Evaluation of the Impact of a Social Support Strategy on Treatment Outcomes
InternshipPosterLinked_42615
1. • Rapid
HIV
Tes)ng:
1.
Tes)ng-‐
Diagnosis
• Medical,
Case
Mgmt.,
PsychoSocial
Support
• Input
HIV
Counseling
Intake
Records
into
NJDOH
database
2.
Linkage
to
Care
• Reach
out
to
pa)ents
scheduled
for
upcoming
appts.
• Analyze
pa)ents
needing
blood
work
and
contact
them
3.
Engagement
and
Reten)on
• Team
Based
Medical
Approach
• Medical
care
individualized
for
each
pa)ent
4.
Treatment
• The
Ul,mate
Goal
• Affected
by
factors
other
than
pa5ent
outreach,
but
purpose
here
is
its
impact
on
VL
5.
Suppress
Viral
Load
Rate
HIV
Cascade
Stages
and
its
Applica)on
to
EBCHC’s
Infec)ous
Disease
Department
Acknowledgments
A
special
thanks
to
Ms.
Joy
Melendez;
MSW
Program
Coordinator,
Dr.
Sneha
Jacob;
Director
of
HIV
Clinical
Services,
and
Ms.
Ann
Marie
Hill;
Internship
Coordinator,
for
their
invaluable
guidance
and
encouragement.
Thank
you
for
the
con)nuous
support
Ms.
Tamera
Swedberg,
Ms.
Jessica
Or)z,
Ms.
Betsy
Melendez-‐Medina
and
Ms.
Cindy
Leon
Improving
HIV Suppression
of
Viral
Load
in
Pa)ents
Kri)ka
Dubey
Based
on
the
CDC
data,
of
the
“1.2
million
people
living
with
HIV
in
the
U.S.
in
2011,
an
es)mated
86%
were
diagnosed.
This
means
that
14%
(approximately
1
in
7
people
living
with
HIV)
were
unaware
of
their
infec)on
and
therefore
not
accessing
the
care
and
treatment
they
need
to
stay
healthy
and
reduce
the
likelihood
of
transmiBng
the
virus
to
their
partners.”
_________________________________________________________________
Methods
Recommenda)ons
Outcomes
Evalua)on
90.02%
VLSR
JAN
90.87%
VLSR
FEB
93.35%
VLSR
MAR
Pa)ent
Popula)on
An
11.4%
increase
of
pa)ents
engaged
in
care
Hey
Male:
61.5%;
Female:
37.8%
AA:
44.1%;
Hispanic:
37.5%
MSM:
29.6%;
IDU:
15.3%
New
Pa)ents
(Jan-‐Mar):
9
• 72.0%
of
pa)ents
were
engaged
without
outreach
• NOW,
83.4%
of
pa)ents
engaged
&
retained
in
care
and
treatment
• Result:
An
increase
from
90.02%-‐
93.35%
signifies
an
improvement
in
the
VL
Suppression
Rate
Maintain
HIV
Cascade
Structure
1. Rapid
Stat-‐Pak
2. Rapid
Determine
3. Uni-‐Gold,
P24
An)gen
Control
Con)nue
Pa)ent
Outreach
Regularly
Purpose:
To
match
Eric
B.
Chandler
Health
Center’s
HIV
Delivery
of
Care
with
the
HIV
Cascade
Stages
and
to
then
study
the
impact
of
pa)ent
outreach
within
the
“engagement
and
reten)on”
stage
on
the
overall
pa)ent
popula)on’s
suppression
of
viral
load
rate.
In
the
dura)on
of
the
study,
214
pa,ents
were
contacted;
24
of
whom
were
unreachable.
[11%
of
sample
size]
![• Rapid
HIV
Tes)ng:
1.
Tes)ng-‐
Diagnosis
• Medical,
Case
Mgmt.,
PsychoSocial
Support
• Input
HIV
Counseling
Intake
Records
into
NJDOH
database
2.
Linkage
to
Care
• Reach
out
to
pa)ents
scheduled
for
upcoming
appts.
• Analyze
pa)ents
needing
blood
work
and
contact
them
3.
Engagement
and
Reten)on
• Team
Based
Medical
Approach
• Medical
care
individualized
for
each
pa)ent
4.
Treatment
• The
Ul,mate
Goal
• Affected
by
factors
other
than
pa5ent
outreach,
but
purpose
here
is
its
impact
on
VL
5.
Suppress
Viral
Load
Rate
HIV
Cascade
Stages
and
its
Applica)on
to
EBCHC’s
Infec)ous
Disease
Department
Acknowledgments
A
special
thanks
to
Ms.
Joy
Melendez;
MSW
Program
Coordinator,
Dr.
Sneha
Jacob;
Director
of
HIV
Clinical
Services,
and
Ms.
Ann
Marie
Hill;
Internship
Coordinator,
for
their
invaluable
guidance
and
encouragement.
Thank
you
for
the
con)nuous
support
Ms.
Tamera
Swedberg,
Ms.
Jessica
Or)z,
Ms.
Betsy
Melendez-‐Medina
and
Ms.
Cindy
Leon
Improving
HIV Suppression
of
Viral
Load
in
Pa)ents
Kri)ka
Dubey
Based
on
the
CDC
data,
of
the
“1.2
million
people
living
with
HIV
in
the
U.S.
in
2011,
an
es)mated
86%
were
diagnosed.
This
means
that
14%
(approximately
1
in
7
people
living
with
HIV)
were
unaware
of
their
infec)on
and
therefore
not
accessing
the
care
and
treatment
they
need
to
stay
healthy
and
reduce
the
likelihood
of
transmiBng
the
virus
to
their
partners.”
_________________________________________________________________
Methods
Recommenda)ons
Outcomes
Evalua)on
90.02%
VLSR
JAN
90.87%
VLSR
FEB
93.35%
VLSR
MAR
Pa)ent
Popula)on
An
11.4%
increase
of
pa)ents
engaged
in
care
Hey
Male:
61.5%;
Female:
37.8%
AA:
44.1%;
Hispanic:
37.5%
MSM:
29.6%;
IDU:
15.3%
New
Pa)ents
(Jan-‐Mar):
9
• 72.0%
of
pa)ents
were
engaged
without
outreach
• NOW,
83.4%
of
pa)ents
engaged
&
retained
in
care
and
treatment
• Result:
An
increase
from
90.02%-‐
93.35%
signifies
an
improvement
in
the
VL
Suppression
Rate
Maintain
HIV
Cascade
Structure
1. Rapid
Stat-‐Pak
2. Rapid
Determine
3. Uni-‐Gold,
P24
An)gen
Control
Con)nue
Pa)ent
Outreach
Regularly
Purpose:
To
match
Eric
B.
Chandler
Health
Center’s
HIV
Delivery
of
Care
with
the
HIV
Cascade
Stages
and
to
then
study
the
impact
of
pa)ent
outreach
within
the
“engagement
and
reten)on”
stage
on
the
overall
pa)ent
popula)on’s
suppression
of
viral
load
rate.
In
the
dura)on
of
the
study,
214
pa,ents
were
contacted;
24
of
whom
were
unreachable.
[11%
of
sample
size]](https://image.slidesharecdn.com/639f12bd-ae08-4294-846e-e0bf1fa9d055-150502192250-conversion-gate01/85/internshipposterlinked42615-1-320.jpg)
