Project Title: CDC Integrated HIV Surveillance and Prevention Programs for Health Departments
Applicant Name: Los Angeles County Department of Public Health
Division of HIV and STD Programs (DHSP)
Funding Opportunity Number: CDC-RFA-PS18-1802
Address: 600 S. Commonwealth Ave., 10th FL, Los Angeles, CA 90005
Project Director: Mario J. Pérez
Contact Information: Michael Green, PhD, Office of Planning, DHSP
TEL:(213) 351-8002 / EMAIL: email@example.com
Funds Requested: $19,682,214 (Component A + Component B)
Although more people in Los Angeles County (LAC) have access to health insurance than ever before, the complexities of navigating the system have also increased. The challenge of providing HIV prevention and care services throughout LAC is compounded by the sheer size and diversity of the epidemic; LAC has the second largest HIV epidemic among metropolitan jurisdictions in the United States, following New York City, and has one of the most diverse populations in the nation. To decrease transmission of HIV infection, the County of Los Angeles Division of HIV and STD Programs (DHSP) will support the 11 required strategies outlined in Component A (Core portion), and develop a provider intervention to improve viral suppression (Component B of this funding opportunity).
DHSP is currently undergoing a strategic planning process to develop a LAC HIV/AIDS Strategy for 2022 and Beyond. One of the most critical steps in the process is resetting the geospatial analysis lens to a much more granular level by shifting away from eight large Service Planning Areas to 26 Health Districts, and using multivariate (i.e. disease prevalence, estimated number of people undiagnosed, HIV care continuum measures, PrEP up-take, etc.) health district maps to set strategic performance goals for each health district for very specific target groups.
The proposed goals for the upcoming HIV strategy through 2022 are:
1. Reduce new infections to 500 or less annually
2. Ensure at least 90% of PLWH are diagnosed
3. Ensure at least 90% of diagnosed PLWH are virally suppressed
4. Reduce annual HIV-related deaths to less than 100
As the development of the strategy continues, DHSP will develop key program plans and investment strategies for 2018-2022 that will support the eleven core strategies. To safeguard and accelerate progress in reaching the LAC Strategy and NHAS goals and objectives, DHSP also proposes a four-year demonstration project to 1) increase our structural capacity to use provider-level surveillance data for monitoring HIV care continuum outcomes and inform quality improvement activities among hundreds of providers; and 2) provide a five-day Kaizen Quality Improvement intervention with follow-up sessions for provider groups (clinics/providers) who have not achieved the County’s viral suppression target of 90%, according to the surveillance data. Based on a literature review, the demonstration project may be the first of its kind in the nation.