welcome to the hrsa project officer webinar on the hiv-mhrc is this your first time using adobe...
TRANSCRIPT
Welcome to the HRSA Project Officer Webinar on the HIV-MHRC
Is this your first time using Adobe Connect?
Here are some useful tips:
If you call in by phone, please mute your computer speakers to avoid echoes.
Please press *6 to mute or “un-mute” your phone line.
HIV Medical Homes Resource Center
Welcome and Introductions
Lauresa Washington
HIV Medical Homes Resource Center
An Overview of the HIV-Medical Homes Resource Center
HRSA Cooperative Agreement # 11-068
Andrea Norberg, MS, RNCo-Principal Investigator
HIV Medical Homes Resource Center
Webinar Overview
Introduction to the MH-NRCIntroduction to the patient-centered medical
homeHIV medical homes in the Ryan White HIV/AIDS
programGoal, objectives and key actions of the MH-NRCIntroduction to the MH-NRC needs assessmentQuestions and comments
HIV Medical Homes Resource Center
PersonnelHRSA/HAB Lauresa Washington,
MHSA
FXB Center Andrea Norberg, MS,
RN
Carolyn Burr, EdD, RN
Deborah Storm, PhD
Denise Anderson-Carr, MPH, RD
CEPC/UCSF Thomas (Tom)
Bodenheimer, MD
Steven (Steve) Bromer, MD
Ronald (Ron) Goldschmidt, MD
Kevin Grumbach, MD
HIV Medical Homes Resource Center
Francois Xavier Bagnoud Center, School of Nursing, University of Medicine and Dentistry of New Jersey
HIV Medical Homes Resource Center
The Center for Excellence in Primary Care in HIV (CEPC), Department of Family and Community Medicine, University of California at San Francisco
HIV Medical Homes Resource Center
What is a Patient Centered Medical Home?A model for delivering primary care
Characteristics: • Enhanced access to care
• Care continuity
• Practice-based team care
• Comprehensive care
• Coordinated care
• Population management
• Patient self management
• Health IT
• Evidence -based
• Care Plans
• Patient-centered care
• Shared decision making
• Cultural competency
• Quality measurement and improvement
• Patient feedback
• New payment systems
HIV Medical Homes Resource Center
The HIV Medical Home
Can this model be adopted by specialists?
HIV Medical Homes Resource Center
The Medical Home in Ryan White HIV Programs: what positions these programs for success?
HIV Medical Homes Resource Center
The HIV-MHRC will provide support to Ryan White grantees and service providers to understand the requirements of and successfully apply for and become certified medical homes. We will build on the principles of primary care that are at the heart of the patient- centered medical home.
Overall Goal
HIV Medical Homes Resource Center
Objective One: Utilize experts in HIV care delivery, medical home, healthcare systems, and consumers as members of a National Advisory Committee to assess strengths, limitations and potential unmet needs of Ryan White Program agencies related to their seeking certification to become a medical home and retaining clients in care within first six months.
HIV Medical Homes Resource Center
Key Actions
Develop and convene advisory committee for one-in-person meeting and 2 annual conference calls.
Develop and analyze needs assessment.
Conduct key informant interviews as needed to clarify issues raised in the needs assessment.
HIV Medical Homes Resource Center
Objective Two: Critically evaluate tools, guidelines, and on-line materials related to certification as a medical home for use by or adaptation for Ryan White agencies and disseminate during first six months and ongoing
HIV Medical Homes Resource Center
Key Actions Create a repository of relevant resources and post on the
TARGET Center website, linking them to the AETC NRC.
Identify successful strategies within Ryan White clinical sites that can be leveraged nationally to assist other clinical sites.
Gather information from needs assessment, workshop interactions and technical assistance calls.
Identify strategies to address fiscal impacts and concerns that will challenge grantees, such as the cost of the certification.
HIV Medical Homes Resource Center
Objective Three: Facilitate the preparation of selected Ryan White programs to apply for certification as medical homes by providing technical assistance through four regional strategic planning workshops, and regular conference calls in year 1 and ongoing.
HIV Medical Homes Resource Center
Key Actions Promote regional workshops and develop application process.
Identify 6-10 Ryan White program grantees in each of the four regions for participation in strategic planning workshops.
Develop training agenda, training materials, and evaluations.
Implement logistical planning, send invitations and support regional meetings. Develop materials in Spanish as needed.
Conduct 4 regional 1½ day strategic planning workshops for 6-10 agencies each in Year 1.
Conduct follow-up evaluation.
HIV Medical Homes Resource Center
Objective Four: Increase availability of technical assistance for Ryan White programs related to HIV medical home certification by developing and offering a series of interactive webinars that replicate the regional strategic planning workshop process and offer specific guidance on aspects of HIV medical home certification beginning in Y1.
HIV Medical Homes Resource Center
Key Actions Starting in Y2
Adapt the agenda, content, and interactive exercises from the workshop to a six-part webinar series.
Invite RW clinical programs that applied to the workshops, but could not be accommodated to participate in the webinar series.
Conduct and evaluate the series.
HIV Medical Homes Resource Center
HIV Medical Homes Resource Center
Progress of the HIV-MHRC to Date Established
Charter Created
Communication Plan (two conference calls and one in-person meeting)
HIV Medical Homes Resource Center
Routine Communication Bi-weekly calls with grantee
Monthly calls with UCSF
Bi-weekly internal meetings (FXB Center)
HIV Medical Homes Resource Center
Marketing of HIV-MHRC Logo created
1 Page introduction to the HIV- MHRC on the TARGET Center website: http://www.careacttarget.org/ta_providers.asp
1 Pager also linked through AIDS Education and Training Center (AETC), National Resource Center (NRC)
Posted on Face Book and Twitter
HIV Medical Homes Resource Center
Needs Assessment Developed
IRB approved with determination of “non-human subjects” research
Created in Survey Monkey
To be disseminated shortly to Ryan White Grantees (Parts A,B,C and D)
Scheduled for introduction to HRSA/HAB project officers via webinar
HIV PCMH Needs Assessment for Ryan White HIV/AIDS Program Clinical Grantees
Deborah Storm, PhDDirector of Research and Evaluation
HIV Medical Homes Resource Center
Needs Assessment Goals
Inform HIV-MHRC activities and resources
Learn about RW clinical programs, patients and personnel
Understand clinical grantees’ interests, needs and readiness regarding PCMHs
HIV Medical Homes Resource Center
PCMHs and Clinical RW Programs
Limited information about PCMHs in RW programs
2010-11 Readiness for meaningful use of health information technology (HIT) and PCMH recognition survey of federally qualified health centers (FQHCs)
• Geiger Gibson / RCHN Community Health Foundation Research Collaborative. M Cunningham, A Lara, P Shin.
39% of 714 respondents received RWCA funding
HIV Medical Homes Resource Center
Results of FQHC Survey
< 6% have received NCQA PCMH recognitionAbout 50% interested in PCMH recognition66% want TA and training on preparation for
applying PCMH recognition69% have adopted electronic health records
(EHR)91% plan to apply for Medicaid meaningful use
incentives in 2 years
HIV Medical Homes Resource Center
Needs assessment objectives
Describe HIV and primary care services
Assess readiness for pursuing HIV-PCMH development
Identify existing services/resources/strengths that support the development of HIV-PCMHs
Identify barriers/gaps to HIV-PCMH development and recognition/certification
Identify clinics/practices for participation in strategic planning workshops
HIV Medical Homes Resource Center
Methods
48 item online survey about clinics/practices
Distribution: RW HIV/AIDS program grantees
• Part A: TGA, EMA• Part B: States• Part C: Adult Care• Part D: Women, children and families
Respondents: Clinical program directors or designees
HIV Medical Homes Resource Center
Challenges in conducting NA
Distribution of questionnaire to all clinical sites providing RW HIV/AIDS medical care
• Some grantees distribute to contractors Defining maximum number of potential
respondents• Number of clinical sites funded to provide
medical services vs other services funding from multiple parts of the RW program
Response rate
HIV Medical Homes Resource Center
Next Steps
Distribution and data collection: February, 2012
Initial email sent 2/1/12, follow-up email by about 2/14/12
Questions from sites
Analysis and report: March, 2012
Distill lessons learned for resource development and HIV-MHRC activities
HIV Medical Homes Resource Center
Next Steps
Distribution and data collection: February, 2012
Initial email sent 2/1/12, follow-up email by about 2/14/12
Questions from sites
Analysis and report: March, 2012
Distill lessons learned for resource development and HIV-MHRC activities
HIV Medical Homes Resource Center
Questions and Comments
HIV Medical Homes Resource Center