Ryan White 2012 Grantee Meeting

The Positive Health Clinic at West Virginia University has been proactive in making sure quality measures are consistently evaluated, especially the HIV viral load on patients on antiretroviral therapy. Since 2004 biweekly patient care meetings have been held, with multidisciplinary participation including representation from Ryan White Part B and the AETC. Patients seen the week prior are systematically discussed. Treatment regimens and lab values are reviewed with opportunities to optimize care identified by any one of the team members. Input is given by all regarding adherence, prevention, referrals, housing, and financial situations, as well as mental health and substance abuse. Annually, physicians are provided a comparative scorecard. Patients with detectable viral loads are highlighted and discussed further for intervention opportunities. This has become quite popular and physicians will often “compete” to have the highest proportion of patients undetectable.

Learning Objectives:

• This session will review the significance and importance of an undetectable viral load as the ultimate HIV quality measure.
• Discuss approaches to providing continuing HIV education through the weekly patient care conference.
• Create healthy competition to maximize the proportion of patients undetectable through provider feedback at an annual patient care conference.