HRSA SPNS Border Grantees Conference Call

October 7, 2002

Participants: Steve Trujillo, Barbara Estrada, Veronica Salcido-Harding, Michelle Valverde, George LaSoya, John Weibe, David Barney, Herman Curiel, Tim Brittingham, Yolanda Cantu, Yvonne Roacho, Robyn Schulhof, America Jones, Saleem Ahmad, Mari Zuniga, Mike Tarter, Ken Burton, Rosana Scolari, Elias Cantu, Adan Cajina

Dissemination (Tony Estrada) (following is an exert of recommendations from Barbara Estrada)
My task from the last conference call was to write down some topics that would assist grantees in formulating plans for publication so we could discuss at the next call, and thereby get prepared for the meeting in January. I thought about it and drafted some ideas. Interesting, the items I thought folks should be generating in preparation for the calls and meeting looked very much like the "data request and plan form" developed by the P&D committee. So, I would like to suggest that the grantees each begin to fill out a form and submit it to the P&D committee. The committee can have conference calls separate from the regular calls to discuss the forms. The P&D committee can "report back" during the regular calls. The goal would be to have finalized and approved forms to guide the publication work group in January. After all, if there is no "data request and plan forms" in the works, we really do not have much to discuss at the meeting, right? I do not think grantees should see this as overly ambitious, rather the next step in the dissemination plan of the SPNS project as a whole - something I think we have already agreed to. Please let me know what you think. Feel free to send this information (or a version of it) out to the grantees for discussion on the next call in October.

David Barney said that he had received the submission from Tony and that he and Saleem would also be working on a submission. Mari, John and NMX will also be submitted requests. Barbara will be revising her request to be more specific. All requests will be posted to the web once they are received.

Barbara stated that we should explore allowing some time at the January meeting to discuss local dissemination topics. Tim will talk to Betty about the time allotment.

Tim proposed that when topics/requests are posted to the webpage that they be separated into local v. multi-site, with corresponding links.

Project Reports:

Arizona:

Trainings: Dr. Carmichael traveled to Yuma, Sunset Clinics, on September 5th and met with Dr Wang to see patients. Dr. Carmichael also met with Dr. Thomas to deliver contract for his participation in the ABHAC Project. Contract was signed on this date. Dr. Carmichael discussed his role in the project and the terms of the contract. Dr. Thomas will be the HIV specialist for patients enrolled in the project in Yuma through Sunset Clinics. Dr. Carmichael will travel to Yuma on a quarterly bases to discuss patients and review medical charts with Dr. Thomas.

September 19^th Dr. Carmichael provided an AIDS Update to health care providers from Nogales Arizona and Nogales Sonora.

AZ AIDS ETC conducted “HIV, Family and Reproductive Health (session 4) in Yuma with Sunset Clinic and YCHD staff. There were 18 persons in attendance, 12 Sunset Clinic, 3 YCHD and 3 promotoras from Puentes de Amistad. The AETC has scheduled “HIV Testing and Counseling” (session 3) for mid-October for Yuma collaborators.

Carol Galper, Ed.D., was given the responsibility to manage the AZ AIDS ETC. Dr. Galper is with the University of Arizona College of Medicine C.U.P. Program.

Out Reach Activities: Yuma County – Outreach continues to occur by Puentes de Amistad, Yuma County Health Department and Campesinos Sin Frontera. Their target populations are the farmworkers, youth and housewives in the Hispanic communities in Yuma County. September 14^th the collaborators participated in the Mexican Independence Day Parade and provided educational materials and information to HIV Counseling and Testing sites. On September 18^th YCHD and Puentes hosted a house party at the home of one of the promotoras and 14 housewives participated. The host of the house party receives an incentive for offering and inviting other women to her home.

The collaborators will participate in the 8^th Red Ribbon Youth Festival and Red Ribbon Bi-national Parade Festival October 24-26th.

On September 24^th Steve T. met with Dr. Anderson of the Border Health Foundation to discuss the participation of their promotora programs in Cochise and Santa Cruz Counties.

Santa Cruz County – Platicamos Salud continues to target outreach activities to MSMs, IDUs and Latino women. Dr. Grijalva participated on the radio talk show providing educational information on HIV/AIDS and addressing questions listeners. Presentation to 24 clients of Southeast Arizona Behavioral Health Services (SEABHS), outreach to truck stops, the Tattoo Place and motels occurred in the month of September. Beginning on September 17^th Platicamos Salud began offering HIV/AIDS and STD classes every Tuesday from 9-11 a.m. On October 30-31 the Youth Halloween Event and Youth Fair will be planned.

Cochise County – Case manager (Eunice Parks) and Patricia Perry of Cochise County Health Department (CCHD) continue their outreach efforts.

Chiricahua Community Health Center’s Medical Director Dr. Avina and Dr. Carmichael see patients at the clinic. Dr. Carmichael and Project Coordinator will follow up with Drs. Ryan and Avina regarding establishing an HIV clinic at their Douglas site.

Dissemination Activities: SPNS Projects presented at the US-Mexico HIV/AIDS Border Conference September 9-11th.Barbara Estrada and Steve T. presented AZ HIV data, ABHAC Project and findings at the US-Mexico Border Health Commission Conference in Rio Rico, AZ September 26^th.

Medical Charts: 68 scheduled. Some patients died or moved. Including consent for the year 5 study in the enrollment package.

Project Enrollment: Two new enrollments in Cochise County

Local Evaluation: The next scheduled meeting of the ABHAC Project collaborators is scheduled for November 1, 2002.

Announcement: Special Thanks for the assistance of SPNS projects with the US-Mexico HIV/AIDS Border Conference

Camino de Vida:

q PROGRAMMATIC: (Veronica)

o H.O.W. Health Outreach Workers

· Continue doing testing at Community of Hope, Diersen, and Sunland Park.

· HIV + individual that was identified through outreach has been enrolled into care.

· Training with Promotores on September 13, 2002 in Columbus, NM went well 2 Promotores from Compañeros as well as Maria Elena Ramirez Executive Director from Compañeros attended and participated.

· Yvonne, Eduardo, Victoria (Prevention Case Manager), all attended a capacity building training for Promotores in Hatch, NM on September 20, 2002.

o Training of Providers

· Provider dinner on October 2, 2002 sponsored by GlaxoSmithKline was well attended; Dr. Kevin Carmichael did a great job. There were 42 in attendance. Providers were those who are assigned from the CHCs.

· Co-infection training HIV/AIDS Hepatitis B & C is scheduled for October 18, 2002 Dr. Karla Thorton will be our guest speaking for the clinical staff at Camino de Vida Center.

AETC

· Kari Maier met with Lucy Bradley-Springer, Program Director, Mountain Plains AETC; Dr. Elaine Thomas, NMAETC; and Pat Carter, Program Coordinator, NMAETC on September 13, 2002; It went well and they are looking at forming a focus group in the near future.

o Medical Chart Reviews

· Were challenging, Michelle will be reporting

o Dissemination

· La Fe and Camino de Vida will be presenting at the Bi-national Health Council on October 9, 2002. (Bin-national Health Council includes members from Juarez, MX, El Paso, TX, and Las Cruces, NM.

q LOCAL EVALUATION: (Michelle)

Medical Chart Reviews: The Medical Chart reviews are almost completed, 39 have been completed; We still have 3left in Albuquerque and 1 in Tucson, AZ (it will be reviewed when the charts are reviewed in AZ.)

· Many unanticipated issues came up in part due to the fact that CdV is not a medical clinic; also due to the number of sites where clients are seen (17); also due to the fact that some clients are being seen primary care physicians.

· If we could do it differently, we would have met before sending any consultants out and we would have had them travel the first day together.

· All in all, it was a very good learning experience. The consultants have agreed to summarize strengths/weaknesses/highlights for us and then we are going to touch base after they do AZ and CA.

· The team at CdV really pulled together to get the chart reviews done.

Data Entry: We are getting caught up with the Teleform (direct entry), Jennifer F. is helping out.
Data Issues

· Missed opportunity to collect data on recently diagnosed individual; Individual was enrolled into CdV 2 weeks after receiving results; We will work on this in the future.

· Yvonne will be focusing on Time 2s and on new clients that have recently been enrolled into CdV.

· We will also be sending out Module 15: Client Understanding of Disease Management here soon.

q OUTREACH NUMBERS TO DATE: FISCAL YEAR 3: (Michelle)

o # of Tests To Date: 89;

o Rate of Return: 81%;

o # of Contacts To Date: 157

San Ysidro Health Center:

Programmatic

· Progress on the development of the local social marketing campaign

· On Saturday October 5, a local television station (Channel 10) presented an hour-long documentary entitled “The Changing Faces of AIDS”. The focus of the program was to raise awareness of risk for HIV infection in communities of color. Mari & Rosana were interviewed for the program.

· Participated in AIDS Walk. 45 people from SYH raised more than $2,500.

· In November starting new prevention program for positives.

Evaluation

· Chart review: A total of 84 charts are anticipated (w/ consent forms have been signed)

· Discussion of local IRB for medical chart study

DATA COLLECTION: Post SPNS: July 1, 2001 to October 2, 2002

TOTAL HIV+ ENROLLED

1. HIV+ Persons enrolled in SPNS 134

TESTING

2. Persons enrolled through testing 1,612

3. Results available to date:

Positive results reported by clinics 23

Negative results reported by clinics 1,128

Inconclusive reported 2

TOTAL 1,153

OUTREACH CONTACTS (local data) 3,558

Valley AIDS Council:

Elias Cantu, Jr. (SPNS Coordinator) presented at the United States Conference on AIDS (USCA) in Anaheim, California on Thursday, September 19, 2002.

Presentation titled: “From the Heartlands to the Border”.
Presentation was a two panel presentation focusing upon border perspectives and rural perspectives.
Dr. Fernando Garcia (Medical Director) and Elias Cantu, Jr. presented on border perspectives.
Presentation was coordinated by the Health Resources and Services Administration (HRSA) and the moderator was Ruth Roman with HRSA from Rockville, Maryland.

Preparation for the Medical Chart Reviews.

Tim Brittingham (University of Oklahoma) contacted Valley AIDS Council in regards to the Site Codes for the Medical Chart Reviews.

Elias Cantu, Jr. (SPNS Coordinator) reviewed the Site Codes with Janie Delgado (Data Entry) and Carol Ybarra (Case Profiler) and submitted them back to Tim Brittingham, as requested.

Tim Brittingham (University of Oklahoma) contacted Valley AIDS Council via conference call with the Consultants for the Medical Chart Reviews to provide instructions on how to open the materials that were mailed to VAC, prior to implementing the forms.

Elias Cantu, Jr. (SPNS Coordinator) was also present for the Conference call and was available to the Consultants conducting the Medical Chart Reviews.

Elias Cantu, Jr. (SPNS Coordinator) requested VAC Conference Room to be reserved for the Medical Chart Review Consultants.

Monica Balboa (Administrative Assistant) reserved the room according to Annie Mendoza’s schedule.

Elias Cantu, Jr. (SPNS Coordinator) requested from Janie Delgado (Data Entry) to prepare the packets for the Consultants.

Janie Delgado will prepare the packets and also enter the URN numbers on each page of the packet to provide assistance to the Consultants.
Janie Delgado will also provide the charts from the Medical Records Department for the Consultants as needed by the Consultants.

Elias Cantu, Jr. (SPNS Coordinator) sent out the Agenda for the next SPNS Partnership Meeting.

SPNS Partnership meeting will be held on Thursday, October 24, 2002 at the Sheraton Fiesta in South Padre Island from 9:00 AM –12:30 PM.

Elias Cantu, Jr. (SPNS Coordinator) attended workshop conducted by the Center for Health Policy Development, Inc (CHPD) at the Weslaco Public Library on Friday, September 27, 2002.

Workshop: “Developing Culturally and Linguistically Competent Programs” funded by the Office of Minority Health.

Enery Mendoza (SPNS Case Manager) reported on the transfer of patients from the Brownsville Community Health Center (BCHC).

Five patients are transferring back to Valley AIDS Council.
One patient will remain at Brownsville Community Health Center.

Charles R. Smith (Project Director) requested current information concerning the Social Marketing campaign.

Current information was provided by Elias Cantu, Jr. (SPNS Coordinator); Klein Trevino (Education Department); and Andy Villa (Director of Education).
Period: July 8, 2002-September 30, 2002

Activity	Univision 48	KKPS English	KVLY Spanish	Posters	Brochures	Other*
Calls	59	14	16	1	5	33
Referred	54 (92%)	10 (71%)	9 (56%)	1 (100%)	5 (100%)	22 (66%)
Tested	33 (61%)	3 (30%)	4 (44%)	1 (100%)	1 (20%)	5 (23%)
Positive	10 (30%)	0	0	0	0	0
Now In HIV Care	14** (140%) (42% of tested)

*”Other” calls can most likely be tracked to either KVLY or Univision 48. These calls have been from other health care professionals who heard about the project. KVLY is a common radio station listened to at offices and business.
**In Care exceeds positive due to the fact that 4 persons were already positive however not in care until the social marketing campaign.

Elias Cantu, Jr. (SPNS Coordinator) was contacted by Michelle Valverde from Las Cruces, New Mexico in regards to the Social Marketing campaign.

A copy of the Proyecto Juntos Social Marketing campaign’s radio and television commercials were requested by Ms. Valverde.
Las Cruces has hired a Resource Development Director, Cindy Rhodes, who is interested in getting a copy of the television commercial for their Social Marketing endeavor.

Yolanda Cantu (UTHSCSA, Project Evaluator) and Dale Schweers (UTHSCSA, Project Management Information) installed database for the Social Marketing Data Collection Tool data.

Janie Delgado (Data Entry) will enter data into the database for the Social Marketing campaign.

Yolanda has identified clients for qualitative study, begin later this month.
Yolanda developing two new papers.

System intervention
Social marketing campaign analysis

El Paso

3 New Clients Enrolled into clinical services in the month of September.

Chart Review

The 3 nurses reviewed 104 charts on their one week visit at our center. 48 packets will be completed by the La Fe CARE Center staff. The nurses are scheduled to complete the remaining chart review on October 14^th and 15^th.

Trainings/ Presentations

America Jones R.N. conducted an HIV 101 presentation to the University of Texas at El Paso last semester nursing student class. A presentation on La Fe CARE Center services to the HIV/AIDS clients in El Paso was also provided.

La Fe CARE Center clinical quality assurance chart review was conducted, HIVQUAL chart review will be conducted the week of October 7^th.

Evaluation

59 Time II SPNS interviews completed, we are continuing to enroll Time I on all new clients and clients who had not completed time I.

Evaluation Center:

Tim reviewed progress of medical chart reviews.

HRSA Updates:

Robyn stated that Barbara will be departing from the program on Oct. 21 and will be moving into another department as Deputy Director.