MN HIV
Services Planning Council
Meeting Minutes for July 9, 2002
Division of Indian Work
Council Members Present: |
Council Members Absent: |
David Bergquist |
Don Anderson – unexcused |
|
Linda Brandt |
Michael Allen Beyer – unexcused |
|
Sheila Brunelle |
Frank Guzman – excused |
|
Clarence Charles |
Efren Tovar Leon – unexcused |
|
Megan Ellingson |
Nick Metcalf – unexcused |
|
Randy Hornstine |
Steve Moore – unexcused |
|
Judi Marshall (Co-chair) |
Bob Olander – LOA |
|
Mary May |
Dave Rompa – excused |
|
Jerry Moss (Co-chair) |
Sarah Senseman – excused |
|
Tim O’Brien – via phone |
Michelle Sims – LOA |
|
Helen Doris Reed – via phone |
John Whalen – excused |
|
Roxanne Robinson |
Norman Wylie – unexcused |
|
Sarah Rybicki |
|
|
Debra Smith |
|
|
Paul Tucker |
|
|
|
|
|
Guests: |
|
|
Jim Huber – DHS |
Aaron Keith Stewart – Minneapolis Urban League |
|
Diane Knust |
Rhys Fulenwider – Indigenous People’s Task Force |
|
Debra Ehret – MDH |
Tom Thein – MN Men of Color |
|
|
|
|
G-HAT: |
|
|
Julie Hanson – MDH |
Lori Lippert – DHS |
Eduardo Parra - Hennepin County |
Jeff Buckles – DHS |
Jonathan Hanft - Hennepin County |
Cherie Shoquist – MHFA |
Michelle McCafferty - Hennepin County |
|
|
|
|
Staff: |
Consultants: |
|
Mary Doyle |
Becky Kroll – CLEAR |
|
Wardell Thompson |
|
|
Mary Dwyer (minutes) |
|
I. Welcome, Introductions; lighting of the candle
Judi called the meeting to order at 12:45. She began by welcoming everyone. Randy shared that he liked our meeting space at the Division of Indian Work and gave some background on Native traditions. He said that Natives use resources wisely and he reminded us that we need to do the same as he lit the candle. Introductions were made.
II. Review the minutes and proposed agenda
MOTION: Sheila moved Linda seconded approval of the revised minutes. Passed unanimously. The agenda was approved as distributed.
III. Co-chair update, if any - norms for meeting
Judi discussed the norms to be used in meetings and asked that staff print the norms on the back of meeting agendas.
Judi shared that we are coming up to the prioritization process, which is done every two years. Prioritization of services affects the EMA and the State. Our role is to figure out what services fit the needs of the HIV Positive community eligible for Ryan White services. This is not looking at funding but will guide the Grantees as they prepare the budget. She also urged members to review the materials in the blue notebooks that have been handed out. These materials will be crucial in next month’s decision making process.
Judi also shared that we are working on the Comprehensive Plan. Later in the meeting we will be passing out information on critical issues that have been identified to solicit feedback from the Council.
Judi also reminded everyone that we have a new recruiting cycle starting and encouraged all to contact Wardell with the names of any interested parties. She also reminded everyone to reach out to people in the community to encourage participation on a committee level.
IV. Medical Care Quality Assessment (MCQA) - Diane Knust
Lori Lippert began by sharing the history of how this report was commissioned. Diane then began her presentation by reviewing the history and research methods used. The sample was comprised of 1,100 clients of DHS HIV/AIDS programs and clients at HCMC and Regions. Clients had to have completed at least two appointments for medical care in 2000, one during the period from July 1 to December 31, 2000. The total number of participants who qualified for the analysis was 213. The goals for men and women were met but the goals for ethnic breakdown were close, but not completely met. The data instrument used is a software program called HIVQUAL2, which has been adopted by HRSA and has been used by Title III for years. Indicators included were HIV Staging (CD4 and viral load counts), antiretroviral therapy, opportunistic infections prophylaxis, tuberculosis screening, and gynecological care,
Based on the study group Diane can conclude that there is good news for Minnesota in terms of the quality of medical care for HIV in general. Men, regardless of what race or exposure category they are in, are getting good care. Statistically there were no differences between patient groups and the degree of care they’ve received. Quality improvement is needed in the care of women. Her findings conclude that women receive antiretroviral therapy less frequently than men do and that women’s gynecological screening is below standards. This information may not be completely accurate because the information from this study was from medical records only. Some unmeasured instances that could impact the results are women being examined in other offices, etc. But we do clearly know that women are not receiving PCP or MAC prophylaxis at the same rate as men. Work on substance abuse, tobacco use, and STD screening also need to be increased. There appear to be no differences in the degree of treatment in women regardless of race. Women outside of the metro area seem to be in care more than those in the metro area.
Diane’s recommendations are the provision of more physician information, patient education and further research. All clinics that participated in the study will be getting copies of the report as well as a more detailed report on their clinic. Patient education was strongly recommended for all of those living with HIV/AIDS with special emphasis on women’s health issues.
V. Title I update – Jonathan Hanft
Jonathan reported that the final MAI (Minority AIDS Initiative, used to be called the Congressional Black Caucus) funds report and MAI implementation plan for 2002 were submitted to HRSA. An African immigrant training was conducted on June 14 and site visits for Title I funded agencies will begin in July. A follow up training on collaboration will be held on July 30 at the Snelling Office Park.
Jonathan then presented the spending report for Year 6 by quarter for Title I and Title II. Council members reviewed the data and Grantee staff provided clarification and asked questions. Jonathan asked that members call him with any additional questions – his phone number is 612-348-5964.
VI. Title II update, carryover plan – Jeff Buckles
Jeff provided the update. The Office of Refugee Resettlement (ORR) grant was awarded at $250,000. Additional time for case management and supportive services for African immigrants is the main focus of the funding. Live and web-based competency training will be conducted. A SAMPHSA grant has been submitted – it is a joint effort between DHS and MDH. The grants will be awarded in October and we’re hopeful that we will win that. The Grantees have been working on coordinating for the all Titles meeting in August. In Jonathan’s absence Trudy Cariveall will handle all financial matters and Lori Lippert will handle all case management matters.
Lori Lippert then presented the carryover plan for Title I and Title II. The proposal has already been discussed with the Planning & Priorities committee and the Executive committee. The principles used in developing this plan were based largely on discussion that occurs in Planning Council meetings, in a way that doesn’t create a demand for the next year, and uses the money quickly and directly to help those living with HIV/AIDS. The process also included looking at areas where there were more requests for funds than was allocated, and looking at emerging needs. Based on those principles, they decided to put a large amount in to emergency housing assistance and emergency financial assistance. Other areas selected were health education and training/capacity building. Fifty thousand dollars was also allocated for a comprehensive needs assessment study for 2003. Lori then fielded questions from members.
Judi then shared that the Executive Committee reviewed and approved the plan for presentation to the full Planning Council. MOTION: David moved to approve the carryover plan with the stipulation that the health education funding be used to fund a one time conference event similar to the Everyday Hero’s Conference. Julie shared that MDH may have some supplemental funding through the CDC for the task force and they are considering doing a conference for prevention for people who are positive and their partners. Her thought is that smaller events could be incorporated into a larger conference. Judi shared that she would like to see more flexibility than in a conference setting and after Diane Knust’s presentation that some consideration could be made to address the issues of increased education to women about their HIV medical care. Jeff made a point of order – there is a motion on the floor that needs to be seconded before discussion. Debra seconded the motion as it stands. Jim Huber asked that the Planning Council not tie the hands of the Grantee in making these decisions. Debra also asked for clarification of the degree of work that can be accomplished with the needs assessment for this amount of money. The needs assessment allocation would be to begin the process this year, more will be needed to complete the comprehensive needs assessment. RESTATED MOTION: David moved to approve the carryover plan with a recommendation to hold a one-time conference for people living with HIV/AIDS with the health education funding as recommended by the HIV Positive committee. Linda seconded. Passed unanimously.
Lori then shared the proposed plan for ADAP carryover funding. ADAP program is a set aside, not Planning
Council funding for allocation, but historically information on how ADAP
funding is used has been shared with the Planning Council and their feedback
has been solicited. One and one-half
million dollars is being proposed as carry over which reflects multiple past
years of carry-over. It can be spent on
outreach activities like Linda Atlas’s position at DHS. It will pay for medication adherence tools,
and payments for ADAP formulary additions and health insurance premium costs
will increase. Five thousand dollars
will go toward staff travel to the All Titles meeting in Washington D.C. New this year is the ability to cover viral
load testing costs, insurance co-pays and drugs that are not on the
formulary. This will be added to the
financial assistance (“Every Penny Counts”) fund. It will amount to $561,100.
VII. Statewide Plan working group update - Debra Ehret
Debra provided an update of the activities of the statewide plan working group. She began by reviewing the objectives that the group identified and gave a progress update for each. This summer Debra will look at the feasibility of regional planning by meeting with other CHS planning groups. The working group will then get together again to discuss and get consensus on the model and develop recommendations to present to the Planning Council and the Task Force in the fall.
VIII. Consumer Satisfaction Survey report
CLEAR, Juan Jackson and Becky Kroll
Becky passed out a full copy of the Consumer Satisfaction Survey and the survey that was used as the instrument. Eight hundred and ninety-eight surveys were returned which was a 23% response rate. The purpose of the survey was to examine the level of consumer satisfaction with services since the last survey for people living with HIV/AIDS who are receiving Ryan White services. Overall the results were very positive.
IX. MHSPC Staff updates
Mary Doyle shared that prioritization will be next month at our regular meeting in August. She then handed out the rating sheet that we will be using. We will be bringing this information and more to committee meetings this month to review the process and will also hold an informal training for members if they would like more information. Mary Doyle then handed out critical issues that have been identified by the Planning & Priorities committee – any comments or feedback should be given to Mary Doyle. Debra asked the subcommittee to solicit more involvement from members of the HIV Positive committee.
In the interest of time committees agreed to forgo their report this month because much of their discussion has been covered in other areas of the meeting.
XII. Meeting Evaluation
Members filled out the meeting evaluation form.
MOTION: Paul moved Sarah seconded adjournment of the meeting. Passed unanimously.