Transcript Positive Wellness North Island Rapid Fire LS5 30

Positive Wellness North Island
North Island HIV Services
Success Supported by
Measurement
Physician Education
Physician Survey 2011
80%
71%
70%
60%
50%
40%
30%
20%
16%
13%
10%
0%
I would like to be contacted I would like to attend a
to discuss further
meeting about this service
I am interested in
continuing education
opportunities in HIV
Primary Care
Chronic Disease Management Forum
Treatment as prevention – Dr Julio Montaner
Role of Primary Care practitioner in HIV care – Dr David Forrest
• 40 physicians – 1/3 of target
• Survey showed over 90% Agreed they had
better knowledge of:
– HIV / AIDS
– ARV indication
– Treatment as prevention
92% will change their practice based on what they
learned
Success Supported by
Measurement
North Island HIV service
implementation 2012
Location of HIV Physician
Vancouver
Island
18%
Vancouver
82%
Travel Concerns Identified
25%
1
0%
5%
10%
15%
20%
25%
30%
What is your biggest challenge in coordinating your health care?
70.6%
64.7%
52.9%
52.9%
47.1%
29.4%
35.3%
41.2%
0.0%
Finances
Transportation
Attitude of health
care providers
Scheduling
Memory difficulties
Worries about
confidentiality/fear
of reporting
Trust
No babysitter
Other
Would you like more time and attention paid to any of the following?
75.0%
68.8%
68.8%
62.5%
56.3%
43.8%
56.3%
50.0%
37.5%
25.0%
Explaining
pros and
cons of
treatment
General
health
teaching
Teaching
about HIV
Expla info:
Explaining
HIV
lab results
medications,
SE of meds,
management
of SE
Taking time Awareness of Breaking
Advocacy
to explain life situations news gently (someone to
and talk
and
help you
challenges
access
supports)
Other
Collaboration and Integration
•
•
•
•
•
•
•
•
AIDS Vancouver Island
Infectious disease specialist
Mental Health and Addictions
Epidemiology and Disease Control
Public Health
Outpatient lab
STOP teams in province
Ext ext ………..
The First Year
Data to date…………
• 40 clients to date ( original POF 50)
• 14 were previously lost to follow up ,5 of
those we have started on ARVs
• 7 were new diagnosis – which accounts for
100% of those diagnosed in our region, 4 are
on treatment
• 2 have moved to Vancouver and we have been
able to connect them with a local HIV team
The First Year
Data to date…………
• 10 have been hooked up with mental health
or addiction services
• 15 have been reviewed by a Public Health
Nurse
Sustainability?
Strengths
• Partnerships
• PDSA
• Data – showing impact of
program
Weakness
• No more capacity
• fatigue