LEARNING SESSION 5Portland Clinic Rapid Fire Presentation
ISSUE: IDC REFERRAL
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lients’ of the Portland Clinic who not on ARV’s are referred to IDC
for consult.
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his is best practice; however wait times to be seen at the IDC can be
long, depending on time of year and availability of specialists
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hen clients’ have appointments they often go AWOL or refuse to go
to appointment. Even with planning it can be difficult to get the
clients’ to their appointments.
INNOVATION: ADDITIONAL PHYSICIAN SUPPORT
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n consultation with the STOP team and the Portland Clinic team it
was agreed that an HIV specialized GP would be added to the clinical
rotation at the rate of 1hour per week/4hours per month.
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his addition allowed for the clients’ to be seen in their own
environment effectively lowering any barriers to accessing care
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lso the addition of an HIV specialized GP provides clinical staff access
to support for any HIV care related questions/concerns
OUTCOMES AND PLANS
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he addition of the HIV specialized GP to the Portland team has
allowed for 4, difficult to engage clients’, to be seen and started
on ARV’s.
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he new HIV specialized GP will see HIV+ clients, provide help
with side effect management, adherence concerns, review
clients’ current regimes and change or update meds if needed.
ISSUE: CURRENT REGISTRY
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he Portland clinic team has done an excellent job keeping clients’ up
to date with their blood-work and engaging clients’ in care.
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ists are updated manually and require a great deal of detective work
to find the details regarding everything from clients’ current meds
to their vaccination records.
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urrent collaborative data set provides limited clinical information
INNOVATION: COLLABORATION
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egional Practice Support Leader Swati Thakkar kindly offered her
assistance and expertise with building a new registry for a complete
clinical snapshot of the Portland Clinic HIV+ clients
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he new registry is designed so that alerts will show up in the different tabs
allowing the user to easily identify client needs and gaps in care. Swati
has created a registry that uses the excel software to populate the cells
according to a pre-set criteria thus reducing data entry time and error.
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hank you Swati for all of your help!!!
OUTCOMES AND PLANS
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he registry is a work in progress, further data is being compiled to complete
the registry for use.
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he registry will become a part of the Portland Clinics’ data base and allow the
user a snapshot of the clinical data regarding the current HIV+ clients’
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t will be a tool for monitoring clients’ status and needs, and an easy
application for which to add new clients’ and move client’s who are MOOGE
to another tab where they can be retrieved easily if they return to the clinic
for care.
TEAM BUILDING: WHO WE ARE & WHERE WE ARE AT
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.5 STOP HIV RN, Stephanie C., in place
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.25 STOP HIV Outreach worker, Meenakshi, in place
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.5 STOP HIV MOA, Ashley, in place
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hrs per month HIV specialized GP, Hand over from current provider Dr. Tu to new
provider Dr. Deans in progress.
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urrent Portland Clinical staff: Physicians Dr. Jafari and Dr. Joe, Clinic RN (Kirsten),
and Clinic Manager: Ashley, supporting the STOP initiative every step of the way.
THINGS TO WORK ON
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ontinue to collect data and update registry
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ork with Portland team, the STOP team and the current outreach HIV
specialized GP to provide care to HIV+ clients and to develop a model that
would allow for easy assimilation of outreach Physicians at the Portland clinic
or at other sites.
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ontinued client engagement and adherence initiatives.
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valuate clients’ current medication regimes and alter if client would benefit
from newer regime.
ANY ADVICE?
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f you have any advice on anything that has worked
for you and your team on any of the above issues and
especially on the topics of continued engagement
strategies and adherence motivation please come
and chat with me at the break
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