1 / 9

Improving Retention Workshop Breakout Notes 2/18/2010

Improving Retention Workshop Breakout Notes 2/18/2010. Barriers Brainstorm. Lack of communication with providers Charts go off site before known with providers Lack of understanding of importance Level of complacency Change of pt. population/lack of staff understanding of pt. barriers

nell
Download Presentation

Improving Retention Workshop Breakout Notes 2/18/2010

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving Retention Workshop Breakout Notes2/18/2010

  2. Barriers Brainstorm • Lack of communication with providers • Charts go off site before known with providers • Lack of understanding of importance • Level of complacency • Change of pt. population/lack of staff understanding of pt. barriers • Homelessness • Substance abuse • Special populations (e.g. prison release) • Retention rate vs. no show rate • Co-morbidities/other chronic care issues • Psychological burnout for pts. • Travel/transportation/public transportation • Current contact info, esp for unstable housing, relocated or those who may have not disclosed status to others and don’t provide accurate info

  3. Barriers Brainstorm • Need for same-day care after testing positive • Pt. who work have difficulties getting time off for appts • Need for weekend and evening hours • “AIDS” in name of clinic • Denial of disease status • Staff retention/turn-over • Support systems (parents, generational belief systems • Cultural beliefs around healthcare • Wait of appoints/length of time between • Health literacy • Lack of comfort with provider (e.g. male gyn, etc) • Staff who don’t speak same languageChildcare needs

  4. Solutions 1.Addressing pts with mental health issues • Offer HIV testing at inpatient and out patient psyche facilities • Increase $ for onsite mental health services • Increase access to mental health, acceptance of ADAP/Medicare

  5. Solutions 2. Lack of pt. understanding of importance of visit/denial • Improving orientation for new patients (monthly welcome breakfast, offer peer services from beginning, best way to communicate with pt from beginning) • Using existing support groups/consumers to get input/feedback on ideas • Teach staff to use health literacy techniques and tools • Obtain baseline assessment of pt. healthcare values • Improve staff communication skills • Staff and pt. collaboration to develop care plan • Address pt’s other priority needs first (food, housing, etc)- one-stop shop for services • Address coordination and communication of staff so all are aware of pt. needs

  6. Solutions 3. Wait time • Acknowledge that patients’ time is important- keep them updated on wait times • How to effectively manage walk-ins to not impact scheduled appts. (e.g. algorithm for walk-ins) • Schedule other activities while waiting to see clinician to use time effectively (see CM, nutritionists, etc)

  7. Solutions 4. Current Contacts • Refer to free phone and minutes from state • If moved, refer to local services • Ensure contact info is up-to-date at each visit • Be proactive- ensure patients are enrolled in SNPS • Ability to contact other stakeholders/providers regarding pt follow up/current care • Ability to contact insurance carriers and other outside agencies (i.e. COBRA) to follow up on pts.

  8. Solutions 5. Health Literacy • Use patient-centered approach to identify how pt best learns- offer an range of methods for pts to choose from • Develop presentations/formats that appropriate to pt. needs • Continued training for staff around health literacy

More Related