Track Description: 
SYNChronicity 2020’s Fiscal Health and Health Systems track will cover a range of subjects. This track has been curated to build on best practices in the fiscal and organizational sustainability of healthcare and social service organizations by building their fiscal and grants management capacities, as well as building a systems thinking approach and external knowledge of syncing epidemics. Track attendees will begin by taking a look at integrated planning to end the epidemic. Attendees will then have the opportunity to review organizational sustainability models and examples of innovation in models of care within the field. Thursday’s sessions will consist of demystifying 340b compliance, and providing a breakdown of and best practices in Ryan White HIV/AIDS Program income tracking and allocation. 

Track Learning Objectives:

  1. Learn the differences in integrated planning guidance, the importance of taking an integrated, syndemic approach to HIV, HCV and STIs in the local and statewide ETE projects and identify strategies to implement integrated planning practices into respective areas;

  2. Understand clinical and organizations adaptations made to improve patient centered care coordination - and the financial incentives and support influencing the strategies presented;

  3. Learn the regulatory requirements of the 340B program and strategies used to support organizational growth; 

  4. Learn Ryan White HIV/AIDS Program requirements around program income, definitions, sources, uses, allowable/unallowable expenses; and

  5. Review methods to budget Ryan White HIV/AIDS Program income.

Session #1: 

Session Title: Planning to End the Epidemic

Session Description:
As jurisdictions look to develop their Integrated 2.0 Plans for calendar years 2022-2026, the lessons learned and best practices developed during the first integrated planning process can inform and guide the planning process for developing the Integrated 2.0 Plans. This session will provide an overview of the Integrated 2.0 Plan Guidance, including changes from the 1.0 Guidance and implications for the planning process. Presenters will also introduce best practices, resources, and tips for the integrated planning process and development of the integrated plans as well as present opportunities to leverage integrated plans and Ending the HIV Epidemic Plan development. This session will also review California’s innovative, community-driven EHE initiative. Informed by community members and accomplished through collaboration across key state departments, this initiative called for HIV, HCV and STIs to be treated as a syndemic, while also addressing social determinants of health and access to quality prevention and care services.

Session Learning Objectives:

  1. Describe at least two differences between the Guidances for Integrated Plan 1.0 and 2.0 

  2. Identify at least one best practice for developing the Integrated HIV Prevention and Care Plan

  3. Describe at least one resource to help support the integrated planning efforts for the development of the Integrated 2.0 Plan

  4. Learn organizing strategies and best practices to ensure a diverse array of voices and community members are represented in the integrated planning processes 

  5. Participants will learn the importance of taking an integrated, syndemic approach to HIV, HCV, and STIs in local and statewide end the epidemics projects through the review of state-specific, community-driven case study

  6. Participants will learn successes and challenges of an effective EHE initiative

Session #2: 

Session Title: Organization Sustainability Models

Session Description:
The alignment of U=U, Treatment as Prevention, rapid HIV testing, and access to PrEP can serve as a paradigm shift for organizations that have previously focused energy on HIV diagnosis and treatment alone. We can transform ourselves from HIV treaters to HIV preventers by engaging and empowering priority populations under a broader umbrella of care. This session will discuss how we can open the umbrella to include primary and specialty care for people with substance use disorders, seeking hormone therapy for gender affirmation, seeking STI testing and/or PrEP. This paradigm allows for synergies between programs and augments funding streams.

Session Learning Objectives:

  1. Develop an understanding of the shift that happens when moving from HIV treatment to HIV prevention.

  2. Evaluate the opportunities to diversify funding streams to create sustainable program services that can empower marginalized communities.

  3. Recognize the accounting nuances that come with diverse funding streams.

Session #3: 

Session Title: Maximizing Your 340B Program: Balancing Optimization and Compliance

Session Description:
The 340B program is a federal program established in 1992 that allows safety-net health care organizations serving vulnerable populations to buy outpatient prescription drugs at a discount. This session will demystify the complicated regulatory requirements of the 340B program while also offering strategies for organizational growth. During this session, participants will learn how to maximize the use of 340B program income and best practices for maintaining compliance within the program. Through the  expansion of services and enhancement practices, organizations can see beneficial outcomes for the clients you serve, and build sustainable operational policies and procedures.

Session Learning Objectives:

  1. Review 340B Program Fundamentals, the basic compliance elements of an effective 340B Program.

  2. Share strategies to leverage on existing tangible and intangible organizational assets to grow its fiscal base through the 340B Program.

  3. Create a fiscal organizational risk assessment tool as it related to the 340B Drug Discount Program. 

  4. Review examples of allowable costs, program expansion ideas, resources for program compliance, and 340B program best practices

Session #4: 

Session Title: Expanding Your Services and Community Impact: Spending Program Income

Session Description:
This presentation will review the Ryan White HIV/AIDS Program Requirements around program income.  The presentation will review the legislative and programmatic requirements around the definitions, sources, and allowable uses of program income. The presentation will review methods of budgeting program income and integrating program income into addressing client needs and barriers to accessing comprehensive HIV medical services.  This presentation will include innovative ways to use program income to expand the reach and services offered by Ryan White HIV/AIDS program funded agencies.

Session Learning Objectives:

  1. Identify the Ryan White HIV/AIDS Program (RWHAP) program income requirements

    • Definitions

    • Sources

    • Uses

    • Allowable/Unallowable Expenses

  2. Review methods to budget program income

Identify Allowable ways to spending program income