ANCHOR: A Novel Care Home, Optimizing Retention
Creators: name: University Of California Office Of The President
Publisher: name: University of California Office of the President
publisherIdentifier: https://ror.org/00dmfq477
publisherIdentifierScheme: ROR
Year: 2024

description: PROPOSAL ABSTRACT Project description: ANCHOR: A Novel Care Home Optimizing Retention is a demonstration project to develop a high quality medical home targeting patients living with HIV. The active pilot will aim to deliver safe, effective, patient centered, timely, and equitable quality health care through a 36 month collaborative between the University of California, San Diego and the University of California, San Francisco funded between September 1, 2010 and August 31, 2013. Definition of a Medical Home: What is a Medical Home? A response may invite differing answers to a diverse community of health providers. But, home is where the heart is, a place where the doctor coordinating care serves to hinge supportive services, communicate with patients, make medical records available and transparent, coordinate key community service providers and improve patient health literacy. A need for engagement: National data has reflected that as many as 50% of patients who are aware of their HIV status are not actively engaged in routine care. Active and regular engagement in care has been demonstrated to impact adherence to medications, immunological response and ultimately health outcomes including risk for death. Qualitative interviews have highlighted the importance of trust, interpersonal relationships with providers and health literacy. Our vision for ANCHOR as navigation: Acknowledging the importance of people and relationships, that innovative ways bringing PEOPLE to PEOPLE the interactive and elastic bond between a patient and their providers is the true home. And, so this proposal to that regard is a proposal aimed at making a difference, absolutely, directly by creating an innovative means to support improved relationships with our patients. The tools are less important than the vision to bring the patient’s center of care to their viewpoint and let them direct care to their ability. Through relationship strengthening, improved communication, access to care, improved health literacy, the medical home will serve as a means to make patients feel that your personal doctor is truly involved in your care and serves to better your health with heart. Purpose: ANCHOR will use a multidimensional strategy: (1) improved engagement (2) improved health literacy and access to health information (3) technology enhancement (EHR and a web-portal) (4) improved communication through innovative encounters (telephone, texting, email, and e-visits) (5) streamlined care processes which minimize wait time and improve access (6) patient satisfaction measurements (survey, consumer board) (7) quality improvement processes (data validation, process delivery, active PDSA cycles, quality measures) (8) health outcomes measures and financial impact. Outcomes: ANCHOR will examine the impact of a patient centered medical home on retention, improved exchange of health information, increased service delivery, quality health measures/outcomes, enhanced service coordination, patient satisfaction, and cost savings/expenditures. We will show that patient directed service delivery is an attainable vision. We will share our success with local, state, and national organizations via conferences, lectures, publications, and direct trainings in order to direct widespread dissemination of the medical ANCHOR home.