Texas Department of State Health Services
HIV/STD Prevention and Care Branch
Reporting Coversheet
Name of Agency
Texas Department of Criminal Justice
Reentry and Integration Division
Region
State wide services
Scope of Work
Minority AIDS
Initiative (MAI)
Contract No.
2012-040808-001
Source of Funds
Quarter/Reporting
Period covered
DSHS
Year
Contract Period
Covered
2012/13
April 1, 2012 to March 31, 2013
Prepared by: Name and
phone number
Email reports in MS Word or PDF format to: hivstdreport.tech@dshs.state.tx.us and
Janina.vazquez@dshs.state.tx.us
Contract
Q3 Due
Q4
Q4
Due
Q1
Q1 Due
Q2
Q2 Due
Q3
Jan-Mar
April 20
AprJune
July 20
JulySept
Oct 20
Oct-Dec Jan 20
Apr-Jun
July 20
July –
Sept
October
20
Oct –
Dec
January
20
Jan –
Mar
July 20
July
Aug
Sep
Oct 20
Oct
Nov
Dec
Jan 20
Jan Feb April
Mar
20
Dec-Feb Mar 20
MarMay
June 20
JuneAug
PREVF
PSHIP
Prenatal
RW/SS
April
MAI
May
June
PREVS
SeptNov
Dec 20
HOPWA
Feb-Apr
May 20
MayJuly
Aug 20
AugOct
Nov 20
Feb-Jan
April
20
Sept
20
Feb
20
SECTION 1. PERFORMANCE MEASURES AND DATA
Performance Measures
1. Number of applications submitted to THMP
for HIV-positive minority Offenders
scheduled to be released.
1a. Number of applications completed for
Black or African American.
1b. Number of applications completed for
Hispanic/Latino(a).
1c. Number of applications completed for
non-minorities. Do not include in # 1
above.
2. Number of community provider
appointments scheduled for minority
Offenders for continuity of HIV care.
2a. Number of appointments scheduled for
Black or African American.
2b. Number of appointments scheduled for
Hispanic/Latino(a).
2c. Number of appointments scheduled for
non-minorities. Do not include in # 2
above.
3. Number of HIV-positive minority Offenders
enrolled in THMP. Enrollment must be
confirmed.
3a. Number of Black or African American
enrolled in THMP.
3b. Number of Hispanic/Latino(a) enrolled in
THMP.
3c. Number of non-minorities enrolled in
THMP. Do not include in #3 above.
4. Number of HIV-positive minority Offenders
that attend their post-incarcerated medical
care appointment.
4a. Number of Black or African American
that attended their medical care
appointment.
4b. Number of Hispanic/Latino(a) that
attended their medical care appointment.
4c. Number of non-minorities that attended
their medical care appointment. Do not
include in #4 above.
5. Number of Health Education and Risk
Reduction (HE/RR) units provided to
minority Offenders.
5a. Number of HE/RR units provided to nonminorities. Do not include in #5 above.
This
Quarter
YearToDate
Contractual
Objective
450
450
300
300
1000
%
Achieved
YTD
Discuss the progress in meeting each performance measure for the current quarter and year-to-date. Be brief
and provide detail to paint a picture of what is leading to success or if there are areas that need improvement.
Include stories or anecdotes if appropriate to describe the level of service provided to engage persons into
discharge planning and/or care. Any charts/tables to support this section should be included in Section 3.
Objective 1
Objective 2
Objective 3
Objective 4
Objective 5
Number of parole trainings that have taken place this quarter: ___ and year-to-date: ___
SECTION 2. PROGRAM IMPLEMENTATION
1. List staff changes affecting this program that occurred during this quarter and list any staff vacancies
for this grant in the table below:
Position
# of days
position(s) was
vacant
Estimated savings and plan to use savings
2. Discuss any barriers and successful strategies in implementing program activities.
3. Discuss any plans to improve current systems to increase program efficiency.
4. Describe the evaluation activities such as data quality assurance, management evaluation of program
files, program evaluation towards meeting performance measures, client satisfaction survey, client
focus groups, etc. that occurred during the quarter.
5. List staff training related to this contract that occurred this quarter.
Training
MAI staff that attended
6. Describe technical assistance or training needs for MAI funded staff to successfully meet program
requirements?
7. Describe any financial or grant management concerns.
SECTION 3. INSERT TABLES OR CHARTS TO SUPPORT PROGRAM ACTIVITIES