HIV Practice Transformation Project

HIV Practice Transformation Project

Overview

MATEC has partnered with clinics across the region for over nine years through the HIV Practice Transformation project to expand, improve, and increase the efficiency, comprehensiveness and quality of HIV care to improve patient outcomes along the HIV care continuum by integrating principles of the patient-centered medical home model and integrated HIV care and behavioral health services. MATEC was awarded a grant by the Health Resources and Services Administration (HRSA) in July 2024 to continue offering this partnership within the region for five more years.

Practice transformation refers to a process of change in the organization and delivery of primary care to advance quality improvement, patient-centered care, and characteristics of high performing primary care. The PT process involves goal-setting, leadership, practice facilitation, workflow changes, quality improvement and outcomes measurement, and adapting organizational tools and processes to support advances in models of team-based care.

MATEC’s approach to PT focuses on fundamental systems change for clinics, understanding that the highest quality and most effective care for PWH involves all parts of their care setting. This approach will be integrated into how MATEC assesses needs, establishes goals, develops and executes training plans, and evaluates program effectiveness. PT will focus on increasing the capability of clinics to implement system-level changes and enhance clinical practice surrounding HIV prevention and care.

PT clinics will receive coaching to improve HIV prevention and/or care services. Each clinic is assigned a PT coach to work closely with you throughout the project. Clinics will be a part of the Midwest region PT learning collaborative (LC) cohort to network and learn from each other, MATEC staff, and subject matter experts. PT sites will have access to the most up-to-date HIV information, resources, and training opportunities.

Activities

Our practice transformation approach includes:

• Supporting improvement in HIV primary care practices that build organizational capacity for continuous improvement
• Providing a specially trained PT Coach who will work with your clinic to make meaningful changes designed to improve patients’ HIV prevention and care outcomes
• Engaging you and other clinics in learning collaboratives to share best practices and learning opportunities with your peers
• Leveraging data collection tools and resources to integrate into practice and achieve quality improvement goals
• Offering training and technical assistance with subject matter experts to support achieving improved patient care outcomes and experiences
• Linking you to community resources and evidence-based practices that can be used by care and quality staff to support systems-level improvement

Promising clinic partners include Health Centers receiving Public Health Service Act Section 330 funding, Ryan White-Funded Health Care Delivery Sites, and IHS and Tribal Health Care Facilities that would like to improve systems and processes that impact patient care outcomes in HIV care and prevention. Clinics will:

• Commit to a long-term partnership lasting up to five years
• Complete grant required assessments
• Share data on an ongoing basis to monitor progress of priority goals
• Participate in quarterly PT Learning Collaboratives
• Create goals and action plans
• Be encouraged to reach for expanded/improved HIV services provided through a patient-centered primary care model

Resources

• 2024-2029 PT Recruitment Flyer
• Developing and implementing HIV Policies and Procedures in Primary Care Settings Toolkit - The Midwest Aids Training + Education Center (MATEC) Toolkit for Developing and Implementing HIV Policies and Procedures in Primary Care Settings was primarily created to assist clinical sites with their efforts to develop, implement, and update HIV P&P in alignment with the National HIV/AIDS Strategy and the HIV care continuum. The toolkit was developed to serve as a practical guide to reduce the time and resource burdens associated with developing P&P. It provides checklists, templates, and resources, as well as sample HIV P&P. Throughout the toolkit, the experience and thoughts of clinicians and other experts are also included with quotes, reflections, and tips.  PT Toolkit link.

• 2019-2024 Practice Transformation Case Studies
  • Corktown, Detroit, MI – HEI Certification
  • Eskenazi, Indianapolis, IN – Cervical Cancer Screening
  • Native American Community Clinic, Minneapolis, MN – Starting HIV Care & Part B Services
  • Primary Health Care, Des Moines, IA – P&P Part C Manual
  • Sixteenth Street Community Health Center, Milwaukee, WI – HIV Screening
• 2019-2024 Practice Transformation Clinic Summaries
  • Corktown Health Center in Detroit, MI
  • Eskenazi Infectious Disease Clinic in Indianapolis, IN
  • Esperanza Health Centers in Chicago, IL
  • Heartland Community Health Center in Lawrence, KS
  • McMicken Integrated Care Clinic (NeighborHub Health) in Cincinnati, OH
  • Native American Community Clinic in Minneapolis, MN
  • Primary Health Care in Des Moines, IA
  • Sixteenth Street Community Health Center in Milwaukee, WI
  • Virbrant Health in Kansas City, KS
  • Western Wayne Family Health Centers in Inkster, MI

Contact

For more information about this project and opportunities to get involved, contact Kathryn Burklund, Regional Coordinator, at kburklun@umn.edu.