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.”

5 comments:

Mad Doctor said...

Thought UMMC already cured HIV?

Anonymous said...

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

Anonymous said...

@10:58
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 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.

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This is definitely a Beaver production.


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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.

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