Dr. Peter Centre

Rapid Fire PresentationSeptember 26, 2012

Engagement in Care at the Dr. Peter Centre

“AHA” Moment

• At the “Spread Phase” for many of the measures and our data collection tools developed in the Collaborative

Collaborative Measures HIV Primary Care Visits

Additional DPC Measures ARV Adherence according to

Medication Administration Records [MAR]

Customized Qualitative Survey: IHI questions fit DPC

model Self-reported ARV

adherence Client-provider

engagement

ART uptake among those who unequivocally need it

Achieving maximal HIV virologic control

Patient experience

HIV Viral Load Test

“Hmmm” Moment

• Also had some moments of reflection in the last Action Period − How to sustain the improvements we developed in Dec 2010 - Mar 2012?

− How to maintain the accountability structure without monthly reporting, and other STOP projects going on?

“Hmmm” Moment

• Dips in the data— After months of continuous improvement on some measures, we plateaued, and in some cases, we

dipped— But, the dips reflect the challenging nature of the clientele

— The positive is that now we are measuring the dips

“Oh No” Moment

• Survey fatigue— After surveying our clients 4 times with the same survey in 12 months,

clients were not as engaged or interested in completing our survey

Moving Ahead

• The Survey – Changing the survey– Changing the way it’s administered

• Pilot another engagement measure