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