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%