DETROIT – A BTL analysis of Ryan White funding provided through the Detroit Department of Health and Wellness Promotion finds that community-based organizations, once the backbone of AIDS service providers, have once again lost substantial funding. Medical centers, particularly Henry Ford Hospital and Wayne State University’s Detroit Medical Center, were the winners.
AIDS Partnership Michigan and Community Health Awareness Group were the biggest losers, with cuts of 32 and 15 percent. AIDS Consortium, the Visiting Nurse’s Association, and Simon House all received increases in funding, but even with those increases the amount given to CBOs was down by $101,410.
Meanwhile, despite cuts to some medical centers, many saw huge increases; WSU DMC received a 79 percent increase; Botsford Hospital received a 65 percent increase, and Children’s Hospital received a 32 percent increase in funding. Even with the substantial cuts suffered by Hutzel, Sinai-Grace and St. John, Ryan White funding to medical organizations increased by $25,695.
Overall, Title I and II funding, which is awarded to DHD by the federal government, was down 3.7 percent to $7.6 million.
On a positive note, the health department did complete contracts and get grants out to the agencies and medical providers a full four months earlier than they did in 2004.
Asked about the success in getting this year’s contracts finished earlier, HIV Administrator Jewell Martin said, “We did some process re-engineering in the program. We provided better education to the providers, and we have a very good process now for maintaining up-to-date information – so it was a lot of education to the provider groups.”
As for the shift in funding to medical organizations, Martin said that the shift is due to a policy change by the federal government.
“The feds are requiring us to look at core services – those services include medical care, mental health, substance abuse, oral health, [and] case management,” she said.
Martin said that “a lot of things go in to making those decisions,” about which agencies, and which types of agencies, will receive funding from year to year. “One is needs assessment, another is other funding available to those organizations.”
“We do know that those six core services are needed and required for people to stay healthy,” she added. “So, yes, it is a shift in the focus in the use of Title I and soon to be Title 2 dollars as well.”
|Community Health Awareness Group||$1,033,227||$872,271||-$160,956||-15.6%|
|Visiting Nurse Association||$1,256,957||$1,364,831||$107,874||8.6%|
|AIDS Partnership Michigan||$590,000||$400,000||-$190,000||-32.2%|
|Botsford General Hospital||$110,000||$182,183||$72,183||65.6%|
|Detroit Community Health Connection||$319,858||$319,858||$0||0.0%|
|Health Emergency Lifeline Programs||$941,798||$926,929||-$14,869||-1.6%|
|Henry Ford Health System||$604,555||$747,100||$142,545||23.6%|
|Michigan Protection and Advocacy Services||$142,438||$137,546||-$4,892||-3.4%|
|Oakland Livingston Human Services Agency||$218,463||$248,876||$30,413||13.9%|
|Psychiatry And Behavioral Medicine Professionals||$180,000||$90,000||-$90,000||-50.0%|
|St. Clair County Health Department||$83,360||$83,360||$0||0.0%|
|St. John Health System||$836,477||$645,211||-$191,266||-22.9%|
|Wayne County Neighborhood Legal Services||$50,000||$40,000||-$10,000||-20.0%|
|Wayne State University DCAL||$56,376||$0||-$56,376||-100.0%|
|Wayne State University DMC||$200,000||$358,755||$158,755||79.4%|
|Department of Human Services||$156,856||$217,174||$60,318||38.5%|
|Oakwood Healthcare Systems Foundation||$115,255||$103,016||-$12,239||-10.6%|
|Department of Health and Wellness Promotion||$218,467||$190,415||-$28,052||-12.8%|