On June 27, 2017, the grant recipients of the Special Projects of National Significance (SPNS) funded initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations convened a day-long meeting to present results to staff from the U.S. Department of Housing and Urban Development (HUD), Health Resources & Services Administration (HRSA), and Substance Abuse and Mental Health Services Administration (SAMHSA). They presented the strategies that collectively led to more than 1,300 people nationwide being served over the five-year initiative.
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2017 BPHC Report: Assessment of HIV Service Needs in the Boston Eligible Metropolitan Area
The Boston Public Health Commission (BPHC) Planning Council partnered with the Center for Advancing Health Policy and Practice for the 2017 Needs Assessment report. The goal was to identify barriers that prevent people living with HIV, both in and out of care, from receiving needed services, engaging in care, and/or adhering to medication regimens.
Webinar: Using Community Health Workers to Improve Linkage and Retention in HIV Care
During this interactive webinar course, the first in a series and presented on July 27, 2017, participants learn why community health workers (CHWs) could be key to reducing barriers to care faced by underserved and hard-to-reach populations, specifically in HIV systems. The course defines the role of CHWs, how they are integrated into health care teams, and how they function as an integral part of the health care system. Experts share real-world illustrative examples of CHWs working in HIV care. Participants learn about building—and expanding—internal capacity for CHWs.
View the video and access webinar slides below.
HRSA Meeting Posters for the SPNS initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
For a HRSA meeting on June 27, 2017, each SPNS demonstration site created a poster presentation outlining the model that was developed as part of the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations. Each poster includes findings, successes and challenges and next steps.
Client story videos from the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
The nine sites that participated in the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations created videos to show how their model of care improved the health and well-being of clients who were living with HIV and experiencing homelessness.
Medical Home SPNS demonstration sites: one-page overview
We have created a one-page overview of the medical home model used in the initiative Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations, both for the initiative overall and for each individual site.
PubMed article: Role of Patient Navigators in Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
Through interviews and focus groups, clinic and program staff from nine organizations nationwide provided insights about the role of patient navigators in building a medical home for people living with HIV who are homeless/unstably housed and co-diagnosed with substance use and/or mental health disorders. Results of this qualitative research are presented in this peer-reviewed article which will be published in the Journal of Public Health Management Practice and is available online ahead of print publication. Researchers identified ten key responsibilities of patient navigators as part of the HIV care team that seeks to engage this population in care and treatment. The article concludes that patient navigators may be a key component in creating an effective patient-centered medical home for this population.
HIV/AIDS Medical Case Management Acuity Tool Form and Evaluation Report
In 2014, the Massachusetts Department of Public Health (MDPH) and Boston Public Health Commission (BPHC) launched a project to develop an acuity tool to assess the severity of needs of clients living with HIV. The CAHPP team worked with MDPH and BPHC staff to create an acuity tool that assesses client needs in 13 areas of functioning and four categories of severity. The CAHPP team conducted a pilot test of the tool with medical case management providers in 38 agencies across MA and NH and evaluated the results. A link to the tool and final evaluation report appears below. The report provided MDPH Office of HIV/AIDS with the credibility and information to talk with providers about necessary modifications and finalize the tool for dissemination in HIV CM programs. The MDPH Office of HIV/AIDS has required the use of the acuity tool in funded case management programs. It has also been used to assess the acuity of patients in other organizations throughout the country.
To request an Excel version of the report and sample of the guidance provided by MDPH on the use of the tool, please fill out our contact form with a subject line “Acuity tool and guidance.”
Ryan White 2016 Presentation: Implementing and Evaluating a Peer-Enhanced Navigation Intervention
Results from a randomized control trial–As part of the Minority AIDS Initiative Retention and Re-Engagement in HIV Care Project, CAHPP staff evaluated the effectiveness of a peer-enhanced intervention at three clinic locations. They presented their findings at the Ryan White 2016 conference. Staff from partner Brooklyn PATH Center presented about their experience implementing the intervention and incorporating it into their clinic practice.
Ryan White 2016 Conference Presentation: Moving Research Findings into Practice to Improve Health Outcomes along the HIV Care Continuum
Staff from CAHPP and partner AIDS United shared results to date of the Dissemination and Evaluation Center (DEC) in a presentation at the Ryan White 2016 Conference.