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Client level data and minnesota careware provider meeting may 22, 2014. Hennepin County Public Health Department Minnesota Department of Human Services Minnesota Department of Health. Data Presentation. 2013 Funding Sources for Clients in Minnesota CAREWare.

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client level data and minnesota careware provider meeting may 22 2014

Client level data and minnesota careware provider meetingmay 22, 2014

Hennepin County Public Health Department

Minnesota Department of Human Services

Minnesota Department of Health

slide5
Persons Living with HIV/AIDS in Minnesota Receiving Funding for Services entered into MN CAREWare 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

persons living with hiv aids in minnesota and those entered into careware by current residence 2013
Persons Living with HIV/AIDS in Minnesota and those entered into CAREWare by Current Residence 2013

*The two Wisconsin counties that are apart of the TGA were not included due to surveillance only looking at Minnesota. Ryan White clients consisted of 8 clients from the two Wisconsin counties.

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

persons living with hiv aids in minnesota and those entered into careware by gender 2013
Persons Living with HIV/AIDS in Minnesota and those entered into CAREWare by Gender 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

persons living with hiv aids in minnesota and those entered into careware by race 2013
Persons Living with HIV/AIDS in Minnesota and those entered into CAREWare by Race 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

persons living with hiv aids in minnesota careware by gender and race non hispanic 2013
Persons Living with HIV/AIDS in Minnesota CAREWare by Gender and Race (non-Hispanic) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

persons living with hiv aids in minnesota and those entered into careware by age 2013
Persons Living with HIV/AIDS in Minnesota and those entered into CAREWare by Age 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by risk factor n 4 261 2013
Minnesota CAREWare by Risk Factor (n=4,261) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

slide13
Persons Living with HIV/AIDS in Minnesota and those entered into CAREWare by Male MSM Risk Factor 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota surveillance n 7723 and careware n 4 261 by hiv aids status 2013
Minnesota Surveillance (n=7723) and CAREWare (n=4,261) by HIV/AIDS Status 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by household income n 4 261 2013
Minnesota CAREWare by Household Income (n=4,261) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by poverty level n 4 261 2013
Minnesota CAREWare by Poverty Level (n=4,261) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by housing status n 4 261 2013
Minnesota CAREWare by Housing Status(n=4,261) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by form i had medical appt n 4 261 2013
Minnesota CAREWare by Form I Had Medical Appt. (n=4,261) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by form i had medical appt 2013
Minnesota CAREWare by Form I Had Medical Appt. 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by planning council category core medical services n 4 261 2013
Minnesota CAREWare by Planning Council Category Core Medical Services (n=4,261) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

minnesota careware by planning council category support services n 4 261 2013
Minnesota CAREWare by Planning Council Category Support Services (n=4,261) 2013

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

slide22
Persons Living with HIV/AIDS in Minnesota Receiving Funding for Services as a Percent of Total CAREWare Clients

MN CAREWare: Annual Review

Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

interactive discussion
Interactive Discussion

How Are You Using Data?

careware updates
CAREWare Updates
  • Two Upgrades in 2014
    • First upgrade done by June 16
    • Second upgrade in late October/early November
  • June Upgrade
    • Biggest change is Annual Review tab
    • Addition of case manager name
  • Fall Upgrade
    • Changes in Ryan White HIV/AIDS Program Services Report (RSR) reporting requirements
hispanic subgroup
Hispanic Subgroup
  • Mexican, Mexican American, Chicano
  • Puerto Rican
  • Cuban
  • Another Hispanic, Latino/a or Spanish origin
asian subgroup
Asian Subgroup
  • Asian Indian
  • Chinese
  • Filipino
  • Japanese
  • Korean
  • Vietnamese
  • Other Asian
native hawaiian pacific islander subgroup
Native Hawaiian/Pacific Islander Subgroup
  • Native Hawaiian
  • Guamanian or Chamorro
  • Samoan
  • Other Pacific Islander
other new fields
Other New Fields
  • Sex at Birth
    • Biologic sex assigned to client at birth
    • Male or Female
  • HIV Positive Test Date
    • Confirmatory test with positive result
  • OAMC Link Date
    • Client’s first HIV primary care visit after positive HIV test
changes in response options
Changes in Response Options
  • “Unknown” No Longer Available
    • Enrollment status
    • Ethnicity
    • Housing status
    • HIV/AIDS status
    • Health insurance coverage
  • HIV Risk Factor
    • “Other” deleted as response option
    • “Unknown” changed to “Not reported or not identified”
changes in response options1
Changes in Response Options
  • Poverty Level Calculations
    • Below 100%
    • 100 – 138%
    • 139 – 200%
    • 201 – 250%
    • 251 – 400%
    • 401 – 500%
    • Greater than 500%
changes in response options2
Changes in Response Options
  • Health Insurance Coverage
    • Private - Employer
    • Private - Individual
    • Medicare
    • Medicaid, CHIP or other public plan
    • VA, Tricare and other military health care
    • Indian Health Services (IHS)
    • No Insurance/Uninsured
    • Other plan
fields no longer required
Fields No Longer Required
  • Date of Death
  • Fields Not Being Deleted in MN
    • First service date
    • Geographic unit code (zip code)
    • AIDS diagnosis year
future changes
Future Changes
  • Question about primary language
  • Question about disability status
  • All eligible services reported in RSR
surveillance data to careware
Surveillance Data to CAREWare
  • Share Limited Surveillance Data for Clients Who Give Consent
    • HIV diagnosis date
    • AIDS diagnosis date
    • HIV status
    • All CD4 labs (date, type of test, result)
    • All viral load labs (date, type of test, result)
  • Note: HIV/AIDS Surveillance System = eHARS (enhanced HIV/AIDS Reporting System)
benefits of having surveillance data in careware
Benefits of Having Surveillance Data in CAREWare
  • More efficient information management:
    • Case managers won’t have to spend time calling clinics for lab results
    • Clinic staff won’t have to spend time calling case managers back with lab results
    • Providers will have easy access to diagnosis dates
benefits of having surveillance data in careware improved client care
Benefits of Having Surveillance Data in CAREWare – Improved Client Care
  • Easy availability of CD4 and viral load values will strengthen case managers’ ability to:
    • Coordinate clients’ HIV medical care
    • Monitor clients’ health status
    • Monitor clients’ quality of care
benefits of having surveillance data in careware1
Benefits of Having Surveillance Data in CAREWare
  • Availability of diagnosis dates, CD4 and VL data will strengthen grantees’ ability to evaluate the following for clients served by Ryan White/state funding:
    • Linkage to care after diagnosis
    • Retention in care
    • Community viral load
update on project
Update on Project
  • Interest at National Level
    • CDC, HRSA, grantees
    • CDC developing a program that could be used by any jurisdiction
      • Hoping to make available for testing in July 2014
  • Timeline for some of the following steps will depend on CDC
estimated timeline
Estimated Timeline
  • Pilot
    • 4 sites volunteered: Clinic 42, MAP, West Side, YAP
    • Meet in August to develop messages, explain project
    • Gather ROIs from MCM clients Sept – Dec 2014
    • Provide feedback on process early 2015
    • Import pilot data into CW in early March 2015
  • All Providers
    • Meet in December to explain project in more detail
    • Gather ROIs Jan – March 2015
    • Provide feedback on process April 2015
    • Import data into CW in May 2015
    • Provide feedback on utility of data
    • Provide feedback as project matures