Below are the materials used during the BVCOG Case Management Subcontractor Training held July 22-23, 2010.

Agenda Download file

HRSA HAB Measures: Introduction
Presentation on HAB Measures Download file
HRSA HAB Measures Link Click here
ARIES Reporting Capabilities Chart Download file
HRSA HAB Measures Companion Guide Download file
Progress on Tier 1 Measures Download file

HRSA HAB Measures: A Clinical View
Presentation Download file

Quality Management Plans
QM Plans Presentation Download file
BVCOG QM Plan Sample Download file
BVCOG QM Work Plan Sample Download file
BVCOG QM Annual Evaluation Download file

Using Data in Quality Management
Presentation Download file
Data Review Activity Download file
Instructions for Creating Data Reports Download file

PDSA Cycles for Documenting Improvements
Presentation Download file
PDSA Documentation Form Download file

HIV Services Taxonomy
Taxonomy Download file
Taxonomy Quiz (with answers) Download file

Best Practices
Using Acuity and Transitioning Clients from Case Management to Self-Management, Presented by Central Texas Support Services, Temple
BVCOG Minimum Components Required for Policy Download file
CTSS Nonmedical CM Policy Download file
CTSS Acuity Level Policy Download file
CTSS Acuity Charting Tool Download file

Medication Adherence: Screening and Interventions for Improvement, Presented by Shannon Supportive Health Services, San Angelo
SSHS Medication Screening Policy Download file
SSHS Adherence Screening Tool Download file
SSHS Adherence Data Download file

Fostering Client Participation and Strategies for Successful Support Groups, Presented by Project Unity, Bryan
Support Group Flyer Download file
Lunch N Learn Flyer Download file

Internal QA/QI of Client Files, Presented by Community Action, Inc. of Hays, Caldwell, and Blanco Counties, San Marcos
Chart Review Section of QM Plan Download file
Quarterly Chart Review Form Download file

Needs Assessments, Care Plans, and Case Notes
DSHS Policy on Case Notes Download file
DSHS Policy on Case Notes - Appendix Download file
Care Planning Guidance Download file
Care Plan Example Download file
Case Note Documentation Download file
Case Notes Based on DSHS Policy Download file

Posted by BVCOG-HIV at 01:41 PM | Permalink

This table presents results for the time period October thru December 2009 (Ryan White Part B Third Quarter) showing the HRSA/HAB Tier 1 Clinical Performance Measures. Because services and client population vary widely in our provider angencies these also show great diversity. Please note additional comments below the chart.

Service Outcome Measures	CA	DPCHC	PU	SAAF	CTSS	WMCPHD
Medical Visits: Percentage of (served) clients with HIV infection who had 2 or more medical visits in an HIV care setting in the measurement year.	82.5%	83%	76.6%	46.9%	54.5%	93.2%
CD4 T-cell count: Percentage of (served) clients with HIV infection who had 2 or more CD4 T-cell counts performed in the measurement year.	88.2%	81.8%	65.6%	77.6%	40.6%	93.2%
HAART: Percentage of (served) clients with AIDS who were prescribed HAART.	95.8%	97.4%	15%	93.1%	95.6%	100%
PCP Prophylaxis: Percentage of (served) clients with HIV infection and a CD4 T-cell count below 200 cells/mm who were prescribed PCP prophylaxis.	93.8%	91.7%	31.6%	87.5%	80%	100.0%
ARV Therapy For Pregnant Women: Percentage of (served) pregnant women with HIV infection who are prescribed antiretroviral therapy.	100%	60% [100%]	50%	N/A	N/A	N/A

Our service providers have been tracking statistics on these five quality measurements for more than a year. The agencies now have a good understanding of what data is required to capture these statistics, but some of the reporting parameters include clients no longer served by the agency and exclude those who have recently entered into care with the agency. The ARV Therapy For Pregnan Women measure has proved to be challenging both because of numerous restrictions on who is counted and the extremely low client count (this quarter a total of 13 women are tracked in the six provider organizations). Results in brackets reflect the provider's assessment of the reported measure. In spite of these challenges, all of our contractors continue to improve their performance in these areas.

Posted by BVCOG-HIV at 03:06 PM | Permalink

Following is the HOPWA Reallocation Request Form. If you have any questions, please contact Kristi Hanle. Once the form is complete, please send it and any additional documentation to Kristi Hanle, khanle@bvcog.org.

Download file

Posted by BVCOG-HIV at 08:35 AM | Permalink

Following is the Ryan White Title II and State Services Quarterly Report form.

Download file Subcontractor Quarterly Report: Revised June 2009 - MS Word

Posted by BVCOG-HIV at 08:22 AM | Permalink

Please find below the documents necessary to complete the renewal applications for 2010-2011 Ryan White Part B, State Services, and HOPWA. All items are due to BVCOG by close of business on Friday, January 15, 2010. If you have any questions, please contact Crystal Crowell at ccrowell@bvcog.org

Renewal Guidance
Download file

Narrative Forms
Download file

Ryan White Budget Forms
Download file

State Services Budget Forms
Download file

HOPWA Budget Forms
Download file

Ryan White Attachment C
Download file

State Services Attachment C
Download file

Posted by BVCOG-HIV at 11:24 AM | Permalink

This table presents results for the time period April- June 2009 (Ryan White B First Quarter) of the HRSA/HAB Tier 1 Clinical Performance Measures. Please note there are many reasons for variation and the values posted. More information is posted below the table.

Service Outcome Measures	CA	DPCHC	PU	SAAF	CTSS	WMCPHD
Medical Visits: Percentage of (served) clients with HIV infection who had 2 or more medical visits in an HIV care setting in the measurement year.	84.2%	90.0%	72.0%	55.8%	23.1%	99.0%
CD4 T-cell count: Percentage of (served) clients with HIV infection who had 2 or more CD4 T-cell counts performed in the measurement year.	78.6%	83.3%	60.8%	79.1%	18.3%	93.0%
HAART: Percentage of (served) clients with AIDS who were prescribed HAART.	93.6%	95.3%	16.2%	96.0%	95.8%	100%
PCP Prophylaxis: Percentage of (served) clients with HIV infection and a CD4 T-cell count below 200 cells/mm who were prescribed PCP prophylaxis.	73.9%	91.3%	46.0%	83.3%	94.1%	100.0%
ARV Therapy For Pregnant Women: Percentage of (served) pregnant women with HIV infection who are prescribed antiretroviral therapy.	100%	100%	0.0%	N/A	N/A	N/A

Many things might wildly affect your scores at this point: Bad or missing data in ARIES; Lack of consistency between agencies in how data is entered in ARIES. This is a baseline measurement and is intended for informational purposes. Comparisons between providers are not entirely possible because of limitations in data entry and differences in processes.

Posted by BVCOG-HIV at 04:24 PM | Permalink

The following is a listing of pharmaceutical assistance programs compiled by Bexar County Department of Community Investment's Ryan White Program Office. Eligibility requirements vary for each program so please check carefully to determine if a client is able to receive benefits.

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Posted by BVCOG-HIV at 11:11 AM | Permalink