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Trends In Collaborative Planning

Trends In Collaborative Planning. Chris Aldridge & Connie Jorstad December 6, 2005. Collaborative Care and Prevention Planning. Why Collaborate? Greater emphasis on prevention-care linkages: CDC’s HIV Prevention Strategic Plan through 2005

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Trends In Collaborative Planning

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  1. Trends In Collaborative Planning Chris Aldridge & Connie Jorstad December 6, 2005

  2. Collaborative Care and Prevention Planning Why Collaborate? Greater emphasis on prevention-care linkages: • CDC’s HIV Prevention Strategic Plan through 2005 • Serostatus Approach to Fighting the Epidemic (SAFE) • Ryan White CARE Act 2000 Reauthorization • Institute of Medicine (IOM) report No Time to Lose • IDSA Guidelines for integrating prevention services into care settings • Advancing HIV Prevention (AHP)

  3. Collaborative Care and Prevention Planning Prevention Planning … required by CDC through guidance, and … • An ongoing comprehensive and representative planning process to develop a comprehensive prevention plan reflective of the needs and priorities of the community, used as basis for CDC funding application Care Planning ... is based on the Ryan White CARE Act, and … • Requires Title I Eligible Metropolitan Areas (EMAs) to convene a planning council to plan and allocate funds in the EMA, and allows, but doesn’t require, states to convene Title II (state) consortia to plan for the use of CARE Act funds within the state • Title II consortia do not have authority to allocate funds unless given that authority by the state

  4. Collaborative Care and Prevention Planning Common Goals of Prevention and Care • To ensure that individuals learn their HIV status • To ensure that HIV positive individuals are linked to medical care and supportive services • To ensure that HIV negative individuals are linked to prevention and other services (mental health, substance abuse, etc.) • To ensure that HIV positive individuals are linked to prevention services that meet their unique needs

  5. Collaborative Care and Prevention Planning Why should prevention planners pay attention to care and treatment? • AHP expands counseling, testing and referral (CTR) and partner counseling and referral services (PCRS) • Strategies to provide prevention for HIV positive individuals • Provide for behavioral interventions in clinical care • To facilitate linkages • Maximize service provider capacity

  6. Collaborative Care and Prevention Planning Why should care and treatment planners pay attention to prevention? • New strategies for HIV prevention impact care settings • Strategies to encourage knowledge of serostatus • To facilitate linkages • Maximize service provider capacity

  7. Prevention Planning Comprehensive HIV prevention plan Ensure planning reflects the local epidemic HIV positive individuals are the number one priority population Prioritize based on the local epidemic Care Planning Comprehensive plan for CARE Act funds Ensure planning reflects the local epidemic Assure involvement of HIV infected individuals unaligned with any service provider in the process Conduct Statewide Coordinated Statement of Need (SCSN) Collaborative Care and Prevention PlanningComparison of Models

  8. Prevention (cont.) Recommend priority interventions based on community services assessment, effectiveness, behavioral theory, and community norms Foster linkages between the plan and the health department application Assess effectiveness of plan Evaluate the process Care (cont.) Determine allocation of CARE Act funds (Title I only) Promote coordination and linkages of services Assess effectiveness of plan Collaborative Care and Prevention PlanningComparison of Models

  9. Collaborative Care and Prevention Planning Models for Collaborative Planning • Information • Cross-representation • Coordinated/combined meetings or projects • Merged body

  10. Collaborative Planning Configurations As of November 2005, but not exhaustive list NH VT WA ME ND MT MA MN OR NY WI RI ID SD MI CT WY PA NJ IA NE OH IN DE NV IL WV UT VA CO MD KS MO KY CA NC TN DC OK AZ SC NM AR GA AL MS AK Membership Sharing TX LA Groups Share Data FL Collaboration on Special Projects HI Prevention/Care Subgroups Merged Process, Merger Underway Contemplating Merger Regional Collaborations Opted not to Merge

  11. Collaborative Care and Prevention Planning Collaboration Challenges: • Fear that prevention will be overtaken by care, or vice versa • Low knowledge about prevention by care providers and vice versa • Categorical funding from CDC and HRSA

  12. Collaborative Care and Prevention Planning Benefits of Collaboration: • Allows development of a common mission and vision • Encourages sharing of knowledge and data • Combines and maximizes limited resources • Reduces planning costs in the long term • Creates comprehensive services/encourages linkage of services • Fosters integration of prevention into care services

  13. Collaborative Care and Prevention Planning Operationalizing Collaboration • Develop operating principles, by-laws • Specify member recruitment and orientation • Examine required products of planning • Consider multiple opportunities/strategies for community/consumer input into planning • Learn about interventions across prevention and care • Obtain necessary training, skills-building, technical assistance

  14. Collaborative Care and Prevention Planning Lessons Learned • Create a mutual understanding of what you want out of the process • Set clear goals and objectives for collaborative planning • Address fears and provide information • Develop an implementation plan • Give the process time

  15. State Examples- Florida • Florida Comprehensive Planning Network (FCPN) • Consists of three groups: Prevention Planning Group, Patient Care Planning Group & Hepatitis Council • FCPN consists of co-chairs from the three groups • Members of the three groups consist of regional representatives who are nominated at the local level

  16. Florida (con’t) • Chose to collaborate to facilitate a more effective and cost-efficient process • Reduced overall size of group • More focused goals and objectives for the three groups • Fewer meeting days • More inclusive participation at regional level • Meetings of the three groups take place in different parts of the state to allow for regional participation

  17. Nebraska • One statewide planning body: Nebraska HIV CARE and Prevention Consortium (NHCPC) • NHCPC consists of 6 standing committees • Care Services • Assessment and Evaluation • Intervention • Membership • Public Information • Co-Infection

  18. Nebraska (con’t) • Collaborative process is more effective and roles in the process are more clear • Streamlined process • Improved Parity, Inclusion, and Representation • Shared resources • Some ongoing challenges • Addressing gaps in bylaws and operational guidelines • A seat at the table isn’t always the best way to obtain input • Keeping all members on the ‘same page’ in terms of planning requirements

  19. Tennessee • Regional process where three of five regional planning bodies are completely integrated • Two co-chairs: one for care the other prevention • Subcommittees to address the varied aspects of planning • One plan comes out of each of these merged bodies

  20. Tennessee (con’t) • Successes • More productive subcommittees • Improved Parity, Inclusion, and Representation • Greater involvement of members • Improved communication • Greater understanding of prevention and care in community • Better outcomes for consumers

  21. Resources • Community Planning Guidance: http://www.cdc.gov/hiv/pubs/hiv-cp.htm • Community Planning Orientation Guide: http://www.hivaidsta.org/pdf/Orientation-Final.pdf • Chapter 8 of the Title I CARE Act Manual: http://hab.hrsa.gov/tools/title1/t1SecVIIChap8.htm • Chapter 3 of the Title II CARE Act Manual: http://hab.hrsa.gov/tools/title2/t2SecVIIChap3.ht

  22. Resources (con’t) • Guidelines for developing a joint epidemiological profile: http://www.cdc.gov/hiv/epi_guidelines.htm • Academy for Educational Development presentation materials: http://www.hivaidsta.org/ta_materials/present_overheads.htm#presentations_descriptions • NASTAD HIV Prevention Bulletin (August 2005) focus on Collaborative Planning: http://www.nastad.org

  23. Resources Ongoing Technical Assistance is Available! • CDC Community Planning Technical Assistance Network NASTAD APA BSSV APIAHF NAESM USMBHA ITCA CDC Request TA through the CDC “CRIS” system: http://www.cdc.gov/hiv/cba/CPG.htm Your CDC/HRSA Project Officers

  24. Contact Information Chris Aldridge- caldridge@NASTAD.org Connie Jorstad- cjorstad@NASTAD.org (202) 434-8090

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