Wisconsin Department of Health Services CDC and HRSA released guidance on June 19, 2015 Guidance for health departments and planning groups Development of an Integrated HIV Prevention and Care Plan covering calendar years Submit to CDC and HRSA by September 30, 2016 Does not provide guidance on integrated planning process Integrated HIV Prevention and Care Plan Guidance 1

Wisconsin Department of Health Services Context of HIV prevention and care changed because of ACA Recent advances in biomedical and behavioral strategies National HIV/AIDS Strategy and White House Care Continuum Initiative promote integrated approach Reduce administrative burden of planning efforts Why Integrated HIV Prevention and Care Plans ? 2

Wisconsin Department of Health Services A) Epidemiologic Overview Describe geographical region Describe socio-demographic characteristics Describe the burden of HIV Describe indicators of risk for HIV  Behavioral surveillance data  Testing data  Ryan White program data  HCV, STD and TB data  Qualitative data  Vital statistics Section I : Statewide Coordinated Statement of Need / Needs Assessment 3

Wisconsin Department of Health Services B) HIV Care Continuum Graphical depiction and narrative  HIV diagnosed  Linkage to care  Retained in care  Antiretroviral use  Viral load suppression Describe disparities by risk, race, age, gender, region Describe how continuum is being utilized Section I : Statewide Coordinated Statement of Need / Needs Assessment 4

Wisconsin Department of Health Services C) Financial and Human Resources Inventory Table of funding, agencies, services, relevant continuum step Description of HIV workforce capacity Describe how continuum is being utilized D) Assessing Service Needs, Gaps and Barriers Persons HIV infected who know their status but are not in care Persons at high risk for HIV Populations with disparities in access to care E) Data: Access, sources and systems Section I : Statewide Coordinated Statement of Need / Needs Assessment 5

Wisconsin Department of Health Services A) Integrated HIV Prevention and Care Plan Goals: broad statement based on National HIV/AIDS Strategy Objective: measurable statement describing results (SMART) Strategies: planned approach to achieve objective Activities: how will objective be achieved Resources: committed toward activities Section II : Integrated HIV Prevention and Care Plan 6

Wisconsin Department of Health Services B) Collaborations, Partnerships and Stakeholder Involvement Specific contributions to creating the plan Describe stakeholders not involved Provide a “Letter of Concurrence” C) People Living with HIV and Community Engagement Describe inclusion of PLWH in planning Describe methods used to engage communities Section II : Integrated HIV Prevention and Care Plan 7

Wisconsin Department of Health Services Describe process to regularly update planning body (SAPG) and community on progress Describe plan to monitor/evaluate SMART objectives and continuum Section IV : Submission and Review Process Submit integrated plan by September 30, 2016 HRSA and CDC will conduct a joint review Section III : Monitoring and Improvement 8

Wisconsin Department of Health Services Chapter II -- Wisconsin HIV/AIDS Data Trends: Replace HIV/AIDS surveillance review with most recent surveillance review cases reported through December 31, 2014 Addendum III -- Continuum of Services: Update listings of currently contracted agencies and budget tables to reflect 2015 funding levels Addendum IV -- Met/Unmet Need Analysis: Update early identification of individuals with HIV/AIDS estimate Addendum V -- Statewide Action Planning Group: Update roster of SAPG members Addendum VII -- Staff resources Supporting the Wisconsin HIV/AIDS Strategy: Update staff roster Addendum VIII -- DHS/AIDS Wisconsin/HIV Program Organizational Chart: Update personnel listings Updating the Wisconsin HIV / AIDS Strategy 2012 – 2015 Through September

Wisconsin Department of Health Services Comprehensive Needs Assessment Analyzing Needs, Gaps and Barriers Developing:  Goals  Objectives  Strategies  Activities  Resources Assuring Community Engagement SAPG Review and “Letter of Concurrence” Integrated Plan Submission by September 30, 2016 Regularly Updating SAPG on Progress of Implementation Wisconsin’s Integrated HIV Prevention and Care Plan 10