Pre Exposure Prophylaxis ( Prep ) Use

Many healthcare organizations set goals and objections and write mission statements that reflect the way they want the public to see how healthcare is provided. This is done to guide how their healthcare providers practice daily. In order to meet these goals and objects it is necessary to have in place processes and procedures to ensure the results will be what is expected which is a positive patient experience and outcome. In order for our organization to reach this goal there is a coaching and execution package that will provide step-by-step processes and procedures to ensure that everyone is doing the same thing at the same time

If your practice has been struggling to improve patient outcomes, smooth clinical workflows and streamline your revenue cycle, here are more ways better clinical

The possibility of sexually transmitted diseases and infections poses a huge risk to all those who are sexually active. Without proper diagnosis and treatment, STDs and STIs such as Chlamydia, Gonorrhea, HIV/Aids, and HPV may leave permanent damage to one’s body and increase the likeliness of cervical cancer, infertility, ectopic pregnancy, and more. Planned Parenthood offers extensive testing for patients upon every visit to decrease the spread and damage of any and all diseases. According to Sonfield’s research, “Nearly half of female family planning clients receive chlamydia and gonorrhea tests, and 19% receive an HIV test… Without access to these services, in 2010, an estimated 3.6 million women and men would have forgone chlamydia or gonorrhea testing, which would have resulted in tens of thousands of undetected and untreated STIs. By reducing transmission to partners, these testing services helped prevent an estimated 99,000 chlamydia infections, 16,000 gonorrhea infections and 410 HIV infections that year” (Sonfield). The great amount of transferable diseases requires the counteractive services of Planned Parenthood to provide treatment and prevent the further spread of disease. Patients are offered and encouraged to receive testing to maintain sexual health. In the event of an issue, full treatment options are presented at low or no cost and

Each department works together to create a smooth streamline transition for every patient. The employees, from customer service to administration to physicians, work on the same level with one another and share in the passion of treating and healing their patients. The employees continue their focus of their patients to the patient’s family as well.

Emails and phone calls are often overlooked due to busy schedules. We have found if we take the extra step and make personal visits we are able to assist them with issues and or changes in the clinic that may arise and to provide them with tools and resources. Staff turnover will continue to be an issue, but we continue to work hard at developing good relationships and offer re-trainings as needed.

Acclimating the hospital workflow to the clinic environment can be like fitting a square peg into a round hole. The high volume, high velocity clinic environment is unique from the hospital environment, pushing IDNs to find a solution that can meet the distinct ambulatory demands while still integrating with the hospital system. Each specialty clinic has unique needs and complexities — multiple locations, a wide range of diagnoses and treatment protocols — that demand independent workflows. At the same time, each clinic must be integrated into the whole for communication across the continuum of care.

Today we will discuss what clinical flow sheets are and the purpose of utilizing them in the health care industry. We will also cover the importance of the problem list for documenting symptoms of patients and anything else that may be relevant to their current condition. Studies show that pictures have been far more effective when it comes to explaining minor details or even workflow than just written outlines of the steps taken to accomplish task in the health care industry. I like this concept because it is a good way to monitor the work ethics of a health care facility that can be examined by the board of health industries.ra

I understand where you are coming from, but the science has advanced so much since then. First, the only safe sex and no sex. Condoms are highly effective in preventing infection, but it is also not fail proof. Second, I think PrEP must be looked in the context of harm reduction. According to the Centers for Disease Control and Prevention, there are almost 50,000 people who contract HIV a year. They also estimate that there are about 1.2 million people in the U.S. living with HIV/ADS and of those, about 14% do not know they are infected. PrEP presents a very real chance we could halt the epidemic in our

Many system and caregivers begin to be disconnected from the main campus and their leadership. Simple issues, such as time differences, can create barriers to the inclusion of each piece of the system. Control can be limited by time and space, creating issues with ensuring processes and procedures are met for every patient. The high cost of healthcare is a weakness the Cleveland Clinic shares with every other health system in operation.

This healthcare is documented meticulously and examined scrupulously. Data from the care given is extracted, gathered, and computed. These statistical analyses are interpreted. Trends are identified, and action plans are assembled.

Building upon the knowledge gained in its previous attempts, over the next several years, IHC went about creating the infrastructure necessary to support such a model. IHC reorganized its management teams to include “a clinical administrative structure to be the clinical counterpart of the administrative structure at each level of the organization” (Bohmer, 2002). Guidance Councils (consisting of a physician leader and nurse manager) were formed for each clinical program and were responsible for coordinating program goals, management strategies and data collection across the system. Within the Guidance Councils were interdisciplinary Development Teams who identified “the key work processes and medical conditions for which protocols should be developed”, then created, implemented and refined said protocols (Bohmer, 2002). This was made possible by engaging practicing physicians (who were wisely reimbursed for their time) in the process, which gave them both the direct experience of the systems they created (be it paper or computer) and a provided feedback loop within the clinical community. Furthermore, IHC created a culture around process improvement, organizing “everything around value-added (front line) work processes” while offering “extensive training in clinical process improvement” as well as operational process improvement (Clark, 2010).

The clinic manager’s role in this process change will be to educate the staff on the importance of this change and why this change needs to happen. The manager will also be responsible for monitoring staff engagement and if the patients are receiving this education. The manager is the one who has the power to get this project off the ground. The manager’s interest in the change is to increase the clinics patient satisfaction and to ensure that the patients are educated. The manager will be the person responsible for maintaining the information on the Internet with the clinic-specific information.

The complete process required thinking, planning and organizing. Once these steps are completed, the program gets easier to manage. I think that this program allows me to learn and create care procedures for the future to complete my patient care on a timely basis.

“Pre-exposure prophylaxis (PrEP) for HIV prevention is a promising experimental approach currently being tested globally. A number of PrEP trials are evaluating the safety and effectiveness of PrEP in men who have sex with men (MSM) and other populations at risk for HIV, and results will be available from this first generation of efficacy trials over the next few years. Here we review the rationale for orally-administered antiretrovirals for prevention, and outline issues the first generation trials will address as well as questions that may be addressed in future studies. We also describe the rationale for combination prevention approaches that may combine PrEP with other prevention modalities as part of a larger prevention package” (Buchbinder and Liu, 2011).

Pre-exposure prophylaxis (PrEP) consists in the use of oral ART (either tenofovir alone, TFV, or in association with emtricibine, TFV/FTC) or topical vaginal TFV gel to prevent HIV transmission. This intervention was initially proposed following previous research that showed ART as an effective way to prevent transmission (i.e. prevention of mother-to-child-transmission, MTCT, treatment as prevention strategy, TaP, and in the context of post-exposure prophylaxis, PEP) (1, 6). Since 2012, following the results of RCTs showing PrEP to be efficacious against HIV transmission in different settings were, both the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) have issue recommendations for its use on populations at increase risk for HIV infection. In this paper, I will discuss the scientific evidence on PrEP and particularities of its use among transgender women.