Project Grant H8H46173

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - PROJECT TITLE: ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION APPLICANT ORGANIZATION NAME: CAMILLUS HEALTH CONCERN, INC. HEALTH CENTER PROGRAM GRANT NUMBER: H80CS00026 ADDRESS: 336 NW 5TH STREET, MIAMI, FL 33128 PROJECT DIRECTOR NAME: FRANCIS AFRAM-GYENING, MBA, MPH, FACHE - CHIEF EXECUTIVE OFFICER CONTACT PHONE NUMBERS (VOICE, FAX): TEL: (305) 553-0189; CELL: (786) 351-3369 EMAIL ADDRESS: FAGYENING@CAMILLUS.ORG WEBSITE ADDRESS: HTTPS://CAMILLUSHEALTH.ORG LIST ALL GRANT PROGRAM FUNDS REQUESTED IN THE APPLICATION: $325,000 PER YEAR FOR TWO YEARS DESCRIPTION OF CAMILLUS HEALTH CONCERN, INC. CAMILLUS HEALTH CONCERN, INC. (CHC) IS A HEALTH CENTER PROGRAM (H80) OPERATIONAL GRANT AWARD RECIPIENT UNDER SECTIONS 330(E), (G), (H), AND/OR (I) OF THE PUBLIC HEALTH SERVICE ACT BASED IN MIAMI, FLORIDA, A TARGETED GEOGRAPHICAL LOCATION FOR THIS GRANT, AND IT DID NOT RECEIVE AN FY2020 OR FY2021 PCHP AWARD. CAMILLUS OFFERS A RANGE OF PRIMARY, PREVENTIVE AND SUPPLEMENTAL SERVICES INCLUDING PRIMARY ADULT AND PEDIATRIC MEDICAL CARE, WOMEN'S HEALTH, ORAL HEALTH, PODIATRY AND VISION SERVICES. A SPECIFIC DIFFERENTIATING FACTOR IS THE STRONG EMPHASIS ON INTEGRATED BEHAVIORAL HEALTH. ENABLING SERVICES INCLUDE TRANSPORTATION AND CASE MANAGEMENT. THE HIGH VOLUME OF CLIENTS WITH RISK FACTORS (HOMELESSNESS, HEPATITIS B AND C, BEHAVIORAL HEALTH ISSUES, AND TRANSIENCE) QUALIFIES CHC AS AN IDEAL CANDIDATE TO HELP PREVENT HIV INFECTION. CHC SERVED 6,036 PATIENTS IN 2020. OF THESE, 1,877 OR 31% WERE TESTED FOR HIV, 59 TESTED POSITIVE (3.1%) AND 16 WERE LINKED TO CARE WITHIN 30 DAYS. ANOTHER 26 PATIENTS WERE PRESCRIBED PREP. GENERAL OVERVIEW OF THE HIV EPIDEMIOLOGY IN THE ENTIRE DESIGNATED SERVICE AREA. THE SERVICE AREA IS MIAMI-DADE COUNTY, WITH FOCUS ON DOWNTOWN MIAMI, SPECIFICALLY ZIP CODES 33126 TO 33181. MIAMI-DADE COUNTY COMPRISES 23.4% OF FLORIDA'S CURRENT HIV PREVALENCE, WITH 27,319 PLWH OF FLORIDA'S 116,689 PLWH IN 2019 (SOURCE: FLORIDA HEALTH). AS OF 2020, MIA MI-DADE COUNTY CONTINUED TO RANK #1 IN THE U.S. FOR NEW HIV INFECTIONS PER 100,000 RESIDENTS. DISPARATE GROUPS ARE HISPANIC/LATINX (64% OF NEW CASES IN 2019), AFRICAN AMERICANS (27% NEW CASES) AND GAY/BISEXUAL MEN (69% NEW CASES). LINKAGE TO CARE IS CURRENTLY 73% IN THE COUNTY VS. 79% FOR THE STATE AND VIRALLY SUPPRESSED IS 62% VS. 68% FOR FLORIDA. GENERAL DESCRIPTION OF THE SERVICES TO BE SUPPORTED BY THIS REQUEST, HOW THIS PROJECT WILL INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP, LINKED TO HIV CARE AND TREATMENT WITHIN 30 DAYS OF DIAGNOSIS AND FOCUS ON TARGETED GEOGRAPHIC LOCATIONS. KEY SERVICES TO BE SUPPORTED INCLUDE PATIENT PRESCRIBED PREP, LINKAGE TO HIV CARE AND TREATMENT AND FOCUS IN THE DEFINED SERVICE AREA. THE AMOUNT OF FUNDING REQUESTED IS $325,000 PER YEAR FOR A TWO-YEAR PERIOD AND THE TARGET POPULATION INCLUDES MINORITY MALES AND FEMALES, WITH EMPHASIS ON HOMELESS OR THOSE AT RISK OF HOMELESSNESS. A SIGNIFICANT FRACTION (42.3%) LIVE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. PROPOSED ACTIVITIES. OFFER ADDITIONAL HIV SERVICES IN HOUSE, INCLUDING PREP, MORE ADVANCED TESTING, CASE MANAGEMENT, OUTREACH AND COUNSELING. WORKFORCE DEVELOPMENT/TRAINING FOR ENTIRE STAFF AND ADDITIONAL HIV SPECIFIC POSITIONS. THIS DEDICATED HIV TEAM WOULD FOLLOW THE PATIENTS ACROSS THE SPECTRUM OF TESTING, COUNSELING, PREVENTION AND TREATMENT. BUILDING ON THE FLORIDA DEPARTMENT OF HEALTH'S (FDOH) COLLABORATIVE HIV LINKAGE AND TREATMENT PROJECT, KNOWN AS THE TEST AND TREAT/RAPID ACCESS (TTRA) MODEL, FUND THE PROPOSED EHE PROJECT TO IMPROVE THE LOCAL HIV CARE CONTINUUM FOR ALL PEOPLE WITH HIV BY: (1) INFORMING THE HIV COMMUNITY OF AVAILABLE RESOURCES AND REMOVING BARRIERS TO CARE; (2) INCREASING CAPACITY OF SERVICE PROVIDERS; (3) DISSEMINATING INFORMATION THAT PROMOTES THE BENEFITS OF HIV TREATMENT; AND (4) IMPROVING DATA INFRASTRUCTURE, SHARING, AND SYSTEM LINKAGES TO AVOID DUPLICATION OF EFFORTS.