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“Can another meeting really make a difference?”. Vancouver Native Health Society January 30, 2013 HIV Collaborative Presentation. The Problem 2007. 167 HIV Positive Patients. 54% On ART. 71% Virologic Suppression. The GOAL - 2007. 167 HIV Positive Patients. 80% On ART. 54% On ART.
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“Can another meeting really make a difference?” Vancouver Native Health Society January 30, 2013 HIV Collaborative Presentation
The Problem 2007 167 HIV Positive Patients 54% On ART 71% Virologic Suppression
The GOAL - 2007 167 HIV Positive Patients 80% On ART 54% On ART 90% Virologic Suppression 71% Virologic Suppression
The CHANGE • HIV Patient “Rounds” • Monthly Inter-professional meeting • Aim = review list of patients not on ART & those on ART with detectable VL
The Results: 2007 - 2012 2008 GOAL 2007 198 Patients 167 Patients 80% On ART 90% VL <40 59% On ART 54% On ART 71% VL <40 44% VL <40
The Results: 2007 - 2012 2010 2009 2008 C 242 Patients 226 Patients GOAL 2007 198 Patients 167 Patients 74 % On ART 67 % On ART 80% On ART 88% VL <40 90% VL <40 59% On ART 54% On ART 73% VL <40 71% VL <40 44% VL <40
The Results: 2007 - 2012 2012 C 278 Patients 2010 2009 2011 2008 81 % On ART C 242 Patients C 226 Patients 224 Patients GOAL 2007 198 Patients 89% VL <40 167 Patients 70 % On ART 74 % On ART 67 % On ART 96% VL <40 80% On ART 88% VL <40 90% VL <40 59% On ART 54% On ART 73% VL <40 71% VL <40 44% VL <40
Lessons Learned • Improvements take time • Shifting to “Inter-professional” team work requires changes in how we communicate • Meetings give opportunity for reflection, planning, and learning • Challenges: “finding the time”, confidentiality