HEALTHHIV'S INAUGURAL STATE OF ASO/CBO NATIONAL SURVEY by HealthHIV

HEALTHHIV'S INAUGURAL STATE OF ASO/CBO NATIONAL SURVEY www.healthhiv.org

ASO/CBO survey

TABLE OF CONTENTS

Introduction 3 Executive Summary

Methodology 6 Demographics of Survey Respondents

Profile of ASO/CBO Leadership

Organization Information

Service Provision

Workforce Capacity

ASO/CBO Funding

Partnerships 14 Strategic Planning

Training and Technical Assistance

Implications 17 About HealthHIV

Appendix 1 – ASO/CBO Training & Certificate Program

Appendix 2 – Board of Directors Leadership Training Program

ASO/CBO survey

INTRODUCTION AND EXECUTIVE SUMMARY

Implementation of healthcare reform, advancement of national public health strategies, and biomedical prevention developments are some of the fundamental ASOs/CBOs that provide clinical services

shifts impacting HIV non-profit organizations in the United States. Reduction and re-direction of HIV funding and increased focus on accountable care and health outcomes requires organizations to remain responsive and proactive.

49%

HealthHIV conducted a first-of-its-kind national survey of nearly 500 AIDS Service Organizations and Community-Based Organizations (ASOs/CBOs) to evaluate the sustainability and availability of services, and the capacity and structure of the organizations providing them. The State of ASOs/CBOs in the US national s urvey assessed how ASOs/CBOs are responding to the healthcare landscape changes, particularly its impact on workforce development, service and program coordination, fiscal sustainability, strategic partnership development, leadership advancement, strategic planning, and integration and alignment of services. In conjunction with the survey, HealthHIV developed

76%

of ASOs/CBOs have increased service offerings in the past three years

an online National ASO/CBO Directory 2017-18 to document the availability and breadth of HIV services available to healthcare consumers. The Directory is searchable for consumers and serves as a catalogue for organizations to initiate partnerships and streamline service delivery in their jurisdictions.

ASO/CBO survey

Findings from the survey provided a contextual perspective on the challenges that ASOs and CBOs face in responding to environmental, political, and economic changes in the healthcare landscape. Participation, content, and categories make it a unique analysis of the overall health of ASOs/CBOs, and a valuable tool for referencing and responding to collective challenges.

Among the key survey findings: • Most ASOs/CBOs are located in urban settings (70%), while only a small number (12%) are located in rural areas. • A majority (71%) of ASOs/CBOs have fewer than 50 staff members, and nearly half (47%) have 20 or fewer staff members. • Most ASOs/CBOs offer HIV testing (78%). Only half of ASOs/CBOs (50%) reported that HIV testing is routine for all clients between the ages of 13 and 62 and less than half (40%) are utilizing CDC-recommended 4th generation lab-based tests. • Some ASOs/CBOs offer some clinical services to their clients, including PrEP (49%), HIV care and treatment (44%), primary medical care (33%), and nPEP (32%). • Over three quarters of ASOs/CBOs (76%) have increased service offerings over the past three years in response to client needs and opportunities to diversify funding. The most commonly cited barrier to expanding services is a lack of financial resources (47%). • Nearly 30% of ASOs/CBOs surveyed indicated most or all funding comes from local and federal government sources. About one in eight (12%) ASOs/CBOs rely on a single source of funding to maintain their HIV programs, and 12% also reported being very concerned about meeting budget goals this year.

1 in 8

1 in 3

ASO/CBOs rely on a single source of funding

ASO/CBOs rely solely on government funding

ASO/CBO survey

ASOs/CBOs offering HIV testing and counseling

• 40% of ASOs/CBOs are not are billing third-party payers for services despite over half (52%) providing billable services.

78%

• Nearly one quarter (23%) of ASOs/CBOs do not share client-level health outcomes data with external organizations to enhance linkage to/retention in care. • In the past year, ASOs/CBOs have changed or expanded their missions (37%), reduced overhead costs (31%), developed a shared services partnership with another agency (23%). • ASOs/CBOs most needed, and least received, technical assistance and training topic areas are Revenue Generation/Diversification (43%), Unit Cost Calculation for Services (36%), and Performance-Based Payment Models (35%).

37%

Changed or Expanded Mission

Considered Changing Mission

33%

30%

Not Considering Changing Mission

47%

Survey results suggest that ASOs/CBOs are reaching individuals at highest

20 OR LESS

for their HIV services; putting them at financial risk in the dynamic HIV and

of ASOs/CBOs have staff members

risk for HIV infection, including racial/ethnic and sexual minorities. However, these organizations are small and largely reliant on government funding healthcare landscapes. While many ASOs/CBOs are evolving services to remain relevant, others are in need of resources and guidance to make necessary transitions and ensure sustainability.

ASO/CBO survey

METHODOLOGY HealthHIV developed the survey instrument based on findings from its ASO/CBO capacity building programs and input from ASO/CBO leaders. The questions were developed to define ASO/CBO leadership characteristics, identify fiscal and HIV service capacity of ASOs/CBOs, and gather information on current training needs. The survey instrument consisted of 64 questions (49 qualitative, 15 quantitative) and was distributed nationally online via SurveyMonkeyTM. HealthHIV and its partner for distribution, the Test Positive Aware Network (TPAN), recruited respondents through open invitations using targeted email lists, newsletters, and website postings. Data were collected from August to December 2017. Survey participants were gathered through convenience sampling, and the only offered incentive was for participating organizations to be included in HealthHIVâ&#x20AC;&#x2122;s online National ASO/CBO Directory 2017-18.

Access the Directory at www.healthhiv.org/Directory

ASO/CBO survey

DEMOGRAPHICS OF SURVEY RESPONDENTS Survey respondents represented 48 states, Puerto Rico, U.S. Virgin Islands, Marshall Islands, and Mexico. For the purposes of this report, non-U.S. states and territories were excluded from data analysis. A majority of survey respondents were executive level or senior level staff (e.g. Senior Management/Director, Executive Director or Chief Executive Officer)

58% Figure 1. Map of ASO/CBOs Surveyed

Senior Management/Director

29.90%

188

Executive Director/Chief Executive Officer

27.74%

172

Program Staff

15.28%

Other

12.46%

Administrative Staff

9.14%

Clinical Provider

2.49%

Front Line Service Staff

2.16%

Fiscal Manager

0.83%

AIDS Service Organization

55.97%

361

Community-Based Organization

52.45%

338

Other (please specify)

20.00%

124

Primary Health Care Setting

19.68%

122

Behavioral Health Organization

15.97%

Federally Qualified Health Center or Look-Alike

13.71%

Substance Use Treatment Facility

9.03%

Health Department

7.74%

HIV Planning Group

5.97%

Faith-Based Organization

3.39%

Municipality/Government

1.29%

Role in Organization

Of over 650 respondents:

487

respondents were ASO/CBOs

Organization Type (Check all that apply):

74% indicated their organization type as AIDS Service Organization (ASO) and/or Community-Based Organization (CBO)

ASO/CBO survey

PROFILE OF ASO/CBO LEADERSHIP The following data analysis, representing the “state of ASOs and CBOs”, excludes respondents that did not identify as an ASO or CBO. Key characteristics of organization leadership are depicted below.

84%

Ethnicity: Non-Hispanic

62%

Race: White

51%

Gender: Male Sexual Orientation: Straight/Heterosexual

49% 55%

Age: 55-74 years old

70%

Primary Location: Urban

45%

Primary Region: South l

Note: For the purposes of this survey, ASO/CBO leaders are defined as Executive Directors and/or Chief Executive Officers (CEOs).

l 100

ASO/CBO survey

ORGANIZATION INFORMATION

The ASOs/CBOs surveyed are located in 48 states, Puerto Rico, the U.S. Virgin Islands, and the Marshall Islands. A majority (58%) of ASOs/CBOs have multiple locations. Most are located in urban settings (70%), while only a small number (12%) are located in rural areas. A majority (71%) of ASOs/CBOs have fewer than 50 staff members, and nearly half (47%) have 20 or fewer staff members. Only 17% of ASOs/CBOs have over 100 staff members.

ASO/CBO Client Demographics ASOs/CBOs located in urban settings

ASOs/CBOs serve an average of 7,500 clients annually, ranging from 80 clients to 20,000 clients. • The average ASO/CBO race and ethnicity make-up for clients is approximately half African American (51%) and nearly half White (42%), and nearly one quarter (21%) of clients identify as Hispanic/Latino.

70%

• A majority (60%) of ASO/CBO clients are male, followed by 35% female, and 11% who identify as transgender or gender non-conforming. • Nearly half (44%) of ASO/CBO clients identify as gay/bisexual males, and an average of 28% and 23% of ASO/CBO clients identify as heterosexual females and males, respectively.

Most common words used to describe ASOs/CBO’s mission

ASO/CBO survey

SERVICE PROVISION Nearly all ASOs/CBOs surveyed provide a variety of HIV prevention and supportive services and fewer than half (44%) offer clinical services, including HIV/STI treatment and primary medical care.

ASOs/CBOs using fourth generation HIV testing technology

• The most common services offered are condom distribution (81%) and HIV testing (78%). Other common services offered by ASOs/CBOs are non-medical case management (69%), HIV prevention interventions (66%), and patient navigation (60%). • Half (52%) of ASOs/CBOs provide insurance navigation services.

40%

• Fewer than half (44%) of ASOs/CBOs offer HIV care and treatment, and only 1/3 of organizations offer primary medical care. • Medical Case Management is the most utilized linkage to care service (66%). • Only 4% of survey respondents reported that they do not provide linkage services, meaning that HIV linkage to care services are being provided by the overwhelming majority of ASOs/CBOs. • The most frequently offered wrap-around services for People Living with HIV (PLWH) are transportation services (46%), housing services (45%), and nutrition services (43%). • Very few ASOs/CBOs also offer childcare (3%), legal services (10%), and syringe access services (16%).

58% of ASOs/CBOs offer hepatitis C (HCV) testing

HIV/HCV/STD Testing Services • Only half of ASOs/CBOs (50%) reported that HIV testing is routine for all clients between the ages of 13 and 62. Other ASOs/CBOs offer HIV testing based on identified risk (20%) or at their clients’ request (13%). • Rapid blood tests are the most common form of HIV testing (65%), followed by rapid oral tests (47%), and 4th generation lab based tests (40%). • A majority (58%) of ASOs/CBOs offer HCV testing, and only 18% offer routine HCV testing for the CDC-recommended baby boomer range (50-70 years). Of those not offering HCV testing, a third (34%) provide referrals. • Fewer than half of ASOs/CBOs (40%) offer extragenital STI testing.

Key challenges organizations Figure 0. Key Challenges Organizations Face in Linkage/Retention in Care face in linkage/retention in care

ASO/CBO survey

PrEP/nPEP Services

49%

Nearly half of ASOs/CBOs (49%) offer PrEP to their clients. • Over one third (36%) provide referrals to PrEP services and 10% provide referrals to PrEP navigation.

of ASOs/CBOs offer PrEP services

• One third (32%) of ASOs/CBOs offer nPEP services, and more ASOs/CBOs (44%) provide referrals for nPEP. • Nearly a quarter (21%) of ASOs/CBOs do not offer or refer to any nPEP services.

Most Common Areas for Planned Service Expansion:

11%

PrEP

Mental Health Services

Extended Housing

Primary Care

Harm Reduction Services

HCV Testing and Treatment

Service Expansion & Integration Over three quarters of ASOs/CBOs (76%) reported they have increased service offerings over the past 3 years, and only 6% have decreased offerings. ASOs/CBOs are expanding services both in response to client needs and in response to opportunities to diversify funding. • The most commonly cited barrier to expanding services is a lack of financial resources (47%). • Over one quarter of ASOs/CBOs (27%) cited sustainability of proposed/ planned services as a barrier to expansion. • Less than one quarter (21%) of ASOs/CBOs cited perceived or real competition with other entities as a barrier. Other barriers listed were

76% of ASOs/ CBOs have increased service offerings

stigma and transportation. • ASOs/CBOs are expanding to include the following services (ranked in order of most to least common): PrEP; expanded housing; mental health; medical services, specifically primary care and chronic disease care; LGBTQ-focused services; HCV testing and treatment; harm reduction services, including syringe exchange; STI testing and treatment; and pharmacy services (e.g. 340B).

ASO/CBO survey

WORKFORCE CAPACITY

Average ASO/CBO client to staff ratio is Fewer than half of ASOs/CBOs employ clinical staff (physicians and other prescribers), which aligns with

54:1

the number of organizations providing clinical services. • Most ASOs/CBOs employ the following credentialed or degreed staff: social workers (80%), MPH/MBA in business/administration (60%), and nurses (53%). • Nearly half (45%) employ physicians, and fewer than 20% employ psychologists, pharmacists, and/or dentists. • A majority (58%) of ASO/CBO respondents indicated that their staff adequately reflects the populations served. • A majority (70%) of ASO/CBO respondents were not concerned about senior staff departures in the next three years, although fewer than half (43%) of organizations have a leadership succession plan in place.

Most common words used to describe the current healthcare landscape

Figure 0. Most Common Words Used to Describe the Current Healthcare Landscape

ASO/CBO survey

ASO/CBO FUNDING The most common source of funding (72%) for ASOs/CBOs is the Ryan White HIV/AIDS Program (RWHAP), and nearly one third (32%) report that RWHAP is their largest source of funding. While half (50%) of ASOs/CBOs report being very confident about maintaining overall funding over the next 5 years, it is concerning that cuts to the RWHAP could leave

72%

ASOs/CBOs receive Ryan White funding, the most common funding source for organizations

many ASOs/CBOs without their largest source of funding. • Other common sources of funding are: Medicaid (50%); Health Resources and Services Administration, non-RWHAP (42%); state/local health department (42%); 340B drug discount program (41%); Housing Opportunities for People with AIDS (40%); and AIDS Drug Assistance Program (40%). • Over one third (35%) of ASOs/CBOs receive funding from the Centers for Disease Control (CDC), and fewer (14%) receive funding from Substance Abuse and Mental Health Services Administration (SAMHSA). • Nearly half (46%) of agencies are billing third-party payers for services whenever possible, while 40% are not. o Of the agencies that do bill third party payers for services, 36% have seen an overall increase in third party payments for wrap-around services, while 11% have seen an overall decrease. o The most common third party payers are Medicaid (50%), Medicare (39%), private insurance (35%), and other public insurance (18%). o A majority (72%) of ASOs/CBOs collect client insurance information. • Few ASOs/CBOs have diversified funding outside of government grants and public insurers. Only 27% receive patient self-pay and only 20% receive grants/charitable giving. • Nearly all (91%) ASOs/CBOs set an annual budget. o A majority (59%) of ASOs/CBOs report being confident about meeting their budget goals this year, and 12% reported being very concerned. o A majority (59%) of ASOs/CBOs have had budget increases over the past 3 years, while 18% have stayed the same and 13% have decreased. ASO/CBO FUNDING SOURCE DATA

ASO/CBO survey

PARTNERSHIPS ASOs/CBOs that use MOUs to formalize partnerships

A majority (69%) of ASOs/CBOs formalize strategic partnerships and deliverables through memorandums of understanding (MOUs), while only 19% do so through formal, business contracts. • The most common types of services that ASOs/CBOs want to connect to

69%

through partnerships include: housing (35%), mental health services (31%), case management services (13%), PrEP (8%), and hormone therapy (6.5%). • Few organizations (26%) are using performance or outcomes-based contracts, such as milestone payments, to tie partner compensation to deliverables/ outcomes. • ASOs/CBOs utilize sub-contract agreements (41%) and fee-for-service agreements (34%). • A majority (68%) of ASOs/CBOs share client-level health outcomes data with external organizations to enhance linkage to/retention in care, while 23% do not. Over half (59%) of ASOs/CBOs use electronic health records to share and record data.

68%

ASOs/CBOs share client health data to improve linkage and retention in care

NecessaryShakey Positive BleekVital Underfunded

Strong Effective Fragile Vulnerable Evolving Unknown Challenging Dying Uncertain Risk

Struggling

Most common words used to describe state of ASO/CBOs in the US.

Needed

Troubled

Unstable

Unpredictable

Worrisome

Declining

ASO/CBO survey

STRATEGIC PLANNING

A majority (67%) of ASOs/CBOs report having a current strategic plan and 24% reported that their ASO/CBO does not have one.

67%

• A majority of ASO/CBO strategic plans address the National HIV/AIDS Strategy (65%) and Treatment as Prevention (62%). Other topics addressed include Biomedical Prevention Developments (49%), Public Sector Fiscal Changes (46%), Healthcare Reform (45%), Advances in HIV Disease Management (44%), and CDC’s High-Impact Prevention Strategy (43%).

of ASOs/CBOs have a current strategic plan

• A majority (54%) of ASO/CBO respondents report their Boards of Directors are very knowledgeable about healthcare system changes. Over half (56%) of ASOs/CBOs reported their Boards of Directors are very engaged in sustainability planning. • A majority (75%) of ASOs/CBOs engage clients in program and

78%

service planning and alignment. Most reported that they engage a community advisory group, almost half (45%) recruit community members for board positions, and fewer (24%) employ other strategies to engage community such as focus groups, program evaluations, and client surveys. • A majority (78%) of ASOs/CBOs are involved in their jurisdiction’s

of ASOs/CBOs are involved in integrated HIV prevention and care planning

integrated HIV prevention and care planning process.

In the LAST YEAR, has the organization considered or implemented any of the following actions?

Considered

Implemented

Changing or Expanding Mission

33%

37%

Reducing Overhead Costs (e.g. equipment, supplies)

28%

31%

Developing a Shared Services (esp. back-office services) Partnership with Another Agency

36%

23%

Merging with Another Agency

21%

Moving to a Less Expensive Location/Place

17%

Opening a Line of Credit

13%

20%

Laying-off Staff

10%

11%

Reducing Employee Benefits, Compensation, or Hours

13%

11%

Closing Organization

2 agencies

ASO/CBO survey

HealthHIV asked: What types of trainings and technical assistance (TA) were most needed by ASOs/CBOs?

TRAINING AND TECHNICAL ASSISTANCE Data from the survey indicate that many ASOs/CBOs are receiving training and TA that they do not need, and are not receiving training or TA on relevant topics.

Need Training (High to Low)

Ranking of trainings and technical assistance (TA) MOST needed by ASOs/CBOs versus received

Received in Past 3 Years

Organization Sustainability

44%

36%

Revenue Generation/Diversification

43%

23%

Collaborative Models for Clinical/Non-clinical Partnerships

40%

30%

Strategic Partnerships Development

40%

31%

Organizational Development

38%

42%

Organization Diagnosis

37%

26%

Staff Development and Management

36%

47%

Strategic and Business Planning

36%

40%

Unit Cost Calculation for Services

36%

16%

Performance-Based Payment Models

34%

11%

Board Development

34%

43%

Grant-Writing Skills Training

32%

40%

Need Training (Low to High)

Received in Past 3 Years

13%

58%

Ranking of trainings and technical assistance (TA) LEAST needed by ASOs/CBOs versus received Annual Audits Ryan White Eligibility and Determination

14%

48%

Active Linkage to Care for PLWH

14%

62%

HIV Treatment Cascade/Continuum of Care

15%

65%

Treatment as Prevention

16%

59%

Biomedical Advances (PrEP, nPEP)

17%

60%

The least common trainings and TA received by ASOs/ CBOs within the last 1 year included:

FQHC Look-Alike Development

11%

PerformanceBased Payment Models

13%

Establishing Indirect Rates

15%

Implementing Client Payment Methods

16%

Unit Cost Calculation for Services

ASO/CBO survey

IMPLICATIONS Data from HealthHIV’s inaugural State of ASOs/CBOs in the U.S. survey suggests the following implications.

ASOs/CBOs need more support to build confidence and capacity in responding to the dynamic healthcare landscape. ASOs/CBOs view their current state as uncertain and challenging. Among the top six most common responses from ASOs/CBOs on the state of ASOs/CBOs in the US, five words used indicated threatening circumstances for organizations: “challenging”, “uncertain”, “fragile”, “struggling”, or “unstable”. These responses may indicate apprehension and lack of confidence in the ability of ASOs/CBOs to adapt in a dynamic healthcare environment.

More ASOs/CBOs are needed in rural areas. Only a small number of ASOs/CBOs (12%) reported locations in rural areas. While the HIV epidemic is primarily urban, many parts of the country are experiencing a greater number of new diagnoses in rural or suburban areas. In the Deep South, 28% of new diagnoses are in rural and suburban areas. People living with and at risk for HIV in rural communities have limited access to health care providers with HIV experience, including those who provide HIV testing and/or PrEP. Rural communities often have higher levels of poverty and HIV-related stigma, are disproportionately affected by cuts to Medicaid, and have more uninsured and underinsured esidents per capita. For these reasons, safety-net providers such as ASOs/CBOs and health centers are essential to ensuring improved health outcomes along the HIV care continuum.

ASO/CBO survey

ASOs/CBOs must diversify funding to include non-governmental sources to ensure fiscal sustainability. ASOs/CBOs rely heavily on government funding. Nearly 30% of ASOs/CBOs surveyed indicated most or all funding comes from local and federal government sources. Some ASOs/CBOs (12%) rely on a single source of funding to maintain their HIV programs. This is a precarious situation to be in with some federal programs, such as the Ryan White HIV/ AIDS Program and the 340B pharmacy program, expecting major cuts and restrictions in the coming years.

ASOs/CBOs are expanding service offerings to clinical/medical services. While fewer than one-half (44%) of ASOs/CBOs offer some type of medical services, this is an area that many would like to expand into. Notably, 44% of ASOs/CBOs offer HIV care and treatment, and one-third offer primary medical care. This growth is essential to ensure that culturally relevant HIV care and primary care remains accessible in community-based settings. Expansion to clinical services also indicates ASO/CBO response to biomedical advances, insurance availability, and care and treatment standards. ASOs/CBOs reported expansion in the following clinical services: PrEP, mental health, primary care, and chronic disease care.

Lack of financial resources is the leading factor limiting ASO/CBO capacity to expand services, adequately train staff, and evaluate performance. ASOs/CBOs are expanding to provide new services, however, many experience significant barriers to expansion, including lack of financial resources (47%), sustainability of planned services (26%), and competition with other entities (21%). Other barriers listed were workforce capacity, technology/ infrastructure limitations, and stigma. As financial resources are unlikely to increase significantly, ASOs/CBOs need to explore integrated approaches and expanded partnerships to ensure client access to primary care, HIV care, and mental health services.

ASO/CBO survey

More ASOs/CBOs should be providing insurance navigation services. While threats to the Ryan White HIV/AIDS Program and ACA repeal efforts persist, it is more important than ever to connect individuals to public and private insurance to ensure access to HIV and primary care services. Only half (52%) of ASOs/CBOs provide insurance navigation. The number of people living with HIV who are eligible for insurance has increased, largely due to Medicaid expansion, and in many cases the ASOs/CBOs are the primary service provider for uninsured individuals.

ASOs/CBOs may need more education on clinical guidelines and standards of care. Despite 44% of ASOs/CBOs indicating they offer PrEP in-house, more than half (60%) do not provide extragenital STI screening/ testing. Responses also indicate that ASOs/CBOs are not adhering to the Centers for Disease Control and Prevention HIV testing recommendations. While most (78%) ASOs/CBOs provide HIV testing, only half reported that HIV testing is routine for all clients between the ages of 13 and 62.

ASOs/CBOs need more fiscal training and technical assistance to improve fiscal health and sustainability of their organization. Repeatedly, ASOs/CBOs report limited access to fiscal topics such as revenue diversification, performance-based payment models, establishing indirect rates, implementing client payment models, and unit cost calculation for services. Additionally, approximately 18-20% of ASO/ CBOs providing a billable service are not billing third-party payers. This indicates a significant opportunity for ASOs/CBOs to engage in TA to diversify resources through third-party billing.â&#x20AC;&#x2039;

ASO/CBO survey

TECHNICAL ASSISTANCE

ABOUT HEALTHHIV

Three D Program: Directing Comprehensive TA

Three

from Systems to Sustainability Provides a continuum of technical assistance HIV Prevention

(TA) that enhances ASO/CBO ability to conduct enhanced data collection and analysis,

HealthHIV is a national

make better-informed programmatic decisions,

non-profit working

and improve delivery of quality HIV prevention

with organizations,

services.

communities, and health care providers to advance effective prevention, care, and support for people living

ASO/CBO Leadership InitiativeTM

ASO/CBO Leaders

Includes the â&#x20AC;&#x153;Leadership Link & Learnâ&#x20AC;? webinar series and ASO/CBO Leadership Training and Certificate Program, which provide self-paced

with, or at risk for, HIV and

online training opportunities for ASO/CBO

HCV through education

leaders.

and training, technical assistance and capacity building, advocacy, and

Remaining Relevant in the New RealityTM

health services research

Remaining ASO/CBO Relevant

and evaluation.

sustainability training that focuses on

in the New R eality

high-impact, scalable HIV prevention and care

HealthHIV leads the

strategies in a dynamic healthcare landscape.

National Coalition for LGBT Health, the HealthHCV initiative, and the National Center

Transforming from HIV Prevention Practice

for Health Care

to Prevention InnovationTM (TRANSFORM)

Capacity Building.

Transforms, strengthens, and expands workforce TRANSFORM

capacity of THRIVE-funded health departments and their community partners to comprehensively provide care to MSM of color at risk for or living with HIV.

ASO/CBO survey

RESEARCH & EVALUATION

HIV Primary Care Survey & HCV Care National Survey HIV PRIMARY CARE SURVEY

HIV PRIMARY CARE SURVEY

Assesses the current state of integrating HIV and HCV care and treatment services into primary care.

EDUCATION & TRAINING SYNChronicity Conference HealthHIVâ&#x20AC;&#x2122;s annual conference on HIV, HCV, and LGBT health that prepares individuals and organizations to succeed in the dynamic 2017

healthcare environment by syncing systems, data, programs, and policies.

Fiscal Professional Services Ensures the fiscal sustainability of organizations by building organizational fiscal management capacity.

ADVOCACY National Coalition for LGBT Health A membership coalition committed to improving the health and wellbeing of LGBT individuals via research, advocacy, education, and training.

ASO/CBO survey

APPENDIX 1

ASO/CBO CERTIFICATE PROGRAM

ASO/CBO LEADERSHIP TRAINING AND CERTIFICATE ONLINE PROGRAM

MODULES

Moving from Strategic Planning to Business Planning

Leading Through Changing Times

Biomedical & Strategic Advances in HIV/AIDS

Shifting Funding Priorities and Best Practices

Medicaid and Health Care Exchanges

Assessing Partnerships , Mergers and Acquisitions

Evolving your organizational planning process and making strategic plans actionable

Understanding and implementing effective models for change management

Implementing biomedical and strategic advances, including how to utilize the HIV Care Continuum and address the goals of the National HIV/AIDS Strategy

Assessing your funding portfolio, diversifying funding streams, and understanding how federal funding changes have impacted ASOs

Understanding and engaging with Medicaid and state health insurance exchanges, identifying billable services and your ASO/CBO, and developing a unit cost of service

Approaching partnership development with clinical care providers and other CBOs, and assessing if a merger and acquisition strategy is right for your ASO/CBO

ACCESS ONLINE AT WWW.HEALTHHIV.ORG

ASO/CBO survey

APPENDIX 2

BOARD OF DIRECTORS LEADERSHIP TRAINING PROGRAM

T H E

BLT

Board Leadership Training

WHY IS ASO/CBO BOARD LEADERSHIP NEEDED? Fundamental shifts continue to transform the public health system, including healthcare reform, advancement of the National HIV/AIDS Strategy, redirection of HIV funding, biomedical advances, and medicalization of HIV services -- all stressing the vital ASO/ CBO infrastructure. In order to maintain and enhance the viability of ASO/CBOs to remain relevant in this dynamic environment, it is essential for ASO/CBO board members to engage meaningfully in strategic thinking and organizational sustainability planning. HealthHIV has launched The “BLT”: Board Leadership Training for ASO/CBOs as part of HealthHIV’s ASO/CBO Leadership Training and Certificate ProgramTM, to provide training and resources to ASO/CBO board members.

Part of HealthHIV's ASO/CBO Leadership Training & Certificate ProgramTM

ENGAGEMENT ARCHITECTS

www.healthhiv.org

Participate in HealthHIVâ&#x20AC;&#x2122;s CBA and TA programsby visiting www.healthhiv.org/cba-center/ T: 202.232-6749 F: 202.232.6750

@HealthHIV www.Facebook.com/HealthHIV http://www.YouTube.com/HealthHIV http://tinyurl.com/HealthHIVLinked

HealthHIV 2000 S St. NW Washington, DC 20009

www.healthhiv.org

ENGAGEMENT ARCHITECTS

ASO/CBO survey