The HIV case management system has served as an essential doorway to medical care, support services, and life-sustaining medications to meet the needs of Texans living with HIV. Since its beginning, many things have changed, and as good business practice calls for a periodic review of systems, DSHS began this project.
Did you conduct research?
DSHS staff conducted a literature review to evaluate current thinking around case management, interviewed six states and Texas Part A to understand their case management systems, and visited case management sites to determine a baseline for current activities. Information gathered from this project phase is complied in the
Texas HIV Case Management Project report (PDF : 1,836 kB).
Did the workgroup talk with stakeholders?
DSHS brought together an expert panel that included case managers, medical case managers, supervisors, nurses, and social workers. There were also representatives from urban and rural areas, the DSHS public health regions, Texas Part A and B, and Mental Health and Substance Abuse. The panel provided recommendations on the best model for HIV case management in Texas. Through lively debate, they told DSHS their thoughts and concerns about HIV case management. Their recommendations are available in the
Expert Panel Report (PDF : 391 kB).
What were the results?
DSHS completed the
Texas HIV Case Management Report: Envisioning Systems to Improve Outcomes (PDF : 183 kB). This report represents the DSHS vision for medical case management (MCM in Texas.
What's happening now?
Following the recommendations of the Expert Panel, DSHS moved forward with two projects:
- Develop a MCM competency training program (initial work completed through a contract with the University of Texas)
- Establish an internal workgroup to revise the Texas HIV Case Management Standards of Care.
After publishing a draft of the standards for public comment, and hosting a series of town halls to seek stakeholder input, DSHS completed the
Texas HIV Case Management Standards of Care (PDF : 1,462 kB). The standards also incorporate details regarding case management training, including the MCM competency training program. The current
Medical Case Management Standards of Care and
Non-Medical Case Management Standards of Care are found in the
HIV Core and Support Service Categories page.
Learn more about HIV case management in Texas