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CBIRS Request 1323
 
Community Budget Issue Requests - Tracking Id #1323
HIV/ AIDS
 
Requester: HIV/ AIDS Organization: North Broward Hospital District
 
Project Title: HIV/ AIDS Date Submitted 1/15/2003 4:18:09 PM
 
Sponsors: Atwater
 
Statewide Interest:
Improvement in the quality and accessibility of HIV care and health outcomes for AIDS patients in Broward County. Equalization of access and quality of care for patients in Broward as compared to Miami-Dade. Decrease in health care costs due to anticipated decrease in HIV-related admissions and readmissions in the hospital for AIDS patients. Reduction in cost 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 (NBHD)   Contact: Charlotte Mather  
  303 Southeast 17th Street   Contact Phone: (954) 355-5180  
  Fort Lauderdale 33316
 
Counties: Broward
 
Gov't Entity: Yes Private Organization (Profit/Not for Profit):  
 
Project Description:
This project was funded in 1999,2000 and 2001. The funds will again be used to provide additional 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, including: 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 of 200 additional HIV patients each year will be served because of this initiative. Public benefits include better health care outcomes including reduced mortality, decreased hospitilization 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, spouses and sex partners; the project will help control the future HIV epidemic. Broward County Epedimiology report for 7/97 through 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 '97 and '01. The majority of residents in this zip code is African-American and statistics show that in 2001, 51% of the AIDS cases reported in Browad County were African-American. 56% of new HIV cases were among the African-American population, 33% among white and 11% among 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. The funds are needed to recruit and maintain a culturally appropriate team of outreach workers representative of the target population and qualified to negotiate the cultural barriers as to get people tested for HIV and to get them into care.
 
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 speciality 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?   No
 
Was this project included in the Governor's Recommended Budget? No
 
Is there a documented need for this project? Yes
  Documentation: NBHD patient data, Dept. of Health data, HIV/AIDS surveillance reports, HIV/AIDS Planning Council
 
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
  Hearing Meeting Date: 05/22/2002