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CBIRS Request 2161
 
Community Budget Issue Requests - Tracking Id #2161
HIV/AIDS
 
Requester: Will Trower, CEO/President Organization: North Broward Hospital District
 
Project Title: HIV/AIDS Date Submitted 1/16/2004 3:15:58 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 quality of care for patients in Broward as compared to 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. 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   Contact: Charlotte Mather  
  303 Southeast 17th Street   Contact Phone: (954) 355-5180  
  Ft. Lauderdale 33316   Contact email:  
 
Counties: Broward
 
Gov't Entity: Yes Private Organization (Profit/Not for Profit):  
 
Project Description:
This project was funded in 1999, 2000,2001,2002 and 2003 as well. The funds will be used again 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 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, spouses 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 is 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 appropriate 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 & goals, and will help achieve the department's performance outcomes as specified in Agency Strategic Plans or Performance-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 fulfilled 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 decrease in hospital admissions and readmissions 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: $460,000
 
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: 2003-2004 Amount: $180,000
 
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: North Broward Hospital District patient data, Broward County data., DOH , HIV/AIDS surveillance repo
 
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
  Hearing Meeting Date: 05/28/2003