Action Steps (B) Measures (C) Targets (D)1 Timeline (E)2 Responsible Parties (F) Progress (G)

Transcription

1 HRSA Goal A1 Training and Technical Assistance Plan readiness of the clinic to increase its HIV services and offerings Action Steps (B) Measures (C) Targets (D)1 Timeline (E)2 Responsible Parties (F) Progress (G) 1. Second PTP Assessments Facilitate the completion of the MATEC Regional Practice Transformation Assessment Tools: Provider/Staff Survey Key Informant Interviews Conduct interviews with clinic staff and external partners focused on areas of improvement and delivery of care. 3. HPTP Team Meetings Discuss areas of improvement based on assessments, observations, and interviews; develop and/or adapt strategies for improvement; and review current activities and timeline for completion. 4. National Curricula Enrollment Set up groups within the National HIV Curriculum and the National STD Curriculum to enroll and monitor Shalom clinicians into 1. Number of completed surveys as reported in Qualtrics. 2. Number of key informant interviews as reported in the narrative report. 3. Number of meetings conducted as reported in the narrative report. 4a. Percentage of clinicians registered with the AETC LP group as recorded in the National HIV Curriculum. 4b. Percentage of clinicians registered with the AETC LP group as recorded in the National STD Curriculum. 1. Two assessments reported. By 31 January 2018, all assessments will be completed. 2. At least two key informant interviews. Through 30 June 2018, the key informant interviews will be 3. At least two meetings. By 30 June 2018, HPTP Team meetings will be 4a. 50% of invited clinicians will register with the AETC LP group in the National HIV Curriculum 4a. 50% of clinicians will register with the AETC LP group in the National STD Curriculum By 30 June 2018, clinicians will be registered with the AETC LP group in each curriculum. Completed on January 31, 2018 Activity will be attended by one or more clinic clinician staff, at least one quality assurance staff member, and at least one representative from the executive staff. Activity will be completed by clinic clinician staff. Scheduling meeting to discuss STD training and PrEP Summit. HPTP Team meeting #1 on January 19, Items in the column titled Target should include the absolute or percentage increase that the clinical site wishes to pursue for each measure 2 Items in the column titled Timeline should include the date by which the clinical site hopes to reach the target

2 5. Submit Article to Clinic Newsletter Promote HIV PTP successes at clinic through article in e- newsletter publication. 1. National Curricula Participation Participate in the training modules within the National HIV Curriculum and the National STD Curriculum Clinical Preceptorships Participate in clinical observations with HIV clinical experts in external clinics. 5. Draft article 5. Submit final article to Marilyn Shank at Primary Care for publication 1a. Percentage of clinicians in the AETC LP group completing modules in the National HIV Curriculum 1b. Percentage of clinicians in the AETC LP group completing modules in the National STD Curriculum 2a. Number of clinical staff who participates in clinical observations as reported in Virtual Forum. 2b. Number of hours of clinical observation completed by clinical staff as reported in Virtual Forum. 1a. At least one of invited clinicians will complete at least one module in the National HIV Curriculum 1b. At least one of invited clinicians will complete at least one module in the National STD Curriculum 2a. At least one clinical staff person will participate in clinical observations. 2b. At least 4 hours of clinical observations will be By 30 April 2018, article will be published highlighting PTP efforts. By 30 June 2018, clinicians will complete modules within the national HIV and STD curricula. By 30 June 2018, clinical staff will have participated in at least four hours of clinical observations. Coordinated by AETC staff. Submitted for news publication on for February issue. Activity will be completed by clinic clinician staff. Coordinated by AETC staff. Medical Director completed reverse clinical preceptorship with Infectious Disease Clinic on January 5, 2018

3 HRSA Goal A2 Universal HIV Screening diagnose HIV infection Action Steps (B) Measures (C) Targets (D)3 Timeline (E)4 Responsible Parties (F) Progress (G) Observations Conduct clinic observations, focused on the flow of clinical services throughout the delivery of care. 2. HIV Screening Update at All Staff Meeting Provide staff most recent screening data and assess for barriers to screening. 1. HIV Screening Refresher Workshop for Medical Assistants Provide an overview of HIV screening and trouble shoot barriers to screening. Percent of patients offered screening for HIV in Number of hours of clinic observations as reported in Virtual Forum. participate in staff meeting as evidenced by meeting attendance sheet and program reporting in Virtual Forum.. 1. Percentage of invited medical assistants who participate in the training as evidenced by program attendance sheet and program reporting in Virtual Forum. 80% of eligible patients offered screening for HIV. 1. At least 8 hours of clinic observations % of HIV Team at clinic will attend 1. 80% of invited medical assistants will attend January 1, 2018 June 30, 2018 Through 30 June 2018, observations will be By 30 June 2018, the training will be By 30 June 2018, at least one workshop will be Medical Director Clinical Obs on January 05, 2018 [4 hours] Medical Director Clinical Obs on January 19, 2018 [4 hours] HRSA Goal A3 Action Steps (B) Measures (C) Targets (D)5 Timeline (E)6 Responsible Parties (F) Progress (G) 3 Items in the column titled Target should include the absolute or percentage increase that the clinical site wishes to pursue for each measure 4 Items in the column titled Timeline should include the date by which the clinical site hopes to reach the target

4 Notification and Linkage deliver HIV test results and link to appropriate resources 1. Assist in the development of EPT policy/procedure for Clinic Clinic does not have a policy/procedure for providing Expedited Partner Therapy (EPT). 1. Local HIV Network Workshop Conduct an interactive workshop on the HIV Care System in Indiana. Roles of clinics and agencies within the local community as they relate to the delivery HIV care. Length of time between reactive screening test and baseline HIV laboratories. 1. Policy drafted and submitted for review. participate in the workshop as 80% of all newly identified patients with HIV infection will have baseline labs within 30 days of diagnosis. 1. Final policy submitted for approval % of staff f will attend January 1, 2018 June 30, 2018 By 30 June 2018, policies will be underway. By 30 June, 2018, the workshop will be Facilitated by AETC staff with support of Bell Flower Clinic. 2. STD Diagnosis and Treatment Workshop Conduct interactive workshop where clinicians will learn about testing and treating STDs in atrisk and/or HIV-reactive patients. 3. Expedited Partner Therapy Conduct interactive workshop where clinicians will learn about Indiana Code allowing for Expedited Partner Therapy (EPT) and practical advice on implementation. 2. Percentage of staff who participate in the training as 3. Percentage of clinicians who participate in the training as 2. 80% of staff will attend 3. 80% of clinical staff will attend By 30 June 2018, the training will be By 30 June 2018, the training will be Training scheduled for March 26, Items in the column titled Target should include the absolute or percentage increase that the clinical site wishes to pursue for each measure 6 Items in the column titled Timeline should include the date by which the clinical site hopes to reach the target

5 HRSA Goal A4 Engagement and Retention retain patients in primary care and HIV care following linkage. Action Steps (B) Measures (C) Targets (D)7 Timeline (E)8 Responsible Parties (F) Progress (G) 1. Establish protocol for quarterly HIV Case Staffing Scheduled opportunity for clinicians to discussed shared patients and address engagement/retention. 1. IDC Staffing with Primary Care IDC will staff Clinic Patients with Primary Care. Number of visits to clinic and/or infectious disease specialist in the years following linkage. 1. Standing Date and Time for staffing session(s) established. 2. Meeting format developed. 1. Number of sessions attended by representatives from care teams as reported in Virtual Forum. 75% of all patients linked to HIV care will have at least 2 visits in 12 months for primary care and HIV care. 1. Protocol finalized 2. Meeting scheduled. 1. At least one staffing session will be July 1, 2015 June 30, 2019 By 30 June, 2018, the protocol will be established and first meeting will have happened. By 30 June, 2018, session(s) will be On agenda for Key Informant interview with Travel Team 7 Items in the column titled Target should include the absolute or percentage increase that the clinical site wishes to pursue for each measure 8 Items in the column titled Timeline should include the date by which the clinical site hopes to reach the target

6 HRSA Goal A5 Care and Management manage uncomplicated HIV. CLINICAL Action Steps (B) Measures (C) Targets (D)9 Timeline (E)10 Responsible Parties (F) Progress (G) 1. HIV Care Update at All Staff Meeting Provide staff most recent care data and assess for barriers to screening. 1. Managing Co-Morbid Conditions Workshop Provide staff most recent screening data and assess for barriers to screening. Number of patients referred to an infectious disease specialist in 2015 versus participate in staff meeting as evidenced by meeting attendance sheet and program reporting in Virtual Forum.. participate in work shop as evidenced by meeting attendance sheet and program reporting in Virtual Forum. Decrease by 20% the number of patients with uncomplicated HIV referred to an infectious disease specialist for care % of clinic staff (clinical and non-clinical) will attend 1. 75% of clinicians will attend workshop. July 1, 2017 June 30, 2018 By 30 June 2018, the training will be By 30 June 2018, the training will be 9 Items in the column titled Target should include the absolute or percentage increase that the clinical site wishes to pursue for each measure 10 Items in the column titled Timeline should include the date by which the clinical site hopes to reach the target

7 MATEC IN Goal A6 HIV Prevention prevent the spread of HIV among its patients. CLINICAL Action Steps (B) Measures (C) Targets (D)11 Timeline (E)12 Responsible Parties (F) Progress (G) 1. Assist in the development of PrEP policy/procedure for Clinic Clinic does not have a policy/procedure for providing PrEP. 2. PrEP Policies Enacted Finalize written policies and gain approval for implementation from appropriate boards and administrative staff. 3. PrEP Summit Participation Participate in a statewide PrEP Summit to develop implementation plan for the clinic. 1. PrEP Policies Training Conduct short training with clinic staff on the new policies, as well as determine additional training needs and/or resource materials. 2. Execution of PrEP Policies Clinic staff follows policies and procedure while documenting any workflow concerns for future adaptation and improvement. 3. PrEP Summit Participation Participate in a statewide PrEP Summit to develop implementation plan for the clinic. Number of patients prescribed PrEP. 1. Policy drafted and submitted for review. 2. Percentage of policies signed by approval authority as reported in the narrative report. 3. Number of staff attending PrEP Summit as reported in Virtual Forum. 1. Percentage of clinical staff who participate in the training as 2. Percentage of observed clinical staff who executes policies as recorded during clinical observations. 3. Number of staff attending PrEP Summit as reported in Virtual Forum. At least 50 qualifying patients will be prescribed PrEP by June 30, Final policy submitted for approval % of policies will be approved. 3. At least one administrative staff person attending PrEP Summit % of clinical staff will attend 2. 80% of observed clinical staff will execute policies as they are written. 3. At least one administrative staff person attending PrEP Summit. January 1, 2018 June 30, 2019 By 30 June 2018, policies will be submitted for final approval. Through 30 June 2018, policies will be approved for use. By 30 April 2018, staff will attend a PrEP Summit. Within 30 days of policy approval. Through 30 June 2018, HIV care policies will be executed. By 30 April 2018, staff will attend a PrEP Summit. Facilitated by AETC staff with support of IDC. Activity will be completed by the clinic administrative staff. Conducted by AETC staff and clinic s quality assurance manager. Activity will be conducted by clinical staff within the clinic. Policy in development. Clinic has been invited. One staff person has registered. 11 Items in the column titled Target should include the absolute or percentage increase that the clinical site wishes to pursue for each measure 12 Items in the column titled Timeline should include the date by which the clinical site hopes to reach the target