Ryan White CARE Act Data Requirements and Uses of Grantees Data

1
Ryan White CARE Act Data Requirements and Uses of
Grantees Data

• Washington, DC
• August 29, 2006

2
Terms CARE Act and CADR

• CARE Act
• Ryan White
• Comprehensive
• AIDS
• Resources
• Emergency Act
• CADR
• CARE Act Data Report

3
2006 CADR Form

• Will be completed by all CARE Act-funded agencies
• One CADR per agency
• multiply funded Title IV Adolescent Initiative
  agencies are an exception to this rule
• Submit by CADR Web system or electronic upload
  using CAREWare or XML

4
CADR Language in Each Guidance

• Each Guidance contains language requiring the
  submission of the CADR.
• The Title I Guidance states
• Acceptance of this award indicates that the
  grantee assures that it will comply with data
  requirements of the CARE Act Data Report (CADR)
  and that it will mandate compliance by each of
  its contractors and subcontractors. CADRs are due
  annually.

5
CADR Language in Each Guidance

• The Title II Guidance states
• Specifically, this information is provided
  through your submission of 1) the CARE Act Data
  Report (CADR) 2) the AIDS Drug Assistance
  Program (ADAP) Quarterly Report 3) AETC
  Participant Information Form (PIF) and/or 4)
  Dental Reimbursement Program, Application Form.
• The Title III Guidance states
• In addition, you will utilize these data when
  you write the Progress Report of your annual
  non-competing grant application and the annual
  CARE Act Data Report that is due each March.

6
CADR Language in Each Guidance

• The Title IV Guidance states
• Submit an annual CARE Act Data Report (CADR).
• Grantees are required to submit a CADR on or
  before
• March 15 each year.

7
2006 CADR Form

• Section 1 Service Provider Information
• Section 2 Client Information
• Section 3 Service Information
• Section 4 Counseling and Testing
• Section 5 Medical Information
• Section 6.1 Demographic Tables (Title III)
• Section 6.2 Demographic Tables (Title IV)
• Section 7 HIP Data

8
Data Reports

• The CADR data are used to produce
• Ryan White CARE Act Annual Data Summary
• Annual Ryan White CARE Act Data Evaluation
  Activities Congressional Report
• State Profiles

9
Utility of CADR Data

• CADR data describe
• characteristics of organizations agencies
  providing CARE Act services
• the number and characteristics of clients served
  by CARE Act providers
• the types of services provided
• the total number of visits by all clients
• the HIV Status of clients

10

CADR data are used toDescribe the
characteristics of organizations agencies
providing CARE Act services
CARE Act Provider Organizations / Agencies
Serving Clients, 2004 N2,567 providers
Source 2004 CARE Act Data Report, Section 1,
Item 7. Percentages may not sum to 100 percent
due to rounding error. Other includes solo/group
private medical practice, agency reporting for
multiple fee-for-service providers, PLWHA
coalition, and VA facility.
11
CADR data are used to describe the number of
clients served by CARE Act providers
Number of Duplicated Clients Served by CARE Act
Providers 2002-2004

• Source CARE Act Data Report, Section 2, Items 24
  25

12
CADR data are used toDescribe the
characteristics of clients served by CARE Act
providers
Health Insurance Status of Duplicated Clients
Served by CARE Act Providers 2004 N 801,086
duplicated clients
Source 2004 CARE Act Data Report, Section 2,
Item 32. If a client has more than one source of
health insurance, providers report the one that
provides the most reimbursement. Other Public
health insurance includes State-funded insurance
plans, military health care (TRICARE/CHAMPUS,
CHAMPVA, and care provided by the Department of
Veterans Affairs), the State Childrens Health
Insurance Program (SCHIP), and the Indian Health
Service (IHS). Percentages may not sum to 100
percent due to rounding error. Health Insurance
was unknown or unreported for 242,647 cases.
13
Number of Visits for Health Care and Case
Management Services 2002-2004
Source 2004 CARE Act Data Report, Section 3,
Item 35. Home health includes para-professional
care, professional care, and specialized care.
14
CADR data are used to Describe the the HIV
Status of clients
HIV/AIDS Status of Duplicated Clients Served by
CARE Act Providers 2004 N 964,980 duplicated
clients
Source 2004 CARE Act Data Report, Section 2,
Item 33. Percentages may not sum to 100 percent
due to rounding error. HIV/AIDS status was
unknown or unreported for 78,750 clients.
15
HRSA Performance Reviews

• Each year, approximately 500 performance reviews
  are conducted to assure that HRSA grantees are
  successfully accomplishing their program
  purposes.
• The Office of Performance Review (OPR) examines
  the CADRs of HAB grantees receiving reviews and
  uses the data to assess performance.

16
Evaluation of the CARE Act

• Government Performance and Results Act (GPRA) and
  Performance Assessment Rating Tool (PART)
  measures are used to evaluate the Ryan White CARE
  Act.
• GPRA PART measures are compiled using
  information obtained through the CARE Act Data
  Report (CADR).
• An annual report is submitted to the Office of
  Management and Budget (OMB) and ultimately sent
  to Congress.

17

• CADR data presented in each state profile
  include
• Number of clients served
• Client socio-demographic characteristics
• Service utilization data

18
For More Information

• http//hab.hrsa.gov/
• http//www.hrsa.gov/performancereview/
• http//www.hrsa.gov/about/perplan/budgetlink.htm

19
Contact Information

• Jill J. Ashman, PhD.
• Health Resources Services Administration
• HIV/AIDS Bureau
• Division of Science and Policy
• JAshman_at_HRSA.gov
• [phone]