INTEGRATION OF CARE COMMITTEE
Veronica Fortunato & Donald Powell, IOC Co-Chairs
Friday, January 19th, 2022, 10a-12p
Zoom Meeting
Attendance: Donald Powell (co-chair), John Schoepp, Janet Goldberg, Guadalupe Dominguez-Plummer (Recipient), Deborah Greene, Emma Kaywin, Mitchell Caponi, Bill Gross, Billy Fields, Paul Carr, Graham Harriman (Gov’t Co-chair), Rose Chestnut, Joel Zive, Dorothy Farley, Emma Kaywin, Press Canady, Gregg Bruckno
Staff/PHS: Frances Silva, Tye Seabrook, Johnell Lawrence, Cullen Hunter, Bryan Meisel, Aria Shahi (PHS), , Johanna Acosta, Jose Colon-Berdecia
Agenda Item #1: Welcome/Introductions w. Pronouns/Moment of Silence/Review of Minutes
Conducted. Minutes were accepted with changes after a brief discussion of capitalizing Black and Brown.
Agenda Item #2: Review of Standards of Care: Legal Services
Committee read through the standard of care and conducted line-by-line editing. A selection of committee members and staff volunteered to read through the document. Following are the edits proposed and accepted by the committee.
Mr. Joseph reminded the committee about the role of legal services in addressing immigration status – because that is a very politically sensitive topic, it is not named explicitly.
Mz. Kaywin broke up one of the sentences following the HRSA definition to improve clarity.
Mr. Powell asked the committee to utilize the term carceral system in place of justice system, to reflect the lack of justice associated with the system.
Brief discussion followed on why service plans are optional for legal services. Many providers do develop service plans – but because some services only require 1-2 visits, it has been made optional. Ms. Silva promised to follow up. Language in cell changed to service plans to be updated to say, “service plans may be updates as needed by client or program.”
If a service plan is developed – it must be updated per guidance. The language for this cell is the same whether the service is optional for the program or not.
Use of term, health care treatment, is included in the RFP. Fails to capture the breadth of services that extend beyond just health care treatment.
This standard of service is specific to NYC. HASA does not apply to any region but NYC.
Case closure has not been a clear process for some consumers – helpful to expand on what should happen when a case is closed. Provided by Mr. Spiegler:
Case closure has not been a clear process for some consumers – helpful to expand on what should happen when a case is closed. Provided by Mr. Spiegler:
Case Closure – Subrecipient must develop and maintain a policy/procedure for case suspensions and
closures. Subrecipient must document such reasons in client records, and must correspond with
reasons for case closure as structured in eSHARE (Electronic System for HIV/AIDS Reporting &
Evaluation). In addition, subrecipient must implement and document discharge planning and/or
outreach to clients lost to follow-up when appropriate. Reasons for closure may include:
• Client has accomplished goals of his or her service plan with no new needs identified;
• Client moved/relocated;
• Client requested transfer to another provider;
• Client incarcerated or institutionalized for a certain number of months;
• Client lost to follow up/unsuccessful reengagement efforts for over a period of one, but not to
exceed nine months;
• Client died.
Grievance policy updated to reflect prior work on such language. Mr. Zive asked how clients are made aware of the grievance policy – this was then updated in the section to ensure that clients have full understanding.
Change of grantee to recipient and update for admin director.
Case closure elements added to document.
Mr. Zive asked how people with low literacy access a written policy.
Agenda Item #4: Review of Standards of Care: Health Education Risk Reduction
The same process for review was utilized.
Grammar corrected for clarity and self-management included in Purpose of Services per Mr. Powell’s suggestion.
Anyone who is a peer facilitator or above in the staffing hierarchy is able to conduct an intake assessment
Unclear what the staffing hierarchies are, brief discussion on this ensued.
Bullets added to service table to facilitate clarity
Minimum number of participants is not noted in the document. Will be clarified.
Mr. Zive added title of workshop to services table for clarity
Agenda Item #4: Review of Standards of Care: Care Coordination
Inserted behavioral health instead of mental health/substance use.
Mr. Schoepp asked why clients must be enrolled in a specific clinic to access the care coordination program – clients need to be able to access all services under one roof. Issues to refer to mental health was removed, “conditions” viewed as less stigmatizing.
Care coordination review will continue in a subsequent meeting.
