in+care: viral load suppression
DESCRIPTION
In+Care: Viral Load Suppression. Interventions: 1. Form a QI team to specifically address VLS 2. Utilize CAREWare to identify non-suppressed patients 3. Team creates a Fishbone diagram to identify barriers to viral load suppression - PowerPoint PPT PresentationTRANSCRIPT
In+Care: Viral Load SuppressionInterventions:1. Form a QI team to specifically address VLS2. Utilize CAREWare to identify non-suppressed patients3. Team creates a Fishbone diagram to identify barriers to viral load suppression4. Team categorizes patients by barriers to identify which barriers impact VLS the most5. Interventions are being tested with a PDSA for 5 of the largest barriers to VLS6. Consumers recruited and are actively involved with the PDSA interventions
Beginning H
AART
Declined
treatm
ent
Lost to fo
llow up
Mental
Health
Non Compliant
Substa
nce Abuse
Prison
Homeless
Treatm
ent F
ailure
Socia
l/Emotional S
tress
0
2
4
6
8
10
12
Chart Title
Num
ber o
f Pati
ents
Reasons for being non-suppressed
Interventions being tested:1. Faster data entry into CAREWare2. Follow up on patients new to HAART3. Mental Health Barrier4. Insurance Barrier5. Improved communication between patients and
staff
Barriers to Viral Load Suppression
In+Care #1: Gap Measure
No primary care provider between September 2011-
July 2012.
Other reasons for gap in care:--mental health--fear of bad news--feeling good/don’t need to see doctor--snow-birding--meds continuously refilled with no consequences
Interventions1. Monthly case review of
patients without a visit in 6 months (“FBI List”)
2. Assign team member tasks to contact and reel patients back into care.
3. As of September 2013, began sending closure letters at 6 months and warn of refill/treatment discontinuation.
4. Coming soon: Use of ARTAS (evidence-based intervention)
December
January
February
March
April May JuneJuly
August
Septem
ber
October
02468
101214
Number of patients with no visit in 6 months (FBI List)
# of
pati
ents
(N=1
70 a
ppro
x)