Greater Baltimore HIV Health Services Planning Council © 2008-2012, InterGroup Services, Inc.
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Medical Case Management Scorecard Archive
Medical Case Management — EMA Full Year Scorecard © 2008-2012, InterGroup Services, Inc.
FY Ranking EMA Award Initial Allocation Reprogramming Total Allocation % of Award Carryover Total Alloc.
2010 M1 $16,870,407 $1,436,706 $0 $1,436,706 8.52% $0 $1,436,706
Current Performance
Reporting Period Period 1 Period 2 Period 3 YTD FY10
Dates in Period 8/10-0/10 1/10-2/10 3/10-7/10 8/10-7/10
Months in Period 5 2 5 12
Expenditures Period 1 Period 2 Period 3 YTD FY10
Projected Dollars $598,628 $239,451 $598,628 $1,436,706
Percent 41.67% 16.67% 41.67% 100.00%
Actual Dollars $222,631 $561,233 $622,679 $1,406,543
Percent 15.50% 39.06% 43.34% 97.90%
Variance Dollars $-375,997 $321,782 $24,051 $-30,163
Percent -26.17% 22.40% 1.67% -2.10%
Clients Period 1 Period 2 Period 3 YTD FY10 [There are no unit-level data for this category.]
Projected Clients 799 320 799 1,917
Percent 41.67% 16.67% 41.67% 100.00%
Actual Clients 387 1,514 1,081 2,982
Percent 20.19% 78.98% 56.39% 155.56%
Variance Clients -412 1,194 282 1,065
Percent -21.48% 62.31% 14.72% 55.56%
About Current Performance
  Grantee Comments Period   Questions to Consider
Fiscal: High variance in funds is due to some providers had not submitted invoices or reported encumbered expenditures. The category is salary-driven and there are no vacancies. 1 Fiscal:
Program: Approximately 13% of clients are new to medical case management. The category grew by 15% and transferred clients from non-medical case management. Program:
Fiscal: Increase of clients due to transfer from non-medical case management and treatment adherence. 2 Fiscal:
Program: Program:
Fiscal: The service category has expended funds within tolerance. The expenditure rate was 97.90% at year end. 3 Fiscal: The category is within tolerance. Would additional funds during the year been helpful, considering the growth of the category?
Program: The category has seen an increase in clients due to a shift from co-morbidity and non-medical case management. 40% of clients receive intensive case management services. The service category is salary-driven. Program: Significantly more clients have utilized these services than projected. Were projections revised at any point to adjust for increased client utilization?
* This is the difference between the current expenditures and where the current expenditures should be at this point in the year based upon the total allocation (plus carryover) and the assumption that expenditures are spread evenly over the year.


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Historical Performance © 2008-2012  InterGroup Services, Inc.    (ph) 410.662.7253
Funding/Fiscal
FY EMA Award Allocat. to Category Allocat. + Reprogram. % of Award Amount Spent $ Unspent
(No Carry.)
2010 $16,870,407   $1,436,706 $1,436,706 8.52% $1,406,543 $30,163
2009   $17,433,707 $1,258,825 $1,227,358 7.04% $1,179,157 $48,201
2008   $15,625,276 $683,346 $683,346 4.37% $670,096 $13,250
2007   $16,308,921 $679,582 $679,582 4.17% $671,764 $7,818
2006   $18,975,908 $779,910 $840,970 4.43% $836,877 $4,093
2005   $17,144,692 $560,631 $561,631 3.28% $545,729 $15,902
Clients
FY Project. Actual Vari. Cost Per
Client 		Af.-Am.
Percent 		WICY
Percent
2010 1,917 2,982 1,065 $471 84.0% 42.0%
2009 1,792 2,188 396 $538 86.0% 43.0%
2008 1,188 1,967 779 $340 88.0% 43.0%
2007 1,143 1,285 142 $522 90.0% 50.0%
2006 1,151 1,627 476 $514 86.0% 42.0%
2005 981 1,360 379 $401 95.0% 31.4%
Planning
Unmet Need
As of the last (2010) consumer survey 9 percent of the 615 respondents reporting a need for Medical Case Management said they could not get it.
Clients survey year (FY 2009): 2,188
Est. percent of need met: 91%
Est. clients needing service: 2,404
Clients served (2010): 2,982
Est. clients not served (2010): -578
Cost per client (2010): $471
Cost to meet need:    $-272,238 
Other Funding Streams
RW Part A EMA $1,436,706
MAI (EMA and Counties) $3,333,173
Department of Health and Mental Hygiene, Infectious Disease and Environmental Health Services (IDEHA). $3,682,642
Department of Health and Mental Hygiene (DHMH), Infectious Disease and Environmental Health Services (IDEHA). $2,582,642
Baltimore County, Ryan White Part B. $569,381
Baltimore City, Ryan White Part B. $341,045
Baltimore City, Additional Funding. $171,200
Anne Arundel, Ryan White Part B. $156,427
Harford County, Ryan White Part B. $143,746
Carroll County, Ryan White Part B. $39,787



RW Part A EMA
Other Funding
Final Analysis
Unspent (including carryover/adjust.): $30,163
Performance Summary:
Overall, category met funding expectations but exceeded projections in clients served.
Compared to Last Year:
Service category received significantly more funding than last year and increase in clients shows good performance.
Unmet Need:
Case management services are needed to engage people into care as testing initiatives increase and strategies are implemented to engage the newly diagnosed and those currently unaware.
Questions:
Could this category use more funding, considering the high demand of services?
Comments:
Can services be monitored and projections revised during the year to be closer to the actuals?
FY 2011 Info EMA Award: $16,164,474

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