in+care: viral load suppression

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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 4. Team categorizes patients by barriers to identify which barriers impact VLS the most 5. Interventions are being tested with a PDSA for 5 of the largest barriers to VLS 6. Consumers recruited and are actively involved with the PDSA interventions Beg inning HAART Dec lined treatme nt Lost to follow up Men ta l Health Non C ompliant Sub stance Abuse Pri son Hom el ess Tre at ment Failure Soc ial/Emotional Stress 0 4 8 12 Chart Title Number of Patients Reasons for being non- suppressed Interventions being tested: 1. Faster data entry into CAREWare 2. Follow up on patients new to HAART 3. Mental Health Barrier 4. Insurance Barrier 5. Improved communication between

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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 Presentation

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Page 1: In+Care: Viral Load Suppression

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

Page 2: In+Care: Viral Load Suppression

Barriers to Viral Load Suppression

Page 3: In+Care: 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)