Early Identification of Individuals with HIV/AIDS (EIIHA)

1. Early Identification of Individuals with HIV/AIDS (EIIHA) LCDR Keisha Johnson, Project Officer Gary Cook, Deputy Director, DMHAP Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Division of Metropolitan HIV/AIDS Programs July 30, 2013

2. Agenda 1. Legislation 2. Background 3. What’s New for EIIHA?

3. Part A Legislation • Part A Grant • “…shall determine size and demographics of the estimated population of individuals with HIV/AIDS who are unaware of their HIV status” • “determine the needs of…individuals with HIV/AIDS who do not know their HIV status” • “develop a comprehensive plan…that includes – “ • “a strategy, coordinated as appropriate with other community strategies and efforts, including discrete goals, a timetable, and appropriate funding, for identifying individuals with HIV/AIDS who do not know their HIV status, making such individuals aware of such status, and enabling such individuals to use the health and support services”

4. Definitions • EIIHA • Unaware • Identification • Informing • Referral • Linkage

5. What is EIIHA? Early Identification of Individuals with HIV/AIDS (EIIHA): Identifying, counseling, testing, informing, and referring of diagnosed and undiagnosedindividuals to appropriate services, as well as linking newly diagnosedHIV positive individuals to care. 

6. Definitions Unaware of HIV Status: Any individual who has NOT been tested for HIV in the past12-months, any individual who has NOT been informed of their HIV result (HIV positive or HIV negative), and any HIV positive individual who has NOT been informed of theirconfirmatoryHIV result.

7. Definitions Identification of Individuals Unaware of Their HIV Status: Thecategorical breakdown of the overall unaware populationinto subgroups, which allow for the overall EIIHA strategyto be customized based on the needs of each subgroup, for the purposes of identifying, counseling, testing, informing, referring, and linking these individuals into care.

8. Definitions Informing individuals of their HIV status: • Informing an HIV negative individual, post-test, of their appropriate HIVscreening result • Informing an HIV positive individual, post-test, of theirconfirmatoryHIVresult

9. Definitions • Referral to care/services: • The provision of timely, appropriate, and pre-established guidanceto an individual that is designed to refer him/her to a specific care/service provider for the purpose of accessing care/servicesafterthe individual has been informedof their HIV status (positive or negative).

10. Definitions • Linkage to care: • The post-referral verificationthatcare/serviceswere accessedby an HIV positive individual being referred into care. • Example: Confirmation first scheduled care appointment occurred.

11. Planning Council Duties Grantee Duties • Determines size and demographics of estimated HIV+ unaware population • Determines the needs of the HIV+ unaware population • Develops a plan for organization and delivery of health and support services to HIV+ unaware population • Development and Implementation of EIIHA Strategy • Development and Implementation of EIIHA Plan to Identify, Inform, Refer, and Link Unaware Population to Care • Report Outcomes and Data associated with EIIHA Strategy and Plan

12. EIIHA vs. Unmet Need • Definition Comparison • Unmet Need Definition: HIV+ individuals who are AWAREof their HIV status but not in primary medical care • EIIHADefinition: HIV+ individuals who are UNAWAREof their HIV status, and, therefore, not in primary medical care

13. Unmet Need vs. EIIHA Both need care

14. EIIHA Now EIIHA Components: • Strategy • Plan • Identify, Inform, Refer, and Link • Reflects subgroups in EIIHA Matrix 3. Data

15. What is New for EIIHA? • FOAs for Parts A and B are streamlined • 2 Parts to EIIHA- FY 2014 FOA Requirements and Progress Report (same as in past) • FY 2014 FOA EIIHA Information • Overall Assessment of EIIHA Plan and Approach • Allow grantees to reflect on their EIIHA approach since its inception • Summarize how the EIIHA Plan was developed and implemented • Target Group selection • Data collection, analysis usage

16. What is New for EIIHA? • FY 2014 FOA EIIHA Information (cont.) • Data collection, analysis usage • Major outcomes and challenges • EIIHA Plan connection to National HIV/AIDS Strategy • Report on testing Data will be requested from 3 populations (January 1, 2013 – June 30, 2013) • Previous Data Matrix has been removed • EIIHA Section will be scored same as in past FOAs- 33 points

17. What is New for EIIHA? • FY 2013 Progress Report • Progress Report (due in summer of 2014) • Report on plan activities that occurred FY 2013 • Specific outcomes activities, successes, challenges • EIIHA Plan contributions to the goals of the National HIV/AIDS Strategy, Affordable Care Act • EIIHA Plan connection to addressing Unmet Need

18. What is New for EIIHA? • FY 2013 Progress Report (cont.) • Testing data for calendar year 2012 • Narrative about activities for three target populations from the FY13 EIIHA Plan (successes, challenges. outcomes) • Discussion of how data was used, disseminated, presented

19. Summary • FOA for Parts A and B Streamlined • Duties will be the same for Planning Council and grantee • 2 Parts – Plan Background Summary and Progress Report • No Data Matrix – Detailed Narrative Responses • Historical Perspective

20. Contact Information LCDR. Keisha Johnson Phone:301-443-4082 Email: kjohnson@hrsa.gov Gary Cook Phone: 301-443-9090 Email: gcook@hrsa.gov

21. Questions