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Client level data and minnesota careware provider meeting may 22, 2014

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

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  1. Client level data and minnesota careware provider meetingmay 22, 2014 Hennepin County Public Health Department Minnesota Department of Human Services Minnesota Department of Health

  2. Data Presentation

  3. 2013 Funding Sources for Clients in Minnesota CAREWare

  4. Minnesota Ryan White Funding and HIV Prevalence2000 - 2013

  5. 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

  6. Clients in Minnesota CAREWare as Percent of HIV Prevalence2009 - 2013

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. Minnesota CAREWare by Risk Factor (n=4,261) 2013 MN CAREWare: Annual Review Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

  13. 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

  14. 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

  15. Minnesota CAREWare by Household Income (n=4,261) 2013 MN CAREWare: Annual Review Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

  16. Minnesota CAREWare by Poverty Level (n=4,261) 2013 MN CAREWare: Annual Review Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

  17. Minnesota CAREWare by Housing Status(n=4,261) 2013 MN CAREWare: Annual Review Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

  18. 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

  19. Minnesota CAREWare by Form I Had Medical Appt. 2013 MN CAREWare: Annual Review Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance

  20. 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

  21. 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

  22. 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

  23. Interactive Discussion How Are You Using Data?

  24. Training Update

  25. CAREWare Reports

  26. CAREWare

  27. 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

  28. Hispanic Subgroup • Mexican, Mexican American, Chicano • Puerto Rican • Cuban • Another Hispanic, Latino/a or Spanish origin

  29. Asian Subgroup • Asian Indian • Chinese • Filipino • Japanese • Korean • Vietnamese • Other Asian

  30. Native Hawaiian/Pacific Islander Subgroup • Native Hawaiian • Guamanian or Chamorro • Samoan • Other Pacific Islander

  31. 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

  32. 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”

  33. Changes in Response Options • Poverty Level Calculations • Below 100% • 100 – 138% • 139 – 200% • 201 – 250% • 251 – 400% • 401 – 500% • Greater than 500%

  34. 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

  35. Fields No Longer Required • Date of Death • Fields Not Being Deleted in MN • First service date • Geographic unit code (zip code) • AIDS diagnosis year

  36. Future Changes • Question about primary language • Question about disability status • All eligible services reported in RSR

  37. 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)

  38. 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

  39. 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

  40. 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

  41. 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

  42. 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

  43. Questions

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