2016 NASTAD Prevention and Care Technical Assistance Meeting: Ending New HIV and Hepatitis Infections

July 27th, 2016 | 07:30am EDT to July 29th, 2016 | 12:30pm EDT

The 2016 NASTAD Prevention and Care Technical Assistance Meeting: Ending New HIV and Hepatitis Infections hosts directors of state and territorial HIV/AIDS and hepatitis programs, national partners, and public health officials to discuss innovative and technical approaches to address topics that intersect HIV prevention and care including health equity, the role of social justice in ending the epidemics, core-competencies of health department HIV programming, co-infection, integrated planning, data and policy, client-level interventions, and program sustainability. This three-day conference includes updates from federal agencies including the Health Resources and Services Administration (HRSA), the Centers for Disease Control and Prevention (CDC) and the Centers for Medicaid and Medicare Services (CMS).

Agenda

DAY 1 - WEDNESDAY, JULY 27, 2016

8:00 - 9:00 AM

Breakfast Sessions

  • Breakfast and Networking
  • Mentorship Dialogue

9:00 - 9:15 AM

Welcome and Opening Remarks

  • Murray Penner, NASTAD

9:15 - 10:30 AM

Plenary: Ending the Epidemics – A National, State, and Community Approach (View slides)

  • Murray Penner, NASTAD
  • Johanne Morne, New York
  • Demetre Daskalakis, New York City 

10:30 - 11:45 AM

Plenary: Updates from Federal Partners 

  • Amy Lansky, Office of National AIDS Policy
  • Rich Wolitski, Office of HIV/AIDS Infectious Disease Policy, Department of Health and Human Services

1:00 - 2:00 PM 

Plenary: HIV Prevention and Care Program and Policy

  • Laura Cheever, Health Resources and Services Administration, HIV/AIDS Bureau (HRSA)
  • David Purcell, Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention
  • Josh Hardy, Centers for Medicare and Medicaid Services
  • Lisa Kaplowitz, Substance Abuse and Mental Health Services Administration

2:15 - 3:00 PM

Plenary: Update on Policy Implementation

  • Emily McCloskey, NASTAD

3:00 - 4:00 PM

Plenary: Health Systems Integration for HIV and Hepatitis (View slides)

  • Diana Jordan, Virginia
  • Terry Leach, Amida care
  • Matt Salo, National Association of Medicaid Directors 

4:00 - 5:15 PM

Affinity Sessions

  • Ryan White Part A, Part B, and ADAP Meeting with HRSA Staff
  • HIV Prevention Coordinator Meeting with CDC Staff

DAY 2 - THURSDAY, JULY 28, 2016

8:00 - 9:00 AM

Breakfast Sessions

  • Breakfast and Networking
  • Mentorship Dialogue
  • OnTAP Tutorial
  • Brainstorming Breakfast: System-level Strategies to Address HIV-related Stigmas

9:00 - 10:30 AM

Plenary: Developing a Common Language: Bringing an Anti-Racism Lens to Cultural Competency (View slides)

  • Kimberley Richards, The People's Institute for Survival and Beyond
  • Nicole Beckwith, North Carolina 

10:45 AM - 12:00 PM (Concurrent Breakout Sessions)

NASTAD Integrated Planning Clinic: This session invites participants to dialogue with peers to work through challenges related to the development of integrated plans. Staff from several jurisdictions with a history of integrated planning will be on hand to field questions and review goals, objectives, and indicators.

Interventions to Link and Retain Justice-involved Populations in Care Upon Release: This session will highlight how case management and community supervision stakeholders (e.g., parole officers) can be leveraged to link and retain justice-involved individuals in care and/or insurance.  This session also highlights how linkage to HIV care and supportive services (housing, transportation, mental health, substance use treatment, etc.) intersect with reduced recidivism.

Forecasting Service Demand for Aging Populations of People Impacted by HIVThis session will focus on using data to forecast service demand for aging populations of people at risk for and living with HIV.  It will also discuss how to ensure access to and availability of the unique service needs among aging individuals.  (View slides)

Health Insurance Enrollment: Tax Reconciliation: NASTAD, in collaboration with John Snow Inc. (JSI), will facilitate a session on health insurance enrollment, prevention services, and health plan navigation. The session will describe how tax reconciliation best practices may be implemented, including how protocols can be integrated into health department programs.  The session will describe how health departments, including ADAPs, have successfully created, deployed, and documented their process for vigorously pursuing health care coverage for the clients they serve.

Policy and Advocacy 101: This session will explain the basics of how states can better engage and support their community in educating elected officials and policy-makers about the needs of individuals living with HIV and hepatitis.  

Substance Use and Mental Health Program Partnerships: This session will discuss what it means to meaningfully integrate mental health and substance use services and care into a holistic HIV treatment and prevention program. Participants will hear from members of NASTAD’s Gay Men’s Health Equity Work Group and Drug User Health Initiative who have started programs, inclusive of these services, and offers strategies for meeting participants to consider.

12:30 - 1:30 PM 

Plenary: Clinical Update  The Future of HIV, Hepatitis, & Substance Use Treatments

  • Carl Dieffenbach, National Institute of Allergy and Infectious Disease

1:45 - 3:00 PM (Concurrent Breakout Sessions)

Toward a Gold Standard: 6 Aims of HIV Prevention Programs: This session will present six aims for HIV prevention programs, including a discussion on implementation, monitoring, and evaluation on integrated plans.

Data Sharing AgreementsParticipants will discuss and provide exemplary data sharing agreements within and across states for ADAP, care, and prevention programs.  Specifically, this session with highlight agreements within health departments and between health departments and providers. (View slides)

Leveraging Health System Data to Improve HIV Prevention and Care Services: This session will describe how HIV programs are using health systems data to improve services across HIV programs. The speakers will describe their experiences designing data analysis projects using Medicaid claims data and electronic health record data, and how the results inform the program’s service implementation strategy and evaluation. Speakers will also share lessons learned from their experiences developing the infrastructure needed to implement these projects, including establishing data-sharing agreements and engaging key stakeholders across state and local healthcare systems. 

State Policy and Legislative Affairs Focus Group: This interactive focus group will host a discussion on electronic lab reporting, viral load suppression reporting and testing and consent laws.

Utilizing Expanded Partner Services to Increase Health Equity among Gay & Bisexual MenThis session will explore the changing landscape of partner services.  From cost-effectiveness to linkage-to-care, participants will cover ways to expand and integrate HIV/STD partner services. (View slides)

PrEP Delivery Through a Comprehensive Sexual Health Framework: This session will discuss strategies to reach and retain Black gay men/MSM in primary care-based PrEP programs. In particular, presenters will discuss developing a social networks strategy to identify individuals at the highest risk of HIV acquisition, setting up clinic-level mechanisms to deliver care services that are culturally responsive and affirming, and bringing together a network of providers to assemble a local safety-net system for PrEP.

3:15 - 4:30 PM (Concurrent Breakout Sessions) 

Planning Integration with Ryan White Program Part AFrom planning to resource allocation, this session will discuss integration with Ryan White Program Part A. (View slides)

Two Sustainability Strategies: Building a Billing Collaborative for LHDs and Funding Harm Reduction Service Gaps at Community Health Centers: Participants will discuss two approaches to strengthen the sustainability of essential HIV/STI and harm reduction services. The first case study presented explores how a group of local health departments in Illinois contracted with third-party payers to bill for HIV/STI prevention and treatment services by forming a billing collaborative. The second focuses on a model to engage community health centers to provide comprehensive harm reduction services through a multi-payer funding mix that leverages both third-party payers and targets public health categorical funding to cover service gaps including an on-site syringe exchange. 

Exploring How Criminalization Impacts HIV Prevention and Care: This session will examine how criminalization impacts prevention and care and offer examples of what a state can do/has done about their criminalization statue.

Developing Capacity and Infrastructure for PrEP Implementation: This session will cover promising practices to increase provider capacity to strengthen PrEP implementation strategies and engage healthcare payers. Speakers will discuss lessons learned on health department implementation strategies, including current gaps identified, and share their perspective on opportunities to increase PrEP access. 

Data-to-Care and Models for Re-engagement in CareThis session emphasizes what comes next following the identification of people out of care: are there successful models that can be employed to re-engage these individuals?  In particular, this session highlights the role of health department staff and/or providers in conducting outreach to individuals identified as out of care. The panelists will include presenters from jurisdictions representing a range of geographical distribution and HIV prevalence. (View slides)

HIV TestingThis session will focus on elevating HIV testing practices through test technology, integrated testing services, and collaboration with FQHCs. (View slides)

4:30 - 5:00 PM

Mentorship Dialogue

 

DAY 3 - FRIDAY, JULY 29, 2016

8:00 - 9:00 AM

Breakfast Sessions

  • Breakfast and Networking
  • Mentorship Dialogue
  • Pacific Island Jurisdiction Discussion 
  • Brainstorming Breakfast: Action Steps in PrEP Financing

9:00 - 10:00 AM

Plenary: The Implementation of Integration (view slides)

  • Lola Houston-Hager, North Carolina
  • Melissa Morrison, Tennessee
  • Edwin Corbin-Gutierrez, NASTAD 

10:00 - 11:00 AM (Concurrent Breakout Sessions) 

Ending the Epidemic: Developing a State Plan and Conceptualizing NHAS on the Ground: This session will offer the genesis of state plans to conceptualize the National HIV/AIDS Strategy and develop and actualize a plan to end the HIV epidemic.  It will also discuss how health departments effectively engage with community partners and individuals living with HIV in these efforts.  

Outbreak Modeling and Rapid Response Planning: This session will discuss outbreak modeling and rapid response planning – including monitoring and response to opioid-related outbreaks.  This session will also discuss, per new CDC SSP guidance, the use of federal funds for syringe services via the CDC vulnerability index to prepare jurisdictions for a potential outbreak. 

Updates on the ADAP Crisis Task Force and the 340B Drug Pricing Program: This session will provide a detailed discussion of confidential ADAP drug pricing information, including anticipated changes related to the impending 340B Program mega-guidance and recent ADAP Crisis Task Force negotiations.

Utilizing Data to Inform and Change the Landscape for Black and Latino Gay MenCDC’s recent release of lifetime HIV acquisition data presented dramatic findings for Black and Latino MSM. In this session, participants will learn how to effectively utilize national and local level data to inform their prevention and care efforts to maximize service provision for BMSM and LMSM.  This session will also offer an opportunity to learn about NASTAD’s Center for Engaging Black MSM Across the Care Continuum (CEBACC). (View slides)

Quality Management and Improvement: This session will provide considerations for taking quality management in a direction that relates to health and adherence outcomes, setting the stage for using quality management and improvement projects to more actively promote client health and reduced HIV transmission. (View slides)

11:15 AM - 12:15 PM (Time To Talke: Health Department Staff Conversations) 

Time to Talk: Health Department Staff Conversations

12:15 - 12:30 PM

Wrap-up and Closing Remarks