Ryan White C'A'R'E' Act

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Ryan White C.A.R.E. Act

• A Guide to Understanding Comprehensive Planning

Prepared by the Fort Lauderdale/Broward County
Florida EMA William E. Green, Title I
Grantee Terri M. Sudden, Director of Planning, PC
Support
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Understanding the inter-relationship of

• Ryan White C.A.R.E. Act Grant requirements
• Comprehensive Planning
• Needs Assessment Activities
• Implementation Planning
• Evaluation and Quality Management
• Administrative Operations

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Training Objectives

• Participants understand purpose of planning
  activities
• Participants understand inter-relationship of
  planning activities
• Participants understand inter-relationship of
  planning activities and grant expectations

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Planning Process
Comprehensive Plan
Evaluation/ Quality Management
Needs Assessment
Implementation Plan
Administrative Operations
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Comprehensive Plan
Where do We need to Go?
How Will We Get There?
How will we Monitor/Evaluate our Progress?
Where are We Now?
Implementation Plan
Evaluation/ Quality Management
Needs Assessment
Administrative Operations
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Comprehensive Plan
Provides a road map for developing a system of
care over time. It does so by reviewing

• needs assessment data
• existing resources to meet those needs and
  barriers to care
• evaluation data
• (including data on cost effectiveness and outcome
  effectiveness of services) and
• contract monitoring data.

• This information is used to set out long-term
  goals, objectives, and strategies for delivering
  services. The plan also reflects the communitys
  vision and values about how best to deliver
  HIV/AIDS care, particularly in light of limited
  resources.

Source Title I Manual
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Comprehensive Plan
Where are we Now?
How Will We Monitor/ Evaluate Our Progress?
Where Do We Need to Go?
How Will We Get There?
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Comprehensive Plan
Annual review and update of three-year
comprehensive plan to reflect changing directions
of the epidemic and to ensure that the plan is
relevant
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Where are we now?

• Needs Assessment

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Needs Assessment
Needs assessment is an interconnected part of
other CARE Act planning tasks.

• Results from the needs assessment should be used
  in
• setting priorities for the allocation of funds,
• developing the comprehensive plan, and
• crafting the annual implementation plan and
  specific strategies it outlines for addressing
  needs.

Needs assessment results can also provide
baseline data for evaluation and help providers
improve services.
Source Title I Manual
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Where Are We Now?
Needs Assessment
Analyze the Impact of the Local Epidemic
Grant Severe Need
Develop HIV/AIDS Epidemiologic Profile
Assess Needs of Special Populations (Studies)
Estimate Unmet Need
Develop Resource Inventory including EIS
Grant-Coordination of Services and Funding
Streams
Develop Collaborations
Assess Service Capacity Infrastructure Needs
Grant-Impact of Funding
Identify Title I Funding in Context of Other
Funding
Develop Report of Findings to Inform
Implementation Plan/Strategic Planning
Update Comprehensive Plan
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Needs Assessment
Epi Profile
Population Studies
Resource Inventory
Develop Collaborations with Other Ryan White
Programs, HOPWA, Prevention, VA, MH SA
Capacity Report Provider Surveys Info From
Studies Info From Evaluation Activities
Funding Report
NEW REPORT
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Where Do We Need to Go?How Will We Get There?

• Implementation Plan Development/Strategic Planning

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Implementation Plan
CARE Act resources are limited and need is
severe. This heightens the responsibility of
Title I planning councils to use sound
information and a rational decision-making
process when deciding which services and other
program categories are priorities (priority
setting) and how much to fund them (resource
allocation). The process of priority setting and
resource allocation (PSRA) is linked to other
planning tasks because it draws upon information
compiled from those efforts.
Source Title I Manual
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Implementation Plan
Legislative Background and HAB/DSS Expectations
  Title I planning councils are responsible for
setting service priorities, determining how best
to meet those priorities, and allocating
resources to them. Planning councils should
consciously link needs assessment and
comprehensive planning with priority setting so
that the planning council has the information
needed to make sound decisions about service
priorities and use of resources.
Source Title I Manual
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Where Do We Need to Go?
How Will We Get There?
Implementation Plan Development/Strategic Planning
Grant-Implementation Plan
Develop Implementation Plan
Incorporate Needs Assessment Findings
Incorporate Evaluation Findings
Grant-PC Priority Setting and Resource Allocation
Process
Determine Service Priorities
Determine Funding Allocations
Execute Implementation Plan Strategies
Grant-Fiscal and Program Monitoring
Monitor Implementation Plan Execution
Grant-PC Reallocation Process
Revise Funding Allocations based on IP Execution
(Reallocation)
Develop Report of Findings to inform
Evaluation/QM Activities
Grant-Grantee Accountability
Update Comprehensive Plan
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Implementation Plan
New Report From Needs Assessment
New Report From Needs Assessment
New Report From Evaluation
New Report From Evaluation
Develop Implementation Plan Document
Utilization Reports
Update Implementation Plan
New Report Summary to Evaluation/QM Activities
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How Will We Monitor/Evaluate Our Progress?

• Evaluation/Quality Management

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Evaluation/Quality Management
QUALITY MANAGEMENT CENTRAL TO ADDRESSING CARE
ACT THEMES

• Providing improved access to and retention in
  care for HIV-positive individuals aware of their
  status
• Enhancing the quality of services and client
  outcomes
• Linking social support services to medical
  services
• Making program changes to respond to the
  evolving epidemic
• Using epidemiologic, quality, and outcomes data
  for planning and priority setting, andEnsuring
  accountability.

Source Title I Manual
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How Will We Monitor/Evaluate Our Progress?
Evaluation
Quality Management
Assess Efficiency of Administrative Mechanism
Grant-PC Assessment of Administrative Mechanism
Assess effectiveness of Administrative Mechanism
Grant-Quality Management Activities
Evaluate Quality of Care
Assess Outcome Effectiveness
Assess Cost Effectiveness
Assess Effectiveness in Meeting Need
Report Progress on Status of Prior QM
Evaluation Plans
Develop Report of Findings to Inform
Implementation Plan/Strategic Plan
Update Comprehensive Plan
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Evaluation/Quality Management
Administrative Review In Funding Monthly Report
New Outcome Report to Be Developed
Evaluation Studies
Utilization Analysis/Trending Report

• New Status Report to Be Developed

New Report for Implementation Plan
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EMA ADMINISTRATION OPERATIONS
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EMA ADMINISTRATION/ OPERATIONS
In order to operate effectively, planning bodies
require policies and procedures to guide their
planning and decision making. They should be
developed and approved by the entire membership,
with copies provided in the form of a manual to
all members. Provisions should cover such areas
as the mission of the body membership meeting
and decision making procedures (e.g., conflict of
interest) roles for officers, board members, and
committees lead agency procedures and
enforcement.
Source Title I Manual
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EMA Administration/Operations
Establish Operating Procedures
Grant-PC Operations
For PC
Grant-Grantee Accountability
For Providers/System
Ensure PC Membership
Grant-PC Representation Reflectiveness
Develop/Enhance Capacity
Grant-PC On-going Training
For PC
For Providers/System
Grant-Quality Management Activities
Establish Grievance Process
For PC
Grant-PC Grievance Process
For Providers/System
Grant-Grantee Accountability
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Reports and Studies available at www.brhpc.org

• Comprehensive Plan
• Needs Assessment
• Epidemiological Profile
• Utilization Trending
• Title I Funding in the context of other Funding
• Client Needs
• Provider Needs
• Capacity of the Core

• Client Satisfaction
• Assessments of Severe Need Populations
• Haitians
• MSM
• Homeless
• Not in Care
• Recently Incarcerated
• And much more

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Questions?

• William E. Green, Title I grantee
• WGreen_at_broward.org
• Terri Sudden, Director of Planning
• Tsudden_at_brhpc.org