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Data, Delivery, and Decisions as Levers forEnhancing Whole-Person Care for PeopleLiving with HIV: Lessons From the Ruth M.Rothstein CORE CenterWebinar conducted by:National Academy for State Health Policy (NASHP) and HealthHIVThursday, January 26th, 20173:00pm - 4:00pm ET
HealthHIV Core CapabilitiesCapacity BuildingHealth ServicesResearch & EvaluationAdvocacyEducation & Training Diverse staff of professionals with HIV, HCV, and LGBT clinical, global,cultural competency, prevention, and other experience – particularlywithin LGBT and other underserved communities Numerous strategic partnerships with national and local organizations(non-profit, clinical, behavioral, political, and technological)
HealthHIV CBA calAssistance 2016 HealthHIVHealthDepartmentCapacityBuildingHealth ention inCare InstitutePatientCenteredHIV CareModelMunicipalLeadershipCapacityBuilding
Approach of Three D HIV Prevention Program Facilitate community infrastructure development and systemscoordination to ensure sustainability of HIV services Expand care team integration through partnershipdevelopment to include non-clinical HIV prevention partners Demonstrate cost effectiveness and outcomes monitoring ofprograms to maximize strengths and efficiencies and impacthealth outcomes Promote workforce development, including training the nextgeneration of leaders in HIV prevention
Available for DownloadFollowing the webinar today: PPT Slide Deck Webinar Recording Q&Awww.HealthHIV.org/resources/webinars
Instant Polling & Chat Box Multiple Choice Polling Chat Box
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SpeakerIntroduc/ons hHIV ChiaraCorso,ResearchAnalyst,NASHP yHealth&HospitalsSystem ORECenter,CookCountyHealth&HospitalsSystem tmentofPublicHealth8
Introduc/ontoNASHP:Whoarewe? 29yearoldnon- ‐profit,non- ‐par/sanorganiza/on handhealthcareissues AcademyMembers: Peer- ‐selectedgroupofstatehealthpolicyleaders Commitmenttoiden/fyneedsandguidework OfficesinPortland,MaineandWashington,DC9
NASHPCaseStudy WhydidwefocusontheRuthM.RothsteinCORECenter? ,000HIV- ‐posi/vepa/ents Successful,culturally- ‐competent“one- /on- ‐specificservices roup Data,DeliveryandDecisionsattheCORECenter Releaseofcasestudy10
THE RUTH M. ROTHSTEINCORE CENTERCarmen Sanchez, Women’s Correctional HealthServices AdministratorRebecca Goldberg, Nurse Clinician
THE RUTH M. ROTHSTEIN CORE CENTER2020 W. HARRISON AVENUECHICAGO, ILLINOIS 60612
THE RUTH M. ROTHSTEIN CORECENTER Openedin 1998 as The CORE Center Foundedby the Cook County Bureau of HealthServices and Rush University to house the CookCounty HIV Primary Care Center (1982) AND THECook County Women & Children’s HIV Program(1988) Operatedby and a part of the Cook CountyHealth & Hospitals System Renamed2009The Ruth M. Rothstein CORE Center in
MISSION STATEMENTThe mission of the Ruth M. Rothstein CORE Center is toprovide the highest quality care for persons affected byinfectious diseases with respect, dignity, andcompassion, without regard to the ability to pay, ensurea patient-centered and consumer-guided environmentand to seek to better understand and to prevent thesediseases through education and research.
RUTH M. ROTHSTEIN CORECENTER Oneof the five largest HIV clinics in the United States Provided17,724 primary care visits to 4,349 PLWA/HIV* Provided13,630 Specialty Care visits* Provided11,308 Sexually Transmitted Infection Clinicvisits* Provided50,000 HIV tests through routine opt-outtesting in Stroger Hospital and selected FantusOutpatient Clinics*FY 2016
DELIVERY SYSTEM: COMPREHENSIVEPRIMARY MEDICAL, SUBSPECIALTY, &SUPPORTIVE SERVICES Medical Services include Adult & Women Primary Care, OB/Gyne,Pediatrics, Adolescent Medicine, Hematology/Oncology, InfectiousDisease Consults, Neurology, Nephrology, Infusion Therapy, Dental/OralHealth, Hepatitis B & C, Psychiatry, Clinical Pharmacists, NutritionCounseling Supportive Services include Medical and Supportive Case Management,Mental Health Counseling, Chemical Dependency Counseling Benefits Services include eligibility determination & assistance,Corrections Outreach & Linkage to Care, Legal Services (AIDS LegalCouncil of Chicago), Social Security counseling (Social SecurityAdministration), Prevention & Education Services, access to Research Other Population-specific Clinics: Continuity of Care;HEAT with PrEP Clinic
Funding Streams§ Total operating budget isapproximately 20 M§ CCHHS provides justover half of CORE’soperating budget§ Most federal support isfrom the Ryan Whiteprogram
DATA INFRASTRUCTURE ANDSHARING Cerner(EMR) CAREWareCerner PROViDEreceives relevant information from/Illinois Department of Public Health WebCM-IllinoisDepartment of Rehabilitation
PROGRAMMATIC DECISIONS PeerEducators and Peer Support Socialservices (e.g. Benefits Assistance, etc.) SpecialtyServices PreP Workingwith outside entities (Child Welfare, SocialSecurity, Legal Assistance, Midwest AIDS and EducationCenter and AIDS Foundation of Chicago) CostEffective initiatives (Trainings, mentoring withstudents etc.)
CLOSING THOUGHTS Lessonslearned (offer to other health systems, other states) Multidisciplinary SharingApproach to Medical CareInformation both internally and externally EducationalApproach both internally and externally(Nursing, Peers, Social Workers, Public Health Workers andMedical staff)
CONTACT INFORMATIONCarmen Sanchez,Csanchez@cookcountyhhs.orgRebecca Goldberg,RGoldberg@cookcountyhhs.org
Ruth M. Rothstein CORE Center:A Model of ExcellenceEduardo Alvarado, MPH, MPAPChief, HIV/AIDS SectionIllinois Department of Public HealthJanuary 26, 2017
Welcome nois’responsetotheEpidemic AnnualNumberofClientsServedinIllinois:– 200,000clientsservedthroughPreven/veSvcs– 8,500clientsreceiveRW,ADAPorCHICSvcs LongStandingPartnerofCCHHSandCORE
ningGroup
IDPHHIV/AIDSSecBonFunding
StateoftheState �� Grants(GATA)– Procurement– Hiring/CMSGrading
CORE:AModelofExcellence PioneerinChicago’sHIV/AIDSLandscape ntyCare(Pre- ultMedicineClinic(AYAC) SameGenderLovingAYACClinic– PrEPChampionandNaviga/on– ExpandedHCVTreatment– PeerEducatorProgram––––
CORE:AModelofExcellence rchanddata- eAbuseServices y(ChicagoandILState)CommunityAdvisoryBoard
FutureOpportuniBes DrivenCare DSCareneeds CMS- ‐MedicaidAffinityGroup RyanWhite&MedicaidStandardsofCare IllinoisGehngtoZero&PrEPExpansion OpioidEpidemic
llinois.gov
DiscussionPleaseusethewebchattoaskques/ons!31
Wrap- ‐Up32
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Provided 11,308 Sexually Transmitted Infection Clinic visits* ! Provided 50,000 HIV tests through routine opt-out testing in Stroger Hospital and selected Fantus Outpatient Clinics *FY 2016 . DELIVERY SYSTEM: COMPREHENSIVE PRIMARY MEDICAL, SUBSPECIALTY, & SUPPORTIVE SERVICES ! Medical Services include Adult & Women Primary Care, OB/Gyne, Pediatrics, Adolescent Medicine,
