Achievements & Lessons Learned-I: Johns Hopkins School of Medicine

Knowledge Item: CA-Initiative Impact-99I
Major Achievements and Lessons Learned: 1994-1999

Johns Hopkins University School of Medicine

The Johns Hopkins University project reduces financial barriers to adequate care for HIV/AIDS patients without comprising the quality of care.

In 1999, the Evaluation and Dissemination Center asked each project to state its major achievements and the lessons it had learned from conducting the project. Those stated achievements and lessons learned are reproduced here (with minor editing) as reported to the Evaluation and Dissemination Center. The summary statements given here are those aspects of the program's experiences that the Project Director wished to emphasize.

*Achievement 1:* Initiated a managed care program for HIV infected persons with analysis of outcomes and cost.
Key Elements for Success: Resources for analyses.	Factors that Limited Success: Complexity of issues.	Factors that Ensured Success: Necessity.

Achievement 2: Experience in HIV managed care.
Key Elements for Success: Mandatory in Maryland.	Factors that Limited Success: Difficulty with transition.	Factors that Ensured Success: Need to do it to survive.

*Achievement 3:* Initiated network of HIV managed care programs.
Key Elements for Success: Relevance/need.	Factors that Limited Success: Reluctance of colleagues to learn managed care.	Factors that Ensured Success: Need or success.

*Achievement 4:* Teaching/training of managed care – lectures, publications, website, conference.
Key Elements for Success: HRSA collaborations.	Factors that Limited Success: Time.	Factors that Ensured Success: Relevance.

1. Lesson Learned: Steepness of learning curve.

How related to achievements: Component of training.

2. Lesson Learned: Need for project director.

How related to achievements: Used in training and had project director participate in teaching.

3. Lesson Learned: Need for background data, especially in cost, numbers of eligibles.

How related to achievements: Used in training and in plan evaluation.

4. Lesson Learned: Major problems – disenrollment, 14% of patients account for 50% of costs, impact of pharmacy in reducing total costs, co-morbid illness.

How related to achievements: Used in training sessions.

5. Lesson Learned: Network building.

How related to achievements: Used in training and in plan revision.

Completed By: John Bartlett, M.D.
Last Updated: May 1999

Project Resource Page

Johns Hopkins University School of Medicine

Evaluation Data

Service Population Demographics

Last Updated: August 02, 2001; data through June 15, 1999; analyses conducted January 2000.

Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999.

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.