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CEM –CEM –maximising the reporting maximising the reporting

raterate

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Planning & implementationPlanning & implementationCommunicationCommunication

• Ministry of HealthMinistry of Health• Professional organisationsProfessional organisations• PHP officialsPHP officials• Health professionalsHealth professionals

doctorsdoctorspharmacistspharmacistsnursesnurses

• Other health workersOther health workers

Completion of Completion of questionnairesquestionnaires

OptionsOptions• In the NZ IMMP & UK PEM

Doctors from their patient records

• In NZ IMMPNurses by telephonepatients

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Completion of questionnairesCompletion of questionnairesOptions for ARTOptions for ART

• Clinicians –Clinicians –Not likely!!Not likely!! in real timein real time from recordsfrom records

• Pharmacist at dispensingPharmacist at dispensing

• CEM data recorderCEM data recorder from recordsfrom records in real time (with clinician)in real time (with clinician) patient diarypatient diary patient interviewpatient interview

• [telephone][telephone]

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PlanningPlanningDiscussDiscuss

• MEET all the key playersMEET all the key players• Programme / health service directorsProgramme / health service directors• Staff at clinicsStaff at clinics

give them the choicegive them the choice

• Create a feeling of collaborationCreate a feeling of collaboration working together to improve patient outcomesworking together to improve patient outcomes working together to learn more about the working together to learn more about the

medicinesmedicines working together for a successful PHPworking together for a successful PHP

• CompanyCompany

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Be

friendly

collegial

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Remove barriersRemove barriers

• Questionnaires availableQuestionnaires available

• Understand the reasonUnderstand the reason

• Understand the methodologyUnderstand the methodology

• Minimise disruption to workflowMinimise disruption to workflow

• Ask for essentials onlyAsk for essentials only

• Make answering easyMake answering easy Check boxesCheck boxes Avoid difficult recall or accessAvoid difficult recall or access

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Remove barriersRemove barriers

• Patients attending other health Patients attending other health facilitiesfacilitiesCEM ID card –to have & to holdCEM ID card –to have & to holdInform neighbouring clinics / hospitalsInform neighbouring clinics / hospitals

• Reassure about privacyReassure about privacyPatientPatientHealth workerHealth worker

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ID card –front sideID card –front side

• Patient CardPatient Card

• Monitoring of HIV medicinesMonitoring of HIV medicines

• Country organisation / logoCountry organisation / logo

• Name of clinic................................Name of clinic................................

• Name of patient...............................Name of patient...............................

• Unique # ...................................Unique # ...................................

• Please bring this card during every Please bring this card during every

• visit to any hospital or clinicvisit to any hospital or clinic

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ID card –reverse sideID card –reverse side

• Cohort Event Monitoring (CEM) Cohort Event Monitoring (CEM) programmeprogramme

• This patient’s medicines are being specially This patient’s medicines are being specially monitored to help decide the safest use and monitored to help decide the safest use and

ensure the greatest benefits.ensure the greatest benefits.• If he or she has any new health problems, If he or she has any new health problems,

please inform his or her regular clinic and please inform his or her regular clinic and identify the patient with the unique numberidentify the patient with the unique number

• Clinic phone no. ..........................................Clinic phone no. ..........................................

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Encouragement / incentivesEncouragement / incentives

• Good, regular feedbackGood, regular feedbackInterestingInterestingHelpfulHelpful

• CME creditsCME credits

• Certificate of participationCertificate of participation

• Best practice requirementBest practice requirement

• Acknowledge in publicationsAcknowledge in publications