the future of aids education & training in the … docs/2015 fdc/plenary-1.pdf · 1 the future...

1

THE FUTURE OF

AIDS EDUCATION & TRAINING IN

THE NEW FRONTIER

FRONTIER AIDS EDUCATION AND TRAINING CENTER

David Spach, MD, PI/Clinical Director

Laurie Conratt, MBA, Director

Paul Cook, PhD, Evaluator/IPE Director

Sara Savage, MPH, LP Manager

Anna Kinder, MS, OTR/L, WY LP Prog Dir./PTP Coord.

Panel Present ers

Session Objectives

• Cite HRSA program changes and priorities for the Frontier AETC’s 4-year grant cycle

• Describe the new Frontier AETC structure

• Describe the menu of education and capacity-building offerings listed in the Frontier AETC competitive grant proposal

2

Exercise!!!

Number your paper 1-6

No name on your paper

Answers: “yes” or “no” only

Can you . . .

1. Describe the new HRSA focus for the AETCs?

2. Name the 10 states in the Frontier AETC region?

3. Name 2 distance learning options that will be offered by the Frontier AETC?

4. Explain IPE?

5. Distinguish between an LP and an LPS?

6. Define practice transformation for a primary care clinic?


Laurie Conratt, MBA

Director

HRSA Changes

3

HRSA Program Changes

Three workforce development priorities:

• Clinical care

• Interprofessional teams

(e.g., IPE Project)

• Organization and systems

management (e.g., PT Project)


• Fewer limits on target audience

• Novice or new providers and clinics

• Primary care workforce/CHCs

• Broad spectrum of capacity-building

activities

• Longitudinal emphasis


AETC Programs:

• Base

• MAI = min 20%

• IPE = min 10%

• PTP = min 40%

• CDC HIV Testing

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Front ier AETC St ruct ure

Frontier AETC Region

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State-Based LPsProgram/Population-Based LPs

CHAD

Char Lowman

Sioux Falls

ANTHC

Terri Bramel

Anchorage

Riverstone Health

Molly Hale

Billings

UU

Chris Davis

Salt Lake City

Casper Natrona

HD

Anna Kinder

Casper

Portland VA

Research Fdtn

Dayna Morrison

Portland

UW

TBN

Seattle

ISU

Judy Thorne

Meridian

UCD

Lisa Lawrence

Aurora

Alaska

Idaho

Colorado

WyomingUtah

Montana

Dakotas

Washington

Oregon

SKC

Niki Graham

Pablo, MT

AARTH

Mary Diggs-Hobson

Seattle, WA

YVFWC

Maria Benavides

Yakima, WA

HHSC

Jodi Davich

Portland, OR

UCD

Paul Cook

Aurora, CO

WA State DOC

Lara Strick

Olympia, WA

Frontier AETC @ UW

FAETC Org Chart – Local Partners

IPE Site/

FAETC Evaluation

AA/African-Born

Preceptorships

AI/AN

Latino

Corrections

5

FAETC Org Chart – Regional Office

Mark Schubert, DDS

Dental Director

Frontier AETC

Hillary Liss, MD

Medical Prog. Dir.

David Spach, MD

PI/Clinical Director

University of Washington

Department of Medicine

Center for AIDS & STD

Laurie Conratt, MBA

Director

Local Partners

(LPs)

15 Sites

Anna Kinder

MS OTR/L

PTP Coord./WY

Meri Konishi

BAFiscal Specialist

Becky Karschney

BA

Program Coord.

Seattle STD/HIV

Prevention Training CtrHepatitis

Training Center

CBA for High-Impact

HIV Prevention

Bruce Maeder, BA

Technology Manager

Regional Office

Trainers w/FTE:

Dhanireddy, MD

Daisy, PhDHarrington, MD

Loeffelbein PharmD

Cervenka, MSW

Wood, MD

Eric Riles, MA

Data Manager

Samantha Meiring

BA (Hon)

Eval PM, CU-CON

Mary Annese, MA

ECHO Eval

Kent Unruh, PhD

Informatics Specialist

Andrew Karpenko

BS

Software Engineer

Natalia Martinez-Paz

MA, MPATelehealth Specialist

Carlos Flores

BS

Computer Specialist

Sara Savage, MPH

LP Program Mgr.

Paul Cook, PhD

Evaluator/CU-CON


David Spach, MD

PI/Clinical Director

Dist ance Learning

Summary of Distance Learning Activities

• ECHO (telehealth)

• HIV Web Study

• Pre/Post Test

• HIV Question Bank

• National HIV Curriculum

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Building Knowledge & Capacity

One Case at a Time

ECHO Leadership Team

Brian Wood

Kent Unruh


Mechanics

of Weekly Telehealth Sessions

Mini-Didactics

• Focused clinical topic

• First 15 minutes of each session

• 5 minutes for discussion

• Recorded/archived for future

viewing

Case Consultation/

Discussion

• Remainder of session

• 3-5 cases per session

• Wide variety of topics

HIV Web Study\

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HIV Pre-Post Testing

HIV Question Bank

HIV Question Bank

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HIV National Curriculum (with NCRC)

UW Leadership Team

David Spach

Andrew Karpenko

Kent Unruh


HIV National Curriculum (wit h NCRC)

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HIV

PreTest

Question

Bank

On Line

Course

Case

Studies

Topics and Evaluation Matched Across Entire Platform

HIV National Curriculum Learning and Assessment Platform

HIV National Curriculum: Organize Int o Learning Groups

MD

NP

PA

RNDirect or/ Administ rat or

RN

PA

NP

MD

Frontier Distance Learning Strategies

• Establish/solidify role as national leader in

this area

• Expand existing model ECHO program

• Lead HIV National Curriculum efforts (with

NCRC)

• Pilot National Curriculum HIV and innovate

10


Paul Cook, PhD

Evaluator/IPE Director

Int erprofessional Educat ion

University of Colorado College of Nursing

In Collaboration With:

University of Colorado School of Medicine

Skaggs School of Pharmaceutical Sciences

Who We Are

IPE Faculty ChampionsIPE Training Team

Paul Cook, PhDEvaluator/IPE Director

Samantha MeiringBA (Hon)

Evaluation Project Mgr.

Health ProfessionsFaculty

CU School of MedicineMark Earnest MD PhD

Director of IPE

CU Skaggs Schoolof Pharmacy

Kari Franson PharmD PhDAssoc. Dean Professional Ed.

CU College of NursingRosario Medina PhD FNP

Asst. Dean of Grad. Programs

Laurra Aagaard, MS MATraining Coordinator

Health ProfessionsStudents

Whitney Starr, NPMedical Trainer

Marla Corwin, LCSW, CAC III

Behavioral Trainer

Lindsay O’Connell, MS CHES

Education Specialist

Steven Johnson, MDIPE Medical Director

Shandra Brown Levey, PhD

SOM Faculty Champion

Sarah Scoular,PharmD BCPS

SOP Faculty Champion

Ernestine Kotthoff-Burrell, PhD FAANP

CON Faculty Champion

Curriculum Mapping

Curriculum Mapping

AACN IPE Competencies:

1. Values and ethics

2. Roles and responsibilities

3. Communication and conflict resolution

4. Teams and teamwork

HIV medical content

QI and Leadership

HIV behavioral

content

Plan to offer:

• Multiple topics

• Events for multiple

professions

• Multiple formats

(workshop,

clinical, online)

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The Student Experience …

Theory Practice

IPE Links to Practice Transformation

Like students, practices need to learn how to

function in interprofessional teams

Like students, practices need to use technology,

data, and QI methods to improve care

Like students, practices need new ways to support

patient engagement and self-management of health


Anna Kinder, MS, OTR/L

WY LP Program Director/

PTP Coordinator

Pract ice Transformat ion Project *

* Also known as PTP

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PTP: What the Heck?

Triple AIM

+

Triple

Aim

Better Care

What does it mean to us?

• Work with clinic leadership: Improve Care Continuum Outcomes

• HIV Screening

• Linkages to Care

• Retention in Care

• Suppression of Viral Load

• Build capacity: High-quality comprehensive care and treatment

• Develop accountable care communities and interprofessional teams

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Participation Criteria

Clinics with:

• low volume HIV providers who can

improve quality care and access

• FQHC designation and/or RW Part A/B

• ≥ 30% racial/ethnic patient diversity

• Minority staff & providers

• Willingness to participate in long term

project

Our Plan

• Year 1: Collaborative work with clinics

• Assess strengths (clinics, LPs, region)

• Work collaboratively with IPE program

• Access experts in other organizations

Our Plan

• PT coach assigned to each clinic

• Needs assessment of each clinic

• Evaluation throughout (Plan-Do-Study-

Act)

• Metrics based on clinic needs and Care

Continuum variables

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100%

87%

39%

36% 30%

81%

90%

85% 85%

VL

80%

85%

Continuum of HIV Care - U.S. 2012


David Spach, MD, PI/Clinical Director


Paul Cook, PhD, Evaluator/IPE Director


Anna Kinder, MS, OTR/L, WY LP Prog Dir./PTP Coord.

Quest ions/ Discussion

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