Summary of 2014 Changes Ryan White Services Report

Transcription

1 Summary of 2014 Changes Ryan White Services Report The following changes to the Ryan White Services Report (RSR) will apply to 2014 RSR reporting due Monday March 30 th, Client demographics Deletions/Modifications ID #1: First Service Date Deleted ID #2: Enrollment Status Unknown deleted as a response option ID #3: Death Date Deleted ID #5: Ethnicity - Unknown deleted as a response option ID #6: Race Unknown deleted as a response option ID #9: Poverty Level Response options were changed; unknown deleted as a response option ID #10: Housing Status - Unknown deleted as a response option ID #11: Geographic Unit Code Deleted ID #12: HIV/AIDS Status - Unknown deleted as a response option ID #13: AIDS Diagnosis Year Deleted ID #14: HIV Risk Factor Other deleted as a response option; unknown changed to risk factor not reported or not identified ID #15: Health Insurance Coverage Response options were changed; unknown deleted as a response option Additions Hispanic/Latino(a) breakdown If a client is reported as Hispanic/Latino, this additional information will now be required Asian breakdown If a client is reported as Asian, this additional information will now be required Native Hawaiian/Pacific Islander breakdown If a client is reported as Native Hawaiian/Pacific Islander, this additional information will now be required Sex at Birth - The biological sex assigned to the client at birth has been added HIV Diagnosis Year The year the client was diagnosed with HIV has been added Note Where Unknown is deleted, clients with no information will show as missing. Services Final

2 Deletions/Modifications Field #16-25*: Core Medical Services Quarter ID variable is being removed Field #26-45*: Support Services Quarter ID variable is being removed; Delivered ID response options of no and unknown deleted *Element ID#s are listed consecutively according to the RSR Data Dictionary; the 2014 RSR Instruction Manual is pending update. Clinical Information Deletions/Modifications ID #46: Risk Screening - Unknown deleted as a response option ID #50 Viral Load Test The rules for reporting undetectable values have been changed. The undetectable flag and ld. for < have been removed. For an undetectable viral load, the lower bound of the test (if known) will be reported; otherwise 0 will be reported. Item #51 Prescribed PCP Prophylaxis - Unknown deleted as a response option Item #52 Prescribed HAART No, not medically indicated and unknown deleted as response options Item #53 Screened TB during Reporting Period - Deleted Item #54 Screened for TB since HIV Diagnosis - Now required for all clients for whom Clinical information is reported Item #55 Syphilis Screening - Unknown deleted as a response option Item #56 Hepatitis B Screening during Reporting Period Deleted Item #57 Screened for Hepatitis B since HIV Diagnosis - Now required for all clients for whom Clinical information is reported Item #58 Hepatitis B Vaccination - Unknown deleted as a response option Item #59 Hepatitis C Screening during Reporting Period Deleted Item #60 Screened for Hepatitis C since HIV Diagnosis - Now required for all clients for whom Clinical information is reported Item #61 Substance Abuse Screening - Unknown deleted as a response option Item #62 Mental Health Screening - Unknown deleted as a response option Item #63 Cervical Pap Screening - Unknown deleted as a response option Item #64 Pregnancy Status - Unknown deleted as a response option Item #65 Prenatal Care Deleted Item #66 Prescribed ARV Deleted Final

3 HIV Counseling and Testing Section - To be reported for clients testing positive during the reporting period Additions Date of first positive HIV test Date of OAMC visit after first positive HIV test Note: HAB is not including primary language or disability status in 2014 RSR reporting Final

4 RSR System Variables SV1 SV5 New Reporting period ReportYear The reporting period identifier SV2 ProviderID Unique identifier automatically generated by the RSR system SV3 RegistrationCo de Unique provider registration code generated by the RSR system SV4 ClientUCI The encrypted, unique client identifier Deleted Yes 1 per file yyyy Only when a batch upload 0 1per file Integer No 0 1 per file Numeric string 1 per client 41 character string 1

5 Client Demographics 1 FirstServiceDat e 2 EnrollmentStat usid Client s enrollment status at end of reporting period Deleted 3 DeathDate Deleted 4 BirthYear Client s year of birth CM, OA 1 per client 1=Active 2=Referred 3=Removed 4=Incarcerated 5=Relocated 6=Deceased 7=Unknown 1 per client yyyy 2

6 Client Demographics 5 EthnicityID Client s ethnicity 1 per client 1=Hispanic 2=Non Hispanic 3=Unknown 68 New HispanicSubgr oup Client s Hispanic subgroup 5=1 1 4per client 6 RaceID Client s race 1 5 per client 1=Mexican 2=Puerto Rican 3=Cuban 4=Another Hispanic 1=White 2=Black 3=Asian 4=NH/PI 5=AI/AN 6=Unknown 3

7 Client Demographics 69 New 70 New AsianSubgroup NHPISubgroup Client s Asian subgroup Client s NHPI subgroup 6=3 1 7 per client 6=4 1 4 per client 1=Asian Indian 2=Chinese 3=Filipino 4=Japanese 5=Korean 6=Vietnamese 7=Other Asian 1=Native Hawaiian 2=Guamanian 3=Samoan 4=Other PI 4

8 Client Demographics 71 New SexAtBirth The biologic sex assigned at birth 7 GenderID Client s current gender 8 TransgenderID Client s current transgender status 1 per client 1=Male 2=Female 1 per client 1=Male 2=Female 3=Transgender 4=Unknown 7=3 1 per client 1=M to F 2=F to M 3=Unknown 5

9 Client Demographics 9 PovertyLevel Client s % of poverty at end of reporting period 10 HousingStatus Client s housing status at end of reporting period CM, OA 1 per client 13=<100% 9= % 10= % 11= % 12= % 7= % 8=>500% 1=<101% 2= % 3= % 4=>300% 5=Unknown 6= % CM, OA, Housing 1 per client 1=Stable 2=Temporary 3=Unstable 4=Unknown 6

10 Client Demographics 11 GeographicUni tcode 12 HIVAIDSStatus Client s HIV/AIDS status at the end of the reporting period Deleted CM, OA 1 per client 1=HIV negative 2=HIV positive, not AIDS 3=HIV positive, AIDS status unknown 4=CDC defined AIDS 7=HIV indeterminate (infants <2years) 5=HIV indeterminate (infants only) 6=Unknown 7

11 Client Demographics 13 AIDSDiagnosisY ear 72 New HIVDiagnosisY ear Year of client s HIV diagnosis 14 HIVRiskFactor Client s HIV/AIDS risk factor Deleted New CM, OA clients CM, OA 1 per client yyyy 1 7 per client 1=MSM 2=IDU 3=Hemophilia 4=Heterosexual 5=Blood Transfusion 6=Perinatal 7=Other 8=Unknown 8

12 Client Demographics 15 MedicalInsura nce Client s medical insurance OA, CM, HI 1 8 per client 10=Private Employer 11=Private Individual 2=Medicare 12=Medicaid, CHIP, other public 13=VA/Tricare 14=IHS 15=Other plan 16=Uninsured 1=Private 3=Medicaid 4=Other public 5=No Insurance 6=Other 7=Unknown 8=Medicare Part A/B 9=Medicare Part D 9

13 RWHAP Funded Services 16 OAMC Outpatient ambulatory medical care 18 OralHealth Oral health care 19 EarlyInterventio n 21 HomeHealthCar e 22 HomeAndComm unitybasedhealt h Early intervention Home health care Home and community based health Service ID=8 Visits=1 365 Quarter ID Service ID=10 Visits=1 365 Quarter ID Service ID=11 Visits=1 365 Quarter ID Service ID=13 Visits=1 365 Quarter ID Service ID=14 Visits=1 365 Quarter ID 10

14 RWHAP Funded Services 23 Hospice Hospice 24 MentalHealth Mental health 25 MedicalNutrition Therapy 26 MedicalCaseMan agement 27 SubstanceAbuse Outpatient Medical nutrition therapy Medical case management Substance abuse outpatient Service ID=15 Visits=1 365 Quarter ID Service ID=16 Visits=1=365 Quarter ID Service ID=17 Visits=1 365 Quarter ID Service ID=18 Visits=1 365 Quarter ID Service ID=19 Visits=1=365 Quarter ID 11

15 RWHAP Funded Services 17 LocalAIDSPharm aceuticalassistan ce 20 HealthInsurance Program 28 CaseManageme ntnonmedical Local AIDS pharmaceutical assistance Health insurance program Support Services Delivered: Case management non medical 29 ChildCare Child care Service ID=9 Service ID=12 Service ID=20 Service ID=21 12

16 RWHAP Funded Services 30 PediatricDevelop mentalassessme nt 31 EmergencyFinan cialassistance 32 FoodBankHome DeliveredMeals 33 HealthEducation RiskReduction Pediatric developmental assessment/early intervention Emergency financial assistance Food bank/home meals Health education/risk reduction 34 Housing Housing Service ID=22 Service ID=23 Service ID=24 Service ID=25 Service ID=26 13

17 RWHAP Funded Services 35 Legal Legal 36 Linguistic Linguistic 37 MedicalTranspor tation Medical transportation 38 Outreach Outreach 39 PermanencyPlan ning Permanency planning Service ID=27 Service ID=28 Service ID=29 Service ID=30 Service ID=31 14

18 RWHAP Funded Services 40 PsychosocialSuppo rt 41 ReferralForHealthc are Psychosocial support Referral for healthcare/supportive 42 Rehabilitation Rehabilitation 43 RespiteCare Respite care 44 SubstanceAbuseRe sidential 45 TreatmentAdheren cecounseling Substance abuse residential Treatment adherence counseling Service ID=32 Service ID=33 Service ID=34 Service ID=35 Service ID=36 Service ID=37 15

19 Clinical Information 46 RiskScreening Risk screening provided 47 FirstAmbulatory CareDate 48 AmbulatoryServi cedates First ambulatory care date Client report ambulatory dates OA 1 per client 1=No 2=Yes 3=Unknown OA 1 per client mm,dd,yyyy OA dates mm,dd,yyyy 49 CD4Test CD4 test OA counts and dates 50 ViralLoadTest Viral load test OA counts and dates 51 PrescribedPcpPr ophylaxis Prescribed pcp prophylaxis Count=Integer Date=mm,dd,yyyy Count=Integer Date=mm,dd,yyyy OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=No, client refused 5=Unknown 16

20 Clinical Information 52 PrescribedART Prescribed ART anytime in review period 53 ScreenedTB Deleted 54 ScreenedTBSince HIVDiagnosis Screened for TB since HIV diagnosis 55 ScreenedSyphilis Screened for syphilis during reporting period OA 1 per client 1=Yes 3=No, not ready 4=No, refused 5=No, side effects 6=No, cost 7=No, other 2=No, not medical indicated 8=Unknown OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=Unknown OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=Unknown 17

21 Clinical Information 56 ScreenedHepatit isb 57 ScreenedHepatit isbsincehivdiag nosis 58 VaccinatedHepat itisb 59 ScreenedHepatit isc 60 ScreenedHepatit iscsincehivdiag nosis Screened for hepatitis B since HIV diagnosis Completed the vaccine series for hepatitis B Screened for hepatitis C since HIV diagnosis Deleted OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=Unknown OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=Unknown Deleted OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=Unknown 18

22 Clinical Information 61 ScreenedSubsta nceabuse 62 ScreenedMental Health 63 ReceivedCervical PapSmear Screened for substance use (alcohol & drugs) during reporting period Screened for mental health during reporting period Received a pap smear during reporting period OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=Unknown OA 1 per client 1=No 2=Yes 3=Not medically indicated 4=Unknown OA Female clients 1 per client 1=No 2=Yes 3=Not medically indicated 4=Not applicable 5=Unknown 19

23 Clinical Information 64 Pregnant Pregnant during reporting period OA Female clients 65 PrenatalCare Deleted 66 PrescribedARVM edication Deleted 1 per client 1=No 2=Yes 3=Not applicable 4=Unknown 20

24 HIV Counseling and Testing Elements 73 New 74 New HIVPosTestDate OAMCLinkDate Date of first documented HIV+ test in reporting pd Date of ct s first OAMC visit after HIV+ test OA Clients w/new dx of HIV OA Clients w/new dx of HIV 1 per client mm,dd,yyyy 1 per client mm,dd,yyyy 21