Integrated HIV Prevention-Care Planning Activities

Integrated HIV Prevention-Care Planning Activities

January 2014
HRSA HIV/AIDS Bureau (HAB)

This report outlines six types and levels of cooperation and collaboration on HIV prevention-care planning, presented as examples of integrated planning activities that involve HRSA Ryan White HIV/AIDS Program (RWHAP) Part A, Part B, and CDC HIV Prevention Planning Bodies and Grantees. Examples provided based on available information as of 1/21/2014.

Information Sharing

Use of presentations, reports, webinars, conference calls, and other activities to inform each planning body about the work of the other

Baltimore, MD and Maryland: Representatives of the RWHAP Part B Grantee (which is also the Part D Grantee) participate at every meeting of the Greater Baltimore HIV Health Services Planning Council to report out on Parts B and D program activities as well as the work of the statewide HIV Planning Group. As frequently as every other meeting, they also provide presentations on the major issues that are impacting the HIV/AIDS services delivery nationally, as well as in the State and the EMA, e.g., implementation of health care reform, latest data on the epidemiological profile of HIV/AIDS in the state of Maryland, and the Baltimore EMA, goals and objectives of the Early Comprehensive HIV Prevention Planning (ECHPP) program.

Cross Representation

One or more members of each planning body also serves as a member of the other body, to facilitate information sharing and collaboration

Boston, MA: There is cross representation between the Boston RWHAP Part A Planning Council and the Massachusetts Integrated Prevention and Care Committee (MIPCC).

Minneapolis/St. Paul and Minnesota: There is cross representation between the Minnesota HIV Planning Council (the joint planning body for RWHAP Part A and Part B) and the prevention planning body, the Minnesota Council for HIV/AIDS Care and Prevention. A Co-Chair of the Planning and Priorities Committee, who is also a RWHAP Part B Grantee staff member, is a member.

Integrated Information Gathering and/or Data Analysis, or Other Joint Projects or Activities

Includes data-based collaboration such as joint needs assessment activities, evaluations, special studies, service-focused roundtables with providers and clients, joint town halls or other consumer input activities, and analysis and discussion of jurisdictional HIV Care Continuum data. Also includes joint service planning and development such as joint strategy development, funded joint efforts like CAPUS (Care and Prevention in the United States initiative) or activities such as a community testing and linkage to care initiative

Houston, TX: A series of joint workgroups including members of the Care and Prevention planning bodies were established to design and implement the 2014 Needs Assessment, a joint epidemiological profile, and a revised Early Identification of Individuals with HIV/AIDS (EIIHA) strategy.

Illinois: The Illinois HIV Prevention planning body and the Illinois Ryan White Part B advisory body continue to actively collaborate on Needs Assessment, SCSN, the Jurisdictional HIV Plan, and all guidance protocol governing service delivery requirements and decision-making. The collaborative efforts incorporate feedback/insight from consumers, medical providers, social service providers, and state officials. In addition, for the Illinois CAPUS grant, a joint "Linkage to Care Workgroup" was created to facilitate collaborations and data sharing among Care, Prevention, and Surveillance and to track collaborative outcomes through updates to the Illinois HIV Continuum of Care/Treatment Cascade. In addition, the "Illinois HIV/AIDS Strategy" was developed to serve as "a blueprint to guide HIV/AIDS care and prevention strategies and policies in Illinois for non-profit organizations, local units of government, and state agencies."

Minneapolis/St. Paul and Minnesota: A joint RWHAP Part A, Part B, and Prevention EIIHA Workgroup was created in 2010 to develop recommendations for a coordinated strategy to identify, diagnose, and link to care HIV-positive/unaware individuals. The Workgroup includes representatives of RWHAP Parts A, B, C, D, and F grantees, consumers, and prevention and care providers.

Tennessee: Statewide Prevention and Care planning bodies collaborate on needs assessment activities. Both bodies are involved in the development and implementation of the integrated CAPUS (Care and Prevention in the United States) program. The Prevention planning group is actively involved in the SCSN and development of the RWHAP Part B Comprehensive Plan.

Texas: The RWHAP Part B agency, the Department of State Health Services (DSHS), has been working with all RWHAP Part A programs, the Texas Department of Criminal Justice, CDC and SAMHSA directly funded programs to improve outreach and testing to ensure that HIV-infected/individuals are identified, linked to care, and maintained in care.

Integrated Prevention and Care Plan

3- or 5-year plan developed jointly that includes both prevention and care and is submitted to both CDC and HRSA/HAB

California: An integrated HIV, Surveillance, Prevention, and Care Plan was created in August 2013 that meets CDC HIV July 2012 Planning Guidance and HRSA March 2011 Comprehensive Plan requirements. It was developed by the State Office of AIDS, with advice from the statewide Community Planning Group.

Houston, TX: A Comprehensive HIV Prevention and Care Services Plan was developed with the involvement of a number of work groups that included representatives of all Ryan White Parts (including the Part A Planning Council), Prevention (including the HIV Planning Group), Housing Opportunities for People with AIDS (HOPWA), and numerous community partners and stakeholders.

Iowa: Iowa's 2012-2015 Comprehensive HIV Plan covers both prevention and care and was developed as a "statewide guide to responsive, effective, and efficient HIV service delivery."

Louisiana: An integrated "Louisiana HIV/AIDS Strategy" was created in FY 2012, addressing SCSN and HRSA/HAB Comprehensive Plan requirements and guidance for the CDC Statewide Community Plan.

Maryland: Maryland's 2012‐2014 Comprehensive HIV Plan and Statewide Coordinated Statement of Need (SCSN) is the first integrated plan that addresses the full continuum of HIV services in the state, from prevention, testing, linkage to care, and treatment of persons living with HIV/AIDS (PLWHA). The Maryland Department of Mental Health and Hygiene (DHMH) (in change of coordination prevention and care services) worked collaboratively with Care and Prevention planning bodies, including the Planning Council, the HIV Planning Group, as well as the Regional Advisory Committees to create the plan.

Massachusetts: The Massachusetts State HIV/AIDS Plan, completed in September 2013, encompasses HIV prevention and care, and also includes recommendations for addressing Hepatitis C (HCV).

Integrated Committee of a Larger Planning Body

Group that carries out collaborative planning tasks covering both prevention and care, includes membership from both prevention and care planning bodies, and is a standing committee of a larger planning body, such as a Ryan White planning council or statewide advisory group or a prevention planning group

Memphis, TN: The HIV Care and Prevention Group, formerly The Memphis Planning Council, has a standing Prevention Planning Committee. The Committee is in the process of being fully integrated into the Planning Council.

Philadelphia, PA: The Points of Integration Committee is composed of members of both the Care and Prevention planning bodies and has been active since about 2006.

Unified Prevention-Care Planning Body

Single statewide or Part A regional planning body responsible for carrying out both prevention and care planning

California: The California Planning Group (CPG) is an advisory body of the California Department of Public Health, Center for Infectious Diseases, Office of AIDS. Its primary purpose is "to develop a comprehensive HIV/AIDS surveillance, prevention, care, and treatment plan in collaboration with the State Office of AIDS and then to monitor the implementation and impact of this plan and revise accordingly."

Chicago, IL: The EMA has a combined planning body for HIV prevention (directly funded by CDC), and HIV care (under Ryan White Part A), and housing (with services funded largely through the Housing Opportunities for Persons with AIDS – HOPWA – program). It is restructuring its committees to align with the HIV Care Continuum.

Connecticut: The state has an integrated planning body, the Connecticut HIV Planning Consortium (CHPC), which includes representatives from HIV Prevention, as well as RWHAP Part A, Part B, Part C and the two Part D Care Programs. It meets 6-8 times per year. CHPC has recently restructured the Data and Assessment Committee to allow for more comprehensive planning based on data collection and quality improvement. Its focus is on implementing a multi-year statewide needs assessment; creating, updating, and monitoring the implementation of a joint comprehensive plan; and implementing joint Prevention and Care quality management projects.

Delaware: The Delaware HIV Planning Council has been an integrated prevention and care planning body since 2005. It is in the process of refining its membership and structure, and expects to be driven by the HIV Treatment Cascade and National HIV/AIDS Strategy. 

Iowa: The Iowa HIV Community Planning Group uses an ongoing and integrated participatory planning process to promote "effective HIV programming in Iowa in order to reduce the further spread of HIV infection and to provide access to services for those already infected." Among its tasks are identifying unmet HIV prevention and care needs, prioritizing HIV prevention and care needs, and developing a locally specific prevention and care plan.

Los Angeles, CA: In 2013, Los Angeles County integrated HIV prevention and care planning through a unified Los Angeles County Commission on HIV, established by county ordinance. Its planning encompasses HIV prevention (directly funded by CDC), care (funded through Ryan White), and STIs.

Massachusetts: The Massachusetts Integrated Prevention and Care Committee (MIPCC) is an advisory body to the Office of HIV/AIDS for HIV prevention and care planning.

Oregon: The Oregon HIV/Viral Hepatitis/Sexually Transmitted Infection Integrated Planning Group (IPG), of which the Part A grantee is an active member (but maintains its own distinctive Part A Planning Council), serves as an advisory group to the HIV/STD/TB Section of the Oregon Health Authority; roles include assisting with development of a statewide plan related to the intersection of HIV, STI and VH and focusing on access to services on a continuum from testing for infection of HIV, Viral Hepatitis and other Sexually Transmitted Infections to retention in care and treatment. The IPG meets 3-4 times per year and also has working committees including: Executive; Membership; Prevention of New Infections; Access to Prevention and Care; and Coordination.

Pennsylvania: Pennsylvania's integrated planning body, the HIV Planning Group (HPG), was established in January 2013. It meets six times a year. In its advisory role to the Health Department, the HPG focuses on providing input into the development, implementation, and monitoring of: 1) HPG membership and the stakeholder engagement process;  2) a comprehensive and ongoing needs assessment process;  3) care service priority setting and resource allocation (utilizing the Part A model as a best practice); and 4) the Health Department's integrated Jurisdictional Plan (CDC)/Statewide Coordinated Statement of Need (HRSA)/Comprehensive Plan (HRSA).

Vermont: A fully integrated advisory HIV planning group, the Community Advisory Group (CAG) provides input regarding HIV care and generates an Integrated HIV/AIDS Prevention and Services Plan, including ongoing updates. The CAG meets every other month; its committees meet on the "off" months. The CAB conducts needs assessments, including gap analyses and a resource inventory for services and prevention; plans and supports the prioritization of populations, interventions, and services; and advises on distribution of Ryan White and federal discretionary funds.

  • Part B: Vermont. Could not verify official posting of documents.

Wisconsin: The Statewide Action Planning Group (SAPG) is a joint Prevention and Care planning body. Since 2009, the SAPG has been developing a combined plan known as the "Wisconsin HIV Comprehensive Plan". Beginning with the 2012 submission, the SAPG changed the name of this combined plan to the "Wisconsin HIV/AIDS Strategy."

In 2012, it helped create the "Wisconsin HIV/AIDS Strategy" – a planning document that meets CDC HIV July 2012 Planning Guidance and HRSA March 2011 Comprehensive Plan requirements.