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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

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 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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