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DM1309: CASE MANAGEMENT FOR PERSONS WITH HIV / AIDS

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PART 1: Research Design Issues in Evaluating the Outcomes of Case Management for Persons with HIV
by John A. Fleishman, Ph.D.
OBJECTIVES

The case manager will be able to:

1.  To describe the role of HIV case management.
2.  To identify the key legislation which institutionalized case management.
3.   To explain the importance of the San Francisco model.
4.   List the ways in which case managers can directly contribute to the positive outcomes of HIV case management.
5.   List the program features of case management.
6.   List the four elements that must be defined in a quantitative study of the outcomes of case management.
7.   Identify outcomes variables which may respond to case management.
8.   Categorize research design issues for consideration when planning or assessing an evaluation of case management.
9.   Identify issues facing future HIV case management evaluation studies.


OUTLINE

A. INTRODUCTION

B. WHAT IS THE QUESTION?

C. CASE MANAGEMENT PROGRAM FEATURES
    1. Program Features
    2. Client Characteristics
    3. Case Manager Characteristics
    4. Outcome Variables

D. OTHER RESEARCH DESIGN ISSUES
    1. Sample Size
    2. Number of Case Managers
    3. Clustering within Case Managers
    4. Organizational Setting
    5. Local System Variations
    6. Timing of Outcome Variable Measurement        

E. EXPERIMENTAL AND QUASI-EXPERIMENTAL DESIGNS
    1. Ethical Considerations
    2. Treatment Integrity

    3. Participant drop-outs
    4. Quasi-experiments

F. EVALUATION STUDIES OF HIV CASE MANAGEMENT
    1. AHSP Evaluation Results
     2. Other Evaluation Studies

G. CONCLUSIONS

H. SUMMARY


PART 2: Evaluating the Impact of HIV Case Management: Research Issues and Limitations
Susan Elizabeth Lehrman PhD MPH, Daniel Gentry PhD MSHA, and Edward C. Waltz PhD MS
OBJECTIVES

The case manager will be able to:

  1. Describe the previous focus and the current emphasis of HIV case management  evaluation.
  2. List  relevant policy analysis tools.
  3. Compare and contrast the use of cost-effectiveness analysis (CEA) and cost-benefit analysis (CBA).
  4. Discuss the importance of using a comparison group for evaluating HIV case management. 
  5. Identify strategies and potential problems associated with evaluating health care cost savings in HIV case management.
  6. Explain the pros and cons of using primary and secondary data to assess health care cost savings.
  7. List a variety of data base sources and associated quality issues .
  8. Describe the importance of time frame in health care cost evaluations.
  9. Discuss the evaluation of non-cost related case management outcomes.

OUTLINE

A OVERVIEW

B INTRODUCTION

C POTENTIALLY RELEVANT POLICY ANALYSIS TOOLS

D. THE IMPORTANCE OF A COMPARISON GROUP FOR EVALUATING HIV CASE MANAGEMENT

E. EVALUATING THE HEALTH CARE COST SAVINGS ASSOCIATED WITH HIV CASE MANAGEMENT
    1. Calculating the costs of producing case management services
    2. Using caveats for examining health care costs savings
    3. Using administrative data to assess health care cost savings: overview of administrative data bases, sources, and accessibility
       
    4. Quality of administrative data bases
    5. Adjusting administrative data for severity of illness
    6. Developing cost proxies
    7. Other issues related to using administrative data.

F. EVALUATING NON-COST RELATED CASE MANAGEMENT OUTCOMES

G. CONCLUSIONS AND RESEARCH IMPLICATIONS

 
 
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