Post on 02-Jan-2016
description
transcript
1
in+care CampaignKick-Off Webinar
November 2, 2011
2
Laura W. Cheever, MD, ScM
Chief Medical Officer,HAB Deputy Associate
Administrator
3
Agenda
• Welcome & Introductions, 5min• Campaign Expectations and Update,
10min• Intro to Campaign Measures, 20min• Data Reporting, 10min• Local Quality Champions, 5min• Consumer Involvement, 5min• Q & A Session, 5min
4
in+care Campaign Expectations & Update
Clemens Steinbock
5
This in+care Campaign is designed to facilitate local, regional and state-level efforts to retain more HIV patients in care and to prevent HIV patients falling out of care while building and sustaining a community of learners among Ryan White providers.
6
Campaign Framework
• participation in the Campaign is voluntary and Ryan White grantees across all funding streams and sub-grantees are invited to join
• participating agencies enroll for a 12-month commitment
• routine reporting of performance data on up to 4 uniform Campaign-related measures
• routine submission of a simple progress report to highlight improvement strategies and challenges
7
Campaign Framework
• monthly webinars provide content expertise and promote peer sharing
• routine retention journal clubs by renowned researchers to review recent publications
• participating agencies have access to coaches for support
• regional/local meetings of Campaign participants are held with the help of Quality Champions, where possible
• content-specific affinity group webinars/Study Groups are conducted and facilitated by peer providers
• consumer are involved as partners in this Campaign
8
in+care Participants by Zip Code (as per Nov 2, 2011)
9
277 HIV providers representing
244 HIV programs in 148 cities and across 42 States/Territories
have joined the Campaign so far
10
caring for 318,730 people living with HIV
11
% of Grantees by Part Ryan White Funding (n=222)
12
# of Programs by Caseload of Unduplicated Patients per Year (n=222)
13
How Do You Rate the Agency’s Level of QI Experience? (n=215)
14
To What Extent Has Your Agency Recently Engaged in Retention Activities? (n=215)
15
Introduction to in+care Campaign Measures
Bruce Agins, MD, MPH
16
Technical Working Group
• Chaired by Drs. Bruce Agins and Laura Cheever
• Comprised of distinguished experts in the field of retention, including clinical experts, researchers, national stakeholders and other strategic thinkers from the Ryan White and other health care communities
• Committee was charged to prioritize and suggest 4 retention measures to be used for this Campaign
17
1) Gaps in Care
Definitions of terms as used in the numerators and denominators of this document:Patient – a patient of any age diagnosed with HIV/AIDSProvider – a health care professional who is licensed in their jurisdiction to
prescribe ARV therapy, i.e., MD, PA, or NPVisit – an outpatient/ambulatory medical visit with a health care professional
who is licensed in their jurisdiction to prescribe ARV therapyExclusion criteria:Patients who are documented to be deceased, incarcerated, moved away, or transferred care during the 12-month measurement period are to be excluded from measurement
18
2) Visit Frequency
Definitions of terms as used in the numerators and denominators of this document:Patient – a patient of any age diagnosed with HIV/AIDSProvider – a health care professional who is licensed in their jurisdiction to
prescribe ARV therapy, i.e., MD, PA, or NPVisit – an outpatient/ambulatory medical visit with a health care professional
who is licensed in their jurisdiction to prescribe ARV therapyExclusion criteria:Patients who are documented to be deceased, incarcerated, moved away, or transferred care during the 12-month measurement period are to be excluded from measurement
19
3) Patients New to Care
Definitions of terms as used in the numerators and denominators of this document:Patient – a patient of any age diagnosed with HIV/AIDSProvider – a health care professional who is licensed in their jurisdiction to
prescribe ARV therapy, i.e., MD, PA, or NPVisit – an outpatient/ambulatory medical visit with a health care professional
who is licensed in their jurisdiction to prescribe ARV therapyExclusion criteria:Patients who are documented to be deceased, incarcerated, moved away, or transferred care during the 12-month measurement period are to be excluded from measurement
20
4) Viral Suppression
Definitions of terms as used in the numerators and denominators of this document:Patient – a patient of any age diagnosed with HIV/AIDSProvider – a health care professional who is licensed in their jurisdiction to
prescribe ARV therapy, i.e., MD, PA, or NPVisit – an outpatient/ambulatory medical visit with a health care professional
who is licensed in their jurisdiction to prescribe ARV therapyExclusion criteria:Patients who are documented to be deceased, incarcerated, moved away, or transferred care during the 12-month measurement period are to be excluded from measurement
21
Campaign Measures
• Frequency of Visits (every 6 months)• Gaps in Care (no visit in the last 6
months)• Patients New to Medical Provider
(every 4 months)• Viral Suppression (last VL, <200
copies/ml, all pts in care)
22
in+care CampaignData Reporting
Michael Hager
23
Campaign Database
• Allows participating agencies to self-report their performance data on this online application
• Individual agencies need to register to access the database
• Form a group of grantees, which would allow them to generate group reports, such as HIVQUAL regional groups, collaboratives, networks
• Immediate access • to individual scores trended over time• to regional/national benchmarking
reports• to reports based on common search
criteria• to group scores of established groupings
• Coaches have access to individual/groups scores to better assist participating agencies
24
Registration
25
Data Entry
26
Data Entry
27
Data Reporting
28
• First Data Collection Submission Deadline: December 1, 2011
• Measurement Period: 10/01/2010 – 09/30/2011
• Access to in+care Campaign Database:
incareCampaign.org/database • Testing of in+care Database:
till November 4, 2011 - data are deleted on 11/4
• Database Instructions: incareCampaign.org
Data Collection Details
29
Progress Report Form
A) What recent interventions have you tried to improve retention rates? What measurable results, if any, did you have?
Focus on identifying those out of care; re-engaging individuals back into care; preventing those in care from falling out of care
B) What are the major recent barriers/challenges you are facing in achieving higher retention rates?
Focus on barriers your consumers have identified, challenges that your providers have identified; underlying system issues in your organization
C) What lessons did you learn that would be helpful to others? Focus on recent discoveries that made a vast difference to your retention efforts; tools, forms (please attach); observations from provider and consumers
D) What technical assistance needs to you have for NQC, HAB and our Campaign coaches?
30
Local Quality Champions
Michael Hager
31
Local Quality Champions
Create peer learning opportunities for HIV providers
1. Meet locally face-to-face/virtual to discuss retention issues
Takes advantage of existing meeting structures and communities of learning, including HIVQUAL Regional Groups, cross-Part meetings, network meetings
2. Build regional peer exchanges with minimal input by Campaign coaches
3. Extend the reach and impact of the Campaign
32
Quality Champions Wanted!
Responsibilities of Quality Champions:• Conduct at least 2 face-to-face meetings/calls• Reach out to local HIV providers; NQC will
assist• Provide logistical support for these meetings• Facilitate the discussions and chair the
meetings• Report activities back to Campaign staff
Sign-up to become a Quality Champion – incare@NationalQualityCenter.org
33
Consumer Engagement in the in+care Campaign
Bob Tracy
34
Promote awareness among consumers about the Campaign and how to improve health by being in care
Encourage self-care among consumers
Reaching out to consumers and step up as partners in quality improvement activities
Partners in+care
35
Web Site. Resources. Announcements. Consumer Corner. Sign-up to be in+care partners.
Tools. in+care poster and brochure.
Training. Consumer webinar series for individuals and groups. Quality Academy.
Stories and Tips. People living with HIV sharing in+care stories and tips.
Consumer Engagement
36
Time for Questions and Answers
37
• Campaign Webinar: November 9, 2011 at 12pm ET
• Meet the Author – Dr. Edward Gardner: November 16, 2011 at 12pm ET
• First Data Collection Submission Deadline: December 1, 2011
Next Steps
38
Campaign Headquarters:National Quality Center (NQC)90 Church Street, 13th floorNew York, NY 10007Phone 212-417-4730incare@NationalQualityCenter.org
incarecampaign.orgyoutube.com/incarecampaign