Southeast Mississippi Rural Health Initiative, Inc. (SeMRHI)
HATTIESBURG FAMILY HEALTH CENTER66 OLD AIRPORT ROAD, HATTIESBURG, MS
2ND LARGEST PROVIDER OF HIV CARE IN STATE; 725 PLWHA SERVED SINCE 1/2013
Mission: To provide access to affordable quality primary and preventive health care to our Communities in a patient centered, safe, compassionate environment.
Initial enrollment/labs visit for newly diagnosed patients prior to 1st office visit
Originated out of a recommendation by the HIV QMI on June 6, 2012 to increase the efficiency of clinic flow for new patients
Started project in August 2012 to eliminate 2nd visit within 2 weeks of initial visit and to initiate HAART and/or OI prophylaxis on the initial visit
Goal-75% of patients to complete initial enrollment/labs visit prior to 1st office visit
Benefits-Familiarity of clinic location, staff and clinic flow, initial rapport building, decrease wait time for the initial visit, lab results/HAART initiation and /or OI prophylaxis when warranted on initial visit and eliminate a 2nd visit to start HAART/review of labs
Barriers-lack and/or limited transportation, work schedules, inability to contact patient or too ill to keep scheduled appointment
Initial enrollment/labs visit for newly diagnosed patients prior to 1st office visit: Methods
Used PDSA model for improvement Improvement in the time of initiation of
HAART/OI prophylaxis of new patients Improvement in data collection and
reporting Improvement in communication among
the health care disciplines Extended lab hours and added
transportation shuttle service to help eliminate barriers
Project Data
26
19
August 2012-December 2012
New Pa-tients Sched-uled 21
13
January-May 2013
New Pa-tients ScheduledKept Lab/ Enroll-ment Appt
(62%) (73%)
Data Analysis
Will continue this project until August 2013 to reach goal
Will continue to work with patients to improve adherence to initial enrollment/labs visit
Staff, HIV QMI committee and administration had strong buy-in for project
Will also monitor those newly diagnosed patients from August to present for retention in care
Will continue to improve on eliminating barriers to keep initial enrollment/labs visit