Feb 2010 SNP Enrollment 6,215
Archive for the ‘HIV SNP’ Category.
HIV Special Needs Plans Assorted Reports
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
Public Comments before the Presidential Advisory Council on HIV/AIDS
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
ONAP HIV/AIDS Community Discussion NYC
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
User Friendly Specialty Definitions
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
AMIA Posters Related To NYPS SelectHealth’s CCD Project
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
NYC Health: Primary Care Information Project (PCIP)
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.
Unpublished Letter to the New York Times
On August 22, 2006 Dr. Abigail Zuger published an article in the New York TImes “Fight Against AIDS: Small Triumphs, Sunny Optimism and Grim Reality“. In response I sent a letter to the Editor which was never published. This is an expanded version of my letter (with a heartfelt thank you to those who helped refine the text).
Letter To Editor:
Dr. Zuger is right to expect more for her patients. For Medicaid recipients in New York the solution is much closer than Bill Gates’s money – HIV Special Needs Plans (SNPs).
More than 10 years ago the New York State Department of Health’s AIDS Institute anticipated the need for a more comprehensive care system for those living with HIV and on Medicaid. HIV SNPs were developed with significant input from the HIV consumer and provider communities. The SNP program was built upon the vast experience of the AIDS Institute in delivering HIV/AIDS care in the Medicaid fee-for-service sector through the development of Medicaid specialty programs such as the Designated AIDS Center hospital program and other care models. Culminating in 2003, New York State’s efforts resulted in licensing HIV Special Needs Plans (SNPs).
SNPs have dedicated HIV/AIDS-experienced provider networks and have been able to create access to specialty care related to the needs that Dr. Zuger described. SNPs have a flexible funding apparatus through significantly higher capitation payments from the State than is available in regular managed care. This enhanced funding and greater specialist capacity combined with the SNPs’ specialized member services and medical management departments ensure timely and highly coordinated care.
Enrollment in HIV SNPs is voluntary and open to HIV infected individuals who are residents of New York City and on Medicaid. A SNP enrollee’s dependent children of up to the age 19 can also be enrolled regardless of HIV status.
We urge Dr. Zuger and other health providers in New York City to talk with patients with HIV to see if enrolling in an HIV SNP would be the right choice for them.
For more information on HIV Special Needs Plans visit the New York State Department of Health website at www.health.state.ny.us
Eli Camhi, LMSW
Executive Director
NewYork-Presbyterian System SelectHealth
212-404-1278
A History of AIDS Social Work in Hospitals
First published in 2003 A History of AIDS Social Work in Hospitals edited by Allan Rice and Barbara Willinger, I contributed Chapter 20: Social Work, New York State AIDS Centers, and Special Needs Plans. You can read the full chapter here. Of course the book is available from Amazon.
Eli Camhi