Swope Health Services

Fy 2021 Ending the Hiv Epidemic - Primary Care Hiv Prevention - Project Title: Swope Health Hiv Prevention in Primary Care Project Applicant Organization Name: Swope Health Services Grant # H80CS00599 Address: 3801 DR Martin Luther King JR BLVD, Kansas City, Mo 64130 Project Director Name: Jeron Ravin, JD President & Ceo Contact Phone Number: (816) 599-5550 Email: Jlravin@swopehealth.org Website Address: Www.swopehealth.org Funding Requested: CHC - $248,300 HCH - $ 76,700 Total: $325,000 Annually ($650,000) for Over 50 Years, Swope Health Services Has Delivered Primary Care Services to the Kansas City Metropolitan Area’s Low-income Population. Our Service Area Includes Four Missouri Counties (cass, Clay, Jackson, Platte) and Wyandotte County in Kansas. We Operate Five Fulltime Clinics in the Missouri Side of the Service Area and Two Fulltime Clinics in Kansas. the Kansas City Metropolitan Area Is a Transitional Grant Area. Testing: Swope Health Follows Usptf Guidelines and Employs Standing Orders to Screen All Patients Age 15 to 65 for Hiv as Part of Routine Preventive Screenings Using the Opt-out Method. Persons at Increased Risk Are Screened Annually. Our 2020 Uds Showed That 43% of Patients Had Been Tested for Hiv at Least Once, Including 1,495 Prenatal Patients. in This Project, We Propose to Increase the Number of Patients Tested for Hiv by Implementing Ongoing, Uniform Clinical Staff Training on Swope’s Opt-out Testing Policy and Procedures, With Scripting as Needed. Swope Health Has Experienced Significant Turnover During the COVID-19 Pandemic and All Clinical Support Staff Will Need Training/retraining. a Community Health Worker Will Follow Up With Patients That Decline Testing. Prep: We Propose to Increase the Number of Patients Prescribed Prep From One Patient in 2020 Through Enhanced Provider Training From Our Clinical Champions and Continuing Medical and Nursing Education Opportunities, Including Those From the Midwest Aids Education & Training Center. We Will Begin Linking Additional Patients That Would Benefit From Prep Through In-person and Telehealth Provider Consultations. a Hiv Nurse Care Manager Will Follow-up With All Prep Patients and Assure That They Access Medication Assistance Programs and Recommended Labs. Our Hepatitis C Nurse and Medicaid Health Home Nurses Will Assist the Nurse Care Manager, Along With Our Pharmacists. the CHW Will Assure That All Prep Patients Complete a Prapare Screening for Barriers to Following Through With Care. Treatment: Swope Health Now Provides Primary Care Services to 31 Hiv+ Patients, But We Refer All Newly Diagnosed Patients to Another FQHC, KC Care Health Center or Another Outside Facility, Which Has a Hiv Treatment Team. Patients Are Referred Through the Linkage to Care Program. Swope Diagnoses Less Than 10 New Hiv+ Patients Annually and Until 2020, 80% to 100% of Newly Diagnosed Patients Successfully Entered Treatment. a Swope Health Provider Is Completing a Fellowship to Become a Certified Hiv Care Provider Through the Midwest Aetc at KC Care, and We Intend to Become a Treatment Resource for Our Patients Living With Hiv. When Our 2021 Baseline Data Is Captured, We Will Set Goals on All Hiv Measures and Review Them Quarterly as Part of Our Annual Qi Plan. We Will Include Hiv Prevention Outcomes in Peer Reviews and Performance Assessments. We Also Plan to Promote the Availability of Hiv Testing, Prep and Medication Assistance Programs, and Ultimately Hiv Treatment Services on Our Website and Social Media.