COMBINED QI NETWORK 5 - BRHPC.org€¦ · COMBINED QI NETWORK MEETING July 16, ... (QIP)...

Broward Regional Health Planning Council, Inc. 200 Oakwood Lane, Suite 100 Hollywood, Florida 33020 T: (954) 561-9681 F: (954) 561-9685

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COMBINED QI NETWORK October 15, 2013 at 2:00 p.m.

Ryan White Part A Program Office 115 S. Andrews Ave., Ft. Lauderdale, FL 33301

AGENDA

I. Call to Order

II. Welcome/Introductions

III. Review October 15, 2013 Meeting Agenda and July 16, 2013 Meeting Minutes

IV. Health Literacy Quality Improvement Project Development ACTION ITEM: Review findings from health literacy pilot and discuss next steps.

I. NQC In+Care Campaign Measures Report

ACTION ITEM: Review summary of retention rates and continue discussion of role of Support Services in retention.

II. Checklist for Patient Understanding

ACTION ITEM: Review and discuss Network recommendations to modify checklist for each service category.

III. Viral Load Analysis

ACTION ITEM: Review viral load analysis to identify any correlation between viral load suppression and service category.

IV. Old/New Business

V. Resource Sharing

VI. Review Agenda Items for Next Meeting

VII. Adjournment

Next Meeting Date: January 21, 2013

Broward Regional Health Planning Council, Inc. 200 Oakwood Lane, Suite 100 Hollywood, Florida 33020 T: (954) 561-9681 F: (954) 561-9685

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COMMUNITY PARTNERSHIPS DIVISION Health Care Services Section 115 S Andrews Avenue, Room A300 • Fort Lauderdale, Florida 33301 • 954-357-5390 • FAX 954-357-5897

Broward County Board of County Commissioners Sue Gunzburger • Dale V.C. Holness • Kristin Jacobs • Chip LaMarca • Ilene Lieberman • Stacy Ritter • John E. Rodstrom, Jr. •Barbara Sharief • Lois Wexler

www.broward.org•

COMBINED QI NETWORK MEETING

July 16, 2013 at 2:00 P.M.

BRHPC, Conference Room

MEETING MINUTES

NETWORK MEMBERS PRESENT

Brad Gammell, Poverello

Kara Schickowski, Legal Aid

Madhurie Angie Maharaj, NBHD

Mike Ehren, BCHD

Natasha Markman, CIED

MEMBERS ABSENT

Mario DeSantis (HOPWA)

CLINICAL QUALITY

MANAGEMENT (CQM)

STAFF

Ariela Eshel

Rachele Solomon

GUESTS

Bonnie Majcher, BCHD

PART A GRANTEE

Kim Strong

Mary Beth Swanson

I. Call to Order

The meeting was called to order at 2:17 PM.

II. Welcome/Introductions

CQM Staff welcomed everyone and individual introductions were made.

III. Review and Approve Agenda

The Network reviewed and approved the July 16, 2013 Meeting Agenda and April 16, 2013 Meeting

Minutes via consensus.

IV. Health Literacy Quality Improvement Project (QIP) Development The Network completed the Network Activity “I Scream, You Scream We All Scream for Ice Cream”, a

short, validated tool for assessing Health Literacy. Members discussed their feelings about completing

the survey and its potential usefulness for assessing client Health Literacy. Members expressed concern

that clients may become frustrated if they are unable to read or do basic math. Members inquired if the

Health Literacy exercise is available in other languages; noted that the assessment is available in English

and Spanish. The Network suggested not translating the label to see how clients adapt when labels are

not in their native language. There was discussion on whether using an over the counter medicine label

would be more effective than the ice cream label. Members noted that the ice cream tool is a validated

tool that focuses on both health literacy and health numeracy.

The Network agreed to pilot the activity at their respective agencies. Members to pilot activity to 20

clients and agency staff beginning August 1, 2013 and ending September 2, 2013. There was a

discussion about collecting demographic information from participants. Staff to add demographics: age,

gender, race, ethnicity, and education level to the activity. Members suggested adding a question at the

end of the activity to gauge participants’ comfort level while participating in the activity. Staff to add

Page 2 of 2

the question “How comfortable did you feel doing this exercise?” at the end of the activity as well as a

drop down menu for participants to select agency affiliation for both staff and clients.

There was discussion on ways to introduce the health literacy assessment to clients; Members agreed

that a small introduction would be beneficial. Agency to provide questions and correct answers to

participants following the assessment. Once assessment is complete, report to be provided for each

service category. Staff to send ice cream label, instructions, and questions electronically to Network by

Friday July 19, 2013.

The Network reviewed the handout: Checklist for Patient Understanding (copy on file). There was a

discussion about possibly modifying the handout for each service category. Members were asked to

review the document and determine how they would recommend modifying the checklist for their

service category. Network to review handout and be prepared to discuss possible modifications at the

next meeting.

V. Data Review In+Care Campaign The Network reviewed the In+Care Campaign Measures Report (copy on file). Members were informed

of the Medical Case Management QIP to review data and identify clients at risk of being lost to care.

VI. Old/New Business

There was a discussion on how service category specific viral loads are run in Provide Enterprise (PE);

noted that service category specific viral loads will not be unduplicated. There was discussion on the

importance of establishing a community viral load. Staff to bring service category specific viral loads to

the next meeting.

VII. Resource Sharing

Network provided with a copy of PROACT’s modified DOT referral program information (copy on

file); Members asked to consider any clients that could benefit from this program. Staff to send

information to all QI Networks.

VIII. Review Agenda Items for Next Meeting

Standing Agenda Items

Health Literacy QIP Development

Viral Load Analysis

Checklist for Patient Understanding

IX. Next Meeting: October 15, 2013 at 2:00 PM

X. Adjournment: Meeting was adjourned at 3:45 PM

+

I Scream, You Scream, We All Scream

for Ice Cream

RESULTS

+ Health Literacy - The Newest Vital Sign

+ Score Sheet for the Newest Vital Sign

1. If you eat the entire container, how many calories will you eat?

Answer: 1,000 is the only correct answer

2. If you are allowed to eat 60 grams of carbohydrates as a snack, how much ice cream could you have?

Answer: Any of the following is correct: 1 cup (or any amount up to 1 cup), half the container. Note: If patient answers “two servings,” ask “How much ice cream would that be if you were to measure it into a bowl?”

3. Your doctor advises you to reduce the amount of saturated fat in your diet. You usually have 42 g of saturated fat each day, which includes one serving of ice cream. If you stop eating ice cream, how many grams of saturated fat would you be consuming each day?

Answer: 33 is the only correct answer

4. If you usually eat 2,500 calories in a day, what percentage of your daily value of calories will you be eating if you eat one serving?

Answer: 10% is the only correct answer

READ TO SUBJECT: Pretend that you are allergic to the following substances: penicillin, peanuts, latex gloves, and bee stings.

5. Is it safe for you to eat this ice cream?

Answer: No

6. (Ask only if the patient responds “no” to question 5): Why not?

Answer: Because it has peanut oil.

+ Score Interpretation

Number of correct answers: Tally up ‘Yes’ answers

Score of 0-1 suggests high likelihood (50% or more) of

limited literacy.

Score of 2-3 indicates the possibility of limited literacy.

Score of 4-6 almost always indicates adequate literacy.

+ All Respondents - % Correct

69.20%

68.70%

63.90%

64.90%

66.30%

Overall (N=172)

Question 1

Question 2

Question 3

Question 4

Question 5

1. How many calories will you eat? (1,000)

2. How much ice cream could you have? (1 cup/half a container)

3. How many grams of saturated fat would you be consuming each day? (33)

4. What percentage of your daily value of calories will you be eating? (10%)

5. Is it safe for you to eat this ice cream? (No)

+ Demographics

All Respondents (N=172)

Male 57%

Female 40%

Transgender 2%

Under 18 2%

18-24 7%

25-44 34%

45-64 51%

65+ 6%

Black 42%

White 44%

Other 14%

Hispanic 14%

Non-Hispanic 60%

Other 27%

8th Grade or Less 2%

Between 8th-12th Grade 40%

College 58%

+ All Staff - % Correct

80.30%

78.70%

74.60%

70.50%

78.00%

All Staff (N=61)

Question 1

Question 2

Question 3

Question 4

Question 5






+ Demographics

All Staff (N=61)

Male 49%

Female 48%

Transgender 3%

Under 18 0%

18-24 9%

25-44 31%

45-64 46%

65+ 13%

Black 25%

White 62%

Other 13%

Hispanic 9%

Non-Hispanic 77%

Other 14%



College 87%

+ All Clients - % Correct

61.80%

63.60%

54.60%

61.30%

60.00%

All Clients (N=111)

Question 1

Question 2

Question 3

Question 4

Question 5






+ Demographics

All Clients (N=111)

Male 62%

Female 37%

Transgender 2%

Under 18 3%

18-24 6%

25-44 35%

45-64 54%

65+ 2%

Black 51%

White 34%

Other 15%

Hispanic 17%

Non-Hispanic 50%

Other 33%



College 41%

+

Clients and Staff

% Correct

and

Health Literacy Scores

+ Food Bank Providers and Clients

58.30%

66.70%

50.00%

58.30%

59.10%

FB Staff (N=24)

Question 1

Question 2

Question 3

Question 4

Question 5

60.00%

55.00%

50.00%

75.00%

75.00%

FB Clients (N=20)

Question 1

Question 2

Question 3

Question 4

Question 5






+ Food Bank Health Literacy Scores

10%

55%

35%

0%

10%

20%

30%

40%

50%

60%

Minimal Literacy Limited Literacy Adequate Literacy

FB Clients (N=20)

29%

25%

46%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%


FB Staff (N=24)

• Score of 0-1 suggests high likelihood (50% or

more) of limited literacy.

• Score of 2-3 indicates the possibility of limited

literacy.

• Score of 4-6 almost always indicates adequate

literacy.

+ Food Bank Demographics

FB Client (N=20) FB Staff (N=24)

Male 85% 91%

Female 15% 9%

Transgender 0% 0%

Under 18 0% 0%

18-24 5% 0%

25-44 30% 8%

45-64 65% 58%

65+ 0% 33%

Black 55% 8%

White 35% 83%

Other 10% 8%

Hispanic 15% 13%

Non-Hispanic 55% 74%

Other 30% 13%

8th Grade or Less 0% 0%

Between 8th-12th Grade 45% 25%

College 55% 75%

+ CIED Providers and Clients

100%

90.90%

90.90%

72.70%

81.80%

CIED Staff (N=11)

Question 1

Question 2

Question 3

Question 4

Question 5

83.30%

90.90%

66.70%

75.00%

83.30%

CIED Client (N=12)

Question 1

Question 2

Question 3

Question 4

Question 5






+ CIED Health Literacy Scores

8%

25%

67%

0%

10%

20%

30%

40%

50%

60%

70%

80%


CIED Clients (N=12)

9%

0

91%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


CIED Staff (N=11)




literacy.


literacy.

+ CIED Demographics

CIED Clients (N=12) CIED Staff (N=11)

Male 91% 18%

Female 0% 73%

Transgender 9% 9%

Under 18 0% 0%

18-24 0% 18%

25-44 58% 55%

45-64 42% 27%

65+ 0% 0%

Black 25% 27%

White 58% 46%

Other 17% 27%

Hispanic 8% 9%


Other 17% 27%



College 64% 91%

+ Pharmacy Providers and Clients

94.40%

83.30%

83.30%

83.30%

94.40%

Pharm Staff (N=18)

Question 1

Question 2

Question 3

Question 4

Question 5

56.90%

60.30%

51.40%

52.10%

49.30%

Pharm Clients (N=73)

Question 1

Question 2

Question 3

Question 4

Question 51. How many calories will you eat? (1,000)





+ Pharmacy Health Literacy Scores

27%

32%

41%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%


Pharm Clients (N=73)

6% 11%

83%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%


Pharm Staff (N=18)




literacy.


literacy.

+ Pharmacy Demographics

Pharm Client (N=73) Pharm Staff (N=18)

Male 47% 17%

Female 51% 78%

Transgender 1% 6%

Under 18 4% 0%

18-24 8% 11%

25-44 33% 28%

45-64 52% 61%

65+ 3% 0%

Black 56% 44%

White 30% 39%

Other 14% 17%

Hispanic 14% 6%


Other 41% 13%



College 30% 94%

+ Legal Aid Providers and Clients

87.50%

87.50%

100%

75.00%

87.50%

Legal Staff (N=8)

Question 1

Question 2

Question 3

Question 4

Question 5

83.30%

83.30%

83.30%

100%

83.30%

Legal Clients (N=6)

Question 1

Question 2

Question 3

Question 4

Question 5






+ Legal Aid Health Literacy Scores

0% 0%

100%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Legal Clients (N=6)

0%

25%

75%

0%

10%

20%

30%

40%

50%

60%

70%

80%


Legal Staff (N=8)




literacy.


literacy.

+ Legal Aid Demographics

Legal Client (N=6) Legal Staff (N=8)

Male 100% 50%

Female 0% 50%

Transgender 0% 0%

Under 18 0% 0%

18-24 0% 25%

25-44 33% 75%

45-64 67% 0%

65+ 0% 0%

Black 17% 25%

White 33% 75%

Other 50% 0%

Hispanic 67% 0%


Other 0% 0%



College 83% 100%

+ Summary and Discussion

All respondents:

Average 70% correct answers

58% college education

All Staff:


87% college education

All Clients:


56% 8-12 grade education

Largest difference in % answered correctly among Pharmacy staff and clients (87% vs.

54%)

Smallest difference in % answered correctly among Legal Aid staff and clients (87% and

86%)

Minimal literacy score highest among Food Bank staff and Pharmacy clients

Adequate literacy score highest among CIED staff and Legal Aid clients

NQC In+Care Retention Rates

1

IN+CARE CAMPAIGN RETENTION MEASURES

Gap Measure Percentage of patients, regardless of age, with a diagnosis of HIV/AIDS who did not have a medical visit with a provider with prescribing privileges in the last 6 months of the measurement year.

Medical Visit Frequency Percentage of patients, regardless of age, with a diagnosis of HIV/AIDS who had at least one medical visit with a provider with prescribing privileges in each 6-month period of the 24-month measurement period with a minimum of 60 days between medical visits.

Patients Newly Enrolled in Medical Care Percentage of patients, regardless of age, with a diagnosis of HIV/AIDS who were newly enrolled with a medical provider with prescribing privileges who had a medical visit in each of the 4-month periods in the measurement year.

Viral Load Suppression Percentage of patients, regardless of age, with a diagnosis of HIV/AIDS with a viral load less than 200 copies/mL at last viral load test during the measurement year.

DATA SUBMISSION DATES

Submission Due Date Measurement Year* 24 Month Measurement Period** 12/01/2011 10/01/2010 - 09/30/2011 10/01/2009 - 09/30/2011

02/01/2012 12/01/2010 - 11/30/2011 12/01/2009 - 11/30/2011

04/02/2012 02/01/2011 - 01/31/2012 02/01/2010 - 01/31/2012

06/01/2012 04/01/2011 - 03/31/2012 04/01/2010 - 03/31/2012

08/01/2012 06/01/2011 - 05/31/2012 06/01/2010 - 05/31/2012 10/01/2012 08/01/2011 - 07/31/2012 08/01/2010 - 07/31/2012

12/03/2012 10/01/2011 - 09/30/2012 10/01/2010 - 09/30/2012

02/01/2013 12/01/2011 - 11/30/2012 12/01/2010 – 11/30/2012

04/01/2013 02/01/2012 – 01/31/2013 02/01/2011 – 01/31/2013

06/03/2013 04/01/2012 – 03/31/2013 04/01/2011 – 03/31/2013

08/01/2013 06/01/2012 – 05/31/2013 06/01/2011 – 05/31/2013

10/01/2013 08/01/2012 – 07/31/2013 08/01/2011 – 07/31/2013

12/02/2013 10/01/2012 – 09/30/2013 10/01/2011 – 09/30/2013

*applies to the following measures: Gap Measure, Patients Newly Enrolled in Medical Care, and Viral Load Suppression ** applies to the Medical Visit Frequency measure


2

BROWARD COUNTY RATES

12.1.11 2.1.12 4.1.12 6.1.12 8.1.12 10.1.12 12.1.12 2.1.13 4.1.13 6.1.13 8.1.13 10.1.13

Gap Measure 30% 28% 22% 23% 23% 23% 22% 20% 19% 17% 18% 21%

Medical Visit Frequency 49% 47% 48% 49% 49% 51% 51% 52% 54% 56% 55% 55%

Patients Newly Enrolled in Medical Care

35% 44% 46% 41% 40% 47% 50% 53% 51% 54% 52% 46%

Viral Load Suppression 66% 67% 61% 61% 61% 62% 70% 70% 69% 68% 66% 71%


3

PART A BENCHMARK REPORT

GAP MEASURE

12.1.11 2.1.12 4.1.12 6.1.12 8.1.12 10.1.12 12.1.12 2.1.13 4.1.13 6.1.13 8.1.13 10.1.13

Broward 30% 28% 22% 23% 23% 23% 22% 20% 19% 17% 18% 21%

Average 16% 16% 15% 15% 14% 15% 15% 14% 14% 14% 17% 13%

Top 10% 3% 4% 3% 3% 3% 4% 3% 3% 3% 2% 2% 2%

Top 25% 6% 6% 6% 6% 6% 6% 6% 5% 5% 5% 4% 4%


4


MEDICAL VISIT FREQUENCY

12.1.11 2.1.12 4.1.12 6.1.12 8.1.12 10.1.12 12.1.12 2.1.13 4.1.13 6.1.13 8.1.13 10.1.13

Broward 49% 47% 48% 49% 49% 51% 51% 52% 54% 56% 55% 55%

Average 63% 64% 63% 64% 65% 65% 65% 68% 69% 69% 66% 68%

Top 10% 93% 96% 93% 94% 94% 94% 94% 93% 95% 96% 94% 96%

Top 25% 85% 86% 86% 86% 86% 87% 88% 88% 89% 90% 91% 91%


5


PATIENTS NEWLY ENROLLED IN MEDICAL CARE

12.1.11 2.1.12 4.1.12 6.1.12 8.1.12 10.1.12 12.1.12 2.1.13 4.1.13 6.1.13 8.1.13 10.1.13

Broward 35% 44% 46% 41% 40% 47% 50% 53% 51% 54% 52% 46%

Average 56% 58% 59% 60% 59% 55% 56% 58% 57% 52% 61% 62%

Top 10% 97% 98% 97% 94% 96% 100% 100% 96% 100% 100% 100% 100%

Top 25% 84% 84% 84% 85% 83% 89% 88% 80% 86% 88% 92% 88%


6


VIRAL LOAD SUPPRESSION

12.1.11 2.1.12 4.1.12 6.1.12 8.1.12 10.1.12 12.1.12 2.1.13 4.1.13 6.1.13 8.1.13 10.1.13

Broward 66% 67% 61% 61% 61% 62% 70% 70% 69% 68% 66% 71%

Average 70% 70% 71% 72% 72% 72% 72% 72% 72% 72% 71% 73%

Top 10% 86% 87% 87% 87% 88% 88% 88% 87% 88% 88% 88% 89%

Top 25% 82% 83% 83% 83% 84% 84% 84% 84% 85% 85% 85% 86%

Table 20. Checklist for patient understanding

At the end of each office visit, a patient should be able to answer the following questions.

• What is my main problem?

• What do I need to do (about the problem)?

• Why is it important for me to do this?

• Where do I go for tests, medicine, and appointments?

• How should I take my medicine?

- When do I take it?- What will it do?- How do I know if it is working?- Whom and when do I call if I have questions?

• Other instructions

- What to do?- How to do it?- When to do it?

• Next steps

- When do I need to be seen again?- Do I have another appointment? If so, what is the date and time of the appointment? - Are there phone numbers to call?

�� Health literacy and patient safety: Help patients understand

} The Ask-Me-3 questions

Total

TOTAL 207 4% 1,128 22% 650 13% 3,132 61% 5,121

Female Total

Female Total 57 4% 406 27% 166 11% 884 58% 1,513

Black 52 4% 350 28% 132 11% 696 57% 1230

White 5 2% 52 19% 30 11% 184 68% 271

Other 0 0% 4 33% 4 33% 4 33% 12

Non-Hispanic 55 4% 375 27% 150 11% 796 58% 1,376

Hispanic 2 1% 31 23% 16 12% 88 64% 137

Male Total

Male Total 149 4% 715 20% 481 13% 2,231 62% 3,580

Black 79 5% 378 24% 196 12% 921 58% 1576

White 69 4% 326 17% 282 14% 1287 65% 1966

Other 1 3% 11 29% 3 8% 23 61% 38

Non-Hispanic 132 5% 592 21% 391 14% 1,756 61% 2,875

Hispanic 17 2% 123 17% 90 13% 475 67% 705

Transgender Male to Female Total

Transgender Male to Female Total 0 0% 7 28% 3 12% 15 60% 25

Black 0 0% 4 25% 3 19% 9 56% 16

White 0 0% 3 38% 0 0% 5 63% 8

Other 0 0% 0 0% 0 0% 1 100% 1

Non-Hispanic 0 0% 5 24% 3 14% 13 62% 21

Hispanic 0 0% 2 50% 0 0% 2 50% 4

Age Total

18-24 23 7% 142 42% 35 10% 140 41% 340

29-38 44 6% 240 31% 100 13% 391 50% 775

39-48 78 5% 356 23% 191 12% 933 60% 1,558

49-58 56 3% 301 16% 245 13% 1,226 67% 1,829

>/=59 6 1% 89 14% 79 13% 442 71% 619

Sexual Orientation Total

Bisexual 11 5% 61 25% 36 15% 135 55% 244

Heterosexual 115 4% 684 24% 332 12% 1,701 60% 2,834

Homosexual 80 4% 372 19% 276 14% 1,263 63% 1,992

Lesbian 0 0% 3 25% 2 17% 7 58% 12

Risk Total

Hemophila 1 6% 2 12% 3 18% 11 65% 17

Hetero 103 4% 635 24% 308 12% 1,612 61% 2,660

IDU 3 3% 24 23% 14 13% 63 61% 104

Mother 3 6% 24 48% 7 14% 16 32% 50

MSM 92 4% 418 19% 305 14% 1,387 63% 2,204

MSM/IDU 0 0% 8 32% 6 24% 11 44% 25

Transfusion 0 0% 3 14% 5 24% 13 62% 21

HIV Therapy Total

HAART 140 3% 747 18% 568 13% 2,799 66% 4,258

Dual 5 3% 32 20% 17 11% 107 66% 161

Single 2 4% 10 20% 6 12% 33 65% 51

None 58 10% 316 53% 56 9% 166 28% 596

Education Level Total

8th Grade or Less 16 4% 86 24% 40 11% 218 60% 363

Between 8th-12th Grade 132 4% 729 23% 407 13% 1,909 60% 3,177

College 59 4% 309 20% 203 13% 1,002 64% 1,574

Living Arrangement Total

Institution 3 7% 18 44% 3 7% 17 41% 41

Non-permanent 67 6% 320 29% 146 13% 583 52% 1,117

Permanent Housing 137 3% 782 20% 500 13% 2,526 64% 3,948

Literacy Total

Level 0- Illiterate 1 4% 6 26% 4 17% 12 52% 23

Level 1 - 4th Grade or Below 1 1% 17 21% 9 11% 52 65% 80

Level 2 - 5th-8th Grade 16 4% 80 22% 40 11% 232 63% 370

Level 3 - 9th-12th Grade 112 4% 600 23% 312 12% 1,533 60% 2,557

Level 4 - >12th Grade 76 4% 417 20% 284 14% 1,294 62% 2,072

HIV Stage Total

AIDS 0 0% 2 50% 0 0% 2 50% 4

HIV Indeterminate 32 6% 118 20% 74 13% 351 61% 576

HIV /AIDS Status Unknown 1 33% 1 33% 1 33% 0 0% 3

HIV Positive Not AIDS 35 3% 287 23% 157 13% 757 61% 1,239

Suppressed

Part A CIED Viral Load Anaylsis - 03/01/12 - 02/28/13 (n=5,121)

High VL Not Suppressed Suppressed Undetectable


Suppressed

Not Suppressed Suppressed Undetectable

High VL


Undetectable

Undetectable



Not Suppressed

High VL Not Suppressed Undetectable


High VL Not Suppressed Suppressed



High VL

Total

TOTAL 72 4% 383 22% 216 13% 1,035 61% 1,706

Female Total

Female Total 21 4% 124 25% 55 11% 305 60% 505

Black 16 4% 107 27% 45 11% 233 58% 401

White 5 5% 17 17% 9 9% 72 70% 103

Other 0 0% 0 0% 1 100% 0 0% 1

Non-Hispanic 20 4% 118 25% 50 11% 277 60% 465

Hispanic 1 3% 6 15% 5 13% 28 70% 40

Male Total

Male Total 51 4% 256 21% 161 13% 725 61% 1,193

Black 24 5% 128 25% 67 13% 287 57% 506

White 26 4% 125 18% 94 14% 435 64% 680

Other 1 14% 3 43% 0 0% 3 43% 7

Non-Hispanic 46 5% 219 22% 142 14% 577 59% 984

Hispanic 5 2% 37 18% 19 9% 148 71% 209



Black 0 0% 2 33% 0 0% 4 67% 6

White 0 0% 1 50% 0 0% 1 50% 2

Non-Hispanic 0 0% 2 33% 0 0% 4 67% 6

Hispanic 0 0% 1 50% 0 0% 1 50% 2

Age Total

18-24 5 8% 25 40% 4 6% 28 45% 62

29-38 13 7% 53 28% 25 13% 96 51% 187

39-48 31 6% 141 27% 54 10% 290 56% 516

49-58 22 3% 129 18% 103 15% 455 64% 709

>/=59 1 0% 35 15% 30 13% 166 72% 232


Bisexual 3 3% 24 26% 12 13% 54 58% 93

Heterosexual 37 4% 229 25% 105 11% 558 60% 929

Homosexual 32 5% 129 19% 95 14% 411 62% 667

Lesbian 0 0% 1 25% 1 25% 2 50% 4

HIV Stage Total

AIDS 11 5% 54 24% 27 12% 137 60% 229

HIV+ Not AIDS 49 5% 236 22% 136 13% 654 61% 1,075

Risk Total

Hemophila 1 20% 0 0% 1 20% 3 60% 5

Hetero 33 4% 219 25% 99 11% 534 60% 885

IDU 2 4% 12 24% 4 8% 31 63% 49

Mother 1 13% 1 13% 1 13% 5 63% 8

MSM 35 5% 143 20% 107 15% 448 61% 733

MSM/IDU 0 0% 6 50% 2 17% 4 33% 12

Transfusion 0 0% 1 13% 2 25% 5 63% 8

HIV Therapy Total

HAART 54 4% 281 19% 195 14% 912 63% 1,442

Dual 2 4% 11 20% 6 11% 37 66% 56

Single 0 0% 5 23% 1 5% 16 73% 22

None 15 9% 82 49% 13 8% 59 35% 169


8th Grade or Less 6 6% 25 24% 6 6% 69 65% 106

Between 8th-12th Grade 55 5% 263 23% 144 13% 661 59% 1,123

College 11 2% 95 20% 66 14% 305 64% 477


Institution 2 15% 6 46% 0 0% 5 38% 13

Non-permanent 27 7% 114 30% 45 12% 198 52% 384

Permanent Housing 43 3% 263 20% 171 13% 832 64% 1,309

Literacy Total



Level 2 - 5th-8th Grade 7 5% 30 22% 13 10% 85 63% 135

Level 3 - 9th-12th Grade 47 5% 217 24% 102 11% 526 59% 892

Level 4 - >12th Grade 16 2% 129 20% 98 15% 407 63% 650






Undetectable







Part A Food Bank Viral Load Analysis - 03/01/12 - 02/28/13 (n=1,706)


High VL

Total

TOTAL 9 12% 37 50% 7 9% 21 28 74

Female Total

Female Total 4 33% 6 50% 1 8% 1 8% 12

Black 4 33% 6 50% 1 8% 1 8% 12

Non-Hispanic 4 33% 6 50% 1 8% 1 8% 12

Black Non-Hispanic 4 33% 6 50% 1 8% 1 8% 12

Male Total

Male Total 5 8% 29 48% 6 10% 20 33% 60

Black 1 4% 11 48% 3 13% 8 35% 23

White 4 11% 18 49% 3 8% 12 32% 37

Non-Hispanic 5 10% 23 47% 5 10% 16 33% 49

Hispanic 0 0% 6 55% 1 9% 4 36% 11



White 0 0% 2 100% 0 0% 0 0% 2

Non-Hispanic 0 0% 1 100% 0 0% 0 0% 1

Hispanic 0 0% 1 100% 0 0% 0 0% 1

Age Total

18-24 1 6% 12 71% 0 0% 4 24% 17

29-38 4 22% 7 39% 3 17% 4 22% 18

39-48 4 17% 11 46% 1 4% 8 33% 24

49-58 0 0% 5 38% 3 23% 5 38% 13

>/=59 0 0% 2 100% 0 0% 0 0% 2


Bisexual 1 17% 2 33% 1 17% 2 33% 6

Heterosexual 4 19% 12 57% 2 10% 3 14% 21

Homosexual 4 9% 21 47% 4 9% 16 36% 45

Risk Total

Hetero 4 19% 12 57% 2 10% 3 14% 21

IDU 0 0% 1 100% 0 0% 0 0% 1

MSM 5 10% 24 46% 5 10% 18 35% 52

HIV Therapy Total

HAART 2 6% 14 45% 3 10% 12 39% 31

Dual 0 0% 2 50% 1 25% 1 25% 4

Single 0 0% 0 0% 0 0% 2 100% 2

None 6 18% 19 58% 3 9% 5 15% 33


8th Grade or Less 0 0% 2 100% 0 0% 0 0% 2

Between 8th-12th Grade 6 15% 20 49% 4 10% 11 27% 41

College 3 10% 15 48% 3 10% 10 32% 31


Non-permanent 4 13% 20 65% 1 3% 6 19% 31

Permanent Housing 5 12% 16 38% 6 14% 15 36% 42

Literacy Total

Level 2 - 5th-8th Grade 0 0% 1 100% 0 0% 0 0% 1

Level 3 - 9th-12th Grade 5 18% 14 50% 1 4% 8 29% 28

Level 4 - >12th Grade 4 9% 21 48% 6 14% 13 30% 44

HIV Stage Total

HIV/AIDS Status Unknown 1 7% 7 50% 2 14% 4 29% 14

HIV Positive Not AIDS 8 13% 30 50% 5 8% 17 28% 60

Suppressed Undetectable

Part A Outreach Viral Load Analysis - 03/01/12 - 02/28/13 (n=74)




High VL


Not Suppressed

Undetectable






Undetectable



High VL

Total

TOTAL 10 6% 37 23% 22 14% 92 57% 161

Female Total

Female Total 4 11% 10 26% 6 16% 18 47% 38

Black 1 4% 8 31% 4 15% 13 50% 26

White 3 25% 2 17% 2 17% 5 42% 12

Non-Hispanic 3 9% 9 28% 4 13% 16 50% 32

Hispanic 1 17% 1 17% 2 33% 2 33% 6

Male Total

Male Total 6 5% 27 22% 15 12% 74 61% 122

Black 5 11% 14 30% 7 15% 21 45% 47

White 1 1% 12 17% 8 11% 51 71% 72

Other 0 0% 1 33% 0 0% 2 67% 3

Non-Hispanic 4 5% 20 23% 12 14% 52 59% 88

Hispanic 2 6% 7 21% 3 9% 22 65% 34



Black 0 0% 0 0% 1 100% 0 0% 1

Non-Hispanic 0 0% 0 0% 1 100% 0 0% 1

Age Total

18-24 0 0% 0 0% 1 17% 5 83% 6

29-38 2 15% 4 31% 1 8% 6 46% 13

39-48 5 9% 16 30% 9 17% 24 44% 54

49-58 3 4% 15 20% 9 12% 49 64% 76

>/=59 0 0% 2 17% 2 17% 8 67% 12


Bisexual 0 0% 2 33% 2 33% 2 33% 6

Heterosexual 8 11% 23 30% 11 14% 34 45% 76

Homosexual 2 3% 12 15% 9 12% 55 71% 78

Lesbian 0 0% 0 0% 0 0% 1 100% 1

Risk Total

Hemophila 0 0% 0 0% 0 0% 1 100% 1

Hetero 7 10% 23 32% 11 15% 32 44% 73

IDU 0 0% 0 0% 1 33% 2 67% 3

Mother 0 0 0 0% 0 0% 1 100% 1

MSM 2 0 13 16% 10 13% 55 69% 80

MSM/IDU 0 0 0 0% 0 0% 1 100% 1

HIV Therapy Total

HAART 6 4% 32 24% 18 13% 78 58% 134

Dual 0 0% 0 0% 1 11% 8 89% 9

Single 0 0% 1 100% 0 0% 0 0% 1

None 3 20% 4 27% 3 20% 5 33% 15


8th Grade or Less 0 0% 4 80% 1 20% 0 0% 5

Between 8th-12th Grade 8 8% 26 25% 15 14% 55 53% 104

College 2 4% 7 13% 6 12% 37 71% 52


Institution 0 0% 1 50% 0 0% 1 50% 2

Non-permanent 5 14% 8 22% 9 25% 14 39% 36

Permanent Housing 5 4% 28 23% 13 11% 77 63% 123

Literacy Total


Level 2 - 5th-8th Grade 0 0% 3 60% 0 0% 2 40% 5

Level 3 - 9th-12th Grade 8 10% 21 26% 12 15% 40 49% 81

Level 4 - >12th Grade 2 3% 12 16% 10 14% 50 68% 74

HIV Stage Total

AIDS 2 10% 5 25% 2 10% 11 55% 20


HIV Positive Not AIDS 7 6% 26 23% 15 13% 65 58% 113




Part A Legal Viral Load Analysis - 03/01/12 - 02/28/13 (n=161)


High VL









High VL Not Suppressed

Total

TOTAL 88 4% 452 18% 353 14% 1,612 64% 2,508Female Total

Female Total 21 3% 173 21% 98 12% 514 64% 806

Black 21 3% 147 22% 79 12% 407 62% 654

White 0 0% 24 17% 17 12% 103 72% 144

Other 0 0% 2 25% 2 25% 4 50% 8

Non-Hispanic 20 3% 162 22% 91 12% 460 63% 733

Hispanic 1 1% 11 15% 7 10% 54 74% 73

Male Total

Male Total 67 4% 278 16% 254 15% 1,090 64% 1,692

Black 38 5% 157 21% 109 14% 451 60% 757

White 28 3% 119 13% 143 16% 630 68% 921

Other 1 7% 2 14% 2 14% 9 64% 14

Non-Hispanic 59 4% 225 17% 212 16% 814 62% 1,313

Hispanic 8 2% 53 14% 42 11% 276 73% 379



Black 0 0% 0 0% 1 14% 6 86% 7

White 0 0% 1 50% 0 0% 1 50% 2

Other 0 0% 0 0% 0 0% 1 100% 1

Non-Hispanic 0 0% 0 0% 1 11% 8 89% 9

Hispanic 0 0% 1 100% 0 0% 0 0% 1

Age Total

18-24 6 5% 45 36% 17 13% 58 46% 126

29-38 17 5% 89 25% 50 14% 196 56% 352

39-48 33 4% 148 18% 105 13% 540 65% 826

49-58 29 3% 135 15% 135 15% 630 68% 930

>/=59 3 1% 35 13% 46 17% 188 69% 274


Bisexual 6 5% 27 21% 20 16% 72 57% 126

Heterosexual 48 3% 304 20% 200 13% 945 63% 1,499

Homosexual 33 4% 120 14% 128 15% 578 67% 859

Lesbian 0 0% 0 0% 2 29% 5 71% 7

Risk Total

Hemophila 1 11% 1 11% 2 22% 5 56% 9

Hetero 45 3% 282 20% 190 13% 903 64% 1,422

IDU 2 5% 6 14% 6 14% 30 68% 44

Mother 0 0% 8 42% 4 21% 7 37% 19

MSM 39 4% 144 15% 143 15% 649 66% 976

MSM/IDU 0 0% 6 35% 3 18% 8 47% 17

Transfusion 0 0% 2 18% 3 27% 6 55% 11

HIV Therapy Total

HAART 61 3% 341 16% 311 14% 1,482 67% 2,198

Dual 0 0% 9 15% 7 11% 45 74% 61

Single 1 4% 3 13% 2 9% 17 74% 23

None 26 12% 92 44% 32 15% 61 29% 211


8th Grade or Less 9 5% 43 22% 27 14% 117 59% 199

Between 8th-12th Grade 55 3% 305 19% 228 14% 1,005 63% 1,593

College 24 3% 103 14% 98 14% 490 69% 715


Institution 1 5% 10 50% 2 10% 7 35% 20

Non-permanent 31 5% 146 24% 93 15% 344 56% 615

Permanent Housing 56 3% 296 16% 258 14% 1,258 67% 1,870

Literacy Total



Level 2 - 5th-8th Grade 7 3% 37 18% 30 15% 128 63% 204

Level 3 - 9th-12th Grade 46 4% 260 20% 178 14% 809 63% 1,293

Level 4 - >12th Grade 33 3% 141 15% 138 15% 638 67% 950

HIV Stage Total

AIDS 11 4% 48 19% 38 15% 155 61% 253

HIV Indeterminate 1 50% 0 0% 1 50% 0 0% 2


HIV Positive Not AIDS 58 4% 285 18% 212 13% 1,045 65% 1,600

Part A AIDS Pharmaceutical Assistance Viral Load Analysis - 03/01/12 - 02/28/13 (n=2,508)



High VL

Undetectable






Undetectable



High VL




Total

TOTAL 227 4% 1,210 22% 698 13% 3,279 61% 5,419

Female Total

Female Total 62 4% 430 27% 178 11% 918 58% 1,588

Black 53 85% 372 87% 141 79% 725 79% 81%

White 9 15% 54 13% 33 19% 188 20% 18%

Non-Hispanic 59 95% 398 93% 160 90% 825 90% 91%

Hispanic 3 5% 32 7% 18 10% 93 10% 9%

Male Total

Male Total 163 4% 770 20% 517 14% 2,343 62% 3,798

Black 87 53% 409 53% 209 40% 966 41% 44%

White 75 46% 350 45% 305 59% 1,353 58% 55%

Other 1 1% 11 1% 3 1% 24 1% 1%

Non-Hispanic 143 88% 643 84% 420 81% 1,850 79% 80%

Hispanic 20 12% 127 16% 97 19% 493 21% 19%

Transgender Total

Transgender Total 1 3% 10 33% 3 10% 16 53% 30

Black 1 100% 5 50% 3 100% 9 56% 60%

White 0 0% 5 50% 0 0% 6 38% 37%

Non-Hispanic 1 100% 6 60% 3 100% 14 0% 80%

Hispanic 0 0% 4 40% 0 0% 2 13% 20%

Age Total

18-24 24 11% 156 13% 36 5% 149 5% 7%

29-38 47 21% 257 21% 110 16% 410 13% 15%

39-48 84 37% 389 32% 204 29% 974 30% 30%

49-58 66 29% 314 26% 266 38% 1,283 39% 36%

>/=59 6 3% 94 8% 82 12% 463 14% 12%


Bisexual 11 5% 69 6% 38 5% 148 5% 5%

Heterosexual 126 56% 729 60% 355 51% 1,776 54% 55%

Homosexual (MSM/WSW) 89 39% 403 33% 301 43% 1,328 41% 39%

Risk Total

Hemophila 1 0% 2 0% 3 0% 12 0% 0%

Hetero 114 50% 677 56% 331 47% 1,680 51% 52%

IDU 3 1% 24 2% 14 2% 71 2% 2%

Mother 3 1% 26 2% 7 1% 17 1% 1%

MSM 101 44% 454 38% 330 47% 1,454 44% 43%

MSM/IDU 0 0% 10 1% 6 1% 12 0% 1%

HIV Therapy Total

HAART 158 70% 800 66% 614 88% 2,926 90% 83%

Dual 5 2% 34 3% 17 2% 114 3% 3%

Single 2 1% 11 1% 6 1% 37 1% 1%

None 60 26% 341 28% 57 8% 174 5% 12%


8th Grade or Less 19 8% 92 8% 42 6% 228 7% 7%

Between 8th-12th Grade 145 64% 787 65% 435 62% 1,996 61% 62%

College 63 28% 327 27% 221 32% 1,052 32% 31%


Institution 3 1% 23 2% 3 0% 17 1% 1%

Non-permanent 75 33% 348 29% 151 22% 625 19% 22%

Permanent Housing 149 66% 830 69% 543 78% 2,631 80% 77%

HIV Stage Total

AIDS 36 16% 134 11% 84 12% 370 11% 12%

HIV Indeterminate 1 0% 1 0% 1 0% 0 0% 0%

HIV/AIDS Status

Unkown

45 20% 311 26% 174 25% 791 24% 24%

HIV Not AIDS 145 64% 762 63% 439 63% 2,117 65% 64%












Suppressed Detectable VL: Viral Load >50 and < / =200

Undetecetable VL: Viral Load is < / = 50

Not Suppressed VL: Viral Load >200 and < 100,000

High VL: Viral Load is > / = 100,000

High VL Not Suppressed

FY 13-14 Combined Network Work Plan

March April May

No Meeting

In+Care Data Review Review WP

Identify Potential Interventions Based on HHS Data

Health Literacy QIP Development Review Findings from Client Survey

No Meeting

June July August

No Meeting

In+Care Data Review Review Baseline Broward Client-Level

Outcomes and Indicators Health Literacy QIP Development and

Timeline for Implementation

No Meeting

September October November

No Meeting

In+Care Data Review Review Do Stage of QIP

Review Viral Load Analysis Review Patient Checklist for Understanding

No Meeting

December January February

No Meeting

In+Care Data Review Review Baseline Broward Client-Level

Outcomes and Indicators Review Study and Act stages of QIP

In+Care Data Review Annual evaluation of Accomplishments and

Challenges Update WP

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