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Medical Monitoring Project

Medical Monitoring Project

What is the Medical Monitoring Project (MMP)?

The Medical Monitoring Project (MMP) is conducted by the Virginia Department of Health in conjunction with the Centers for Disease Control and Prevention (CDC). As one of 23 project areas, Virginia seeks to learn more about the health-related experiences and needs of people who are HIV infected and receiving care in Virginia.

The aim of MMP is to provide nationally and locally representative data of clinical and behavioral outcomes among a sample of persons in care for HIV disease in the United States. The goals of MMP are to:

  • Describe the prevalence and occurrence of co-morbidities related to HIV disease
  • Provide a wide array of local and national data of behaviors and clinical outcomes of persons in care for HIV
  • Determine prevalence of ongoing risk behaviors and access to and use of prevention services among persons living with HIV
  • Describe HIV care and support services and health-related behaviors
  • Identify met and unmet needs for HIV care and prevention services.

Program Significance

MMP provides valuable state and national information about the behaviors, medical care and health status of people living with HIV infection. This population based data can be used for care and prevention planning purposes and to also guide policy and funding initiatives at the local and national levels.

Program Procedures

Virginia first identifies all HIV care providers in the state and a representative sample of these providers is then chosen. These providers are then contacted by the health department and invited to participate in MMP. HIV positive patients are selected from the sampled providers that agree to participate. These patients are invited to participate in MMP and those who provide informed consent are interviewed and their medical records are then abstracted.

  • In-Person and Telephone interview: MMP staff members coordinate with providers to invite each selected patient to participate in a face-to-face or telephone interview. The interview takes at least 45 minutes and includes questions concerning the patient’s medical history, use of medical and social services and risk behaviors. Participants are compensated for their time. You cannot participate in a MMP interview unless you are randomly sampled.
  • Medical record abstraction: Trained medical record abstractors collect additional information from the patient’s medical chart, which complements the data from the interview.


The success of MMP depends on the providers and patients selected to participate. Maximum participation by providers and patients will increase the likelihood of obtaining information that is truly representative of patients in care for HIV. Providers and patients who are not selected to participate in the project can still help by encouraging others to participate.


Protocols are strictly followed at the project area and national level to ensure the integrity, confidentiality and security of all MMP data. All information collected is kept confidential, including health care facility, health care provider and patient names. Facility, provider and patient names are not sent to CDC and are not used in any reports. Names or other identifying information are not collected.

Community Advisory Board (CAB)

A Community Advisory Board (CAB) advises the Virginia MMP program. Its members represent different regions of the state and demographically diverse populations. CAB members provide feedback regarding MMP operational considerations and facilitate program awareness and participation. If you are interested in joining Virginia’s CAB, Contact Us.

Provider Advisory Board (PAB)

Virginia MMP has an HIV medical care provider who serves as Virginia’s representative to the national MMP Provider Advisory Board (PAB). The PAB advises the national and local MMP programs, provides important input and assistance on analysis of MMP data, and promotes MMP activities within the medical community.

Upcoming Changes to MMP Sampling Methodology

For the upcoming project period of 6/1/2015-5/31/2020, MMP will be implementing a new sampling method called Case Surveillance Based Sampling (CSBS). CSBS will sample participants directly from case surveillance data in each participating project area's jurisdiction, resulting in an expansion of the inference population to all persons living with HIV/AIDS (PLWHA), including those currently in and out of care. The sample will be enriched to have a special focus on those recently diagnosed with HIV to increase our knowledge of issues related to testing, linkage to, and retention in care for PLWHA. Population-based surveillance that includes the out-of-care population will better inform local and national HIV prevention and treatment efforts, including monitoring the strategic plan of the Division of HIVAIDS Prevention, as well as progress towards the goals of the National HIV/AIDS Strategy. Evidence-based decisions made on a local and national level aimed at improving HIV prevention and treatment programs and policies are expected to lead to a reduction in new HIV infections, as well as HIV-associated morbidity and mortality, and disparities in health outcomes.

Additional Resources

Summary Reports

Links to Virginia Fact Sheets and data

CDC Website

You can also read more about MMP at the CDC’s website:

CDC MMP Brochures

MMP National Publications

MMP Stakeholder Meeting

Click here for the MMP Stakeholder Meeting slide show. The PDF version is here.

Contact Us

Last Updated: 07-29-2015

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