1. Increase Retention in Care:
The Importance of a
High-Performing Culture of
Health Literacy

2. Discover what practitioners can do to increase retention in HIV/Care
Today’s Goals
Explore
Explore new research findings about the link between cultural competence and engagement in HIV/Care
Discover
Discover what practitioners can do to increase retention in HIV/Care
Learn
Learn the importance of a high-performing culture of health literacy and the specific steps to achieve one

3. Positive Outcomes Begin with Actions of the Providers
Increase viral suppression rates
Improve retention in care
Use data to improve health literacy and cultural competency
High-performing/ data-driven culture

4. Elements of a High-Performing Culture
Manage to desired financial and mission outcomes
Manage
Use data to make decision
Use
Embrace continuous improvement and learning
Embrace
Celebrate success
Celebrate
Foster frequent and open communication
Foster

5. Using Data: Why Cultural Competency and Health Literacy

6. Factors Negatively Impacting Engagement in Care
Year 1 and Year 2 Study Evidence
Provider relationships
Unmet service needs
Lack of culturally competent HIV care
Lack of health insurance and financial assistance
Stigma
Geographic and demographic characteristics
Declining health
Practical/ Structural Barriers
Jones, S. C., Gerbec. E., Pafford, E., & Seetharaman, J. (2017). Ohio Ryan White Part B Needs Assessment Study: Improving Retention and Engagement in HIV Care.

7. Effective Best Practices in Culturally Competent Care
HIV service culture of respect and empathy
Services that treat the whole person, not just the HIV diagnosis
Send reminder calls/texts before clients’ scheduled appointments
Policies to help clients navigate the system and meet their needs
Check in with clients by calling them when they miss appointments
General practice is to “meet the client where they are”

8. Best Practices in Culturally Competent Care Not Currently Being Met in Ohio

9. Recommendations Address Design Invest Target Pursue
Address mental health needs of PLWHA; it is a significant barrier to engagement in care.
Address
Design marketing campaigns and efforts to change “the face of AIDS” and the stigma of HIV.
Design
Invest in cultural competency training and medical CEUs related to compassionate HIV care.
Invest
Target specific services to improve access and quality of non-HIV support services needed by PLWHA.
Target
Pursue the Implementation of Integrated HIV Prevention and Care Plan Goals.
Pursue
Recommendations

10. Case Study: Data-driven Approach to Culture Change in Health Care

11. Health Literate Organizations
“an organization that makes it easier for people to navigate, understand, and use information and services to take care of their health.”
Brach, C., Keller, D., Hernandez, L.M., Baur, C., Parker, R., Dreyer, B., Schyve, P., Lemerise, A.J., and Schillinger, D. (2012). Ten Attributes of Health Literate Health Care Organizations, Institute of Medicine of the National Academies.

13. Creating Dissatisfaction

14. To establish a model culture of health literacy based on the 10 attributes of health literacy.  This includes the adoption of person-centered practices which result in increased patient activation, engagement in a healthcare home and improved health outcomes across the organization. In addition, our organization has measurable outcomes and is known for high-quality care.
Developing a Vision

15. Concrete Next Steps Conducted change management training
Established 4 strategic focus areas
Established an evaluation framework and implementation plan

16. APPLICATION

17. Group Discussion Question
Building a Culture of Health Literacy
Group Discussion Question
Using the change formula and the information heard in this presentation, what concrete next steps could you take to move towards improved health literacy?

18. Comments or Questions Sheri Chaney Jones Erin Gerbec
Erin Gerbec
Comments or Questions