Welcome to the HRSA Project Officer Webinar on the HIV-MHRC
description
Transcript of Welcome to the HRSA Project Officer Webinar on the HIV-MHRC
![Page 1: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/1.jpg)
Welcome to the HRSA Project Officer Webinar on the HIV-MHRC
Is this your first time using Adobe Connect?Here are some useful tips: If you call in by phone, please mute your
computer speakers to avoid echoes. Please press *6 to mute or “un-mute” your
phone line.
HIV Medical Homes Resource Center
![Page 2: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/2.jpg)
Welcome and Introductions
Lauresa Washington
HIV Medical Homes Resource Center
![Page 3: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/3.jpg)
An Overview of the HIV-Medical Homes Resource Center
HRSA Cooperative Agreement # 11-068
Andrea Norberg, MS, RNCo-Principal Investigator
HIV Medical Homes Resource Center
![Page 4: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/4.jpg)
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
HIV Medical Homes Resource Center
![Page 5: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/5.jpg)
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
HIV Medical Homes Resource Center
![Page 6: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/6.jpg)
Francois Xavier Bagnoud Center, School of Nursing, University of Medicine and Dentistry of New Jersey
HIV Medical Homes Resource Center
![Page 7: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/7.jpg)
The Center for Excellence in Primary Care in HIV (CEPC), Department of Family and Community Medicine, University of California at San Francisco
HIV Medical Homes Resource Center
![Page 8: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/8.jpg)
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
HIV Medical Homes Resource Center
![Page 9: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/9.jpg)
The HIV Medical Home
Can this model be adopted by specialists?
HIV Medical Homes Resource Center
![Page 10: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/10.jpg)
The Medical Home in Ryan White HIV Programs: what positions these programs for success?
HIV Medical Homes Resource Center
![Page 11: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/11.jpg)
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
HIV Medical Homes Resource Center
![Page 12: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/12.jpg)
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.
HIV Medical Homes Resource Center
![Page 13: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/13.jpg)
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.
HIV Medical Homes Resource Center
![Page 14: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/14.jpg)
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
HIV Medical Homes Resource Center
![Page 15: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/15.jpg)
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.
HIV Medical Homes Resource Center
![Page 16: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/16.jpg)
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.
HIV Medical Homes Resource Center
![Page 17: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/17.jpg)
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.
HIV Medical Homes Resource Center
![Page 18: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/18.jpg)
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.
HIV Medical Homes Resource Center
![Page 19: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/19.jpg)
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.
HIV Medical Homes Resource Center
![Page 20: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/20.jpg)
HIV Medical Homes Resource Center
Progress of the HIV-MHRC to Date Established
Charter Created
Communication Plan (two conference calls and one in-person meeting)
![Page 21: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/21.jpg)
HIV Medical Homes Resource Center
Routine Communication Bi-weekly calls with grantee
Monthly calls with UCSF
Bi-weekly internal meetings (FXB Center)
![Page 22: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/22.jpg)
HIV Medical Homes Resource 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
![Page 23: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/23.jpg)
HIV Medical Homes Resource Center
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
![Page 24: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/24.jpg)
HIV PCMH Needs Assessment for Ryan White HIV/AIDS Program Clinical Grantees
Deborah Storm, PhDDirector of Research and Evaluation
HIV Medical Homes Resource Center
![Page 25: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/25.jpg)
Needs Assessment Goals
Inform HIV-MHRC activities and resourcesLearn about RW clinical programs, patients
and personnelUnderstand clinical grantees’ interests,
needs and readiness regarding PCMHs
HIV Medical Homes Resource Center
![Page 26: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/26.jpg)
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
HIV Medical Homes Resource Center
![Page 27: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/27.jpg)
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
HIV Medical Homes Resource Center
![Page 28: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/28.jpg)
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
HIV Medical Homes Resource Center
![Page 29: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/29.jpg)
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
HIV Medical Homes Resource Center
![Page 30: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/30.jpg)
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
HIV Medical Homes Resource Center
![Page 31: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/31.jpg)
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
HIV Medical Homes Resource Center
![Page 32: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/32.jpg)
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
HIV Medical Homes Resource Center
![Page 33: Welcome to the HRSA Project Officer Webinar on the HIV-MHRC](https://reader036.fdocuments.in/reader036/viewer/2022062502/5681691d550346895de0459f/html5/thumbnails/33.jpg)
Questions and Comments
HIV Medical Homes Resource Center