who were newly reported with HIV. MCC Regional: Persons with HIV are Decreased number of Number of MCC Source: MCC successfully remaining individuals who are "lost Regional case Regional CM in medical case to follow-up" within a management clients Only - CARE management. 12 month reporting "lost to follow-up" vs. Ware. period. total number of active clients. QUALITY ASSURANCE/PROCESS EVALUATION Criteria Indicators Data Elements Data Sources & Methods Ryan White funds are 1. Standard income 1. Number and percent Source: CM Chart used as payer of last verification form of client files with Review & resort. completed with appropriate CAREWare. allowable documents documentation for Case Manager attached in client file. income verification. Reported. referrals and follow-up in client file. 2. Case management 2. Number and percent progress notes and of client files with CARE Assist event documentation in records document all progress notes or event referrals and follow-up records of all referrals to referrals. and follow-up activities. Clients accessing Increase in client Number and percent of Source: CARE CAREAssist services records that contain the CAREAssist clients Assist. will have access to a name of the client's case with a case manager Collected annually case manager. manager. listed in their record. through data reports. Ryan White funded All client files in all Percent and number of Source: CM Chart providers will ensure Ryan White Part B client files with all Reviews. that every client receives funded programs utilize forms included, signed Collected annually information about: the standard forms for and dated by the client. client information and Informed Consent all forms are signed and Client grievance dated by the client. Client rights & responsibilities Eligibility will be All client files in all Percent and number of Source: CM Chart documented for all Ryan White Program client files with Reviews & clients receiving Ryan funded programs utilize standard forms CAREWare. White Program services: the standard forms for completed and
who were newly reported with HIV. MCC Regional: Persons with HIV are successfully remaining in medical case management. Decreased number of individuals who are "lost to follow-up" within a 12 month reporting period. Number of MCC Regional case management clients "lost to follow-up" vs. total number of active clients. Source: MCC Regional CM Only - CARE Ware. QUALITY ASSURANCE/PROCESS EVALUATION Criteria Indicators Data Elements Data Sources & Methods Ryan White funds are used as payer of last resort. 1. Standard income verification form completed with allowable documents attached in client file. referrals and follow-up in client file. 2. Case management progress notes and CARE Assist event records document all referrals and follow-up to referrals. 1. Number and percent of client files with appropriate documentation for income verification. 2. Number and percent of client files with documentation in progress notes or event records of all referrals and follow-up activities. Source: CM Chart Review & CAREWare. Case Manager Reported. Clients accessing CAREAssist services will have access to a case manager. Increase in client records that contain the name of the client's case manager. Number and percent of CAREAssist clients with a case manager listed in their record. Source: CARE Assist. Collected annually through data reports. Ryan White funded providers will ensure that every client receives information about: Informed Consent Client grievance Client rights & responsibilities All client files in all Ryan White Part B funded programs utilize the standard forms for client information and all forms are signed and dated by the client. Percent and number of client files with all forms included, signed and dated by the client. Source: CM Chart Reviews. Collected annually Eligibility will be documented for all clients receiving Ryan White Program services: All client files in all Ryan White Program funded programs utilize the standard forms for Percent and number of client files with standard forms completed and Source: CM Chart Reviews & CAREWare.