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Ryan White Program. Orange County Board of County Commissioners. January 10, 2012. Ryan White Program Outline. History Structure Roles & Responsibilities Utilization Services Updates & Improvements. Ryan White Program. History Structure Roles & Responsibilities Utilization
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Ryan White Program Orange County Board of County Commissioners January 10, 2012
Ryan White Program Outline • History • Structure • Roles & Responsibilities • Utilization • Services • Updates & Improvements
Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates & Improvements
Ryan White Program History • The Ryan White Act enacted by Congress in 1990 is the largest federal program focused exclusively on HIV/AIDS care • The Orlando EMA consists of a four (4) county area: Orange, Osceola, Seminole, and Lake counties • EMA has received funds since 1994 • Services are provided through contracts with not-for-profit, private, public and government entities
Ryan White Program History The Orlando EMA FY 2003/2004 – 2011/12 Award Releases Millions
Ryan White Program History Funding consists of three components: • Formula, the largest amount which is based on the active HIV/AIDS cases in the four county area. 95% of this amount must be spent to maintain the grant. • Supplemental, which is based on the strength of the grant application. • Minority AIDS Initiative (MAI), to ensure that grant dollars reach the minority community in a significant way.
Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates & Improvements
Ryan White Program Structure Congress Orlando EMA Funding Flow HRSA Grantee Orange County Government Planning Council Providers Consumers
Ryan White Program Structure Four components: • CEO Orange County Mayor (Grantee) • Grantee Office • Planning Council • Planning Council Support
Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates & Improvements
Ryan White Program Roles and Responsibilities Grantee/Grantee Office • Establishing and supporting an effective planning council • Procurement of all service providers • Contracting for services • Contract monitoring • Technical assistance to service providers • Clinical quality management • Consumer grievances
Ryan White Program Roles and Responsibilities Planning Council • Comprised of 14 members • 35% un-conflicted PLWH/As • Sets funding priorities and allocates resources • Assesses the Administrative Mechanism
Ryan White Program Roles and Responsibilities Planning Council Support • Orange County employees. • Provides new member orientation and assists with development of planning council trainings. • Provides guidance to PC regarding federal legislation, and PC roles & responsibilities. • Responsible for supporting the work of the PC and its committees.
Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates & Improvements
Ryan White ProgramUtilization Total Consumers Served by Year
Ryan White ProgramUtilization Consumer served by County 2010-2011
2010 EMA and Epi Profile Comparison Ryan White ProgramUtilization
Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates & Improvements
Ryan White ProgramServices • Services are procured through the Orange County purchasing and procurement processes, Purchasing and Contracts Division • The EMA Currently has 13 provider agencies for 11 categories • Service Categories may change annually based upon the needs of the client community
Ryan White ProgramProcurement Services Service Categories • OAMC • AIDS Pharmaceutical Assistance • Oral Health Care (Management) • Transportation Requests for proposal or bid are currently open
Ryan White Program • History • Structure • Roles & Responsibilities • Utilization • Services • Updates & Improvements
Ryan White ProgramUpdates & Improvements • Full-Time Grant Administrator hired – Stephanie Bowser • Developed collaboration with State of Florida • Expanding medical care capacity in under served communities. • Patient care database maintained by Orange County ISS.
Ryan White ProgramUpdates & Improvements • New Grantee website www.ocfl.net/hiv • Part A Program Brochures • English, Spanish & Creole • Marketing Plan to promote services • Reassessing staff roles and assignments • Improved Planning Council/Grantee office partnership
Planning Council Members Officers: David Cavalleri Shirley Lanier Luis Castro Chair Chair-Elect PLWH/A Rep Members: Dr. Gerald Horton Chevelle Howard Sidney Lewis Jesus Roman Monica Rutherford Nicola Guerrero Jim Aplin Maria Filion Debbie Tucci Sheila French Joseph Bowles
Ryan White Program Orange County Board of County Commissioners January 10, 2012