142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

312286
HIV and primary care: A mentoring model expands access to quality HIV care

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Brian Hujdich, BS , HealthHIV, Washington, DC
Julio Fonseca , Workforce Capacity Building, HealthHIV, Washington, DC
Michael D. Shankle, MPH , HealthHIV, Washington, DC
Issue:  The implementation of health reform, evolution of HIV as a chronic disease, advancement of the National HIV/AIDS Strategy, recent biomedical advances, measurement of health outcomes across the HIV Care Continuum, and the medicalization of HIV prevention services, have challenged the capacity of health systems to rapidly adopt and implement programmatic innovation, while elevating the role primary care providers (PCPs) will play as the healthcare system evolves.

Description:  An HIV Workforce Capacity Building Initiative was developed and tested in various primary care settings to expand access to quality HIV care.  PCPs were matched with HIV clinical experts for one-on-one coaching, education, and training. Mentees determine level of clinical care competency through self-assessment.  HIV clinical experts used HIV clinical proficiencies, peer-reviewed articles, literature, case studies, and other tailored medical education materials to engage PCPs in building HIV clinical proficiencies and confidence in providing HIV care.  

Lessons Learned:  Thirty PCPs were matched with HIV clinical experts.  Mentors reported the vast majority of PCPs participating had the clinical skills to provide HIV care, but lacked confidence in managing HIV.  Practice leadership played a significant role in PCPs participation.  Similar professional designation was the most important aspect of successful pairs.  The relationships formed between HIV experts and PCPs extended to clinical consults.

Conclusions/Recommendations:  Mentoring offers a pathway to build HIV clinical confidence and expand access to quality HIV care.  Methods to access expert providers must be examined to further impact workforce development.  Expanded provider networks formed in high-incidence areas alleviates demands on HIV specialists.

Learning Areas:

Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Provision of health care to the public
Public health or related education
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the clinical, administrative, and systematic capacity building needs of PCPs integrating HIV into practice. Discuss attributes of successful mentor/mentee relationships to building access to quality HIV care. Describe models for expanding the HIV workforce through the HIV mentoring. Discuss the impact of mentoring on increasing HIV skills, confidence, and willingness to continue treating HIV among medical providers. List outcomes and lessons learned from the HIV Workforce Capacity Building Initiative.

Keyword(s): HIV/AIDS, Medical Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Director of Capacity Building Services at HealthHIV. I have been working in public health for over 20 years providing capacity building and technical assistance services to health centers, clinical providers, and other community based organization. I served as the mentoring project director. I developed numerous training materials, continuing medical education programs, and performance improvement activities to advance HIV clinical services in HIV primary care.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Bristol-Myers Squibb HIV Clinical Mentoring Independent Contractor (contracted research and clinical trials) and Recieved unrestrictive grant to HIV Clinical Mentoring Program
Elton John AIDS Foundations Expanding HIV Clinical Care in Minority Communities Recieved unrestrictive grant to expanding HIV clinical services in underserved communitie

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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