F P A R

1. F P A R Family Planning Annual Report Texas Department of State Health Services Title X Contractors Conference Evelyn Glass, MSPH Regional Program Consultant DHHS Region VI Title X FPAR Data Coordinator Nov. 12, 2007

2. FPAR TOPICS Clearance status and timeline National perspective Regional perspective Data issues Reports Performance measures Websites

3. FPAR Family Planning Annual Report Information Collection OMB No.: 0990-0221 Expires: 10/31/2010 Reporting Period: Jan.-Dec.* Due: Feb. 15 annually Submitted via GrantSolutions system

4. FPAR: National Perspective Annual reporting requirement for Title X family planning projects funded under Section 1001 Primary source of data presented in the National Report on the Title X program Data used to comply with accountability and federal performance requirements for Title X family planning funds

5. Long-Term Goal:  By 2008, increase to 1,164,965 the number of unintended pregnancies averted by providing Title X family planning services, with priority for services to low-income individuals.  (Baseline - 2003: 1,116,315) II.A.1.  Increase the total number of unduplicated clients served in Title X clinics by 5% over five years.(Outcome) YearTargetResult 2007 5,162,000 2006 5,162,000 __________ 2005 5,112,000 5,002,961 2004 5,062,000 5,067,785 2003 5,012,048 (baseline)

6. FPAR: Regional Perspective Monitor compliance with legislative mandates, such as giving priority in the provision of services to low-income persons Ensuring that Title X grantees and their subcontractors provide a broad range of family planning methods and services

7. FPAR Data Quality Issues Edits by GrantSolutions system Other Edits: compare data to prior reports compare data to other sources (e.g., grant application; grant award) questionable data (sterilizations <20; 1-month injection; test-to-user ratios)

8. FPAR National Report for 2006 to be available end November Regional Reports – early November http://opa.osophs.dhhs.gov http://www.hrsa.gov/about/budgetjustification08/FamilyPlanningPerformanceAnalysis.htm

9. The Texas Title X Family Planning Annual Report(FPAR) Travis Duke

10. Goals • Understand How the FPAR is Used • Understand How the Texas FPAR is Compiled • Discuss Texas FPAR Trends • Discuss FPAR Timelines • Discuss Data Collection/Reporting Issues • What’s New This Year

11. Presentation Structure • FPAR Usage • FPAR Structure • The Texas FPAR • Texas FPAR Trends • Data Collection • The Final Report • What’s New for the CY2007 FPAR

12. Uses of the FPAR • Only source of uniform reporting data for Title X projects • Used to monitor compliance with statutory requirements and performance measures • Used for strategic and financial planning • Helps to estimate Title X impact on reproductive health outcomes

13. Structure of the FPAR • 14 Tables • Data Elements • Demographic, social, and economic characteristics of users • What services are utilized, including primary method of contraception for each unduplicated user • What health personnel are involved in the delivery of services • Program income

14. The Texas Title X FPAR • Compass 21 Generated Data • Contractor submitted Data • Individual contractor reports compiled into State report

15. Compass 21 Generated Data • Tables 1-4 • Tables 7-8 • Partial Data for Tables 9 and 10 • Table 11 • Partial Data for Tables 12 • Table 13

16. Contractor submitted Data • Tables 5-6 • Partial data for Tables 9, 10, and 12 (Compass 21 does not collect data on test results or referrals)

17. Texas FPAR Timelines • NewReporting Period: December 1 through November 30 • Reminder sent to contractors in early January • Compass 21 generated data sent to contractors in Mid-January • Contractor FPARs due to DSHS 10 working days from receipt of Compass 21 data • State report is due Mid-February

18. CY06 Texas FPAR Snapshot • Age • 20% of users are 19 and younger • 63% of users are 20-34 • 17% of users are 35 and older • Race/Ethnicity • 64% are Hispanic or Latino • 21% are White • 12% are Black or African American

19. CY06 Texas FPAR Snapshot • Income • 72% of users are under 100% FPL • Insurance • 74% of users are Uninsured • Limited English Proficiency (LEP) • 23% of users

20. CY06 Texas FPAR Snapshot • Primary of Birth Control - Female • 42% of female users report Oral Contraceptives as their primary method • 15% of female users report Depo Provera as their primary method • 12% of female users report Male Condom as their primary method • 7% of female users are pregnant or seeking pregnancy

21. Texas FPAR Trends

22. Texas FPAR Trends • Reasons for the decline in number of clients • Costs? • Data Collection? • Other Reasons?

23. Data Collection • Are we missing anyone? • Contractors must file all claims even if they have reached their funding ceiling • Contracts must file all appeals even if they have reached their funding ceiling • Contractors must file all Title X encounters even though this will not result in payment • Contractors must ensure they use only TPIs to file family planning claims/encounters that they have shared with DSHS via clinic forms

24. Data Collection • Other Areas of Concern • How is contractor reported data collected? • Are systems automated? • Contractors must ensure that data collection systems can report all FPAR data elements • How is Race and Ethnicity data collected. • Must be self reported by the client.

25. Final Report • Review final report to ensure all data checks are in agreement • Look for unusual results. (i.e. A 19 year old user whose primary method is listed as sterilization). If these are correct explain in narrative.

26. What’s New for 2007 • Reporting Period: December 1 through November 30 • Provider revenue information will be collected using a new form (contractors will no longer be required to complete form 14) • A narrative will be required that explains any variance from Compass 21 data or any major changes compared to the previous year

27. Questions&Discussion

28. THE END Travis Duke Texas Department of State Health Services travis.duke@dshs.state.tx.us (512) 458-7796