LHH LHH Po Positive Car Care Pr Program LHH Positive Care Program - - PowerPoint PPT Presentation

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LHH LHH Po Positive Car Care Pr Program LHH Positive Care Program - - PowerPoint PPT Presentation

Jan 28, 2024 16 likes •226 views

LHH LHH Po Positive Car Care Pr Program LHH Positive Care Program 1989 1996 The Early Years O4 unit LHH Positive Care Program 1996 2010 Expansion of treatment options Increase in survival and discharge Second unit opens (F3)

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SLIDE 1

LHH LHH Po Positive Car Care Pr Program

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SLIDE 2

LHH Positive Care Program

1989 ‐ 1996

The Early Years O4 unit

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SLIDE 3

1996‐2010

  • Expansion of treatment options
  • Increase in survival and discharge
  • Second unit opens (F3) with short stay focus
  • AIDS Dementia care focus on O4

LHH Positive Care Program

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SLIDE 4

2010‐2015

  • Move to new hospital with expansion to 60 beds
  • Expansion of treatment options
  • HCV Clinic
  • Pain Clinic

LHH Positive Care Program

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SLIDE 5
  • Multidisciplinary team/ holistic approach
  • AIDS Dementia Care
  • State of the art HIV treatment
  • HCV treatment
  • Respite
  • Palliative care
  • Mental Health and addiction services

Center of Excellence for HIV Care

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SLIDE 6
  • Short Stay ‐ rehab/treatment of acute medical issues with community

discharge focus

  • Longer term care – high care needs/dementia
  • Palliative/end of life care

Continuum of Care

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SLIDE 7
  • AIDS walk
  • Peer Mentor Program
  • Former patient volunteers
  • Ward 86 and UCSF Positive Care Program
  • Hep C support group

Community Connections

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SLIDE 8

Community Partnerships

LHH Staff

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SLIDE 9

LHH RESIDENTS WITH HIV/AIDS

NUMBER OF LHH RESIDENTS WITH HIV/AIDS FY89 – CURRENT*

10 74 71 68 83 179 145 76 63 90 61 82 78 85 77 98 183 184 148 138 138 133 156 134 159 148 50 100 150 200 *Current as in 5/12/15

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SLIDE 10

LHH RESIDENTS WITH HIV/AIDS

# OF AIDS‐HIV RESIDENTS THAT PASSED AWAY FY89 ‐ CURRENT*

20 40 60 80 100 120 *Current as in 5/12/15

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SLIDE 11

LHH RESIDENTS WITH HIV/AIDS

92% 93% 90% 76% 58% 61% 26% 11% 9% 8% 10% 12% 9% 4% 12%11.5%6.5% 8.0% 6.5% 6.0% 5.8% 4.5%10.7%6.8% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % OF HIV/AIDS RESIDENTS FISCAL YEAR

% OF AIDS‐HIV RESIDENTS THAT PASSED AWAY FY89 ‐ CURRENT* n=641

*Current as in 5/12/15

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HIV/AIDS AT LHH

  • Age groups 25‐44 & 45‐64 make up the two major age groups of residents with

HIV/AIDS

  • Age group 45‐64 trended upwards to become the predominant age range of

residents as of FY98‐FY99.

  • Residents with HIV/AIDS diagnosis are predominantly male (Average: 80% male,

20% female)

  • LHH Residents with HIV/AIDS is predominantly Caucasian and African‐
  • American. Combined, the two ethnic groups comprise of 87% of all HIV/AIDS

residents (Between FY04 ‐ Current).

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SLIDE 13

AGE DEMOGRAPHIC

AGE DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS

0% 10% 20% 30% 40% 50% 60% 70% 80% Below 25 Between 25‐44 Between 45‐64 Between 65‐84 Above 85

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SLIDE 14

GENDER DEMOGRAPHIC

GENDER DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS

0% 20% 40% 60% 80% 100% 120% % of HIV/AIDS Residents Fiscal Year F M

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SLIDE 15

ETHNIC DEMOGRAPHIC

ETHNIC DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS FY04‐CURRENT*

0% 10% 20% 30% 40% 50% 60% FY0405 FY0506 FY0607 FY0708 FY0809 FY0910 FY1011 FY1112 FY1213 FY1314 FY1415

% of HIV/AIDS Residents

Fiscal Year White African‐American Hispanic Native American/Eskimo Asian Other Unknown Native Hawaiian/Pacific Islander *Current as of 5/12/15

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DISCHARGES VS. EXPIRATIONS

DISCHARGES VS EXPIRATIONS DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS FY89 – CURRENT*

*Current as in 5/12/15 1 4 5 10 11 70 86 70 57 89 64 85 70 80 78 10 154 117 141 110 109 114 139 118 122 126 9 70 66 58 72 103 88 20 7 8 5 8 9 8 8 12 19 12 18 11 8 8 9 6 16 10 20 40 60 80 100 120 140 160 180 Discharges Expired

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SLIDE 17

PATIENT DAYS DEMOGRAPHIC

36 35 41 27 57 37 47 91 118 76 148 104 112 104 115 48 108 106 149 159 156 168 152 183 153 138 50 100 150 200

AVERAGE # OF PATIENT DAYS PER AIDS‐HIV RESIDENT IN FISCAL YEAR

The graph above reflects the average amount of days that an HIV/AIDS Resident spent at LHH during the fiscal year

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Positive Care Program

  • Dr. Grace Dammann
  • Dr. Steven Thompson
  • Dr. Daniel Rybold
  • Dr. Victoria Behrman

Susan Spencer, LCSW

  • Dr. Patricia Myung
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SLIDE 19

Patient Experience

Daniel Berrner

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SLIDE 20

Alignment with DPH Future Goals

Getting to Zero

Zero new HIV infections Zero AIDS related deaths Zero Stigma

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SLIDE 21
  • Chris Wong
  • Marinita Santos
  • Donna D’Cruz
  • Daniel Berrner
  • Mivic Hirose
  • Dr. Grace Dammann
  • Kentaro Hirose
  • Dr. Daniel Rybold
  • Susan Schneider
  • Israel Nieves
  • Stefanie Cooke
  • Janet Gillen
  • Dr. Victoria Behrman
  • Dr. Patricia Myung
  • Dr. Steven Thompson

Thank You!