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Ryan White HIV/AIDS Program Data Report Form (formerly CADR System)

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Ryan White HIV/AIDS Program Annual Data Report Crosswalk:
Summary of changes in the 2008 Ryan White Data Report (RDR) versus
the 2005 Ryan White CARE Act Data Report (CADR)


Global Changes

The following references have changed throughout the data report:

2008 Reference

2005 Reference

Description of change

Ryan White HIV/AIDS Program Annual Data Report (RDR)

Ryan White CARE Act Data Report (CADR)

Change in report name.

Part A

Title I

Change in funding source name.

Part B

Title II

Change in funding source name.

Part C

Title III

Change in funding source name.

Part D

Title IV

Change in funding source name.

Outpatient/ambulatory medical care

Ambulatory/Outpatient medical care

Change in word order.

Part D, including the Adolescent Initiative

Title IV Adolescent Initiative

Multiply funded Adolescent Initiative providers no longer report youth and non-youth data in separate reports.

Race/Ethnicity


Race Categories

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

More than one race

Not reported


Ethnicity Categories

Hispanic & Non-Hispanic



Race/Ethnicity Categories


White (not Hispanic)

Black or African American (not Hispanic)

Hispanic or Latino(a)

Asian

Native Hawaiian or Other Pacific Islander

American Indian or Alaska Native

More than one race

Unknown/ unreported

Data on client ethnicity (Hispanic or Non-Hispanic) are reported along with each client’s race category in the 2008 version. Race categories are now listed in alphabetical order. “Not Reported” is included to report those individuals who choose not to report race and/or ethnicity.


Section 1 - Service Provider Information

Item in 2008

2008 Item Name

Item in 2005

2005 Item Name

Description of change

10

Part D (Including Adolescent Initiative)

10

Title IV

In the 2008 version, Title IV and Title IV Adolescent Initiative are combined into one funding source category, Part D (Including Adolescent Initiative.)

Title IV Adolescent Initiative

11a

Amount of Part A funding

11a

Total amount of Title specific (Title I, II, III, or IV) funding received during this reporting period (rounded to the nearest dollar)”

In the 2008 version, “received” has been changed to “expended” and defined in the instructions to read “Expended means the amount of money spent providing services directly to clients and on any other grant-related activities.”

12a

Amount of Part B funding

12a

13a

Amount of Part C funding

13a

14a

Amount of Part D funding

14a



Section 2 - Client Information

Item in 2008

2008 Item Name

Item in 2005

2005 Item Name

Description of change

Section 2 Instruction

“…whether receiving core medical services or support services.”


Section 2 Instruction

“… whether receiving medical care or social support services.”


Change in wording.

27

Race and Ethnicity

27

Race/Ethnicity

Race and ethnicity data for HIV-Positive/indeterminate and HIV-affected clients were combined and reported in a single item in the 2005 version. In the 2008 version, client data on ethnicity are reported separately. See Race/Ethnicity under Global Changes on p. 1.

27a

HIV-Positive/indeterminate

N/A

N/A

27b

HIV-Affected

N/A

N/A






Section 3- Service Information

Changes in the service definitions are noted below. Please refer to the glossary in the 2008 Ryan White HIV/AIDS Program Data Report Instructions for complete definitions.

Item in 2008

2008 Service Category

Item in 2005

2005 Service Category

Description of Change

33

Core Services

33

N/A

Services "a" through "l" are categorized as Core Services in the 2008 version. In 2008, cells for reporting core services to affected clients have been closed. Part D may no longer provide core services to affected clients.

a.

Outpatient/ambulatory medical services

a.

Ambulatory/outpatient medical care

Change in word order. Part C and D programs report Early Intervention Services here. Revised definition in glossary.

b.

AIDS Pharmaceutical Assistance (local)

N/A

N/A

AIDS Pharmaceutical Assistance (local) was not listed as a service category in the 2005 version. Revised definition for APA (AIDS Pharmaceutical Assistance) included in glossary.

c.

Oral health care

c.

Oral health care

No change.

d.

Early intervention services (Parts A and B)

q.

Early intervention services for Titles I and II

Service name change from Early intervention services (EIS) for Titles I and II to Early intervention services (Parts A and B). Part A and B programs report Early Intervention Services in "d." Part C and D programs report Early Intervention Services in service "a" -Outpatient/ambulatory medical services. See service definitions in glossary for more information.

e.

Health Insurance Premium & Cost Sharing Assistance

N/A

N/A

Health Insurance Premium & Cost Sharing Assistance was not listed as a service category in the 2005 version. No change to the service definition, which is listed in the glossary as Health Insurance Program (HIP).

f.


Home health care

i.

Home health: specialized care

The 2005 service categories, Home health: specialized care, Home health professional care, and Home health: para-professional care, have been replaced by two service categories in the 2008 version. The service categories are Home health care, which is listed as item “f,” and Home and community-based health services, which is listed as item “g.” Services that were classified as Home Health: Para-professional care in 2005 should be classified as Home and Community-based Health Services in 2008. Services classified as Home health: specialized care and Home health: professional care in 2005 can be classified as either Home health care or Home and community-based health services in 2008. NOTE: (1) Home and community-based health services require a written “care plan” be established by a case management team that includes medical professionals. (2) Home health care services must be provided by licensed professionals.

g.

Home and community-based health services

g.

Home health:

para-professional care

h.

Home health: professional care

h.

Hospice services

ac.

Residential or in-home hospice care

Change in service name. Definition revised for clarity.

i.

Mental health services

b.

Mental health services

Mental health services is listed as service "i" in the 2008 version. No change in service definition.

j.

Medical nutrition therapy

w.

Nutrition counseling

Service name changed to Medical nutrition therapy and is listed as service "j" in the 2008 version. Revised definition in glossary.

k.

Medical case management (including treatment adherence)

j.

Case management services

Case management services in the 2005 version are split into two categories in the 2008 version. Medical case management (including treatment adherence) is listed as service "k" and must include the coordination and follow-up of medical treatment. Case management (non-medical) is listed as service "m." See service definitions in glossary for more information.

l.

Substance abuse services - outpatient

d.

Substance abuse services-outpatient

Substance abuse services- outpatient is listed as service "l" in the 2008 version. No change in service definition.


Support Services


N/A

Services "m" through "ad" are categorized as Support Services in the 2008 version.

m.

Case management (non-medical)

j.

Case management services

Case management services in the 2005 version are split into two categories in the 2008 version. Case management (non-medical) service is listed as service "m" and does not include the coordination and follow-up of medical treatment. Medical case management (including treatment adherence) is listed as service "k." See service definitions in glossary for more information.


n.

Child care services

l.

Child care services

Child care services is listed as service "n" in the 2008 version. No change in service definition.


o.

Pediatric development assessment/early intervention services

p.

Developmental assessment/early intervention services

Change in service name to Pediatric development assessment/early intervention services and is listed as service "o" in the 2008 version. Change in service definition wording only.


p.

Emergency financial assistance

r.

Emergency financial assistance

Emergency financial assistance is listed as service "p" in the 2008 version. Part A and B programs report these funds as specified in DSS Program Policy Guidance No. 2. Revised definition in glossary.

q.

Food bank/home-delivered meals

s.

Food bank/home-delivered meals

Food bank/home-delivered meals is listed as service "q" in the 2008 version. Definition revised for clarity.

r.

Health education/risk reduction

t.

Health education/risk reduction

Health education/risk reduction is listed as service "r" in the 2008 version. No change in service definition.

s.

Housing services

u.

Housing services

Housing Services is listed as service "s" in the 2008 version. Definition has been expanded for clarity.

t.

Legal services

v.

Legal services

Legal services is listed as service "t" in the 2008 version. Definition revised for clarity.

u.

Linguistics services

N/A

N/A

Linguistics services is a new service category in the 2008 version. See service definition in glossary for more information.

v.

Medical transportation services

ad.

Transportation services

Service name changed to Medical transportation services and is listed as service "v" in the 2008 version. Transportation for support services is no longer included. See service definition in glossary for more information.

w.

Outreach services

x.

Outreach services

Outreach services is listed as service "w" in the 2008 version. Definition revised for clarity.

x.

Permanency planning

y.

Permanency planning

Permanency planning is listed as service "x" in the 2008 version. No change in service definition.

y.

Psychosocial support services

z.

Psychosocial support services

Psychosocial support services is listed as service "y" in the 2008 version. Definition revised for clarity.

z.

Referral for health care/supportive services

aa.

Referral for health care/supportive services

Referral for health care/supportive services is listed as service "z" in the 2008 version. Definition revised for clarity.

aa.

Rehabilitation services

f.

Rehabilitation services

Rehabilitation services is listed as service "aa" in the 2008 version. No change in service definition.

ab.

Respite care

o.

Day or respite care for adults

Change in service name. Definition revised for clarity.

ac.

Substance abuse services ─ residential

e.

Substance abuse services ─ residential

Substance abuse services- residential is listed as service "ac" in the 2008 version. Definition revised for clarity.

ad.

Treatment adherence counseling

ae.

Treatment adherence counseling

Treatment adherence counseling is listed as service "ad" in the 2008 version. Treatment adherence counseling conducted by non-medical personnel outside of a medical case management visit should be reported here. Definition revised for clarity.

N/A

Deleted

k.

Buddy/companion service

These services are no longer eligible to be funded by the Ryan White HIV/AIDS Program.

N/A

Deleted

m.

Child welfare services

N/A

Deleted

n.

Client advocacy

N/A

Deleted

ab.

Referrals to clinic research

N/A

Deleted

af.

Other services




Section 4 – HIV Counseling and Testing

Item in 2008

2008 Item Name/Order

Item in 2005

2005 Item Name/Order

Description of change

35

(Skip to Section 5 if you selected scope “02.”)”

35

(Skip to Section 5 if you selected scope “02” and do not wish to continue with this section.)”

Change in instruction. Grantees that select “NO” for item 35 and select reporting scope “02” are required to skip to Section 5.

37

How many individuals were tested for HIV antibodies during…”

37

Of the individuals who received HIV pretest…”

Item 37 is no longer a subset of Item 36, because pretest counseling is not required by all programs.

38

“…who were tested for HIV antibodies (Item 37 above), …”

38

“…who received pretest counseling and were…”

Item 38 is no longer a subset of Item 36, because pretest counseling is not required by all programs

39

Of the individuals who were tested for HIV antibodies…”

39

Of the individuals who received pretest…”

Item 39 is no longer a subset of Item 36, because pretest counseling is not required by all programs.

required under all program parts.



Section 5 – Medical Information

Item in 2008

2008 Item Name/Order

Item in 2005

2005 Item Name/Order

Description of change

Section 5 Instruction

“…visit during the reporting period. It is expected that grantees…”

Section 5 Instruction

“…visit during the reporting period.”

Additional instruction has been included in the 2008 version:

It is expected that grantees who contract with multiple fee for service medical providers will report the medical information for all providers that do not complete a Data Report.”

44

Clients with more than...,except for males with a history of both sex with men and injection drug use.”

44

Persons with more than …,except for individuals with a history of both homosexual/bisexual contact and injection drug use.”

Change in description of exposure category.

47

Latent Tuberculosis (TB) testing

47

Tuberculosis (TB) skin test

Because a blood test for Tuberculosis is now available, references to the PPD skin test in Items 47a, and 47b have been changed to “latent TB test (skin or blood).”

47c

Indeterminate”

N/A

N/A

Data must now be reported for clients whose TB tests are “Indeterminate.”

48

“…(other than syphilis)”

48

“…(other than syphilis and HIV)”

Both subcategories for Item 48, Screening/testing & Treatment for an STI, no longer include the term HIV since Section 5 is restricted to HIV+ clients.

52

“…and cervical Pap test…”

52

“…and Pap smear…”

Change in description of test.

53

Pregnancy

53

Pregnant Women

Change in wording.

“…women…”

“…clients…”

Changed references throughout the item from clients to women to make the wording more precise.




Section 6 – Demographic Tables/Part-Specific Data for Parts C and D

Item in 2008

2008 Item Name/Order

Item in 2005

2005 Item Name/Order

Description of change

Section 6.1 Instruction

“…funding source for that service. Primary health care services include…”

Section 6.1 Instruction

“…, funding source for that service.”

Section 6.1 Instructions in the 2008 version have been revised and expanded for clarification.


58

Race and Ethnicity (of HIV-positive/indeterminate clients) reported in Item 55a

58

Race/Ethnicity (of HIV-positive/indeterminate clients) reported in #55a

Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)

59 Instruction

Number of clients…who received at least one primary health care service…”

59 Instruction

Number of patients…”

Modified instructions to for clarity.

59

Part C demographic data table: HIV-positive/indeterminate clients reported by race, ethnicity, gender and age

Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)

60 Instruction

Number of clients…who received at least one primary health care service…”

59 Instruction

Number of patients…”

Modified instructions to for clarity.

60

Part C demographic data table: HIV-positive/indeterminate clients reported by HIV exposure category, gender, race and ethnicity

Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)

62

Footnote “*”

“…substance abuse treatment, medical case management, and pharmacy services…”

62 Footnote

“…substance abuse treatment and pharmacy services…”

Added service category “medical case management” to the footnote in the 2008 version because it is a new primary health care service.

62

Footnote “†”

Includes non-medical case management and eligibility assistance, outreach, social work, health education, and risk reduction.”

62

Footnote

Includes case management and eligibility assistance, outreach, social work, prevention education…”

Modified service items listed under “Other program” for clarity and consistency with reauthorization language.

64

Instruction

“…who were HIV-positive or HIV-indeterminate during this…”

64

Instruction

“…who were HIV-positive during the…”

HIV-indeterminate included in the 2008 version.

64

Primary health care services chart

a.

Outpatient/ambulatory medical care

a.

Ambulatory/outpatient medical care

Change in word order.

e.

Medical case management

N/A

N/A

Medical case management is a new primary health care service in the 2008 version.

f.

Medical nutrition therapy

g.

Nutritional counseling

Change in service name. Medical nutrition therapy is listed as service “f” in the 2008 version. Definition now includes the “provision of nutritional supplements.”

g.

Mental health services

e.

Mental health services

Mental health services is listed as service “g” in the 2008 version.

h.

Neurology

f.

Neurology

Neurology is listed as service “h” in the 2008 version.

i

Obstetrics/gynecology

h.

Obstetrics/gynecology

Obstetrics/gynecology is listed as service “i" in the 2008 version.

j.

Optometry/ophthalmology

i.

Optometry/

ophthalmology

Optometry/ophthalmology is listed as service “j” in the 2008 version.

k.

Oral health care

j.

Oral health care

Oral health care is listed as service “k” in the 2008 version.

N/A

deleted

n.

Not applicable

Not applicable is no longer an option.

70

Race and Ethnicity

27

Race/Ethnicity

Race and ethnicity data for HIV-positive/indeterminate and HIV-affected clients were combined and reported in a single item in the 2005 version. In the 2008 version, data on client ethnicity (Hispanic or Non-Hispanic) are reported along with each client’s race category. (See Global Changes on page 1.)

70a

HIV-positive/indeterminate

N/A

N/A

70b

HIV-affected

N/A

N/A

72

Part D demographic data table: clients reported by race, ethnicity, HIV status and age

Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)





Section 7 – Health Insurance Program (HIP) Information

Item in 2008

2008 Item Name/Order

Item in 2005

2005 Item Name/Order

Description of change

78

Race and Ethnicity

78

Race/Ethnicity

Data on client race and ethnicity are reported separately in the 2008 version. (See Global Changes on page 1.)

81

EMA/TGA

81

EMA

Abbreviation for transitional grant area was added in the 2008 version for clarity and consistency with reauthorization language.

81

Annual HIP funding by Ryan White HIV/AIDS Program sources:

81

Annual funding for HIP by CARE Act funds:

Word changes for clarity and consistency with reauthorization language.

81

Total Part C funds

N/A

N/A

Ability for Part C to report HIP funding.

82

Annual HIP funding by other sources:

82

Annual funding for HIP by other sources:

Word changes for clarity and consistency with reauthorization language.


Page 8 of 8 12/3/2007

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File TitleCrosswalk: Section 3 - Service Information from 2006 to 2007
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File Modified2007-12-03
File Created2007-12-03

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