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Program Reports

The Oregon HIV Community Services Program (HCS) is committed to developing, evaluating and continually improving a statewide, quality continuum of HIV care, treatment and supportive services that meets the identified needs of persons living with HIV and their families, ensures equitable access and decreases health disparities.

The HCS Program supports this mission by gathering data and information about the services delivered by HCS and it's contractors, analyzing this information to measure outcomes and quality of services, reporting this analysis in order to identify areas requiring needed planning, and implementing improvement activities in order to meet program goals.

County and Regional Services Reporting

As part of the HCS's quality management plan, HIV case management provider agencies submit program reports which provide a written evaluation of the services delivered, and includes partnership and referral activities undertaken, staffing changes, and targeted quality improvement activities the agency has undertaken.

The HCS team reviews required reports and HCS Quality and Compliance Coordinator identifies items requiring follow-up.  Technical assistance is provided to the contractor as requested.

Fiscal Year 2016-2017 County and Regional
Reporting Calendar and Forms

Required Reports Reporting Dates Due Date
1. Quarterly Progress Report Form

Section I: Data

Include a "Non-Client Specific Units of Service" summary form and if applicable, the HIV Home Test Kit Inventory excel worksheet.

Section II: Performance Measures Narrative

Written evaluation ofthe agency's performance.

1. 7/1/16 - 9/30/16

2. 10/1/16 - 12/31/16

3. 1/1/17 - 03/31/17

4. 4/1/17 - 06/30/17

1. October 31, 2016

2. January 31, 2017

3. April 30, 2017

4. July 31, 2017

Section III: Program Narrative

A written summary of the agency’s performance at six and twelve months.

1. 7/1/16 – 12/31/2016

2. 01/01/2017-06/30/2017

1. Jan 31, 2017

2. July 31, 2017

2. Administrative Fiscal Form

Administrative and service expenditures.

1. 7/1/16-9/30/16

2. 10/1/16-12/31/16

3. 1/1/17- 03/31/17

4. 4/1/17 - 06/30/17

1. October 31, 2016

2. January 31, 2017

3. April 30, 2017

4. July 31, 2017

County Based Programs ONLY: Reporting Dates Due Date
3. LPHA Chart Review Summary

LPHA review of documentation in the client chart and data entry in CAREWare.

1. Chart and data entry review of services and documentation for the preceding 12 months.

1. October 31, 2016


For printed forms, once printed and completed, scan and save to your computer, and email as an attachment.

For fillable forms, once download and completed, save to your computer, and email as an attachment.

Submit all reports by e-mail only to:
DeAnna P. Kreidler, M.S.
HIV Care and Treatment Program
Quality and Compliance Coordinator

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