2022 Annual Meeting
NASTAD's 2022 Annual Meeting was held from Sunday, May 22, 2022 to Wednesday, May 25, 2022. The meeting addressed the challenges and opportunities health departments are currently facing in administering HIV and hepatitis programs. There were many opportunities during the meeting for meaningful exchange among peers, partners, and federal agency representatives on issues of importance to programs. The theme of the meeting was Implementing Strategic Visions to End the Epidemics and included important topics such as:
- Advancing NASTAD’s strategic priorities including systems strengthening, health equity, syndemic approaches, and organizational excellence
- An overview and discussions about the political landscape
- Important updates about Ending the Epidemics work including hepatitis elimination
- Conversations with HHS, CDC, and HRSA officials
- Breakout sessions based on the size of the epidemic
- Health care financing
- Governmental public health and COVID-19
- Drug user health and the opioid epidemic
Sessions on Monday, May 23, 2022
Conversation with CDC Division of HIV Prevention
Speaker: Dr. Demetre Daskalakis, MD, MPH (CDC)
Moderator: Dr. Stephen Lee, MD, MBA, DHSM (NASTAD)
Conversation with CDC Division of HIV Prevention Presentation Slides
Plenary Session – Integration Across Agencies: Discussion with Federal Partners
Speakers: Dr. Jonathan Mermin, MD, MPH (CDC); Heather Hauck (HRSA); Dr. Laura Cheever, MD, ScM (HRSA); and Harold J. Phillips, MRP (White House)
Integration Across Agencies: Discussion with Federal Partners Presentation Slides
Affinity Session – Hepatitis
Description: The Hepatitis Affinity Session was an opportunity for meeting participants to learn about current and upcoming programs and priorities for CDC’s Division of Viral Hepatitis. NASTAD’s Hepatitis Team was joined by Dr. Carolyn Wester, Director, and Clarisse Tsang, Health Department Support Lead, from DVH for a brief presentation and discussion with participants.
Speakers: Dr. Carolyn Wester (CDC) and Clarisse Tsang (CDC)
Breakout Session - 12 Years Later: How the Affordable Care Act Has Advanced Public Health Goals
Description: The Affordable Care Act (ACA) is one of the most important pieces of legislation in the fight against HIV and viral hepatitis in our history. This session provided an overview of the ACA's impact on public health and how it has moved us closer to ending the HIV and viral hepatitis syndemics, including discussion about how the ACA has expanded public health capacity through new programs and funding. This session included a discussion of the changing dynamics of medication access since the ACA, the role of the Ryan White HIV/AIDS Program in providing insurance assistance to clients, and the impact of expanded healthcare access and need for continued enrollment engagement in light of COVID-19 vaccine and testing protocols and payment mechanisms.
12 Years Later: How the Affordable Care Act Has Advanced Public Health Goals Presentation Slides
Breakout Session - Addressing the Syndemic through Improved Program Coordination and Service Integration
Description: Effective responses to the intertwined epidemics of HIV, STIs, viral hepatitis, and substance use require multi-level coordination and the design and scale-up of comprehensive care models. Research shows that there are significant gaps in testing, linking, and retaining people who use drugs or have a substance use disorder to HIV and viral hepatitis prevention and care services; care is often fragmented and rarely integrated within one program or setting. Presenters shared a range of experiences and approaches on this topic, including: methods of enhancing system-level coordination across state agencies responsible for HIV and OUD services; an innovative model that integrates housing and PrEP services; integrated HIV, STI, SUD, and viral hepatitis planning and implementation; and efforts towards payment reform that support infectious disease service integration into substance use treatment settings. Discussion centered on identifying and dismantling the structural (policy, financing, workforce development) barriers to service integration, with a particular focus on substance use disorder treatment settings.
Speakers: Jaeson Smith (Baltimore) and Beth Crutsinger-Perry (Washington)
Addressing the Syndemic through Improved Program Coordination and Service Integration Presentation Slides
Sessions on Wednesday, May 25, 2022
Breakout Session - Compassion in the Workplace
Description: This presentation defined what it means to be compassionate in a professional setting and provided tips on how to increase compassion in the workplace using Roffey Parks’ "Compassion in the Workplace" model.
Breakout Session - Conceptualizing and Operationalizing ‘Organizational Excellence’ [part 2 of 2]
Description: Building on the broad overview of Organizational Excellence from part 1, this breakout session will examine how to approach this strategic pillar through a trauma-informed and healing-centered lens. Beginning with an overview of the trauma-informed principles and organizational culture, and continuing with a discussion around workplace wellness, participants will leave this breakout with a greater understanding of what makes an organization trauma-informed and examples of how this work can be operationalized in a health department setting.
Conceptualizing and Operationalizing ‘Organizational Excellence’ [part 2 of 2] Presentation Slides
Breakout Session - Data Integration: Landscapes and Stakeholders
Description: Data integration is a core element of collaboration efforts across programs, between local and state health departments, and with other agencies, particularly Medicaid. HIV and viral hepatitis programs across the country are making significant investments to improve their data integration processes and data modernization efforts are underway at health departments across the country. This session provided an opportunity to dive into several emerging issues in data integration and opportunities to accelerate data integration efforts across HIV and viral hepatitis programs. Key topics included: privacy and confidentiality considerations when allowing a data-exchange between HIV programs and Medicaid, lessons learned from the development of data-sharing agreements between state HIV surveillance and RWHAP Part A programs, and opportunities to leverage health information exchanges to engage health care payers and provider networks in the context of national data modernization efforts.
Data Integration: Landscapes and Stakeholders Presentation Slides
Breakout Session - The Wonders of 340B for Viral Hepatitis and Drug User Health
Description: In 2020, the Health Resources and Services Administration (HRSA) Office of Pharmacy Affairs indicated that, in addition to STD programs, HIV and viral hepatitis prevention CDC grantees and subgrantees, authorized under Section 318 of the US Public Health Services Act, may qualify to participate in the 340B Drug Pricing Program and much progress has been made by viral hepatitis programs to interpret, maximize and continue to leverage the 340 Drug Pricing Program. This session provided a space for the NYC Department of Health and for START Treatment & Recovery Centers to speak to their achievements and all the work that allowed for them to be conferred 340B eligibility. Session moderators guided the discussion to highlight opportunities and challenges navigating the 340B Drug Pricing Program as well as patient impacts and outcomes centering on a syndemic approach while advancing health equity.
Speakers: Ana Ventuneac (Research and Evaluation at START Treatment & Recovery Centers, Inc); Erin Fratto (NASTAD Consultant); and Tim Horn (NASTAD)
The Wonders of 340B for Viral Hepatitis and Drug User Health Presentation Slides
NASTAD Industry Partners Meeting
Speakers: NASTAD Senior Directors