1. January 19, 2012 10 – 11:30 CHN Headquarters HIV QI Committee

2. Today’s Agenda Welcome HIV QI Committee Vision (Deb) Committee Recommendations ◦ HIV Registry Clean Up ◦ Measuring and Monitoring HIV Testing Linkage and Retention ◦ LINCS (Erin) ◦ In+Care Campaign (Deb) Wrap up and next actions (All)

3. Linkage and Retention

5. This in+care Campaign is designed to facilitate local, regional and state-level efforts to retain more HIV patients in care and to prevent HIV patients falling out of care while building and sustaining a community of learners among providers.

6. in+care Participants by Zip Code (as per December 2, 2011)

7. Why Join? Access to renowned quality improvement and retention experts for support and coaching: webinar, site visit, meetings National real-time benchmarking data on key retention measures Learn from Local and National peers, and share your best practices with them Broad, far-reaching, immediate impact in improving patients' lives since keeping patients in care extends their lives and makes for healthier communities.

8. Measures Gap measure: % of Patients who did not have a visit in 180 days Medical Visit Frequency: % of Patients who had at least one visit in the last 6 months Patients new to enrollment: % of Patients who were newly enrolled, and who had a visit in the 4 months. Viral Suppression: % with VL < 200 Copies/mL

9. Join yourself Group Agency sign up and report

10. PRIZES!!!!!! http://www.incarecampaign.org/ Before next meeting http://www.incarecampaign.org/ If you check site If you get someone at your clinic to check the site

11. Action Planning

12. Tom Waddell Health Center MeasureTom Waddell Health Center National Average Gap Measure13%16.97% Medical Visit Frequency 55%60.71% Patients New to Enrollment 39%57.55% Viral Suppression55%68.57%

13. National Snapshot

14. Improvement Update Submission Review A) Interventions ◦ Reports created identifying those out of care ◦ Outreach via phone and letters ◦ Outreach to shelters, streets, and homes ◦ Reminder phone calls and texts ◦ Hiring of staff to deal specifically with retention ◦ Formation of peer navigation systems ◦ Consent to contact other providers to ensure patients are consistently in care ◦ Follow-up call 2 weeks after intake ◦ Asking patients for preferred method of communication

15. Improvement Update Submission Review B) Barriers ◦ Transportation ◦ Correct/up-to-date contact info ◦ Mental health issues ◦ Substance abuse ◦ Socio-economic barriers ◦ Undocumented consumers ◦ Unstable childcare ◦ Medical co- morbidities Limited resources Understaffed Long wait times No system in place to easily track retention Systematic insurance coverage issues Language and cultural barriers

16. Improvement Update Submission Review C) Lessons Learned ◦ Collaboration and communication with other agencies is key ◦ Important to address non-HIV related issues ◦ Patients should feel acknowledged and welcome ◦ Decrease wait time and increase same-day appts ◦ Use volunteers Engage community partners in assisting with retention efforts Check Social Security death lists Provide or link to transportation services Mental and substance abuse screening to link patients to car ◦ Important to understand patient population demographics

17. Improvement Update Submission Review D) Training/Assistance Needs ◦ Would like to hear more about interventions other organizations have found to be effective ◦ Tips on how to gather data more efficiently ◦ How do large organizations use tools to track re-engagement of clients ◦ Data entry assistance needs