ACQC Welcomes South Nassau Community hospital Immersion Residents Wednesday, June 6 , 2018

1. ACQC Welcomes South Nassau Community hospital Immersion Residents Wednesday, June 6, 2018

2. COMMUNITY BASED ORGANIZTION PRESENTED BY: NAT LIENGSIRIWAT, LMSW 2018

3. WHATIS A CBO • A “COMMUNITY-BASED ORGANIZATION“ MEANS A PUBLIC OR PRIVATE NONPROFIT ORGANIZATGION OF DEMONSTRATED EFFECTIVENESS: • IS REPRESENTATIVE OF THE COMMUNITY OR SIGNIFICANT SEGMEMTS OF A COMMUNITY • PROVIDES EDUCATIONAL, SOCIAL SERVICES OR OTHER RELATED SERVICES.

4. GOALS OF A CBO • Assess and provide the needs of the community • Organizing events and allowing participation from residents of the community • Making a positive difference in the community • Establishing relationships with other providers in the community that align with their mission. • Provide affordable housing • Provide sustainability in the community (i.e. food pantry, clothing etc.)

5. WHY COLLABORATE? • Provide a more holistic approach to care and enhances the quality of care. • The movement from fee for volume to fee for value is at the foundation of the evolution in health care today. CBOs, payers and health care providers have to understand that in order to flourish in this new world will require partnership built on new business models, shared goals and transparent collaboration. • Cut cost, easy access to care, improves coordination.

6. Examples of Collaboration • HIV/AIDS and Asthma Hospital and CBO collaboration AIDS Center of Queens County/South Nassau Community Hospital. • HIV Testing – CBO • Monitor Lab work – CBO • Check CD/VL – Physician Intervention Education on triggers Hospital Alerts Pharmaceutical care

7. Partner with a CBO before you discharge a patient Our target population: Patient with chronic diseases (HIV+, Diabetes with HIV, Asthma, Mental Illness, and Substance Abuse MEDICAL FOLLOW UP CASE MANAGEMENT ADAP (FSTH) HOUSING LEGAL SERVICES WE ASSIST SPECIALIZED CARE FOOD STAMP MENTAL HEALTH NUTRITION EDUCATION SYRINGE EXCHANGE HARM REDUCTION CONTACT: NAT LIENGSIRIWAT TELEPHONE: (718) 868-8645 GET YOUR SERVICES IN THE NEIGHBORHOOD. ACQC HAS BEEN SERVICING FAR ROCKAWAY FOR 19 YEARS.

8. Example of Collaboration HIV/AIDS and Cancer Community Research Collaboration Memorial Sloan-Kettering Cancer Center Gay Men’s Health Crisis The City College Of New York This project is lunched by a grant from the National Cancer Institute(INCASO) Cancer Prevention Cancer Screening Cancer Treatment/Clinical Trials Cancer Survivorship Intervention: Increasing the Capacity of ASQs to Educate and Refer (INCASO)

9. A.C.Q.C HEALTH HOME M D CM RN CN RD MA

10. THE SOCIAL DETERMINANTS OF HEALTH

11. CATEGORIES AND EXAMPLES OF SOCIAL ISSUES

12. Resources • GNYHA –Training Primary Care Residents 2017 • http:/www.dhc.ca.gov/services/med-cal/eligibility/Pages/Community Based-Organizations-(CB)).aspx • Five Key Factors for Successful Health Care & CBO Partnerships – by Brent Feorene, Health Care Consultant (Article) • CBOs – Introduction- by Jason Kulpa (Article)

13. Living History with ACQC & AHF AHF is Founded Michael Weinstein and other activistsfounded the AIDS Hospice Foundation, known today as the AIDS Healthcare Foundation (AHF). The AIDS Hospice Foundation was developed from the Catalyst Organization, the Los Angeles AIDS Hospice Committee co-founded by the earliest champions of the AIDS Hospice Movement, Chris Brownlie, Michael Weinstein, Sharon Raphael, PhD, Mina Meyer, MA, and other advocates. 25-Bed Hospice Opens Barlow Respiratory Hospital converted into Chris Brownlie Hospice, providing 24-Hour Medical and Palliative Care to people living through the Final Stages of AIDS. AIDS Hospice Foundation Becomes AIDS Healthcare Foundation AHF transitions mission to include mission to enable persons living with HIV/AIDS to live well through advanced medical care. 1987 1990 1988 AHF 1988 1992 1987 1994 1986 ACQC ACQC Approved for COBRA Case Management ACQC Offices Expands to Far Rockaway Satellite Office & Food Pantry ACQC Created ACQC Opens it’s Doors as the First CBO in Queens Offering Case Management & Education Services. Staff Included an Executive Director, A Social Worker, An Educator and A Volunteer Coordinator. ACQC Moves to Richmond Hill From a Single Room in Forrest Hills, ACQC Moved to a Bigger Office with Just 60 Clients and a Start Budget of $160,000. In this Office, We Were Getting Hate Mail and Threats. ACQC Moves to RegoPark ACQC Opens Satellite office in Hillside & Food Pantry

14. Living History with ACQC & AHF AHF Files Suit Against GlaxoSmithKline AHF protests Antitrust and Patent Violations for AZT, 3TC and Ziagen. Result: GSK cuts cost of Trizivir and Combivir in developing countries by as much as 90%. AHF Campaigns Against Cipla AHF purchases full-page ads in Indian newspapers accusing Cipla of overpricing. Result:Cipla is brought under investigation and moves to reduce the price of Viraday and Efavir in India by 15%. 2007 2002 AHF 1997 1996 2006 2002 2003 ACQC ACQC Receives MHRA Ryan White Funding Funding in all 5 Categories: Housing Placement Assistance, Maintenance in Care, Harm Reduction, Mental Health Services, Early Intervention Services. ACQC Offers HOPWA Housing Services Mental Health Syringe Exchange Services Available Project Street / Second Chance Housing Services ACQC Offers Mental Health Services ACQC Offers HPA Housing Services

15. Living History with ACQC & AHF ACQC Affiliated with AIDS Healthcare Foundation (AHF) AHF Opens Health Care Center & Pharmacy at Jamaica Site & Mobile Unit AHF Health Centers & Pharmacy Located in Manhattan and Brooklyn Wellness Center Opens in Jamaica AHF Petitions Drug Makers to Freeze Drug Prices Result: BoehringerIngelheim and Gilead Sciences Freeeze prices on Antiretroviral medications purchased by governmental agencies. 2008 2016-17 2015 AHF 2015 2011 2010 2016-17 ACQC 2012 ACQC Moves Offices To Jamaica Avenue & Western Queens – LIC/Woodside Joint Venture of Case Management Program ACQC Care Coordinators Located at AHF Brooklyn Manhattan Offices • ACQC Services • ADAP (FSTH) • Linkage & Navigation • Nutrition Services • SNAP/TEN Tracker • Food Pantry • Health Homes • Care Connect & Citywide Program Patient Protection and Affordable Care Act Signed into Law The ACA creates Health Homes to coordinate care for people chronic health conditions. NY/NY III Housing Services ACQC Approved for Health Homes ACQC Transition s from COBRA to Health Homes. THP YMCA Transitional Housing Program

16. Case Management Definitions: Case management is a multi-step process to ensure timely access to and coordination of medical and psychosocial services for a person living with HIV/AIDS and, in some models, his or her family/close support system. Case management includes the following processes: intake, assessment of needs, service planning, service plan implementation, service coordination, monitoring and follow-up, reassessment, case conferencing, crisis intervention, and case closure. Case management activities are diverse. In addition to assisting clients to access and maintain specific services, case management activities may include negotiation and advocacy for services, consultation with providers, navigation through the service system, psycho-social support, supportive counseling, and general client education. The goal of case management is to promote and support independence and self-sufficiency.

17. The processes of case management described here are: I. Brief intake/assessment process II. Selection of case management model and placement III. Brief Service plan IV. Initial comprehensive assessment V. Initial comprehensive service plan development VI. Service plan implementation, including client contact, monitoring and follow-up VII. Reassessment VIII. Service plan update IX. Case coordination and case conferencing X. Crisis intervention XI. Case closure

18. WHAT CAN A CASE MANAGER DO FOR THE PHYSICIAN • Helping clients retain or stay in care and provide appointment reminders • Connecting clients to care and referrals needed • Helping stabilize the client after a crisis or hospitalization • Addressing social determinants of health that affect their ability to participate in care. • Share a patient centered plan with you that includes client’s goals, and interventions and tasks the clients have adhered to. • Share information collected in a comprehensive assessment that will help you provide a better care for your clients. • Case Managers can provide ongoing reinforcement regarding medication regimens, attendance to specialty care. • Arrange transportation to and from the hospital

19. ACQC Services Case Management Mental Health Harm Reduction Syringe Exchange Program Legal services Education & Prevention , HIV 101 Housing Health Home