Transcript Hennepin County Public Health Department Minnesota Department of Human Services Minnesota Department of Health.

Hennepin County Public Health Department
Minnesota Department of Human Services
Minnesota Department of Health
Source
Part A
Part B ADAP
Part B Base
Amount
$5,285,469
$5,700,789
$1,918,262
State
Rebate
TOTAL
$2,400,000
$6,018,500
$21,232,020
8000
$13,000,000
7500
$12,000,000
7000
$11,000,000
6500
$10,000,000
6000
Part A + B Award
$9,000,000
MN HIV Prevalence
5500
$8,000,000
5000
$7,000,000
4500
$6,000,000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
YEAR
4000
Number of People Living with HIV
Funding
$14,000,000
Surveillance (n=7,723)
60%
55%
50%
43%
40%
33%
30%
20%
20%
14%
10%
6%
0%
ADAP
Part A
Part B
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
Rebate
State
All Funding
MN CAREWare: Annual Review
100%
90%
80%
70%
60%
54%
55%
55%
57%
55%
2009
2010
2011
2012
2013
50%
40%
30%
20%
10%
0%
MN Surveillance Total
Number = 7,680
(43 Missing Data)
MN CAREWare Total
Number = 4,261
(73 missing data)
Greater
MN, 15%
TGA*
85%
Greater
MN, 13%
TGA*
87%
*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.
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
MN CAREWare: Annual Review
80%
70%
Surveillance (n=7,723)
76%
MN CAREWare (n=4,261)
71%
60%
50%
40%
28%
30%
24%
20%
10%
10%
0%
Male
Female
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
Transgender
MN CAREWare: Annual Review
Surveillance (n=7,723)
60%
50%
40%
30%
20%
10%
MN CAREWare (n=4,261)
51%
39%
28%
22%
13%
8%
9%10%
0%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
9%
2%
2% 2%
2% 1%
0% 2%
MN CAREWare: Annual Review
Male Number = 3,000
Female Number = 1,202
Hispanic
6%
Amer.
Indian
4%
Asian/
Pacific
2%
Unk/
Missing/
Other
3%
Amer.
Indian
1%
Asian/
Pacific
1%
Unk/
Missing/
Other
2%
Hispanic
12%
Two or
More
9%
Black,
African
Born
17%
White
21%
Two or
More
8%
Black, Af.
Amer.
38%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
Black,
African
Born
5%
White
47%
Black, Af.
Amer.
24%
MN CAREWare: Annual Review
Surveillance (n=7,717)
MN CAREWare (n=4,261)
20%
18%
18%
17%
16%
18%
16%
13%
13%
14%
12%
10%
8%
8%
11%
11%
9%
9%
6%
6%
4%
3%
4%
2%
11%
10% 10%
10%
1%1%
1%1%
0%
<13 yrs 13-19
yrs
20-24
yrs
25-29
yrs
30-34
yrs
35-39
yrs
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
40-44
yrs
45-49
yrs
50-54
yrs
55-59 60+ yrs
yrs
MN CAREWare: Annual Review
40%
35%
30%
25%
35%
30%
23%
20%
15%
10%
5%
6%
2%
0%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
1%
1%
1%
1%
0%
MN CAREWare: Annual Review
MN Surveillance Male
Total Number = 5,849
MN CAREWare Male
Total Number = 3,000
NonMSM,
32%
NonMSM,
26%
MSM,
74%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
MSM,
68%
MN CAREWare: Annual Review
HIVpositive
(AIDS
status
unknown)
4%
HIV/AIDS Status
CAREWare
HIV/AIDS Status
Surveillance
Unknown
2%
HIVpositive
(not
AIDS)
47%
CDC
defined
AIDS
47%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
HIVpositive
(not
AIDS)
53%
CDC
defined
AIDS
47%
MN CAREWare: Annual Review
35%
30%
30%
25%
20%
15%
15%
17%
13%
9%
10%
5%
0%
12%
3%
Blank
2%
0
1 to 999
1,000 to
4,999
5,000 to
9,999
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
10,000 to
19,999
20,000 to
39,999
40,000 to
99,999
0%
> 100,000
MN CAREWare: Annual Review
70%
59%
60%
50%
40%
30%
20%
10%
0%
15%
13%
8%
3%
(Blank)
0%
1% - 100%
101% - 200%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
201% - 300%
1%
0%
301% - 400%
>400%
MN CAREWare: Annual Review
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
77%
1%
2%
8%
2%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
7%
3%
MN CAREWare: Annual Review
A Referral Was
Made
2%
Had A Medical
Appt.
85%
Did not have
Medical Appt. or
Referral
13%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
MN CAREWare: Annual Review
Medical Case Management
(n=3013)
A
Referral
Was
Made
3%
No Medical Case
Management (n=1248)
Had A
Medical
Appt.
75%
Had A
Medical
Appt.
93%
Did not
have
Medical
Appt. or
Referral
4%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
A
Referral
Was
Made
1%
Did not
have
Medical
Appt. or
Referral
24%
MN CAREWare: Annual Review
60%
52%
50%
40%
36%
35%
30%
19% 21%
20%
10%
0%
3%
3%
9%
1%
1%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
12% 14%
4%
MN CAREWare: Annual Review
60%
50%
38%
40%
30%
20%
10%
22% 23%
18%
9%
21%
12%
0%
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
7%
8%
1%
1%
3%
MN CAREWare: Annual Review
80%
70%
60%
50%
MCM
ADAP
40%
Transportation
EFA
30%
Food
20%
10%
0%
2009
2010
2011
Data Source: MN CAREWare and Minnesota HIV/AIDS Surveillance
2012
2013
MN CAREWare: Annual Review
How Are You Using Data?

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




Mexican, Mexican American, Chicano
Puerto Rican
Cuban
Another Hispanic, Latino/a or Spanish origin







Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian




Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander

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

“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”


Poverty Level Calculations







Below 100%
100 – 138%
139 – 200%
201 – 250%
251 – 400%
401 – 500%
Greater than 500%

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

Date of Death

Fields Not Being Deleted in MN
First service date
 Geographic unit code (zip code)
 AIDS diagnosis year




Question about primary language
Question about disability status
All eligible services reported in RSR

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)

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

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

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

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

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