142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Expanding access to quality HIV care through a unique HIV primary care training and certificate program

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 9:00 AM - 9:15 AM

Michael D. Shankle, MPH , HealthHIV, Washington, DC
Brian Hujdich, BS , HealthHIV, Washington, DC
Julio Fonseca , Workforce Capacity Building, HealthHIV, Washington, DC
Marissa Tonelli , HealthHIV, Washington, DC
Issue: Healthcare reform has expanded access to services through primary care settings. Recommendation for universal HIV screening by USPSTF; effective, standardized HIV regimens; growing number of people living with HIV, decreasing primary care providers (PCPs) and HIV specialists are all significant factors that require a change in service delivery. This change of landscape demands expanded roles for PCPs in managing HIV.

Description: In a national survey, 40% of HIV PCPs surveyed stated that the number of providers treating HIV in their service area is inadequate for the demand for HIV services. Nearly half of PCPs not treating HIV indicated the necessity to build provider confidence through clinical HIV training and education as the best strategy of integrating HIV into primary care. Based on national survey data and an HIV Workforce Mentoring Initiative, a unique, scientifically-rigorous certificate program has been designed for expanding access to quality HIV care.

Lessons-Learned: HIV specialists and trainers used HealthHIV’s Staged Training to Engage Providers model for HIV integration in primary care to identify essential proficiencies for managing HIV. The five-module, self-paced, online curriculum reflects PCPs desired learning methods to develop new areas of HIV primary care provision.

Recommendations: The online program delivers specialized training to improve PCP HIV clinical skills and competencies. Providers can immediately apply lessons learned to their practices. Two hundred PCPs have participated in the program, providing recommendations for further curriculum development. Additional web-based content, incentivized with CME, is needed to build confidence and skills for PCPs to provide quality HIV care.

Learning Areas:

Chronic disease management and prevention
Clinical medicine applied in public health
Ethics, professional and legal requirements
Program planning
Provision of health care to the public
Public health or related education

Learning Objectives:
Describe challenges facing the HIV prevention, care, and treatment program. List PCP recommendations to build HIV workforce confidence and education. Explain successes and limitations of training PCPs through a web-based format. Define policy recommendations to integrated HIV into primary care. Identify future content development and expansion. Discuss foundation proficiencies necessary for PCPs HIV care optimization.

Keyword(s): Workforce Development, Medical Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 20 years experience in HIV prevention, care, and treatment, providing capacity building and continuing professional education to primary care providers, HIV specialists, and public health practitioners. I have developed and implemented HIV community-based prevention programs that have advanced health promotion and disease prevention services, expanded new behavioral interventions, improved community health, and reduced health care costs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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