| Medical Monitoring Project (MMP) |
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| Project Description |
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Medical Monitoring Project (MMP)
Background:
The Medical Monitoring Project (MMP) is a project designed to produce nationally representative data on people living with HIV/AIDS who are receiving care in the United States. The Centers for Disease Control and Prevention (CDC), in collaboration with the National Institutes of Health (NIH), and the Health Resources and Services Administration (HRSA), is working with state and local health departments to conduct MMP across the nation.
As one of 23 project areas, the Oregon MMP aims to gain a deeper understanding of health-related experiences and needs of people living with HIV/AIDS who are receiving HIV care in Oregon. The goals of the project are to:
- Provide a wide array of locally and nationally representative estimates of behaviors and clinical outcomes of persons in care for HIV;
- Describe health-related behaviors;
- Determine accessibility and use of prevention and support services;
- Increase knowledge of the care and treatment provided; and
- Examine variations of factors by geographic area and patient characteristics.
This comprehensive study of HIV care in Oregon represents the first time our state has data on how well people living with HIV/AIDS are doing clinically, behaviorally and socially. MMP builds on the existing HIV case reporting system and is the first nationally representative sample of medical care for people living with HIV that links review of medical records with participant interviews. In the first two years of data collection (2007 and 2008), Oregon secured additional funding to oversample people receiving HIV care in rural facilities to better understand the needs of people living with HIV/AIDS in rural areas of Oregon.
The success of MMP depends on the providers and patients selected to participate. To help ensure maximum participation, MMP has a national community advisory board (CAB) as well as a national provider advisory board (PAB). CAB and PAB members advise local and national staff on aspects related to the development and implementation of MMP in order to increase the likelihood of obtaining information that is truly representative of patients in care for HIV. Providers and patients who were not selected to participate in the project can still help by encouraging others to participate.
Data collected:
The first year of OR MMP data collection in 2007, 40 of 43 (93%) eligible facilities participated. A combined total of 280 CDC-sampled and oversampled participants chose to participate (overall rate = 54%) and both interview and abstraction data were collected for each participant. In the 2008 project year, 92% (33/36) of eligible facilities participated and 261 (58%) people living with HIV/AIDS in Oregon participated.
How the data are used:
MMP provides valuable state and national estimates of health care utilization, quality of care, severity of need, and effectiveness of prevention messages. MMP data may help estimate resource needs for treatment and services for people living with HIV/AIDS. To be effective, programs must meet the current needs of the population. MMP data provide contextual information on prevention, care-seeking, treatment, and risk behaviors which can aid in the design and improvement of HIV programs.
Information gathered for MMP will be used to help people living with HIV/AIDS. Results will be shared with HIV prevention community planning groups, Ryan White CARE Act advisory and planning councils, and with facilities that provide care for people living with HIV/AIDS. This information will be used to make evidence-based policy and funding decisions and to guide treatment services for people living with HIV/AIDS in Oregon and across the nation.
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| Contact Information |
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Oregon MMP Contact Information
Sean Schafer, MD
Medical Epidemiologist & Oregon Medical Monitoring Project Director
Oregon State Department of Human Services – Division of Health
(971) 673-0153
Käri Greene, MPH
Oregon Medical Monitoring Project Coordinator
Oregon State Department of Human Services – Division of Health
(971) 673-0187 or (800) 979-4151
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| MMP Participation Chart |
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MMP 2007-2009 Participation Rates
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Facilities
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2007-2008
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2008-2009
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DISPOSITION CODE
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n
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%
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n
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%
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Participating
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40
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58.0%
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33
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84.6%
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Ineligible
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26
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37.7%
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3
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7.7%
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Refused
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3
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4.3%
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3
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7.7%
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Total
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69
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100.0%
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39
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100%
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Year One participation from
36 eligible CDC sampled facilities
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33
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91.7%
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23/25 (92%)
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Year One participation from
7 eligible oversample facilities
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7
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100.0%
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10/11 (91%)
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Participants
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2007-2008
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DISPOSITION CODE
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n
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%
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n
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%
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Participating
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284
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53.9%
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261
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57.5%
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Unreachable
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129
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24.5%
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107
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23.6%
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Deceased
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6
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1.1%
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2
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0.4%
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Duplicate
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6
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1.1%
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4
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0.9%
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Ineligible
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6
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1.1%
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3
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0.7%
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Refused
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86
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16.3%
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68
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15.0%
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Too sick
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10
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1.9%
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9
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2.0%
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Total
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527
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100.0%
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454
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100.0%
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Year One participation from 400 CDC sampled pts
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217
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54.3%
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Year Two participation from 400 CDC sampled pts
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241
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60.3%
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| 2007 OR MMP Interview Report |
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Information regarding MMP in Oregon
A report on the first year of interview data is available in the links below. The report describes the project and presents 2007-08 interview data from Oregon MMP.
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