How is gender determined for transgender/transsexual and those beginning and/or under going gender reassignment surgery?
Gender identification is what is in the record at the end of the year. It is up to the health center to determine what variable they place there. Does treatment adherence count as a visit? What about Directly Observed Therapy? Treatment adherence suggests that decisions (i.e., independent clinical judgment) are not being made so that it does not count as a visit. Directly Observed Therapy (DOT) for TB treatment patient visit – DOT is generally for TB but it could also be methadone. It is not a visit as it is a pharmacy event. Important updates to the guidance on ARRA reporting. The ARRA 1512 and HCQR reports must be submitted by January 15, 2010. HRSA is revising its guidance on the HCQR to align with changes announced on December 18 from the Office of Management and Budget regarding data quality reviews, non-reporting recipients and reporting of job estimates. These updated technical assistance materials will be posted shortly. For more information on these updates please visit: Feder
