Presentation is loading. Please wait.

Presentation is loading. Please wait.

Linkage and Retention Interventions selected for dissemination

Similar presentations

Presentation on theme: "Linkage and Retention Interventions selected for dissemination"— Presentation transcript:

1 Linkage and Retention Interventions selected for dissemination
Steven Sawicki, MHSA Program Manager, AIDS Institute SPNS Lead, NY-LINKS September, 2013 1

2 Ground Rules for Webinar Participation
Actively participate and write your questions into the chat area during the presentation(s) Discussion will occur throughout Do not put us on hold Mute your line if you are not speaking (press *6, to unmute your line press #6) Slides and other resources are available after the webinar Conferencing Best Practices Always attempt to call in from a quiet location. Whenever possible, use a phone unit that is hard-wired into the telephone lines. Mobile and cordless phones tend to pick up static. But if the conferee uses the mute feature, any unwanted noise transfer to the conference call can be avoided. Avoid speakerphones. Speakerphones will pick up any noise in the room, from the rustling of papers to background conversations. In general, if you are using a speaker phone, you should be no more than 2-3 feet away from the phone’s microphone. Many speakerphones do not utilize "full digital duplex" technology, and callers can experience "clipping" if they are making any noise while trying to listen to another speaker. If you call from your cell phone, try to stay in a place where your signal is strong If you have to use a payphone, try to find a large bank of phones. That way, if one is producing static, you have several phones to choose from to find one that works well. Use the *5 Lecture feature to mute everyone’s line in the conference except the leaders line. This will eliminate any back group noise and will help with the clarity of the conference. Have your participants use the *6 Individual Mute feature to mute an individual line. This will help if a user is on a mobile device in a noisy location such a public area or road noise.

3 Agenda Looking Back Looking Now Looking Forward

4 Looking Back Creation of UMRG, WNYS and Q&SI collaboratives in NYS
Involvement of more than 60 individual provider organizations in the establishment of base line data and individual testing of interventions 12 face to face learning sessions used to network, share information, and further improve linkage and retention

5 Looking Back Development of regionally based cascades
Involvement of county health departments and multiple state departments and divisions Work done shared through international program and with QAC, CAC, QOC, the other 5 states involved, and the national evaluators. Incredible amount of change going on within individual organizations and systems

6 Where we are UMRG—6th learning session WNYS—4th learning session
Q&SI—3rd learning session Mid and Lower Hudson—1st learning session Long Island—1st meeting 11/13/13 Central and Eastern NY Bronx Brooklyn

7 Where we are going Dissemination of work
Adding in a menu of evidence based interventions to the IAPAC Guidelines previously presented Solidifying gains made

8 Interventions Selection process The 5 interventions
Summary of each intervention How to Pick an Intervention to Implement Timeline

9 Intervention Selection Process
Meeting on June 20 to discuss intervention work Follow up meeting to pare down list of dozens of identified interventions to 6 or fewer Interventions were selected based on the following criteria: Number of existing providers utilizing intervention Where impact of intervention fell on continuum Resources required to implement intervention Diversity of target population impacted Evidence base supporting intervention Provider type associated with intervention

10 Intervention selection teams
Each intervention had a team Teams were assigned to each intervention to: Develop a summary of the intervention Develop an intervention package Teams were comprised of: NYS DOH staff NYC DOH MH staff NYLinks staff Consumers Providers Members of each team were selected based on experience with the particular intervention they were assigned to Summaries and packages produced by the teams were submitted to HRSA and to the national evaluation team for SPNS--ETAC

11 The 5 Interventions Artas (Anti-Retroviral Treatment and Access to Services) Appointment Procedures Consistent Messaging Outreach/Return to Care Peers

12 Summary of Each Intervention
Brief Description Intervention Impact Area Target population Best for agencies who provide… Core Elements Duration—how long for each client/patient Resource requirements Training needed

13 Anti-Retroviral Treatment and Access To Services (ARTAS)
Brief Description--ARTAS is an individual-level, multi-session, time-limited intervention utilizing a strengths based case management model. Impact Area—Linkage to Care/Retention in Care. Target Population--Newly diagnosed individuals or those returning to care after more than a 6 month lapse. For Agencies that Provide—HIV testing, clinical, supportive services. Core Elements—1-5 structured sessions with each person, Focus on strengths of the individual, Development of step by step plan to connect to care, Service takes place in the environment of the individual, Advocacy of individual needs related to return to care.

14 Anti-Retroviral Treatment and Access To Services (ARTAS)
Duration—1 to 90 days Resource requirements—Staff trained in case management/engagement. Training needed—ARTAS, Motivational Interviewing suggested

15 Appointment Procedures
Brief Description—Standardization of procedures to facilitate making appointments, reminding patients of appointments, and providing follow up after missed appointments. Impact Area—Linkage to Care/Retention in Care. Target Population—All individuals who are HIV+. Limited resources may require prioritization—New diagnoses, Out of Care, frequency of no show, last lab status. For Agencies that Provide—HIV testing, clinical, supportive services. Core Elements—Patient enrollment, expanded patient contact info acquired, appointment reminders instituted, missed appointment follow up procedures developed, documentation of efforts.

16 Appointment Procedures
Duration—ongoing. Resource requirements—Staff, time for training. Training needed—Field safety training if outreach is to be used.

17 Consistent Team Based Messaging
Brief Description—Positively phrased and action oriented messages are delivered by all members of the care team. Impact Area—Linkage to Care/Retention in Care. Target Population—All HIV+ individuals who are newly engaging or re-engaging in care. For Agencies that Provide—HIV testing, clinical, supportive services. Core Elements—List of newly engaging and re-engaging patients, brief care message delivered by all staff on care team, longer care message developed and delivered by specifically indicated members of care team, tool to track messages and delivery process.

18 Consistent Team Based Messaging
Duration—ongoing. Resource requirements—Staff, time for training. Training needed—Use of scripted messaging, teachback, motivational interviewing suggested.

19 Outreach/Return to Care
Brief Description—Systematic search for individuals who have been out of care for longer than 6 months. Engagement of those individuals back to care. Impact Area—Retention in Care. Target Population—HIV+ individuals with at least one HIV medical visit within the last two years who have not been seen in primary care for 9 months or longer. For Agencies that Provide—Clinical, supportive services. Core Elements—Maintained care roster to identify out of care patients, case finding efforts, field outreach, care determination process, re-engagement and case closure process.

20 Outreach/Return to Care
Duration—ongoing. Resource requirements—Staff, time for training. Training needed—Field safety training for outreach, Case finding training.

21 Peer Support Brief Description—Utilizing the skills of peers to better engage patients in the system. Impact Area—Linkage to Care/Retention in Care. Target Population—HIV+ individuals who are newly diagnosed, transferring their care, or returning to care after not being seen for 6 months or longer. For Agencies that Provide—HIV Testing, Clinical, supportive services. Core Elements—Identification of new, transferring or returning patients, Peers trained in engagement, Use of standardized, consistent messages, Contact schedule and process recording.

22 Peer Support Duration—1 to 90 days.
Resource requirements—Staff, time for training. Training needed—Confidentiality, engagement and communication.

23 Key Components to consider in Intervention Selection
Current status Use of regional cascade along with individual organization data related to linkage and retention. Awareness of competing interventions. Organizational resources. Commitment and ability to track required data. Ability to test and measure change and outcomes. Ability to run intervention through August of 2015 and participate in statewide evaluation process

24 1,2,3,5 1,2,3,4,5 1 Artas 2 Appointment Procedures
3 Consistent Messaging 4 Outreach/Return to Care 5 Peer Support 1,2,3,5 1,2,3,4,5

25 Next Steps Introductory Webinars Pilot Phase
Revision and finalization of interventions Assessment package developed Individual webinars for each intervention ????? Process within each learning session to look at best way to impact the regional cascades Providers select interventions and receive TA Beginning of evaluation Statewide dissemination process begins—Webinars, workshops, presentations, conferences.

26 Timeline Pilot Phase begins November through February
Sites that meet minimal criteria volunteer, choose intervention, receive TA around implementation, and report process Adjustments made to interventions as needed during this period By end of pilot, in February, interventions have been revised and are ready for full dissemination. 6 to 8 sites to be involved in Pilot While Pilot phase is running. Introductory webinars will be held Sites not involved in Pilot prepare for dissemination

27 Upcoming Webinars Tuesday, November 12th, 2013, 11:00 AM
Wednesday, November 13th, 2013, 3:00 PM Thursday, November 14th, 2013, 10:00 AM, 2:00 PM Friday, November 15th, 2013, 1:00 PM

28 Upcoming Stakeholder MEetings
December 4th, 2013, Western New York State—Batavia, NY December ?? th, Mid and Lower Hudson—Newburgh (date is tentative) December 17th, Upper Manhattan—TBD December 20th, 2013, Queens and Staten Island—90 Church St., Manhattan

29 Contact Information Steven Sawicki, NYSDOH, SPNS Lead Clemens Steinbock, NYS Director of Quality Initiatives Bruce D. Agins, Medical Director, Website at Blog at

Download ppt "Linkage and Retention Interventions selected for dissemination"

Similar presentations

Ads by Google