All Grantees Conference Call
July
16, 2001 – 10:30 am
| Participants: |
| Project Reports |
| Arizona Border HIV/AIDS Care Project: |
Steve- met with Arizona Aetzs, training
was conducted on June 15 with yuma County AIDS Department, also training on
June 28. Outreach - Yuma County outreach activity on National Testing Day
on June 27 was able to bring 23 people to test. Outreach in community led
to 55 people being tested. Mayor of city of Nogales and firefighters are interested
in the project. Cochese County is working with American red cross. Of sixteen
people in training, 12 are AIDS positive. Funding is also coming from Congressional
Black Caucus to work with minority AIDS programs. Ways to use the money are
being reviewed. Dissemination- brochure on the project is being completed.
On July 24, Steve, and Dr. Carmichael along with one other person will be
doing presentation in Prescott, Arizona. Four more AIDS patients have been
enrolled since last conference call. Barbara -
Did you mention that project is part of SPNS on the brochure? Steve
– Yes.
| Camino de Vida: |
Joao- Many people from homeless population cannot be found. There are 69 results from testing to give back since it is hard to find people. Promotores are working hard on their tasks. There will be lot more to report next month. I have talked to HSC for training. Veronica Harding is new employee at Camino de Vida. She is going to collect data on people enrolled in program and work on data collection in future. We are going to give incentive to people to come back for results. David asked what is the incentive? Joao replied that they are providing them with an equivalent of $20 certificates to buy things.
| Centro de Salud Familiar La Fe: |
Not present during the conference call.
|
San Ysidro Health Center: |
Mari said they discussed issues with David and Betty during their visit. Formally finished baseline period on June 23rd. Started intervention phase on July 1st. Meeting with partner site following this meeting. Barbara asked about physicians’ time. Rosana – started with HIV primary care two years ago, didn’t know if patients will access services in their community. San Ysidro provided service for four hours a week and as demand grew, it went to one day, and then to day-and-half. Physicians were graded and the level of productivity was not satisfactory. The Center wanted doctors to see patients in less amount of time. However, there were also language barrier which added time spent in examination room. Therefore, that physician appeared less productive compared to other physicians. Time to see a new patient ranges from 45 minutes to 1 hour compared to repeat patients which takes between 15 and 30 minutes. Barbara where are they now with patients and productivity regarding time to see patients. Mari said that this is not an issue anymore since patients are being seen 40 hours a week. San Ysidro has accepted that it takes time to see an AIDS patient. We also have two new physicians and one of them is bi-lingual. Barbara - are physicians being paid under Ryan White? Marisa - yes, under title III. Before title III. the clinic paid for physician. Mari- we have 812 contacts, and enrolled 115 people in SPNS project. Barbara asked aren’t the forms from CDC mandatory? Mari - Not all sites complete all the forms. We are currently using modules A-D, as well CIS forms, and we may collapse these forms. Yolanda- how we coped with large number of forms, in ideal world the case manager would fill out the forms. Initially there were 8 to10 forms to be filled out which became too much burden for case managers. We designated a person to complete the forms and consult with case manager. Barbara- look at strategy of decreasing numbers of forms. However, if you reduce forms, then the forms are no longer standard. Mari - Quality of Life and Client Satisfaction are being administered. We are not changing the questions but the volume. Barbara- this is good time to educate the collaborators about the importance of data although it may seem burdensome. It is critical to get good data on the border. Mari- I sent around a work-in- progress evaluation plan for focus group which might function as template for analysis of qualitative data. Joao-the forms are very good.
| Valley AIDS Council: |
Sandi- completed baseline pre and post-test measures for project. Dr, Sinclair was in the valley for the project. Next week she will be in Eagle Pass with Doctor Sinclair. The project physicians are asking to see more patients. They are seeing their patients and consulting with Dr. Sinclair. We also had second round of data training with staff and will be doing same training in Eagle Pass in next week.
Marisa- quota for doctors is between 31 to 35 contacts/day. Beyond that they are paid $8/- per patient. Barbara asked if there has been any discussion in training that if the amount of people they see increases, productivity will go down. Sandi – yes, and recommendations include that HIV patients be weighted. Yolanda- from the level of Bureau of Primary Health Care we are trying to encourage providers to increase their levels of providing HIV healthcare. Sandi – Dr. Sinclair, Dr. Garcia, and myself have been working on the presentation for Washington, DC. I will be forwarding the presentation to Ledia and Barbara before the meeting. Dr. Garcia is a VAC physician. Barbara asked about who is going to approve the weighting. Marisa said there are concerns with confidentiality and doctors are saying that their time is not protected Doctors saying that they are not meeting their quota and they are being docked for patient load and time. Barbara – it is important Joe Baldy knows about this.
| Multi-site Issues |
Centro de Evaluacion
David- barriers module draft went to out and there have been some good responses. Could reducing the categories from three to two, just yes and no. The module is too long and it has to shortened during grantees meeting in Washington, DC. Barbara proposed that David incorporate the comments people will make. She also ask for a draft before the grantees meeting. David – a draft can be prepared, and further work can be done on the module in the meeting. Barbara said there are healthcare problems for people coming out of jail which she will work on and on another draft. She said she is going to work on a list about problems people have. Ledia- that is good idea, and if it could be finished then work can be done a Spanish version. Barbara asked everyone to send David their comments, so a draft can be prepared before the August meeting. David- the a deadline on the comments has been sent in the e-mail. Barbara stressed that this is an important module for this initiative.
David asked if there are any remaining concerns about the DC meeting and does everybody has place to stay. Every one said yes. Barbara said Wayne Sauseda is the director of community based programs. He is no longer with this project but funds it with part of community based programs. We want to keep him informed with what is going on.
David – the publications committee had a discussion last Monday. It liked the correction’s model and the George Huba’s model, and asked to collapse them into a working model. David said that he would e-mail the model on Thursday.
| HRSA Issues |
Barbara asked if there were any questions on revisions or continuation? Everyone said no. Joao had a question about unspent money. He asked if he has to wait 90 days before applying. Robyn said that he can apply for it now. Barbara asked him to talk to Kari and then have a conference call with Robyn. David announced that he has gotten a book about baseball on the border which it is a case study of public relations. Barbara thanked Mari for sending two books to her.
David next conference call on July 30. Barbara asked everyone if we need conference call that week since they would be meeting in Washington, DC anyway. Everyone agreed to cancel the conference call on July 30. It was decided that the next conference call shall take place on August 13.
11:30 am Conference call ended.