Strengthening and Improving the HIV Care Continuum within

Strengthening and Improving the HIV Care Continuum within Ryan White HIV/AIDS Program Part A Jurisdictions Year 3 - Learning Collaboratives Health Resources and Services Administration HIV/AIDS Bureau Division of Metropolitan HIV/AIDS Programs Abt Associates | pg 1

Agenda § Purpose of Technical Assistance Cooperative Agreement § Review of 2016 -2017 Care Continuum Learning Collaborative (CCLC) § 2017 -2018 CCLC Topics and Approach § 2017 -2018 CCLC Timeline § Questions & Answers Abt Associates | pg 2

Background and Context

Unique and Critical Role of Part A Jurisdictions § Roughly 72% of PLWH in the 52 Part A jurisdictions § Ever-changing epidemic, clinical & financial paradigm § Not just a set of discrete services but a communitybased system of care § Public health focus, data-driven, responsive procurement § HIV care continuum and evidence based/informed interventions Abt Associates | pg 4

Purpose of Technical Assistance Cooperative Agreement (TA CA)

Purpose of the CCLC TA CA § Affect positive outcomes along the HIV care continuum by providing guidance and technical assistance using a collaborative learning approach and rapid improvement principles and practices § Apply data driven evidence based strategies for improving population level health outcomes § Scale-up interventions to improve HIV outcomes by stimulating action across jurisdictions and among many partners Abt Associates | pg 6

Why Learning Collaborative? § Recipients learn from each other and from experts § Reliance on distance technology to grow and sustain “cyber teams” of self-selected individuals § Innovation fueled by frequent, non-hierarchical communication patterns § Work patterns characterized by transparency and openness to contributions from all participants Abt Associates | pg 7

Glossary of Terms Working Definition Part A Recipient The EMA or TGA agency/organization that is the recipient of record. Part A Jurisdiction The geographical area served by the Part A recipient, including its network of partners and stakeholders. Learning A set or group of Part A recipient jurisdiction Collaborative representatives (referred to as teams) from multiple Part A jurisdictions working together on a specified domain. Learning A group of Part A recipient staff and stakeholder Collaborative /partner network representatives from a given Part A Team jurisdiction jointly participating in a Learning Collaborative. Abt Associates | pg 8

Glossary of Terms Working Definition Learning Collaborative Liaison An assigned staff member from the Abt Team who will act as the facilitator/convener of all Learning Collaborative calls and other group activities. Faculty A set of Abt Team staff, HAB staff and expert consultants available to deliver technical content, training and TA to support the work and goals of a Learning Collaborative. Learning Session Any group meeting of the sets of Part A teams that comprise a Learning Collaborative. Such a meeting could involve a formal training session by expert faculty, or a group meeting for internal discussion. Abt Associates | pg 9

CCLC Leadership & TA Team § HAB § Abt Team – Abt Associates – NASTAD – Mission Analytics Group § Expert Consultants – National Expert Stakeholder Committee (NESC) – Other external experts Abt Associates | pg 10

National Expert Stakeholder Committee (NESC) Name Ronald Bayer, Ph. D Organization Expertise Columbia University Social Justice and Ethics Nanette Benbow, MS Chicago Department of Public Health HIV Surveillance, Data Monitoring and Health Outcomes Jeff Crowley, MPH O’Neill Institute HIV/AIDS Policy, Strategy and Assessment David Evans Research Advocacy Project HIV Surveillance, Data Monitoring & Linkage to Care Ernest Hopkins, BA San Francisco AIDS Foundation HIV/AIDS Policy and Advocacy re: Black MSM Abt Associates | pg 11

National Expert Stakeholder Committee (NESC) Name Eve Mokotoff, MPH Organization Expertise HIV Counts Michael Mugevaro, MD, MHSc University of Alabama Clinical Research and Treatment Linda Scruggs, MHS Ribbon Consulting Group HIV/AIDS Surveillance Women and Youth Stakeholder Advocacy Patrick Sullivan, DVM, Emory University Ph. D HIV Surveillance, Data Monitoring and Health Disparities Jan Carl Parks, MA, MPA Part A Planning Council New York City Planning Council Abt Associates | pg 12

Review of 2016 -2017 CCLC

2016 -2017 CCLC Part A Sites § 25 Part A Recipients participated in 2016 -2017 CCLC Abt Associates | pg 14

2016 -2017 CCLC Domains 1. Data Access and Coordination 2. Using Data to Inform the Need for, and Selection of Evidenced-based/informed Approaches 3. Identifying and Implementing Targeted Evidenced-based/informed Interventions 4. Linkage to Care 5. Changing Healthcare Landscape Abt Associates | pg 15

Sample Part A CCLC Successes § Peer to Peer retention program implemented § Data to Care program developed and launched § Non-Ryan White providers trained on HIV/AIDS care standards § New Part A data system launched § Existing retention in care processes enhanced § Quality Management Plan revised to include youthspecific interventions § ‘Barriers to care’ tracking tool developed and piloted Abt Associates | pg 16

2017 -2018 CCLC Topics and Approach

This Year’s Approach § The previous set of CCLC groups employed a hybrid community of practice/learning collaborative approach § This year’s topics will employ a more classic learning collaborative design, involving more standardized: – Curricula – Goals – Measures § Shorter timeframe (9 months) § Availability and use of virtual tools will remain the same Abt Associates | pg 18

2017 -2018 CCLC Topics § Part A Driven Data to Care – Exploring ways for Part As to lead Data to Care Initiatives to best meet jurisdictional needs. § Integrated Networks to Support Better HIV Care Treatment from Non RW Providers – Developing approaches to coordinate care across providers who are not part of RWHAP funded sites. § Retention in Care (Youth , Transgender and Interpersonal Violence) – Determining best practices for disproportionality affected populations. § Pay for Performance Models – Creating approaches to incentivize quality improvement among Part A Subrecipients. Abt Associates | pg 19

Part A Learning Collaborative Team § Suggested Learning Collaborative Team Members: – Part A Staff (e. g. , Directors, CQM Staff, etc. ) – Planning Council Members – Ryan White Part B Program Staff – State and/or local HIV Surveillance Staff – HIV Service Providers – Integrated HIV Prevention and Care Planning Body Members § Teams may look different across Learning Teams and may be comprised of varying numbers of individuals Abt Associates | pg 20

Learning Collaborative Platform § Accelerating Change Through Interactive Online Networks (ACTION) Portal § Allows for bi-directional screen and video image sharing § Platform will serve as central mechanism for teams to interact, discuss, share, and collaborate § Functionality – Regular posting and sharing of information in “real time” – Synchronous and asynchronous communication – Online document repository – Expert moderated discussion boards – Peer to peer mentoring/ virtual site visit support – Request function for individualized TA Abt Associates | pg 21

CCLC In Action Abt Associates | pg 22

Abt Team Role § Develop learning sessions that provide participants with the best and latest information for each learning collaborative § Convene and facilitate monthly meetings § Identify experts to deliver learning session content § Provide group and 1 -1 TA as requested by participants § Host ACTION Portal: post and disseminate resources within and across learning collaboratives Abt Associates | pg 23

Participant Commitment § Attend monthly cyber team meetings with other Part As working on the same topic § Create an Action Plan that defines and guides jurisdictional goals and activities § Actively engage with and share expertise across peers § Share examples of materials for use by other participating Part As § Provide beginning, mid-line and end line evaluation data (low-burden design) Abt Associates | pg 24

2017 -2018 CCLC Timeline

Next Steps § Mid-October Part A’s will receive invitation to log on and select from new CCLC topics § Mid-November new Learning Collaboratives kick-off § Launch Learning Collaboratives: – Regular, interactive meetings using ACTION Portal – Learning collaborative-based organized training and technical assistance sessions – Training and Technical Assistance outreach § Determine Measures based upon participating Part A’s goals Abt Associates | pg 26

Questions and Discussion