Increase Retention in Care: The Importance of a High-Performing Culture of Health Literacy

Discover what practitioners can do to increase retention in HIV/Care Today’s Goals Explore Explore new research findings about the link between cultural competence and engagement in HIV/Care Discover Discover what practitioners can do to increase retention in HIV/Care Learn Learn the importance of a high-performing culture of health literacy and the specific steps to achieve one

Positive Outcomes Begin with Actions of the Providers Increase viral suppression rates Improve retention in care Use data to improve health literacy and cultural competency High-performing/ data-driven culture

Elements of a High-Performing Culture Manage to desired financial and mission outcomes Manage Use data to make decision Use Embrace continuous improvement and learning Embrace Celebrate success Celebrate Foster frequent and open communication Foster

Using Data: Why Cultural Competency and Health Literacy

Factors Negatively Impacting Engagement in Care Year 1 and Year 2 Study Evidence Provider relationships Unmet service needs Lack of culturally competent HIV care Lack of health insurance and financial assistance Stigma Geographic and demographic characteristics Declining health Practical/ Structural Barriers Jones, S. C., Gerbec. E., Pafford, E., & Seetharaman, J. (2017). Ohio Ryan White Part B Needs Assessment Study: Improving Retention and Engagement in HIV Care.

Effective Best Practices in Culturally Competent Care HIV service culture of respect and empathy Services that treat the whole person, not just the HIV diagnosis Send reminder calls/texts before clients’ scheduled appointments Policies to help clients navigate the system and meet their needs Check in with clients by calling them when they miss appointments General practice is to “meet the client where they are”

Best Practices in Culturally Competent Care Not Currently Being Met in Ohio

Recommendations Address Design Invest Target Pursue Address mental health needs of PLWHA; it is a significant barrier to engagement in care. Address Design marketing campaigns and efforts to change “the face of AIDS” and the stigma of HIV. Design Invest in cultural competency training and medical CEUs related to compassionate HIV care. Invest Target specific services to improve access and quality of non-HIV support services needed by PLWHA. Target Pursue the Implementation of Integrated HIV Prevention and Care Plan Goals. Pursue Recommendations

Case Study: Data-driven Approach to Culture Change in Health Care

Health Literate Organizations “an organization that makes it easier for people to navigate, understand, and use information and services to take care of their health.” Brach, C., Keller, D., Hernandez, L.M., Baur, C., Parker, R., Dreyer, B., Schyve, P., Lemerise, A.J., and Schillinger, D. (2012). Ten Attributes of Health Literate Health Care Organizations, Institute of Medicine of the National Academies.

Creating Dissatisfaction

To establish a model culture of health literacy based on the 10 attributes of health literacy.  This includes the adoption of person-centered practices which result in increased patient activation, engagement in a healthcare home and improved health outcomes across the organization. In addition, our organization has measurable outcomes and is known for high-quality care. Developing a Vision

Concrete Next Steps Conducted change management training Established 4 strategic focus areas Established an evaluation framework and implementation plan

APPLICATION

Group Discussion Question Building a Culture of Health Literacy Group Discussion Question Using the change formula and the information heard in this presentation, what concrete next steps could you take to move towards improved health literacy?

Comments or Questions Sheri Chaney Jones Erin Gerbec scjones@measurementresourcesco.com Erin Gerbec egerbec@measurementresourcesco.com 614-947-8899 www.MeasurementResourcesCo.com www.ImpactAndExcellence.com Comments or Questions