January 19, 201210 – 11:30 CHN Headquarters

HIV QI Committee

Today’s AgendaToday’s AgendaWelcomeHIV 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 Linkage and Retention

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

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

Why Join?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.

MeasuresMeasuresGap measure: % of Patients who

did not have a visit in 180 daysMedical 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

PRIZES!!!!!! PRIZES!!!!!!

http://www.incarecampaign.org/

Before next meetingBefore next meetingIf you check site If you check site

If you get someone at your If you get someone at your clinic to check the siteclinic to check the site

Action Planning Action Planning

Tom Waddell Health Center

Measure Tom Waddell Health Center

National Average

Gap Measure 13% 16.97%Medical Visit Frequency

55% 60.71%

Patients New to Enrollment

39% 57.55%

Viral Suppression

55% 68.57%

National Snapshot

Improvement Update Submission ReviewA) 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 ReviewB) Barriers

◦ Transportation◦ Correct/up-to-date

contact info◦ Mental health issues◦ Substance abuse◦ Socio-economic

barriers◦ Undocumented

consumers◦ Unstable childcare◦ Medical co-morbidities

Limited resourcesUnderstaffedLong wait timesNo system in place

to easily track retention

Systematic insurance coverage issues

Language and cultural barriers

Improvement Update Submission ReviewC) 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 ReviewD) 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