1. Northeast/Caribbean AETC Practice Transformation Project
Presentation for NCRC PTP Learning Community
July 28, 2016

2. Project Transformation Year 1 Activities
Learn about PT
Engage PTP Sites
Assess PTP Sites
Plan Development

4. Learn about PT Review HRSA guidance Coaches trained
Complete on line course
Complete preceptorship
Develop/Implement NECA AETC PT internal community of practice
Participate in National Community of Learning

5. Engage PTP Site
Preliminary conversations with site about PTP- expectations
Meetings, outreach, assessments
Identify Key people- liaison
Share list of previous trainings conducted

6. Assess PTP Site The NECA AETC regional assessment
The National PTP instrument
Oral/Behavioral Health Assessments
Other tools relevant to topics identified

7. Plan Analyze the data from needs assessments
Present and discuss results with site
Identify key goals to work on
Identify training resources/methods
Formalize training plan

8. Northeast/Caribbean AETC & North Jersey Community Research Initiative: Practice Transformation Project
Corey DeStefano, Director of Clinical Services, NJCRI
Jennifer McGee-Avila, MPH, CHES

9. North Jersey Community Research Initiative (NJCRI)
History Clinical Trial site
Mission - To empower our clients by reducing social and health disparities in the greater Newark area  
One of the first AIDS service organizations to provide medical care to those with HIV
Currently operates over 25 different grant-funded programs
History – community based organization that began offering clinical trials in Prior to that, those with HIV/AIDs had to travel to New York to participate in any clinical trials.

10. Entire Clinic Population % HIV Clinic Population %
Client Population
Entire Clinic Population %
HIV Clinic Population %
Below 25 years of age
28%
Racial/ethnic minorities (non-White and non-Hispanic)
92%
95%
Men who have sex with men (MSM)
52%
48.21%
Women
23%
50%
Transwomen (MTF) 1%
Men
76%
49%
Transmen (FTM)
<1%
Homeless/unstably housed
No data at this time
** Based on 4/29/16 Needs Assessment

11. Services Offered
Primary Medical Care/OBGYN/Infectious Disease/Podiatry/Dental
Substance Abuse Services
Mental Health/Psychiatric
HIV, Hepatitis and STI Counseling/Screenings
LGBTQ Services/Youth Center
Food Pantry
Health Education/Support Groups
Clinical Trials
Homeless Drop-in Center
Medical Case Management
Community Outreach
Treatment Adherence
Behavioral Health studies
Prison Discharge Services
Syringe exchange program
Transportation
On-Site Pharmacy
Laundry/Shower facilities
Clothing pantry
PrEP/PEP

12. Practice Transformation Project
Assessment Phase
Practice Transformation Project

13. Initial Assessment Build rapport
Obtain buy-in for the project
Meet with clinic staff
Complete of the Regional Needs Assessment
Develop mutual goals
Complete the National PTP
Needs Assessment

14. Mutually agreed upon, achievable goals.

15. PTP Needs Assessment Lessons Learned
Aggregate data sections can be completed before the meeting
If more than one person performing the assessment clarify the roles of the assessors
Review definitions before beginning
Staff roles i.e. clinical support staff versus non-clinical support staff
Levels of capacity
Aggregate data and performance measures worksheet and the first page of the PTP assessment

16. Practice Facilitation Goals
How did we get here?
Practice Facilitation Goals

17. Practice Transformation Project Goals
NECA AETC Regional Needs Assessment Goals
Viral Suppression
EMR transition with indicators captured
Oral screenings/ Vaccination input into EMR (as well as refusals)
National AETC Needs Assessment Goals
Increase the capacity of EMR reminders related screenings, vaccinations
Increase the internal capacity to query/extract data from EMR
Increase capacity to create customized reports within EMR
Identify point people for EMR mastery
2 people identified
Robust system but unable to gain information needed, EMR has the ability to text and reminders.

18. Goals for the FY 16-17’
Upcoming work plan

19. Work Plan
Summer 2016
Working with FXB Quality Team on EMR Templates, PDSA 6/21/16
Grant remote access to EMR
Distribute Behavioral and Dental Assessment when finalized
Fall 2016
Host Official “Kick Off Meeting”
Schedule Advanced MD Training from vendor
Continue to work with Quality Team on EMR Templates
Spring 2017
Reassess baseline data collected
Continual Advanced MD Training from vendor
Begin regularly scheduled meetings with IT team
Summer 2017
Ability to generate reports with learned EMR functionality
Decide on a targeted intervention project using EMR data reports
Continued Advanced MD Training (as needed)

20. THANK YOU!!!