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in + care Campaign Webinar November 19, 2012

in + care Campaign Webinar November 19, 2012. Ground Rules for Webinar Participation. 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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in + care Campaign Webinar November 19, 2012

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  1. in+care CampaignWebinar November 19, 2012

  2. Ground Rules for Webinar Participation 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

  3. Agenda • Welcome & Introductions, 5min • Retaining Aging HIV+ Patients in+care, 30min • Data Review and Discussion of Retention Strategies Collected Through the Campaign, 15min • Q & A Session, 5min • Updates & Reminders, 5min

  4. HIV and Aging Presented by Emily Tsuchida, RN, MSN, PHN, FNP-C Center for AIDS Research,Education & Services (CARES) Sacramento, CA

  5. Comprehensive Clinical Care Medical Dental Psychiatry Nutrition Mental Health counseling Substance Abuse Case Management Health Education Pharmacy Laboratory Services Clinical Trials/Research STD/HIV Testing Risk Reduction Counseling Prevention

  6. Who We Serve at CARES: • 2600 HIV+ patients • Over 74% are below 200%of poverty level • Approximately half have substance abuse and mental health issues. • African Americans are impactedat an alarming rate. • Young people are our fastestgrowing group.

  7. Audience Responses What proportion of your caseload is aged 45 years or more? 25% of fewer Between 26% and 50% Between 51% and 75% Greater than 75% I have no idea / I do not have an HIV patient caseload

  8. Audience Responses PROVIDERS In the chat room, tell us what you have done at your sites to prepare for an aging population if you serve HIV patients. CONSUMERS / ALLIES In the chat room, tell us what special concerns you see as HIV+ people grow older and have more complex health needs.

  9. An Aging Population at CARES

  10. Point# 1: Important to get all ages tested for HIV.

  11. Point #2 Treatment for all as being over 45 is an indication for treatment.

  12. Point #3 You must have expertise in poly-pharmacy.

  13. Point #4 Develop connections with home care and skilled nursing facilities.

  14. Point #5 Elderly alone… HIV+ people feeling alone… The combination of the two.

  15. Point #6 Need expert in geriatric patients to assist with the care of these aging patients.

  16. Point #7 Nutritional needs for elderly are different.

  17. Audience Responses PROVIDERS In the chat room, tell us what you have found most useful as training for Geriatric concerns and Nutritional counseling. CONSUMERS / ALLIES In the chat room, tell us what special concerns you can identify in terms of aging and nutrition as they relate to People with HIV?

  18. Point #8 Issues around dementia and normal loss of cognitive functioning.

  19. Point #9 Assistance with insurance coverage to maintain HAART coverage: ACA provisions and Medicare/Medicaid.

  20. Point #10 Retaining people in care is important for all ages but more urgent for those with diseases associated with aging.

  21. In summary: Woman infected at HS reunion. 86 year old woman from India.

  22. Speaking from Experience: Brief Peer Learning Exercise Thinking about Emily’s 10 points and the resources participants list in the chat room, which resources have you found to be the most useful? Are there are any resources in the literature you recommend? Let us know your experiences LIVE!

  23. Improvement Strategies Exercise Michael Hager, MPH MA NQC Manager

  24. in+care Campaign National Data Snapshot Coming Soon – new analyses at AGM!

  25. Improvement Strategies Discussion Take Home Points – Interventions! • HIV Testing • Routine testing of all ages • Treatment • Treat all PLWH > 45 years of age with ARVs • Training • Understand specific MH issues, social-psychology and cognitive impairment • Experience with treatment with multiple meds for multiple conditions • Experience in geriatric concerns, treatments and referrals • Experience in nutrition and nutritional counseling

  26. Improvement Strategies Discussion Take Home Points – Interventions! • Connect • Leverage Health Information Exchanges (HIE) / Regional Health Information Organizations (RHIO) in your region • Link your service to skilled nursing facilities / Visiting Nurse Association (medical care) and Patient Navigation Systems (other supports) • Patients with appropriate payer resources and systems to support PLWH engagement (increasingly important with Affordable Care Act implementation)

  27. Submit Improvement Updates!

  28. Announcements

  29. Upcoming Events • Next Meet-the-Author Webinar: L.Gardner – Low-Effort, Clinic-Wide Intervention December 12, 2012 at 1pm ET • Next Partners in+care Webinar: Optimal Wellness for PLWHDecember 13, 2012 at 2pm ET • Next Campaign Webinar: Sustainability of Retention Projects in Unsure Funding Environments January 9, 2013 at 2pm ET • Campaign Webinar: Mental Health and RetentionDate Pending – to be announced!

  30. Upcoming Deadlines and Office Hours • Campaign Office Hours: Mondays & Wednesdays 4-5pm ET • Monday, November 19 - Open Space, no set topic • Wednesday, November 21 - National Holiday, no office hours • Monday, November 26 - Open Space, no set topic • Wednesday, November 24 - All Grantee's Meeting, no office hours • Monday, December 3 - Open Space, no set topic • Wednesday, December 5 - Sustaining Retention Projects Over Time • Data Collection Submission Deadline: December 3, 2012 • Improvement Update Submission Deadline:December 17, 2012

  31. in+care at AGM Wednesday, November 28, 2012 12pm ET Thurgood Marshall Ballroom South

  32. MedScape Retention in HIV Care Series • Technical Working Group working on articles for a new Medscape Today News Series. • We recommend that you subscribe to HIV/AIDS MedPlus to be informed of new and exciting articles in this series! • Published Pieces: • Monitoring Rates of Retention in HIV Care Across the State • How Health Departments Promote Retention in HIV Care • Improving Retention in HIV Care: Which Interventions Work? • Engaging in HIV Care: What We Learned from AIDS 2012 • How Should We Measure Retention in HIV Care? • Retention In HIV Care: The Scope of the Problem http://www.medscape.com/index/section_10285_0

  33. Partners in+care • Partners in+care Private Facebook Group is live! • Share tips, stories and strategies • Join a community of PLWH and those who love them • Email michael@nationalqualitycenter.org for more details • Partners in+care website is live! • http://www.incarecampaign.net/index.cfm/77453 • Join our mailing list (a list-serv version of the FB Group)

  34. Time for Questions and Answers

  35. Campaign Headquarters:National Quality Center (NQC)90 Church Street, 13th floor New York, NY 10007Phone 212-417-4730 incare@NationalQualityCenter.orgincareCampaign.org youtube.com/incareCampaign

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