Transcript DOH Continuity of Operations Plans

New York State
Executive Budget 2010-2011
HIV/AIDS
Stakeholder Briefing
New York State Department of Health
January 26, 2010
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2010-2011Budget Principles
• Unprecedented budget deficit
• All program areas need to help address the problem
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Focus on services that fulfill DOH’s core mission
Preserve direct services to the extent possible
Prioritize prevention
Fund good providers in core programs using evidence-based interventions
Promote administrative efficiencies
Align and consolidate appropriation lines consistent with core goals and
objectives
Avoid across the board cuts
Create programmatic support through targeted revenue generation
In general recommended funding starts with 2009 DRP level plus additional
reductions to meet the deficit
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Program Consolidation
• AIDS
• Cancer
• Obesity/Diabetes
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Rationale:
Greater flexibility in use of funds
Continued emphasis on evidence-based effective programs
Ability to direct funds to emergent needs
Reduced administrative burden for SDOH and contractors to result
in simplified administrative processing
Streamlined and efficient management and oversight
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Program Consolidation: AIDS
HIV/AIDS:
• More than 25 years since inception of the AIDS Institute it is
important to restructure appropriation lines to mirror today’s
epidemic and maximize programmatic effectiveness through
continued effective prevention and access to quality health and
supportive services
• Consolidate multiple appropriation lines into comprehensive
programmatic categories and generate $3.8M in savings. Budget
includes authority to transfer funds between and among the
programmatic categories to assure effective and efficient funding of
programs and services
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Program Consolidation: AIDS
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Comprehensive programmatic categories:
1. Regional and Targeted HIV, STD and Hepatitis C Programs: Outreach and
education, prevention, support and community level interventions
2. HIV, STD and Hepatitis C Prevention: Testing, partner and support services
including but not limited to harm reduction, risk reduction, criminal justice,
capacity building and other services for those at risk for and living with HIV,
STDs and Hep C
3. HIV Health Care and Supportive Services: Services in community-based
health care settings; services for substance users, women, children, and youth;
treatment adherence, nutrition, supportive housing, and legal support services;
and quality/utilization review activities
4. HIV, STD and Hep C Clinical Education: Provider and clinical education,
guidelines development, specialized education and training, and developing
workforce capacity
5. Hepatitis C Programs: Services related to Hepatitis C programs
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AIDS Program Consolidation
1. Regional and Targeted HIV, STD and Hepatitis C
Programs
• Multi-Service Agencies
• Community Service Providers
• Community Development Initiative
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AIDS Program Consolidation:
2. AIDS/HIV, STD and Hepatitis C Prevention
• HIV/AIDS testing including
rapid testing
• Counseling and Testing in
Family Planning
• HIV-related risk reduction
education and outreach
• Communities of Color
• New York AIDS Coalition
• National Black Leadership
Commission
• Cornell AIDS Training and
Education
• Criminal Justice Initiative
• HIV prevention and outreach
efforts targeted to substance
users
• Prevention education,
outreach and case
management to high-risk
women, adolescents and
children
• HIV prevention for LGBTQ
• MSM outreach
• Surveillance Projects
• Partner Notification
• Community Health Worker
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AIDS Program Consolidation:
3. HIV Health Care and Supportive Services
• New York/New York III
• Legal/Families in Transition
Support Services
• Treatment Adherence
• AIDS Utilization Review
• HIV Retention in Care –
Communities of Color
• Women’s supportive services
• Family centered health care
• Nutritional services
• Supported homeless housing
• HIV prevention and primary
care in community-based
health care settings
• HIV prevention and primary
care in drug treatment settings
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AIDS Program Consolidation:
4. HIV, STD and Hepatitis C Clinical Education
– HIV Fellowship Program
– Education and Training
– Clinical Education
– Provider Education: Clinical Guidelines
– Access to Clinical Drug Trials
– Medical Society of State of New York
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Dedicated Taxes to Support and
Promote Public Health
• Cigarette
• Sugared beverages
Rationale:
To lower long-term health care costs by discouraging unhealthy
consumption habits
– 14% decrease in cigarette use
– 15% reduction in consumption of sugared beverages
• Generates $650M to support public health programs ($465M from
sugared beverages and $185 from cigarettes)
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