Let’s end aids, long island. Get tested. Treat early. Stay safe,

NYLinks LIRG - suffolk county May 18th, 2018

meeting overview

Ending the epidemic Facilitate rapid access to hiv treatment with patient consent Establish goals regarding viral suppression rates and monitor progress Take steps to eliminate the long standing problem of stigma

Introductions & Site updates

Hudson river healthcare: rapid hiv treatment Aisha khan, md

Designing the perfect system

Each Team will designate a recorder to draw a process flow map for each step in the cascade Teams review the current process steps for linkage, engagement/retention, and viral load suppression, draw a process flow map for each of these areas. Each team identifies ways that these processes can be improved, streamlined or strengthened by eliminating unnecessary steps, adding steps or improving steps. Put the improved processes together into a single process flow that begins with testing and culminates with suppression. Goals for each step should be linkage to care within 3 days, ART initiation at that visit, people engaged in care as evidenced by 1 visit within 12 months, people are virally suppressed.

OR Using their current knowledge, teams create from scratch a perfect system of steps from linkage, engagement/retention, and viral load suppression, drawing a process flow map for each of these areas Each team identifies each step of the process, using as many steps as necessary. Create a single process flow that begins with testing and culminates with suppression. Goals for each step should be linkage to care within 3 days of a new diagnosis with ARV initiation at that visit, people engaged in care as evidenced by 1 visit within 12 months, people are virally suppressed.

Peer Treatment Support Program

Program launch History of consumer involvement Collaboration between RW Part D and LRTA Qualities sought Involvement of clinical and care coordination staff Application process Official launch – September 2016

Program development Initial meeting and orientation to program Training, training, training Monthly meetings Involvement of care coordinators and other team members Expansion of Peer role with each new grant year

Current activities Self-management class facilitation, promotion and logistical support Outreach and education Individual peer support in areas of retention, adherence, overall health and wellness

Benefits for Peers Enhanced nutritional support Extensive training including Chronic Disease Self-Management Program, Mindfulness Based Stress Reduction and Mindful Eating Health and wellness lending library (print and audio books) Completion of NYS Peer Worker Certification if interested Increased self-confidence

Benefits for Stony Brook Additional support for program engagement and retention efforts Improved health outcomes Excellent means to solicit ideas for program improvement Peers are assuming leadership roles and providing peer support in a wide variety of venues and capacities within and outside of Stony Brook

Plans for the future Training for Peers on trauma-informed care and behavioral health Increase number of patients receiving Peer support Expand types of support offered by Peers

For more information Sofia Porres, MA Retention Specialist 631-905-1306 sofia.porres@stonybrookmedicine.edu Katelin Thomas, MPH, MCHES SPARC Project Coordinator 631-369-8696 x303 katelin.thomas@stonybrookmedicine.edu

lunch How can we increase consumer involvement? What can we do to introduce and/or increase rapid hiv treatment for patients?

Aids institute : utilizing digital technology Mark thompson

Stigma reduction work

2018 goals & call to action

Ending the Epidemic Facilitate rapid access to hiv treatment with patient consent Establish goals regarding viral suppression rates and monitor progress Take steps to eliminate the long standing problem of stigma

Meeting Wrap Up Next Meeting: NYLINKS regional collaborative meeting Tuesday September 19th, 2018, Perry B. Duryea, Jr. NYS office, 250 veterans memorial hwy. hauppauge, ny 11788 Sharing of 2017 cascades and qi plans Nys medical monitoring project presentation What kind of topics do you want to address?

Contact information Contact information Long Island regional lead: Febuary D’Auria – febuary.dauria@health.ny.gov Sr. program Manager NYLinks: Steven Sawicki - steven.Sawicki@health.ny.gov Director, consumer affairs: Daniel Tietz – Daniel.Tietz@health.ny.gov Director, nys quality of care program: Daniel Belanger – Daniel.belanger@health.ny.gov