Sustainable Partnerships through P4C. Kelly Russo, MD, MPH, AAHIVS CCI Health & Wellness Services Maryland December 12, 2018
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1 Sustainable Partnerships through P4C Kelly Russo, MD, MPH, AAHIVS CCI Health & Wellness Services Maryland December 12, 2018
2 How can we Get to Zero? Partnerships!
3 CCI Locations and Services Federally Qualified Health Center (FQHC) in DC-metro area 11 sites in Montgomery (9) and Prince George s (2) Counties Provide primary care, dental, behavioral health, women s health, WIC, refugee health, HIV, PrEP, hepatitis C services
4 CCI Patient Population 2017 Served 31,644 people Uninsured (25%), Medical Assistance (49%), Medicare (4%), private (21%) Sliding scale fee (51% live at/below 200% poverty) Majority of 245 staff bilingual 70 languages spoken (Spanish, English, French, Amharic, Pashto)
5 Origins of the HIV Care Program CCI leadership aware of the need for additional HIV clinical services in the catchment areas program was conceived initiated program development Early P4C activities began P4C allowed for accelerated establishment of the HIV program July 2015 HIV clinical services July 2016 Routine HIV testing
6 Partnerships Created through the P4C grant Maryland Department of Health (MDH) Local public health departments Prince George s County Montgomery County Other FQHCs grantees Health Resources and Services Administration (HRSA) Centers for Disease Control & Prevention (CDC)
7 Activities Promoting Partnerships All partner meetings Organized meetings through MDH Conference calls Individual discussions Site visits Webinars Monthly case conferences
8 Maryland Department of Health (MDH) Worked with MDH staff to design a routine HIV testing program Developed data sharing agreement and process Established an electronic means for securely exchanging data Provided a linkage to local health departments Coordinated case conferences
9 Local Health Departments Connected to STI surveillance program Developed relationships with staff Participated in monthly MDH-led case conferences Identified out of care patients Assigned to staff for linkage to care Utilized their staff to locate and reengage patients out of care or in care but difficult to reach
10 FQHC Partners Healthcare for the Homeless, Park West Health Systems and Family Health Centers of Baltimore (and out-of-state FQHCs) Shared information, documents, ideas Workflows, policies & procedures Electronic medical record information, tips, forms Used their experience to help with program development Components of existing programs tailored to CCI
11 Sustainable Partnerships Continue to share HIV patient data with MDH and the county health departments Goal of linking patients to care and placing them on the care continuum to achieve an undetectable viral load County health department staff are accessible Contacts at the FQHCs are available for consultation
12 Key People-Thank you! CCI *Emily Pavetto, RN* Kathleen Knolhoff, CEO IT staff Chuck Fritz, Tamekia Fein Jessica Wilson MDH Dr. David Blythe Marcia Pearl Jenna McCall Colin Flynn Boatemaa Ntiri-Reed LHDs David Williams Vanessa Jones HRSA-Rene Sterling CDC- Andrew Margolis Maytech-Shelly Kowalczyk FQHCs Cindy Cabales Cleo Edmonds
13 Thank you!
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