STAFF INTRODUTIONS Director of Virology Jessica Khan MD Coordinator II Jan Johns Medically Focused HIV Discharge Planners Marie Shaffner Ashlee Hall PROGRAM OVERVIEW Our program began in 2007 when Dr David Parr the director of the Virology Department at that time recognized a n ID: 1026774
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1. UTMB/CMC MEDICALLY FOCUSED HIV DISCHARGE PLANNING
2. STAFF INTRODUTIONS Director of VirologyJessica Khan, MDCoordinator IIJan Johns Medically Focused HIV Discharge Planners Marie Shaffner Ashlee Hall
3. PROGRAM OVERVIEW Our program began in 2007 when Dr. David Parr the director of the Virology Department at that time recognized a need for HIV discharge planning for positive patient/offenders releasing from TDCJ. Our contract started with DSHS MAI program in 2010. In 2011 TDCJ/TCOOMMI joined us taking over the transitional (ADAP application, First medical appointment) part of the program. UTMB/CMC continues to take care of the medical part. As Medically Focused discharge planners we strive to help our patient’s release back into the free-world as their own best healthcare advocates. We will continue to empower them with the knowledge they will need to maintain a healthy lifestyle and the ability to recognize and reduce their risky behavior post-release.
4. HIV Medication Certification Form Requested by TCOOMMIChart reviews are required for each MC requested.Included in each review:Is patient followed by INFDS?Is ART a complete regimen?Is viral load Not Detectable prior to discharge? Is prophylaxis needed for a CD-4 count under 200.This process can be labor intensive. Once the med cert is completed it is faxed to the Physician Specialist for review and signature. The MC is then faxed to TCOOMMI. The med cert is used both by UTMB and TCOOMMI at our scheduled HIV discharge planning sessions.
5. Education - HIV HEALTHHIV disease process Modes of transmission Explain labs – CD-4 and Viral LoadSafe Sex- ABC strategy a) Abstinence, b) Being faithful to one partner, c) CONDOM USE . Talk about their ART medications , compliance, missed doses, and side effects.Opportunistic Infections HEP-C and HEP-B co infections Remind how and when to activate their ADAP applications.
6. Risk Profile Assessed Assess risk profile of patient/offender Previous sexual history Infectious disease history Substance abuse historyMental health history RELEASED (NOW WHAT)Basic needsHousing Transportation EmploymentSupport System
7. Risk Reduction PlanWe help the patient establish a personal risk reduction plan to reduce risks of:Drug/alcohol relapseNew diagnosis of STI/Strain of HIV Returning to TDCJ The plan should be realistic yet challenging, and should address the specific behaviors identified by the patient during the risk assessment phase of the session. It should also remind them to never get to:HUNGRYANGRY LONELY TIREDHALT can serve as a reminder that they need to take care of their basicNeeds everyday.
8. CONCLUSION This presentation is a brief summary of how UTMB/CMC fits into the MAI program. Our role in the program has changed over the years, but we continue to make each day/session with the patient count! Are there any questions?