In care viral load suppression
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In+Care: Viral Load Suppression. Interventions: 1. Form a QI team to specifically address VLS 2. Utilize CAREWare to identify non-suppressed patients 3. Team creates a Fishbone diagram to identify barriers to viral load suppression

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In+Care: Viral Load Suppression

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In care viral load suppression

In+Care: Viral Load Suppression

Interventions:

1. Form a QI team to specifically address VLS

2. Utilize CAREWare to identify non-suppressed patients

3. Team creates a Fishbone diagram to identify

barriers to viral load suppression

4. Team categorizes patients by barriers to identify which

barriers impact VLS the most

5. Interventions are being tested with a PDSA for 5 of the

largest barriers to VLS

6. Consumers recruited and are actively involved with the PDSA

interventions

Interventions being tested:

Faster data entry into CAREWare

Follow up on patients new to HAART

Mental Health Barrier

Insurance Barrier

Improved communication between patients and staff


In care viral load suppression

Barriers to Viral Load Suppression


In care 1 gap measure

Interventions

Monthly case review of patients without a visit in 6 months (“FBI List”)

Assign team member tasks to contact and reel patients back into care.

As of September 2013, began sending closure letters at 6 months and warn of refill/treatment discontinuation.

Coming soon: Use of ARTAS (evidence-based intervention)

In+Care #1: Gap Measure

Other reasons for gap in care:

--mental health

--fear of bad news

--feeling good/don’t need to see doctor

--snow-birding

--meds continuously refilled with no consequences

No primary care provider between September 2011-July 2012.


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