The HIV Case Management system has served as an essential doorway to medical care, support services, and life-sustaining medications to meet the needs of HIV–positive Texans. Since its beginning, many things have changed, and as good business practice calls for a periodic review of systems, we began this project.
Did you conduct research?
We conducted a literature review to evaluate current thinking around case management, interviewed 6 states and Texas Part A to understand their case management systems, and visited case management sites to determine a baseline for current activities. Information gathered from this project phase is complied in the Texas HIV Case Management Project report (PDF : 1,836 kb).
Did the workgroup talk with stakeholders?
We brought together an expert panel that included case managers, medical case managers, supervisors, nurses and social workers. There were also representatives from urban and rural areas, the Regions, Texas Part A and B, and Mental Health and Substance Abuse. The panel provided recommendations on the best model for HIV case management in Texas. Through lively debate, they told us their thoughts and concerns about HIV Case Management. Their recommendations are available in the Expert Panel Report (PDF : 391 kb).
What were the results?
Recently we completed the Texas HIV Case Management Report: Envisioning Systems to Improve Outcomes (PDF : 183 kb). This report represents our vision for Medical Case Management in Texas.
What's happening now?
Following the recommendations of the Expert Panel, in 2010-2011, DSHS moved forward with two projects:
- Develop a MCM competency training program (initial work completed through a contract with the University of Texas)
- Establish an internal workgroup to revise the Texas HIV Case Management Standards of Care.
After publishing a draft of the standards for public comment, and hosting a series of Town Halls to seek stakeholder input, DSHS has completed the new Texas HIV Case Management Standards of Care (PDF : 426 kb). The standards also incorporate details regarding case management training, including the MCM competency training program.
Learn more about HIV case management in Texas