F P A R Family Planning Annual Report Texas Department of State Health Services Title X Contractors...

F P A RFamily Planning Annual Report

Texas Department of State Health Services

Title X Contractors Conference

Evelyn Glass, MSPHRegional Program Consultant

DHHS Region VI

Title X FPAR Data Coordinator

Nov. 12, 2007

FPARTOPICS

Clearance status and timeline

National perspective

Regional perspective

Data issues

Reports

Performance measures

Websites

FPARFamily Planning Annual Report

Information Collection

OMB No.: 0990-0221

Expires: 10/31/2010

Reporting Period: Jan.-Dec.*

Due: Feb. 15 annually

Submitted via GrantSolutions system

FPAR: National Perspective

Annual reporting requirement for Title X family planning projects funded under Section 1001

Primary source of data presented in the National Report on the Title X program

Data used to comply with accountability and federal performance requirements for Title X family planning funds

Long-Term Goal: By 2008, increase to 1,164,965 the number of unintended pregnancies averted by providing Title X family planning services, with priority for services to low-income individuals. (Baseline - 2003: 1,116,315)

II.A.1. Increase the total number of unduplicated clients served in Title X clinics by 5% over five years.(Outcome)

Year Target Result

2007 5,162,000

2006 5,162,000 __________

2005 5,112,000 5,002,961

2004 5,062,000 5,067,785

2003 5,012,048

(baseline)

FPAR:Regional Perspective

Monitor compliance with legislative mandates, such as giving priority in the provision of services to low-income persons

Ensuring that Title X grantees and their subcontractors provide a broad range of family planning methods and services

FPAR Data Quality Issues

Edits by GrantSolutions system

Other Edits:

compare data to prior reports

compare data to other sources (e.g., grant application; grant award)

questionable data (sterilizations <20; 1-month injection; test-to-user ratios)

FPARNational Report for 2006 to be available end November

Regional Reports – early November

http://opa.osophs.dhhs.gov

http://www.hrsa.gov/about/budgetjustification08/FamilyPlanningPerformanceAnalysis.htm

The Texas Title X The Texas Title X Family Planning Annual Family Planning Annual

ReportReport(FPAR)(FPAR)

Travis DukeTravis Duke

Goals Goals

Understand How the FPAR is UsedUnderstand How the FPAR is Used

Understand How the Texas FPAR is CompiledUnderstand How the Texas FPAR is Compiled

Discuss Texas FPAR TrendsDiscuss Texas FPAR Trends

Discuss FPAR Timelines Discuss FPAR Timelines

Discuss Data Collection/Reporting IssuesDiscuss Data Collection/Reporting Issues

What’s New This YearWhat’s New This Year

Presentation StructurePresentation Structure

FPAR UsageFPAR Usage

FPAR StructureFPAR Structure

The Texas FPARThe Texas FPAR

Texas FPAR TrendsTexas FPAR Trends

Data CollectionData Collection

The Final ReportThe Final Report

What’s New for the CY2007 FPARWhat’s New for the CY2007 FPAR

Uses of the FPAR Uses of the FPAR

Only source of uniform reporting data for Title Only source of uniform reporting data for Title

X projectsX projects

Used to monitor compliance with statutory Used to monitor compliance with statutory

requirements and performance measuresrequirements and performance measures

Used for strategic and financial planningUsed for strategic and financial planning

Helps to estimate Title X impact on Helps to estimate Title X impact on

reproductive health outcomesreproductive health outcomes

Structure of the FPARStructure of the FPAR

14 Tables14 TablesData ElementsData Elements– Demographic, social, and economic characteristics of Demographic, social, and economic characteristics of

usersusers– What services are utilized, including primary method What services are utilized, including primary method

of contraception for each unduplicated userof contraception for each unduplicated user– What health personnel are involved in the delivery of What health personnel are involved in the delivery of

servicesservices– Program incomeProgram income

The Texas Title X FPARThe Texas Title X FPAR

Compass 21 Generated DataCompass 21 Generated Data

Contractor submitted DataContractor submitted Data

Individual contractor reports compiled into Individual contractor reports compiled into

State reportState report

Compass 21 Generated DataCompass 21 Generated Data

Tables 1-4Tables 1-4


Partial Data for Tables 9 and 10Partial Data for Tables 9 and 10

Table 11Table 11

Partial Data for Tables 12Partial Data for Tables 12

Table 13Table 13

Contractor submitted DataContractor submitted Data


Partial data for Tables 9, 10, and 12 Partial data for Tables 9, 10, and 12

(Compass 21 does not collect data on test (Compass 21 does not collect data on test

results or referrals)results or referrals)

Texas FPAR TimelinesTexas FPAR Timelines

NewNew Reporting PeriodReporting Period: December 1 through : December 1 through

November 30November 30

Reminder sent to contractors in early JanuaryReminder sent to contractors in early January

Compass 21 generated data sent to contractors in Compass 21 generated data sent to contractors in

Mid-JanuaryMid-January

Contractor FPARs due to DSHS 10 working days Contractor FPARs due to DSHS 10 working days

from receipt of Compass 21 datafrom receipt of Compass 21 data

State report is due Mid-FebruaryState report is due Mid-February

CY06 Texas FPAR SnapshotCY06 Texas FPAR Snapshot

AgeAge

– 20% of users are 19 and younger20% of users are 19 and younger

– 63% of users are 20-3463% of users are 20-34

– 17% of users are 35 and older17% of users are 35 and older

Race/EthnicityRace/Ethnicity

– 64% are Hispanic or Latino64% are Hispanic or Latino

– 21% are White21% are White

– 12% are Black or African American12% are Black or African American


IncomeIncome

– 72% of users are under 100% FPL72% of users are under 100% FPL

InsuranceInsurance

– 74% of users are Uninsured74% of users are Uninsured

Limited English Proficiency (LEP)Limited English Proficiency (LEP)

– 23% of users23% of users


Primary of Birth Control - FemalePrimary of Birth Control - Female

– 42% of female users report Oral Contraceptives as their 42% of female users report Oral Contraceptives as their

primary methodprimary method

– 15% of female users report Depo Provera as their primary 15% of female users report Depo Provera as their primary

methodmethod

– 12% of female users report Male Condom as their primary 12% of female users report Male Condom as their primary

methodmethod

– 7% of female users are pregnant or seeking pregnancy7% of female users are pregnant or seeking pregnancy


Texas FPAR Trends

255,125257,946

246,596 246,241

261,290 263,343 262,403

252,911

243,756

224,359

200,000

210,000

220,000

230,000

240,000

250,000

260,000

270,000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Calendar Year

Client Count


Reasons for the decline in number of Reasons for the decline in number of clientsclients– Costs?Costs?– Data Collection?Data Collection?– Other Reasons?Other Reasons?


Are we missing anyone?Are we missing anyone?

– Contractors must file all claims even if they have reached Contractors must file all claims even if they have reached

their funding ceilingtheir funding ceiling

– Contracts must file all appeals even if they have reached Contracts must file all appeals even if they have reached

their funding ceilingtheir funding ceiling

– Contractors must file all Title X encounters even though Contractors must file all Title X encounters even though

this will not result in paymentthis will not result in payment

– Contractors must ensure they use only TPIs to file family Contractors must ensure they use only TPIs to file family

planning claims/encounters that they have shared with planning claims/encounters that they have shared with

DSHS via clinic formsDSHS via clinic forms


Other Areas of ConcernOther Areas of Concern

– How is contractor reported data collected?How is contractor reported data collected?

Are systems automated?Are systems automated?

Contractors must ensure that data collection Contractors must ensure that data collection

systems can report all FPAR data elementssystems can report all FPAR data elements

– How is Race and Ethnicity data collected.How is Race and Ethnicity data collected.

Must be self reported by the client.Must be self reported by the client.

Final ReportFinal Report

Review final report to ensure all data Review final report to ensure all data checks are in agreementchecks are in agreement

Look for unusual results. (Look for unusual results. (i.e. A 19 year old i.e. A 19 year old user whose primary method is listed as user whose primary method is listed as sterilizationsterilization). If these are correct explain in ). If these are correct explain in narrative.narrative.

What’s New for 2007What’s New for 2007Reporting Period: December 1 through November Reporting Period: December 1 through November 3030

Provider revenue information will be collected Provider revenue information will be collected using a new form (using a new form (contractors will no longer be contractors will no longer be

required to complete form 14required to complete form 14))

A narrative will be required that explains any A narrative will be required that explains any variance from Compass 21 data or any major variance from Compass 21 data or any major changes compared to the previous yearchanges compared to the previous year

QuestionsQuestions&&

DiscussionDiscussion

THE ENDTHE END

Travis DukeTravis Duke

Texas Department of State Health ServicesTexas Department of State Health Services

[email protected]

(512) 458-7796(512) 458-7796

F P A R Family Planning Annual Report Texas Department of State Health Services Title X Contractors...

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