Practice Transformation & Culture Change Workshop Resources

Pre-Exposure Prophylaxis (PrEP): Daily medication to reduce HIV &
How To Be a PrEP Provider
Sean Kelly, MD
Download Presentation (PrEP: Daily medication to reduce HIV)

Download Presentation (How To Be a PrEP Provider)

Introduction to Culture Change,
Identifying Barriers to Culture Change &
Best Practices for Implementing Culture Change
Bill Cooper, MD
Download Presentation 

 

Pre- and Post-Test Counseling and How to Deliver Results &
Rolling with Resistance
Bill Hight, PhD
Download Presentation

Championing HIV Prevention
Eddie Wiley, MPH
2:45 – 4:30pm

 

Culture Change Coaching Webinars

 

Training By Topics

Contact Information

Jennifer Burdge
jennifer.burdge@vanderbilt.edu
phone: (615) 875-7873

Sierra Harris
sierra.l.harris@vanderbilt.edu
(615) 875-7862

Grace Parker
grace.a.parker@vanderbilt.edu
phone: (615) 343-3104

Curriculum

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PT101 – The First 3 Months after HIV Diagnosis: A Clinical Approach

Objectives: 

  • Recognize the tests and screenings needed for patients newly diagnosed with HIV
  • Describe primary prophylaxis for opportunistic infections
  • Determine appropriate initiation of ART regimens for patients newly diagnosed with HIV
  • Identify strategies to improve adherence to ART regimen

PT102 – Pre-Exposure Prophylaxis (PrEP): Daily medication to reduce HIV

Objectives: 

  • Describe Pre-Exposure Prophylaxis (PrEP) and the major barriers to administration
  • Summarize the indications of PrEP in high-risk patient populations
  • Understand how to implement PrEP in your clinic
  • Determine barriers for PrEP implementation for insured and non-insured patients

PT103 – Caring for LGBTQ Youth & the Q Card

Objectives: 

  • Explain the difference between sexual orientation and gender identity
  • Describe the health disparities in the LGBTQ community
  • Act as advocates and allies for LGBTQ patients
  • Create a welcoming and supportive environment for LGBTQ patients
  • Show youth how to use the Q Card to improve patient-provider communication
  • Educate others about how to create safe and welcoming spaces for LGBTQ people

PT104 – Quality Improvement in HIV Care: Responsive, Team-based, and Data Powered

Objectives: 

  • Define the term person-centered care
  • Discuss how to apply the concept of data for learning and improvement to create Continuous Quality Improvement (CQI) programs and committees or teams
  • Recall the PDSA Cycle and explain its significance in QI initiatives
  • Describe how to create a CQI Committee in an organization that wants to improve HIV treatment and care, reduce costs, and improve patient’s experience in order to retain patients in care
  • Explain how a QI Program Readiness Assessment Tool assists clinics/organizations in creating successful and sustainable CQI programs

PT105 – The Many Lives of Data

Objectives: 

  • Understand how data can be transformed into information to improve patient care
  • Learn more about Patient Reported Outcomes and how that can transform patient care in the clinical setting
  • Learn more about how data can improve operations within a clinical practice
  • Become more aware of the importance of quality data and accurate documentation in the clinical setting
  • Learn about ways to maintain information integrity and data quality in medical practice

PT106 – Project CONNECT: Evidence-Informed Linkage to HIV Care

Objectives: 

  • Discuss the state of science around the HIV Continuum of Care (“treatment cascade”)
  • Describe the crucial role of linkage to care (LTC) along the HIV Continuum
  • Recount our experiences with LTC in a large, academic-based clinic
  • Introduce Project CONNECT as an evidence-informed intervention for improving LTC
  • Provide additional considerations for optimizing health outcomes along the HIV Care Continuum

PT107 - HIV Testing

Objectives: 

  • Understand why Universal HIV Testing is important for HIV Prevention
  • Understand why stigma is frequently a barrier to HIV Testing
  • Learn other challenges to HIV Testing
  • Learn three methods of HIV Testing
  • Understand the difference between Opt-In and Opt-Out HIV Testing
  • Learn about the CDC HIV Screening Guidelines in Healthcare Settings
  • Understand available testing assays for HIV

PT108 - Linkage to Care

Objectives: 

  • Identify which populations are most at risk for delayed LTC
  • Articulate why LTC is an important contributor to HIV health
  • Summarize goals of the 90-90-90- Target
  • Summarize the main components of each LTC intervention featured in the CDC’s Compendium of best Practices
  • Describe the main phases of the Project CONNECT intervention as one example of a CDC-recognized Best Practice for LTC
  • Identify the shared themes of each of the four LTC interventions discussed.
  • Identify the components necessary for implementing an LTC intervention
  • Assess whether implementing an LTC intervention is feasible at your clinic
  • Assess whether evaluating an LTC intervention is feasible at your clinic

 

 

 

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MCM 101 – Cultural Awareness Basics

Objectives: 

  • Define culture
  • Describe how an understanding of Complementary and Alternative Medical (CAM) practices can enhance cultural awareness
  • Discuss how cultural practices can impact a patient’s HIV treatment adherence
  • Describe how to create a welcoming environment for all patients.

MCM 102 - Health Literacy and HIV Care:A Practical Guide for Medical Case Managers

Objectives: 

  • Describe the relationship between health literacy and HIV outcomes
  • Recognize the role of culture in health literacy
  • Identify tools that can be used to measure health literacy
  • Describe attributes of a health literate organization
  • Discuss examples of low health literacy in HIV treatment and care
  • Apply health literacy-based approaches in optimizing client-centered, effective communication

MCM 103 - Motivational Interviewing Basics

Objectives: 

  • List the four core MI communication skills and discuss their role in the MI process.
  • Name the three core elements that comprise the spirit of Motivational Interviewing (MI) and explain how these elements support the delivery of person-centered care in healthcare settings.
  • Identify closed and open-ended questions and discuss how best to utilize both types of questions when communicating with people living with HIV (PLWH).
  • List and describe the four stages of the MI process.

MCM 104 - Mental Health and HIV Treatment and Care Part 1: Screening for Improved Health Outcomes

Objectives: 

  • Define and describe the terms “linkage,” “engagement” and “retention” in care as they relate to the care of patients who are HIV-positive
  • Examine communication and counseling strategies that help healthcare providers “connect” with patients who are experiencing difficult emotions.
  • Explain the HIV Care Continuum and reflect on the challenges that healthcare providers and systems face in increasing the percentage of persons with diagnosed HIV infection who are virally suppressed to at least 80%, percent.
  • Discuss how healthcare teams can assist patients who experience stigma, aggression, anger, depression, anxiety and other difficult emotions remain in care
  • Describe strategies and interventions that are successful in retaining patients living with HIV in care.

MCM 105 - Common Mental Health Disorders in People Living with HIV

Objectives: 

  • Describe the prevalence of mental illness among the adult HIV population
  • Identify common mental health issues among adults living with HIV
  • Discuss the impact of mental illness on HIV care
  • Recognize signs and symptoms of mental illness
  • Discuss the appropriate referral of patients for mental health treatment

MCM 106 - An Introduction to Substance Use Disorders in People Living with HIV

Objectives: 

  • Describe the epidemiology of SUD in the U.S. and among PLWH
  • Review theories for conceptualizing and strategies for addressing SUD
  • Review common signs, symptoms and assessment of SUD
  • Define Substance Use Disorders among PLWH

MCM 107 - Understanding Lab Values

Objectives: 

  • Communicate the rationale and importance of laboratory testing in the course of medical care for a person with HIV infection
  • Describe routine laboratory studies used in evaluation and management of patients with HIV infection
  • Recognize the role of a Medical Case Manager in counseling patients on laboratory testing

MCM 108 - HIV and Opportunistic Infections

Objectives: 

  • Recognize the most common opportunistic infections (OIs)
  • Discuss prophylaxis and treatment of common OIs
  • Describe types of exposures and ways to prevent OIs

MCM 109 - Antiretroviral Therapy Part 1

Focus on Treatment Guidelines and Regimens

Objectives: 

  • Explain the benefits of antiretroviral therapy (ART) and the goals of treatment
  • Describe regimen options and the factors involved in selecting an ART regimen for an individual patient
  • Discuss the importance of adherence, potential consequences of non-adherence, and strategies to promote treatment success

MCM 110 - Linkage and Retention in HIV Care

Objectives: 

  • Name the three most prevalent psychiatric disorders affecting persons living with HIV.
  • Discuss the purpose of routinely conducting mental health screenings with people living with HIV (PLWH).
  • List one valid and reliable screening instrument for depression and another for anxiety and describe how the case manager can best administer the screening instrument in the clinic setting.
  • Identify a valid and reliable screening tool that is used to identify neurocognitive decline among individuals living with HIV.
  • Explain how the case manager uses mental health screening tool scores/data to provide needed behavioral health interventions and resources for patients living with HIV.

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MCM 101 – Cultural Awareness Basics

Objectives: 

  • Define culture
  • Describe how an understanding of Complementary and Alternative Medical (CAM) practices can enhance cultural awareness
  • Discuss how cultural practices can impact a patient’s HIV treatment adherence
  • Describe how to create a welcoming environment for all patients.

CC 102 - HIV & Homelessness: Risks & Survival Behaviors in an Ecology of Desperation

Objectives: 

  • Discuss a theoretical framework for understanding shared risks of HIV and homelessness.
  • Review demographics of HIV and homeless populations.
  • Examine impact of chronic homelessness on HIV care delivery and outcomes.
  • Explain the difference and similarities between poverty and homelessness
  • List common health issues associated with homelessness and the increased risk for contracting HIV
  • Identify the cycle of chronic homelessness and its impact on the care of an HIV positive patient
  • Describe the approach to care and the struggles associated with retaining a homeless HIV patient in care

CC 103 - Barriers and Facilitators for Engaging Latinx in HIV services

Objectives: 

  • Identity, demographics, and diversity.
  • What’s up with the X in Latinx?
  • Successes and challenges engaging Latinx.
  • Building trust with your Latinx clients.
  • Creating a culturally competent organization that Latinx would want to attend.

CC 104 - Caring for the Transgender Patient

Objectives: 

  • Be familiar with terminology when discussing transgendered individuals.
  • Know the epidemiology of transgendered persons.
  • Be acquainted with basic health maintenance issues for this population.
  • Familiarize yourself with basics re: hormone therapy and surgical options.

 

 

Resources

SEPTEP Goals

  • Implement Opt-out Testing
  • Establish Linkages to HIV Care
  • Create a Stigma-Free Clinical Setting
  • Apply Culture Change Leadership
  • Integrate Sexual History Taking Into Visits
  • Offer PrEP to Patients at Risk