Equity Health

Fy 2021 Ending the Hiv Epidemic - Primary Care Hiv Prevention - Project Title: Fiscal Year 2022 Ending the Hiv Epidemic – Primary Care Hiv Prevention (HRSA-22-104) Applicant Organization Name: San Francisco Medical Center Outpatient Improvement Programs, Inc. Dba South of Market Health Center Applicant Organization Address: 229 7TH Street, San Francisco, Ca 94103-4003 Project Director: Asa Satariano, Dha Project Director Contact Phone Numbers: Voice: (415) 503-6055; Fax: (415) 503-6099 Project Director Email: Asa.satariano@smhcsf.org; Web Site: Www.smhcsf.org Amount Requested: $325,000 Per Year for Two Years Health Center Program Grant Number: H80CS00381 Brief Description of Proposed Project, Need to Be Addressed, the Proposed Services, and the Population Group(s) to Be Served. San Francisco Medical Center Outpatient Improvement Programs, Inc. Dba South of Market Health Center (SMHC) Is Proposing to Enhance Its Primary Care Hiv Prevention Services in Its Service Area Which Includes Twelve (12) Zip Codes in the City and County of San Francisco, California. SMHC Will Increase the Number of Patients Counseled and Tested for Hiv, the Number of Patients Prescribed Prep, and the Number of Patients Linked to Hiv Care and Treatment Within 30 Days of Diagnosis by Adding Personnel, Enhancing Staff Training, and Providing In-reach to Patients and Outreach to the Community. the Need for Services Cannot Be Understated. the Hiv Prevalence Rate in the Service Area Is Greater Than the City and County of San Francisco and California (1,933/100,000 VS. 1,620/100,000 and 401/100,000, Respectively). Similarly, the Hiv/aids Death Rate in the Service Area Is Approximately 4.4 Times Higher Than the City and County of San Francisco and 3.7 Times Higher Than California. the Target Population in the Service Area Include Low-income, Underserved, and Largely Minority Individuals and Families; 24.0 Percent of Service Area Residents Are Considered Low-income (N=112,454), 45.6 Percent Do Not Speak English, and 64.2 Percent Are Racial/ethnic Minority (32.1 Percent Asian, 20.3 Percent Hispanic/latino, 7.0 Percent Black, 4.3 Percent Other, 0.4 Percent Native Hawaiian/pacific Islander, and 0.2 Percent American Indian/alaska Native). How the Proposed Project Will Increase the Number of Patients Counseled and Tested for Hiv, the Number of Patients Prescribed Prep, and the Number of Patients Linked to Hiv Care and Treatment Within 30 Days of Diagnosis. SMHC Will Hire 1.0 Fte Phlebotomist, 1.0 Fte Outreach Registered Nurse, and 1.0 Fte Program Manager to Carry Out the Proposed Project and Meet the Objectives of This Ending the Hiv Epidemic – Primary Care Hiv Prevention Grant Opportunity. Workflows Will Be Modified/created to Increase the Number of Patients Counseled and Tested for Hiv, Including Implementing an Opt-out Hiv Screening Policy and Procedure, and Additional In-reach Activities to Screen Patients at Appropriate Intervals Based on Risk. Increased Prep Education and Counseling for Patients and Staff Will Improve the Number of Patients Prescribed Prep. Community Outreach Efforts Will Be Enhanced to Extend the Proposed Services to the Hard-to-reach Populations in the Service Area, Building Upon the Trust SMHC Already Has With the Community It Serves. Importantly, SMHC Will Also Continue to Link People Living With Hiv With Its Hiv Treatment Services on Site Within 30 Days of Diagnosis. How the Proposed Project Will Focus on the Targeted Geographic Locations. SMHC Has Provided Services to the Same Service Area for Many Years. It Is Well-integrated in the Community Among Both Residents and Community Partners Alike and Is a Trusted Provider of Care to Its Patients. SMHC Will Rely on Its Knowledge and Experience of the Service Area, as Well as Its Existing Community Partners Including San Francisco Department of Public Health, University of California San Francisco, Center for Youth Wellness, Mercy Housing of California, and Others to Carry Out the Proposed