In+Care: Viral Load Suppression Interventions: 1. Form a QI team to specifically address VLS 2. Utilize CAREWare to identify non-suppressed patients 3.

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Presentation transcript:

In+Care: Viral Load Suppression Interventions: 1. Form a QI team to specifically address VLS 2. Utilize CAREWare to identify non-suppressed patients 3. Team creates a Fishbone diagram to identify barriers to viral load suppression 4. Team categorizes patients by barriers to identify which barriers impact VLS the most 5. Interventions are being tested with a PDSA for 5 of the largest barriers to VLS 6. Consumers recruited and are actively involved with the PDSA interventions Interventions being tested: 1.Faster data entry into CAREWare 2.Follow up on patients new to HAART 3.Mental Health Barrier 4.Insurance Barrier 5.Improved communication between patients and staff

Barriers to Viral Load Suppression

In+Care #1: Gap Measure No primary care provider between September July Other reasons for gap in care: --mental health --fear of bad news --feeling good/don’t need to see doctor --snow-birding --meds continuously refilled with no consequences Interventions 1.Monthly case review of patients without a visit in 6 months (“FBI List”) 2.Assign team member tasks to contact and reel patients back into care. 3.As of September 2013, began sending closure letters at 6 months and warn of refill/treatment discontinuation. 4.Coming soon: Use of ARTAS (evidence-based intervention)