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Trends? Report on Charts Reviewed to Network Committee Individual Patients Identify patient barriers Develop person-centered plan Coordinate referrals for service, transportation, etc. Leverage B, C and D services / funding (e.g., Bridge Counseling)
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Trends? Report on Charts Reviewed to Network Committee Individual Patients Identify patient barriers Develop person-centered plan Coordinate referrals for service, transportation, etc. Leverage B, C and D services / funding (e.g., Bridge Counseling) Patients not Virally Suppressed – Appointment ASAP Additional planning – combined Network Response Dogwood Healthcare NetworkRegion 5Viral Load Suppression Gap Measure: Percentage of patients, regardless of age, with a diagnosis of HIV/AIDS with a viral load < 200 copies/mL at last viral load test during the measurement year