Medical Monitoring Project (MMP)
The purpose of the Medical Monitoring Project (MMP) is to inform HIV programs and services. MMP is funded by the CDC and implemented by health departments across the country. Please see the "Reports and articles" section below for the latest MMP data, including an August 2019 publication about injection and sexual practices among people who inject drugs.
The Medical Monitoring Project (MMP) is a surveillance project designed to produce locally and nationally representative data on people living with HIV/AIDS who are receiving care in the United States. Washington state (including Seattle & King County) is one of 23 jurisdictions that are involved in MMP.
MMP aims to provide a deeper understanding of the health related experiences and needs of people living with HIV/AIDS who are receiving HIV care in the U.S. The objectives of the project are to:
- Provide locally and nationally representative estimates of behaviors and clinical outcomes of persons in care for HIV;
- Describe health related behaviors;
- Determine accessibility and utilization of prevention and support services;
- Monitor the receipt of care and treatment services; and
- Examine how the above factors vary by locality and patient characteristics.
People living with HIV/AIDS, HIV prevention community planning groups, Ryan White CARE Act planning councils and consortia, HIV care providers, and other policy makers and service planners may use MMP data for planning activities. MMP provides valuable state and national estimates of health care utilization, quality of care, severity of need, and effectiveness of prevention messages, which are used to inform the design and improvement of HIV programs and decisions pertaining to resource allocation.
A random sample of people living with HIV is drawn each year. Health department staff contact sampled individuals and invite them to complete a 60-minute health survey that includes questions concerning their medical history, use of medical and social services, and risk behaviors. MMP participants are asked to permit trained MMP abstractors to access their medical records to collect additional information about their HIV care. Participants are compensated for their time. All protected health information is kept secure and confidential and is protected by federal law.
Community Advisory Board
A national Community Advisory Board (CAB), comprised of a local representative from each of the 23 project areas, serves as a link between MMP staff and patients who participate in the project. The CAB includes a diverse group of individuals who are all concerned about the wellbeing of persons living with HIV/AIDS in the community and the quality of care they receive. As community advocates, CAB members convey the patient's perspective to local and national MMP staff. CAB members work closely with MMP staff contributing to the design and implementation of the project.
Provider Advisory Board
MMP also has a national Provider Advisory Board (PAB) consisting of an HIV care provider from each project area. The PAB represents large, medium, and small HIV care facilities in both rural and urban locales. It fosters collaboration between local and national MMP staff and HIV care providers. Offering the provider's perspective, PAB members advise local and national MMP staff on aspects related to the development and implementation of MMP.
Reports describing MMP data
CDC. Behavioral and Clinical Characteristics of Persons with Diagnosed HIV Infection—MMP, United States, 2019 Cycle (June 2019–May 2020). HIV Surveillance Special Report 28. Published August 2021.
- 2015-2017 Community Profile and Statewide Coordinated Statement of Need
- Reducing HIV Stigma and Discrimination in Washington State
- Dasgupta S, Tie Y, Lemons A, et al. Injection Practices and Sexual Behaviors Among Persons with Diagnosed HIV Infection Who Inject Drugs — United States, 2015–2017. MMWR 2019; 68: 653-7.
- Baugher AR, Beer L, Bradley HM, Evans ME, Qingwei L, Shouse L. Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care: Medical Monitoring Project, United States, 2011–2015. MMWR Morbidity and Mortality Weekly Report 2018; 67: 1405–9.
- CDC MMP Bibliography
- Washington State MMP Provider fact sheet
- Behavioral and Clinical Characteristics of Patients Receiving HIV Care in King County Medical Monitoring Project, 2015-2017, HIV/AIDS Epidemiology Report 2018, Volume 87, p. 91-95.
- Behavioral and Clinical Characteristics of Patients Receiving HIV Care in King County Medical Monitoring Project, in 2013-2014, HIV/AIDS Epidemiology Report 2016, Volume 85, p. 59-63.
- Medical care in King County: Medical Monitoring Project 2013 provider survey, in HIV/AIDS Epidemiology Report 2015, Volume 84, p. 69-72.
- Trends in the distribution of VACS mortality risk score, viral suppression, and CD4 counts among patients receiving HIV care in King County, Washington who participated in the Medical Monitoring Project, 2008-2012, in HIV/AIDS Epidemiology Report 2015, Volume 84, p. 73-74.
- Receipt of preventive services among persons receiving HIV care in King County, overall and by HIV care facility type, 2009-2012, in HIV/AIDS Epidemiology Report 2015, Volume 84, p. 75-77.
- Completeness of HIV/AIDS lab reported data from 2009-2013 in King County, WA, in HIV/AIDS Epidemiology Report 2014, Volume 83, p. 33-35,
- Behavioral and Clinical Characteristics of Patients Receiving HIV Care in King County: Medical Monitoring Project in 2009-2011, in HIV/AIDS Epidemiology Report 2014, Volume 83, p. 67-75.
- Chronic health conditions among HIV-Infected Adults in Care in Washington State, in HIV/AIDS Epidemiology Report, First Half 2013, Volume 82, p. 68-70.
- Results from the Medical Monitoring Project, 2010 and 2011. King County WA, in King County, HIV/AIDS Epidemiology Report 2nd Half 2012, Public Health – Seattle & King County, p. 17-18.
- Viral Load Suppression and Unmet Needs among Participants in the Medical Monitoring Project, 2009, in King County HIV/AIDS Epidemiology Report 1st Half 2011, Public Health – Seattle & King County, p. 53-56.
A total of 23 project areas are involved in MMP: California; Chicago, IL; Delaware; Florida; Georgia; Houston, Texas; Illinois; Indiana; Los Angeles, CA; Michigan; Mississippi; New Jersey; New York; New York City, NY; North Carolina; Oregon; Pennsylvania; Philadelphia, PA; Puerto Rico; San Francisco, CA; Texas; Virginia; and Washington.
For more information, go to the MMP homepage on the Centers for Disease Control and Prevention (CDC) website.
Link/share our site at www.kingcounty.gov/hiv/mmp