Project Achievements: East Boston Neighborhood Health Center

HRSA HIV/AIDS Bureau's Special Projects of National Significance [1994 - 1999]:

East Boston Neighborhood Health Center

Completed by: Judith Steinberg, Ph.D.; Lisa Maisels, M.S.W.
Last Updated: August 1999

Achievement 1: Prepared data for EBNHC to negotiate capitation rates: utilization costs of care for HIV/AIDS patients.

Key Elements for
Success:

Medicaid Working Group.

Factors that Limited
Success:

Difficulty of collecting comprehensive billing data.

Factors that Ensured
Success:

Hiring the Medicaid working group.

Achievement 2: Modeled the process by which a community based provider prepares for capitation.
Key Elements for Success: Involvement of CMO, CEO, COO throughout project.	Factors that Limited Success: Financial difficulties of health center.	Factors that Ensured Success: None listed.

*Achievement 3:* Developed a model of care for HIV/AIDS patients that can work well within a full service community health center and in a capitated care setting.
Key Elements for Success: Process reviews; clinical case management.	Factors that Limited Success: Departure from original model.	Factors the Ensured Success: Flexibility, and ability to identify needs and make changes in the model design.

*Achievement 4:* Dissemination of model, evaluation, interim results, and lessons learned locally, nationally, and internationally.
Key Elements for Success: Collaboration – EBNHC and MWG. Writing, speaking, and presentation preparatory skills.	Factors that Limited Success: Need for more venues.	Factors the Ensured Success: None listed.

*Achievement 5:* Prepared one paper for publication with plans for three others.
Key Elements for Success: Collaboration between EBNHC and MWG.	Factors that Limited Success: Revisions made by others who do not know the project.	Factors the Ensured Success: Leadership of HRSA.

*Achievement 6:* Development, implementation, and evaluation for Mobile Unit Site.
Key Elements for Success: Dedication of staff, funding.	Factors that Limited Success: Lack of dollars.	Factors the Ensured Success: Dedication of staff, funding.