Texas Medical Monitoring Project Community and Medical Care Providers Involvement in MMP Sylvia Odem, MPH MMP Project Coordinator Department of State Health Services HIV/STD Epidemiology and Surveillance Branch

Current TX-MMP Staff: Mark Heinzke, Data Manager Sharon K. Melville, Principal Investigator Sylvia Odem, Project Coordinator Jim Phillips, Data Collector Tammy Sajak, Co-Principal Investigator Jose Velez, Data Collector Mark Heinzke, Data Manager Sharon K. Melville, Principal Investigator Sylvia Odem, Project Coordinator Jim Phillips, Data Collector Tammy Sajak, Co-Principal Investigator Jose Velez, Data Collector

MMP Goals Determine access to care and use of prevention and support services Provide local and national estimates for the population in care for HIV Examine variations of factors by geographic area and patient characteristics (e.g. risk behaviors, quality of care etc.) Determine access to care and use of prevention and support services Provide local and national estimates for the population in care for HIV Examine variations of factors by geographic area and patient characteristics (e.g. risk behaviors, quality of care etc.)

MMP Success MMP COMMUNITYPROVIDERS Dependent on community and health care providers awareness and acceptance of the project and its potential benefits

Nationally representative estimates If 100% of states/cities, if only 75% of facilities, and if only 75% of patients sampled participate = 56% overall response rate Not good enough, the validity of our population estimates from MMP would be questioned We need an overall response rate of 75% (~ 40 of 47 facilities and ~ 340 of 400 patients) If 100% of states/cities, if only 75% of facilities, and if only 75% of patients sampled participate = 56% overall response rate Not good enough, the validity of our population estimates from MMP would be questioned We need an overall response rate of 75% (~ 40 of 47 facilities and ~ 340 of 400 patients)

2005 Pilot Year –– Texas Success 78% Facility Participation Goal = 27 facilities recruited 21 facilities participated 56% Patient Participation Goal = 150 interviews and chart abstractions 84 completed interviews 85 completed chart abstractions 44% Overall Response Rate 78% Facility Participation Goal = 27 facilities recruited 21 facilities participated 56% Patient Participation Goal = 150 interviews and chart abstractions 84 completed interviews 85 completed chart abstractions 44% Overall Response Rate

2007 Full Project Year – Texas Success 60% Facility Participation to-date Goal = 47 facilities to say yes 28 facilities have agreed 5 ineligible 9 refusals (8 tentative) 5 still trying/not responding Patient Recruitment - begins mid-year Goal = 400 interviews and chart abstractions 60% Facility Participation to-date Goal = 47 facilities to say yes 28 facilities have agreed 5 ineligible 9 refusals (8 tentative) 5 still trying/not responding Patient Recruitment - begins mid-year Goal = 400 interviews and chart abstractions

MMP Success = CAB & PAB CAB – Community Advisory Board created PAB – Provider Advisory Board created The CAB and PAB provide input to the MMP many aspects of the project. CAB – Community Advisory Board created PAB – Provider Advisory Board created The CAB and PAB provide input to the MMP many aspects of the project.

TX CAB & PAB Formation A Texas Community 6 CAB Members 1- West Texas 1- Central Texas 4- North Texas 2- PAB Members North Texas South Texas A Texas Community 6 CAB Members 1- West Texas 1- Central Texas 4- North Texas 2- PAB Members North Texas South Texas

TX CAB member introductions San Antonio community advisor: Kay Price, Dallas community advisor:Elias Cantu, Dallas lead provider advisor: Laura Armas, MD, Clinical Director TX/OK AETC Valley provider advisor: Fernando Garcia, MD, San Antonio community advisor: Kay Price, Dallas community advisor:Elias Cantu, Dallas lead provider advisor: Laura Armas, MD, Clinical Director TX/OK AETC Valley provider advisor: Fernando Garcia, MD,