Journal
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
Volume 23, Issue 3, Pages 81-95Publisher
JOHNS HOPKINS UNIV PRESS
DOI: 10.1353/hpu.2012.0139
Keywords
Retention; HIV; quality improvement; patient-centered care
Funding
- PHS HHS [5-H76-10-003] Funding Source: Medline
Ask authors/readers for more resources
Here, we describe our patient-centered medical home (PCMH) quality improvement retention project conducted by a Health Resources and Services Administration (HRSA) Ryan White-funded Primary Care HIV clinic. The single urban academic clinic serving 2,776 active HIV positive patients identified 25.8% (716/2,776) patients who had not been retained in care within the prior six months during two separate six-month interval analyses. Multiple modalities including a retention specialist, a secure clinic phone message line, algorithms, flyers, brochures, database, and staff education were built to facilitate re-engagement. The project located 87.7% (628/716) patients who had not been retained. The retention specialist was directly responsible for the return of 16.2% (116/716) patients. Results from the project demonstrated that a formalized approach is a necessary component to effective retention efforts. We believe that this work will provide a strategic framework for the development of randomized control trials to formally evaluate an HIV retention intervention.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available