The first two years of this Initiative will focus primarily on implementation of three Waves of Collaboratives, each lasting 12‐18 months, beginning in Upper Manhattan and Western New York regions. Collaboratives will consist of representatives from various service categories, Ryan White funding streams, surveillance units, community groups, and consumers. Each Collaborative will be conducted regionally and in parallel. Each Collaborative will be tasked with forging partnerships across funding streams, program areas and providers to develop a catalogue of proven strategies to link HIV‐infected individuals to HIV care. The work of every Collaborative will be thoroughly evaluated using available performance data and pre‐approved quality indicators. Models and interventions proven to be highly successful will be determined and integrated into previously existing NYSDOH Collaborative frameworks.
Another principal aim of this project is to integrate and strengthen state and city data systems to improve the quality of available data on linkage and retention. Data from routine assessments of linkage and retention measures at a local agency level, from the larger systems of HIVQUAL, AIRS, Medicaid and NYC and NYS Epidemiology/Surveillance as well as from the short‐term Collaboratives all will ideally be linked with a focus on linkage to care and retention measures. Ultimately, the long‐term coordination of these data systems will facilitate the provision of quality information to NYC & NYS surveillance systems and of wide‐ranging high quality care to all populations of PLWHA in NYS.
The second two years of the NYS SPNS Initiative will turn toward statewide implementation and evaluation of successful interventions. The AIDS Institute will use a multifaceted approach to bring the lessons on linkage to care learned in the first two years to providers and consumers across the state and outside of the Collaborative model. Additionally, the sustainability and effectiveness of these interventions on a state‐wide level will be evaluated.
To foster implementation and peer learning of successful strategies identified by face‐to‐face Collaboratives, the AIDS Institute, and NQC will utilize the following approach:
• Hold statewide conference calls and webinars
• Hold statewide conference calls to highlight key concepts
• Develop web‐based modules on linkage and retention through the NQC Quality Academy
• Publish and disseminate resources on linkage to care using websites, project space and targeted mailings