Downtown Community Health Centre & MAT Program “AHA’s and OH NO’s”

AHA’s! For the past year, we have been working on collecting data regarding Pneumococcal vaccinations and TB Screening. The data has been collected, but unfortunately it has not been maintained in such a way that we can use it for continuous reference and accurate statistics. So we sat down, and with a combination of people (Manda, Shevonne, Kris, TB Control), we came up with a system in order to maintain these statistics for all HIV+ individuals. It was decided that one person (Shevonne) would be responsible for keeping and maintaining the information in the HIV Registry and EMR Interventions, and all documentation from TB Control would go directly to her to record and maintain. This now ensures that all patients are tracked appropriately, and their quality of care improves.

OH NO’s! When we switched from paper records to the EMR system, we lost the ability to find out the new HIV+ patients who were coming into the clinic for care. Unfortunately, we did not realize this lapse in information until 3 months after implementation. Once we noticed this deficit, we worked with the Primary Care Clinic staff to try and fill in these missing pieces while we waited patiently for the EMR team to develop the HIV Registry Report. At the beginning of July, the report was initialized, and we were then able to portray in our statistics any new HIV+ patients who came into the DCHC. The report has proven to help our process be more efficient and capture all necessary information.

Moving Forward In the next 6 months we plan to: Finish updating HIV Registry with Pneumococcal Vaccination and TB Information on every client. Creating a workflow for this process so that anyone can step into this role and know exactly what to do. Once the registry is updated, communicate to the clinicians who is in need of TB screening or vaccinations so they can move forward with their care plans.