Project Achievements: Visiting Nurse Association Foundation

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

Visiting Nurse Association Foundation

Completed by: David Cherin, Ph.D.
Last Updated: July 1999

Achievement 1: Designing an integrated model of community-based end-stage care.

Key Elements for
Success:

Team approach from providers, payers, and research evaluators.

Factors that Limited
Success:

None listed.

Factors that Ensured
Success:

The interdisciplinary nature of the design team.

Achievement 2: Development of an inter-disciplinary approach to end-stage HIV/AIDS care.
Key Elements for Success: Collaboration with multi-disciplinary staff.	Factors that Limited Success: Limited time.	Factors that Ensured Success: Knowledge of end-stage care issues.

*Achievement 3:* Specific identification of topologies of care for end-stage HIV/AIDS patients.
Key Elements for Success: Linkage with evaluators.	Factors that Limited Success: Difficulty in data collection.	Factors that Ensured Success: Partnership with project evaluator.

*Achievement 4:* Development of a capitated system for sub-contractors.
Key Elements for Success: Strong analytical support from evaluator.	Factors that Limited Success: None listed.	Factors that Ensured Success: Upfront design of data collection system.

*Achievement 5:* Identification of key roles in health core team necessary to deliver improved services.
Key Elements for Success: Strong research design and strong data collection.	Factors that Limited Success: None listed.	Factors that Ensured Success: Partnership amongst team of providers and resources.