The François-Xavier Bagnoud (FXB) Center within the Rutgers School of Nursing and the University of California, San Francisco, Department of Family and Community Medicine, Center for Excellence in Primary Care (UCSF/CEPC) have collaborated to form the HIV Medical Homes Resource Center (HIV-MHRC), a Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) funded national training and technical assistance cooperative agreement. Building upon existing strengths of Ryan White HIV/AIDS Program grantees the HIV-MHRC provides an important resource to strengthen primary care for People Living with HIV/AIDS and to improve health care access and outcomes for a population of adults and children at significant risk for health disparities.
The overarching goal of the HIV-MHRC is to provide training, technical assistance and resources that support Ryan White HIV/AIDS Program grantees in understanding, developing and successfully applying to become recognized Patient-Centered Medical Homes (PCMH). The HIV-MHRC provides support to Ryan White grantees and service providers to:
A Patient-Centered Medical Home (PCMH) provides comprehensive care and assumes accountability for managing a patient’s physical and mental healthcare needs, including prevention, wellness, acute and chronic care. Care is coordinated across all elements of the healthcare system through effective communication at each juncture. Enhanced access to care is promoted through shorter waiting times for care needs, expanded office hours, around the clock telephone and electronic access and is committed to quality and safety. Specific characteristics of the PCMH are team based care led by a personal physician or other eligible clinician, physician/clinician directed practice, whole person orientation through the provision of primary health care, integrated/coordinated care, quality and safety, enhanced patient access, and payment to reflect the added value to patients.
Skills gained as a Ryan White grantee can support PCMH recognition, e.g. developing and implementing a quality management plan, using evidence-based practice, and care teams. Additionally becoming a PCMH:
The HIV-MHRC has been working with interested and ready Ryan White clinics since 2011. We have held regional strategic planning meeting with clinics throughout the US, developed a website resource repository, webinars on a number of topics, and working 1:1 with clinics and through a virtual learning community. The HIV-MHRC provides levels of ongoing TA and consultation for varying learning needs: