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NASTAD News, April 2012
Digest: The Month In Review
Program News
IOM Report: Monitoring HIV Care in the United States
Peer TA on PS12-1201
CDC Releases 2010 HIV Surveillance Report
Blue Ribbon Panel on Clinical Standards of Care for Black and Latino Gay Men and Other (MSM)
Member and Staff Updates
Digest: The Month In Review
March 2012 ADAP Watch Compilation
Save the Date: April 19 Global Program Webinar
Analysis of HIV Prevention Funding to State and Local Health Departments
NASTAD Phone Tree Communications
NASTAD Annual Meeting Invitation
NASTAD Call for Nominations for 2012-2013 Executive Committee
Registration for ADAP and Health Reform Regional Meetings and National ADAP TA Meeting
NASTAD Release of Modules 2 and 3 of the ADAP National Monitoring Project Annual Report
Response Requested: PrEP Readiness Survey and Updates
Call Notice: Health Reform Lay of the Land
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Program News

IOM Report: Monitoring HIV Care in the United States

On March 15, the Institute of Medicine (IOM) released a report on Monitoring HIV Care in the United States: Indicators and Data Systems. The Office of National AIDS Policy (ONAP) commissioned the IOM to assemble a committee of experts to identify core indicators for continuous HIV clinical care and support services access, as well as to monitor the impact of the National HIV/AIDS Strategy (NHAS) and the Patient Protection and Affordable Care Act (PPACA) on HIV care improvement. In addition, IOM was charged with identifying the best data sources and potential barriers to calculating core indictors and to specify the role of health information technology in data collection.

Key findings of the report highlighted the obstacles and barriers to healthcare for people with HIV, including late diagnosis, delayed access to care, breaks in care, delayed prescription filling and intermittent use of medications as well as untreated mental health and substance abuse disorders. The committee identified 12 data collection systems with potential for effective NHAS and ACA monitoring, including epidemiological studies, claims databases, HIV program and surveillance systems and clinical care electronic health record systems. Strategies for developing the IT response and ensuring data collection and improved patient care include providing education to HIV care providers, promoting the benefits of health IT and providing financial incentives.

The committee also identified barriers to data collection such as incomplete HIV/AIDS case reporting, variations in reportable CD4 counts and viral load thresholds across reporting areas, data sharing challenges, reduced accuracy and comprehensiveness of reported data and cumbersome reimbursement policies and practices. To address these barriers, the IOM committee recommends that HHS provide technical assistance and policy guidance to all entities involved in serving people living with HIV. For more information contact Natalie Cramer.

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Peer TA on PS12-1201

In March, California hosted a delegation from New Jersey in NASTAD's first PS12-1201 peer TA visit. As described in the invitation sent to members in December, these one-and-a-half day meetings center around sharing current and best practices and challenges and strategies for success within the priority areas of the new HIV prevention cooperative agreement, Comprehensive HIV Prevention Programs for Health Departments (PS12-1201). Topics discussed during the California-New Jersey exchange included condom distribution, policy and structural approaches, data systems and uses, increasing linkages and program planning. Both states reported the visit to be "very helpful" and plan to apply what they learned to their programs. This was the first in a series of visits taking place between states this spring. For more information contact Jillian Casey.

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CDC Releases 2010 HIV Surveillance Report

In March, CDC released the HIV Surveillance Report, 2010 Vol. 22. For the first time, the report includes HIV diagnosis data from six states with now-mature HIV reporting: California, Delaware, Montana, Oregon, Rhode Island and Washington. Although recent incidence estimates from 2006-2009 suggest overall stability in new infections, there was an overall increase of HIV incidence of 21 percent among persons aged 13-29 years. For more information contact Natalie Cramer.

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Blue Ribbon Panel on Clinical Standards of Care for Black and Latino Gay Men and Other (MSM)

In partnership with the National Coalition of STD Directors (NCSD), NASTAD convened a panel of experts last month for the "Raising the Bar: Developing a Standard of Care for Black and Latino Gay, Bisexual, and other Men who have Sex with Men (MSM) in a Clinical Setting" meeting. Intended to identify the impact of institutional and community-level stigma and develop a patient-centered, culturally-grounded standard of care for Black and Latino gay men/MSM, this meeting brought together leading clinicians, medical organizations and community stakeholders to strategize and share best practices. With funding from the MAC AIDS Fund, NASTAD and NCSD are working collaboratively to address the silos of HIV and STD to examine stigma in public health practice and its impact on Black and Latino gay men/MSM, including sharing information about new, innovative and synergistic approaches to promote comprehensive sexual health among Black and Latino gay men. For more information contact Francisco Ruiz.

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Member and Staff Updates

In member and staff news, Tom Liberti (FL) announced his retirement at the end of March. In Missouri, Ken Palermo was named the Chief of the Bureau of HIV/STD/Hepatitis.

Don't forget: registration is now open for the NASTAD Annual Meeting, taking place May 20-23, 2012 in Washington, D.C.

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