Attachment 4 12-Month BUDGET PROPOSAL Statistical Consultant to NYS Quality Review Program for Analytical Research and Development (Bidders: provide your hourly rate and total dollar amounts in the shaded areas at end of each section; then total the amount requested for the described work and deliverables.) Category of Service HIV Quality of Care Data: Design, Collection, Organization, Analysis, Reporting Description of Activities 1. Evaluate and revise sampling methodology, including precision estimates for each facility. 2. Produce analyses and reports from ongoing quality initiatives: e.g. statistical models of quality indicators and their predictors as in logistics regression. 3. Develop longitudinal Bayesian statistical model; perform analysis of and report on longitudinal performance of sites. Prepare and revise this data for performance plan reports and strategic planning. 4. Develop and conduct data validation studies. Analyze and produce reports of results. 5. Analyze inter-rater reliability. Generate reports by log linear models and make recommendations. 6. Refinement and Reduction of key indicators: analysis of quality of care (QOC) indicators. 7. Correlate frequency of visits with each potential indicator using statistical models, e.g. logistics regression for QOC and HIVQUAL data. As an example, describe how the frequency of HIV medical visits correlate or predict key indicators based on the most current QOC review data. 8. Conduct data analyses for specialized quality initiatives; consult on development of tool for data collection. 9. Develop tables, charts, presentation graphics and written analyses for grants, proposals, reports, presentations and publications. 10. Collaborate and consult with AIDS Institute staff to use existing data to support studies, papers, grants and proposals, reports and presentations. 11. Develop models incorporating HIVQUAL and past and present review results for facility scores on key quality indicators; develop probability intervals with likelihood of “yes” on report card scores; 12. Evaluate quantitative and qualitative agreement between facilities’ eHIVQUAL reports and independent review agent reviews. The AI would make available to the consultant the scores from reviews done by the designated review agent as needed for individual projects. 13. Analyze agreement between HIVQUAL and an independent reviewer; assuming latent scores measured by both the independent reviewer and HIV care providers through the eHIVQUAL database, ad hoc models, finite mixture models, latent class models, Bayesian models. 14. Statistical models using eHIVQUAL, independent reviewer, ADAP and other data sources to answer questions having to do with Projected Hours Unit Cost Bid (Hourly) Billable Amount (Projected hours multiplied by unit cost) differences among gender, race, risk and age categories, as well as longitudinal changes in scores and their relationship to other predictors. 15. Invoke models to adjust HIVQUAL scores for disagreement with independent reviewer, generalized linear mixed models, Bayesian models. 16. Analysis of categories of response to therapy using predictors and covariates, e.g. race, risk, adherence, substance use and other indicators. 17. Analysis of access to therapy. 18. Modeling of NYS eHIVQUAL data using logistics regression, mixed models, Bayesian analysis. 19. Studies of patients with small number of visits. 20. Analysis of impact of legislative changes. 21. Assess proposed projects and identify data needs as assigned. 22. Work with sources (State, other contractors) to collect, sort, organize and transfer or arrange for delivery of required data for projects designated for analysis in other parts of existing work plan. 23. Collaborate with data sources and State to develop and provide new databases as needed for projects. Estimated Hours for Category of Activities HIV Special Needs Plans (HIV SNPs) Quality Activities 1. Consult and provide input on appropriate sampling methodology to ensure ability to obtain confidence intervals and make valid statistical inferences. 2. Develop statistical methodology and design for evaluation and studies related to HIV SNPs as needed. 3. Compare SNP providers to other providers and SNPs to other payers with respect to viral load suppression. Estimated Hours for Category of Activities Validation of AIDS Institute Populations 1. Validation of AIDS Institute populations from available databases: vetting of logic for identification of HCV, STI and AIDS populations in AI data; comparison of counts and characteristics of populations identified in available databases and “broad screen” files. 2. Development of standard reports for AIDS Institute populations in available databases: develop standard report logic, content and layout for AI data report generation. Reports will include distributions of counts and dollars by category of service and other variables for calendar, state and federal fiscal years. 3. Manage legacy AI data, including broad screen and 5 & 7 tier rate codes; ensure appropriate removal and destruction of legacy data from all data systems. 4. Conduct analysis of AI data as requested 1020 120 2 Estimated Hours for Category of Activities Additional expectations 1. Attend meetings with AI staff and others, such as the quarterly HIV Quality of Care Advisory Committee, when relevant subject matter is on the agenda 2. Provide technical assistance related to data analysis, including providing training for AI staff. Estimated Hours for Category of Activities TOTAL HOURS AND AMOUNT REQUESTED FOR PROJECT (Sum of category billable amounts = amount requested for contract) 150 110 1400 3