Thursday, September 19, 2019

UMC Builds New HIV Model of Care

UMC issued the following press release authored by Ruth Cummins. 

Patients in the Jackson metro area need more than medical services to keep their HIV-positive status in check and their health the best it can be.

They need access to a clinic for things like the flu or an earache. They need counseling to help them remain free from the drug and alcohol addictions that often befall those who live with HIV, an infectious disease that, left untreated, is life threatening.
The 2,000-plus people living with HIV treated by the University of Mississippi Medical Center’s infectious diseases team need a long-term support system that makes getting health care less of a struggle. That’s especially true for the HIV-positive population, a group that might not have money for food or medicine, don’t have reliable transportation, lack child care, or are unemployed or financially insecure.
The Medical Center is getting a boost to help improve its delivery of HIV services while addressing everyday challenges that can keep those living with HIV from seeing a provider. UMMC is one of three program grantees supported through HIV Care Connect, a $7 million, five-year initiative established by the Merck Foundation to help reduce disparities in access to care and improve health outcomes for persons with HIV living in vulnerable and underserved Southeastern U.S. communities.
“In this day and age, a large number of people with HIV know that they are infected and know where they can get care, but they’re not getting it,” said Dr. Leandro Mena, professor and chair of the Department of Population Health Science in the John D. Bower School of Population Health.
“UMMC shares a significant responsibility to make sure that individuals living with HIV in Mississippi receive quality care,” said Mena, an infectious diseases professor in the School of Medicine who also directs UMMC’s Center for HIV/AIDS Research, Education and Policy.
“Health is determined by biological, genetic, social, economic, environmental and place-based factors,” said Dr. Bettina Beech, founding dean of the School of Population Health.
“The funding provided by Merck will help Dr. Mena and the Medical Center to address the full range of factors that impact health and health care and improve the health of Mississippians affected by HIV.”
 The Merck Foundation is providing funding to UMMC, Care Resource of Miami and Medical Advocacy and Outreach of Montgomery, Ala. The University of Alabama at Birmingham is serving as the national program office for HIV Care Connect, supporting efforts of the grantees and providing leadership in building a public-private partnership to help reduce HIV care disparities.
“We need to accelerate solutions that address the growing disparities in patients’ access to HIV care and health outcomes, and focus on communities that are most affected,” Dr. Julie Louise Gerberding, executive vice president and chief patient officer at Merck, said in a news release.
“Through HIV Care Connect, we are pleased to partner with the University of Mississippi Medical Center and help catalyze collaboration among organizations across the southeastern United States and improve care coordination among people most affected by HIV.”
More than half of those newly diagnosed with HIV live in the South, statistics from the Centers for Disease Control and Prevention show. About three quarters of them are people of color. In Mississippi, there were 428 new HIV diagnoses in 2017, latest statistics show.
A large percentage of Mississippi’s 10,000-plus residents living with HIV aren’t getting regular care for their disease, let alone primary care. HIV stigma continues to play a role, with some patients feeling shame or fear, or discomfort in going to an urgent care clinic or a health care facility in a small rural community.
“They may have had a bad prior experience with health care, and with that a lack of trust,” Mena said.
There is no judgment by UMMC caregivers.
In addition to the adult special care clinic for HIV-positive patients, directed by Dr. James B. Brock, the Medical Center’s Express Personal Health provides free HIV testing and same-day referrals to a HIV primary care provider for those testing positive. UMMC links HIV-negative patients with comprehensive services, including same-day access to PrEP, or pre-exposure prophylaxis. It's a pill that people at risk of becoming HIV positive take daily to greatly reduce their chance of infection.
And HIV-positive patients coping with substance abuse diseases can enroll in the “Helping HAND” program at the HIV clinic, receiving services ranging from referrals for detox or inpatient rehabilitation to medication-assisted treatment and mental health care.
The HIV Care Connect grant will allow UMMC to create a central point in Jackson for care coordination with other organizations, including a centralized data system. UMMC will co-locate a new low-barrier access clinic within Express Personal Health “so that no one will be left behind,” Mena said. “This will allow patients that have experienced difficulty engaging in care to receive individualized care so that they can be virally suppressed.”
If a patient must miss work in order to get care, the clinic could give the patient a half-day of lost wages. “It’s a financial incentive to mitigate the cost of being compliant,” Mena said. “We know many of our patients are poor.”
The clinic also could pay for transportation to appointments for those who don’t have a ride. Food barriers will be broken down with vouchers for groceries and referrals to food pantries. “We want to sit down with patients and understand why they haven’t been able to get care, and find out what it will take to get there,” Mena said.
“We meet people where they are,” Mena said. “Eighty-five percent of our HIV patients are virally suppressed, but another 15 percent aren’t. This program will focus on that 15 percent, and the 40 percent in Mississippi who are not.
“This grant allows us the opportunity to provide a model of differentiated care and to mitigate the barriers.”


Mad Doctor said...

Thought UMMC already cured HIV?

Anonymous said...

@10:58 am, I do not believe a cure exists.

Anonymous said...

I believe that was infants and newborns born to infected mothers. The disease is still spreading like wildfire in underserved and underprivileged neighborhoods.

Anonymous said...

This is such great news. So many people need help in this fight against HIV. Having a trusted place to go means more people will seek treatment. This will save many lives. Stigma is a terrible thing and people need a place to go for their medical needs without fear of rejection.

Anonymous said...

How 'bout we cut down on high-risk activity that is known to rapidly spread the disease... sorry to be all radical...but just a thought.

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Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).

Meet KIM Waaaaaade at the Entergy Tent. For five pesos, Kim will sell you a chance to win a deed to a crack house on Ridgeway Street stuffed in the Howard Industries pinata. Don't worry if the pinata is beaten to shreds, as Mr. Wade has Jose, Emmanuel, and Carlos, all illegal immigrants, available as replacements for the it. Upon leaving the Entergy tent, fig leaves will be available in case Entergy literally takes everything you have as part of its Trollfest ticket price adjustment charge.

Donna Ladd of The Jackson Free Press will give several classes on learning how to write. Smearing, writing without factchecking, and reporting only one side of a story will be covered. A donation to pay their taxes will be accepted and she will be signing copies of their former federal tax liens. Ms. Ladd will give a dramatic reading of her two award-winning essays (They received The Jackson Free Press "Best Of" awards.) "Why everything is always about me" and "Why I cover murders better than anyone else in Jackson".

In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.

In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.

Note: Security provided by INS.

Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

Note: Security provided by INS