USCA 2014: Day Two

USCA 2014: Day Two

October 3, 2014

Moments and Mandates

Sometimes, the hallways and break times are the best places to be at national conferences. Take down time toward the end of today’s plenary featuring speakers like Dr. Lisa Fitzpatrick from Washington DC and her story of how clients inspire her medical practice. Walk outside a few minutes later and hear the same human energy from another angle, from Trevor Danzler of the Philadelphia Department of Public Health.

Trevor had to miss Lisa’s presentation to take a phone call from his mother Carol, just diagnosed late stage pancreatic cancer. Conversations build around Carol, the common bonds of our moms. Trevor wants to be with his mom but is here at USCA 2014 and, between sessions, shares what he gains from his clients in a Merck funded linkage project in Philadelphia to retain people in care, first crafted by Helena Akua Kwakwa, a Ryan White Part C hero. You missed Trevor during the break, but come hear him in the Sunday panel, Implementing Health System Navigation Services in Philadelphia – Challenges and Best Practices.

More Highlights Below: AIDS.Gov Social Media - Binational HIV/AIDS Care - ASO Growth and Change

Anatomy of a Tweet

social media badgeAIDS.Gov is hosting a Social Media Lab, at USCA 2014, providing TA and training on use of new media tools. In the first day of operations, around 20 people dropped by for 15-20 minute one-on-one consults. Their questions vary but fall in two broad categories.

  • First are CBO and communications leads who want to expand use of social media but face lots of HIV/AIDS stigma in their communities. Their questions: How do you use the very public interface of new media when clients are looking at your social channels but don’t want to associate with them in a public way?
  • On the other hand are agencies that have no social media tools (AIDS.Gov helped one agency set up their Twitter account at USCA 2014 and go live on the spot) as well as those who want to learn to use their tools more effectively. A key recommendation from AIDS.Gov: first find out what social media tools your clients are using instead of gravitating toward the latest “in” option.
Drop by the Social Media Lab for hands-on help, October 3, Saturday from 10-2 or 2-5 on Level 4, Room 404, and see AIDS.Gov New Media resources.

Retaining Binational Clients in Care

Susan GallegoIn the session, Training Providers to Keep Highly Mobile HIV-infected Patients in Continuous Care across and between Borders, presented by members of an AETC cross-border clinical training project called UMBAST.

Concrete tips were shared by the team--all on the UMBAST webpage. Here are a few:

The session also featured a fact sheet on assisting HIV patients returning to Mexico and interactive tools like a comfort-setting video (below) for patients new diagnosed with HIV/AIDS to give them reassurance that they had a care team there for them.

The video was developed in Highland Hospital in Oakland, which sees a high number of Black MSM positives in their emergency room.

TheaLoads of good ideas, according to attendee Susan Gallego, who handles HIV and border coordination for mental health and substance abuse services for the State of Texas DSHS and Thea van Brockton of Vista Community Clinic in San Diego, which gets Ryan White Part A funding.

The session used a mix of interactive teaching techniques like an Audience Response System (ARS) and case studies following Pedro and Maria, two clients over time to track their continued care engagement.

Access UMBAST resources for clinicians serving bi-national patients living with HIV/AIDS.

Managing and Growing and ASO

ChangesASOs can survive if they adapt. In just over three years, AIDS Resource Center Ohio—funded by multiple Ryan White Parts—changed its focus from a traditional ASO with a $6.7 million budget to a comprehensive clinical care operation with a budget of $28.7 million.

How did they do it? A vast list of tasks was carried out at “break neck speed,” according to Executive Director William Hardy, presenting with his team in Two Years Post Transition from Traditional ASO to Comprehensive Care Center.

  • Consolidate several ASO agencies.
  • Secure 340B pharmacy status.
  • Build billing capacity with new staff and software.
  • Create new mechanisms to manage revenue.
  • Secure staff credentials to enable and maximize billing.
  • Secure certification, including ongoing work to become a Patient Centered Medical Home.
  • Make workflow changes.
  • Continuously work on setting the right staffing ratios.
  • Pick the right Electronic Medical Record.
  • Establish relationships with public and private payers--Medicaid and health plans.

In summary, tweaking and fixing and professionalizing operations, building a business model but retaining the comprehensive care model of Ryan White. And the results? All the data are not in, but here are some: Outcomes: 75% of patients are retained in care in Columbus and 77% are virally suppressed—data reflecting positive results for the overall Ryan White HIV/AIDS Program.

Look for upcoming HRSA/HAB Ryan White TA and training for ASOs and CBOs and core medical service providers, including the HRSA/HAB funded National Center for Innovation in HIV/AIDS Care.