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Campaign Webinar Latinos and Retention June 25, 2013

Campaign Webinar Latinos and Retention June 25, 2013. 1. Actively participate and write your questions into the chat area during the presentation(s) Do not put us on hold Mute your line if you are not speaking (press *6, to unmute your line press #6)

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Campaign Webinar Latinos and Retention June 25, 2013

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  1. Campaign Webinar Latinos and Retention June 25, 2013 1

  2. Actively participate and write your questions into the chat area during the presentation(s) Do not put us on hold Mute your line if you are not speaking (press *6, to unmute your line press #6) Slides and other resources are available on our website at incareCampaign.org All webinars are being recorded Ground Rules for Webinar Participation 2

  3. Agenda • Welcome & Introductions, 5min • Campaign Data Review, 10min • Latinos and Retention, 30min • Question & Answer, 10min • Updates & Reminders, 5min In the chat room, Enter your: 1. name, 2. agency, 3. city/state, and 4. professional role at agency 3

  4. Campaign Data Update 4

  5. Medical Visit Frequency by Facility Type 5

  6. Medical Visit Frequency by Caseload 6

  7. Viral Suppression by Caseload 7

  8. Viral Suppression by Facility Type 8

  9. Submit Improvement Updates! 9

  10. IAPAC Guidelines – Retention Improvement Ideas! www.incarecampaign.org 10

  11. Disseminating Improvement Work Lightning Rounds! • 1 or 2 slides that contain the most salient points of your retention projects • Include information on patient target, rationale for target selection and baseline data from your measures (including the date) • Include information on each improvement cycle (what was tried, what was the result per the data) – for early cycles short measures of change are not necessary, but add value! • What are your conclusions? How are you sustaining improvement • Simplicity and clarity are the idea! 11

  12. Disseminating Improvement Work Case Studies • Help us tell your story! • Campaign coaches are seeking longer, written stories about various groups’ journey through the in+care Campaign • Contact your Campaign quality coach if you are interested in sharing your story! • We are collecting 12 stories in total for publication 12

  13. Latinoaids.org Erik Valera: evalera@latinoaids.org

  14. Diversity

  15. 16% of the population 21% of new HIV infections 2010 MMWR April 2013

  16. 36% of Latinos were diagnosed with AIDS within one year of testing HIV positive compared to their Black (31%) and white (32%) counterparts Source: CDC. HIV Surveillance Report,February 2013

  17. Hispanics comprise ¼ of Ryan White Program Recipients. Source: HRSA,HAB, 2010

  18. Patient Barriers

  19. Fear! Stigma Patient Barriers language economicloss urgent vs. important

  20. confianza • Trust • Confidence • Reliability • Dependability • Familiarity

  21. Lay health advisorsPatient NavigatorsPromotor@sPeer educators

  22. Gracias Thank You! Erik Valera: evalera@latinoaids.org Latinoaids.org

  23. Latinos & Retention in HIV Care Valley AIDS Council Harlingen, Brownsville, McAllen, Corpus Christi Texas

  24. Latinos & Retention in HIV Care • VAC Catchment Geographic Area • VAC Client Demographic Profile • Barriers to Care • VAC Solutions

  25. VAC Catchment Geographic Area

  26. VAC Geographic Area

  27. VAC Geographic Area

  28. VAC Geographic Area

  29. VAC Geographic Area

  30. VAC Geographic Area

  31. VAC Geographic Area

  32. Area Demographic Data All 15 counties had median household incomes less than the median income for TX ($48,615) as well as for the entire US ($50,046), 13 of the 15 counties had a higher percentage of families whose income in the past 12 months was below the poverty level than that for TX (13.80%) as well as the entire US (11.30%), and 12 of the 15 counties had a higher percentage of people whose income in the past 12 months was below the poverty level than that for TX (17.90%) as well as the entire US (15.30%) (According to the 2010 Census).

  33. VAC Client Demographic Profile Data from 2010 US Census, 2011 Texas HIV Surveillance Report, and VAC ARIES client data

  34. Ratio of Late Testers to All Cases

  35. Who Are VAC’s Clients? Client Data: State of Texas ARIES Report April 1 to March 31 2008 - 2013

  36. By Race

  37. By Gender

  38. By Age

  39. By Status

  40. By Exposure

  41. What Clients are Lost to Follow-up – And Linked to Care? Client Data: VAC Data 2012 - 2013

  42. Lost to Follow-up & Link to Care

  43. Lost to Follow-up & Link to Care

  44. Lost to Follow-up & Link to Care

  45. New Patients (Intake Completed) & Re-Opened by Exposure

  46. New Patients (Intake Completed) & Re-Opened by Gender

  47. New Patients (Intake Completed) & Re-Opened by Age

  48. Back into Care: VAC

  49. Closed to Care

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