Improving Access to ORT Access to ORT Yanni Yannoulis CGL Chris Storey SMS
Recommendations from the HNA of from the HNA of PWID PWID
Our specific aim: to streamline and reduce time from first presentation to ORT.
The process: CGL CGL
The process: SMS SMS
Setbacks and refinements refinements
Measurements & Results • Time from CGL drop-in to first Time from CGL drop-in to first nurse appointment nurse appointment • Time from drop-in to prescription
Drop-in to nurse appointment 25 20 15 Days Da 10 5 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Patient number median
Drop-in to prescription 70 60 50 days 40 da 30 30 20 10 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 patient number median
Discharges without prescription post-ToC pre-ToC discharged discharged prescribed discharged 1 2 prescribed
Final reflections • How could we do this better? How could we do this better? • Unintended consequences
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