> Quality Award Profile | 2016
Award for Measurable Improvements in HIV Care: Family First Health: Caring Together Program
Family First Health is a community health center with five sites serving approximately 28,000 clients in South Central Pennsylvania. The Caring Together Program has been receiving RWHAP Part B and C funding since 1991 and serves approximately 550 clients.
In July 2014, Caring Together embarked on a 2-year quality improvement project focused on retention. Using the in+care Campaign's definition of medical visit frequency, in August 2014, data indicated a retention rate of 64 percent. Over a 2-year period, the program had seen a drop in medical visit frequency of 8.6 percent. The clinical quality management committee focused on using data to explore disparities and identify barriers to care. Several issues were found, including a glitch in CAREWare, process problems, and a disparity in the data for clients falling under 100 percent of poverty. After the CAREWare issue was resolved, the rate increased to 70 percent.
In response to the findings, processes were revised. The processes for refilling medications and completing lab work were streamlined and the process for reviewing out-of-care clients was improved. The CDC's
Anti-Retroviral Treatment and Access to Services (ARTAS) intervention was also implemented. ARTAS is an individual-level, multi-session, time-limited intervention with the goal of linking recently diagnosed persons with HIV to medical care soon after receiving their positive test result.
As of January 2016, medical frequency measure is at 77 percent-an increase of over 12 percent from baseline data. Over the study period, viral load suppression rates also increased from 84 percent to 88 percent.
Congratulations to the 2016 NQC
Award for Measurable Improvements in HIV Care.