|
 |
National Center for
HIV, STD, and TB Prevention
| Title of Project |
Managed Care's Role in STD Prevention
and Treatment |
| Category |
Guidelines Development, Quality Assurance |
| Objectives and Description |
For this project, the American Association of
Health Plans (AAHP) and one or more of its member research centers will review and
synthesize recent findings and recommendations from a variety of sources addressing the
role of managed care in STD prevention and treatment. The final report will identify
practical steps that managed care health plans can take to more effectively address STD
prevention and treatment issues. |
| Outcomes: |
|
| Contractor/Project Manager |
American Association of Health Plans Craig Carlson (202) 778-3242 |
| Subcontractor/Principal Investigator |
|
| CDC Project Officer |
Deborah Rogers Mercy (770) 488-8200 |
| CDC Technical Monitor(s) |
Kathleen L. Irwin (404) 639-8276 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
$150,000 |
| Funding Mechanism |
Contract |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Impact of Health-Care Reform on
Sexually Transmitted Disease (STD) Service Delivery |
| Category |
Research, Medicaid and Managed Care |
| Objectives and Description |
This project will assess the impact of a health
department's decision to end its delivery of personal health services on STD prevention. |
| Outcomes: |
The health department's divestiture resulted in
a decline in program capacity, patient delays in seeking/obtaining care, reduced
sensitivity of STD surveillance, and a reported drop in STD rates. |
| External Institution/Principal Investigator |
University of Washington
William Lafferty, MD (206) 616-5085Anne Marie Kimball |
| CDC Project Officer |
Kathleen Irwin (404) 639-8276 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
$245,000 |
| Funding Mechanism |
ASPH Cooperative Agreement |
| Project Status |
Supplemental year of funding in progress to
explore alternative venues of care for clinic clients. |
| Special Populations |
Medicaid enrollees and STD clinic patients |
| Published Abstracts/Articles |
Kimball, AM., Lafferty, WE., Kassler, WJ.,
Hundt, A., MacCornack, R., Bolan, G. The impact of health-care market changes on local
decision making and STD care: experiences in three counties. Am J Prev Med 1997; 13(Suppl
2): 75-84. |
| Title of Project |
National Study of STD Control
Activities in Medicaid Managed Care Organizations |
| Category |
Research, Medicaid and Managed Care |
| Objectives and Description |
For this project, researchers will perform a
survey of STD prevention policies and practices in Medicaid MCOs in an effort to assess
access to and quality of STD-related services. |
| Outcomes: |
|
| External Institution/Principal Investigator |
University of California at Los Angeles
E. Richard Brown |
| CDC Project Officer |
Janelle Dixon (404) 639-8344 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
$143,000 $100,000 (RWJ Foundation) |
| Funding Mechanism |
Cooperative Agreement |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Health Plan Performance Indicators for
STD & Reproductive Health in Managed Care |
| Category |
Research , Quality Assurance |
| Objectives and Description |
This project will develop and test a set of
performance measures with which MCOs can monitor the quality of health care in the areas
of STDs and reproductive health. |
| Outcomes: |
|
| External Institution/ Principal
Investigator: |
University of Washington & Seattle King
County Dept of Health, with: Community
Health Plan of Washington, Group Health Cooperative of Puget Sound, NYLCare Health Plans
Northwest
William Lafferty, MD (206) 616-5085 |
| CDC Project Officer |
Guoyu Tao, PhD, MS (404) 639-1831 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
FY 1997: $160,920 FY 1998: $159,771 |
| Funding Mechanism |
Cooperative Agreement |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
OPTIONS (Outreach Partnerships Towards
Implementation of Non-Invasive Screening) Trial |
| Category |
Research |
| Objectives and Description |
This operational research trial will evaluate
the cost-effectiveness of different outreach intervention strategies intended to promote
chlamydia screening in sexually active women. |
| Outcomes: |
|
| External Institution/Principal
Investigator |
California Dept Health Services with: Kaiser Permanente Northern California
Gail Bolan, MD (510) 540-2657
University of Alabama; with:
VIVA Health, Inc., and HealthPlus (NIH Funded)
Kim Oh, MD (205) 934-8770
City of Philadelphia Dept. of Health with:
Health Partners
Caroline Johnson, MD (215) 685-6737 |
| CDC Project Officer |
Cathleen Walsh (404) 639-1829 |
| Other CIOs/Agencies Involved |
NIH |
| Annual Extramural Funding |
FY 1997: $150,000 FY 1998: $266,000 |
| Funding Mechanism |
Cooperative agreement |
| Project Status |
Ongoing |
| Special Populations |
Women enrollees, under 25 yrs of age |
| Published Abstracts/Articles |
|
| Title of Project |
Enhanced STD Surveillance and Reporting
in a Mixed Model HMO |
| Category |
Research |
| Objectives and Description |
This project will define and enhance an
electronic, laboratory-based, STD reporting system in an MCO using existing administrative
datasets. At the end of the study, the reported data will be evaluated for completeness,
timeliness, and accuracy. |
| Outcomes: |
|
| External Institution/Principal
Investigator |
Massachusetts Health Department with; Harvard
Pilgrim Health Care
Michael Whelan |
| CDC Project Officer |
Guoyu Tao, PhD, MS (404) 639-1831 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
FY 1997: $166,025 FY 1998: $162,143 |
| Funding Mechanism |
Cooperative Agreement |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Evaluation of STD Treatment Guidelines
in Managed Care Settings |
| Category |
Research, Quality Assurance |
| Objectives and Description |
This project will: (1) invesigate how CDC's STD
Treatment Guidelines are currently used in public and private settings; (2) identify
factors associated with compliance to the guidelines; and (3) evaluate whether adherence
to the guidelines produces desired outcomes. These data will be used to revise and improve
the guidelines development process. |
| Outcomes: |
|
| Contractor/Project Manager |
Alliance of Community Health Plans
Michelle Tropper, MPH (732) 220-1388, Ext. 17 |
| Subcontractor/Principal
Investigator |
HealthPartners Research Foundation
Michael Stiffman, MD, MSPH (612) 883-5018Kaiser Permanente, Denver
David Magid, MD, MPH (303) 344-7541 |
| CDC Project Officer |
Deborah Rogers Mercy (770) 488-8200 |
| CDC Technical Monitor(s) |
Kathleen Irwin (404) 639-8276 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
$124,000 |
| Funding Mechanism |
Contract |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Physician's Coding Patterns for STD
Diagnostic and Treatment Services in Medical Claims Data |
| Category |
Research, Information Systems, and Medicaid and
Managed Care |
| Objectives and Description |
In an effort to identify factors associated
with STD miscoding, this project will evaluate how STD services are coded in medical
claims data, including: (1) percent intentional STD miscoding by STD; (2) percent random
coding error; and (3) how STD miscoding is affected by physician practice characteristics
(e.g., treatment volume), patient characteristics (e.g., health insurance status), and
disease characteristics (e.g., STD type and prevalence). |
| Outcomes: |
|
| Contractor/Project Manager |
American Association of Health Plans
Barbara Lardy, MPH (202) 778-3229 |
| Subcontractor/Principal Investigator |
Health Partners Research Foundation
Michael Stiffman, MD, MSPH (612) 883-5018 |
| CDC Project Officer |
Deborah Rogers Mercy (770) 488-8200 |
| CDC Technical Monitor(s) |
Guoyu Tao, PhD, MS (404) 639-1831 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
FY 1998: $50,000 |
| Funding Mechanism |
Contract |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Reproductive Health Guidelines |
| Category |
Guidelines Development, Quality Assurance |
| Objectives and Description |
This project will develop evidence-based,
practice guidelines on STD treatment and reproductive health care for a managed care
audience. |
| Outcomes: |
|
| External Institution/Principal
Investigator |
University of California at San Francisco
Institute for Health Policy Studies
James Kahn, MD, MPH (415) 476-6642 |
| CDC Project Officer |
Kathleen Irwin (404) 639-8107 |
| Other CIOs/Agencies Involved |
NCCDPHP |
| Annual Extramural Funding |
$100,000 |
| Funding Mechanism |
Cooperative Agreement |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Evaluating Alternative Information
Systems for Comprehensive Tuberculosis Surveillance |
| Category |
Surveillance Evaluation |
| Objectives and Description |
The goal of this project is to evaluate the
utility, accuracy, and efficiency of data systems (e.g., billing, pharmacy, electronic
medical records) available throughout managed care organizations as alternative sources
for identifying persons with newly diagnosed tuberculosis. The specific characteristics to
be assessed for the project are: (1) ease of use and accuracy or predictive value as
defined by the proportion of patients initially identified as TB cases who meet the CDC
case definition for TB surveillance, and (2) incremental value as defined by the number of
active TB cases identified by the traditional public health surveillance system. |
| Outcomes: |
The principal finding is that the dispensing of
at least two different primary anti-TB drugs (isoniazid, rifampin, pyrizinamide,
ethambutol or streptomycin), as determined from the review of automated pharmacy records,
is a sensitive (sensitivity 89%) but not very specific (predictive value 30%) indicator of
active TB. |
| Contractor/Project Manager |
American Association of Health Plans
Barbara Lardy, MPH (202) 778-3229 |
| Subcontractor/Principal
Investigator |
Harvard Pilgrim Health Systems
Richard Platt, MD, Msc (617) 421-6859Henry Ford Health Systems
Gary A. Chase, MD |
| CDC Project Officer |
Deborah Rogers Mercy (770) 488-8200 |
| CDC Technical Monitor(s) |
Eugene McCray, MD (404) 639-8117 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
|
| Funding Mechanism |
Contract |
| Project Status |
Completed |
| Special Populations |
Managed care enrollees with tuberculosis |
| Published Abstracts/Articles |
Tuberculosis Surveillance in a Health
Maintenance Organization Using Automated Data. ICAAC 1998
Tuberculosis Surveillance in a Health Maintenance
Organization Using Automated Data. Manuscript submitted for publication March 1999.Assessing the Management of Tuberculosis Using Automated
Pharmacy Records. Manuscript submitted for publication March 1999. |
| Title of Project |
Tuberculosis Surveillance and
Monitoring of Drug Therapy Among HMO Members Using Automated Data |
| Category |
Surveillance Evaluation |
| Objectives and Description |
The goals of this project are to: (1) evaluate
the generalizability of using automated pharmacy data for anti-TB therapy to identify
unreported TB cases in other managed care settings and (2) evaluate the use of health
maintenance organizations' automated pharmacy dispensing data to assess both the
appropriateness of TB therapy prescribed by managing physicians and patient compliance
with therapy. |
| Outcomes: |
|
| External Institution/Project Manager |
Harvard Pilgrim Health Systems
Richard Platt, MD, Msc (617) 421-6859 |
| Subcontractor/Principal
Investigator |
TennCare
Wayne A. Ray, PhD (615) 322-2017United HealthCare
Deborah Shatin, PhD (612) 936-1728
Henry Ford Health Systems
Gary A. Chase, MD (313) 874-6360 |
| CDC Project Officer |
Eugene McCray, MD (404) 629-8117 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
$149,960 |
| Funding Mechanism |
Cooperative Agreement |
| Project Status |
Ongoing |
| Special Populations |
Managed Care Enrollees with Tuberculosis |
| Published Abstracts/Articles |
|
|
