|
Thinking About Going Into HIV/AIDS Case Management
CONSIDERATIONS
FOR GOING INTO HIV/AIDS SERVICE AREAS
What are your objectives:
HIV/AIDS Case Management Services:
What is the experience of prospective staff
How many Case Managers do you plan for
How will your Case Managers represent diversity
How will your Case Managers represent inclusion
How educated will your Case Managers be in alternative lifestyles
What support services will you Case Managers have
What burn out program will you have in effect for Case Management
HIV/AIDS Housing:
What type:
Long Term
Short Term
Intermediate
Emergency
Single Dwelling
Couple Dwelling
Family Dwelling
Staffing:
Nursing Staff
CMS
Counselors
Administrative
Food Preparers
Transporters
Liability: Insurance(s)
Transportation:
Will CMS provide transportation
Are your drivers licensed for commercial transporting
Will your housing section provide transportation
Will your spiritual program provide transportation
Will you have a medical staff on board when transporting clients for emergency needs
What type of insurance do you have
Food Banking:
Are you a member of the local food bank
How large is your storage area
Do you have shelving in your storage area
Do you have freezers for frozen foods
Who will receive the food
What type of accountability and management is set up
Have you been inspected for food storage
Clothing:
How large is your storage area
Do you have shelving in your storage area
How do you keep the clothing clean
What type of accountability and management is set up
Have you been inspected for clothing storage
Who will receive these clothing
Substance Abuse/Alcohol Counseling:
Are your licensed with the State
What are the credentials of the Counselors
What hours will you operate
Are you state and federally approved to receive funding
Records:
How are your records kept
What security is in place regarding records
Who has access to these records
Statement of Confidentiality:
Does it meet federal, state and nonprofit industrial standards
Policy Needs to Be in Paced for the Following:
What is your chain of command (you need this for each program, they each must be separate from the other - this is necessary for funding, joining them will limit your funding)?
What is your open door policy for each of these programs?
Clarification on conflict of interest for all persons and organizations associated with all of your programs, with a policy for each program.
What is your policy on speaking to the media?
What is your policy on client confidentiality?
What is your policy on smoking in your organizational areas and functions?
What is your policy on dress code?
What is your policy on use of physical restraint?
What is your policy inclement weather and emergency closing?
What is your policy on staff travel and reimbursement, etc.?
What is your policy concerning visitors and staff/client children being on site?
What is your policy concerning drug-free work area and functions?
What is your policy on outside employment of staffers?
What is your policy on solicitation and distribution?
What is your policy on government and political activity?
What is your policy on safety standards and emergence procedures in house, and functions, in travel and in training?
What is your policy suspected illicit activity?
What is your policy on employees, volunteers or clients with life-threatening illness?
What is your policy on personal mail including e-mail?
What is your policy on electronic monitoring?
What is your policy n requests for information about staffers, volunteers or clients?
What is your policy on exposure to bodily fluids?
What is your policy on criminal acts against nonprofit property?
What is your policy on nonprofit vehicles?
What is your policy your policy on use of nonprofit property?
What is your policy on recycling (important in funding)?
What is your policy on travel advances?
What is your policy on personal photocopying?
What is your policy on use of bulletin boards?
What is your policy on vehicle accidents?
What is your policy on representing the nonprofit?
What is your policy on change of personal information?
What is your policy on microcomputer software compliance?
What is your policy on nondiscrimination?
What is your policy on EEO and affirmative action?
What is your policy on ADA compliance?
What is your policy on AIDS?
What is your policy on employment conditions and provisions?
What is your policy on recruitment?
What is your policy on releasing job references?
What is your policy on pre-placement physical?
What is your policy on job descriptions?
What is your policy on receipt of policy manual
What is your policy on at-will statements?
What is your policy on licenses and certifications?
What is your policy on introductory period?
What is your policy on exempt and nonexempt staff?
What is your policy on personal day and overtime?
What is your policy on personnel records?
What is your policy on nepotism?
What is your policy on work schedules?
What is your policy on salary ranges?
What is your policy on raises?
What is your policy on bonuses?
What is your policy on orientation?
What is your policy on payroll deductions?
What is your policy on cost-of-living adjustment?
What is your policy on advance pay?
What is your policy on employment status?
What is your policy on letter of hire?
What is your policy on exit interview?
What is your policy on in-house volunteers?
What is your policy on outside volunteers?
What is your policy on immigration reform and control act of 1986 and 1996?
What is your policy on alternative work schedules?
What is your policy on reemployment?
What is your policy on direct deposit of paychecks?
What is your policy on telecommuting?
What is your policy on security inspections?
What is your policy on alcohol and drug testing?
What is your policy on compensatory time for exempt employees?
What is your policy on physical examinations?
What is your policy on holiday pay and unexcused absences?
What is your policy for requisition for new hire?
What is your policy on benefits administration?
What is your policy on insurance?
What is your policy on vacations?
What is your policy on holidays?
What is your policy on sick leave?
What is your policy on bereavement leave?
What is your policy on military leave?
What is your policy on jury duty and subpoenaed leave?
What is your policy on workers compensation?
What is your policy on tuition reimbursement?
What is your policy on family and medical leave?
What is your policy on leave of absence without pay?
What is your policy on professional development?
What is your policy on employee assistance programs?
What is your policy on relocation?
What is your policy on floating personal days?
What is your policy on spending accounts?
What is your policy on employee referral bonus?
What is your policy on awards and recognition?
What is your policy on buy back sick leave?
What is your policy on health and fitness?
What is your policy on staff service awards?
What is your policy on benefits continuation (COBRA)?
What is your policy on professional membership?
What is your policy on voting leave?
What is your policy on holidays and compensatory time?
What is your policy on preventive health care benefit?
What is your policy on educational leave?
What is your policy on unpaid religious holidays?
What is your policy on converting sick leave to personal days?
What is your policy on mandatory vacation?
What is your policy on performance and discipline?
What is your policy on performance appraisal?
What is your policy on disciplinary philosophy?
What is your policy on warnings?
What is your policy on disciplinary probation?
What is your policy on suspension?
What is your policy on dismissal?
What is your policy on layoffs?
What is your policy on resignation?
What is your policy on final pay?
What is your policy on grievance procedure?
What is your policy on fraternization?
What is your policy on abandonment of job?
What is your policy on promotions, transfers and demotions?
What is your policy on firearms/weapons?
What do your by-laws state (each of the operations should have its owns by-laws).
Is the name registered with the Secretary of State?
Have you defined in detail the purposes of your organizations (each one should have its own)?
Is your organization a nonmember or membership organization - each one must be defined on its own for increase in funding?
If you are a membership organization, what are the requirements for membership?
If you are a membership organization, what is the cost of membership?
What are the requirements concerning your organizational meetings?
What are the requirements for voting by members?
What is the order of business for your meetings?
How large is your Board of Directors?
Will your Board of Directors receive wages?
Who will elect your Board of Directors if you are not a membership organization?
What are the duties and responsibilities of the Board of Directors?
What are the terms limits for the Board of Directors?
How many officers will you have?
How are the officers elected?
What are the duties and responsibilities of your officers?
What are the term limits of the officers?
Will your officers receive wages?
What committees will serve the organizations?
What are the dues, if any?
How may amendments be made.
What constitutes a quorum in the Board of Directors?
What constitutes a quorum in the Officers?
In that you are a nonprofit organization, what is your policy on public disclosure upon demand?
YOUR HISTORY AND EXPERIENCE:
Your past history and experience is most important in receiving federal grant and state funding.
Private organizations are more apt to support you with seed funding than a government.
What experience have you with:
HIV/AIDS
Substance Abuse
Alcohol Addiction
Homeless Persons
Parolees
Criminal Populations
Safe/Safer/Abstance Sex Education
Street Out Reach
What training have your staff and volunteers in relationship to:
HIV/AIDS
Substance Abuse
Alcohol Addiction
Homeless Persons
Parolees
Criminal Populations
Safe/Safer/Abstance Sex Education
Street Out Reach
What is your relationship with other community based organizations, health care facilities and spiritual communities regarding:
HIV/AIDS
Substance Abuse
Alcohol Addiction
Homeless Persons
Parolees
Criminal Populations
Safe/Safer/Abstance Sex Education
Street Out Reach
What experience do you have with food storage and distribution?
What experience do you have with clothing storage and distribution?
What facilities do you have for mass production of food for hot food distribution?
Has this facility been inspected by the county and state?
How large of a housing unit do you plan to have - how many beds?
How many homeless have you sheltered the past year?
How many have you feed this past year?
How many have you cloth this past year?
Do you separate the females from the males in your housing unit?
How do you address alternative lifestyles for your residents?
Do you provide safe/safer/abstance sex education for your residents?
What facilities do you have to care for the under aged that are without family?
What safety protections are in your housing unit: fire alarms, carbon dioxides, sprinklers, etc.?
Are your restrooms and bathing areas separate or are the same one used by male and females?
What is the size of your hot water heater?
What is the size of your air conditioner?
What security do you provide for your housing units?
How do you rate "success" on the over all program, on the client, on the staff, and any given function?
Are your familiar with Ryan White Title I funding?
Are you familiar with Ryan White Title II funding?
Are you familiar with HOPWA funding?
Have you contacted the AIDS Care Unit in Raleigh for application for HIV/AIDS Case Management and/or Housing?
Have you contacted Medicaid for direct billing for Case Management Services, Housing, etc.?
How active are you in the local AIDS Consortium and other AIDS Service Organizations?
These and other issues must be addressed before you can began to do case management and housing on an incomable level. Each program should be independent of the other and funding then will be independent. This will allow for the unproductive programs to be discontinued without effecting the other productive programs. Keep them separate but equal.
The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 was reauthorized on May 20, 1996 to revise and extend programs established under the CARE Act for people with HIV infection. Intended to "improve the quality and availability of care for individuals and families with HIV disease," the CARE Act represents the Federal Government. s largest financial allocation specifically for HIV-elated health and support services. Since fiscal year 1991, close to $6.4 billion in Federal funds have been appropriated under the Act, providing care to hundreds of thousands of people living with HIV/AIDS.
The CARE Act provides assistance under four program Titles, and through Part F which includes the AIDS Education and Training Centers (AETC) Program, the HIV/AIDS Dental Reimbursement Program, and the Special Projects of National Significance (SPNS) Program.
Title I provides emergency relief to metropolitan areas that are disproportionately affected by HIV/AIDS.
Title II assists States and territories in improving the quality, availability, and organization of health care and support services for individuals and families with HIV disease, and provides access to needed pharmaceuticals through the AIDS Drug Assistance Program (ADAP).
Title III provides support for early intervention and primary care services for people with HIV/AIDS.
Title IV enhances access to comprehensive care for children, youth, women and their families with/at risk for HIV, and access to research of potential clinical benefit.
The SPNS Program supports the development of innovative HIV/AIDS service delivery models that have potential for replication in other areas, locally and nationally.
The AETC Program supports training for health care providers to counsel, diagnose, treat, and manage individuals with HIV infection and to help prevent high-risk behaviors that cause infection.
The HIV/AIDS Dental Reimbursement Program provides support to dental schools and postdoctoral dental education programs for uncompensated care for persons with HIV disease.
The Health Resources and Services Administration (HRSA) has lead responsibility for the CARE Act. The programs of the Act are managed by the HIV/AIDS Bureau (HAB), which was created in August 1997 to consolidate all of HRSA's HIV/AIDS programs. Prior to that time, components of the CARE Act were administered within each of four HRSA Bureaus.
|