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TRANSCRIPT
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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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Changes in Ryan White
Legislation
Robin Valdez
Department of EnvironmentalHealth
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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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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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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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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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Technical Assistance
Technical Assistance
Provider SupportPlanning Council
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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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Client Demographics FY 2008
African-
American
19%
Hispanic
15%
White
55%
Other
11%
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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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Numbers Trend
0
500
1000
1500
2000
2500
2005 2006 2007 2008
Age 45 - 64
CDC defined AIDS
HIV Positive
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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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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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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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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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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
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Recommendations
L l F di
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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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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