This is an application for funding to conduct a new 5-year cycle of the Medical Monitoring Project. Oregon is one of 19 states and 4 large city health departments that have conducted the project since 2005. The project provides information about people living with HIV that supplements HIV surveillance data collected at diagnosis. Project staff annually interview and review medical records for a statewide sample of 400 people living with HIV. CDC provides standardized computer assisted tools for interview and chart abstraction. In addition to core information required by CDC, Oregon also collects local interview and medical records data that are useful for monitoring and planning local health services. Oregon, along with other participating sites, will select potential participants at random from its registry of reported HIV cases. This approach provides representative data about people living with HIV in Oregon, including those who have not been recent recipients of HIV-proficient health care. When participants are identified as out of care, our data collection staff will follow our local process for assisting participants to re-engage in health care, HIV treatment, and other needed social services.
MMP project staff disseminate data through annual fact sheets, an epidemiological profile of HIV/AIDS in Oregon, peer-reviewed publications, and regular presentations to key stakeholders including the statewide Integrated HIV Planning Group, the Part A Planning Council, and health care providers. MMP project staff are currently working to further increase data access by creating on-line data dashboards. MMP data are used by state and local HIV prevention and treatment staff, as well as by private and public health systems, to assess local needs, plan and deliver needed programs and services for people living with HIV, inform public health measures for HIV prevention and to assess treatment quality and adherence to standards. MMP provides salary support for 8 state and local employees.