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