Broward County is in the southeastern portion of the state of Florida, with Miami-Dade County to the south, and Palm Beach County to the north. In 2016, Broward County was the second most populous county in Florida, and the eighteenth largest county in the nation. The population of 1.9 million residents, accounts for 10% of Florida's population. Broward County also hosts an estimated 10 million visitors annually, including an estimated 250,000 seasonal residents. Broward County has a diverse population with residents representing more than 200 countries that speak over 130 languages and is a minority/majority county. The Florida Department of Health in Broward County (DOH-Broward), is the official lead Public Health Agency in Broward County, and has been operational since 1936. The organization provides core public health functions and essential services as part of a complex public health system that includes hospitals, clinics, planning agencies, and community-based organizations. The Florida Department of Health (DOH), operates in cooperation with the Broward County Commission under Florida Statute 154. Per the CDC in 2015, the Fort Lauderdale Division of the Miami Metropolitan Statistical Area (MSA) has the second highest rate of new HIV infections (34.8/100,000 persons) and the fourth highest AIDS case rates in the United States (16.1/100,000 persons). In 2015, Broward County had an estimated 22,357 people living with HIV/AIDS. Broward County's total population in 2015 was 1,834,008. In 2015, Broward County did not meet the National HIV/AIDS Strategy targets for the metrics associated with the Continuum of Care, except for linkage as per DOH surveillance data. Specifically, the percentage linked to care was 87% (target is 85%), the percentage retained in care was 68% (target is 90%), percentage with suppressed viral load (VL) was 63% (target is 80%). DOH-Broward has developed a T&T Action Plan to address the high rates of HIV in Broward County. The Action Plan is championed by the DOH-Broward Communicable Disease Director using the approach laid out in the Program Collaboration Service Integration Model (PCSI). To achieve the goals and objectives, DOH-Broward utilizes an Incident Command System (ICS), a component of the National Incident Management System (NIMS), to provide organizational structure, meeting formats that include Incident Action Plans (IAP) and Situation Reports, After Action and Improvement Planning to manage a non-emergency response across multiple internal and external programs. The Federal Emergency Management Agency (FEMA) defines ICS as “a management system designed to enable effective and efficient domestic incident management by integrating a combination of facilities, equipment, personnel, procedures, and communications operating within a common organizational structure. ICS is normally structured to facilitate activities. Major functional areas: Command, Operations, Planning, Logistics, Intelligence & Investigations, Finance and Administration. It is a fundamental form of management, with the purpose of enabling incident managers to identify the key concerns associated with the incident—often under urgent conditions—without sacrificing attention to any component of the command system.” The Florida Department of Health (DOH) is implementing four key components to reduce rates of new HIV infection in Florida: Pre-exposure Prophylaxis (PrEP), Non-occupational Post-exposure Prophylaxis (nPEP), Test and Treat (T&T) and community outreach. DOH-Broward and the Broward County Ryan White Part A Grantee Office are working in partnership to implement T&T throughout the Ryan White Part A system of care. Ryan White Part A is the part of the Ryan White HIV/AIDS Program (formerly, Title I) that provides emergency medical assistance (EMAs) to localities disproportionately affected by the HIV/AIDS epidemic. This includes outpatient medical care, AIDS pharmaceuticals assistance, oral care, health insurance premiums and cost sharing assistance, mental health services, medical case management, outpatient substance abuse, food bank/home delivered meals, and legal services. T&T is a clinical program providing immediate linkage to HIV primary care and initiation of ART at the time of HIV diagnosis or returning to care after a gap in services. The program benefits the client's health and the community by providing initial ART while working through the issues of eligibility and linkage to ongoing HIV primary care. Key Processes that were monitored on a weekly basis includes 1.) Training/Outreach, 2.) Social Marketing, 3.) Data Monitoring and Evaluation, 4.) Ryan White Part A Provider Engagement, 5.) T&T Implementation and 6.) Pharmacy Increasing data shows a medical benefit to the client when immediate ART is initiated, particularly during acute/early HIV infection. Many clients report that the decision to start ART and the rapid achievement of viral suppression provides them with the first experience of empowerment to live successfully with HIV. www.broward.floridahealth.gov