Floridas Partnership for Care (P4C) Project Outcomes Mara - - PowerPoint PPT Presentation

Mara Michniewicz, MPH Prevention Program Manager Florida Department of Health Bureau of Communicable Diseases HIV/AIDS Section, Prevention Program Florida Comprehensive Planning Network Meeting Tampa, FL November 8, 2018

Division of Disease Control and Health Protection 1

Florida’s Partnership for Care (P4C) Project Outcomes

P4C Project Overview

• Centers for Disease Control and Prevention (CDC) and

Health Resources and Services Administration (HRSA) led project over four years (July 2014–June 2018)

• Increase collaboration between health departments and

community health centers to:

– Expand provision of HIV testing, prevention, care, and treatment – Build sustainable partnerships between health centers and health departments – Improve health outcomes among persons living with HIV, especially racial/ethnic minorities

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P4C Overview, continued

• Florida’s P4C health center partners:

– I.M. Sulzbacher Center (Jacksonville) – Health Care Center for the Homeless (Orlando) – Genesis Community Health Center (Palm Beach) – Broward Community and Family Health (Ft. Lauderdale) – Care Resource (Miami-Dade) – Community Health of South Florida (Miami-Dade)

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Florida P4C Partners

• State Health Department

– Prevention Program Manager – Project Coordinator – Clinic Coordinator – Monitoring and Evaluation Consultant

• County Health Departments

– HIV/AIDS Program Coordinators – P4C Managers – P4C Disease Intervention Specialists (DIS)

• Community Health Centers

– P4C Lead – Care Team Lead

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Community Health Centers Florida Department

• f Health,

Central Office Six Health Centers P4C Care Teams P4C DIS and HIV Prevention Staff County Health Departments P4C Core Team

P4C Project Data

• Project data period: July 2015–December 2017
• Patients newly diagnosed at health centers: 318
• ‘Not in Care’ patients in P4C service areas: 2,267
• ‘Not in Care’ patients linked or re-engaged: 878

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Newly Diagnosed Patients at P4C Health Centers and those Interviewed for Partner Services, July 2015–December 2017

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128 130 60 113 120 58

20 40 60 80 100 120 140 July 2015–June 2016 July 2016–June 2017 July 2017–Dec. 2017 # Newly Diagnosed Patients at Health Centers # Interviewed for PS # of Patients

P4C Client Demographics

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77% 21% 2%

P4C Clients by Sex (N=318)

Male Female Transgender

40% 10% 43% 1% 6%

P4C Clients by Race/Ethnicity (N=318)

Black White Hispanic Multiracial/Other Unknown

P4C Client Demographics, continued

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10 117 102 55 34

20 40 60 80 100 120 140 ≤19 yrs 20-29 yrs 30-39 yrs 40-49 yrs 50+ yrs

P4C Clients by Age Group (N=318)

Number of Clients

Newly Diagnosed Health Center Patients Interviewed for Partner Services and HIV Testing Positivity Rates among Named Partners, July 2015–December 2017

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88.2% 92.3% 96.6% 17.9% 23.6% 40.0% 0% 20% 40% 60% 80% 100% 120% July 2015–June 2016 July 2016–June 2017 July 2017–Dec. 2017 Percentage of Newly Diagnosed Health Center Patients Interviewed for Partner Services HIV Testing Positivity Rates for Partners of Newly Diagnosed Health Center Patients

Outcomes

• HIV primary care
• Routine HIV screening
• Secure bi-directional data transfers and P4C Dashboard
• Case conferencing for continuity of care (COC)
• Health center-specific DIS
• PrEP referrals, counseling, and provision

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Successes and Best Practices

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• Data sharing Memorandum of Agreement (MOA)

template

• Health center protocols, policies, and procedures for

HIV services

• P4C Dashboard: client search, out-of-care lists, task

management

• Case conferencing for COC services

HRSA’s Health Center Toolkit, July 2018

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• Provide clear roadmap for

service integration

• Identify best practices for

HIV management in primary care

• Provide tools for building

health centers’ capacity

• Provide a comprehensive set
• f educational and

instructional materials

https://bphc.hrsa.gov/qualityimprovement/pdf/p4c-toolkit-2018.pdf#zoom=125

Sustainability

• Replicate P4C model in other areas
• Explore ways to fund P4C activities
• Future implications for Dashboard (e.g., Data to Care)
• Disseminate health center best practices for

implementation of HIV primary care, routine HIV screening, and PrEP services

• Develop strategies for retention and viral load

suppression in health care settings

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Contact Information

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Mara Michniewicz, MPH Prevention Program Manager Mara.Michniewicz@flhealth.gov 850-901-6971 HIV/AIDS Section, Prevention Program Bureau of Communicable Diseases Florida Department of Health