C H A M P

Comprehensive HIV-AIDS Management Program

For the

Ryan White Treatment Modernization Act

Presented by FutureBridge Business Solutions

What is CHAMP?

 

The Comprehensive HIV AIDS Management Program (CHAMP) is a tool that manages services for people living with HIV/AIDS.  CHAMP consists of three components:  (1) administrative management, (2) anonymous client data base, and (3) outcomes reporting/quality management.  CHAMP was developed in the Newark, New Jersey Eligible Metropolitan Area (EMA) and has been used successfully to manage services and finances, prepare federal reports, and provide outcome data used for the annual Ryan White application and other HIV/AIDS funding applications. 

 

Administrative Management

 

CHAMP assists administrators in managing all aspects of HIV/AIDS services and spending. 

·         Implementation of unit cost contracting

·         Electronic Billing of Services

·         Contract monitoring – monthly comparison of actual to target spending

·         Re-allocation of unspent dollars during year to ensure grant is fully spent by year-end.

·         Tracking of formula and supplemental dollars and multiple funding sources.

·         Provider level monitoring-evaluation

·         EMA level aggregate reporting

Confidential Client Level Database 

 

The information collected for each client consists of demographic and socio-economic data; medical data related to HIV-AIDS; delivered services (unit cost); referral and client assessment data.  This information is used for the purposes of quality control (quality of service), statistical reporting and analysis, across the EMA.  The CHAMP system is anonymous, information collected in CHAMP cannot identify a client.

 

Outcomes Reporting/Quality Management

 

CHAMP produces reports and comparisons of performance and medical outcomes which can be used to improve medical outcomes and to complete the competitive annual Ryan White grant application. 

  • Compares services and epidemiological data to assess parity of services by gender, race/ethnicity, and geography.
  • Measures service utilization by PLWHA in and out of medical care.
  • Measures historical trends, e.g., change in CD4 and Viral Load levels.
  • Measures Viral Load by detailed variables – gender, race/ethnicity, age with in ZIP code area – for more precise targeting of services. 
  • Performance reporting

 

CHAMP is a very useful tool for improving the quality of services that are delivered to clients.  The data collected with CHAMP can be used to determine patient outcomes and demographic group outcomes.  The outcome data can be used to apply for additional funding which helps to improve the availability of services to clients in the EMA. The outcome data is also used to determine if the clients are improving from the services they receive.   Monitoring these outcomes can help the EMA monitors and planning council to redirect services to areas of need. This helps to efficiently allocate the services to ensure that there will be plenty of units available for the EMA clients.  CHAMP is used to lookup services that were previously delivered to a client.  This helps to prevent the duplication of services which in some cases can be dangerous to the client.  CHAMP is also used to see where particular services are delivered. This feature helps case managers in referring clients to services that are located close to where the client lives. CHAMP helps the clients of the EMA in many ways.

 

GENERAL BENEFITS OF CHAMP

 

The data collected in CHAMP can be used for the following purposes:

  • Document service to a unduplicated number of clients
  • Document utilization of funds per service and sub-category
  • Capture unmet needs
  • Develop forecasts more accurately for future planning
  • Monitor behavioral patterns
  • Monitor effectiveness and compliance of contracts
  • Enhance case management process
  • Quality Management
  • CADR  Reports

 

CHAMP History

 

CHAMP was developed by FutureBridge Business Solutions and the City of Newark - Department of Health and Human Services as a tool to collect client data and unit cost data. During FY2005, CHAMP supported 276 users at 37 service providers that collected 265,000 deliveries of service to 7,279 clients. 

 

CHAMP development began in 1996 and was partially implemented in production in Newark EMA during 1997. Since that time CHAMP has been enhanced and upgraded to keep CHAMP consistent with the priorities of the Ryan White Care Act.

 


Program Features

 

GENERAL

 

 

User Based Security

CHAMP is fully HIPPA compliant. Each user requires a login id and a password to use CHAMP.  Application security is configurable and can be setup to allow on specific users to perform certain functions a view certain data.

 

 

Online Data

Data accessed in CHAMP will be provided by a web service from CHAMP data center.  No local databases to maintain. EMA data can be accessed from anywhere the CHAMP application is installed provided the user has appropriate login and password.

 

 

Unlimited Users and Installs

CHAMP can be installed on an unlimited number of machines and used by an unlimited number of users at the service providers.

 

 

Easy Installation

The software can be downloaded from the internet and installed with the click of a button. Users only need installation rights their local computer to install the software. Once the software is installed a pass-code is issued by the help desk which enables the software.

 

 

Editable Online Notices

Users with permission can edit and broadcast online notices that must be confirmed by the users who read them. Good for EMA broadcasts of information to providers and users.

 

DATA COLLECTION

 

 

Demographics and other Captured Data

Birth Date, Birth place, Client Status, Gender, Ethnicity, Race, Hispanic Region of Origin, Sexual Orientation, HIV Status,  Transmission Modes, Year of HIV Diagnosis, Year of AIDS diagnosis, Employment Status, Care Giver Support,  Source of Primary Care,  Living In,  Living With,  Income Source, Payment Source,  Individual Income, Family Income, Family Size, Assigned Case manager, GAF Scale,  Referral Source,  Zip code

 

 

HIV-AIDS Related Medical Data

CD4, Viral Load, AIDS Defining Conditions, HIV Syndrome, Tuberculosis, Hepatitis C, Syphilis,  Other STI, ART Therapies

 

Female Only – Pap Smear, Pelvic Exam, Pregnancy Data

 

 

Data Sharing

Case management, medical and other providers will be give specific permissions to edit fields that they are responsible for providing.  Users will be able to read data that has been provided by other professionals for whom the data was required.  This will help to lesson the burden of data entry at the larger providers. Data sharing between providers is as possible with CHAMP.

 

 

Instant History Fields

All fields that change over time, i.e. (zip code, cd4, viral loads, employments status, HIV status etc.) maintain a history of the changes that the can view directly on the front-end.

 

 

Required Fields

Every field in CHAMP can be set as a required field.  Required fields can also be set to expire after a given time period to force re-entry.

 

 

Referral Screens

Providers can use CHAMP perform electronic referrals.

 

 

Lookup Feature

Case managers, service providers and grantees can use the lookup feature in CHAMP to see what services were recently provided to a clients and where the client received them.  This feature prevents duplication of service and can be used for quality management.

 

REPORTING

 

 

Add-hoc Query

The Add-hoc queries screen provides the ability to generate lists of clients at the provider level and EMA level based on a certain set of criteria.  The queries can be saved for future use and shared with other users. The results can be printed or exported to Excel or SPSS.

 

 

CADR Report

CHAMP collects all data that is needed for sections 2, 3, 5 of the CADR report. Data for section 4 (HIV Testing and Counseling) when it will be required. Most of the data for section 6 and 7 is already collected in CHAMP and will be reported when Title III and Title IV providers begin to use CHAMP. Data is reported and manually entered at the end of the calendar year.

 

 

Financial Reporting and Billing

Expenditure, Reimbursement, Services Summary and contract monitor reports provide the ability for provides to bill the grantee directly through CHAMP.

 

 

Client and Demographic Reports

Client Profile report contains a graphical representation of clients serviced at a provider.

 

 

Shared Data option on EMA aggregate reporting

When executing aggregate reports, data will be consolidated from all providers in the EMA to produce an accurate data set for a particular client before the client is counted on an EMA aggregate report.  Data is collected from providers where the data has been required before using non-required data.  The shared client data is used on the Grant Application Reports, CADR (Care Act Data Report), and EMA level outcome reports.

 

 

OLAP Database

CHAMP includes a very powerful database for analytical processing called the OLAP database. (Online Analytical Processing). OLAP databases are pre calculated three dimension cubes that are used for fast pivot queries and cross- tabs.  These cubes are used to generate cross-tabs and pivot tables for the CADR, grant application and most EMA wide. The cubes are very flexible and allow any demographic to be applied against any other demographic in seconds to show distinct counts, units or cost totals total for any combinations of populations served.

 

 

 

 

 

 

 

 

 

System Requirements

The minimum system requirements for running the CHAMP software are listed below:

Hardware

1.5 GHz or higher Intel Pentium 4 or Celeron Processor

128 MB RAM (** suggested 256 MB RAM for better performance )

40 GB Hard Drive

17 inch monitor, standard graphics card

Keyboard and Mouse

 

SOFTWARE

Windows XP or

Windows XP Professional Preferred, Windows 2000  (Service Pack 5),

Windows 20003 Professional,

Windows VISTA

 

CONNECTIVITY

High speed internet connection (cable modem, DSL, or T1 – corporate network), dial-up connections not supported.

 

 

 

 

 


 

Sample Screens

 

The following pages include a few sample screens the CHAMP 3.2 system.

 

CHAMP 3.2 Client List

 

CHAMP 3.2 Client Screen       

 

 

CHAMP 3.2 Sample Add-hoc Screen

 

 


CHAMP 3.2 OLAP Database Sample

 

 

 

 

 

 

 

 

 

 

 

 


Sample Service Code and Subtypes

 

The service code and sub-types listed below will be implemented in the Newark EMA for FY2007.  Service codes and sub-types are tailored to each EMA/TGA.

 

Ambulatory Outpatient Health Services (Primary Medical)

GYN/Reproductive Medical Visit

 

Laboratory Tests/Diagnostics

 

Nurse - Initial Intake

 

Nurse - Medical Visit

 

Nurse - Phlebotomy/Lab Samples/Vital Signs

 

Physician - Initial Interview/Medical Assessment

 

Physician - Medical Visit

Case Management

Benefit Financial Counseling

 

Chart Review

 

Discharge Planning (Institution)

 

Face to Face

 

Initial Assessment

 

Mental Health Assessment

 

MICA Assessment

 

Nutritional Assessment

 

Phone Contact

 

Prepared ADDP application

 

Re-Assessment

 

Referral to Core Medical Services

 

Referral to Core Medical Services Follow-up

 

Referral to Support Services

 

Referral to Support Services Follow-up

 

Substance Abuse Assessment

Day and Respite Care

Facility - Adult

 

Facility - Child

 

Home Care - Adult

 

Home Care - Child

Direct Emergency Assistance

DEA Coordination

 

Electric / Gas Bill

 

Other

 

Telephone Bill

Housing and Related Services

Coordination / Assistance

 

Rental Assistance - Short Term

 

Security Payment

 

Transitional

Legal Services

Assistance with Wills / Legal Papers

 

Bankruptcy

 

Benefit Re-determination

 

Discrimination

 

Family Law / DYFS

 

Guardianship Matters

 

Housing Issues

 

Other Legal Matters

Medical Case Management

Chart Review

 

Hospital Discharge Planning

 

Medical Appointment Follow-up

 

Mental Health Assessment

 

MICA Assessment

 

Nutritional Assessment

 

Prepared ADDP application

 

Re-Assessment

 

Referral to Core Medical Services

 

Referral to Core Medical Services Follow-up

 

Referral to Support Services

 

Referral to Support Services Follow-up

 

Substance Abuse Assessment

 

Treatment Adherence Counseling (Individual)

 

Treatment Adherence Counseling Program

Medications

HIV / AIDS Medication

 

Non HIV / AIDS Medication

Mental Health Services

Group - Counseling

 

Group - Family Counseling

 

Group - Level I - Intensive

 

Group - Level II - General

 

Group - Level III - Supportive

 

Individual - Counseling

 

Individual - Family Counseling

 

Individual - Level I - Intensive

 

Individual - Level II - General

 

Individual - Level III - Supportive

 

Individual - MICA

 

Individual - Psychiatric

 

Mental Health Assessment

 

MICA Assessment

Oral Health Care

Dental - Cleaning

 

Dental - Consult

 

Dental - Crown & Bridge

 

Dental - Dentures

 

Dental - Exam

 

Dental - Extractions

 

Dental - Fillings

 

Dental - Oral Surgery

 

Dental - Other

 

Dental - Restorative

 

Dental - X-Ray

Outreach

Homeless

 

Other

 

Prison / Jail

 

Substance Abusers

Permanency Planning

None

Substance Abuse Outpatient Care

Aftercare Counseling

 

Counseling - Group

 

Counseling - Individual

 

Detoxification (Outpatient )

 

Group - Counseling

 

Group - Family Counseling

 

Individual - MICA

 

Initial Assessment

 

Intensive Outpatient

 

Laboratory Test / Diagnostics

 

Medication

 

Methadone Treatment

 

Partial Hospital

 

Psychiatric

 

Substance Abuse Assessment

Transportation

Bus / Train Passes

 

Taxi Reimbursement

 

Van / Agency based Transport

 


Sample Outcomes/HIV Clinical Quality Management Reports