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CBIRS Request 1290
 
Community Budget Issue Requests - Tracking Id #1290
HIV/AIDS
 
Requester: Wil Trower, CEO/President Organization: North Broward Hospital District
 
Project Title: HIV/AIDS Date Submitted 1/11/2006 11:17:50 AM
 
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 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  
  Fort Lauderdale 33316   Contact email: cmather@nbhd.org
 
Counties: Broward
 
Gov't Entity: Yes Private Organization (Profit/Not for Profit):  
 
Project Description:
This project has been funded every year since 1999. 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. 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. The Broward County Epedimiology report for 7/1/97-12/31/01 and the most recent updated report from 1/2001 to 12/2005 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. The majority of residents in this zip code area are black, and statistics show that since 1997 the majority of the new AIDS cases reported in Broward County have been blacks. 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 help to 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
 
Is this a project related to a federal or state declared disaster? 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: $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: 2004-2005 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?   Yes
  Agency Health, Department Of
 
Was this project included in the Governor's Recommended Budget? Yes
 
Is there a documented need for this project? Yes
  Documentation: N Broward Hospital District patient data, Broward Cty data., DOH, HIV/AIDS reports/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 of Commissioners
  Hearing Meeting Date: 01/25/2006
 
Is this a water project as described in Section 403.885, Laws of Florida?   No