All Providers Meeting November 6, 2014

 Import Limited Surveillance Data into CAREWare 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)  Vital status and date of death  Note: HIV/AIDS Surveillance System = eHARS (enhanced HIV/AIDS Reporting System)

 New reporting rule implemented in June 2011 requires labs to report all CD4 and viral load results to MDH  The number of lab tests entered into eHARS nearly doubled when comparing 2 nd quarter 2011 and 2 nd quarter 2012  24% increase in electronic lab reports between 2012 and 2013

 CD4 and viral load data will only be viewed by case managers and clinical staff in provider domains that serve the client  HIV status and diagnosis dates will be viewed by all staff in provider domains that serve the client  Vital status and date of death will be viewed by all staff in provider domains that serve the client

 Community-based case managers won’t have to spend time calling clinics for lab results – can focus more on needs of clients  Clinic staff won’t have to spend time calling case managers back with lab results  Providers will have easy access to diagnosis dates

 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  Case manager access to clinical indicators will benefit client health by:  Improved retention in care  Improved treatment adherence support

 Availability of diagnosis dates, CD4 and VL data will strengthen DHS and HC’s ability to evaluate the following for clients served by Ryan White/state funding:  Linkage to care after diagnosis  Retention in care  Community viral load  Missing data

 Matching cases between CAREWare and surveillance will provide opportunity to identify cases missing from surveillance  More complete data in surveillance could impact funding amounts for:  Ryan White  Prevention  HOPWA

 Try out messages to promote project with clients and modify if needed  Test ROI process and modify if needed  Test matching process and modify if needed  Test import process and modify if needed  Get feedback on usefulness of surveillance data to case managers and grantees  Develop recommendations for rolling out project to all MCM providers

DateActivity November 2014Pilot sites begin collecting ROIs from clients Nov/Dec 2015MDH does match between eHARS and CAREWare January 2015MDH tests importing data on test site January 2015First check-in conference call with pilot sites February 2015Training with pilot sites on how to interpret and use the data March 2015MDH does first import of data into MN CAREWare April 2015Second check-in conference call with pilot sites Late May 2015MDH does second import of data into MN CAREWare June 2015In-person debrief with pilot sites July 2015Rollout of project with all MCM sites

 MDH, DHS and HC: Finalize ROI  Contract Managers: Notify pilot sites to begin collecting ROIs  Pilot Sites: Begin collecting ROIs and submitting to MDH  MDH: Enter ROIs into CAREWare as received  MDH: Do initial match between eHARS and CW