2014-15 WORKPLAN – AETC U.S./MEXICO BORDER PROJECT
GOAL 1. The Mountain Plains (MPAETC), Pacific (PAETC), and Texas/Oklahoma (TX/OK AETC) Regional AETCs, in collaboration with the AETC National Resource
Center (NRC) and the AETC National Evaluation Center (NRC) will help meet HHS-MAI goals by expanding the ability of health care providers (HCPs) serving
U.S.-Mexico Border communities in California, Arizona, New Mexico, and Texas to provide high-quality HIV prevention, diagnosis, and clinical care services.
While this proposal is responsive to many of the 2010 National HIV/AIDS Strategy (NHAS) recommendations, most activities are in support of the following
Implementation Plan targets:
 Increasing access to care and improving health outcomes for people living with HIV (PLWH) through workforce development
 Achieving a more coordinated national response to the HIV epidemic in the United States through increased partnerships with area agencies
 Reducing HIV-related health disparities by building capacity of health care providers in the region
KEY NEEDS ASSESSMENT FINDINGS SUPPORTING THIS GOAL: • Mobility and migration along the U.S.-Mexico Border increases HIV risk, as indicated by high
rates of sexual risk behaviors documented among male migrant farmworkers. Recent data indicated increasing HIV prevalence in the border region, which is
one of the poorest areas in the United States and which has some of the worst health outcomes and lowest rates of health insurance in the country. 58% of
new HIV-infected patients had AIDS at time of enrollment in border Ryan White clinics during 2001-2005, indicating late diagnosis and a poorer prognosis.
Barriers to care included medication side effects and stigma.
Objective 1
During 2014-2015 MPAETC, PAETC, and TX/OK AETC, with the support of the NRC and the NEC, will deliver comprehensive, needs-based
HIV education, training, technical assistance, and capacity building programs including topic-specific resources to a minimum of 500 health
care providers along the U.S.-Mexico Border. The exchange of information will address at least 4 of the key FTCC Border Collaborative topic
areas (Engagement in Care; Mental Health & Substance Abuse; Violence, Trauma, & PTSD; Stigma & Discrimination; and/or HIV Workforce
Development [WFD]).
Key Action Steps
Time-frame
Key Staff
Evaluation Measures
Collaborate with regional and national partners, including Community
Q 3-4
UMBAST team: NM AETC,
Correspondence, emails
Health Centers and U.S.-Mexico Border serving agencies, to reach
MPAETC, PAETC, PAETC LPSs,
Meeting minutes
1.1
clinicians in U.S.-Mexico Border communities.
TX/OK AETC, NRC, NEC, FTCC
partners
Provide 10-20 technical assistance and capacity building programs
Ongoing
UMBAST team: NM AETC,
AETC evaluation and
with 2-4 border CHCs in each state (AZ, CA, NM, TX) regarding HIVMPAETC, PAETC, PAETC LPSs,
documentation tools:
1.2
related issues (retention, oral health issues, National HIV/AIDS
TX/OK AETC, NRC, NEC, FTCC
ERs, PIFs, ACRE, PEFs,
Strategy, healthcare reform, substance abuse referrals).
partners
QOPs
Develop and deliver “Training providers to keep highly-mobile HIVOctober 3 2014 UMBAST team: NM AETC,
AETC evaluation and
infected patients in continuous care across and between borders” 3
MPAETC, PAETC, PAETC LPSs,
documentation tools:
1.3
Hour Seminar for the U.S .Conference on AIDS in San Diego
TX/OK AETC, NRC, NEC, FTCC
ERs, PIFs, ACRE, PEFs,
partners
QOPs
Develop prioritized learning objectives for the border in collaboration
Finalized by
UMBAST team: NM AETC,
Meeting minutes
with the NEC.
October, 2014 MPAETC, PAETC, PAETC LPSs,
Attendance lists
1.4
Workgroup
TX/OK AETC, NRC, NEC, FTCC
Completed Learning
calls
partners
Objectives
1.5
1.6
1.7
1.8
1.9
1.10
1.11
Develop and/or Update standardized curriculum to address those
objectives and link to evaluation
Finalized by
02/15/15
Monthly calls
Identify health care provider training programs on the border to
begin process of assisting them with integrating HIV/ID experience
into the curriculum.
Ongoing
Disseminate U.S.-Mexico Border specific HIV resources to clinicians
and other health care providers on the U.S.-Mexico Border in HPSAs,
via web site, Listservs, and through partnering agency marketing
sources.
Participate in the planning, logistical support, and execution of a 4part Border Issues webinar series and face-to-face training events
offered through the Federal Training Center Collaborative effort
(FTCC; collaboration with PTC, ATTC, RTC, and RTMCC). Deliver series
to 50-100 border providers on topics covering TB, liver toxicity, and
HIV testing in addictions treatment centers.
Deliver 2 Level II, 1-day face-to-face training events to 60 border
service providers on the AntiRetroviral Treatment and Access to
Services (ARTAS) linkage to care strategy addressing the FTCC Border
Collaborative topic area of Engagement in Care. Participants will
receive ARTAS materials.
Provide 3 technical assistance and capacity building programs with 12 border CHCs/US ICE facilities in CA and AZ regarding HIV-related
issues (retention, National HIV/AIDS Strategy, healthcare reform,
substance abuse referrals, transgender health). TA may include
technology consults (e.g., using EMRs to implement routine testing)
and WFD (e.g., using federal incentives to recruit border clinicians).
Provide 1-2 Level II workshops for 50-100 border providers on InterAgency Border Collaborative (collaborate with PTC, ATTC, RTC, and
Curry TB Center) themes, including Engagement in Care, MH and
Substance Abuse, Violence, Trauma and PTSD, Stigma and
Discrimination, and other topics based on needs assessments.
Workshops will be co-sponsored with at least one border CHC and 2-3
FTCC partners
UMBAST team: NM AETC,
MPAETC, PAETC, PAETC LPSs,
TX/OK AETC, NRC, NEC, FTCC
partners
UMBAST team: NM AETC,
MPAETC, PAETC, PAETC LPSs,
TX/OK AETC, NRC, NEC, FTCC
partners
TX/OK Director and Distance
Learning and Web Education
Coordinator
Meeting minutes
Attendance lists
Completed Curriculum
Q2-4
TX/OK AETC Director; TX/OK
region’s PTC, RTC, RTMCC, &
ATTC representatives
Meeting Notes
Q 3-4
TX/OK Border LPSs, TX/OK
Program Manager and TX/OK
region’s PTC
FTCC PIFs, ER, Standard
evaluation tool
UCLA, UCSD, and AZ LPSs
ERs, PIFs
pre-/post-test for
knowledge change
PAETC LPSs,
CA PTC, Cardea Services (RTC), PS
ATTC, Curry TB Center, AETC NRC
Pre/Post test; ACRE
evaluation
Q2
Ongoing
Q 2-4
Meeting minutes
Completed Lists and
contacts from sites in
each state
Website postings; eblast messages
1.12
1.13
1.14
1.15
1.16
1.17
1.18
1.19
Conduct 2-3 Mental Health and HIV on the Border cross-training
workshops for 50-100 providers on issues such as Substance Abuse,
Co-morbidities, Stigma/Discrimination, Harm Reduction, and Trauma.
UCLA and UCSD will present Continuum of HIV Care Level II
workshops for 30 HCPs at 1-2 border trainings in San Diego
Complete Level I education encounters with 73 Border-area HCPs.
Topics to include: HIV 101, Engagement in Care; Violence, Trauma &
PTSD; Stigma & Discrimination; and/or Cultural Awareness
Complete Level II education encounters with 109 Border-area HCP.
Topics to include: Engagement in Care; Hep C Treatment; MH &
Substance Abuse; Violence, Trauma & PTSD, Stigma & Discrimination;
and/or Cultural Awareness
Complete 74 Level IV encounters with Border-area HCP using local,
regional, and national resources including training providers on the
border via project ECHO telehealth weekly HIV clinic.
Provide concentrated, intense TA and CBA for identified Border area
clinics: Las Cruces Memorial Medical Center and CCC, DoH
Collaborate with Project ECHO to implement a plan to assess the
impact of border-region programming through participation in
strategic planning process and outcome evaluation analysis and
reporting.
Assess HIV-related learning needs of HCP in ICE facilities (Alamogordo
& Chaparrel); adapt existing training programs to those needs,
implement training, and evaluate outcomes.
The NEC will provide evaluation-oriented support to Border-funded
regions, with emphasis on analyzing trends, developing multi-site
measures, and improving collaboration between sites.
Q 3-4
PAETC/UCLA LPS and PSATTC
Pre/Post test; ACRE
evaluation
Q 2-4
UCLA & UCSD LPSs
Q 2-4
MPAETC NM LPS staff
PIF, PEF, Pre/Post and
ACRE evaluation
ER, PIF, and evaluation
forms
Q 2-4
MPAETC NM LPS staff
ER, PIF, and evaluation
forms
Q 2-4
MPAETC NM LPS staff
ER, PIF, and evaluation
forms
MPAETC, NM LPS staff, and
MPAETC Evaluation Team
MPAETC PI & Evaluator, NM LPS
faculty & staff
CBA reports, New
repeat trainee report
UMBAST meeting
minutes
Outcome evaluation
analysis
ERs of TA and CBA
reports on ICE facilities
On going
through Q4
Strategic
planning on
monthly calls
On-going
Q 1-4
MPAETC PI, NM LPS faculty &
staff
NEC Director
NEC Assistant Director
multisite evaluation
measures (ACRE)
1.20
implemented
documentation of TA to
Border-funded AETCs
The NRC will maintain and enhance the UMBAST website
Q 1-4
NRC Web Manager
1,500 page hits
(AETCBorderHealth.org) to include the latest epidemiology and
NRC Blog Manager
Updated resource
1.21 border resource information, incorporating FTCC border trainings into
Blog Author
directory
a cross-regional calendar and develop and maintain the Border HIV
AETC/FTC border
Training Blog
training calendar
Objective 2 During 2014-2015, the AETC U.S./Mexico Project will collaborate in a coordinated manner to provide excellent programming to meet the
overall goal of the work plan.
Key Action Steps
Time-frame
Key Staff
Evaluation Measures
2.1
During 2014-2015, the New Mexico LPS of the MPAETC will continue
leadership for the AETC U.S/Mexico. Border Project.
Ongoing
2.2
The three border region AETC UMBAST coordinators, HRSA
representatives, FTCC representatives and other border stakeholders
will participate in monthly conference calls that will update group
members on border collaborative activities and will serve as a
planning and coordinating group.
Collaborate with UMBAST Team to support program planning during
annual border planning summit.
monthly calls
2.3
2.4
Collaborate with the US Mexico Border Health Commission
(USMBHC), Ventanillas de Salud, and the SPNS project.
NM LPS Program Manager, NM
AETC faculty and Staff, MPAETC
PI/Director
TX/OK, PAETC, and NM border
coordinators, NRC Web Manager,
HRSA partners and others
Email announcements
Coordinated conference
calls & meetings
Call Minutes
Coordinated work plans
Q1-Q2
NM LPS Program Manager to
lead planning group with
participants from MPAETC,
PAETC, PAETC LPSs, TX/OK AETC,
NRC, NEC, FTCC partners
Ongoing
TX/OK, PAETC, and NM border
coordinators, NRC Web Manager,
HRSA partners and others
Planning summit dates
& venue set
Planning summit agenda
Planning summit
minutes
Attendance records
Plans for competitive
renewal grant in place
Coordinated conference
calls & meetings
Collaborative events
scheduled and ER, PIF,
and evaluation forms
collected