Other News In 2004
2004
HRSA Moves to Define Severe Need
In the 2000 reauthorization of the Ryan White HIV/AIDS Program, Congress asked the Institute of Medicine (IOM) to report on
- how to better measure severity of need,
- the use of HIV data (in addition to reported AIDS cases) in funding formulas, and
- recommendations on using quantitative measures for evaluating quality of care.
At the time the request was made, applicants for funding were using the best measures available to them, but those measures were not the same across all applicants. Thus, a discrepancy existed on how severe need was defined and described, making comparison of one application to another difficult.
In its report Measuring What Matters: Allocation, Planning and Quality Assessment for the Ryan White CARE Act, published in 2004, the IOM stated that a single index was needed to calculate severe need for all funding applicants. The response was HRSA’s HIV/AIDS Severity of Need Collaboration.
The Collaboration convened more than 47 panelists and examined more than 56 variables for possible consideration. The result is that the agency will be rolling out a severity-of-need index in FY 2009.
Since enactment, the purpose of the Ryan White HIV/AIDS Program has been to serve people with nowhere else to turn—those who are un- or underinsured, who are impoverished, or who may have lost the capacity to provide for themselves because of their illness. The new severity-of-need index will help HRSA identify areas where access to resources is poorest. The agency will then be able to concentrate resources where need is greatest.
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Toward Passage - 1986
HRSA Debuts First
AIDS Program - 1987
AZT Reimbursement
Program Launches - 1988
Pediatric AIDS
Grants Begins - 1989
HRSA Funds Move
Outside Epicenters - 1990
CARE Act Is Adopted,
Named for Indiana Teen -
The Early Years - 1991
HRSA Awards First
CARE Act Grants - 1992
Training Creates Access
to Expert Care - 1993
Largest Epicenters
Now Number 25 - 1994
AZT Is Found to Protect
Newborns From HIV - 1995
The Age of Combination
Therapy Arrives -
Adapting to Change - 1996
CARE Act
Reauthorized - 1997
Programs Unite
Under One Umbrella - 1998
Administration Addresses
Epidemic in Minorities - 1999
Minority AIDS Initiative
is Launched - 2000
Reauthorization Focuses
on People Not in Care -
A New Millennium - 2001
HRSA Publishes Treatment
Guide for Women - 2002
CARE Act Expertise
Goes Global - 2003
Global HIV/AIDS
Program Begins - 2004
HRSA Addresses
Severity of Need - 2005
New Treatment
for Addiction -
New Approaches - 2006
The CARE Act
Makeover - 2007
New Policies—
Waves of Change - 2008
Continuing Work
on Re-entry Programs - 2009
Improving
Performance Data - 2010
20 Years and
a Legacy of Care -
The Road Ahead - 2011
30 Years of AIDS:
Honoring the Past,
Looking Toward the Future - 2012
Care is Prevention