Major Issues and Results from 27 HRSA HIV/AIDS Bureau Cooperative Agreement Projects Funded as Special Projects of National Significance: 
September 16, 1999 Panel Sessions at HRSA

1. The projects have collectively trained more than 44,000 individuals in more than 1900 trainings.

2. All of the projects have developed training models that help improve standards of care and access for traditionally underserved groups.

2a. The Center for Women Policy Studies Metro DC Collaborative worked with providers who serve poor and disenfranchised women in the District of Columbia to improve their services.

2b. Cook County has worked with hospital personnel to develop standards of perinatal care and HIV testing for women delivering babies in more than 60 hospitals in greater Chicago to implement perinatal guidelines and change practice standards.

2c. Emory University has worked with prison medical staff throughout Georgia to improve medical care for inmates.

2d. Health Initiatives for Youth has trained agencies throughout the San Francisco Bay Area on youth services to improve the ways that services are delivered to youth.

2e. The State University of New York has worked with OB/GYNs on standards of perinatal care for women with HIV in Brooklyn and has assessed how practice changes.

2f. The University of Colorado has developed HIV/AIDS self-study methods through a traditional workbook and on the Internet for medical providers in the Mountains-Plains states and examined how these training methods impact clinical practice.

2g. The University of Mississippi has developed distance learning methods for medical providers in Mississippi and has assessed how practice changes.

2h. The University of Texas had developed methods of training and service infrastructure development for women with HIV and their families in South Texas and has assessed how the services infrastructure and practices change.

2i. The University of Washington has developed a training model for AIDS-related delirium for medical personnel in Seattle and has examined how practice changes.

3. Trainings provided by this group illustrate methods of working with large networks of urban providers, scattered providers in rural states, providers working in correctional settings, and those working in large over-burdened urban hospitals.

1. The projects have collectively served more than 2,300 clients from groups who traditionally have difficulty accessing the service system.

2. All of the projects have worked to identify and serve "hard-to-reach" populations.

2a. The Center for Community Health Education and Research (CCHER) Haitian Outreach Project of Boston has developed a culturally-specific and culturally-appropriate model for training Haitian-origin individuals about ways to access and use HIV care.

2b. The Fortune Society works with inmates in New York State prisons and helps them access HIV care and social services upon release from prison throughout New York City.

2c. Larkin Street provides a comprehensive services array, including residence, to San Francisco youth in advanced stages of AIDS.

2d. Outreach of Atlanta has identified substance abusers with HIV and makes direct linkages to primary medical care.

2e. PROTOTYPES WomensLink has a Settlement House (drop-in center) model in Los Angeles for women with HIV who are linked directly to HIV medical care and provided with psychosocial supports.

2f. The Well-Being Institute of Detroit works with women with the triple diagnosis of substance abuse, mental illness, and HIV and links them to HIV medical care while providing psychosocial supports.

3. Collectively and individually the projects have decreased barriers to care for hard-to-reach populations.

4. Collectively and individually, the projects slow the progression of HIV disease among their clients.

5. Collectively and individually, the projects improve psychosocial functioning among their clients.

1. The projects have collectively served more than 1,700 patients from groups who traditionally have difficulty accessing the service system.

2. All of the projects have worked on models for providing HIV care under a managed care system.

2a. The AIDS Healthcare Foundation of Los Angeles has developed Positive Healthcare, a capitated services model.

2b. The East Boston Neighborhood Health Center has provided services to hard-to-reach populations to develop cost studies for a capitation model.

2c. The Johns Hopkins University has provided a capitated services model in Baltimore.

2d. The New York State Department of Health has studied the service use patterns of HIV patients throughout New York and developed a model for special needs plans to be implemented in the future.

2e. The Visiting Nurse Association of Los Angeles has developed a transprofessional model of care for home health care and studied the costs associated with the model.

3. The projects have provided state-of-the-art services to the vast majority of their patients.

4. The projects have ensured access to primary care to hard-to-reach patients and have retained these patients in care.

5. Methods for implementing and sustaining HIV care under managed care have been tested.

1. The projects have collectively served more than 600 patients from groups who traditionally have difficulty accessing the service system.

2. All of the projects have worked with a traditional University medical system to develop comprehensive care clinics.

2a. The University of Nevada in Reno has expanded traditional services by adding a nutritional program to combat wasting and improve psychosocial functioning.

2b. The University of Vermont has ensured that HIV patients throughout Vermont have access to comprehensive services by implementing three satellite clinics.

2c. Washington University has started the Helena Hatch Special Care Clinic to ensure compressive services for women with HIV in St. Louis.

3. The projects have all provided state-of-the-art services to the vast majority of their patients.

4. The projects have ensured access to primary care and related ancillary psychosocial supports.

5. Key issues in developing comprehensive clinics within a traditional medical school have been addressed.

1. The projects have collectively trained more than 44,000 individuals in more than 1900 trainings.

2. All of the projects have developed training models that produce significant impact on practice and systems of care

2a. The Center for Women Policy Studies Metro DC Collaborative worked with providers who serve poor and disenfranchised women in the District of Columbia to improve their services.

2b. Cook County has worked with hospital personnel to develop standards of perinatal care and HIV testing for women delivering babies in more than 60 hospitals in greater Chicago to implement perinatal guidelines and change practice standards.

2c. Emory University has worked with prison medical staff throughout Georgia to improve medical care for inmates.

2d. Health Initiatives for Youth has trained agencies throughout the San Francisco Bay Area on youth services to improve the ways that services are delivered to youth.

2e. The State University of New York has worked with OB/GYNs on standards of perinatal care for women with HIV in Brooklyn and has assessed how practice changes.

2f. The University of Colorado has developed HIV/AIDS self-study methods through a traditional workbook and on the Internet for medical providers in the Mountains-Plains states and examined how these training methods impact clinical practice.

2g. The University of Mississippi has developed distance learning methods for medical providers in Mississippi and has assessed how practice changes.

2h. The University of Texas had developed methods of training and service infrastructure development for women with HIV and their families in South Texas and has assessed how the services infrastructure and practices change.

2i. The University of Washington has developed a training model for AIDS-related delirium for medical personnel in Seattle and has examined how practice changes.

Related information:

Knowledge Base presenting major results from the projects.
Short One-page Bulleted Fact Sheets
Individual Project Web Pages
Lessons Learned and Achievements
Evaluation and Dissemination Center: Innovative Models of HIV/AIDS Care 1994-2001

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