Table 1.

Miami-Dade County “Getting to Zero” Taskforce Recommendations.

Recommendation	Responsible Entities/Champions
Provide comprehensive sex education throughout the M-DCPS, recommending modifications in the M-DCPS comprehensive sex education curriculum as age-appropriate	Miami-Dade County Public Schools Government of Miami-Dade County
Expand PrEP and nPEP capacity throughout Miami-Dade County and increase utilization by all potential risk groups	FDOH in Miami-Dade County
Implement routine HIV/STI testing in health-care settings	FDOH in Miami-Dade County
Create a comprehensive HIV/AIDS communication toolbox	FDOH, Office of AIDS Central Office
Convene a multiagency consortium of public health/academic institutions/service providers to share data/collaborate on research identifying the driving forces of the HIV/AIDS epidemic in Miami-Dade County	FDOH in Miami-Dade County Ryan White Part A/Minority AIDS Initiative Program
Decrease the lag time from diagnosis to linkage to HIV/AIDS care to within 30 days or less for (1) clients newly diagnosed, (2) clients returning to care, (3) clients postpartum	FDOH in Miami-Dade County
Increasing system capacity to bridge the gaps in provision of treatment and medication when changes in income and/or residence create eligibility problems	Ryan White Part A/Minority AIDS Initiative Program
Enlist commercial pharmacies as HIV/AIDS treatment partners, from making PrEP and nPEP more available to having pharmacist’s alert HIV/AIDS care clinicians and/or case managers when ARV medications are not picked up on time	FDOH, Office of AIDS Central Office Ryan White Part A/Minority AIDS Initiative Program
Partnership with MCOs and Medicaid for the purpose of data-matching and to allow FDOH to follow HIV-positive clients in managed care positions (public and private)	FDOH, Office of AIDS Central Office Ryan White Part A/Minority AIDS Initiative Program
Develop a county-wide integrated system of HIV/AIDS care, including a county-wide treatment consent form and county-wide data-sharing addressing various social service needs	Ryan White Part A/Minority AIDS Central Office FDOH Central Office
Expand the network of housing available for PLWHA, with particular attention to pregnant women, released ex-offenders, youth and other high-risk HIV-positive groups	Government of Miami-Dade County Ryan White Part A/Minority AIDS Initiative Program
Create/expand a network of internal (in-jail) and post release HIV/AIDS service provision to inmates in the Miami-Dade County jail system	FDOH, Office of AIDS Miami Office Ryan White Part A/Minority AIDS Initiative Program
Identify root causes of HIV/AIDS stigma; reduce stigma through educational and communication programs directed toward Miami-Dade County’s multicultural and multiethnic communities	Ryan White Part A/Minority AIDS Initiative Program
Reform and modernize Florida’s current statutes criminalizing HIV nondisclosure	Government of Miami-Dade County Senator Rene Garcia’s Office
Build a county-wide system of HIV/AIDS program effectiveness evaluation, basing it on a common set of outcome measures across all providers	FDOH in Miami-Dade County Ryan White Part A/Minority AIDS Initiative Program
Identify barriers and improve access to existing HIV/AIDS services for HIV positive undocumented immigrants	Ryan White Part A/Minority AIDS Initiative Program

Abbreviations: AIDS, acquired immune deficiency syndrome; ARV, antiretroviral; FDOH, Florida Department of Health; MCOs, managed care organizations; M-DCPS, Miami-Dade County Public School System; nPEP, nonoccupational postexposure prophylaxis; PLWHA, people living with HIV/AIDS; PrEP, pre-exposure prophylaxis; STI, sexually transmitted infection.