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------=_NextPart_01CC9965.52443490 Content-Location: file:///C:/9A69C651/PlanningCouncilQualityManagementUpdate,October11,2011_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01CC9965.52443490 Content-Location: file:///C:/9A69C651/PlanningCouncilQualityManagementUpdate,October11,2011_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Ryan White Program Part A Quality Management 2010 Update
Ryan White Program Part A Clinical Quality Management 2010 Update
October 11, 2011
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Part A Clinical Quality Management (CQM) Program
•Continuous improvement approach of CQM program
•Annual CQ= M Plan reviewed and approved by the Quality Management Advisory Committee (QMAC)
•Submitted= with annual Part A grant appli= cation
•
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Part A Clinical Quality Management (CQM) Program
M= ission: To assure that PLWH/A have access = to, understand, and receive care that meets US Department of Health and Human Services standards.
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Vision: Contracted service providers will provide high quality care and services and be supported in their mission of caring for people living with HIV/AIDS.
Part A Clinical Quality Management (CQM) Program
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Ongoing Goal: Providers will maintain a quality improvement prog= ram that:
•Meets the unique needs of their agency, staff &am= p; clients
•<= /span>Provides for timely, efficient, and effective services
•Facilitates clients’ access to HIV medical care
•<= /span>Promotes clients’ abilities to self advocat= e for high standards of care and services=
Part A Clinical Quality Management (CQM) Program
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Part A CQM Structure
lStaffing:
<= span class=3DBB style=3D'position:absolute;left:-4.77%;top:.3em'>lPart A= Program Manager (.1 FTE)
<= span class=3DBB style=3D'position:absolute;left:-4.77%;top:.3em'>lCQM Coordinator (1.0 FTE)
<= span class=3DBB style=3D'position:absolute;left:-4.35%;top:.3em'>lData a= nd Outcomes Coordinator (.9 FTE)
l
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Quality Management Advisory Committee (QMAC)
lMembership includes Representatives of:
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>l Parts A, B, C, D and F
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>lPlanni= ng Council
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>lProvid= ers
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>lMinnes= ota Department of Health (MDH)
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>lConsum= ers
<= span style=3D'visibility:hidden'>l
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QMAC
<= span style=3D'font-size:86%'>lMeets six times a year
lProvides expertise on HIV/AIDS care delivery system lConsults and gives = input on annual Part A QI work plan
lReviews activities = and progress on QI efforts
<= span style=3D'font-size:86%'>lCoordinates CQM eff= orts across Ryan White parts
<= span style=3D'font-size:86%'>lCollaborates on CQM priorities and projects
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FY2010 Part A Quality Goals
lAQG 1: Increase t= he proportion of people living with HIV/AIDS who know their status and are in care. lAQG 2: Support the Minnesota HIV Planning Council’s priority setting pro= cess through needs assessment analysis and reporting, = service area reviews, and Quality Improvement project results.
<= span style=3D'visibility:hidden'>l
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FY2010 Quality Goals
lAQG 3: Support contracted providers’ quality improvement efforts and adherence to standards.
Suppor= t contracted providers’ quality improvement efforts and adherence to Universal Standards and service-specific standards through training, technical assistance, and site visit activities with a particular focus on improving data collection, management, and utilization in designing annual Quality Improvement work plans.

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FY2010 Quality Goals
lAQG 4: Engage consumers in learning about standards for HIV care and self advocacy for obtaining hig= hest quality HIV care and services.
1.
lAQG 5: Implement strategies to decrease the number of late testers.
l
Late t= esters=3Dpeople newly diagnosed with HIV who advance to AIDS within one year.

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FY2010 Quality Results
lAQG 1: Increase the proportion of PLWH/A who know their status and are = in care.
•1,251 out= of 4,364 (29%) Ryan White recipients in CAREWare had at least one CD4 test in 2010—but labs are only reported for OP/Ambulatory Care clients = (n=3D 1,384, for 90%).
•Changes i= n how data are collected will improve the quality of this measure.
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AQG 1 Results
3%
0%
14%
2%
4%
77%
Service Outreach
25%
0%
3%
1%
1%
71%
Outpatient/Ambulatory Medical Care
4%
2%
3%
1%
2%
88%
Mental Health Services<= span style=3D'font-size:71%;color:#333399;mso-color-index:5;mso-special-format:= lastCR; display:none'>
1%
0%
3%
1%
3%
93%
Medical Transportation <= /b>Services
4%
0%
3%
1%
2%
89%
Medical Case Management=
10%
0%
0%
0%
0%
90%
Linguistics Services
1%
0%
2%
1%
1%
95%
Legal Services
0%
0%
7%
0%
7%
86%
Home and Community-based= Health Services
0%
0%
2%
2%
2%
93%
Food Bank/Home-delivered= = Meals
0%
0%
3%
3%
2%
93%
Emergency Financial = Assistance
4%
0%
4%
0%
4%
87%
Early Intervention (Part A - B)
5%
0%
2%
0%
7%
85%
Child Care Services
Data Not Submitted
Client does not have HIV/AIDSNo&#= 13;
Client Doesn't Know/     <= /span>Refused
Agency Doesn't Know
Yes&#= 13;
Did Client Receive HIV Medi= cal = Care in the Previous 6 Months?
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FY2010 Quality Results
lAQG 2: Support the Minnesota HIV Planning Council
<= span style=3D'font-size:156%'>•Needs Assessment Survey analysis
•NA&E committee SARs process: = Utilization and Needs Assessment Data =
<= span style=3D'font-size:156%'>•Unmet Need Estimate
<= span style=3D'font-size:156%'>•Annual QI Program update
2010 N= eeds Assessment survey analysis is ongoing. The Needs Assessment & Evaluat= ion committee created service area reviews including client utilization and N= eeds Assessment data for the Planning Council’s 2010 Prioritization & Allocations process.
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FY2010 Quality Results
S= ite visits:
•<= /span>Successes
•<= /span>Challenges
•<= /span>Changes
•<= /span>Universal Standards
•Service Standards
•<= /span>Site Visit Evaluations
Training & Technical Support:
•<= /span>Data system
•QI Plan d= esign and implementation <= /span>
AQG 3: Support Providers
site v= isit activities with a particular focus on improving data collection, manageme= nt, and utilization in designing annual Quality Improvement work plans.

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Universal Standards
lQMAC reviewed a summary of HRSA/HAB’s Universal Monitoring Standards and incorporated them into an update of the local Ryan White Universal Standards.
When U= niversal Standards reviews at site visits help providers
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Universal Standards
l2010 Client Record Review Outcomes
lConfidentiality 98%
lConsent 95%
lROI 95%
lBill of Rights 96%
lHIV Status 98%
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Universal Standards
l2010 Client Record Review Outcomes
lFinancial Eligibility 96%
lUnique Client Record 100%
lHealth Care Coverage 98%
lCare Status Determined 92%
lCharts Meeting All Standards 86%
302 Cl= ient Records Reviewed—statistically significant number pulled at each provider
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Service standards Developed by Part A and B:
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>lMedica= l Case Management
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>lMental= Health Access
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.3em'>lOutrea= ch
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Service Standards
lMental Health Access
–Two provider trainings by Dr. BraVada Akinsanya-Garrett
–Providers implemented updated standards in March, 2010
–Providers met to discuss implementation in May, 2011
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Service Standards
lOutreach
–Two provider meetings to assess current practices
–Part A and Part B (with facilitation by CCG) researched costs, outcomes, practices
–New standards rolled out in April 2011
l
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FY2010 Quality Results
lAQG 4: Engage consumers/Promote self advocacy
•Clients a= nd staff of four Health Education providers attended four “Making Sure Your HIV Care is= the Best It Can Be” workshops in February, 2011
•1,605 Eng= lish and 250 Spanish “365” brochures distributed through providers, Planning Council, Quick Connec= t
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FY2010 Quality Results
lAQG 5: Strategies to decrease the number of late testers.
This goal was incorporated into the grantee’= ;s Unaware/into Care (= EIIHA) efforts.
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Improved Data Collection
lData Improvement Project 2007 – 2009
lOngoing Client Level Data Work Group
lImproving the system
lImproving data analysis and reporting
lClinical data for Quality Improvement
lTraining plans
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HRSA/HAB
Performance Measu= res
lFirst standards s= ets focus on clinical measures lMCM standards foc= us on medical visits and care plans lHRSA/HAB measures = are considered in developing local QI goals
l
CD4, P= ap tests, ARV for pregnant women, HAART, medical visits, PCP prophylaxis, but also incl= ude HIV risk counseling
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QMAC
lNeeds consumer input!
lMeets every other month
lRefer anyone interested to Sheila Murphy
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lR= 20;Be a yardstick of quality. Some people aren't used to an environment where excellence is expected.”= 3;
lSteve Jobs
l1955 - 2011
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‹header›
‹date/time›=
Click to edit Master text styles
Second level
Third level
Fourth level
Fifth level
‹footer›
‹#›
Support contracted providers̵= 7; quality improvement efforts and adherence to Universal Standards and servi= ce-specific standards through training, technical assistance, and site visit activities with a particular focus on improving data collection, management, and utilization in designing annual Quality Improvement work plans.
Late testers=3Dpeople newly diagnosed with HIV who advance to AIDS wi= thin one year.
2010 Needs Assessment survey anal= ysis is ongoing. The Needs Assessment & Evaluation committee created service a= rea reviews including client utilization and Needs Assessment data for the Planning Council’s 2010 Prioritization & Allocations process.
site visit activities with a part= icular focus on improving data collection, management, and utilization in designi= ng annual Quality Improvement work plans.
When Universal Standards reviews = at site visits help providers
302 Client Records Reviewed—statistically significant number pulled at each provider
CD4, Pap tests, ARV for pregnant = women, HAART, medical visits, PCP prophylaxis, but also include HIV risk counseli= ng
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gSldJumpIdx =3D ""; win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref ) } } } function _KDH() { if( event.keyCode =3D=3D 8 ) { event.returnValue =3D 0; parent.GoToPrevSld(); } } function DocumentOnClick() { if( IsNts() || parent.HideMenu() ) return; if( ( g_allowAdvOnClick && !parent.IsFramesMode() ) || (event && (event.keyCode=3D=3D32) ) ) parent.GoToNextSld(); } var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""= , g_bgSound=3D"", g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser = =3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1; var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w= indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va= r g_animManager =3D null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"End of slide show, click to exit.", SCREEN_MODE=3D"Fram= es", gIsEndShow=3D0, NUM_VIS_SLDS=3D27, SCRIPT_HREF=3D"script.js", FULLSCR_= HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var g_fBaseHyperlink =3D false; var gMainDoc=3Dnew Array(new hrefList("slide0001.htm",1,-1,1),new hrefList(= "slide0002.htm",1,-1,1),new hrefList("slide0003.htm",1,-1,1),new hrefList("= slide0004.htm",1,-1,1),new hrefList("slide0005.htm",1,-1,1),new hrefList("s= lide0007.htm",1,-1,1),new hrefList("slide0008.htm",1,-1,1),new hrefList("sl= ide0009.htm",1,-1,1),new hrefList("slide0010.htm",1,-1,1),new hrefList("sli= de0012.htm",1,-1,1),new hrefList("slide0013.htm",1,-1,1),new hrefList("slid= e0014.htm",1,-1,1),new hrefList("slide0025.htm",1,-1,1),new hrefList("slide= 0015.htm",1,-1,1),new hrefList("slide0016.htm",1,-1,1),new hrefList("slide0= 019.htm",1,-1,1),new hrefList("slide0020.htm",1,-1,1),new hrefList("slide00= 21.htm",1,-1,1),new hrefList("slide0024.htm",1,-1,1),new hrefList("slide002= 6.htm",1,-1,1),new hrefList("slide0027.htm",1,-1,1),new hrefList("slide0017= .htm",1,-1,1),new hrefList("slide0018.htm",1,-1,1),new hrefList("slide0022.= htm",1,-1,1),new hrefList("slide0023.htm",1,-1,1),new hrefList("slide0028.h= tm",1,-1,1),new hrefList("slide0029.htm",1,-1,1)); /********************************************* Frameset functions These functions control slide navigation and state of the frameset. **********************************************/ function RemoveFilePrefixFromHref(href) { var regExp =3D /^file:\/\/\//i; return href.replace(regExp, "") } function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) {=09 var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix();=20 function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') {=20 href=3Dnew String(document.location.href)=20 Start=3Dhref.indexOf('!')+1=20 End=3Dhref.lastIndexOf('/')+1=20 if (End < Start)=20 return href.substring(0, Start)=20 else=20 return href.substring(0, End)=20 } return ''; } function GetTags(base,tag) { if(g_supportsPPTHTML) return base.all.tags(tag); else return base.getElementsByTagName(tag); } function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP= refix+GetHrefObj( gCurSld ).mNtsHref ) } function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() } function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() } function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() } function SetHasNts( fVal ) { if( gHasNts !=3D fVal ) { gHasNts=3DfVal UpdNavPane() } } function ToggleOtlText() { gOtlTxtExp=3D!gOtlTxtExp UpdOtlPane() } function ClearMedia() { // Clear any sounds playing before launching another browser window. 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FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if (MHTMLPrefix !=3D "") href =3D RemoveFilePrefixFromHref(href) if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { =20 obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else =20 return gCurSld } function GetNumSlds() { =20 if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; =09 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(obj.mSldHref= )) else PPTSld.location.replace(obj.mSldHref) =09 if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 if (MHTMLPrefix !=3D "") PPTSld.location.replace(MHTMLPrefix+RemoveFilePrefixFromHref(href)) else PPTSld.location.replace(href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; =09 var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document var dir =3D doc.body.dir if( dir !=3D "rtl" ) dir =3D "ltr"; doc.open() doc.writeln('


' + ENDSHOW_MESG + '

') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); /********************************************* Navigation button implementation There are 2 types of buttons: ImgBtn, TxtBtn implemented as function objects. They share a similiar interface so the event handlers can call SetActive, for example, on a button=20 object without needing to know exactly=20 what type of button it is. **********************************************/ //---------------------------------- function ImgBtn( oId,bId,w,action ) //---------------------------------- { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0=20 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { =20 obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0=20 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } =20 } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } //----------------------------------------- function TxtBtn( oId,oeId,action,chkState ) //----------------------------------------- { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { =20 this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) {=20 if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } =20 } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1=20 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etPressed() } function _BSetA_BorderImg() {=20 b =3D gBtnArr[this.mBorderId]=20 if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _BSetI_BorderImg() {=20 b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN= tsPane ) gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg; gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg; gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.= ToggleNtsPane,GetNtsState ) gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To= ggleNtsPane,GetNtsState ) gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n= b_prevBorder",30,parent.GoToPrevSld ) gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n= b_nextBorder",30,parent.GoToNextSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice= ","nb_voiceBorder",18,parent.ToggleVNarration ) gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT= xt","nb_otlTxtBorder",23,parent.ToggleOtlText ) gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts" gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState /********************************************* Context menu implementation _CM() is the function that's hooked up to the oncontextmenu event. Once we're asked to show the menu, we first build it by creating DIVs on-the-fly. Then we position it=20 within the screen area so it doesn't get clipped. Creating the DIVs using createElement() means we don't have to write out any extra HTML into the slide HTML files. **********************************************/ var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr= row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; if(!PPTSld.event.ctrlKey) { ShowMenu() return false } else HideMenu() } function BuildMenu() { if( PPTSld.document.all.item("ctxtmenu") ) return var mObj=3DCreateItem( PPTSld.document.body ) mObj.id=3D"ctxtmenu" mObj.style.visibility=3D"hidden" var s=3DmObj.style s.position=3D"absolute" s.cursor=3D"default" s.width=3D"120px" SetCMBorder(mObj,"menu","black") var iObj=3DCreateItem( mObj ) SetCMBorder( iObj, "threedhighlight","threedshadow" ) iObj.style.padding=3D2 CreateMenuItem( iObj,sNext,M_GoNextSld,M_True ) CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld ) =09 CreateSeparator( iObj ) CreateMenuItem( iObj,sEnd,M_End,M_True ) mObj.style.visibility=3D"visible" } function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa= lue=3Dfalse } function Highlight() { ChangeClr("activecaption","threedhighlight") } function Deselect() { ChangeClr("threedface","menutext") } function Perform() { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) e.Action() else PPTSld.event.cancelBubble=3Dtrue } function ChangeClr( bg,clr ) { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) { e.style.backgroundColor=3Dbg e.style.color=3Dclr } } function M_HasPrevSld() { return( parent.HasPrevSld() ) } function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() } function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();= PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() } function M_True() { return true } function M_End() { window.close( self ) } function CreateMenuItem( node,text,action,eval ) { var e=3DCreateItem( node ) e.type=3D"menuitem" e.Action=3Daction e.IsActive=3Deval e.innerHTML=3Dtext if( !e.IsActive() ) e.style.color=3D"threedshadow" e.onclick=3DPerform e.onmouseover=3DHighlight e.onmouseout=3DDeselect s=3De.style; s.fontFamily=3DsFont s.fontSize=3D"9pt" s.paddingLeft=3D2 } function CreateSeparator( node ) { var sObj=3DCreateItem( node ) SetCMBorder(sObj,"menu","menu") var s=3DsObj.style s.borderTopColor=3D"threedshadow" s.borderBottomColor=3D"threedhighlight" s.height=3D1 s.fontSize=3D"0px" } function CreateItem( node ) { var 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 No= tes
Slide Show
Outline
------=_NextPart_01CC9965.52443490 Content-Location: file:///C:/9A69C651/PlanningCouncilQualityManagementUpdate,October11,2011_files/filelist.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01CC9965.52443490--