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    1

    Planning Council Retreat

    January 29th, 2010

    Rita Bass Trauma and EMS Education Institute

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    2010 DHRPC Retreat 2

    Retreat Schedule

    Welcome and Introductions Overview of the Day Legislative Review Present and Future of the Denver Transitional Grant

    Area (TGA)

    Present and Future of Denver HIV Resource PlanningCouncil

    Lunch Introduction to Breakout Groups Breakout Groups Reports Back from Breakout Groups

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    3

    Changes in Ryan White

    Legislation

    Robin Valdez

    Department of EnvironmentalHealth

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    4

    Anthony StamperDenver Office of HIV Resources

    Present and Future ofDenver TGA

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    2010 DHRPC Retreat 5

    City & County of Denver

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    2010 DHRPC Retreat 6

    Denver EMA Chief Elected OfficialMayor John W. Hickenlooper Legislative Role

    Official recipient of RyanWhite Part A funds

    Has ultimate responsibilityfor management &

    oversight of the grant Establishes IGAs Responsible for

    establishing theadministrativemechanism for

    allocating funds Responsible for

    appointing the HIVResources PlanningCouncil

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    2010 DHRPC Retreat 7

    Department of Environmental Health

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    2010 DHRPC Retreat 8

    Ryan White HIV/AIDS TreatmentModernization Act of 2006

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    2010 DHRPC Retreat 9

    Denver TGAPart A Funded Services

    AIDS PharmaceuticalAssistance (local)

    Case Management (non-Medical)

    Emergency Financial

    Assistance Food Bank/Home Delivered

    Meals

    Home & Community BasedHealth Services

    Home Health Housing Services

    Medical Case Management

    Medical Transportation Services

    Mental Health Services

    Oral Health Care

    Outpatient/Ambulatory MedicalCare (health services)

    Substance Abuse ServicesOutpatient

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    2010 DHRPC Retreat 10

    Denver TGA MAI Funded Services

    Case Management (non-Medical) Mental Health Services Substance Abuse Services Outpatient

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    2010 DHRPC Retreat 11

    DOHR Responsibilities

    Pre-Grant Preparation (informational background for Priorities)

    Other Sources of Funding

    Service Utilization

    Financial Data (past three years)

    Federal Grant Application

    Part A Application submitted yearly

    MAI Application submitted every 3-years withyearly update

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    2010 DHRPC Retreat 12

    DOHR Responsibilities:Disbursement of Funds

    Request for Proposals - 3-year cycle Revise RFP & Tables to include special considerations Release of RFPs

    Conduct a Bidders Conference

    Grant Application Review Committee (GARC) - 3-year cycle Recruit & Train GARC volunteers

    Conduct and facilitate review

    Funding recommendations forwarded to Mayor

    Letters of Award

    Contract Procurement (GSAs) yearly (March February) Negotiate terms of contracts

    Revise budgets, implementation and outreach plans

    Other City Contracts Propose an ordinance

    City Attorneys Office

    First reading at City Council

    Second and third readings

    Signatures

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    2010 DHRPC Retreat 13

    Fiscal Agent

    City & County ofDenver

    DOHRado Nonprofit Development Center (CNDC)

    CNDC is a non-profit organization, which functions as a third-party

    fiscal agent to expedite provider reimbursements for DOHR.Currently, it takes about seven days to reimburse a provider comparedto the usual six to eight weeks through the City process.

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    2010 DHRPC Retreat 14

    Reimbursement of Service Providers

    Invoice toAnthony Stamper

    Return to

    Provider

    Approv

    e

    Send approvalform to the

    CNDC

    Provider ispaid

    Check

    AccuracyData Req.

    Report Req.

    YES

    NO

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    2010 DHRPC Retreat 15

    DOHR Responsibilities:Fiscal/Program Monitoring

    Provider Reporting Service utilization report

    Mid-year Report

    Year-end Report

    Special Reports/MAITables

    Fiscal Monitoring Site Visits

    Site Visit Evaluation

    QM Monitoring Corrective Actions

    Audits

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    2010 DHRPC Retreat 16

    RW CAREWare

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    2010 DHRPC Retreat 17

    Technical Assistance

    Technical Assistance

    Provider SupportPlanning Council

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    2010 DHRPC Retreat 18

    Client Totals

    580

    3663

    619

    3692

    764

    3898

    0500

    1000

    1500

    2000

    2500

    3000

    35004000

    Numberof

    Clients

    New06 2006 New07 2007 New08 2008

    Reporting Period

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    2010 DHRPC Retreat 19

    Client Demographics FY 2008

    African-

    American

    19%

    Hispanic

    15%

    White

    55%

    Other

    11%

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    2010 DHRPC Retreat 20

    Core Service Utilization FY 2008

    2905

    2012

    972

    976

    354Substance Abuse

    Mental Health

    Dental/Oral Health

    Medical Case

    Management

    Primary Medical

    Number of Clients

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    2010 DHRPC Retreat 21

    Numbers Trend

    0

    500

    1000

    1500

    2000

    2500

    2005 2006 2007 2008

    Age 45 - 64

    CDC defined AIDS

    HIV Positive

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    2010 DHRPC Retreat 22

    Part A Service Dollars

    $3,721,576

    $5,988,100 $6,011,890$6,590,710

    $0

    $1,000,000

    $2,000,000

    $3,000,000

    $4,000,000

    $5,000,000

    $6,000,000

    $7,000,000

    FY 2006 FY 2007 FY 2008 FY 2009

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    2010 DHRPC Retreat 23

    FY 2009 Allocations

    Oral Health Ca

    13.00%

    Outpatient/Ambulatory Hea

    Services

    37.75%

    Substance Abuse Service

    outpatient7.05%

    AIDS Pharmacuetic

    Assistance (local)

    9.18%

    ase anagemen no

    Medical)

    2.05%

    Emergency Financi

    Assistance

    3.09%

    Food Bank/Home Deliver

    Meals

    2.11%

    Home Healt

    1.00%

    Housing Servic

    5.61%

    Medical Case Managem

    11.46%

    Medical Transportati

    Services

    0.85%

    Mental Health Servic

    6.85%

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    2010 DHRPC Retreat 24

    Conclusion

    Good plans shape good decisions. That's why good planning helps

    to make elusive dreams come true. L.R. Bittel

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    Maria Lopez, Program CoordinatorRod Rushing, Co-Chair

    Dr. Mark Thrun, EACJessica Forsyth, Co-Chair

    Present and Future ofDenver HIV Resource Planning Council

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    Web Site

    History No historical site usage statistics for old Web site. Appeared there were 19 visits to the old site in the last year

    it was up.

    Original high-level redesign goals

    Increase usage of the Web site, making it a primarycommunications tool (internal to the Council and externalmarketing to the community).

    Help partners and members of the HIV and public healthcommunity learn more about resources available for thoseimpacted by HIV.

    Provide easy access to information on Council data, reports,meetings and community events.

    Redesigned site launched 12/10/08

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    Web Site

    2009 goals were met! Provided quick, easy and timely access to Council data,reports and meetings information.

    Supplied information on available Part A and otherresources, through an intuitive user experience.

    Maintained and provided easy access to relevant HIV/AIDScommunity event information.

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    Web Site

    Metrics Overview (12/15/0812/15/09) 4,174 visits

    Compare to 19 visits the previous year!

    Average 11.40 visits/day

    Visitors spend average of 3.52 minutes on our site

    15,324 pages viewed (pageviews)

    Where visitors are coming from (traffic sources)

    56.76% direct traffic (includes bookmarks) 25.68% search engines

    77.26% Google

    10.53% Bing

    7.36% Yahoo

    Balance = other search engines

    17.56% referring sites Top 5 (ranked)

    e-mail links denvergov.org

    cdphe.state.co.us

    careacttarget.org

    OnTheTen (Web site, blog, etc.)

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    Web Site

    Metrics Overview (12/15/0812/15/09) contd. What pages are they viewing (content)? Top 5

    28.96% home page

    15.71% happenings 7.14% calendar

    6.45% community happenings

    2.12% happenings main

    12.7% resources, participating providers & additional resources

    8.4% committees

    5.79% council meetings

    Celebrate our success!

    We saw increased usage of the Web site, making it a primarycommunications tool for the Council.

    Partners and members of the HIV and public health communityaccessed information on available resources.

    DHRPC and community members enjoyed easy access toinformation on Council and Committee meetings andcommunity events.

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    Web Site

    Next Steps: 2010 Metrics Goals & Plan 2010 Web site metrics goals are one of the tactics that willsupport the overall DHRPC strategy in 2010 and beyond.

    Increase traffic from referring sites. Assumption is that those coming from referring sites will gain most

    benefit from the resources available on the site.

    Proactive effort required to gain involvement/cooperation fromreferring site entities and ensure success of this objective.

    Increase traffic to pages supporting HIV+ communitymembers (including those needing to get tested, or havinga loved one living with HIV), including:

    Proactive effort required to help build additional awareness aboutthe Web site and drive traffic to it. Suggestions includeincreasing visibility through marketing pieces such aspostcards/handouts and social media.

    Pages targeted include: living with HIV, resources, participatingproviders, additional resources

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    Web Site

    Next Steps: 2010 Metrics Goals & Plan contd. Maintain visit levels to DHRPC administrative pages. Continue trend of using Web site for access to meeting dates,

    change announcements, agendas, minutes and relateddocuments.

    Includes pages: calendar, planning council, our meetings, ourcommittees, data & reports.

    Increase traffic from new Council members, specifically to NewMember Orientation link.

    Implement functionality to verify Web site visitors identity andtrack download of new member materials.

    Implement online survey tool.

    Gather information on Web site visitors satisfaction and needs.

    Other objectives as defined by DHRPC.

    Track views of new information added to Web site, such as Part Bproviders.

    Add quality content accordingly.

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    The Planning Councils Key Roles

    Needs Assessment

    Priorities

    Standards of Care

    Comprehensive Plan Values

    Goals

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    Values Guided Focus

    Linkage to Care

    Eliminating Health Disparities

    Retention in Care

    Adherence/Medical Self-Management

    Everyone has a chance to have a meaningful voice

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    Review of2008 Comprehensive Plan

    Rod Rushing, Co-Chair

    Matthew Bennett, DMS

    Maria Lopez, Program Coordinator

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    HRSA Guidelines

    Delivers quality core medical services

    Eliminates disparities in access to services

    Conducts strategic outreach to PLWH/As not in care;and

    Accesses results based on clinical quality measures

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    Outline the Process

    Executive Committee Kick-Off Retreat Review of 2005 2008 Comprehensive Plan Defining direction and purpose of 2009 2011

    Comprehensive Plan

    Five two-hour Mini-Retreats with subcommittees

    Assessment of Current Functioning Future Direction

    Final Executive Committee Retreat Incorporate results from Mini-Retreats

    Confirming Mission, Vision, Values Finalize Goals and Objectives

    Planning Council approved

    C h i Pl

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    Comprehensive Plan:What We Learned

    Improved Culture in the New Era Desire for data to drive decision making Great energy; current structure struggles to capture it Low capacity system Understanding that systems need to be evolved to meet

    changes in disease

    Desire for more collaboration with the state Ambiguity around defining Case Management Need to continue to improve communication

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    Past Functioning Future Direction

    Key area of power and decision

    making Strong representative leadership

    Limited capacity due to structureunderneath

    Currently positioned to hold toomany process and

    responsibilities

    Purpose: Lead the improvement

    process for the TGA Analyze data and identify

    areas for improvement

    Create and implement QualityImprovement Plan for TGA

    Create and supervise Project

    Workgroups Supervise Needs

    Assessment, Priorities,Comprehensive PlanWorkgroups and otherPlanning Council Functions

    Executive Committee EvolutionLeadershipCommittee

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    Past Functioning Future Direction

    Energy exists if there is a specifictasks that energizes people

    Struggle to maintain energy and focusover time (meeting to meet)

    Not enough capacity to make impactsover time

    Right people are not at the table

    Missing larger vision/scope todetermine priorities

    Purpose: Take on specific issues in a timelimited, targeted, and structured manner

    Leadership Committee assignstask, scope, timelines andleadership

    Workgroups meet and work on

    specific tasks reporting back toLeadership Committee monthly

    Once the Workgroup completestheir task they work withLeadership Committee onimplementation

    Celebration time!

    Rebuilt+

    Project Workgroups

    POCL

    Evaluation & Assessment Evolution

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    Current Functioning Future Direction

    Leader has great energy and ideas tomove the Committee forward

    Committee of one shows structuredoes not support the work

    Current purpose does not engage orexcite members to join

    Purpose: Lead the ongoing development

    of the Planning Council Structure and content of the

    Planning Council Meetings

    Strategic membership recruitment

    Orientation and ongoing trainingof members

    Mentorship for new members

    Annual Evaluation of Councilseffectiveness and its members

    Update By-laws as needed (incollaboration with LeadershipCommittee)

    Membership Evolution Membership Development

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    Current Functioning Future Direction

    Great arena for networking and sharinginformation between DOHR andProviders

    Has successfully updated Standards ofCare (potential model for futureworkgroups)

    Many expressed concern that without atask MDASC struggles to be

    worthwhile and meaningful

    Currently too big and not the rightpeople at the table to tackle largerissues

    Purpose: To ensure open communication

    between DOHR and providers; whileincreasing system wide knowledge.

    Meet quarterly

    Providers and DOHR givesupdates on key issues

    Networking for providers

    MDASCEvolutionMDASC

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    DOHReceive, distribute and monitor grant funds)

    Planning Council(Assess Community needs in order to allocate funding)

    Executive Committee

    Rebuilt+

    Evaluation & Assessment

    Membership

    POCLC

    MDASC

    Past Comprehensive Plan

    (The vision and the plan to get there)

    Input

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    Comprehensive Plan(The vision and the plan to get

    there)

    DOHR(Receive, distribute and monitor grant funds)

    Planning Council(Assess community needs and allocate funding)

    Leadership

    Committee

    WorkgroupsWorkgroups

    Development

    Futur

    e

    MDASC

    Workgroups

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    Goal #1Implement a project management structure toaddress critical issues within TGA

    Objective 1

    Create a process where the Leadership Committee identifiesand prioritizes emerging issues and establishes workgroups

    to develop solutions (Quality Plan)

    Update

    Process is happening ideas are not only generated fromLeadership but from other committees operating in

    workgroup fashion.

    Gap in process to assess capacity to take on allideas?

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    Goal #2Establish workgroups to take on critical TGAinitiatives

    Objective 1 Create Workgroups to address current PC Processes:

    Needs Assessment Priorities/Resource Allocation Process Standards of Care

    Update The workgroup process is a goal for today.

    Evaluate the current progress of workgroups Do they need to wrap up in order to address the above

    current PC processes?

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    Goal #2Establish workgroups to take on critical TGAinitiatives

    Objective 2 Plan & Prioritize future workgroups to address emerging

    needs: Peer Mentoring/Leadership Redefinition of Rebuilt +

    (in process) Programming for Recently Released Positives

    Redefinition of POCLC Information Sharing within TGA Defining Medical/Nonmedical Case Management

    Define outreach/MAI structure and focus Create Model for TGAs future

    Update Not completed.

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    Goal #3Strategically improve the functioning of thePlanning Council

    Objective 1 Create a Development Committee whose sole purpose is to

    ensure efficient and effective operations of the Planning

    Council

    Update Strategic membership recruitment (Done) New Member Orientation Manual (Done) Update important documents (Done) Strategically plan recruitment and retention (community)

    events for FY 2009 (Done)

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    2010 DHRPC Retreat 49

    Goal #3Strategically improve the functioning of thePlanning Council

    Objective 1 Create a Development Committee whose sole purpose is to

    ensure efficient and effective operations of the PlanningCouncil

    Update Orientation and ongoing training of members (In progress)

    Mentorship for new members (No)

    Annual Evaluation of Councils effectiveness and itsmembers (No)

    Assess Workgroup participation (No)

    Update By-laws as needed (in collaboration with LeadershipCommittee) (No)

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    Goal #3Strategically improve the functioning of thePlanning Council

    Objective 2 Create protocol to strategically recruit membership with a

    focus on the development of future leaders

    Update Mentorship program not in place.

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    Goal #4Ensure that strong communication existsbetween DOHR, Planning Council and Providers

    Objective 1 Turn present MDASC format into an information sharing and

    gathering forum lead by Leadership Committee and DOHR

    Update Currently two workgroups Housing and Mental

    Health/Substance Abuse Where are Standards of Care getting met? Information sharing does take place, however is Objective 1

    valid goal for MDASC?

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    Goal #4Ensure that strong communication existsbetween DOHR, Planning Council and Providers

    Objective 2 Develop a networking component to MDASC to ensure strong

    communication across TGA providers

    Update Workgroups have helped with agency partnerships Is this the best forum for provider networking?

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    Needs Assessment andSuggested Annual Data Plan

    Ryan White Part A

    Dr. Mark ThrunDenver Health

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    Process

    2008 Comprehensive Needs Assessment

    2009 Focused Needs Assessment

    2010 Needs Assessment workgroup to start October2009

    2010 Focused Needs Assessment Topics not yet

    determined

    2011 Comprehensive Needs Assessment to focus onUnmet Need

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    2010 DHRPC Retreat 55

    Suggested Annual Data Plan

    Ryan White Part A

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    Data Analysis MUST be Ongoing

    Identification andevaluation of

    emerging issues

    Data Analysis MUST be Ongoing

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    Ongoing review

    of existing data

    Data Analysis MUST be Ongoing

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    Existing Data Sources: CDPHE

    CDPHE State-wide Coordinated Statement of Need http://www.cdphe.state.co.us/dc/HIVandSTD/cohivaidscoalition/Colorado%20SCS

    CDPHE Part B Comprehensive HIV Care & TreatmentPlan

    http://www.cdphe.state.co.us/dc/HIVandSTD/cohivaidscoalition/Colorado%20Part

    CDPHE Comprehensive HIV Prevention Plan http://www.cdphe.state.co.us/dc/HIVandSTD/cwt/cwtplan0709/0709plan.html

    http://www.cdphe.state.co.us/dc/HIVandSTD/cohivaidscoalition/Colorado%20SCSN%202009.pdfhttp://www.cdphe.state.co.us/dc/HIVandSTD/cohivaidscoalition/Colorado%20Part%20B%20Comprehensive%20Plan%202009%20-%202012.pdfhttp://www.cdphe.state.co.us/dc/HIVandSTD/cwt/cwtplan0709/0709plan.htmlhttp://www.cdphe.state.co.us/dc/HIVandSTD/cwt/cwtplan0709/0709plan.htmlhttp://www.cdphe.state.co.us/dc/HIVandSTD/cohivaidscoalition/Colorado%20Part%20B%20Comprehensive%20Plan%202009%20-%202012.pdfhttp://www.cdphe.state.co.us/dc/HIVandSTD/cohivaidscoalition/Colorado%20SCSN%202009.pdf
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    Existing Data Sources: Council

    Council Comprehensive Needs Assessment 2008 http://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_Needs

    Council Comprehensive Needs Assessment 2008,Provider Report

    http://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_Needs

    Councils Comprehensive Plan http://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_Comp

    Council Mapping of Service Utilization 2007 http://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_Needs

    S O

    http://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_NeedsAssessmentRept2008.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_NeedsAssessmentSuppProvRept2008.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_ComprehensivePlan2009to2011.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_NeedsAssessmentPresMaps2007.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_NeedsAssessmentPresMaps2007.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_ComprehensivePlan2009to2011.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_NeedsAssessmentSuppProvRept2008.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_NeedsAssessmentRept2008.pdf
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    Existing Data Sources: Other

    CDPHE In-Depth Assessment on MSM http://www.cdphe.state.co.us/dc/HIVandSTD/cwt/2006NAReport.pdf

    CDPHE In-Depth Assessment on IDU andHeterosexuals at Risk for HIV

    http://www.cdphe.state.co.us/dc/HIVandSTD/cwt/2007NAReport.pdf

    Council Standards of Care http://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_Stand

    Annual Data Requests:

    http://www.cdphe.state.co.us/dc/HIVandSTD/cwt/2006NAReport.pdfhttp://www.cdphe.state.co.us/dc/HIVandSTD/cwt/2007NAReport.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_StandardsOfCare_2009.pdfhttp://dhrpc.org/tasks/sites/default/assets/File/PDF's/DHRPC_DataReports_StandardsOfCare_2009.pdfhttp://www.cdphe.state.co.us/dc/HIVandSTD/cwt/2007NAReport.pdfhttp://www.cdphe.state.co.us/dc/HIVandSTD/cwt/2006NAReport.pdf
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    Annual Data Requests:Epi Profiles

    Epidemiological profile of those living with and newlydiagnosed with HIV Limited to Denver metropolitanstatistical area (MSA)

    Epidemiological profile of those persons living with oraffected by HIV served through Denver MSA RyanWhite providers

    Annual Data Requests:

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    Annual Data Requests:Service Utilization

    Service utilization by category

    Funding by category

    Service utilization by targeted populations identified byCouncil or listed in RW RFA

    Annual Data Requests:

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    Annual Data Requests:Targeted Questions

    Patient entry into RW system Patient exit from RW system Demographics of patients lost from RW system Comparison of persons in primary care and not in

    primary care

    Comparisons of absolute numbers and demographics forthose persons utilizing multiple categories ofservices

    S ti

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    Suggestion

    EAC and Council has content expertise to help guide and

    coordinate data, but may not have evaluation nor datamanagement expertise

    Council, DOHR, and workgroups should partner with an entity

    with evaluation and data management expertise (and time) inan ongoingmanner Within DOHR/City or external consultant

    Reasonable deadlines can be proposed

    Significant growth period is needed for an evaluator to understand oursystems and questions well enough to propose meaningful datagathering and review plans

    Consider hiring internal/external consultant now to begin workon 2011 Comprehensive Needs Assessment

    C l i

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    65

    Conclusions

    Many excellent data sources currently exist that shouldinform decision-making (but one has to read them)

    Annual data requests should be made of City and State(beginning now) to allow them to plan for data needs

    Workgroups should guide data collection for emergingissues

    If the Council chooses to continue in a data-drivendecision making process, an evaluation expert wouldbe helpful

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    66

    2009 Priorities Review

    Jessica ForsythPlanning Council Co-Chair

    P i iti P

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    Priorities Process

    Defining what Priorities Means TGA MAI

    Timeline Council Preparation Meeting - July Priorities Retreat - August Implementation March of following Year

    (MAI Recent FY change same as Part A)

    2010 Service Priority Rankings

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    2010 Service Priority Rankings

    1. Outpatient/Ambulatory Health

    Services2. AIDS Drug Assistance Program

    Treatments (ADAP)

    3. AIDS Pharmaceutical Assistance(local)

    4. Oral Health Care

    5. Medical Case Management

    6. Mental Health Services

    7. Substance Abuse Services -Outpatient

    8. Early Intervention Services (EIS)

    9. Housing Services10.

    10.Health Insurance Premium &

    Cost Sharing Assistance11.Emergency Financial

    Assistance

    12.Case Management (non-medical)

    13.Medical Transportation Services

    14.Food Bank/Home DeliveredMeals

    15.Home Health Care

    16.Home & Community basedHealth Services

    17.Substance Abuse Services -Residential

    R d ti

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    69

    Recommendations

    L l F di

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    70

    Level Funding

    R i i t FY 2010 R All ti

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    2010 DHRPC Retreat 71

    Revision to FY 2010 Resource AllocationsOPTION II

    Service Category Rank #$6,591,430

    $ % % - New % New $Core Outpatient/Ambulatory Health Services 1 $2,454,649 37.24% 2.44% 34.80% $2,293,854

    Core AIDS Drugs Assistance Program (ADAP) Treatments 2 $0 0.00% 0.00% 0.00% $0

    Core AIDS Pharmaceutical Assistance (local) 3 $616,958 9.36% 0.61% 8.75% $576,543

    Core Oral Health Care 4 $845,680 12.83% 1.16% 11.67% $769,493

    Core Medical Case Management 5 $744,832 11.30% 0.74% 10.56% $696,041

    Core Mental Health Services 6 $445,581 6.76% 0.61% 6.15% $405,438

    Core Substance Abuse Services - outpatient 7 $458,104 6.95% 0.63% 6.32% $416,834

    Core Early Intervention Services (EIS) 8 $300,000 4.55% 0.00% 4.55% $300,000Support Housing Services 9 $364,506 5.53% 0.50% 5.03% $331,668

    Core Health Insurance Premium & Cost Sharing Assistance 10 $200,000 3.03% 0.00% 3.03% $200,000

    Support Emergency Financial Assistance 11 $201,039 3.05% 0.27% 2.78% $182,927

    Support Case Management (non-Medical) 12 $133,147 2.02% 0.18% 1.84% $121,152

    Support Medical Transportation Services* 13 $90,303 1.37% 0.12% 1.25% $82,167

    Support Food Bank/Home Delivered Meals 14 $137,102 2.08% 0.19% 1.89% $124,750

    Core Home Health Care 15 $64,596 0.98% 0.09% 0.89% $58,777

    Core Home and Community-based Health Services* 16 $34,935 0.53% 0.05% 0.48% $31,787

    Support Substance Abuse Services - residential 17 $0 0.00% 0.00% 0.00% $0

    TOTAL $7,091,430 107.59% 7.59% 100.00% $6,591,430

    CORE 6.32% 87.22% $5,748,766

    SUPPORT 1.27% 12.78% $842,664

    Recommendations/Observations

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    for 2010 Priorities

    Needs Assessment process to drive future decisions,specifically include disenfranchised implement into ourprocess in a meaning and on-going manner

    Formalize Process forDirectives Feedback

    Priorities Process needs to be two days and have aone or two day preparation retreat Presentations to truly assess what is needed from each

    topic. Assess who the best person would be topresent and support the data

    Recommendations/Observations

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    73

    Recommendations/Observationsfor 2010

    Book Should correspond exactly to the presentations

    Agenda Should include all items to be discussed and followed

    Service Categories Should consider including a practice exercise on all HRSA

    listed categories

    Simulated Allocation Day one of the priorities meeting should include a simulated

    allocation, in essence, a practice allocation, complete with

    computer averaging What is meant by community involvement, how to

    ensure its meaningful?

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    2010 DHRPC Retreat 74

    Jessica Forsyth

    Planning Council Co-chair

    Revisiting 2010 Priorities

    Revision to FY 2010 Resource Allocations

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    2010 DHRPC Retreat 75

    Revision to FY 2010 Resource AllocationsOPTION II

    Service Category Rank #$6,591,430

    $ % % - New % New $Core Outpatient/Ambulatory Health Services 1 $2,454,649 37.24% 2.44% 34.80% $2,293,854

    Core AIDS Drugs Assistance Program (ADAP) Treatments 2 $0 0.00% 0.00% 0.00% $0

    Core AIDS Pharmaceutical Assistance (local) 3 $616,958 9.36% 0.61% 8.75% $576,543

    Core Oral Health Care 4 $845,680 12.83% 1.16% 11.67% $769,493

    Core Medical Case Management 5 $744,832 11.30% 0.74% 10.56% $696,041

    Core Mental Health Services 6 $445,581 6.76% 0.61% 6.15% $405,438

    Core Substance Abuse Services - outpatient 7 $458,104 6.95% 0.63% 6.32% $416,834

    Core Early Intervention Services (EIS) 8 $300,000 4.55% 0.00% 4.55% $300,000Support Housing Services 9 $364,506 5.53% 0.50% 5.03% $331,668

    Core Health Insurance Premium & Cost Sharing Assistance 10 $200,000 3.03% 0.00% 3.03% $200,000

    Support Emergency Financial Assistance 11 $201,039 3.05% 0.27% 2.78% $182,927

    Support Case Management (non-Medical) 12 $133,147 2.02% 0.18% 1.84% $121,152

    Support Medical Transportation Services* 13 $90,303 1.37% 0.12% 1.25% $82,167

    Support Food Bank/Home Delivered Meals 14 $137,102 2.08% 0.19% 1.89% $124,750

    Core Home Health Care 15 $64,596 0.98% 0.09% 0.89% $58,777

    Core Home and Community-based Health Services* 16 $34,935 0.53% 0.05% 0.48% $31,787

    Support Substance Abuse Services - residential 17 $0 0.00% 0.00% 0.00% $0

    TOTAL $7,091,430 107.59% 7.59% 100.00% $6,591,430

    CORE 6.32% 87.22% $5,748,766

    SUPPORT 1.27% 12.78% $842,664

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    2010 DHRPC Retreat 76

    Lunch

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    2010 DHRPC Retreat 77

    Break Out Groups

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    Closing Remarks