CAPUS WORK PLAN OVERVIEW

1. Virginia Department of Health CAPUS WORK PLAN OVERVIEW

3. HIV Testing and Linkages to Care • Remove Structural Barriers to HIV Testing • Expand testing to venues in high-minority, high-poverty areas • Use of mobile vans and storefronts • Pharmacy-based testing initiative using INSTI test • Offer testing in behavioral health services facilities • Improve Linkages to Care • Use rapid-rapid testing protocol to provide same-day linkage to care • Use Active Referrals protocol with DIS and patient navigators

4. Patient Navigation • Community Health Workers (CHWs) will work to link, retain and reengage newly and previously diagnosed persons • CAPUS will support CHWs in three health regions (Northern, Northwest, Eastern). • Continuing education for all CHWs and PNs. • Reduce no shows, increase linkage to care and kept appointments, re-engage clients lost to care, reduce viral load and increase CD4 counts.

5. Use of surveillance data and data systems to improve care and prevention • Establish data matches between eHARS, and HIV care data on medical visits and lab values to enhance HIV prevention, surveillance and linkage to care activities. • Newly diagnosed persons without evidence of a CD4 count or viral load (VL) within 90 days of diagnosis; • PLWHA without evidence of care (a CD4 T+ count or VL) in the past six to twelve months; • VL measurement more than 200 copies/ml or last CD4 T+ lymphocyte count was less than 200 or less than 14%. • Reports generated by the CAPUS epidemiologist will provide program staff with data for follow-up with relevant patients/providers

6. Use of surveillance data and data systems to improve care and prevention • Generate an annual statewide HIV treatment cascade to assess progress on HIV patient’s care-related access. • By September 29, 2014, at least two laboratory facilities’ ELRs will be imported into respective HIV data systems. • Ensure timely, standardized entry into eHARS. • Ensure timely, standardized entry into VACRS/ADAP. • Ensure availability of data for accurate analyses of linkage and retention in care, Treatment Cascade and unmet need.

7. Addressing Social Determinants of Health • Analyze HIV testing locations and HIV disease burden data alongside social determinants of health datasets to improve planning for HIV testing, linkage to care and re-engagement in care activities. • Establish a pilot temporary housing system for recently released HIV positive inmates. • Facilitate long-term stable housing placement to reduce structural barriers to retention in care and treatment adherence • Educational curriculum

8. Addressing Social Determinants of Health • Social Media and Marketing Campaign Strategies • Address HIV stigma that serves as a barrier to HIV testing and treatment • Implement components of the CDC’s Act Against AIDS: Greater Than AIDS (GTA) Campaign. • Co-branded campaign materials will be delivered through posters, palm cards, public transportation, billboards, magazines, venue-based advertising and web sites. • Testing Us Makes Us Stronger will be launched in Year 2

9. Outcomes • Increase the number of Blacks and Latinos tested annually through public health-supported settings by 40% over the 2011 baseline of 48,140 tests. • Increase from 88% to 91% the percentage of newly identified confirmed HIV-positive clients who know their serostatus. • Decrease the proportion of Latinos diagnosed late in the disease process (AIDS diagnosis within 12 months of positive test) from 45% to 30%.

10. Outcomes • Increase the proportion of HIV infected persons who are retained in care from 55% to 70%. • Increase from 31% to 40% the percentage of HIV-positive persons with an undetectable viral load. • QUESTIONS?