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Project Name: Ryan White Part C Outpatient EIS Program (H76)
Applicant Title: WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC
Abstract Text: HIV Epidemiology in William F. Ryan Community Health Center, Inc.’s (Ryan Health) Service Area of New York County (Manhattan): New York City has historically been at the epicenter of both the HIV epidemic and of efforts to combat it; while significant progress has occurred in recent years, Ryan Health's service area has a disproportionately high burden of HIV prevalence and high rate of HIV incidence among vulnerable populations. Based on HIV/AIDS Annual Surveillance Statistics from the New York City Department of Health and Mental Hygiene, HIV Epidemiology Program, the total reported people with HIV (PWH) in NYC continues to increase (from 131,622 in 2xxx-xxx-xxxx in 2021, and 132,003 in 2022). Despite ranking third out of all five boroughs in overall population, Manhattan has the highest percentage of PWH (25% of NYC PWH in 2022). In 2022, PWH from Ryan Health's targeted neighborhoods within Manhattan (Upper West Side, Central Harlem, Washington Heights, Lower East Side, and Chelsea-Clinton, hereafter collectively referred to as “targeted areas”) made up 71% of Manhattan’s total population of PWH and 18% of NYC's total population of PWH; these targeted areas also accounted for 73% of all HIV diagnoses and 71% of all AIDS diagnoses in Manhattan in 2022. In comparison, these neighborhoods accounted for only 58% of Manhattan's population and 11% of New York City's population. Rates of new HIV infection are highest among Manhattan residents in their 20s and 30s; the largest population of PLWHA in Manhattan is among individuals age 50+, who as they age increasingly require the comprehensive medical care and case management services an institution like Ryan Health provides. Although only 17.8% of Manhattan's population is Black, this population accounts for 37.7% of all new HIV cases. Similarly, while 26.5% of Manhattan residents identify as Hispanic/Latinx, they account for 39.3% of the borough’s new HIV diagnoses. The transmission risk group with the greatest incidence of new HIV infections is Men who have sex with Men (MSM), accounting for 61.4% of Manhattan’s new cases in 2022. Key Services to be Supported, Amount Requested, & Target Populations: The proposed Ryan White Part C Outpatient EIS Program will use the requested $844,862 to support the following valuable core medical and support services: early intervention services, including high risk targeted HIV counseling, testing and referral to care; integrated case managed primary care services to HIV-positive patients; comprehensive and continuous oral health services to persons with HIV disease; consistent and timely mental health services to address the treatment needs of HIV positive persons; a continuum of supportive services, including entitlement assistance, social support referrals, and health education and risk reduction; nutritional counseling and support for HIV- positive individuals as part of a comprehensive care program; and operate an organization-wide CQI/Quality Management Program to measure, monitor, and evaluate program performance and ensure consumer involvement in evaluation. These services will be provided throughout Ryan Health’s Service Area of Manhattan, through several of Ryan Health’s clinic locations, including the Ryan Health | West 97th Street flagship site on the Upper West Side, Ryan Health | Adair and Ryan Health | Frederick Douglass Health Centers serving Central Harlem, Ryan Health | NENA site serving the Lower East Side, Ryan Health | Wadsworth serving Washington Heights, and by Ryan Health’s EIS subcontractor, Ryan Chelsea-Clinton, serving the midtown neighborhoods for which it is named. Key quality improvement measures will focus on the most substantial gaps identified in New York City’s HIV Care Continuums, including diagnosis of HIV+ individuals in the service area and retention in care, focusing on assisting individuals in achieving viral suppression.