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