Project Grant TR753202

REGIONAL AIDS EDUCATION AND TRAINING CENTERS PROGRAM - UW MWAETC, 4333 BROOKLYN AVE NE SEATTLE, WA 98195 DAVID SPACH (V) 206 744-5166 SPACH@UW.EDU $1,950,000 AETC BASE, $860,000 MAI, $400,000 EHE, $3,210,000 TOTAL PROPOSED PROJECT: THE MOUNTAIN WEST AETC (MWAETC) WILL PROVIDE TRAINING AND TECHNICAL ASSISTANCE WITHIN OUR 10-STATE REGION TO INCREASE THE CAPACITY AND EXPERTISE OF THE HEALTH WORKFORCE AND THE HEALTH CARE SYSTEMS TO PROVIDE CULTURALLY APPROPRIATE, HIGH-QUALITY HIV PREVENTION AND CARE. NEED: NEEDS TO BE ADDRESSED INCLUDE LARGE GAPS IN ACCESS TO HIV CARE, LATE HIV DIAGNOSES, DISPARITIES IN HIV CARE CONTINUUM OUTCOMES, VAST UNDERUTILIZATION OF HIV PREP; RISING CO-OCCURRING SYNDEMICS OF SUBSTANCE USE/STIS/VIRAL HEPATITIS, AND INSUFFICIENT AVAILABILITY OF CULTURALLY COMPETENT CARE. PROPOSED SERVICES: WE WILL PROVIDE IN-PERSON AND DISTANCE-BASED PROGRAMS, INCLUDING DIDACTIC AND INTERACTIVE LECTURES AND WORKSHOPS, WEBINARS, COMMUNITIES OF PRACTICE, CONFERENCES, COACHING, ACADEMIC DETAILING, PRECEPTORSHIPS, CLINICAL CONSULTATION, CASE DISCUSSIONS, QUALITY IMPROVEMENT SUPPORT, TECHNICAL ASSISTANCE, AND ON-DEMAND LEARNING (ARCHIVED PRESENTATIONS AND USE OF ONLINE NATIONAL HIV CURRICULA). POPULATION SERVED: WE WILL SERVE MEDICAL, BEHAVIORAL HEALTH, PUBLIC HEALTH AND ANCILLARY SERVICE PROFESSIONALS, PARAPROFESSIONALS, AND HEALTH PROFESSIONS STUDENTS IN A POSITION TO PROVIDE OR BECOME PROVIDERS OF HIV PREVENTION OR CARE IN THE MOUNTAIN WEST REGION. REGIONAL DEMOGRAPHICS: THE REGION IS PREDOMINANTLY POPULATED WITH WHITE PEOPLE. WE HAVE 95 FEDERALLY RECOGNIZED TRIBES, 231 ALASKA NATIVE ENTITIES AND 4 STATES WITH AI/AN POPULATIONS >5%. STATE LATINX POPULATIONS RANGE FROM 4 TO 22%, WITH A MEDIAN OF 13% IN THE REGION. BLACK PEOPLE COMPRISE 1-5% OF STATE POPULATIONS. REGION COVERED: THE REGION HAS A POPULATION OF 27 MILLION PEOPLE SPREAD OVER 1.5 MILLION SQUARE MILES AND INCLUDES ALASKA, COLORADO, IDAHO, MONTANA, NORTH DAKOTA, OREGON, SOUTH DAKOTA, UTAH, WASHINGTON, AND WYOMING. WITH A FEW URBAN CE NTERS, IT IS CHARACTERIZED PREDOMINANTLY BY SPARSELY POPULATED STATES WITH LARGE RURAL AND MOUNTAINOUS REMOTE AREAS. OVERALL HIV INCIDENCE AND PREVALENCE IS LOWER THAN NATIONAL AVERAGES, WHILE PREVALENCE OF STIS AND DRUG USE ARE HIGH. APPROACH: USING MULTIPLE MODALITIES AND PARTNERSHIPS, WE WILL PROVIDE TAILORED TRAINING, CLINICAL CONSULTATION, AND TECHNICAL ASSISTANCE TO EXPAND THE WORKFORCE AND SYSTEMS CAPACITY TO PROVIDE WHOLE PERSON, CULTURALLY COMPETENT, ACCESSIBLE HIV PREVENTION, DIAGNOSIS, AND CARE. IMPLEMENTATION PLAN /KEY COMPONENTS: BASE PROGRAM: WE WILL CONDUCT ON-GOING NEEDS ASSESSMENT; IDENTIFY AND ENGAGE LOW VOLUME AND NOVICE PROVIDERS AND ANCILLARY TEAM MEMBERS TO INCREASE THEIR ABILITY TO PREVENT, DIAGNOSE, AND LINK PEOPLE WITH HIV TO CARE (FH); PROVIDE COLLABORATIVE LEARNING EXPERIENCE FOR EXPERIENCED HIV CLINICIANS TO ENHANCE THEIR EXPERTISE (CEE), INCREASE THE NUMBERS OF CLINICS PARTICIPATING IN PRACTICE TRANSFORMATION TO MAKE SYSTEM LEVEL CHANGE TO IMPROVE CARE (PT); AND ENGAGE WITH FACULTY AT MULTIPLE INSTITUTIONS AND INCREASE HIV INTERPROFESSIONAL EDUCATION OPPORTUNITIES FOR HEALTH PROFESSIONS STUDENTS (IPE); MAI: WE WILL PROVIDE EDUCATION/CAPACITY BUILDING ASSISTANCE AMONG MINORITY PROVIDERS, MINORITY-SERVING PROVIDERS, AND FOR MINORITY-SERVING INSTITUTIONS AND ORGANIZATIONS; EHE: WE WILL COLLABORATE WITH PARTNERS TO ADDRESS REMAINING GAPS AND PREVENTION IN OUR EHE JURISDICTION, AND EXPAND EFFORTS FOCUSED ON MEETING HIV NEEDS OF BLACK AND LATINX PEOPLE. RWHAP COLLABORATION: WE WILL WORK WITH PART A & B DIRECTORS, SERVE ON PLANNING BODIES, AND PARTNER WITH A, B, C, D, AND F- FUNDED CARE SITES TO DETERMINE AND MEET THEIR TRAINING NEEDS. THROUGH PT, WE WILL ENGAGE IN LONGITUDINAL PARTNERSHIPS WITH SELECT RWHAP CLINICS TO IMPROVE CARE OUTCOMES.