Generative Resources

Over the past few years a number of significant reports have been released describing various aspects of HIV Special Needs Plans.  If you know of other relevant reports send an email to me at ecamhi@generes.com.

Report Links

Lewin – Evaluation of  New York’s HIV Special Needs Plan Program: Cost and Usage Impacts – November 6, 2009

Evaluation of New Yorks HIV Special Needs Plan Program: Cost and Usage Impacts – November 6 2009

Feasibility of using audio computer-assisted self-interview (ACASI) screening in routine HIV care

Bruce R. Schackman a;  Zubin Dastur ab;  David S. Rubin c;  Judith Berger d;  Eli Camhi e;  Julie Netherland f;  Quanhong Ni a; Ruth Finkelstein f

a Department of Public Health, Weill Cornell Medical College, New York, USA

b New York University School of Medicine, New York, USA

c New York Hospital Medical Center of Queens, Flushing, NY, USA

d St. Barnabas Hospital, Bronx, NY, USA

e NewYork Presbyterian System Select Health, New York, USA

f  The New York Academy of Medicine, New York, USA

AIDS Care, Volume 21, Issue 8 August 2009 , pages 992 – 999

http://www.informaworld.com/smpp/content~content=a915041453~db=all

Comparison of Fee-for-Service, Mainstream Managed Care and HIV Special Needs Plans (SNPs) Shows Better Quality in Managed Care – August 2008

http://www.health.state.ny.us/press/releases/2008/2008-08-01_comparison_of_delivery_systems.htm

“Choices in Care” Ranks HIV Care in Special Needs Managed Care Plans as Superior to Traditional Medicaid – August 2008

http://www.health.state.ny.us/press/releases/2008/2008-08-01_choices_in_care_study.htm

Beyond satisfaction: Using the Dynamics of Care assessment to better understand patients’ experiences in care

Bruce Rapkin1 , Elisa Weiss1 , Rosy Chhabra3 , Laura Ryniker1 , Shilpa Patel1 , Jason Carness1 , Roberto Adsuar1 , Wendy Kahalas2 , Carol DeLaMarter2 , Ira Feldman2 , Judy DeLorenzo2 and Ellen Tanner2

1  Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, USA

2  AIDS Institute, New York State Department of Health, Albany, USA

3  Department of Pediatrics, Albert Einstein College of Medicine, Bronx, USA

Health and Quality of Life Outcomes 2008, 6:20

http://hqlo.com/content/6/1/20

Are People Getting the Care they Need?  by Bruce D. Rapkin, Ph.D. – The Body Summer 2005

http://www.thebody.com/content/art14266.html

HIV Special Needs Plans (SNPs): A New Health Care Option in New York by Doug Wirth – The Body Winter 2005-2006

http://www.thebody.com/content/art30275.html

On February 2, 2010 I attended the public ceremony of the swearing in of the Presidential Advisory Council on HIV/AIDS (PACHA) in Washington, DC.

This is an extract of my public comments before the Council.

Follow this link if the video does not display.

http://www.youtube.com/watch?v=7inSmBOy70o

The full video of the session is 90 minutes long and can be seen here:

http://www.whitehouse.gov/photos-and-video/video/presidential-advisory-council-hivaids

Ryan White Part C Programs are required to cap charges to patients based on income.  I developed a simple excel spreadsheet which can be used for that purpose.  It is designed to allow you to input the current federal poverty guidelines and to choose your State.  The user then enters the patients family size and annual income.  The cap is then calculated.  The current upload is for 2009.  The federal poverty guidelines are posted every year here and can be used to update the spreadsheet.  The 2010 rates will be available March 1, 2010.  Upon further review of the Ryan White law it has been determined that family size should not be included in the calculation for caps on charges.  A second spreadsheet is included that limits the calculation just to the individual.

CapCalc_Family (family size)

CapCalc_Individual (individual only for Ryan White Grantees)

On Friday evening December 4, 2009 President Obama’s Office of National AIDS Policy  hosted a Community Discussion on HIV/AIDS in the Alumni Auditorium of Columbia University.  Jeffrey Crowley, ONAP Director served as host and Rosie Perez, Actor and long time HIV/AIDS advocate moderated.   While there were some brief introductions and comments by local politicians (Congressman Eliot Engel and City Council Speaker Christine Quinn), the event primarily permitted  a steady stream of 90 second statements from anyone attending who choose to wait in two lines to open microphones.  I think it went on for about 3 hours.

So how do you insure that all are heard.  You have Rosie Perez moderate.  She advised the group early on that comments would be limited to 90 seconds and she would gently but firmly enforce that limit.  And she did.  And everyone complied.  You go Rosie!  If you think all she can do is act, forget about.

ONAP recorded  the entire event and posted it on the White House  website.  Follow this link to see the video: http://www.whitehouse.gov/administration/eop/onap/events/newyork

NewYork-Presbyterian System SelectHealth offers members educational handouts  that provide user friendly definitions of the various specialties available through its provider network.

This document is a modified version of one offered courtesy of the Swedish Medical Center, WA Copyright 2007.

English Version pdf

Understanding Specialists English

Spanish Version pdf

Tipos de médicos por especialidad

American Informatics Association (AMIA) Annual Meeting
November 14-18, 2009

Posters related to NewYork-Presbyterian System SelectHealth’s Continuity of Care Document (CCD) HRSA Special Projects of National Significance.

AMIA-0021-A2009.R1. Urban PLWH’s Willingness to Share Personal Health Information. P. Teixeira; S. Bakken; E. Camhi; P. Gordon

AMIA-0056-A2009. Barriers and Facilitators to Use of a Continuity of Care
Document (CCD) in HIV/AIDS Care: Persons Living With HIV/AIDS (PLWH) and Health Care Provider Perspectives. D. Wantland; M. Odlum; R. Schnall; P. Teixeira; P. Gordon; E. Camhi; S. Bakken

AMIA-0088-A2009. Cognitive Evaluation of Case Managers’ Use of a Continuity of Care Document for Persons Living with HIV. R. Schnall; D. Kaufman; S. Hyun; S. Bakken

AMIA

If your clinic or practice hasn’t implemented an Electronic Health Record (EHR) the New York City Department of Health and Mental Hygiene has a program that you might consider. The Primary Care Information Project (PCIP) (http://www.nyc.gov/pcip) has been in existence since 2005 and has completed 1,500 EHR implementations in NYC. It currently offers: subsidized licensing of eClinicalWorks (http://www.eclinicalworks.com), support for installing and implementation, assistance in practice redesign, privacy and security, meaningful use, pay for performance and biosurveillance. I have attached the Program Application including a description of the Program Eligibility and Program Benefits.  PCIP Application

You can also apply online at: http://www.nyc.gov/html/doh/html/pcip/pcip-ehr-app.shtml#7

While PCIP has included a subsidy for the eClinicalWorks license this
support is running out and it is uncertain if it will continue in 2010.
Practices considering participation should contact PCIP (pcip@health.nyc.gov) as soon as possible.

The PCIP project has applied for funding as a Federal Health Information Technology Regional Extension Center (http://healthit.hhs.gov/extensionprogram) which would permit continuing support for EHR-enabled primary care.

Readers interested in healthcare reform are encouraged to view this remarkable video which summarizes in a compelling way the challenges we must face to reform the US healthcare delivery system.  Kitzhaber gives a clear and unique description of the problem and points us to a possible solution.  While this IHI Keynote was delivered in March 31, 2008, this is the same presentation Kitzhaber gave to over 6,000 present and 17,000 viewing at the National IHI Conference on December 10th 2008.  The Governor is introduced by Donald Berwick, President and CEO of the Institute for Healthcare Improvement.

Know where we are, where we are going, and what we can do about it.  

Be sure to post your feedback below.  And forward this link to those who might value it.

Eli Camhi

Keynote: Governor Kitzhaber, 

Baby Boom Generation and Health Care for the 21st Century