the future of aids education & training in the … docs/2015 fdc/plenary-1.pdf · 1 the future...
TRANSCRIPT
1
THE FUTURE OF
AIDS EDUCATION & TRAINING IN
THE NEW FRONTIER
FRONTIER AIDS EDUCATION AND TRAINING CENTER
David Spach, MD, PI/Clinical Director
Laurie Conratt, MBA, Director
Paul Cook, PhD, Evaluator/IPE Director
Sara Savage, MPH, LP Manager
Anna Kinder, MS, OTR/L, WY LP Prog Dir./PTP Coord.
Panel Present ers
Session Objectives
• Cite HRSA program changes and priorities for the Frontier AETC’s 4-year grant cycle
• Describe the new Frontier AETC structure
• Describe the menu of education and capacity-building offerings listed in the Frontier AETC competitive grant proposal
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Exercise!!!
Number your paper 1-6
No name on your paper
Answers: “yes” or “no” only
Can you . . .
1. Describe the new HRSA focus for the AETCs?
2. Name the 10 states in the Frontier AETC region?
3. Name 2 distance learning options that will be offered by the Frontier AETC?
4. Explain IPE?
5. Distinguish between an LP and an LPS?
6. Define practice transformation for a primary care clinic?
FRONTIER AIDS EDUCATION AND TRAINING CENTER
Laurie Conratt, MBA
Director
HRSA Changes
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HRSA Program Changes
Three workforce development priorities:
• Clinical care
• Interprofessional teams
(e.g., IPE Project)
• Organization and systems
management (e.g., PT Project)
HRSA Program Changes
• Fewer limits on target audience
• Novice or new providers and clinics
• Primary care workforce/CHCs
• Broad spectrum of capacity-building
activities
• Longitudinal emphasis
HRSA Program Changes
AETC Programs:
• Base
• MAI = min 20%
• IPE = min 10%
• PTP = min 40%
• CDC HIV Testing
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FRONTIER AIDS EDUCATION AND TRAINING CENTER
Laurie Conratt, MBA, Director
Sara Savage, MPH, LP Manager
Front ier AETC St ruct ure
Frontier AETC Region
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State-Based LPsProgram/Population-Based LPs
CHAD
Char Lowman
Sioux Falls
ANTHC
Terri Bramel
Anchorage
Riverstone Health
Molly Hale
Billings
UU
Chris Davis
Salt Lake City
Casper Natrona
HD
Anna Kinder
Casper
Portland VA
Research Fdtn
Dayna Morrison
Portland
UW
TBN
Seattle
ISU
Judy Thorne
Meridian
UCD
Lisa Lawrence
Aurora
Alaska
Idaho
Colorado
WyomingUtah
Montana
Dakotas
Washington
Oregon
SKC
Niki Graham
Pablo, MT
AARTH
Mary Diggs-Hobson
Seattle, WA
YVFWC
Maria Benavides
Yakima, WA
HHSC
Jodi Davich
Portland, OR
UCD
Paul Cook
Aurora, CO
WA State DOC
Lara Strick
Olympia, WA
Frontier AETC @ UW
FAETC Org Chart – Local Partners
IPE Site/
FAETC Evaluation
AA/African-Born
Preceptorships
AI/AN
Latino
Corrections
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FAETC Org Chart – Regional Office
Mark Schubert, DDS
Dental Director
Frontier AETC
Hillary Liss, MD
Medical Prog. Dir.
David Spach, MD
PI/Clinical Director
University of Washington
Department of Medicine
Center for AIDS & STD
Laurie Conratt, MBA
Director
Local Partners
(LPs)
15 Sites
Anna Kinder
MS OTR/L
PTP Coord./WY
Meri Konishi
BAFiscal Specialist
Becky Karschney
BA
Program Coord.
Seattle STD/HIV
Prevention Training CtrHepatitis
Training Center
CBA for High-Impact
HIV Prevention
Bruce Maeder, BA
Technology Manager
Regional Office
Trainers w/FTE:
Dhanireddy, MD
Daisy, PhDHarrington, MD
Loeffelbein PharmD
Cervenka, MSW
Wood, MD
Eric Riles, MA
Data Manager
Samantha Meiring
BA (Hon)
Eval PM, CU-CON
Mary Annese, MA
ECHO Eval
Kent Unruh, PhD
Informatics Specialist
Andrew Karpenko
BS
Software Engineer
Natalia Martinez-Paz
MA, MPATelehealth Specialist
Carlos Flores
BS
Computer Specialist
Sara Savage, MPH
LP Program Mgr.
Paul Cook, PhD
Evaluator/CU-CON
FRONTIER AIDS EDUCATION AND TRAINING CENTER
David Spach, MD
PI/Clinical Director
Dist ance Learning
Summary of Distance Learning Activities
• ECHO (telehealth)
• HIV Web Study
• Pre/Post Test
• HIV Question Bank
• National HIV Curriculum
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Building Knowledge & Capacity
One Case at a Time
ECHO Leadership Team
Brian Wood
Kent Unruh
Natalia Martinez-Paz
Mechanics
of Weekly Telehealth Sessions
Mini-Didactics
• Focused clinical topic
• First 15 minutes of each session
• 5 minutes for discussion
• Recorded/archived for future
viewing
Case Consultation/
Discussion
• Remainder of session
• 3-5 cases per session
• Wide variety of topics
HIV Web Study\
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HIV National Curriculum (with NCRC)
UW Leadership Team
David Spach
Andrew Karpenko
Kent Unruh
Natalia Martinez-Paz
HIV National Curriculum (wit h NCRC)
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HIV
PreTest
Question
Bank
On Line
Course
Case
Studies
Topics and Evaluation Matched Across Entire Platform
HIV National Curriculum Learning and Assessment Platform
HIV National Curriculum: Organize Int o Learning Groups
MD
NP
PA
RNDirect or/ Administ rat or
RN
PA
NP
MD
Frontier Distance Learning Strategies
• Establish/solidify role as national leader in
this area
• Expand existing model ECHO program
• Lead HIV National Curriculum efforts (with
NCRC)
• Pilot National Curriculum HIV and innovate
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FRONTIER AIDS EDUCATION AND TRAINING CENTER
Paul Cook, PhD
Evaluator/IPE Director
Int erprofessional Educat ion
University of Colorado College of Nursing
In Collaboration With:
University of Colorado School of Medicine
Skaggs School of Pharmaceutical Sciences
Who We Are
IPE Faculty ChampionsIPE Training Team
Paul Cook, PhDEvaluator/IPE Director
Samantha MeiringBA (Hon)
Evaluation Project Mgr.
Health ProfessionsFaculty
CU School of MedicineMark Earnest MD PhD
Director of IPE
CU Skaggs Schoolof Pharmacy
Kari Franson PharmD PhDAssoc. Dean Professional Ed.
CU College of NursingRosario Medina PhD FNP
Asst. Dean of Grad. Programs
Laurra Aagaard, MS MATraining Coordinator
Health ProfessionsStudents
Whitney Starr, NPMedical Trainer
Marla Corwin, LCSW, CAC III
Behavioral Trainer
Lindsay O’Connell, MS CHES
Education Specialist
Steven Johnson, MDIPE Medical Director
Shandra Brown Levey, PhD
SOM Faculty Champion
Sarah Scoular,PharmD BCPS
SOP Faculty Champion
Ernestine Kotthoff-Burrell, PhD FAANP
CON Faculty Champion
Curriculum Mapping
Curriculum Mapping
AACN IPE Competencies:
1. Values and ethics
2. Roles and responsibilities
3. Communication and conflict resolution
4. Teams and teamwork
HIV medical content
QI and Leadership
HIV behavioral
content
Plan to offer:
• Multiple topics
• Events for multiple
professions
• Multiple formats
(workshop,
clinical, online)
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The Student Experience …
Theory Practice
IPE Links to Practice Transformation
Like students, practices need to learn how to
function in interprofessional teams
Like students, practices need to use technology,
data, and QI methods to improve care
Like students, practices need new ways to support
patient engagement and self-management of health
FRONTIER AIDS EDUCATION AND TRAINING CENTER
Anna Kinder, MS, OTR/L
WY LP Program Director/
PTP Coordinator
Pract ice Transformat ion Project *
* Also known as PTP
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PTP: What the Heck?
Triple AIM
+
Triple
Aim
Better Care
What does it mean to us?
• Work with clinic leadership: Improve Care Continuum Outcomes
• HIV Screening
• Linkages to Care
• Retention in Care
• Suppression of Viral Load
• Build capacity: High-quality comprehensive care and treatment
• Develop accountable care communities and interprofessional teams
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Participation Criteria
Clinics with:
• low volume HIV providers who can
improve quality care and access
• FQHC designation and/or RW Part A/B
• ≥ 30% racial/ethnic patient diversity
• Minority staff & providers
• Willingness to participate in long term
project
Our Plan
• Year 1: Collaborative work with clinics
• Assess strengths (clinics, LPs, region)
• Work collaboratively with IPE program
• Access experts in other organizations
Our Plan
• PT coach assigned to each clinic
• Needs assessment of each clinic
• Evaluation throughout (Plan-Do-Study-
Act)
• Metrics based on clinic needs and Care
Continuum variables
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100%
87%
39%
36% 30%
81%
90%
85% 85%
VL
80%
85%
Continuum of HIV Care - U.S. 2012
FRONTIER AIDS EDUCATION AND TRAINING CENTER
David Spach, MD, PI/Clinical Director
Laurie Conratt, MBA, Director
Paul Cook, PhD, Evaluator/IPE Director
Sara Savage, MPH, LP Manager
Anna Kinder, MS, OTR/L, WY LP Prog Dir./PTP Coord.
Quest ions/ Discussion