HRSA SPNS Grantees Conference Call

June 3, 2002 @ 10:30 am

Participants: Barbara Estrada, Steve Trujillo, Veronica Harding, Michelle Valverde, Yvone Roache, Kari Maier, Mari Zuniga, Rosana Scolari, Alisa Olshefsky, Sandi Duggan, Elias Cantu, America Jones, Christopher Johnson, Mike Tarter, Robyn Schulhof, Betty Duran, David Barney, Saleem Ahmad, Gregg Friday., Sudhir Vallamkondu, Tim Brittingham

Project Reports:

Arizona Border HIV/AIDS Care:

Trainings: Dr. Carmichael conducted an in service (5/22) at Yuma Regional Hospital on “AIDS 101” to 20 physicians. The following day (5/23) Dr. Carmichael saw 6 patients with Dr. Wang at Sunset Clinic. Dr. Carmichael is scheduled to return to Sunset Clinic June 6^th.

The AETC (Pam Duffy) trained the nursing and office staff at Sunset Clinic on The Natural History of HIV Infection (topic 2) of the core curriculum.

Out Reach Activities: Yuma County –Puentes de Amistad and the Yuma County Health Department joined the Yuma AIDS Network (YAN). YAN recently participated in the community planning process facilitated by the Southern Arizona HIV Prevention Planning Group (SAHPPG) the group will review community referral system, resources and service gaps in through the end of 2002. Yuma County Health Department (YCHD) staff Gabby Leon conducted the CDC Counseling and Testing training (5/28, 5/29, & 5/30 English) to the promotoras of Puentes de Amistad and Campesinos Sin Frontera. YCHD, Gabby Leon will conduct the CDC C & T training in Spanish on June 17^th - 19^th to the promotoras. Outreach activities continue in Ajo by YCHD. YCHD tested 57 individuals in the month of May.

Santa Cruz County – Platicamos Salud has moved to the new building built adjacent to Mariposa Clinic. The promotoras continue outreach and education to the clients of Southeastern Arizona Behavioral Health (SEABH). Outreach to the truck stops and motels continue to occur. Mariposa Clinic/Platicamos Salud has scheduled a summer youth training program that will run from June 17^th through August 1^st part of the program will include the Red Cross HIV Starter Facts. Youth completing the summer program will be used as peer health educators in the schools. The promotoras attended the “Cara y Cara” training at SAAF. CDC counseling and testing training (Spanish) for the promotoras will be scheduled once the staff is settled in the new building.

Cochise County – The case manager (Eunice Parks) for Cochise County Health Department (CCHD) continues to enroll patients for the project and assists in the transfer of patients care to Chiricahua Community Health Center or to physicians in the community. Outreach activities continue at the CCHD sites. The Border Health Foundation is restarting their promotoras program Compañeros in Cochise County who will assist in outreach activities.

Worked on the continuation application for year three.

Dissemination Activities: None

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

Local Evaluation: The project collaborators continue to submit data to Impact Consultants. The project collaborators were reminded to re-administer module E within 60-90 days of enrollment. Module G should be administered annually and forwarded to Impact Consultants. Modules E and G are being administered to the patient enrolled in the project seen at the SIA clinic.

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

Camino de Vida Center for HIV Services:

q PROGRAMMATIC: (Veronica)

o Partners meetings Contracts

o Planning stages of collaborating with Ben Archer Health Center’s Promotores project to conduct outreach during the chile season in Hatch, NM

o Meeting with new Program Manager with the NMAETC on May 20^th

o Providers training LCDF on June 19, 2002

o Working on trainings for next FY

o Strategic planning and Continuous Quality Improvement

o Restructure our intake process for new enrollees Outreach safety

o Veronica completed the second part of the Promotores Training Assessment - From the results of the assessments we are looking to providing some training on some improvements on identifying safer goal behaviors

q LOCAL EVALUATION: (Michelle)

o Finished the continuation proposal - it was a difficult but valuable process to complete given the many changes that occurred during fiscal year 2

o We are making the final preparations to bring the Graduate Research Assistant on board - hopefully we will be giving her an orientation next week

o Michelle entered data from 40 of the annual CdV client satisfaction surveys - provided preliminary findings to CdV's strategic planning facilitator - will produce basic charts for them in June

o We received valuable input from the Case Managers on local module 15 - I will make the changes, run it by them again, and then talk to the IRB Chair about the changes before sending it out

o Yvonne worked with the Case Managers to get the information needed to correct the underreporting that occurred with V126

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: = 298

o Group Outreach:

Numbers for FY2: = 125

Total Number of Contacts: = 423 (Goal: 500)

IN-HOUSE:

o CdV Clients: 65 interviews completed; 4 interviews pending (Goal: 80)

Centro de Salud Familiar La Fe:

Testing

Month Year	Pre Test Counseling	Post Test Counseling	Result Negative	Result Positive	Enrolled @ LFCC
May 2002	32	32	29	3	2

Trainings/Conferences:

May 15, 22, & 29, 2002

Dr. Armando Meza provided a lecture for Nadine Thomson FNP, America Jones RN, Rosa Vasquez RN, and Cristina Ramirez RN on opportunistic infections, signs/symptoms, and treatment, in preparation for the ANAC ACRN exam.

May 17, 2002

Faith Lucas from Hospice of El Paso provided an in-service on advanced directives for the NP, 3 RNs, and 3 caseworkers.

SPNS Enrollment

The CARE Teams scheduled 53 clients in the month of May, to complete the SPNS enrollment questionnaire and 25 completed.

Sandi advised that Brownsville Health Center Board has requested renegotiation of the SPNS contract with Valley AIDS Council. No final decision has been made by Valley AIDS Council.

San Ysidro Health Center:

Programmatic/Dissemination

· Social Marketing Campaign – update

· Binational Resource Guide – update

· Latino Health Issues along the Border – Enlace article, San Diego Union Tribune May 23, 2002

Evaluation

· Clinicas de Salud del Pueblo update on local data collection challenges, currently do not have field tester.

· Participant survey to gage Knowledge about HIV services drafted. Draft will be presented to partners at next local meeting. Pilot test planned in July 2002.

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

1) Number of HIV + persons enrolled : 85

2) Number of persons enrolled through HIV testing: 982

3) Number of results through HIV testing-

HIV positive- 16

HIV negative- 705

Inconclusive- 1

Total 722

4) Number of outreach contacts (estimate):

1446 in database + 1375 yet to enter

Approximate total = 2821

Valley AIDS Council:

• AETC Physician Precepting scheduled in Eagle Pass for May 30 & 31, 2002 is cancelled on May 14, 2002 by Connie Villareal from UMC due to Dr. Barboza-Sosa’s schedule not being blocked at least thirty days in advance.
• Dr. Barboza-Sosa has other patients scheduled on those days.
• Dr. Sinclair met with Dr. Barboza-Sosa at the SPNS Partnership Meeting held in Harlingen to try to reschedule.
• Sandi Duggan and Dale Schweers from UTHSCSA, Local Evaluators provided technical assistance to data staff.
• Sandi Duggan provides technical assistance to SPNS Coordinator. (Proyecto Juntos) folders / files.
• Dale installed tickler system for data quality and reminders.
• Dale trained staff on Access program.
• Preparation for SPNS Partnership Meeting on Friday, May 17, 2002.
• Sandi Duggan provides technical assistance to SPNS Coordinator in preparation for the Partnership Meeting (Agenda).
• SPNS Coordinator contacts all partners via e-mail, phone conversation, and fax to confirm receipt of schedule and any need for map or directions.
• Conducted SPNS Partnership Meeting on Friday, May 17, 2002.
• Introduced new personnel: Elias Cantu, Jr. (SPNS Coordinator); Janie Delgado (Data Entry); and Randy Alligood (Case Manager).
• Discussed need for Finance Directors to be present at next meeting or to conduct a breakout session to provide training and answers to billing questions and concerns. (Action Item)
• Eagle Pass requested next meeting to be held in the Mcallen area due to transportation concerning their one vehicle for four people needing to be in different locations. (Action Item). Monica Ruiz will search for a facility in the Mcallen area to make it more convenient for Eagle Pass.
• SPNS Partnership meeting was held in Harlingen, TX
• AETC Training for nurses was held in Pharr, TX
• Physician Precepting was held in Pharr, TX.
• Connie Villareal & Gustavo De la Cerda from Eagle Pass brought up time lost for physician traveling with them.
• The Physician Precepting is not until 2pm this afternoon; consequently, the physician is at the hotel waiting for them to transport him to Pharr this afternoon. (Action Item)
• Dr. Garcia suggested having a training for the physicians in the morning or in the evening before the scheduled SPNS Partnership meeting. (Action Item)
• Local Data / Evaluation meeting cancelled due to Yolanda Cantu’s (Evaluation Director) flight delayed due to bad weather. (Thunderstorm).
• SPNS Coordinator traveled to Pharr, TX to meet with physicians at Nuestra Clinica Del Valle.
• Met with Dr. Barboza-Sosa from United Medical Center in Eagle Pass.
• Met with Dr. D’Lima from Nuestra Clinica Del Valle in Pharr.
• Met with Dr. Jain from Nuestra Clinica Del Valle in Pharr.
• Met with Dr. Gary Sinclair from Texas/ Oklahoma AETC.
• Met with Dr. Jennifer Gray from Texas/ Oklahoma AETC.
• Gustavo De la Cerda from Eagle Pass turned in data to Gina Holt at the Partnership Meeting on Friday, May 17, 2002.
• Janie has some questions on the data submitted by Eagle Pass.
• Sent an e-mail to Connie and Gustavo to contact VAC.
• Connie and Gustavo are at UTHSCSA with Sandi Duggan.
• Janie Delgado stationed in Harlingen, begins e-mail communication between Tim and “Cc’s” Elias Cantu, Jr., SPNS Coordinator. Such “Cc’s” never were received from Gina Holt.
• Janie feels comfortable communicating with Tim and thus keeps SPNS Coordinator informed, too.
• Dr. D’Lima and Belinda Zamora, LVN from Nuestra Clinica Del Valle request information on Hepatitis Immunizations.
• Concerns about cost and who will pay for the series of Hepatitis A & B immunizations.
• SPNS Coordinator met with Lydia Benavides (Project Consultant) to discuss the concerns from NCDV and received guidance from her in regards to the Hepatitis immunizations.
• SPNS Coordinator spoke to Linda Ortiz, LVN from VAC to receive information concerning Hepatitis A & B immunizations. Sent the information to Dr. D’Lima and Belinda Zamora, LVN.
• Spoke to Belinda Zamora, LVN on how to bill VAC for the administration of the immunizations to the SPNS patients. Randy Alligood will be expecting a call from Belinda in regards to the voucher needed by Belinda.
• University of Oklahoma, National Data (Evaluators) visits VAC on Monday and Tuesday, May 20 & 21, 2002.
• Dr. Barney and Tim Brittingham visit VAC to provide technical assistance to SPNS Coordinator and Data staff.
• Introduced new staff member, Janie Delgado (Data Entry) to Dr. Barney and Tim. Gina Holt’s last day will be on Wednesday, May 22, 2002.
• Received copy of the Minutes from OU’s site visit from Tim Brittingham that was submitted to Project Officer, Robyn Shulhoff at HRSA.
• Received “Cc” from Sandi Duggan, May 21^st in regards to “critical incidents” concerning two patients that Dr. Sinclair is providing consultation to project physician from NCDV and the physician from BCHC that was formerly a partner of the SPNS project.
• BCHC is no longer in the project but still receiving consultation from Dr. Gary Sinclair for a patient that is hospitalized.
• Dr. Fernando Garcia from VAC is also contacted for this ongoing consultation between physicians.

Centro de Evaluation:

Grantees Meeting: Agenda posted on web. We have received a few corrections to names and titles which will be corrected on web as well. Need to confirm hotel reservations. Smoking area has been confirmed by Adan Cajina. He advised there is a designated smoking area outside of the Parklawn Building on the same floor and a short distance from the conference rooms. There will not be a need to show a pass, allows free access.

Medical Chart Reviews: Plan to implement reviews in September 2002. Have one team for Texas Projects and are working on putting together the second team for New Mexico, Arizona, and California projects. Betty will be calling each project to work out details for dates and hours in which reviews can be conducted. The chart protocol developed by the Measurement Group will be used for the chart extractions. Projects will be provided with the Consent Form that will require clients signature prior to our implementing the chart reviews. Betty will mail out the forms before the end of this week. Projects advised that their local consent form allows for review of medical records. Asked if OU could use that consent versus seeking a new form signed by clients. Betty advised she would speak with Dr. Sedwick at OU – IRB and inquire about that possibility. All projects will be informed by Betty of Dr. Sedwick’s decision.

Ryan White All Titles Meeting: Need to know who will be representing each project at the meeting for each of the presentation. First is Lessons Learned with all five projects and Centro de Evaluación. The second is Outreach with Rural Populations with New Mexico, Arizona, and California. Issues of costs for Registration Fees was raised at last meeting and needs to be addressed by HRSA.

US/Mexico HIV/AIDS Border Conference: Betty will submit the abstract today in behalf of the group. The topic will be a panel presentation on Lessons Learned. Need to know who will be representing each of the projects at this conference in September. Projects not planning to send a representative may authorize the Centro de Evaluación to present the project’s power point presentation. The presentations will be similar to what is presented at the Grantees Meeting in July, as well as the All Title Meeting in shorter format.

HRSA Updates:

Robyn advised that non-competing proposals has been received from all the Border Projects. Preliminary review of the proposals has begun and she advised that projects had documented the progress achieved during YR-02 which was quite impressive. HRSA hopes to advise projects of their award in the next few weeks.

Other: None