The HIV Quality Improvement (QI) Network provides support and resources to an active community of HIV care providers across the province dedicated to achieving and sustaining quality improvement goals and providing the best possible experience and health outcomes for British Columbians living with HIV.

The Network was first launched in 2012 to support participants of the successful STOP HIV/AIDS Structured Learning Collaborative and continued in 2015 to support the HIV Continuum of Care Collaborative participants. The HIV QI Network includes members of past Collaborative improvement teams and interested stakeholders committed to sustaining improvements, connecting with peers, and learning. Teams participating in the HIV QI Network have an opportunity to discuss best practices, share innovations, and discover ways to improve HIV care in British Columbia.

If you would like to subscribe to the HIV QI Network mailing list, or get involved in other ways, please contact hivqinetwork@cfenet.ubc.ca.

Get the latest news and updates

A series of posts this month looks at the contributions provided by teams and team members working across the province to achieve the goals of the STOP HIV/AIDS® program. Based on the concept of Treatment as Prevention®, pioneered by BC-CfE Director Dr. Julio Montaner, the STOP HIV/AIDS® program has been implemented in BC with support from the provincial government. Read more here.

Women make up approximately 18% of the population living with HIV in British Columbia and can face unique barriers to care and antiretroviral therapy (ART) adherence, compared with men. As a result, women often are not fully benefitting from the life-saving treatment available to them. Read the latest issue of the HIV Pulse here to learn more about the cascade of care for women living with HIV in BC.

The Agency for Healthcare Research and Quality (AHRQ) has prepared a Technical Brief examining strategies and approaches to care for women living with HIV/AIDS. The AHRQ recommends the care of women living with HIV/AIDS should:

  • Support patient-centred approaches to managing HIV and co-morbidities
  • Incorporate patient goals, including quality of life issues
  • Integrate biomedical, behvioural, and social interventions

Click here to learn more.

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence

For the provider:

  • Clarify objectives of therapy
  • Ensure that the patient’s decision reflects their goals and preferences
  • Screen for missed appointments
  • Engage the patient and ask them to describe their medication regimen,
  • such as when they take their medication and what the medication is for
  • Use of communication skills (e.g., motivational interviewing, 5 A’s
  • model)
  • Define and explain the problem
  • Present options
  • Discuss pros and cons (e.g., benefits, risks, costs)
  • Elicit information regarding patient’s values and preferences
  • Examine individual’s readiness to change
  • Explore patient’s self-efficacy
  • Anticipate and avoid common patient misperceptions
  • Offer recommendations
  • Check and clarify patient understanding
  • Move or defer a decision, if needed, and arrange follow-up

For the patient:

  • Understand knowledge, beliefs, and attitudes about treatment
  • Determine ability to attain therapeutic goals
  • Ask providers to explain the therapeutic options in order to make
  • decisions concordant with goals and preferences
  • Articulate personal goals and preferences
  • Set and manage expectations of the treatment plan
  • Healthcare system
  • Support for training in motivational interviewing, and shared decision making
  • Provide evidence-based shared decision-making support tools
  • Use information technology to help educate and support their patients
  • Support the patient and provider team across the continuum of care

View the full article here: https://www.ncbi.nlm.nih.gov/pubmed/27599489

Click on the link below to learn about the STOP Outreach Team in Vancouver (under Vancouver Coastal Health). A series of posts this month looks at the contributions provided by teams and team members working across the province to achieve the goals of the STOP HIV/AIDS® program, implemented in BC with support from the provincial government.

Learn more here: http://www.cfenet.ubc.ca/blog/filling-gaps-provide-hiv-care-rural-regions 

Past news

On November 28th, over 300 people attended the British Columbia Centre for Excellence in HIV/AIDS (BC-CfE) Fall Antiretroviral/HIV Update Conference. The conference covered a variety of topics, from the opioid crisis to the role of pre-exposure prophylaxis in preventing HIV. To carry forward the momentum from this exciting day, each of the RETAIN Initiative Health Authority Leads and one other team member were invited to attend a full-day meeting to share their successes and challenges with the initiative to date. With representation from Interior Health, Vancouver Island Health Authority, Fraser Health, Vancouver Coastal Health and First Nations Health Authority teams engaged in meaningful discussions around the Ministry of Health strategic framework supporting RETAIN and the public health approach to implementing the RETAIN protocol. Teams also shared individual stories, successes, challenges and ideas.

Click here to learn more about the RETAIN initiative.

The World Health Organization (WHO) published new guidelines for HIV Prevention, Diagnosis, Treatment and Care for Key Populations. Recommendations focus on the following populations:

  • Men who have sex with men
  • People in prisons and other closed settings
  • People who inject drugs
  • Sex workers
  • Transgender people
  • Adolescents and young people from key populations

Please visit the WHO website to access the full guidelines.

The International Association of Providers of AIDS Care (IAPAC) published new guidelines for Optimizing the HIV Care Continuum for Adults and Adolescents. Recommendations fall into six different categories and focus on eliminating legal, social, environmental and structural barriers that prevent people living with HIV (PLHIV) from accessing and utilizing HIV services. Recommendations include:

  • Optimizing the health care environment
  • Increasing HIV testing coverage and linkage to care.
  • Increasing retention in care, ART adherence, and viral suppression.
  • Focus on adolescents.
  • Focus on metric and monitoring.

Please visit iapac.org or click here to access the full guidelines and a summary table of the recommendations.