Early Identification of Individuals with HIV/AIDS (EIIHA) LCDR Keisha Johnson, Project Officer Gary Cook, Deputy Director, DMHAP Department of Health and.

Early Identification of

Individuals with HIV/AIDS (EIIHA)

LCDR Keisha Johnson, Project OfficerGary Cook, Deputy Director, DMHAP

Department of Health and Human ServicesHealth Resources and Services Administration

HIV/AIDS BureauDivision of Metropolitan HIV/AIDS Programs

July 30, 2013

Agenda

1. Legislation

2. Background

3. What’s New for EIIHA?

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”

Definitions

1. EIIHA

2. Unaware

3. Identification

4. Informing

5. Referral

6. Linkage

What is EIIHA?

Early Identification of Individuals with HIV/AIDS (EIIHA):

Identifying, counseling, testing, informing, and referring of diagnosed and undiagnosed individuals to appropriate services, as well as linking newly diagnosed HIV positive individuals to care. 

Definitions

Unaware of HIV Status:

Any individual who has NOT been tested for HIV in the past 12-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 their confirmatory HIV result.

Definitions

Identification of Individuals Unaware of Their HIV Status:

The categorical breakdown of the overall unaware population into subgroups, which allow for the overall EIIHA strategy to be customized based on the needs of each subgroup, for the purposes of identifying, counseling, testing, informing, referring, and linking these individuals into care.

Definitions

Informing individuals of their HIV status: Informing an HIV negative individual, post-test, of

their appropriate HIV screening result

Informing an HIV positive individual, post-test, of their confirmatory HIV result

Referral to care/services:

The provision of timely, appropriate, and pre-established guidance to an individual that is designed to refer him/her to a specific care/service provider for the purpose of accessing care/services after the individual has been informed of their HIV status (positive or negative).

Definitions

Linkage to care:

The post-referral verification that care/services were accessed by an HIV positive individual being referred into care.

Example: Confirmation first scheduled care appointment occurred.

Definitions

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

EIIHA vs. Unmet Need

Definition ComparisonUnmet Need Definition: HIV+ individuals who are

AWARE of their HIV status but not in primary medical care

EIIHA Definition: HIV+ individuals who are UNAWARE of their HIV status, and, therefore, not in primary medical care

Unmet Need vs. EIIHA

Both need care

EIIHA Now

EIIHA Components:

1.Strategy

2.Plan

a) Identify, Inform, Refer, and Link

b) Reflects subgroups in EIIHA Matrix

3. Data

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

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

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

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

Summary

1. FOA for Parts A and B Streamlined

2. Duties will be the same for Planning Council and grantee

3. 2 Parts – Plan Background Summary and Progress Report

4. No Data Matrix – Detailed Narrative Responses

5. Historical Perspective

Contact Information

LCDR. Keisha JohnsonPhone:301-443-4082Email: [email protected]

Gary CookPhone: 301-443-9090Email: [email protected]

Questions