This application for the Medical Monitoring Project (MMP), CDC-RFA-PS20-2005, describes how the Washington State Department of Health proposes to successfully conduct the project to meet its three main outcomes: 1): MMP data is used to further characterize and understand HIV in Washington State, including trends and changes in behavior, care and treatment; 2) Local and national HIV prevention and treatment efforts are informed by MMP data; and 3) Key local and national users employ MMP data to inform budgeting, planning, and service delivery decisions. MMP is an ongoing, locally and nationally representative surveillance system that collects data on a probability sample of HIV-diagnosed adults in the United States. MMP monitors sociodemographic variables, behavioral and clinical characteristics, supportive service needs, use of healthcare and prevention services, and adherence to clinical care guidelines among HIV- diagnosed adults. The data from MMP and associated projects are used to help inform and guide local and national HIV prevention, care, and treatment efforts. To produce the intended outcomes, the Washington Department of Health will contract with Public Health – Seattle & King County (PHSKC) to conduct activities within King County, Washington’s most populous county and home to about 52% of the reported HIV cases living in Washington. This application supports Washington’s request for $625,019 to support 2.16 FTE at the state Department of Health and 2.22 FTE at PHSKC.
This application includes three main sections: 1) Strategy and Activities, 2) Evaluation and Performance Measurement Plan; and 3) Workplan. The sections are each subdivided into six topical areas: Preparation, Sampling and Data Collection, Data Management and Dissemination, Quality Assurance and Evaluation, Collaboration and Other Required Activities. Each topical area within the Strategy and Activities section includes three to ten SMART objectives that describe Washington’s outcomes for the project and activities that will contribute to those outcomes. The Evaluation and Performance Measurement Plan describes how Washington will measure its performance against those objectives, and the Workplan describes Washington’s approach to performing the activities that will contribute to meeting its objectives.
Washington State established the Department of Health in 1989 with the mission to protect and improve the health of the people in the state through the promotion and protection of public health, monitoring of health care costs, maintenance of standards for quality health care delivery and other activities to protect human health. In 2013, DOH was one of the first of two state agencies in the country accredited by the national Public Health Accreditation Board. The activities proposed for MMP will be conducted by the Office of Infectious Disease (OID) Assessment Unit (AU), which is located in the Division of Disease Control and Health Statistics (See Organization Chart). In addition to AU, OID includes the HIV, STD, and Hepatitis C Prevention and Drug User Health, HIV Care and Community Engagement, ADAP, Business Development programs. The DOH and PHSKC staff that will work on MMP have several years of experience with HIV case and incidence surveillance, MMP, Case Surveillance-Based Sampling (CSBS) and working across program boundaries to prevent disease and optimize HIV care outcomes.