HRSA SPNS All Projects Conference Call

 

April 16, 2001 @ 10:30 am

 

 

 

Participants: 

Herman, David, Saleem, Sudhir, Betty, Barbara (HRSA), Robyn, Ledia, Rosana, Mari, Alisa, Steve, Barbara (AZ), Kari, Jennifer, Chris, Marisa, Yolanda, Sandi, Tony, Michael, Joao, Kurt

 

1. Project reports on implementation

a.  Arizona Border HIV/AIDS Care: 

*  Continuing to enroll SIA patients – enrolled 3 new SIA patients last week

*  Distributing incentive vouchers to patients already enrolled

*  Collaborator meeting scheduled for 5/4

*  Local data collection being submitted (outreach, physician consultation & training and health indicators)

*  Presentation to the Southern Arizona Ryan White Care Consortium

*  Invited to present at the Annual Arizona Rural Health Conference

July 23-25 in Prescott, AZ

     *  Barbara will finish acculturation instructions for code book

 

b.  Centro de Salud Familiar La Fe

 

*Vacant position of RN V (Care Manager) has been filled; new employee should start     at end of month.  She will be fourth Health Department employee to become member of SPNS team.  All are bilingual.

*La Fe has notified Project Officer of desire to convert open Registered Dietitian position to that of a registered nurse; staffing change was viewed as satisfactory in view of difficulty in recruiting RD.  With this personnel action 3.0 FTEs will be on SPNS grant.

*A contract HIV Prevention Specialist has been hired; she is a transgendered person who is a licensed chemical dependency counselor (LCDC) with several years of experience in HIV outreach projects.

*La Fe has signed an interagency agreement with West Texas Council to provide nursing support for health screening efforts among migrants in the rural counties surrounding El Paso; on a monthly basis La Fe will support WTC for outreach in RV equipped for this purpose.

*The intake form for project participants continues to be under revision.  Yolanda Cantu of UTHSCSA has agreed to share their form with La Fe when it is ready.

*Texas Tech University Health Sciences Center Department of Internal Medicine has expressed a strong interest in capacity building relative to concept of disease management with nurse-based model.  Project change to exclude them from SPNS grant not accepted well.  Mutual training and technical assistance opportunities have been explored to date.

*Back translation on the final instruments for the local evaluation

*Assembling documentation for interviewers

     *Preparing for interviewer training on April 25th (hope to be ready to go

       as soon as Spanish measures are available online)

     *decided to do all data collection initially on paper.  Wiebe’s staff will do local

       data entry and cleaning, burn an electronic copy of the data onto a CD, and

       then send the multi-site hard copy to OU.

     *Plan to have the patient tracking software package (Factors)

       assign URNs so that there is a constant standard.

 

c.  Camino De Vida Center for HIV

     * 44 HIV test administered – 29 Orasure results rec. from State Health

     *Working on outreach to gay men

*Adopting two modules from TMG – looking at homelessness – adapting social cohesion module 

*Received first positive test result from State Health today – Hispanic homeless woman

 

d.  San Ysidro Health Center

*Challenge – Promotoras reported uncomfortable with asking risk factor questions when conducting outreach.  Promotoras perception was that clients would not be willing to disclose information.  Rosana and Mari worked with Promotoras to explain importance of data and alter their perception.  They are planning to go ahead to ask the necessary questions that are required for data collection.

*Asking partners to collect information from all persons coming into project to seek testing.

*Asking case managers to enroll existing clients into SPNS project during 3-month baseline period.

*Nine client modules have been completed which will be submitted to David after quality control review, as well as 29 items for local evaluation.

 

e.  Valley AIDS Council

*Training for doctors completed last week – completed case studies, discussed drug therapies, and worked with four clients (Dr. Sinclair has completed 3 visits to Valley). 

    *Artificial caps of 2 cases per month currently in effect but plan to open enrollment    soon

    *Dealing with attitudes and fears will be included in training module

    *Developed baseline for qualitative interviews with providers

    *Working on local data modules

    *Developed standardized electronic consultation form for doctors for complete

     * New clients are five in Brownsville, 3 at La Clinica, and 3-5 at Eagle Pass

 

2. Multi-site evaluation issues - David Barney

a.Barriers Module

In process of drafting Barriers Module which will then be sent to all sites for review and feedback.  Used TMG module and information from focus groups conducted in San Ysidro.

b.  Spanish Translations

modules will put into Spanish text within the next week.  Need to develop a module for AETC training.  Mari will submit what they have developed for their AETC evaluation.  Yolanda advised that Columbia is evaluator for AETC on a National level, suggested David contact him for information that could be used for local AETC evaluation of training. 

 

GIS Mapping – David would like to use GIS to conduct analysis of AIDS trends within the border states and Mexico.  We have AIDS data on the four project states and Mexico AIDS cases.  Yolanda will share her ideas on what she has done in Texas.

 

Social Support & Change Module – David plans to develop these modules for consideration by local sites for local evaluation.

 

Bulletin Board – Sudhir has developed a bulletin board which is available on web site.  Asked sites to please look at it and advise if it is useful for posting information.  Projects will provide feedback on what type of information can be shared on bulletin board. 

 

c.Scheduling site visits for May and June

David will contact all agencies this week to arrange schedules.

 

3.Dissemination

a.  Presentation at USBHA – Las Cruces – Herman reminded all projects to please submit their registration for this conference.  Projects can pay for registration fees, but not membership fees.  Wayne will be lead author for HRSA at this conference.  Barbara (HRSA) will be lead HRSA author at APHA conference.

 

4. HRSA Issues

Barbara new RFA for outreach has been issued and the applications are due June 4th – Bureau of Primary Health Care has asked for a brief report on status of projects.  Looking at number of clients being served.  Pleased with collaboration between grantees and community health centers.   

 

5. Other

a.  Betty – reminder about lodging in DC – Post on web page – Encouraged projects to make hotel registration as soon as possible.  Also asked sites to submit topics for discussion at August conference.

 

b.  pilot of Spanish modules – proposed to conduct a pilot at project sites before full implementation – Herman and Betty will work with projects on this issue. 

 

 

Next conference call April 30th at 10:30 am