Texas Medical Monitoring Project Texas Medical Monitoring Project

Community and Medical Care Providers Community and Medical Care Providers Involvement in MMPInvolvement in MMP

Sylvia Odem, MPHMMP Project CoordinatorDepartment of State Health ServicesHIV/STD Epidemiology and Surveillance Branch

Current TX-MMP Staff:Current TX-MMP Staff:

Mark Heinzke, Data Manager Sharon K. Melville, Principal Investigator Sylvia Odem, Project Coordinator Jim Phillips, Data Collector Tammy Sajak, Co-Principal Investigator Jose Velez, Data Collector

Mark Heinzke, Data Manager Sharon K. Melville, Principal Investigator Sylvia Odem, Project Coordinator Jim Phillips, Data Collector Tammy Sajak, Co-Principal Investigator Jose Velez, Data Collector

MMP GoalsMMP Goals

Determine access to care and use of prevention and support services

Provide local and national estimates for the population in care for HIV

Examine variations of factors by geographic area and patient characteristics (e.g. risk behaviors, quality of care etc.)

Determine access to care and use of prevention and support services

Provide local and national estimates for the population in care for HIV

Examine variations of factors by geographic area and patient characteristics (e.g. risk behaviors, quality of care etc.)

MMP SuccessMMP Success

MMP

COMMUNITYPROVIDERS

Dependent on community and health care providers awareness and acceptance of the project

and its potential benefits

Nationally representative estimates

Nationally representative estimates

If 100% of states/cities, if only 75% of facilities, and if only 75% of patients sampled participate = 56% overall response rate

Not good enough, the validity of our population estimates from MMP would be questioned

We need an overall response rate of 75% (~ 40 of 47 facilities and ~ 340 of 400 patients)

If 100% of states/cities, if only 75% of facilities, and if only 75% of patients sampled participate = 56% overall response rate

Not good enough, the validity of our population estimates from MMP would be questioned

We need an overall response rate of 75% (~ 40 of 47 facilities and ~ 340 of 400 patients)

2005 Pilot Year –– Texas Success

2005 Pilot Year –– Texas Success

78% Facility ParticipationGoal = 27 facilities recruited21 facilities participated

56% Patient ParticipationGoal = 150 interviews and chart

abstractions84 completed interviews 85 completed chart abstractions

44% Overall Response Rate

78% Facility ParticipationGoal = 27 facilities recruited21 facilities participated

56% Patient ParticipationGoal = 150 interviews and chart

abstractions84 completed interviews 85 completed chart abstractions

44% Overall Response Rate

2007 Full Project Year – Texas Success

2007 Full Project Year – Texas Success

60% Facility Participation to-dateGoal = 47 facilities to say yes 28 facilities have agreed 5 ineligible9 refusals (8 tentative) 5 still trying/not responding

Patient Recruitment - begins mid-yearGoal = 400 interviews and chart

abstractions

60% Facility Participation to-dateGoal = 47 facilities to say yes 28 facilities have agreed 5 ineligible9 refusals (8 tentative) 5 still trying/not responding

Patient Recruitment - begins mid-yearGoal = 400 interviews and chart

abstractions

MMP Success = CAB & PABMMP Success = CAB & PAB

CAB – Community Advisory Board created

PAB – Provider Advisory Board created

The CAB and PAB provide input to the MMP many aspects of the project.

CAB – Community Advisory Board created

PAB – Provider Advisory Board created

The CAB and PAB provide input to the MMP many aspects of the project.

TX CAB & PAB FormationTX CAB & PAB Formation

A Texas Community 6 CAB Members

1- West Texas 1- Central Texas 4- North Texas

2- PAB Members North Texas South Texas

A Texas Community 6 CAB Members

1- West Texas 1- Central Texas 4- North Texas

2- PAB Members North Texas South Texas

TX CAB member introductions TX CAB member introductions

San Antonio community advisor: Kay Price,

Dallas community advisor: Elias Cantu,

Dallas lead provider advisor: Laura Armas, MD, Clinical Director

TX/OK AETC Valley provider advisor: Fernando

Garcia, MD,

San Antonio community advisor: Kay Price,

Dallas community advisor: Elias Cantu,

Dallas lead provider advisor: Laura Armas, MD, Clinical Director

TX/OK AETC Valley provider advisor: Fernando

Garcia, MD,