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Partnership for Health Experience at AIDS Care Roberto B Corales, DO, AAHIVS

Partnership for Health Experience at AIDS Care Roberto B Corales, DO, AAHIVS Medical Director & Principal Investigator September 15, 2011. Introduction.

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Partnership for Health Experience at AIDS Care Roberto B Corales, DO, AAHIVS

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  1. Partnership for Health Experience at AIDS Care Roberto B Corales, DO, AAHIVS Medical Director & Principal Investigator September 15, 2011

  2. Introduction • Partnership for Health is an intervention aimed at every ACHC patient. It is to promote safer sex practices condom negotiation skills) and to identify referrals for individual with high risk sex practice • Other DEBI* include: voces/voices, mental health • Unique DEBI intervention: • ACHC uses peer educators and outreach workers to engage patients during their clinic visits. They encourage and engage patients to review PfH materials that are available in the waiting rooms and re-inforce the prevention messages. • ACHC has also re-designed education materials to be more visible and portable (PfH content was NOT changed) • ACHC has also made available 3 safer sex education kits, which are located in clinic interview rooms, to assist inproviding hands-on learning (male and female condoms) *DEBI: diffusion of effective behavioral intevention

  3. Trainings • First training in 2005 • AETC (AIDS Education Training Center) – Ask Screen Intervene (ASI) • 4 modules • I: Risk screening • II: Universal Prevention • III: Tailored Behavioral Intervention • IV: Partner services • Re-training in October 2008

  4. 7/05: sticker

  5. 2/06: incorporated in our progress note template

  6. 12/07: added in the EMR template (EHS)

  7. sticker 12/07: added in the EMR template (EHS)

  8. Annual Reporting to the CDC (7/08-7/09) (excerpt) Approximately 10 pages with narrative and graphs.

  9. DEBI program Models SMART Process Objectives

  10. DEBI program Models SMART Outcomes Objectives

  11. So, how do these process, outcomes and intervention change the STD transmission?

  12. STD cases

  13. Thoughts from this experience • Need county-wide clinics initiative and buy in • PfH should be at every clinic • Patient reporting accuracy (underreporting of % condom use) • Patient reporting fatigue (“just say yes to all”) • Providers intervention at every follow up visit (clinical staff buy in)

  14. Changes and modifications • Re-design templates • Re-assign questioning role to Medical Assistants • Need to easily “query” the data • Bi-annual audits to track and trend • PDSA

  15. PfH eMDs template (draft) 9/11: added in the new EMR template (eMDs)

  16. The End

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