Upload
brad-belch
View
217
Download
0
Tags:
Embed Size (px)
Citation preview
1
in+care CampaignWebinar
November 19, 2012
2
Ground Rules for Webinar Participation
• Actively participate and write your questions into the chat area during the presentation(s)
• Do not put us on hold• Mute your line if you are not speaking
(press *6, to unmute your line press #6)• Slides and other resources are available
on our website at incareCampaign.org• All webinars are being recorded
3
Agenda
• Welcome & Introductions, 5min• Retaining Aging HIV+ Patients
in+care, 30min• Data Review and Discussion of
Retention Strategies Collected Through the Campaign, 15min
• Q & A Session, 5min• Updates & Reminders, 5min
HIV and Aging
Presented by
Emily Tsuchida, RN, MSN, PHN, FNP-CCenter for AIDS Research,
Education & Services (CARES)Sacramento, CA
Comprehensive Clinical Care
Medical Dental
Psychiatry Nutrition
Mental Health counseling Substance Abuse
Case Management Health Education
Pharmacy Laboratory Services
Clinical Trials/Research STD/HIV Testing
Risk Reduction Counseling Prevention
2600 HIV+ patients
Over 74% are below 200%of poverty level
Approximately half have substance abuse and mental health issues.
African Americans are impactedat an alarming rate.
Young people are our fastestgrowing group.
Who We Serve at CARES:
7
Audience Responses
What proportion of your caseload
is aged 45 years or more?
25% of fewer
Between 26% and 50%
Between 51% and 75%
Greater than 75%
I have no idea / I do not have an HIV patient
caseload
8
Audience ResponsesPROVIDERS
In the chat room, tell us what you
have done at your sites to prepare
for an aging population if you serve
HIV patients. CONSUMERS / ALLIES
In the chat room, tell us what
special concerns you see as HIV+
people grow older and have more
complex health needs.
An Aging Population at CARES
Point# 1:
Important to get all ages tested for HIV.
Point #2
Treatment for all as being over 45 is an indication for treatment.
Point #3
You must have expertise inpoly-pharmacy.
Point #4
Develop connections with home care and skilled nursingfacilities.
Point #5
Elderly alone… HIV+ people feeling alone…The combination of the two.
Point #6
Need expert in geriatric patientsto assist with the care of theseaging patients.
Point #7
Nutritional needs for elderly aredifferent.
17
Audience ResponsesPROVIDERS
In the chat room, tell us what you
have found most useful as training
for Geriatric concerns and
Nutritional counseling. CONSUMERS / ALLIES
In the chat room, tell us what
special concerns you can identify
in terms of aging and nutrition as
they relate to People with HIV?
Point #8
Issues around dementia andnormal loss of cognitivefunctioning.
Point #9
Assistance with insurancecoverage to maintain HAARTcoverage: ACA provisions andMedicare/Medicaid.
Point #10
Retaining people in care isimportant for all ages but moreurgent for those with diseasesassociated with aging.
In summary:
Woman infected at HS reunion.
86 year old woman from India.
22
Thinking about Emily’s 10 points and
the resources participants list in the
chat room, which resources have you
found to be the most useful?
Let us know your experiences LIVE!
Speaking from Experience:Brief Peer Learning Exercise
Are there are any resources in the literature you recommend?
24
Improvement Strategies Exercise
Michael Hager, MPH MANQC Manager
25
in+care Campaign National Data Snapshot
December – October Data as of 11/16/2012
Dec Average
(Patients)
Dec Sites
Feb Average
(Patients)
Feb Sites
Apr Average
(Patients)
Apr Sites
Jun Average
(Patients)
Jun Sites
Aug Average
(Patients)
Aug Sites
Oct Average
(Patients)
Oct Sites
Measure 1: Gap Measure
16.19%(124,462) 207 16.15%
(130,231) 201 14.71%(129,910) 206 15.03%
(116,888) 185 14.19%(110,810) 171 15.79%
(108,669) 159
Measure 2: Visit Frequency Measure
63.44%(84,213) 155 65.74%
(87,068) 152 62.20%(103,351) 175 64.20%
(92,495) 166 64.32%(91,561) 159 62.32%
(89,541) 148
Measure 3: New Patient Measure
55.87%(7,789) 194 58.25%
(8,802) 190 58.54%(8,421) 195 59.67%
(7,220) 179 59.64%(7,074) 169 58.95%
(6,931) 156
Measure 4: Viral Suppression Measure
69.69%(135,806) 199 69.46%
(147,223) 192 70.41%(156,089) 198 71.87%
(139,967) 183 71.80%(129,933) 167 71.49%
(127,207) 155
Coming Soon – new analyses at AGM!
26
27
28
29
30
Improvement Strategies Discussion
Take Home Points – Interventions!•HIV Testing
• Routine testing of all ages
•Treatment• Treat all PLWH > 45 years of age with ARVs
•Training• Understand specific MH issues, social-psychology and
cognitive impairment• Experience with treatment with multiple meds for multiple
conditions• Experience in geriatric concerns, treatments and referrals• Experience in nutrition and nutritional counseling
31
Improvement Strategies Discussion
Take Home Points – Interventions!•Connect
• Leverage Health Information Exchanges (HIE) / Regional Health Information Organizations (RHIO) in your region
• Link your service to skilled nursing facilities / Visiting Nurse Association (medical care) and Patient Navigation Systems (other supports)
• Patients with appropriate payer resources and systems to support PLWH engagement (increasingly important with Affordable Care Act implementation)
32
Submit Improvement Updates!
33
Announcements
34
• Next Meet-the-Author Webinar: L.Gardner – Low-Effort, Clinic-Wide Intervention December 12, 2012 at 1pm ET
• Next Partners in+care Webinar: Optimal Wellness for PLWHDecember 13, 2012 at 2pm ET
• Next Campaign Webinar: Sustainability of Retention Projects in Unsure Funding Environments January 9, 2013 at 2pm ET
• Campaign Webinar: Mental Health and RetentionDate Pending – to be announced!
Upcoming Events
35
• Campaign Office Hours: Mondays & Wednesdays 4-5pm ET• Monday, November 19 - Open Space, no set topic• Wednesday, November 21 - National Holiday, no office hours• Monday, November 26 - Open Space, no set topic• Wednesday, November 24 - All Grantee's Meeting, no office hours• Monday, December 3 - Open Space, no set topic• Wednesday, December 5 - Sustaining Retention Projects Over Time
• Data Collection Submission Deadline: December 3, 2012
• Improvement Update Submission Deadline:December 17, 2012
Upcoming Deadlines and Office Hours
36
Wednesday, November 28, 2012
12pm ET
Thurgood Marshall Ballroom South
in+care at AGM
37
MedScape Retention in HIV Care Series
• Technical Working Group working on articles for a new Medscape Today News Series.
• We recommend that you subscribe to HIV/AIDS MedPlus to be informed of new and exciting articles in this series!
• Published Pieces:• Monitoring Rates of Retention in HIV Care Across the State• How Health Departments Promote Retention in HIV Care• Improving Retention in HIV Care: Which Interventions Work?• Engaging in HIV Care: What We Learned from AIDS 2012• How Should We Measure Retention in HIV Care? • Retention In HIV Care: The Scope of the Problem
http://www.medscape.com/index/section_10285_0
38
Partners in+care
• Partners in+care Private Facebook Group is live! • Share tips, stories and strategies• Join a community of PLWH and those who love them• Email [email protected] for more
details
• Partners in+care website is live!• http://www.incarecampaign.net/index.cfm/77453 • Join our mailing list (a list-serv version of the FB
Group)
39
Time for Questions and Answers
40
Campaign Headquarters:National Quality Center (NQC)90 Church Street, 13th floorNew York, NY 10007Phone [email protected]
incareCampaign.orgyoutube.com/incareCampaign