Welcome to the HRSA Project Officer Webinar on the HIV-MHRC

Welcome to the HRSA Project Officer Webinar on the HIV-MHRC

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HIV Medical Homes Resource Center

Welcome and Introductions

Lauresa Washington


An Overview of the HIV-Medical Homes Resource Center

HRSA Cooperative Agreement # 11-068

Andrea Norberg, MS, RNCo-Principal Investigator


Webinar OverviewIntroduction to the MH-NRCIntroduction to the patient-centered medical

homeHIV medical homes in the Ryan White HIV/AIDS

programGoal, objectives and key actions of the MH-NRCIntroduction to the MH-NRC needs assessmentQuestions and comments


PersonnelHRSA/HAB Lauresa Washington,

MHSA

FXB Center Andrea Norberg, MS,

RN Carolyn Burr, EdD, RN Deborah Storm, PhD Denise Anderson-Carr,

MPH, RD

CEPC/UCSF Thomas (Tom)

Bodenheimer, MD Steven (Steve) Bromer,

MD Ronald (Ron)

Goldschmidt, MD Kevin Grumbach, MD


Francois Xavier Bagnoud Center, School of Nursing, University of Medicine and Dentistry of New Jersey


The Center for Excellence in Primary Care in HIV (CEPC), Department of Family and Community Medicine, University of California at San Francisco


What is a Patient Centered Medical Home?A model for delivering primary care

Characteristics: • Enhanced access to care• Care continuity• Practice-based team care• Comprehensive care• Coordinated care• Population management• Patient self management• Health IT• Evidence -based

• Care Plans• Patient-centered care• Shared decision making• Cultural competency• Quality measurement and

improvement• Patient feedback• New payment systems


The HIV Medical Home

Can this model be adopted by specialists?


The Medical Home in Ryan White HIV Programs: what positions these programs for success?


The HIV-MHRC will provide support to Ryan White grantees and service providers to understand the requirements of and successfully apply for and become certified medical homes. We will build on the principles of primary care that are at the heart of the patient- centered medical home.

Overall Goal


Objective One: Utilize experts in HIV care delivery, medical home, healthcare systems, and consumers as members of a National Advisory Committee to assess strengths, limitations and potential unmet needs of Ryan White Program agencies related to their seeking certification to become a medical home and retaining clients in care within first six months.


Key Actions Develop and convene advisory committee for one-

in-person meeting and 2 annual conference calls. Develop and analyze needs assessment. Conduct key informant interviews as needed to

clarify issues raised in the needs assessment.


Objective Two: Critically evaluate tools, guidelines, and on-line materials related to certification as a medical home for use by or adaptation for Ryan White agencies and disseminate during first six months and ongoing


Key Actions Create a repository of relevant resources and post on the

TARGET Center website, linking them to the AETC NRC. Identify successful strategies within Ryan White clinical

sites that can be leveraged nationally to assist other clinical sites.

Gather information from needs assessment, workshop interactions and technical assistance calls.

Identify strategies to address fiscal impacts and concerns that will challenge grantees, such as the cost of the certification.


Objective Three: Facilitate the preparation of selected Ryan White programs to apply for certification as medical homes by providing technical assistance through four regional strategic planning workshops, and regular conference calls in year 1 and ongoing.


Key Actions Promote regional workshops and develop application process.

Identify 6-10 Ryan White program grantees in each of the four regions for participation in strategic planning workshops.

Develop training agenda, training materials, and evaluations. Implement logistical planning, send invitations and support

regional meetings. Develop materials in Spanish as needed. Conduct 4 regional 1½ day strategic planning workshops for

6-10 agencies each in Year 1. Conduct follow-up evaluation.


Objective Four: Increase availability of technical assistance for Ryan White programs related to HIV medical home certification by developing and offering a series of interactive webinars that replicate the regional strategic planning workshop process and offer specific guidance on aspects of HIV medical home certification beginning in Y1.


Key Actions Starting in Y2 Adapt the agenda, content, and interactive

exercises from the workshop to a six-part webinar series.

Invite RW clinical programs that applied to the workshops, but could not be accommodated to participate in the webinar series.

Conduct and evaluate the series.



Progress of the HIV-MHRC to Date Established

Charter Created

Communication Plan (two conference calls and one in-person meeting)


Routine Communication Bi-weekly calls with grantee

Monthly calls with UCSF

Bi-weekly internal meetings (FXB Center)


Marketing of HIV-MHRC Logo created

1 Page introduction to the HIV- MHRC on the TARGET Center website: http://www.careacttarget.org/ta_providers.asp

1 Pager also linked through AIDS Education and Training Center (AETC), National Resource Center (NRC)

Posted on Face Book and Twitter

http://www.careacttarget.org/ta_providers.asp


Needs Assessment Developed

IRB approved with determination of “non-human subjects” research

Created in Survey Monkey

To be disseminated shortly to Ryan White Grantees (Parts A,B,C and D)

Scheduled for introduction to HRSA/HAB project officers via webinar

HIV PCMH Needs Assessment for Ryan White HIV/AIDS Program Clinical Grantees

Deborah Storm, PhDDirector of Research and Evaluation


Needs Assessment Goals

Inform HIV-MHRC activities and resourcesLearn about RW clinical programs, patients

and personnelUnderstand clinical grantees’ interests,

needs and readiness regarding PCMHs


PCMHs and Clinical RW Programs

Limited information about PCMHs in RW programs2010-11 Readiness for meaningful use of health

information technology (HIT) and PCMH recognition survey of federally qualified health centers (FQHCs)

• Geiger Gibson / RCHN Community Health Foundation Research Collaborative. M Cunningham, A Lara, P Shin.

39% of 714 respondents received RWCA funding


Results of FQHC Survey< 6% have received NCQA PCMH recognitionAbout 50% interested in PCMH recognition66% want TA and training on preparation for

applying PCMH recognition69% have adopted electronic health records

(EHR)91% plan to apply for Medicaid meaningful use

incentives in 2 years


Needs assessment objectives

Describe HIV and primary care services Assess readiness for pursuing HIV-PCMH

development Identify existing services/resources/strengths that

support the development of HIV-PCMHs Identify barriers/gaps to HIV-PCMH development

and recognition/certification Identify clinics/practices for participation in strategic

planning workshops


Methods

48 item online survey about clinics/practices Distribution: RW HIV/AIDS program grantees

• Part A: TGA, EMA• Part B: States• Part C: Adult Care• Part D: Women, children and families

Respondents: Clinical program directors or designees


Challenges in conducting NA

Distribution of questionnaire to all clinical sites providing RW HIV/AIDS medical care

• Some grantees distribute to contractors Defining maximum number of potential

respondents• Number of clinical sites funded to provide

medical services vs other services funding from multiple parts of the RW program

Response rate


Next Steps

Distribution and data collection: February, 2012

Initial email sent 2/1/12, follow-up email by about 2/14/12

Questions from sites Analysis and report: March, 2012 Distill lessons learned for resource

development and HIV-MHRC activities


Next Steps

Distribution and data collection: February, 2012

Initial email sent 2/1/12, follow-up email by about 2/14/12

Questions from sites Analysis and report: March, 2012 Distill lessons learned for resource

development and HIV-MHRC activities


Questions and Comments


Documents

Welcome to the HRSA Project Officer Webinar on the HIV-MHRC