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Dr. Peter Centre

Dr. Peter Centre. Rapid Fire Presentation September 26, 2012. Engagement in Care at the Dr. Peter Centre. “AHA” Moment. At the “Spread Phase” for many of the measures and our data collection tools developed in the Collaborative. Collaborative Measures. Additional DPC Measures.

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Dr. Peter Centre

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  1. Dr. Peter Centre Rapid Fire Presentation September 26, 2012

  2. Engagement in Care at the Dr. Peter Centre

  3. “AHA” Moment • At the “Spread Phase” for many of the measures and our data collection tools developed in the Collaborative Collaborative Measures Additional DPC Measures • HIV Primary Care Visits • ARV Adherence according to Medication Administration Records [MAR] • Customized Qualitative Survey: • IHI questions fit DPC model • Self-reported ARV adherence • Client-provider engagement • ART uptake among those who unequivocally need it • HIV Viral Load Test • Achieving maximal HIV virologic control • Patient experience

  4. “Hmmm” Moment • Also had some moments of reflection in the last Action Period • How to sustain the improvements we developed in Dec 2010 - Mar 2012? • How to maintain the accountability structure without monthly reporting, and other STOP projects going on?

  5. “Hmmm” Moment • Dips in the data • After months of continuous improvement on some measures, we plateaued, and in some cases, we dipped • But, the dips reflect the challenging nature of the clientele • The positive is that now we are measuring the dips

  6. “Oh No” Moment • Survey fatigue • After surveying our clients 4 times with the same survey in 12 months, clients were not as engaged or interested in completing our survey

  7. Moving Ahead • The Survey • Changing the survey • Changing the way it’s administered • Pilot another engagement measure

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