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FPAR Family Planning Annual Report Texas Department of State Health Services Title X Contractors Conference Evelyn Glass MSPH Regional Program Cons

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FPAR Family Planning Annual Report Texas Department of State Health Services Title X Contractors Conference Evelyn Glass MSPH Regional Program Cons Powered By Docstoc
					            FPAR
     Family Planning Annual Report

Texas Department of State Health Services
     Title X Contractors Conference

          Evelyn Glass, MSPH
           Regional Program Consultant
                   DHHS Region VI
           Title X FPAR Data Coordinator
                    Nov. 12, 2007
               FPAR
                   TOPICS
Clearance status and timeline
National perspective
Regional perspective
Data issues
Reports
Performance measures
Websites
              FPAR
       Family 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)
                     FPAR
National Report for 2006 to be available
end November
Regional Reports – early November

http://opa.osophs.dhhs.gov
http://www.hrsa.gov/about/budgetjustification08/FamilyPlanningPerf
ormanceAnalysis.htm
  The Texas Title X
Family Planning Annual
         Report
        (FPAR)
      Travis Duke
                  Goals
Understand How the FPAR is Used
Understand How the Texas FPAR is Compiled
Discuss Texas FPAR Trends
Discuss FPAR Timelines
Discuss Data Collection/Reporting Issues
What’s New This Year
    Presentation Structure
FPAR Usage
FPAR Structure
The Texas FPAR
Texas FPAR Trends
Data Collection
The Final Report
What’s New for the CY2007 FPAR
       Uses of the FPAR


Only source of uniform reporting data for Title
X projects
Used to monitor compliance with statutory
requirements and performance measures
Used for strategic and financial planning
Helps to estimate Title X impact on
reproductive health outcomes
      Structure of the FPAR
14 Tables
Data Elements
– Demographic, social, and economic characteristics of
  users
– What services are utilized, including primary method
  of contraception for each unduplicated user
– What health personnel are involved in the delivery of
  services
– Program income
   The Texas Title X FPAR
Compass 21 Generated Data
Contractor submitted Data
Individual contractor reports compiled into
State report
Compass 21 Generated Data
Tables 1-4
Tables 7-8
Partial Data for Tables 9 and 10
Table 11
Partial Data for Tables 12
Table 13
  Contractor submitted Data
Tables 5-6
Partial data for Tables 9, 10, and 12
(Compass 21 does not collect data on test
results or referrals)
   Texas FPAR Timelines
New Reporting Period: December 1 through
November 30
Reminder sent to contractors in early January
Compass 21 generated data sent to
contractors in Mid-January
Contractor FPARs due to DSHS 10 working
days from receipt of Compass 21 data
State report is due Mid-February
CY06 Texas FPAR Snapshot
Age
 – 20% of users are 19 and younger
 – 63% of users are 20-34
 – 17% of users are 35 and older
Race/Ethnicity
 – 64% are Hispanic or Latino
 – 21% are White
 – 12% are Black or African American
CY06 Texas FPAR Snapshot
Income
 – 72% of users are under 100% FPL
Insurance
 – 74% of users are Uninsured
Limited English Proficiency (LEP)
 – 23% of users
CY06 Texas FPAR Snapshot
Primary of Birth Control - Female
 – 42% of female users report Oral Contraceptives as their
   primary method
 – 15% of female users report Depo Provera as their primary
   method
 – 12% of female users report Male Condom as their primary
   method
 – 7% of female users are pregnant or seeking pregnancy
                    Texas FPAR Trends

                                                  Texas FPAR Trends

270,000                                                      263,343
                                                   261,290             262,403
                    257,946
260,000   255,125
                                                                                 252,911

250,000                       246,596   246,241
                                                                                           243,756

240,000
                                                                                                               Client Count
230,000                                                                                              224,359

220,000

210,000

200,000
          1997      1998      1999      2000        2001     2002      2003      2004      2005      2006

                                                  Calendar Year
      Texas FPAR Trends
Reasons for the decline in number of
clients
– Costs?
– Data Collection?
– Other Reasons?
             Data Collection
Are we missing anyone?
– Contractors must file all claims even if they have
  reached their funding ceiling
– Contracts must file all appeals even if they have
  reached their funding ceiling
– Contractors must file all Title X encounters even
  though this will not result in payment
– Contractors must ensure they use only TPIs to file
  family planning claims/encounters that they have
  shared with DSHS via clinic forms
           Data Collection
Other Areas of Concern
– How is contractor reported data collected?
    Are systems automated?
    Contractors must ensure that data collection
    systems can report all FPAR data elements
– How is Race and Ethnicity data collected.
    Must be self reported by the client.
             Final Report
Review final report to ensure all data
checks are in agreement

Look for unusual results. (i.e. A 19 year old
user whose primary method is listed as
sterilization). If these are correct explain in
narrative.
      What’s New for 2007
Reporting Period: December 1 through
November 30

Provider revenue information will be
collected using a new form (contractors will
no longer be required to complete form 14)


A narrative will be required that explains
any variance from Compass 21 data or
any major changes compared to the
previous year
Questions
    &
Discussion
               THE END



                Travis Duke
Texas Department of State Health Services
      travis.duke@dshs.state.tx.us
              (512) 458-7796

				
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