Southeast Mississippi Rural Health Initiative, Inc. (SeMRHI)

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HATTIESBURG FAMILY HEALTH CENTER

66 OLD AIRPORT ROAD, HATTIESBURG, MS

2 ND LARGEST PROVIDER OF HIV CARE IN

STATE; 725 PLWHA SERVED SINCE 1/2013

Mission: To provide access to affordable quality primary and preventive health care to our

Communities in a patient centered, safe, compassionate environment.

Originated out of a recommendation by the HIV QMI on June 6,

2012 to increase the efficiency of clinic flow for new patients

Started project in August 2012 to eliminate 2 nd initial visit

Goal-75% of patients to complete initial enrollment/labs visit prior st visit within 2 weeks of initial visit and to initiate HAART and/or OI prophylaxis on the to 1 office visit

Benefits-Familiarity of clinic location, staff and clinic flow, initial rapport building, decrease wait time for the initial visit, lab results/HAART initiation and /or OI prophylaxis when warranted on initial visit and eliminate a 2 nd visit to start HAART/review of labs

Barriers-lack and/or limited transportation, work schedules, inability to contact patient or too ill to keep scheduled appointment

Used PDSA model for improvement

Improvement in the time of initiation of

HAART/OI prophylaxis of new patients

Improvement in data collection and reporting

Improvement in communication among the health care disciplines

Extended lab hours and added transportation shuttle service to help eliminate barriers

August 2012-December

2012

19

(73%)

26

January-May 2013

New

Patients

Scheduled

Kept Lab/

Enrollmen t Appt

13

(62%)

21

New

Patients

Scheduled

Kept Lab/

Enrollment

Appt

Will continue this project until August 2013 to reach goal

Will continue to work with patients to improve adherence to initial enrollment/labs visit

Staff, HIV QMI committee and administration had strong buy-in for project

Will also monitor those newly diagnosed patients from August to present for retention in care

Will continue to improve on eliminating barriers to keep initial enrollment/labs visit

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