Increase the percentage of 15-35-year-olds with diagnosed HIV infection who are virally suppressed to at least 90%

Pillar: Treat
Goal: Achieve 90% linkage to care, 90% engagement in care, and 90% viral suppression among those newly diagnosed with HIV
Strategy: Increase the percentage of 15-35-year-olds with diagnosed HIV infection who are virally suppressed to at least 90%.
Target: 15–35 year-olds, MSM, Parents/Significant other of 15-35, Perinatally infected aging up tweens/teens and those with documented, ACEs, PWH, Retention in care programs, Transgender individuals

Key Activities:

High Priority and Disruptively Innovative

  1. Hold tween/teen-focused classes that address health disparities and life skills development.
  2. Create best practices based on interviews of virally suppressed teens/tweens about their motivation for staying virally suppressed.
  3. Provide group therapy and summer programs.
  4. Utilize telehealth for prevention and care.
  5. Create an app for medical refills.

High Priority

  1. Build and strengthen support networks for newly diagnosed individuals (for instance— support in disclosing HIV status with family and friends).
  2. Utilize community health workers to reinforce medication adherence.
  3. Simplify the anti-retroviral refill process with Nashville Pharmacy by implementing policy and common practice changes surrounding the dispense of medication.
  4. Educate patients and anyone involved with patient care about the refill process.

Key Partners

AETC, ANAC Care centers, Community health workers, LCHN frontline staff, FQHCs, Funded testing agencies, H-CAP members, Headliners Community Advisory Board, HH, HH constituents, Medical case managers, Needle exchange, OM constituents, PEAS, Inc., Retention in care programs

Potential Funding Sources

  • EHE funding
  • Other public/private funding sources
  • RWHAP
  • State/local funding

Estimated Funding Allocation

  • $40,000 (.25FTE) = $10,000 x 4, Group Session Facilitator Coordinator
  • $500/ea. x10 = $5000, group training sessions (supplies, materials, educational resources, incentives)
  • Master’s-level counselor ($25,000)

Total: $70,000

 

 

Outcomes

(Reported annually, locally monitored more frequently)

  • # new support network groups
  • # agencies trained on refined pharmacy change
  • # individuals trained -refill process
  • # individuals downloading the med-refill app
  • # telehealth visits
  • # teens attending skills building courses

Monitoring Data Source

  • Patient-provider experience surveys
  • EMR
  • Surveillance data
  • Social media metrics
  • State and local continuum of care data