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CBIRS Request 10
 
Community Budget Issue Requests - Tracking Id #10
HIV/AIDS
 
Requester: Will Trower, CEO/President Organization: North Broward Hospital District
 
Project Title: HIV/AIDS Date Submitted 1/13/2003 3:07:30 PM
 
Sponsors: Campbell
 
Statewide Interest:
Improvement in the quality and accessibility of HIV care and health outcomes for AIDs patients in Broward County. Equalization of access and qualtiy of care for patients in Broward as compared with Miami-Dade. Decrease in health care costs due to an anticipated decrease in HIV related admissions and re-admissions in the hospital for AIDS patients. Reductions in costs to taxpayers due to improved health status. Improvement in status of health for patients also affords them the opportunity to more readily hold gainful employment and contribute to the community
 
Recipient: North Broward Hospital District   Contact: Charlotte Mather  
  303 SE 17th Street   Contact Phone: (954) 355-5180  
  Ft. Lauderdale 33316
 
Counties: Broward
 
Gov't Entity: Yes Private Organization (Profit/Not for Profit):  
 
Project Description:
This project was funded in 1999, 2000 and 2002 as well. The funds will be used again to provide additonal staff and staff hours to serve HIV/AIDS patients, as well as to pay for counseling and education of patients, referral, follow-up, screening, nutritional assessment and case management, ambulatory care, inlcuding: medical exams, immune system evaluation, diagnosis, referral and treatment. Laboratory tests, primary and specialist medical care, radiology, and pharmacy services, emergency and inpatient care are also included. We anticipate that a minimum 200 additional HIV patients each year will be served because of this initiative. Public benefits include better health care outcomes including related mortality, decreased hospitalization and decreased visits to emergency departments. Because people who receive combination highly active antiretroviral therapy (HAART) are less likely to transmit HIV to their babies, spoused and sex partners; the project will help control the future HIV epidemic. Broward County Epedimiology report for 7/1/97-12/31/01 shows the highest concentration of HIV and AIDS cases is found in Zip Code 33311, which includes part of the city of Ft. Lauderdale, Wilton Manors, Oakland Park, Lauderhill, and Lauderdale Lakes in our service area. This zip code reported 21% of all HIV cases in Broward County between 1997 and 2001. The majority of residents in this zip code are black, and statistics show that in 2001, 51% of the AIDS cases reported in Broward County were blacks, 56% of new cases of HIV infection were among blacks, 33% were white and 11% were Hispanic. The Comprehensive Care Center is located in the 33311 zip code to provide these patients access to care. Unfortunately when these patients finally access the health care system they have already had an opportunistic infection. The goal is to reach them before they develop AIDS, therefore funds are needed to recruit and maintain a culturally apprpriate team of outreach workers representative of the target population and qualified to negotiate the cultural barriers so to get people tested for HIV and to get them into care. This project's goals are consistent with the Department of Health's mission and goals, and will help achieve the department's performance outcomes as specified in Agency Strategic Plans and Performace-Based Program Budgeting. Treatment provided by the project helps to improve the health of the population, reducing further HIV transmission. Some of the major responsibilities/priority issues outlined by the Department of Health are to: "prevent and treat infectious diseases of public health significance" and to "facilitate the placement of health care providers in medically underserved areas." These major responsibilities are all fullfiled in this project request. In addition, the Department of Health has made it a priority to respond to disparities in racial and ethnic outcomes. HIV/AIDS is also listed as one of the outcomes that it mentions in its 2000-2001 Health Initiatives statement.
 
Is this a water project as described in Chapter 2002-291, Laws of Florida? No
 
Measurable Outcome Anticipated:
Improvement in the health outcomes for AIDS patients in Broward County as well as a decrease in hospital admissions and re-admissions for AIDS patients and a decrease in the cost per case. Better access to primary and specialty care.
 
Amount requested from the State for this project this year: $226,000
 
Total cost of the project: $450,000
 
Request has been made to fund: Operations
 
What type of match exists for this project? Local
  Cash Amount $   In-kind Amount $234,000
 
Was this project previously funded by the state?   Yes
  Fiscal Year: 2001-2002 Amount: $187,000
 
Is future-year funding likely to be requested?   Yes
  Amount: $226,000 To Fund: Operations
 
Was this project included in an Agency's Budget Request?   Unknown
 
Was this project included in the Governor's Recommended Budget? No
 
Is there a documented need for this project? Yes
  Documentation: N Broward Hosp District patient date, Broward Cnty date,DOH/HIV/AIDS surveillance report
 
Was this project request heard before a publicly noticed meeting of a body of elected officials (municipal, county, or state)?   Yes
  Hearing Body: North Broward Hospital District Board of Commissioners
  Hearing Meeting Date: 05/22/2002