HRSA SPNS Border Grantees Conference Call

June 24, 2002 @ 10:30 am

Participants: Timothy Brittingham, David Barney, Saleem Ahmad, Betty Duran, Sudhir Vallamkondu, Gregg Friday, Rosana Scolari, Mari Zuniga, Alisa Olshefsky, Steve Trujillo, Ken Burton, Veronica Harding, Michelle Valverde, Yvonne Roacho, Jennifer Felderman, America Jones, John Wiebe, Rosa Vasquez, Elias Cantu, Yolanda Cantu, Adan Cajina, Michael Tarter,

Project Reports:

Arizona Border HIV/AIDS Care Project:

Trainings: Dr. Carmichael was scheduled for clinic at Sunset (6/6) and saw 10 patients with Dr. Wang. Dr. Carmichael conducted an educational consultation with Dr. Wang on patients seen that day.

Dr. Carmichael has continued his conversations with Dr. Thompson (ID) in Yuma about participating in the project. Dr. Thompson would be interested in participating as a referral specialist. Conversations will continue and mechanism for payment will be explored.

Out Reach Activities: Yuma County –Puentes de Amistad, Yuma County Health Department and Campesinos Sin Frontera continue to conduct joint outreach. Gabby Leon (YCHD) conducted the CDC C & T training in Spanish on June 17^th - 19^th to the promotoras.

Santa Cruz County – Platicamos Salud has moved into their new building adjacent to Mariposa Clinic. The clinic case manager who was responsible for their HIV positive patients has moved into a new position within the clinic. Platicamos Salud and the clinic will interview applicants for the case management position. They are trying to recruit a physician from Nogales, Sonora. Outreach and education activities continue to be provided to the clients of Southeastern Arizona Behavioral Health (SEABH), truck stops and motels. The summer youth training program began on June 17^th 30 youth were enrolled in the program. The summer youth program will run through August 1, 2002. National Testing Day activities include community outreach and radio spot. The CDC counseling and testing training (Spanish) for the promotoras has been placed on hold until the new case manager is hired.

Cochise County – Case manager (Eunice Parks) of Cochise County Health Department (CCHD) continues to work with enrolled patients of the project and assists in the transfer of patients care to Chiricahua Community Health Center. Ms. Parks will be attending the collaborators meetings representing CCHD. Sharon Schinstock has resigned her position at CCHD and her last day was 6/19. The Border Health Foundation has scheduled trainings for Compañeros by Nena Garcia and Puentes de Amistad promotoras. Compañeros will assist CCHD in outreach activities upon completion of their training.

Dissemination Activities: Working on the presentations for the grantee meeting and all Titles meeting in Washington.

Project Enrollment: To date the project has enrolled 69 patients.

Local Evaluation: The project collaborators continue to submit data to Impact Consultants. The project is re-administering modules E and G to enrolled patients. Project is in the process of having patients sign the OU consent form for data extraction from medical charts.

Announcement: US-Mexico HIV/AIDS Border Conference September 9-11, 2002 information is available at www.elrio.org.

Camino de Vida:

q PROGRAMMATIC: (Veronica)

· On June 17, 2002 a meeting with Ben Archer Health Center’s (CHC) key staff was held to discuss the collaboration with their promotora project to conduct outreach as well as the trainings for FY3.

· Promotores staffs were involved in a braining storming exercise as part of CdV’s strategic planning process. Although the majority of their time is spent out of the office I was impressed by the contributions made.

· On June 22, 2002 CdV participated on the Las Cruces Gay Pride Picnic.

Trainings

· On June 19, 2002 Dr. Steve Jenison, Infectious Disease Physician from the New Mexico Department of Health presented at La Clinica de Familia (CHC) there was a total of 17 providers present which included Physicians, Mid-level practitioners. Patricia Carter, Program Manager for the New Mexico AIDS Education and Training Center was present and provided training materials as well as CME’s and CEU’s.

· A Tentative training on Co-Infections (HIV/AIDS/Hepatitis) has been scheduled for August 9, 2002 for CdV clinical staff. Dr. Karla Thorton from University of New Mexico Hospital will be presenting.

Other

· Attended a planning meeting in El Paso, Texas to discuss the Candle Light Vigil Dos Naciones, Un Corazon scheduled for August 25, 2002 at the Santa Fe Bridge.

· USMBHA & Farmworkers Justice Fund are planning a Promotores Forum to be held in Las Cruces, NM. We will be part of the planning committee.

q LOCAL EVALUATION: (Michelle)

· Jennifer Felderman, our Graduate Research and Evaluation Assistant, started last week. We are excited to have her on board; she will be doing a little bit of everything.

· The first provider training with La Clinica de Familia occurred on June 19^th. Although it was a smaller group than previous similar trainings with Ben Archer Health Center, the proportion of physicians was higher and the session lasted 2 hours as opposed to 1 hour.

· In assisting the CdV Strategic Planning Facilitator, I summarized the data collected from the annual client survey into a 2-page report (return rate of 40% and 28% of the surveys were completed in Spanish).

q DATA COLLECTION: (Michelle)

OUTREACH:

o Total # of HIV Tests Completed: FY2 = 164 (Goal: 150)

o Individual Outreach: (Includes data from both Outreach Contact Modules 3 & 6)

Numbers for FY2: = 343

o Group Outreach:

Numbers for FY2: = 148

Total Number of Contacts: = 491 (Goal: 500)

IN-HOUSE:

o CdV Clients: 69 interviews completed (Goal: 80)

Centro de Salud Familiar La Fe:

Testing

Month Year	Pre Test Counseling	Post Test Counseling	Result Negative	Result Positive	Enrolled @ LFCC
June 2002	22	17	20	2	0

Trainings/Conferences:

June 5 & 19^th, 2002

Dr. Armando Meza provided class for Nadine Thomson FNP, America Jones RN, Rosa Vasquez RN, and Cristina Ramirez RN in preparation for the ANAC ACRN exam.

June 11-14^th, 2002

Prevention counseling and partner elicitation (PCPE) training provided by TDH to Cristina Ramirez RN, America Jones RN, Veronica Magdaleno AHP, and Gloria Hinojosa, case manager.

June 18, 2002

Lecture/dinner sponsored by GlaxoSmithKline on Twinrix Hepatitis A Inactivated & Hepatitis B (Recombinant) Vaccine presented to the RN’s at La Fe Care and other agencies.

June 19, 2002

Lecture/diner sponsored by Abbott Pharmaceutical speaker Larry Wolf on medication treatment for HIV presented to the RN’s, case managers, and other agencies.

SPNS Enrollment

The CARE Teams continue with recruitment efforts to enroll the remaining clients into SPNS evaluation 10 completed for month of June.

Evaluation

        *  Data collection continues to progress.  We are getting ready

to begin our second wave of data collection in July.

        *  Virginia Longoria met with Dr. Meza (physician), Rosa

(nurse) and Tony (peer advocate) to begin development of the new local

bilingual treatment knowledge measure.

        *  Ernesto Marin, an undergraduate student, has been working on

the project temporarily, in order to allow Chris Johnson to do some data

entry and cleaning for our July presentation.  We should have quite a few

data clarifications in soon for Tim.

San Ysidro Health Center:

Programmatic/Dissemination

· HIV Planning Council Presentation – June 26, 2002

· Contract renewals

Evaluation

· Development of two new instruments. 1) Client KAB will measure knowledge of HIV related medical and social services. 2) Treatment Education Instrument will measure treatment related activities (e.g. adherence, side effects, client support, t cell, viral load) at each visit with treatment educator.

· Abstract on SYHC focus groups was accepted to USCA in September as roundtable discussion. Mari, Rosana and Alisa will attend. (Roundtable is Saturday September 21, 4:00 to 6:00 PM) Abstract is on OU website for review.

Multi-site Data as of 7/1/01- 6/20/02

1) Number of HIV + persons enrolled : 97

2) Number of persons enrolled through HIV testing: 1088

3) Number of results through HIV testing-

HIV positive- 16

HIV negative- 715

Inconclusive- 0

Total- 731

4) Number of outreach contacts (estimate):

1446 in database + 1500 yet to enter

Approximate total = 2946

Alisa advised they had also updated their web page

Valley AIDS Council

• SPNS Case Manager (Randy Alligood) in McAllen, Texas gets e-mail installed on Monday, June 3^rd resulting in increased communication between SPNS Coordinator (Elias Cantu, Jr.) and Case Manager (Randy).
• This system also increases communication between Case Manager and Nuestra Clinica Del Valle’s SPNS Physician (Dr. D’Lima) and SPNS Nurse (Belinda Zamora).
• Randy Alligood (Case Manager) reported on a SPNS patient from Nuestra Clinica Del Valle (NCDV) that Paul Topete from the Texas Department of Health has been following up on in regards to testing positive for an STD as a result of a Partner Elicitation report.
• SPNS Data Entry (Janie Delgado) continues to send updates and corrections on data submitted to Local Data Evaluator (Dale Schweers).
• As mentioned in the last report, SPNS Data Entry (Janie) also keeps SPNS Coordinator informed on the data submitted to Dale Schweers by sending “Cc” on all e-mail correspondence between VAC and UTHSCSA.
• SPSN Data Entry (Janie Delgado) continues to send updates and corrections on data to the University of Oklahoma (Tim Brittingham).
• SPNS Data Entry (Janie Delgado) has questions concerning the data submitted by United Medical Center (UMC) from Eagle Pass on May 17, 2002.
• Gustavo De la Cerda (UMC) communicates to Elias Cantu, Jr. that an attempt was made to contact Janie Delgado but there was a problem with VAC’s 1-800 number; therefore, Gustavo was not successful in contacting Janie.
• UTHSCSA (Yolanda Cantu) requests copy of OU Site Visit notes on June 5, 2002.
• SPNS Coordinator forwards message to University of Oklahoma to forward a copy of the OU Site Visit notes to UTHSCSA.
• OU will forward a copy of the Site Visit to Yolanda as soon as they return from training in San Diego.
• UTHSCSA (Yolanda Cantu) plans to travel to VAC in June 2002 to conduct the Evaluation Meeting that was canceled on May 17, 2002 as a result of a flight delay due to bad weather (thunderstorm).
• Message received from Yolanda Cantu on June 5, 2002 via e-mail along with a request to discuss this planned visit further by telephone communication.
• Sandi Duggan (Local Evaluation Coordinator) will not be with UTHSCSA after June 2002 as she prepares to transfer to HRSA in Maryland.
• SPNS Coordinator receives e-mail message from University of Oklahoma on June 6, 2002 in regards to Consent Form for Medical Chart Reviews.
• The Consent Form is available in electronic form on the OU web page.
• Original hard copy will follow by mail, which VAC may duplicate and forward to SPNS Partner CHC’s to obtain signatures from clients prior to beginning reviews.
• SPNS Coordinator submits text to Univision for the brochures that will be part of the Social Marketing campaign.
• The draft version of the text for the brochures is submitted on June 6, 2002 as a result of Univision not having any brochures created due to the Univision representative (Lisa Salazar) no longer with the company.
• The new Univision representative will be Fabi Castaneda working alongside Jose Soto in collaboration with VAC for the Social Marketing campaign.
• The draft version will be reviewed and approved by Mr. Charles Smith, Mr. Alex Westbrook, and Mrs. Lydia (Libby) Benavides.
• Fabi Castaneda from Univision meets with Mr. Smith and Elias Cantu, Jr. on June 6, 2002 to review the radio scripts for the Social Marketing campaign.
• Mr. Smith requested meeting between VAC and Univision to discuss the status of the Social Marketing campaign. (Radio, Television, Brochures, and Posters).
• Univision representative met with Mr. Smith and Elias Cantu, Jr. on June 10, 2002.
• In attendance: Willie Rosales (Manager); Oscar (Printing); Jose Soto (Television); and Fabi Castaneda (Radio).
• Willie Rosales (Manager) requests purchase order voucher from Mr. Smith for the Social Marketing campaign.
• As a result of Univision having neither the brochures nor posters ready, Mr. Smith requested a contract from Willie Rosales (Manager) prior to providing a purchase order voucher.
• The contract must include descriptives such as:
• Quantity of brochures and posters along with deadline dates.
• Number of Radio spots and Television spots along with deadline dates.
• The relationship with Univision representatives has not been smooth due to the fact that they are not communicating amongst themselves. Furthermore, each department blames the other department for not having the finished product. (Brochure text, Radio/ Television scripts).
• Overall, the transition with the new representative (Fabi Castaneda) has been the most positive to date. She already has the radio scripts prepared and is making it her priority to ensure that each department follows through with the promised product and deadlines.
• SPNS Coordinator makes last minute changes to the Data Collection tool that will be used for the Social Marketing campaign.
• Mr. Alex Westbrook created the original Data Collection tool.
• Mr. Westbrook and Mr. Smith make suggestions to make changes to the data collection tool.
• A revised version is requested from SPNS Coordinator.
• The revised version is approved by SPNS Staff at VAC.
• Suggestions are made by Andy Villa (Director of Education / Outreach) in regards to Data Collection tool since his staff will be collecting the data.
• SPNS Coordinator contacted United Medical Center (Connie Villareal) requesting information concerning HIV Counseling / Testing hours provided at UMC.
• This information is requested from UMC in preparation for the Social Marketing campaign because UMC will be listed as a partner and HIV Counseling and Testing site.
• SPNS Coordinator sent out reminder on June 19, 2002 to SPNS Partners in regards to the next scheduled SPNS Partnership Meeting on July 19, 2002.
• This reminder meets the 30-day advance notice requested by SPNS Partners.
• At the request of United Medical Center from Eagle Pass, the next SPNS Partnership meeting will be held at the VAC office in McAllen, Texas.
• This request was made as a result of UMC carpooling together with SPNS Physician (Dr. Barboza-Sosa) who also participates in the AETC Physician Precepting at Nuestra Clinica Del Valle in Pharr, Texas.
• Received notice from Monica Balboa (AETC Coordinator) that Dr. Gary Sinclair will not be able to participate in the AETC Physician Precepting in July 2002.

PROJECT DATA COLLECTION ACTIVITIES

· Project data collection activities continue at a steady pace. As of June 17, 2002, there are 2135 unduplicated records in the Local Database.

· As of June 20, 2002 a total of 449 forms have been entered in the multi site database:

122 Demographic A Project Implementation Date: 030101

113 Lifestyle B Project Implementation Date: 030101

119 Risk Factor D Project Implementation Date: 070101

19 Quality of Life E Project Implementation Date: 070101

53 Barriers to Care F Project Implementation Date: 110101

23 Client Satisfaction G Project Implementation Date: 070101

· Evaluator and project staff plans to assess processes for collection of both local and national data at the next evaluator site visit.

CHANGES IN EVALUATION STAFF

· Sandi Duggan left the Evaluation Coordinator position effective June 14, 2002 to join HRSA as a SPNS Project Officer.

· George Losoya will assume interim coordination responsibilities beginning in late July.

LOCAL EVALUATION SYSTEM LEVEL INTERVENTION ACTIVITIES

· With the loss of the Brownsville Community Health Center, the system level intervention model will be revisited at the evaluator’s next site visit.

· Evaluation of the social marketing intervention will begin on July 8, 2002.

CRITICAL INCIDENTS

Neutral – None to report at this time.

OTHER EVALUATION ACTIVITIES

· Planning for late Summer and Fall activities continues.

Centro de Evaluación Report:

1. Consent Form – Medical Chart Reviews has been posted on web page. Dr. Barney projects to begin obtaining client signatures on consent form. Medical chart reviews will be implemented in September 2002.

2. The Centro de Evaluación staff marched in the gay pride parade on Sunday, June 23, 2002 in Oklahoma City. Dr. Curiel and Gregg Fryday carried the banner, Dr. Barney and Betty drove the jeep with the flag and University logos.

3. Project sites were asked to submit their power point presentations to OU by June 21^st. so that they could be downloaded on the lap top computer. Projects were also advised to bring a back-up copy on floppy disk to the grantees meeting.

4. Projects were asked if they were encountering any problems with confirming reservations at the Doubletree Hotel. No one seemed to have any difficulties. Grantees were advised that OU will provide a continental breakfast at the SPNS Grantees’ Meeting on July 25 & 26, 2002. Transportation to the Parklawn may be obtained at the Metro station which is about one block from the Doubletree Hotel. Cost for the bus from Metro to the Parklawn Building is 25 cents each way and runs every five minutes. Walking distance to the Parklawn is about 6-8 blocks.

HRSA Updates: Adan asked projects if they had any additional questions or concerns about the registration costs for the Ryan White All Titles meeting. There were no questions or concerns raised.

Adan advised that notice of awards should be out to grantees by the end of this week. Betty advised that if the actual award notice is not sent out by Thursday, June 28^th, that OU will require a letter from HRSA advising that OU’s application has been reviewed and the award will be issued within the next week. Adan advised he will check on the status of the award notice and if it is determined it will not be sent out before the end of this week, Adan will fax a memo to OU.