Ryan White Title IV Women, Infants, Children, Youth and Affected Family Members AIDS Healthcare - The UofL 550 Clinic requests Ryan White Part D funding to sustain its family-centered, status-neutral primary care and reproductive health infrastructure for our WICY population. The program delivers integrated outpatient services across a 39-county bi-state region. The full geographic services area consists of 25 Kentucky counties: Allen, Barren, Breckinridge, Bullitt, Butler, Edmonson, Grayson, Hardin, Hart, Henry, Hopkins, Jefferson, Larue, Logan, Marion, Meade, Monroe, Muhlenberg, Nelson, Oldham, Shelby, Spencer, Trimble, Warren, Washington and 14 Southern Indiana counties: Clark, Crawford, Floyd, Harrison, Jackson, Jefferson, Jennings, Ohio, Orange, Perry, Scott, Spencer, Switzerland, Washington. Our cross-border care continuity is maintained through collaborations with the Clark County Health Department and Scott County anchors. • Clinical Infrastructure: The clinic suite integrates primary medical care, diagnostics, walk-in intakes, prenatal/peripartum coordination, a dedicated PrEP clinic, pharmacist-led adherence education, and counseling managed by our Behavioral Health Manager and rotating UofL Cardinal Success Program interns. Translation lines and bilingual staff in frontline, medical, and case management roles secure absolute language access. • Coordinated Support: To protect the Payer of Last Resort mandate, onboarding is driven by the Clinic Intake and Enrollment team, while financial eligibility is run by Case Management services in collaboration with regional Part B programs. Cross-jurisdictional care and Indiana ADAP enrollment are managed by our UofL 550 Clinic Case Manager under the guidance of our Support Service Manager. Staff Peer Navigators run Linkage to Care follow-up processes. Wrap around support services are addressed utilizing comprehensive community collaborations to include mitigate barriers to care access and retention for WICY. • Fiscal Accountability: Operations run through Workday Finance managed by our Finance Manager using shadow ledgers, with transactional support from our Financial Coordinator. 340B Program income follows the "additive use" framework. To prevent billing errors, the clinic maintains a robust evaluation and tracking protocol including Workqueues within Epic. Our Data & Operations Specialist and fiscal team conduct random audits of 10% of active patient files within Provide Enterprise (PE) to verify that federal Sliding Fee Scales (SFS) and statutory annual Caps on Charges (CoC) are automated accurately. • Quality Metric: Our Clinical Quality Management framework targets: (1) maintaining viral suppression at or above the 95% federal standard; (2) achieving entry into care within 30 days for at least 90 percent of clients via our Rapid ART Service; (3) scaling our 4-stage Youth Transition Program using peer-reviewed STEP and Bridge Clinic models to reach a 95% 12-month post-transition retention rate; and (4) enforcing a rapid 14-day PDSA corrective loop related to current quality initiatives.
