HealthHIV Presents HIV Primary Care Plus at Alliance for Continuing Medical Education Annual Meeting
HealthHIV’s HIV Primary Care Plus Manager Jarret Cassaniti
and University of Wisconsin’s Andrew Urban MD presented at the Alliance for
Continuing Medical Education annual meeting on January 23, 2012. The presentation, titled Supporting the National HIV/AIDS Strategy through Performance Improvement CME: A
Collaborative Approach to Improving Patient Care reviewed the role of CME
in supporting the National AIDS Strategy and provided project results. HIV
Primary Care Plus program is a PI CME activity designed to support 15 primary
care clinics treating people living with HIV by integrating mentoring and
performance-measure based education into the clinic structure.
Click
here for the breakout abstract.
Free HIV Performance Improvement CME
for Primary Care Providers
Audience • Benefits • Design • Objectives • Accreditation • Enrollment Information
Many primary care providers beginning to manage patients with HIV disease are challenged with individualizing antiretroviral therapy based on recommended first-line regimens in combination with genotype results. Data from several national surveys reveal additional practice gaps in routine HIV testing of all patients, reproductive counseling and care for women with HIV disease and the effective use of newer ARV drugs.
HealthHIV, DIME and the University of Wisconsin School of Medicine and Public Health (UWSMPH) are recruiting physicians and their PA/NP colleagues in health clinics for a free CME-certified performance improvement activity that seeks to improve care for HIV infected patients in the following areas:
- HIV testing options for patients in all health-care settings
- Medical management of HIV treatment-naïve and treatment-experienced patients
- Counseling and care options for women with HIV who are of childbearing age
- Incorporating newer antiretroviral agents into clinical practice
To apply to participate in this activity, to contact HealthHIV.
Intended Audience
Primary care physicians involved in supporting an HIV positive person's care in medically underserved and racial and ethnic communities.
Examples of eligible providers by setting include:
- Federally Qualified Health Centers
- Hospitals
- Community or Migrant Health Centers
- Community and faith-based organizations
- Family Planning Clinics
- Ryan White Part C Clinic
Activity Benefits
- Hands on training and guidance on evidence-based guidelines, current treatment options and best practices from HealthHIV consultants for the duration of this activity.
- 20 AMA PRA Category 1 CreditsTM for each participating provider
Activity Design
The design of this Initiative is structured around the AMA's Performance Improvement CME model of Three Stages:
A. Learning from current practice performance assessment
B. Learning from the application of PI to patient care
C. Learning from the evaluation of the PI effort
Learning Objectives
Upon completion of this activity, participants will be able to demonstrate one or more of the following competencies:
1. HIV Testing options for patients in all health-care settings
- Summarize the major revisions from previously published CDC Guidelines for HIV Testing in Adults, Adolescents and Pregnant Women in health-care settings (2006).
- Describe the statutory rules/regulations that guide HIV testing in your specific state.
- Describe provider-patient dialogues that can facilitate patient acceptance of initial test for HIV in a health-care setting.
2. Medical management of HIV treatment-naïve and treatment-experienced patients.
- Formulate evidence-based decisions in antiretroviral treatment initiation that optimize efficacy and durability of therapy.
- Use resistance testing prior to ART regimen selection or regiment modification to improve long-term virologic response and treatment outcomes.
Implement recommended screening for TB, Hepatitis A, Hepatitis B, Hepatitis C, and syphilis. - Incorporate routine monitoring of metabolic parameters that can be affected by ARV therapy that include but are not limited to glucose, fasting lipids, AST/ALT and creatinine.
- Identify communication and clinical interventions that may need to be modified to be culturally relevant to African American and Hispanic patients.
- Recognize the impact of HIV on older persons and the associated implications for clinical practice.
3. Counseling and care options for women with HIV who are of childbearing age
- Explain the significance of STI testing, annual GYN exams and PAP tests for the HIV positive woman.
- Discuss antiretroviral treatment considerations in HIV-infected women to optimize efficacy, safety, and minimize treatment-related complications.
- Identify issues related to reproduction that can impact women with HIV disease.
- Discuss the updated (May, 2010) recommendations related to preconception counseling and care for HIV-infected women of childbearing age.
4. Incorporating new antiretroviral agents into clinical practice
- Describe the efficacy, safety, and clinical role of recently approved antiretroviral agents.
Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Wisconsin School of Medicine and Public Health, DIME, and HealthHIV. The University of Wisconsin School of Medicine and Public Health is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation
The University of Wisconsin School of Medicine and Public Health designates this PI CME activity for a maximum of 20 AMA PRA Category 1 Credit(s)TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Education Credits
The University of Wisconsin-Madison, as a member of the University Continuing Education Association (UCEA), authorizes this program for 2 continuing education units (CEUs) or 20 hours.
Elements of Competence
This CME activity has been designed to change knowledge, competence and performance, and focuses on the American Board of Medical Specialties areas of patient care, medical knowledge, practice-based learning and improvement, and systems-based practice.
Policy on Faculty and Sponsor Disclosure
It is the policy of the University of Wisconsin School of Medicine and Public Health that the faculty, authors, planners, and other persons who may influence content of this CME activity disclose all relevant financial relationships with commercial interests in order to allow CME staff to identify and resolve any potential conflicts of interest. Faculty must also disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation(s).
Enrollmet Information
Enrollment Begins: 11/8/10. Participants must be from a non-profit clinic with at least one physician who is willing to participate. To apply to participate in this activity, or for more information, to contact HealthHIV. Activity expires 12/31/12.
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