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Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
Will rutland broadband & telehealth summit
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Will rutland broadband & telehealth summit

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  • 1. Seeing Solutions: Dissolving, Through Telemedicine, the Barriers to Care Faced ByConsumers Living with HIV/AIDS Throughout Rural Alabama Will Rutland Broadband & Telehealth Summit 2012 October 18, 2012
  • 2. Rates of Individuals Living with an HIV Diagnosis in Alabama • At the end of 2011, a total of 11,348 individuals were known to be living with HIV in Alabama. Of these individuals, 4,452 (39%) have progressed to AIDS. • It is estimated that an additional 2,000 to 4,000 individuals are living with HIV but unaware of their status. • 2 out of every 5 Alabamians, living with HIV/AIDS, reside in ultra-rural*HIV diagnosis communities, far removed from adequateper 100,000population treatment resources. www.AIDSVu.org
  • 3. Recent Trends: 2007 to 2011 Total=11,348 Total=10,650 Total=9,971 Total=8,573 Total=9,331 The number of people living with HIV/AIDS 4871 5328 5822 6332 6896 in Alabama has increased 32% 3702 4003 4149 4318 4452 from 2007 to 2011.Source: Alabama Department of Public Health, Division of HIV/AIDS Prevention and Control www.AIDSVu.org
  • 4. Demographics www.AIDSVu.org
  • 5. Racial DisparitiesThe rate of black males livingwith HIV in Alabama is 5.0times that of white males.The rate of black femalesliving with HIV in Alabama is9.5 times that of whitefemales. *HIV diagnosis per 100,000 population www.AIDSVu.org
  • 6. Poverty Rates in Alabama Lauderdale Limestone Madison Out of Alabama’s 67 counties… Jackson Colbert Franklin Lawrence Morgan DeKalb • 46 counties have poverty rates that are Marshall higher than the national average. Marion Cullman Cherokee Winston Etowah Blount • 23 counties have poverty rates above 20%. Walker Calhoun Lamar Fayette St. Clair Jefferson Cleburne • 5 counties have poverty rates above 30%. Talladega Tuscaloosa Randolph Pickens Shelby Clay •Wilcox County has the highest poverty rate Greene Bibb Chilton Coosa Tallapoosa Chambers in Alabama, with 38.5% of its population Hale Perry living below the poverty line. Elmore Sumter Lee Autauga Dallas Montgomery Macon • According to the US Census Bureau, the RussellChoctaw Marengo Bullock average household income in Alabama is LowndesChoctaw Wilcox less than 200% of the federal poverty Barbour Clarke Cren- Pike definition. Butler shaw Monroe HenryWashington Conecuh Coffee Dale •Fully 17.1% (or roughly 1 out of every 6 of Escambia Covington Houston Alabama’s 4.8M residents) live below the Geneva Baldwin federal poverty line Mobile <10% 10-14.9% 15-19.9% 20-29.9% >30% www.AIDSVu.org
  • 7. Health Professional Shortage Areas (HPSA) • 62 of Alabama’s 67 Lauderdale Limestone Madison Jackson Colbert Franklin Lawrence Morgan DeKalb counties are, either Marion Winston Cullman Marshall Etowah Cherokee partially or whole, Health Blount Professional Shortage Walker Calhoun Areas. Lamar Fayette St. Clair Cleburne Jefferson Talladega Randolph Pickens Tuscaloosa Shelby Clay Bibb • For a general population of 4.8M there are only 57 Greene Chilton Chambers Coosa Tallapoosa Hale Perry Elmore Sumter Autauga Macon Lee ID Docs (most of whom Marengo Dallas Lowndes Montgomery Bullock Russell are tasked to institutions) Choctaw Wilcox Barbour and only 4 AAHIVM credentialed providers Clarke Butler Cren- Pike shaw Monroe Henry Washington Conecuh Coffee Dale (that equates to roughly one expert per 80,000 Covington Escambia Houston Baldwin Geneva Mobile Contains areas that are designated as HPSAs Alabamians). Entire County is designated as a HPSA www.AIDSVu.org
  • 8. Medical AIDS Outreach of Alabama (MAO)Mission Statement: Medical AIDS Outreach of Alabamaprovides community prevention education, quality servicesand compassionate care to those infected and/or affected byHIV/AIDS. Services provided include: social services, medicaltreatment, medication assistance, pharmacist consultations,mental health counseling, patient education, prevention education, HIV testing, food bank services and interpretation services (Spanish to English) and hearing impaired. www.AIDSVu.org
  • 9. Telemedicine - Today MAO has created “spoke” telemedical clinics in Selma, Sipsey, and Florence, Alabama, with corresponding “hubs" in Montgomery, Tuscaloosa, and Huntsville, Alabama. Using encrypted, high-speed data connections, spoke-site RN support, and high-definition video/diagnostic tools, our interdisciplinary hub-site providers are able to hold real-time encounters more frequently and more consistently, increasing both access to care and the fullness of care available to our rural HIV patients. www.AIDSVu.org
  • 10. Telemedicine - Tomorrow MAO has created “spoke” telemedical clinics in Selma, Sipsey, and Florence, Alabama, with corresponding “hubs" in Montgomery, Tuscaloosa, and Huntsville, Alabama. Using encrypted, high-speed data connections, spoke-site RN support, and high-definition video/diagnostic tools, our interdisciplinary hub-site providers are able to hold real-time encounters more frequently and more consistently, increasing both access to care and the fullness of care available to our rural HIV patients. www.AIDSVu.org
  • 11. Telehealth ServicesCurrently, the list of Medicare telehealth services include: • Consultations • Office or other outpatient visits • Individual psychotherapy • Pharmacologic management • Psychiatric diagnostic interview examination • End-Stage Renal Disease (ESRD)-related services • Individual medical nutrition therapy • Neurobehavioral status examination • Follow-up inpatient telehealth consultations www.AIDSVu.org

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