Let’s end aids, long island. Get tested. Treat early. Stay safe,

NYLinks LIRG - nassau county May 16th, 2018

meeting overview

Ending the Epidemic Facilitate rapid access to hiv treatment with patient consent Establish goals regarding viral suppression rates and monitor progress Take steps to eliminate the long standing problem of stigma

Introductions & Site updates

CENTERS OF CARE Nassau University Medical Center A. Holly Patterson Extended Care Facility Family Health Centers Elmont • Westbury • Hempstead • Roosevelt VL Suppression QI Plan 2201 Hempstead Turnpike East Meadow, NY 11554 516.486.NUMC www.nuhealth.net

1. Real time notification of patients not suppressed for most recent VL In real time LRTA 2. Develop list of patients not suppressed for any VL during the month Monthly IT 3. Review ART history and retention in care. 4. Discuss issues related to unsuppressed VL in multi- disciplinary meeting CQI Team 5. Review barriers/obstacles to VL S for each patient and for the Unsuppressed group. 6. Share data and review interventions during Program Team Meetings. HIV Program Team

From: scmcds@numc.edu Sent: Friday, May 11, 2018 12:08 PM To: Janice Verley; Shadab Ahmed; Tabassum Yasmin; Hamid Reza Pahlevan Subject: HIV Viral Quantitation Real Time PCR Alert The new HIV Viral Quantitation Real Time PCR result for OILETT, DYANN, have result equal to or greater then 200. MRN: 431027H Pt Loc: 9 EAST-943-01 Result Value: 374853

Linkage, Retention and Adherence Program CQI Team: HIV Program Director Linkage, Retention and Adherence Program Medical Case Management Program HIV Mental Health Program Data Manager, HIV Program

VLS Meeting Dates & Report Month 2017 Number of patients discussed January (3/7/17) 18 February (3/21/17) 10 March (5/2/17) March (5/9/17) 9 (Total 27 for March) April (5/30/17) 7 April (6/6/17) 8 (Total 15 for April) May (7/11/17) 6 June(7/11/17) 9 July(9/15/17) August (9/15/17) September (10/17/17) 5 October (11/28/17) November (1/2/18) 9 (Part 1) November (1/25/18) 6 (Part 2) Total 15 patients December (1/25/18) 14 Total : 152 high viral load cases

VLS January -December 2017 - Drill Down Table Name/Issue Unstable housing Substance abuse Mental Health Job/Financial Disclosure Pill size & quantity Medication Side Effect Domestic Violence New Diagnosis Highly Resistant Forgets Meds language/cultural pharmacy   Alcohol Prescriptions Other Depression PTSD Denial prior-auth refills x thought was getting wrong meds from pharmacy insurance issues transportation insurance not paying for meds no insurance ADAP inactive

104 Patient DV2 MH43 HR5 Substance19 Financial25 Meds NEW Forget   x X no ins. ins. 7 5 1 13 6 2 4 34 25 11 18 104 Patient  HOUSING7 Substance19 MH43 Financial25 Disclosure6 Meds DV2 NEW HR5 Forget Pharmacy

Consumer Involvement Consumer involvement in qi is an essential element for hiv qm programs in nys, helping programs to achieve sustainable health outcomes. It is an expectation of all hiv providers, defined explicitly in the qoc standards, and assessed in all the organizational assessment of hiv qm programs. The qoc program offered the following consumer involvement capacity building activities:

Consumer involvement Training consumers in quality (TCQ) Training consumers in quality training-of-trainer program (TCQplus) Consumer quality training academy Health care stories project The living cascade Long Island Reginal Meeting Nassau PLEASE PRINT CLEARLY – THANK YOU!! Meeting Date: May 16, 2016

Center for AIDS Research and Treatment Peer Worker Program This template can be used as a starter file for presenting training materials in a group setting. Sections Right-click on a slide to add sections. Sections can help to organize your slides or facilitate collaboration between multiple authors. Notes Use the Notes section for delivery notes or to provide additional details for the audience. View these notes in Presentation View during your presentation. Keep in mind the font size (important for accessibility, visibility, videotaping, and online production) Coordinated colors Pay particular attention to the graphs, charts, and text boxes. Consider that attendees will print in black and white or grayscale. Run a test print to make sure your colors work when printed in pure black and white and grayscale. Graphics, tables, and graphs Keep it simple: If possible, use consistent, non-distracting styles and colors. Label all graphs and tables. May 16th, 2018

Training Volunteers to be Peer Workers Center for AIDS Research and Treatment Peer Worker Program Building Support Planning the Program Training Staff Training Volunteers to be Peer Workers Finding Continued Funding and Use of Incentives Evaluating Peer Worker Programs Give a brief overview of the presentation. Describe the major focus of the presentation and why it is important. Introduce each of the major topics. To provide a road map for the audience, you can repeat this Overview slide throughout the presentation, highlighting the particular topic you will discuss next.

Taking the Message to Social Media Use of Smartphone Apps Use of Social Media Platforms

break

Stigma reduction work

northwell - cyaaph: rapid hiv treatment David Rosenthal, md NYSDOH- Bureau of hiv/aids epidemiology

lunch How can we increase consumer involvement? How can we utilize social media to reach patients? What can we do to introduce and/or increase rapid hiv treatment for patients?

Aids institute : utilizing digital technology Mark thompson

Meeting wrap-up Next Meeting: NYLINKS regional collaborative meeting Tuesday September 19th, 2018, Perry B. Duryea, Jr. NYS office, 250 veterans memorial hwy. hauppauge, ny 11788 Sharing of 2017 cascades and qi plans Nys medical monitoring project presentation What kind of topics do you want to address?

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