January 19 2012 10 11 30 chn headquarters
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January 19, 2012 10 – 11:30 CHN Headquarters PowerPoint PPT Presentation


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January 19, 2012 10 – 11:30 CHN Headquarters. HIV QI Committee. Today’s Agenda. Welcome HIV QI Committee Vision (Deb) Committee Recommendations HIV Registry Clean Up Measuring and Monitoring HIV Testing Linkage and Retention LINCS (Erin) In+Care Campaign (Deb)

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January 19, 2012 10 – 11:30 CHN Headquarters

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January 19, 2012

10 – 11:30

CHN Headquarters

HIV QI Committee


Today’s Agenda

  • Welcome

  • HIV QI Committee Vision (Deb)

  • Committee Recommendations

    • HIV Registry Clean Up

    • Measuring and Monitoring HIV Testing

  • Linkage and Retention

    • LINCS (Erin)

    • In+Care Campaign (Deb)

  • Wrap up and next actions (All)


Linkage and Retention


This in+care Campaign is designed to facilitate local, regional and state-level efforts to retain more HIV patients in care and to prevent HIV patients falling out of care while building and sustaining a community of learners among providers.


in+care Participants by Zip Code (as per December 2, 2011)


Why Join?

  • Access to renowned quality improvement and retention experts for support and coaching: webinar, site visit, meetings

  • National real-time benchmarking data on key retention measures

  • Learn from Local and National peers, and share your best practices with them

  • Broad, far-reaching, immediate impact in improving patients' lives since keeping patients in care extends their lives and makes for healthier communities.


Measures

  • Gap measure: % of Patients who did not have a visit in 180 days

  • Medical Visit Frequency: % of Patients who had at least one visit in the last 6 months

  • Patients new to enrollment: % of Patients who were newly enrolled, and who had a visit in the 4 months.

  • Viral Suppression: % with VL < 200 Copies/mL


If you check site

If you get someone at your clinic to check the site

PRIZES!!!!!! http://www.incarecampaign.org/Before next meeting


Action Planning


Tom Waddell Health Center


National Snapshot


Improvement Update Submission Review

  • Interventions

    • Reports created identifying those out of care

    • Outreach via phone and letters

    • Outreach to shelters, streets, and homes

    • Reminder phone calls and texts

    • Hiring of staff to deal specifically with retention

    • Formation of peer navigation systems

    • Consent to contact other providers to ensure patients are consistently in care

    • Follow-up call 2 weeks after intake

    • Asking patients for preferred method of communication


Improvement Update Submission Review

B) Barriers

  • Transportation

  • Correct/up-to-date contact info

  • Mental health issues

  • Substance abuse

  • Socio-economic barriers

  • Undocumented consumers

  • Unstable childcare

  • Medical co-morbidities

Limited resources

Understaffed

Long wait times

No system in place to easily track retention

Systematic insurance coverage issues

Language and cultural barriers


Improvement Update Submission Review

C) Lessons Learned

  • Collaboration and communication with other agencies is key

  • Important to address non-HIV related issues

  • Patients should feel acknowledged and welcome

  • Decrease wait time and increase same-day appts

  • Use volunteers

  • Engage community partners in assisting with retention efforts

  • Check Social Security death lists

  • Provide or link to transportation services

  • Mental and substance abuse screening to link patients to car

    • Important to understand patient population demographics


Improvement Update Submission Review

D) Training/Assistance Needs

  • Would like to hear more about interventions other organizations have found to be effective

  • Tips on how to gather data more efficiently

  • How do large organizations use tools to track re-engagement of clients

  • Data entry assistance needs


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