TY - JOUR
T1 - A Midwestern Academic HIV Clinic Operation during the COVID-19 Pandemic
T2 - Implementation Strategy and Preliminary Outcomes
AU - Fadul, Nada
AU - Regan, Nichole
AU - Kaddoura, Layan
AU - Swindells, Susan
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by grants from Health Resources and Services Administration (HRSA), Bureau of Primary Health Care 5H12HA24831-08-00 and Health Resources and Services Administration (HRSA), Bureau of Primary Health Care 5H76HA00529-20-00.
Publisher Copyright:
© The Author(s) 2021.
PY - 2021
Y1 - 2021
N2 - During the COVID-19 pandemic, HIV clinics had to transform care delivery for people with HIV (PWH). We developed a multifaceted telehealth implementation strategy and monitored number of out of care patients (OOC), medical visit frequency (MVF), gap in care (GiC) and viral suppression (VS), and compared measures to baseline data. Between April and October 2020, 1559 visits were scheduled; 328 (21%) were missed, and 63 (4%) were new to care. Of the remaining 1168 follow-up visits, 412 (35%) were telehealth visits. As of October 2020, there were 53 patients OOC, MVF was 55% and GiC was 24% compared to 34, 69% and 14% at baseline, respectively. Overall VS rate remained high at 93% (97% for telehealth and 91% for in-person visits, p = 0.0001). Our implementation strategy facilitated quick provision of telehealth to a third of PWH receiving care in our clinic. While MVF decreased and GiC increased, VS rates remained high.
AB - During the COVID-19 pandemic, HIV clinics had to transform care delivery for people with HIV (PWH). We developed a multifaceted telehealth implementation strategy and monitored number of out of care patients (OOC), medical visit frequency (MVF), gap in care (GiC) and viral suppression (VS), and compared measures to baseline data. Between April and October 2020, 1559 visits were scheduled; 328 (21%) were missed, and 63 (4%) were new to care. Of the remaining 1168 follow-up visits, 412 (35%) were telehealth visits. As of October 2020, there were 53 patients OOC, MVF was 55% and GiC was 24% compared to 34, 69% and 14% at baseline, respectively. Overall VS rate remained high at 93% (97% for telehealth and 91% for in-person visits, p = 0.0001). Our implementation strategy facilitated quick provision of telehealth to a third of PWH receiving care in our clinic. While MVF decreased and GiC increased, VS rates remained high.
KW - COVID-19 pandemic
KW - HIV
KW - implementation science
KW - telemedicine
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U2 - 10.1177/23259582211041423
DO - 10.1177/23259582211041423
M3 - Article
C2 - 34476989
AN - SCOPUS:85114314249
SN - 2325-9574
VL - 20
JO - Journal of the International Association of Providers of AIDS Care
JF - Journal of the International Association of Providers of AIDS Care
ER -