV epidemic 2.To assess existing HIV prevention resources 3.To identify unmet HIV prevention and care needs 4.To define the potential impact of specific HIV prevention strategies

8. Responsibilities of the NHCPC (cont.) 5.To prioritize HIV prevention and care needs, develop a locally specific HIV prevention and care plan, and evaluate the planning process 6.To ensure parity, inclusion, and representation reflective of the HIV epidemic 7.To review the yearly HIV Prevention application to the CDC and give concurrence, partial concurrence or non- concurrence

9. Five Core Objectives 1. Foster openness and participation in the community planning process. 2. Ensure that target populations reflect the diversity of the epidemic and that expertise in epidemiology, evaluation, health planning, and social/behavioral science is included in the planning process. 3. Ensure that priority HIV populations are determined based on epidemiological data and needs assessments.

10. Five Core Objectives (cont.) 4. Ensure that interventions are based on explicit consideration of priority needs, outcome effectiveness, cost and cost effectiveness, theory, and community norms and values. 5. Foster strong, logical links between the community planning process, the application for funding and the allocation of CDC HIV prevention resources.

11. NHCPC Membership Composition 1.Must be geographically balanced and reflect the diversity of the HIV epidemic. Recruitment of members is guided by the principles of parity, inclusiveness, and representation, as established by the CDC. 2.The maximum number of members will be 38. 1.Two types of members: A. Standing members - appointed by the HIV Program Administrator and are designated per requirements of the CDC and HRSA. They represent related state agencies and others recommended to serve in order to balance CDC requirements.

12. NHCPC Membership Composition (cont.) B. Elected members - represent related functional areas, persons directly impacted by the epidemic, and geographic areas - Nebraska has six independent community planning regions that elect a representative to the NHCPC

13. Nebraska HIV CARE and Prevention Consortium State Part B Coordinator State HIV Program Administrator Part C Coordinator Direct Provider for STDs Division of Adolescent and School Health (Nebraska Dept of Education) Medicaid Issues Behavioral Health Epidemiologist AIDS Drug Assistance Program State Corrections Prevention Subgrantee HHS funded HIV Case Management HHS funded Minority Community Based Organization Minority - HIV Impacted MSM - Urban (+ or -) MSM - Rural (+ or -) MSM - Minority/Person of Color Injecting Drug User Red Ribbon Community Person Living with HIV or AIDS Person Living with HIV or AIDS Western Region Southwest Region Central Region Southeast Region REGIONALLY ELECTED APPOINTED ELECTED State Co-Chair Northern Region CTR/PCRS HHS funded (Counseling/Testing) City/County/District Health Dept Eastern Region Behavioral Health Woman - HIV Impacted Mental Health/ Substance Abuse Provider EX-OFFICIO Minority Faith-Based Business Native American/American Indian

14. NHCPC Code of Conduct All members abide by the NHCPC Code of Conduct. Any member in violation of the Code of Conduct may be removed by majority vote. 1.Commit to regular meeting attendance and active participation. 2.Actions/comments should be in the best interest of the group. 3. Put aside personal agendas. 4.Separate agency/organizational goals and needs from those of the NHCPC. 5.Share all pertinent feedback, positive and negative, within the NHCPC. 6.Discuss/resolve concerns during meetings.

15. NHCPC Code of Conduct 7.Be positive about the NHCPC, its mission, and purpose. 8.Exercise discretion to maintain the NHCPC’s integrity. 9.Acknowledge and respect all variant views. 10.Respect each other’s differences, knowledge, experiences, and frames of reference. 11.Comments should be made in a respectful manner and in a reasonable time frame.

16. Confidentiality Information discussed and provided, whether written or oral, is for the purpose of accomplishing the missions and objectives of the advisory group. Disclosures or discussions which place a member at possible risk of harm to person or reputation shall be kept confidential and restricted to the business of the NHCPC. NHCPC meetings adhere to Nebraska statutes, policies, and procedures concerning Open Meeting Laws. Nebraska Open Meetings Act (as exists on July 14, 2006) 84-1407. Act, how cited. Sections 84-1407 to 84-1414 shall be known and may be cited as the Open Meetings Act. Source: Laws 2004, LB 821, § 34. 84-1408. Declaration of intent; meetings open to public. It is hereby declared to be the policy of this state that the formation of public policy is public business and may not be conducted in secret. Every meeting of a public body shall be open to the public in order that citizens may exercise their democratic privilege of attending and speaking at meetings of public bodies, except as otherwise provided by the Constitution of Nebraska, federal statutes, and the Open Meetings Act. Source: Laws 1975, LB 325, § 1; Laws 1996, LB 900, § 1071; Laws 2004, LB 821, § 35. 84-1409. Terms, defined. For ……………

17. NHCPC Member Job Description Role As a member of the NHCPC it is your role to: 1.Make a commitment to its mission, process, and results. 2.Participate in all decisions and problem solving. 3.Undertake special tasks, as requested by the NHCPC. 4.Gather data and information as needed. 5.Educate others about the community planning process. 6.Serve on a standing committee

18. Membership Terms Elected members serve for a term of three years. Elected members may not serve for more than two consecutive terms. Standing/appointed members serve at the discretion of the HIV Program Administrator. Some committee members are members of a specific sub- committee only, not a voting NHCPC member and are considered a public member/visitor during the NHCPC meeting.

19. Standing Committees The NHCPC has established seven standing committees. – Assessment and Evaluation – CARE Services – Co-Infection –Interventions – Membership –Public Information –Executive Each member of the NHCPC must serve on a standing committee. During your orientation class you will be appointed to one of the standing committees.

20. The majority of work activities and outcomes are done in standing committees. Rarely is there a need for a standing committee to meet between regular meetings. Standing committee members may be recruited from outside of the group (non-NHCPC members). All standing committee members must abide by the NHCPC Bylaws and Operational Guidelines. Standing Committees

21. Estimated Time Requirement for Members Four quarterly meetings per year lasting eight hours each. Meetings are held on the fourth Thursday in the months of January, April, July, and October. One meeting per year, April or July, will include a workshop day making it a two day meeting. Rare homework assignments. The standing committee chairperson may require additional hours of commitment.

22. Attendance Policy Members are expected to attend all meetings for the full eight hours unless excused by one of the Co-Chairs. Absences will be considered either excused or unexcused at the discretion of the Co-Chairs. A member who has three absences within the preceding 12 month period, whether excused or unexcused, will be considered non-participating and be replaced. A member who has two unexcused absences within the preceding 12 month period will be considered non-participating and be replaced.

23. Expenses Reimbursement of expenses for NHCPC members, voting and standing committee members, are provided per the Nebraska Department of Health and Human Services Department of Administrative Services Administrative policy, pursuant to Section 81-118L.01. Covered expenses include: mileage at the state reimbursement rate, lodging, parking expenses and meals at per diem rate. Expenses will be submitted on an Expense Reimbursement Document following each meeting. Reimbursement occurs after the NHCPC meeting has been held.

24. Conflict of Interest Conflict of Interest is defined as: A conflict between one’s obligation to the public good and one’s self interest, whether that interest be a personal interest, or interest of family, friend or work related. All NHCPC members sign a Conflict of Interest form annually. This form lists organizations with whom members are affiliated and helps to maintain the reputation and credibility of the NHCPC in making fair, objective, and impartial decisions.

25. Lobbying The NHCPC is funded by the Nebraska DHHS HIV Prevention and Ryan White Programs who receive their financial support through cooperative agreements with the CDC and HRSA. The NHCPC’s members, committees and all activities must follow restrictions determined by federal guidelines. These restrictions prohibit the NHCPC from using appropriated Federal funds directly or indirectly to encourage participants to lobby or instruct participants how to lobby.

26. NHCPC Meetings NHCPC meetings abide by Open Meeting rules and are therefore open to the public. New Member Orientation Class is held from 8:00 am – 8:30 am. Standing committee meetings are held from 8:30 am – 10:30 am. The general NHCPC meeting time is 10:30 am – 5:00 pm. Meetings are held on the fourth Thursday of January, April, July and October, in Lincoln.

27. The meeting agenda will be e-mailed to members at least ten (10) days prior to the scheduled meeting. All meetings follow the guidelines set forth in Robert's Rules of Order. NHCPC Meetings

28. Direct Care Services & HIV Prevention Program The NHCPC has advisory responsibilities for both the Direct Care Services and the HIV Prevention Programs in Nebraska. Direct Care Services consists of the Ryan White Program and HOPWA (Housing Opportunities for Persons With AIDS). The HIV Prevention Program consists of: 1. Health education and risk reduction 2. Counseling, testing and referral 3. Sub grant management & special projects 4. Public information & education 5. Assessment & evaluation 6. Community planning

29. Ryan White Programs Part B & C The Ryan White CARE Act is a federally funded program which provides direct care and support services to persons living with HIV/AIDS. In Nebraska, the Ryan White Program consists of Part B and Part C Services. The NHCPC serves as an advisory body to the Ryan White Part B Services only. Part C Services are provided by non-profit organizations.

30. Ryan White Part B Part B Services include: Comprehensive Case Management Services provide access to Ryan White funded services and assistance in accessing other eligible services for qualified clients. AIDS Drug Assistance Program (ADAP), which provides pharmaceutical treatment to persons with HIV/AIDS. Direct Emergency Assistance provides support services such as housing, utilities, transportation, food, and insurance premium payment assistance.

31. Ryan White Part C is considered a payor of last resort and provides early intervention services (EIS) to individuals who are HIV+ and live in Nebraska. Currently, there are two Part C programs in Nebraska: –University of Nebraska Medical Center (UNMC) EIS program –Chadron Community Hospital EIS program Each program also provides services through contracts with physicians, dentists, and mental health/substance abuse providers across the state. Ryan White Part C

32. Part C Services include: Primary medical care (outpatient visits and lab) Ophthalmology Outpatient mental health services Outpatient substance abuse services Oral health care Nutritional consultation Pap smear Annual TB skin testing Translation services

33. HOPWA Housing Opportunities for Persons with AIDS HOPWA is a housing program administered by the US Department of Housing and Urban Development (HUD) for person’s living with HIV/AIDS and their families. HOPWA’s purpose is to provide resources and incentives to devise long-term comprehensive strategies for meeting the housing needs of person’s living with HIV/AIDS and their families. The goal of HOPWA is to prevent homelessness and to support independent living of persons with HIV/AIDS.

34. HIV Prevention Program The Nebraska DHHS HIV Prevention Program works in partnership with the NHCPC to design local prevention plans that best represent the needs of the various populations at risk for, or infected with, HIV. The current HIV state plan, Nebraska Comprehensive HIV Plan 2009-2013, is available on the NHCPC website: www.dhhs.ne.gov/dpc/nhcpc.htm NHCPC members also review the yearly HIV Prevention CDC grant application and provide a letter of concurrence, concurrence with reservations or non- concurrence to the application. This letter describes to what degree the grant application agrees or disagrees with priorities set forth in the HIV Comprehensive plan.

35. You will receive a letter from the State Co-chair with orientation class information. Attend New Member Orientation Class prior to your first official meeting. Mentor will be assigned to you to help assist you through your first NHCPC meetings. Next Step

36. Congratulations! Congratulations! You have just completed the first step to becoming an official member of the Nebraska HIV Care and Prevention Consortia. We hope that your experience with the NHCPC will be an enjoyable one. We look forward to seeing you at the next meeting. The Membership Committee