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2023 Compliatric Webinar Series - Maximizing the Ryan White Part C Care Model.pdf

Join us and Dr. Kim Butler Willis for this special webinar on Maximizing the Ryan White Part C Care Model! By the end of this training, participants will be able to: - Identify the components of a patient-centered medical home (PCMH) - Compare and contrast PCMH and Ryan White Part C requirements - Identify organizational improvements that can be supported with 340B funds - Assess if their organization qualifies for a 340B program; and - Understand how PCMH requirements can improve patient outcomes

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Maximizing the Ryan
White Part C Care Model
Kimberly Butler Willis, PhD, CHES, CDP
Healthcare Advisory Network, LLC
Identify the components of a patient-centered medical home (PCMH);
Compare and contrast PCMH and Ryan White Part C requirements;
Identify organizational improvements that can be supported with 340B funds
Assess if their organization qualifies for a 340B program; and
Understand how PCMH requirements can improve patient outcomes.
By the end of this training, you will be able to:
Webinar Objectives
About Me and the Team
7 Counties surrounding Charleston, SC
Rural, coastal South Carolina
Serve 1,000+ patients annually
HIV & Primary Care
Mental Health
Medical Case Management
Housing
Peer Navigation
Dental
Vision
Ryan White Part C
Onsite Services
Ryan White Wellness Center
at Roper St. Francis Healthcare
94% Optimally Retained
88% Virally Suppressed
95% newly enrolled have been fully engaged in care for first year
80 PrEP patients since Jan 1, 2015
Young African American men most likely to be poorly retained and
unsuppressed
Stigma/fear of group settings
Rural area, poor public transportation
Affliated with a larger healthcare system (+/-)
High Quality, High Engagement
Physical Barriers & Social Stressors
Highlights and Hurdles
Primary Long-Term Funding Sources
Ryan White Part C
340B Program Income
ADAP (Sub-Recipient)
Private Foundations and Donations
Average Operational Budget = $3M/yr
Ad

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2023 Compliatric Webinar Series - Maximizing the Ryan White Part C Care Model.pdf

  • 1. Maximizing the Ryan White Part C Care Model Kimberly Butler Willis, PhD, CHES, CDP Healthcare Advisory Network, LLC
  • 2. Identify the components of a patient-centered medical home (PCMH); Compare and contrast PCMH and Ryan White Part C requirements; Identify organizational improvements that can be supported with 340B funds Assess if their organization qualifies for a 340B program; and Understand how PCMH requirements can improve patient outcomes. By the end of this training, you will be able to: Webinar Objectives
  • 3. About Me and the Team
  • 4. 7 Counties surrounding Charleston, SC Rural, coastal South Carolina Serve 1,000+ patients annually HIV & Primary Care Mental Health Medical Case Management Housing Peer Navigation Dental Vision Ryan White Part C Onsite Services Ryan White Wellness Center at Roper St. Francis Healthcare
  • 5. 94% Optimally Retained 88% Virally Suppressed 95% newly enrolled have been fully engaged in care for first year 80 PrEP patients since Jan 1, 2015 Young African American men most likely to be poorly retained and unsuppressed Stigma/fear of group settings Rural area, poor public transportation Affliated with a larger healthcare system (+/-) High Quality, High Engagement Physical Barriers & Social Stressors Highlights and Hurdles
  • 6. Primary Long-Term Funding Sources Ryan White Part C 340B Program Income ADAP (Sub-Recipient) Private Foundations and Donations Average Operational Budget = $3M/yr
  • 9. What is a Patient-Centered Medical Home? "The patient-centered medical home (PCMH) model is an approach to delivering high-quality, cost-effective primary care. Using a patient-centered, culturally appropriate, and team-based approach, the PCMH model coordinates patient care across the health system." - Centers for Disease Control and Prevention, 2023
  • 10. Laura W. Cheever, M.D., Sc.M. Associate Administrator for the HIV/AIDS Bureau, Health Resources and Services Administration "This patient-centered care model focuses on shared decision-making, cultural competency, patient engagement, and ongoing communication along the HIV care continuum, to ensure that PLWH receive the care and support they need to achieve viral suppression."
  • 12. "Loving" Strategies Comprehensive Care Teams Empowerment Culture Safe Tone & Safe Zone Live Reminder Calls Inviting Spaces Peer Navigation
  • 13. Multidisciplinary Policy Development Policies and procedures were developed in a collaborative process including case managers, peers, and program administration. Primary Functions Expectations/Requirements Documentation Supervision Termination of peer services
  • 16. Program Income Sources Payments received directly from patients for services, to include co-pays Insurance payments received by billing public or private health insurance providers Reimbursements received under Medicare or Medicaid Fees, payments, or reimbursements for the provision of a specific service, such as patient care The difference between the third party insurance reimbursement amount and the actual purchase price of a 340B designated drug
  • 17. Professional Development Peer Navigation PrEP* Telehealth Dental Vision Housing FIRST Nutritional Counseling Food Pantry Routine HIV Testing Program Income Services Strategic Planning Strategic Spending CQI Adaptation
  • 18. Getting to Outcomes Framework
  • 19. RWWC GTO Cycle Annual Strategic Planning Meeting (Q1) EDU-taining Agenda Teambuilding System Goals RWWC Goals Team Goals
  • 20. Roper St. Francis Healthcare 5 Pillars (by Studor Group)
  • 21. #trendingtopics Evidence-Based Trends in HIV Care HRSA HAB Performance Measures HIV Viral Suppression Prescription of HIV Antiretroviral Therapy HIV Medical Visit Frequency Gap in HIV Medical Visits Influenza Immunization Waiting Time for Initial Access to Outpatient/Ambulatory Medical Care Late HIV Diagnosis Linkage to HIV Medical Care
  • 24. Challenges with Planning and Spending Parent system Infrastructure Contracting HRSA Allowable Feasibility Capacity
  • 25. More Money = More Problems 340B Designation Increased Patient Population Increased Services Needed & Provided Increased Staff
  • 26. Modest Beginnings Staff Size Patient Population Services Provided
  • 27. We have program income! Now what!? Offest HRSA-budgeted expenses Standard Operations Organizational Restructure New Initiatives
  • 28. Think INSIDE the Box Acceptable Expenses Mastering the box, THEN thinking outside Enhancing services
  • 30. Questions? Kimberly Butler Willis, PhD, CHES, CDP Healthcare Advisory Network kbwillis@goodstockconsulting.com