South Central HIV Practice Transformation

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1 South Central HIV Practice Transformation Grayson Burgess, MPA Project Manager Practice Transformation & Interprofessional Education South Central AIDS Education & Training Center Parkland Health & Hospital System Dallas, Texas Presentation for November 3, 2016 Practice Transformation Community of Learning 1

2 HPTP Practice Coaches AETC Staff (at Local Partner Sites) Responsible for at least 1 HPTP site Serve as primary contact for HPTP sites Work with Central Office to ensure all requirements are met 2

3 HPTP Practice Champions HPTP Clinic Site Staff Responsible for HPTP activities in his/her clinic Serve as primary contact for Practice Coach and Central Office staff Work from within the clinic to move practices towards HPTP goals 3

4 South Central Region 4

5 Partner Sites 5

6 HPTP Clinic Sites Red = FQHC Green = RWHAP 6

7 Southwest Viral Med Centro Familiar de Salud San Vicente, El Paso, TX 7

8 Centro San Vicente Participating in staff training regarding HIV testing and linkage to care Taking part in clinical preceptorships with SCAETC Faculty Administrative technical assistance is being provided 8

9 Valley AIDS Council Community Health Centers of South Central Texas Seguin, TX 9

10 Valley AIDS Council Community Health Centers of South Central Texas Service Area 10

11 CHCSCT This is the least developed of our clinics Currently working on baseline data collection Geography has been a significant barrier 11

12 Harris Health Access Health, Richmond TX Healthcare for the Homeless, Houston, TX Gulf Coast Health Centers, Port Arthur, TX 12

13 Access Health Ryan White Clinic Working directly with clinic staff regarding best practices in routine HIV testing Particular interest placed in patient/staff interactions Clinic serves predominantly racial/ethnic minority patients Staff is predominantly white Very economically disadvantaged population within a generally very economically advantaged area 13

14 Healthcare for the Homeless Houston Administrative Technical Assistance has been important to this clinic Clinic has a strong desire to work with other homelessserving clinics to develop and implement best practices Transient populations Populations at risk for HIV infection 14

15 Gulf Coast Health Center Currently are developing plan for educational activities Strong interest in improving HIV testing rates Primary goal for this clinic Unique challenges include: Louisana/Texas Medicaid differences High risk of infection among offshore workers 15

16 Lousiana State University HSC - New Orleans David Raines CHC, Shreveport, LA Baton Rouge Primary Care Collaborative, Baton Rouge, LA HIV/AIDS Alliance for Region Two Caring Clinic of Louisiana, Baton Rouge, LA St. Gabriel Health Clinic, St. Gabriel, LA 16

17 David Raines Community Health Center In the phase of development of educational activities plan This clinic also phases the issue of Louisiana/Texas Medicaid differences Strong interest in improving HIV testing rates High incidence of HIV along I-20 corridor 17

18 Baton Rouge Primary Care Collaborative Ryan White Clinic Flooding left this clinic non-operational for a significant period of time Clinic currently in development of educational activity plan 18

19 HAART - CCOL Background as an HIV/AIDS Service Organization Clinical care is only one function of organization Flooding left this clinic non-operational for a significant period of time Clinic currently in development of educational activity plan 19

20 St. Gabriel Health Clinic This clinic is currently developing a plan for educational activities Strong support among staff for the success of this project Activities will mainly involve improving HIV testing rates, linkage to care, and administrative technical assistance 20

21 Parkland Health & Hospital System Wellness Pointe, Longview, TX 21

22 Wellness Pointe Strong relationships with clinic staff Very eager to try new ideas and perform rapid cycle quality improvement This clinic also has issues with Texas/Louisiana Medicaid differences Upcoming trainings to include Medical Assistants Plans to improve telecommunications capabilities to allow for more distance learning 22

23 All HPTP Coaches Meetings Occur monthly Recordings are made available if coaches are unable to attend The HPTP Coach is responsible for the information contained in the meeting regardless of his/her ability to attend the meeting live 23

24 Meetings with HPTP Sites The expectation is that HPTP Coaches meet with each clinic site at least weekly Standardized documentation must be used for these meetings Meetings are focused around the clinic s goals and how the SCAETC can help them achieve those goals Training Technical Assistance Etc. 24

25 Quarterly Check-In Calls Central Office has a conference call with each clinic on a quarterly basis To ensure that what is being reported to the Central Office by the HPTP Coach is accurate To address any contractual issues To offer assistance which may need to come from the Central Office To ensure that the needs of the clinic are being met 25

26 Standardized Documentation and Communication Standards 26

27 Monthly Reports 27

28 Questions? Grayson Burgess

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