Strengthening and Improving the HIV Care Continuum within Ryan White HIV/AIDS Program Part A Jurisdictions Year 3 - Learning Collaboratives Health Resources and Services Administration HIV/AIDS Bureau Division of Metropolitan HIV/AIDS Programs Abt Associates

Agenda Purpose of Technical Assistance Cooperative Agreement Review of 2016-2017 Care Continuum Learning Collaborative (CCLC) 2017-2018 CCLC Topics and Approach 2017-2018 CCLC Timeline Questions & Answers

Background and Context

Unique and Critical Role of Part A Jurisdictions Roughly 72% of PLWH in the 52 Part A jurisdictions Ever-changing epidemic, clinical & financial paradigm Not just a set of discrete services but a community- based system of care Public health focus, data-driven, responsive procurement HIV care continuum and evidence based/informed interventions

Purpose of Technical Assistance Cooperative Agreement (TA CA)

Purpose of the CCLC TA CA Affect positive outcomes along the HIV care continuum by providing guidance and technical assistance using a collaborative learning approach and rapid improvement principles and practices Apply data driven evidence based strategies for improving population level health outcomes Scale-up interventions to improve HIV outcomes by stimulating action across jurisdictions and among many partners

Why Learning Collaborative? Recipients learn from each other and from experts Reliance on distance technology to grow and sustain “cyber teams” of self-selected individuals Innovation fueled by frequent, non-hierarchical communication patterns Work patterns characterized by transparency and openness to contributions from all participants

Glossary of Terms Terms Working Definition Part A Recipient The EMA or TGA agency/organization that is the recipient of record. Part A Jurisdiction The geographical area served by the Part A recipient, including its network of partners and stakeholders. Learning Collaborative A set or group of Part A recipient jurisdiction representatives (referred to as teams) from multiple Part A jurisdictions working together on a specified domain. Learning Collaborative Team A group of Part A recipient staff and stakeholder /partner network representatives from a given Part A jurisdiction jointly participating in a Learning Collaborative.

Glossary of Terms Terms Working Definition Learning Collaborative Liaison An assigned staff member from the Abt Team who will act as the facilitator/convener of all Learning Collaborative calls and other group activities. Faculty A set of Abt Team staff, HAB staff and expert consultants available to deliver technical content, training and TA to support the work and goals of a Learning Collaborative. Learning Session Any group meeting of the sets of Part A teams that comprise a Learning Collaborative. Such a meeting could involve a formal training session by expert faculty, or a group meeting for internal discussion.

CCLC Leadership & TA Team HAB Abt Team Abt Associates NASTAD Mission Analytics Group Expert Consultants National Expert Stakeholder Committee (NESC) Other external experts

National Expert Stakeholder Committee (NESC) Name Organization Expertise Ronald Bayer, PhD Columbia University Social Justice and Ethics Nanette Benbow, MS Chicago Department of Public Health HIV Surveillance, Data Monitoring and Health Outcomes Jeff Crowley, MPH O’Neill Institute HIV/AIDS Policy, Strategy and Assessment David Evans Research Advocacy Project HIV Surveillance, Data Monitoring & Linkage to Care Ernest Hopkins, BA San Francisco AIDS Foundation HIV/AIDS Policy and Advocacy re: Black MSM

National Expert Stakeholder Committee (NESC) Name Organization Expertise Eve Mokotoff, MPH HIV Counts HIV/AIDS Surveillance Michael Mugevaro, MD, MHSc University of Alabama Clinical Research and Treatment Linda Scruggs, MHS Ribbon Consulting Group Women and Youth Stakeholder Advocacy Patrick Sullivan, DVM, PhD Emory University HIV Surveillance, Data Monitoring and Health Disparities Jan Carl Parks, MA, MPA New York City Planning Council Part A Planning Council

Review of 2016-2017 CCLC

2016-2017 CCLC Part A Sites 25 Part A Recipients participated in 2016-2017 CCLC

2016-2017 CCLC Domains Data Access and Coordination Using Data to Inform the Need for, and Selection of Evidenced-based/informed Approaches Identifying and Implementing Targeted Evidenced-based/informed Interventions Linkage to Care Changing Healthcare Landscape

Sample Part A CCLC Successes Peer to Peer retention program implemented Data to Care program developed and launched Non-Ryan White providers trained on HIV/AIDS care standards New Part A data system launched Existing retention in care processes enhanced Quality Management Plan revised to include youth- specific interventions ‘Barriers to care’ tracking tool developed and piloted

2017-2018 CCLC Topics and Approach

This Year’s Approach The previous set of CCLC groups employed a hybrid community of practice/learning collaborative approach This year’s topics will employ a more classic learning collaborative design, involving more standardized: Curricula Goals Measures Shorter timeframe (9 months) Availability and use of virtual tools will remain the same

2017-2018 CCLC Topics Part A Driven Data to Care – Exploring ways for Part As to lead Data to Care Initiatives to best meet jurisdictional needs. Integrated Networks to Support Better HIV Care Treatment from Non RW Providers – Developing approaches to coordinate care across providers who are not part of RWHAP funded sites. Retention in Care (Youth , Transgender and Interpersonal Violence) – Determining best practices for disproportionality affected populations. Pay for Performance Models – Creating approaches to incentivize quality improvement among Part A Subrecipients.

Part A Learning Collaborative Team Suggested Learning Collaborative Team Members: Part A Staff (e.g., Directors, CQM Staff, etc.) Planning Council Members Ryan White Part B Program Staff State and/or local HIV Surveillance Staff HIV Service Providers Integrated HIV Prevention and Care Planning Body Members Teams may look different across Learning Teams and may be comprised of varying numbers of individuals

Learning Collaborative Platform Accelerating Change Through Interactive Online Networks (ACTION) Portal Allows for bi-directional screen and video image sharing Platform will serve as central mechanism for teams to interact, discuss, share, and collaborate Functionality Regular posting and sharing of information in “real time” Synchronous and asynchronous communication Online document repository Expert moderated discussion boards Peer to peer mentoring/ virtual site visit support Request function for individualized TA

CCLC In Action

Abt Team Role Develop learning sessions that provide participants with the best and latest information for each learning collaborative Convene and facilitate monthly meetings Identify experts to deliver learning session content Provide group and 1-1 TA as requested by participants Host ACTION Portal: post and disseminate resources within and across learning collaboratives

Participant Commitment Attend monthly cyber team meetings with other Part As working on the same topic Create an Action Plan that defines and guides jurisdictional goals and activities Actively engage with and share expertise across peers Share examples of materials for use by other participating Part As Provide beginning, mid-line and end line evaluation data (low-burden design)

2017-2018 CCLC Timeline

Next Steps Mid-October Part A’s will receive invitation to log on and select from new CCLC topics Mid-November new Learning Collaboratives kick-off Launch Learning Collaboratives: Regular, interactive meetings using ACTION Portal Learning collaborative-based organized training and technical assistance sessions Training and Technical Assistance outreach Determine Measures based upon participating Part A’s goals

Questions and Discussion