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Peter Ho Memorial Clinic Oldest and largest HIV clinic in the state of New Jersey located in Newark Federal and State grant-funding In 2012: – 1330 patients,

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Presentation on theme: "Peter Ho Memorial Clinic Oldest and largest HIV clinic in the state of New Jersey located in Newark Federal and State grant-funding In 2012: – 1330 patients,"— Presentation transcript:

1 Peter Ho Memorial Clinic Oldest and largest HIV clinic in the state of New Jersey located in Newark Federal and State grant-funding In 2012: – 1330 patients, 782 males, 548 females – 68% AA, 23%Latino, 8% Caucasian, 1% other/multiracial – 6856 visits 37 culturally diverse employees

2 What We Provide: “One Stop Shopping Services” Counseling, & Testing Services: Rapid Testing Mental Health Evaluation & Treatment Substance Abuse Evaluation and Referral to Treatment Medical Case Management Services Primary Care & Infectious Diseases Evaluation and Treatment Nursing Care Management, Health Screening and Discharge Instructions Risk/Harm Reduction and Counseling Services Nutrition Counseling Dermatology Services Ophthalmology Services Gynecological Services Pain Management Phlebotomy onsite Transportation Services Dental Referral

3 Cervical Cancer Screening Initiative Problem – Since August, 2012 no longer had a clinic based gynecologist – Realized afternoon GYN clinic not effective for screening – Incentives (gift bags, Shop Rite gift cards) did not improve stats – Had a high % of abnormal PAPs requiring further intervention, ie., colposcopies. – 134 PAPs were done from July 2012 through March Twenty-five percent (25%) of those PAPs were abnormal. – 117 of those PAPs were screened for HPV. Thirty one percent (31%) of those screened were positive for HPV. Interventions to improve screenings – Hired PD APN to perform PAPs during busy morning clinics so patient could get PAP on the same day of routine medical visit – Linked with hospital GYN clinic for additional availability for pap screening and routine days for colposcopies – RNs/MCMs increased efforts to retrieve pap smear results performed in outside clinics – APN monitors paps done via an excel spread sheet – Use of huddle teams to review charts and address primary health care needs before patient is seen by provider so that referral to the GYN APN is made on a timely basis – Ongoing chart audits done by RN’s 2-3X/year

4 Methods of Monitoring Goal to achieve = 60% females will have annual pap smear done Report data bimonthly to the NJ Cross Part Collaborative – # females with documented pap smear result in the measurement year/# females > 18 with one medical vs with a provider in the measurement year Cervical cancer screening is a HAB HIV Core Clinical performance measure, cervical cancer is the most common AIDS related malignancy in women

5 Results of our initiative Improvement is slow but….. WE ARE ON AN UPWARD SWING!! GOAL: 60%


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