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