2022-11-29 HIV CDS Kick-Off Meeting Agenda and Notes

Andrew Hamilton

Shelly Sital

JR Segovia

Jena Wallader Gemkow (not present)

Michael Lieberman

Seren Karasu

Karen Hoover

Aileen Ya-Lin

Dejene Parrish

Patrick Schoen (HRSA)

Mary Tanner

Anne Kimball

WeiMing (not present)

Kevin Delaney (not present)

Julia

Ray

Pedro

Crystal
Jayson

Ken Allgood

James at HealthFlow

Welcome to Year 2

Introductions

Julia

10

• New partners

• Potential integration of PrEP

CDC Welcome

Karen Hoover

5

Year 1 - Lessons Learned and Data

Pedro

• Ability to get this on IT’s list of priorities is key. What can we do in Year 2 knowing about this major challenge?

• Data Extracts (any lessons learned?)

• Data from AC

Goal for Year 2

• Implementation

• Baseline data

• Six months worth of data after implementation

• Questions about the data?

OCHIN - Dr. Lieberman thinks they will be able to do this; will want to review with Pedro - Andrea said we already have times set up for that (I think we do).

Discussion of Readiness for Implementation & Questions

What they have been doing in the HIV space,

Have been having issues with patients?

Dr. Leiberman - The technology is good, but the people part is a big challenge. LGBTQA+ focused clinics do a great job, but primary care often has trouble taking sexual histories.

OCHIN has tried a mychart form to have patients work on before they come in, but it was not used. It is tough to get patients to complete those.

OCHIN - Our members like to see the care gaps; what is coming up that patients need. They will review what is due and alert providers to discuss during next visit. Looking at doing it through those instead of pop-up, where people will pay attention to them rather than be annoyed by the alerts.

Julia - There is a cultural change over time from HIV tests requiring a lot of time and specialized counseling knowledge, now more feasible to include as an order as the patient is getting labs done.

James - What was the scenario in which there was only one recorded test. NACHC had five partners in the first year; we were establishing testing patterns. We found that most of the risk factor data was not present, or present only in very small amounts, even SO/GI.

Julia - We aim for minimum necessary, that we ask enough questions to determine a level of risk, but not to overload them with questions. Before we ask patients, we want to have the tool look through the record first to see what is already established, and those will pre-populate the decision support.

Ken - We aim to create a tool that will streamline the questions the patient has to answer.

Partners can decide which questions are required.

Baseline will need to be defined by the partner - what date will constitute implementation deadline.

NACHC will document changes to the Implementation if there are changes and tweaks made over time.

NACHC is working with the National Council of STD Directors - perhaps NACHC could work with them to do a micro-learning for care team members on how to improve sexual history taking.

Virtual Connect-a-thon

This is scheduled for December to try this with test patients

Connect-A-Thon Rehearsal Wednesday December 14, 2022 12pm to 1:30pm.

Connect-A-Thon Tuesday December 20, 10am to 11:30am

NACHC will send information about the Connect-A-Thon.

Care Plan App

NACHC and Healthflow are working on a phone app that helps educate patients on PrEP and helps to connect them with care.

We’ll do 1:1 meetings, and then Demo.

There will be a demo soon of this tool.

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