ASSESSMENT OF THE ADMINISTRATIVE MECHANISM NORTH CENTRAL TEXAS HIV PLANNING COUNCIL Brian Emerson, Dr. Witold Migala and Jamie Schield, Planning Coordinator,

Slides:



Advertisements
Similar presentations
What is District Wide Accreditation? Ensure Desired Results Improve Teaching & Learning Foster a Culture of Improvement A powerful systems approach to.
Advertisements

Regional Service Planning for East Texas Texas Department of Transportation Tyler District Thursday, October 6, :30 PM.
Nevada Statewide Needs Assessment Rehabilitation Division State Rehabilitation Council 2010 Summary of Findings.
State of Texas HIV Planning &. Goals for the National HIV/AIDS Strategy 1.Reduce new HIV infections 2.Increase access to care and improve health outcomes.
Richmond Terrace Resident Satisfaction Survey April - June 2014 Report Results and Action Plans for Richmond Terrace April-June 2014.
1 Unmet Need Estimate Needs Assessment Committee December 2010 JoAnn Hilger, MPH Ryan White Grant Administrator.
Specific outcomes can be compared to resources expended; and successful programs can be highlighted;
CAREWare Training Webinar Canned Reports (Prebuilt Reports)
2013 Assessment of the Administrative Mechanism Results Thursday, September 4 th, 2014 Phoenix EMA Ryan White Planning Council Executive Committee 1.
Understanding how the money flows How the grant funds we receive become services for the areas of greatest need.
Consumer Participation in HIV Service Planning Quarterly Contractors Meeting May 12, 2010 Jennifer Flannagan ADAP Operations Specialist Virginia Department.
1 Roundtable Meeting of Quality Assurance Agencies of the Organisation of Islamic Conference Member Countries Kuala Lumpur, Malaysia November 2009.
Determination of Construction Contract Duration for Public Projects in Saudi Arabia By: Ahmed Saleh Al-Sultan, June 1989 Presented by Sameh Elish January.
1 Ben George – Poet, Al Zantua & David Little Raven – Drummers.
Parents with Mental Illness in the Child Protection System Susan Smalling.
Developing a Questionnaire. Goals Discuss asking the right questions in the right way as part of an epidemiologic study. Review the steps for creating.
a judgment of what constitutes good or bad Audit a systematic and critical examination to examine or verify.
 Department of Family and Children Services, Santa Clara County  San Jose State University School of Social Work  Santa Clara County Children’s Issue.
TOOLS FOR POLICY DEVELOPMENT AND ANALYSIS Goals and Objectives.
NINA ROTHSCHILD, DRPH RYAN WHITE PLANNING COUNCIL STAFF HIV/AIDS and Medicaid: Where Are We Going?
North Dakota Pilot Community Paramedic Project. Community Paramedics in N.D., Why? Inconsistent Access to Healthcare in State Insufficient providers at.
“To link accessible responsive transportation with community needs” I&R In The World of Community-Based Transportation Cora Potter, Service Specialist.
Proposed Cross-center Project Survey of Federally Qualified Health Centers Vicky Taylor & Vicki Young.
Perinatal HIV Testing in Utah Lois Blobaum, BSN, Theresa Garrett, MSN and Nan Streeter, RN, MS Utah Department of Health.
The Hilltop Institute was formerly the Center for Health Program Development and Management. Maryland Medicaid Non-Emergency Medical Transportation Study.
Jane B. Cheeks, J.D., M.P.H. State AIDS Director
Impact of Culture on Stress and Coping: The Experiences of Latina Dementia Caregivers Mayra Calatayud California State University, Long Beach May 2012.
Improving Data Entry and Reporting for the HOPWA Program May 2012.
American Association for the Treatment of Opioid Dependence, Inc National Conference, Atlanta April 25, 2006 Evaluation of the Impact of Opioid Treatment.
EVALUATION RESEARCH. Evaluation Research  How do we begin?  What are the different types of evaluation research?  How do these different types fit.
Federal Transit Administration Transit Bus Safety and Security Program Primer for State Departments of Transportation.
eHARS to CAREWare Pilot Project Update and Training
North Dakota CARES/ Ryan White Part B Program Krissie Guerard TB/HIV/RW Program Manager North Dakota Department of Health May 14, 2009.
1 Infant & Toddler Connection of Virginia Early Intervention System Presentation for Financing Systems Workshop OSEP National Early Childhood Conference.
Maryland Department of Health and Mental Hygiene WB&A Market Research Executive Summary THE 2003 MARYLAND MEDICAID MANAGED CARE CUSTOMER SATISFACTION SURVEY.
 How do we begin?  What are the different types of evaluation research?  How do these different types fit together?  What purpose do they serve?
Introduction to Case Management. Why Case Management ?  The context of care is changing; we now have an ageing population and an increase in chronic.
Evaluation of the AETC HIV Testing Initiative. Background In 2006, revised recommendations for routine HIV screening were released. AETCs have worked.
Occupational Health. Occupational Medicine Recognized Specialty Since 1949 Combines Clinical Skills With Toxicology, Epidemiology, Safety, Rehabilitation,
Medicaid Managed Care Program for the Elderly and Persons with Disabilities Pamela Coleman Texas Health and Human Services Commission January 2003.
1 CMHS Block Grant Peer Reviews Ann Arneill-Py, PhD, Executive Officer CA Mental Health Planning Council California Mental Health Planning Council April.
Resources. Behavioral Health providers are being challenged to adopt health information technology with very limited resources. There is a need to prepare.
Approximately 7% of people living with HIV/AIDS (PLWHA) reside in the Fort Worth Transitional Grant Area. 1 Every year, as mandated by legislation, the.
State Boards, Committees, Commissions and Councils a report by the Office of Program Evaluation & Government Accountability FINAL REPORT February 2008.
Public Service Commission Presentation to the Portfolio Committee on Public Service and Administration 25 May 2007 Batho Pele Audits and Citizen Satisfaction.
DHHS COE Meeting Agenda May 19, 2011 Welcome Introductions Contract Compliance Reporting Questions and Answers DHHS Open Windows Update.
1 FY2006 TDA Triennial Performance Audits Metropolitan Transportation Commission Programming & Allocations Committee October 4, 2006 GGBHTD (Golden Gate)
Brian Cronin Federal Transit Administration ITSA Annual Conference May 4, 2005 Mobility Services for All Americans (MSAA) Foundation Research and Next.
Transport Against HIV/AIDS in Cambodia Maria Margarita Nunez EASTE 28 November 2007.
California Department of Public Health Office of AIDS HIV CARE and PREVENTION 2009: You Need to Know.
Colleen Brody, Program Supervisor II Pristeen Rickett, Disease Intervention Specialist Elizabeth “Page” Brockwell, Service Chief.
Interview Design Four Focal States Connecticut, Indiana, North Carolina, Massachusetts Additional States Arizona, Utah, Washington State Interview Protocol.
RE-AIM Framework. RE-AIM: A Framework for Health Promotion Planning, Implementation and Evaluation Are we reaching the intended audience? Is the program.
Outcome 1: Clients access Medical Case Management Services  Objective 1: XX clients attend XXX face- to-face MCM office sessions.  Objective 2: XX clients.
Accessibility of Showers and Bathrooms Among Boston’s Homeless Population: An Exploratory Study Kaitlyn Moran, MPH, Debora Perez, MPH (c), and Becca Walmer,
Ryan White Part A Program Update Health & Family Services Department Presentation to the Board of County Commissioners June 12, 2007.
[Presentation location] [Presentation date] (Confirm ABT logo) Building Bridges and Bonds (B3): An introduction.
Baseline Assessment of Nurses’ Experiences and Attitudes regarding Expanded HIV Testing in the Emergency Department at Albany Medical Center November 2014.
Critical Program Movement: Integration of STD Prevention with Other Programs Kevin Fenton, MD, PhD, FFPH Director National Center for HIV/AIDS, Viral Hepatitis,
Emergency Resiliency Fund (ERF)
Telehealth Survey Update.
Indianapolis TGA Presentation
Transitional Grant Area
Believed discrimination occurred because of their:
Preliminary Return-to-Care (RTC) Survey Results
An Introduction to West Moreton Oxley Partners in Recovery
Viral Hepatitis Prevention Project (VHPP) in Massachusetts
Emergency Resiliency Fund (ERF)
Needs Assessment Slides for Module 4
Baltimore Eligible Metropolitan Area (EMA) Planning Council Meeting
Presentation transcript:

ASSESSMENT OF THE ADMINISTRATIVE MECHANISM NORTH CENTRAL TEXAS HIV PLANNING COUNCIL Brian Emerson, Dr. Witold Migala and Jamie Schield, Planning Coordinator, North Central Texas Planning Council INTRODUCTION/BACKGROUND METHODS CONCLUSION References Thanks to: RESULTS DISCUSSION Ryan White Part A Planning Councils are tasked by legislation to “assess the efficiency of the administrative mechanism in rapidly allocating funds to the areas of greatest need within the eligible area, and at the discretion of the planning council, assess the effectiveness, either directly or through contractual arrangements, of the services offered in meeting the identified needs.” Every year the administrative mechanism’s assessment, as well as various consumer studies, has had the issue of “red tape” appear as a burden to clients, agencies, and contract administrators, which impacts the delivery of services and processes to rapidly allocate funds. Most importantly, these structural barriers can negatively impact linkage and maintenance of clients in care. This year’s assessment of the administrative mechanism focuses specifically on these structural barriers. The assessment originated from results of prior assessments, one-on-one interviews with frontline personnel, and other service providers. Structural barriers include functions that impede access to care, ranging from paperwork requirements to eligibility requirements and/or system resources. Several themes were identified as possible barriers to accessing HIV/AIDS services. The Evaluation Committee decided to survey staffs of Ryan White funded programs and HIV service providers to identify potential barriers in providing healthcare/service to clients and possible life hacks (i.e., short cuts) that may facilitate access to care. In addition, the adequacy of funding activities and if funding met client satisfaction were also evaluated. Using Survey Monkey ™, a questionnaire was sent to staffs of Ryan White funded programs and HIV service providers (n=92) to identify potential barriers in providing healthcare/service to clients and possible life hacks (i.e., short cuts) that may facilitate access to care This questionnaire originated from results of prior assessments, one-on-one interviews with frontline personnel, and other service providers. Data was collected from providers at different levels of management, provider and client demographics, and barriers to care – language, paperwork and collaboration with other agencies. The data was exported from Survey Monkey in Microsoft Excel format. The initial data cleaning was performed in Microsoft Excel. The analysis was performed in Microsoft Excel and SAS 9.3 The frequencies of the responses were used in the analysis. The open ended questions were grouped together by themes. The themes were utilized to determine the most common responses. Of the 92 providers, the Committee received responses from over half (52 responses) of the staff that provide services to people living with HIV/AIDS (PLWHA). PROVIDER DEMOGRAPHICS: The survey questionnaire was able to poll providers at different levels of management, interaction with clients, and length of time at the agency and/or working with clients. This assured a well-representative assessment of opinions on potential administrative and system barriers. Frontline personnel (44%), followed by management (23%), executive (17%), and administrative personnel (14%). Forty-four percent of the respondents spend 50% of their time with clients. A question inquired about the length of time working with HIV/AIDS patients, and the majority have worked 6 years plus at 42% and 0-2 years at 27%. The question related to length of employment at the current provider showed a higher percentage of new employment, 0-2 years at 35%, and second highest at 6-10 years at 23%. CLIENT DEMOGRAPHICS: The majority of the clients are male with an average of 62%, females at 35% and transgender at 3%. The majority of clients who received services from these providers were in the year old group. The majority of the race/ethnicity of the client base was African American (See Figure One). STRUCTURE and SYSTEM BARRIERS: The question: “What are the main structural barriers experienced by patients new to the system” response was paperwork at 50%. “What are some of the barriers you encounter in assessing clients?” The majority of the responses revolved around 4 themes: language, paperwork, transportation, and information. Providers identified paperwork and transportation as the major areas in need of change to enhance access to services (See Figure Two). Additional, excessive paperwork was listed as a hindrance in providing care. The respondents were asked about the documentation required to provide services, proof of diagnosis at 69% and photo id at 56% were the most frequent responses (See Figure Three). A questions was asked about what change would make it easier for clients to have access to services, and the highest response was changing paperwork at 38% Figure One Figure Two Figure Three Responses are not mutually exclusive The grouping of themes from open ended questions provided an insight into the personnel’s experience in working with HIV positive people. The finding could lead to different areas and/or ideas in ways to provide the best possible service to HIV positive population. The themes transportation and redundancy of information pinpoints the struggle HIV positive people have in receiving the highest level of care. The transportation barrier provides a possible avenue to work with the Fort Worth Transportation Authority to increase bus services or routes. Paperwork and redundancy of information barriers could lead to an incentive to revisit the paperwork required for services for each agency. An investigation into this barrier might lead to an increase in agencies working together and/or sharing the required paperwork. The documented barriers should warrant an investigation into how to limit the major barriers associated with assisting new or existing clients. Major limitations in assessing services for existing and new clients will have to be addressed in the future to maintain the fight against HIV. The paperwork barrier will need to be revisited in the future, since clients faced with the redundancy and amount of information required. The transportation barrier warrants some changes if possible. The ability to maintain mobility in today’s age is vital in day to day life. A discussion with the Fort Worth Transportation Authority is needed about increasing frequency of bus services or adding more possible routes. In the rural areas, the transportation burden may persist without an access to a vehicle or ride to the needed physician or case worker appointments. The limitations experienced by providers creates an awareness and adds topics for discussion. Hopefully, additional resources or ideas can limit the burdens experienced by people living with HIV. The fight against the epidemic must continue. The survey demonstrated numerous areas where providers believe burdens are experienced. Black/African Americans were listed as population who has the highest barrier to care. These barriers could be the results of Black/African American HIV positive population having the highest rate of people living with HIV and that this specific population is a majority in the client demographics. 1 Texas Department of State Health Services. (2013). Texas HIV Surveillance Report 2013 Annual Report. Retrieved from Dr. Kurian, Jamie Schield, Gil Flores, Bola Mudasiru and Dr. Migala