evergreen medical group – buffalo, ny prep program · evergreen medical group. us. total active...

Evergreen Medical Group – Buffalo, NYPrEP Program

Evergreen Health Services

HIV Negative1,150

HIV Positive950

Evergreen Medical Group

USTotal Active Discontinued

70

61

9

Patients on PrEP (6/2013 – 8/2015) PrEP Patient Demographics

Total Patients 2,100

Gender

FemaleTG

Race

Male White

Black

Asian

Other

Sexual Identity

Heterosexual

Bisexual

MSM

PrEP Program Yearly Growth PrEP Funding

0

10

20

30

40

50

60

70

80

2013 2014 2015

AI PrEP Funding(former Pilot)

50K

AI-PrEP Specialist

50K

AI-LRTA Grant

15K

Medical Provider Referrals – MCM team approach

Walk-In Testing Program – PrEP discussed with every patient

In-House Pharmacy – education, refill monitoring

Evergreen - PrEP Hotline – advertising/marketing

County DOH Referrals – MOU developed

PrEP Entry Points

*Grants can include: promo/marketing; education, adherence, monitoring &

follow-up. Some funding also includes other primary care programming.

Gilead Grant

120K

AICommunity Mobilization

252K

3 – Lost to Follow Up

Evergreen Program Successes

EMG New HIV+ patient retention averaged 75% for 2012; 78% for 2013

Partnership with Department of Health

Establishing PrEP Hotline

Reasons for Discontinuing PrEP (n=9) Challenges

2 – Insurance Issues

2 – Reduced Risk

1 – Not Ready to Commit

1 – Side Effects

Some insurance issues remain

Cooperation of outside pharmacies surrounding refill monitoring

NYSDOH – Good medical guidelines but not so good behavioral/social guidelines

Limited regional pool of individuals appropriate for PrEP

Additional AI coordination to avoid duplication is needed

Marketing Initiatives & Gilead Support

Team Approach – Walk-In Testing Primary Care Pharmacy

Full staff training – line staff to MD’s