HIV Programs and Services Medical Affairs Integration Of Care In Ambulatory Care Settings Ofiong Okon, FNP Medical Director of Mobile Vans Health Center
Integration of care is a concept that underline the necessity of coordinated and comprehensive medical care provided by an organized clinical system in order to deliver beneficial outcomes to individual patients. Integration of care… …fosters patient – provider relationship …increases patient satisfaction and overall wellness. …results in a comprehensive provision of services. …promotes patient’s engagement. …produces better clinical outcomes …minimizes time spent at the clinic …is cost effective
Primary Care Follow up Medical Provider Health Maintenance Patient Treatment Psychosocial Adherence Risk Reduction Support Counseling Specialist
Mobile Data Follow up Health Management July 1st, 2018 – June 30 th , 2019
Mobile Data Follow up Health Management
Mobile Data Follow up Health Management July 1st, 2018 – June 30 th , 2019 *numbers represent newly diagnosed HIV infections
Mobile Data Follow up Health Management
Mobile Data Follow up Health Management
Conclusions Clinical outcomes are optimized when the clinical team is integrated from the start. A good Integrated Model includes the entire team rendering services at the clinic, from the Custodian to the Center Director. They all have interactions with the patient. Patients are less likely to drop from their care when you have an integrated staff doing the follow up. Conclusion 4
Thank you Ofiong Okon, FNP-BC ookon@chnnyc.org
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