480. Use of an Outreach Coordinator to Reengage and Retain Patients at Risk of Falling Out of HIV Care, Does the Amount of Time Matter?
Session: Poster Abstract Session: HIV Care Continuum
Thursday, October 27, 2016
Room: Poster Hall
Posters
  • Reegagement Time Poster 2016.10.04 FINAL.pdf (170.9 kB)
  • Background: Retention in care is important in the HIV continuum of care. The purpose of this project was to determine if early intervention by an outreach coordinator improves retention in patients at risk of falling out of care.

    Methods: Patients were included if they were at risk of falling out of care, defined as having a no show to an HIV clinic visit in 2015 and having received an intervention by the outreach coordinator. Interventions included phone calls or letters for visit reminders, outreach, or missed visit follow-up. Time for each intervention was calculated in minutes, recorded in 15 minute increments. Retention in care was defined by the HRSA definition (2 visits to an HIV provider 90 days apart).

    Results: Out of 1242 patients, 61 (5%) patients were at risk of falling out of care in 2015. The mean age was 39.5 years (range 22 to 62). Thirty-four (56%) were male and 49 (80%) were African-American. The median was 2 missed visits in 2015 (range 1 to 5). Sixty patients (98%) received a phone intervention, and most patients received a call for outreach (89%) although some also received calls for visit reminders (26%) and missed visit follow-up (7%). Thirty three (54%) received a letter intervention. Fifty (82%) had a visit in 2015, 22 (36%) met the HRSA definition in 2015. The mean time per patient was 63 minutes (median 45 minutes), ranging from 15 to 435 minutes. The mean time per patient without a visit in 2015 was 78 minutes and 60 minutes per patient with a visit in 2015 (p=0.09). The mean time per retained patient was 65 minutes and 62 minutes for those not meeting the HRSA definition (p=0.07). Outcomes by time intervals are displayed in Table 1, no significant differences were found.

    Conclusion: Outreach to at risk patients required substantial time, but the amount of time did not vary significantly among those with or without a visit or patients who did or did not meet the HRSA retention in care measure. Less intervention time trended towards higher retention rates but likely reflects a decreased need for interventions upon reengagement.

    Table 1

    Amount of time

    Any Visit in 2015 (p=0.06)

    Retained in Care in 2015 (p=0.16)

    1 to 30 minutes (n=15)

    14 (93%)

    9 (60%)

    31 to 60 minutes (n=27)

    20 (74%)

    7 (27%)

    61 minutes to 2 hours (n=15)

    14 (93%)

    5 (33%)

    Greater than 2 hours (n=4)

    2 (50%)

    1 (25%)

    Madelyne Bean, PharmD1, Linda Scott, LPC2 and Lauren Richey, MD, MPH1, (1)Infectious Diseases, Medical University of South Carolina, Charleston, SC, (2)Medical University of South Carolina, Charleston, SC

    Disclosures:

    M. Bean, None

    L. Scott, None

    L. Richey, None

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