Model of Care: The Ryan White Part D program at H+H/Elmhurst and H+H Queens (EHC and QHC) complements an extraordinary HIV program that serves a growing number of individuals from populations most impacted by the HIV epidemic but least well served. Multidisciplinary HIV treatment and prevention services are provided at EHC and QHC, both located in the borough of Queens in New York City (NYC). Both EHC and QHC are New York State Department of Health (NYS DOH) Designated AIDS Centers and are member hospitals of NYC Health and Hospital (NYC H+H), the largest municipal healthcare organization in the country. EHC and QHC provide patient-centered care services aligned with HHS guidelines. We have served individuals in need from the borough of Queens and surrounding communities for nearly four decades. Our viral suppression rate in 2020 was >94%, far surpassing national averages. We provide quality comprehensive care aligned with the National HIV/AIDS Strategy (2022-2025). Our work supports the New York State Blueprint for Ending the Epidemic – including the areas of focus identified in the Beyond 2020 report, and Medicaid redesign through Delivery System Reform Incentive Payments (DSRIP). Number of WICY Served: For the years 2018, 2019 and 2020, the numbers of WICY with HIV served by our programs were 734, 737 and 716 respectively. Service Areas: Our service area, as per FOA HRSA-22-037 Appendix B, will be the zip codes of Queens County, NYC listed below. It is also defined as the UHFs (United Hospital Fund) areas encompassing 68.8% of the population in Queens in 2019 and 82% of the PLWHA in Queens. These UHF areas mostly constitute the primary catchment areas for our sites. The Service Area includes the Queens, NY zip codes of 11101, 11102, 11103, 11104, 11105, 11106, 11368, 11370, 11372, 11377, 11369, 11373, 11378, 11374, 11375, 11379, 11385, 11412, 11423, 11432, 11433, 11434, 11435, 11436, 11004, 11411, 11413, 11422, 11426, 11427, 11428, 1142
9, 11691, 11692, 11693, 11694, 11697. Target Populations: Low income and predominantly immigrant Black and Hispanic women, infants, children and youth, are the groups supported by the requested funding. Those ethnic/racial groups are the most prominent in our communities and represent the overwhelming majority of HIV/AIDS cases in our service area. Elmhurst and Queens Hospitals combined provide care for over 2,200 HIV positive clients. Of the total WICY population receiving care, Blacks and Hispanics account for the majority of the patients. The WICY priority populations to be served include Black and Latinx women, transgender women and youth aged 13-24. Key Services Supported: Services funded under this grant will complement a coordinated multidisciplinary team and peer involved approach that exists to serve WICY PLWHA, and those at risk for HIV infection. The funding will be used to: (1) provide high quality primary HIV medical services to a vastly underserved and often marginalized population, (2) provide premium pre-natal care to pregnant woman with HIV, (3) follow HIV-exposed infants for testing and surveillance, (4) provide non-medical case management services, (5) continue existing support groups and develop new ones for WICY sub-populations most in need, (6) provide support services to those affected by our patients HIV-status, (7) facilitate transition of youth to adult care, (8) provide mental health and substance abuse screenings and referrals, as needed and (9) provide transportation assistance to enhance treatment adherence.