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Intriguing Improvement Strategies In Upper Manhattan October 31, 2012 TEMPLATE

Intriguing Improvement Strategies In Upper Manhattan October 31, 2012 TEMPLATE. Systems Linkages and Access to Care for Populations at High Risk for HIV Infection in New York State. Agency Name Title: Name of your linkage or retention project . Improvement Strategy :

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Intriguing Improvement Strategies In Upper Manhattan October 31, 2012 TEMPLATE

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  1. Intriguing Improvement StrategiesInUpper ManhattanOctober 31, 2012TEMPLATE Systems Linkages and Access to Care for Populations at High Risk for HIV Infection in New York State

  2. Agency NameTitle: Name of your linkage or retention project Improvement Strategy: • In one sentence, describe the most intriguingtest of change or strategy that you have run & • List the gap/barrier in linkage/retention that this strategy targets for improvement.

  3. Agency Name What makes your Strategy “Intriguing”? • How is your strategy new/unique in its design/concept relative to the care processes you usually provide? & • What evidence/data can you share to demonstrate the positive impact of this strategy on linkage and retention?

  4. Agency Name Next Steps Next Steps • Describe your next steps: (E.g.-Refine strategy and/or expand testing? -Integrate into delivery care system? -Start over? -Seek technical assistance?)

  5. Intriguing Improvement StrategiesInUpper ManhattanOctober 31, 2012EXAMPLE Systems Linkages and Access to Care for Populations at High Risk for HIV Infection in New York State

  6. Heights Health Care+ Community HouseLinking Young LGBT to HIV Primary Care Improvement Strategy: Involves--Primary Care Clinical Provider & CBO in a test of Linkage/Retention Collaboration Process—Use peer escorts to expedite the process of linking newly diagnosed Young LGBT patients to adolescent HIV primary care Barriers/Gaps Addressed: • Discrimination and Alienation; Stigma; lack of trust/comfort in “traditional” services for homelessness/adults. • Weak linkage/retention systems

  7. Heights Health Care + Community HouseWhat makes the Strategy “Intriguing” Intriguing Design/Concept • One team across 2 very different agencies: • Staff “move” with the clients across agencies • Co-facilitated/supported activities • “Maps” of expedited access/connection to care with clear roles/responsibilities

  8. Heights Health Care + Community HouseIntriguing Results EXPEDITEDLinkage to Care within 30 daysNewly Diagnosed Young LGBT DECREASING No-Show Rate* *No-Show Rate = % of primary care visits where pts do not show Client and Staff Report: Increased support and coordination of care!! Next Steps • Expand the peer escort strategy to include a second peer. • Create a plan to sustain support group and measure impact.

  9. Questions Assistance? Contact Susan Weigl: sweigl@yahoo.com 917-971-6838

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