LHH LHH Po Positive Car Care Pr Program
LHH Positive Care Program 1989 ‐ 1996 The Early Years O4 unit
LHH Positive Care Program 1996 ‐ 2010 • Expansion of treatment options • Increase in survival and discharge • Second unit opens (F3) with short stay focus • AIDS Dementia care focus on O4
LHH Positive Care Program 2010 ‐ 2015 • Move to new hospital with expansion to 60 beds • Expansion of treatment options • HCV Clinic • Pain Clinic
Center of Excellence for HIV Care • Multidisciplinary team/ holistic approach • AIDS Dementia Care • State of the art HIV treatment • HCV treatment • Respite • Palliative care • Mental Health and addiction services
Continuum of Care • Short Stay ‐ rehab/treatment of acute medical issues with community discharge focus • Longer term care – high care needs/dementia • Palliative/end of life care
Community Connections • AIDS walk • Peer Mentor Program • Former patient volunteers • Ward 86 and UCSF Positive Care Program • Hep C support group
Community Partnerships LHH Staff
LHH RESIDENTS WITH HIV/AIDS NUMBER OF LHH RESIDENTS WITH HIV/AIDS FY89 – CURRENT* 183 184 200 179 159 148 156 148 138 138 133 145 134 150 98 90 85 83 82 100 78 77 76 74 71 68 63 61 50 10 0 *Current as in 5/12/15
LHH RESIDENTS WITH HIV/AIDS # OF AIDS ‐ HIV RESIDENTS THAT PASSED AWAY FY89 ‐ CURRENT* 120 100 80 60 40 20 0 *Current as in 5/12/15
LHH RESIDENTS WITH HIV/AIDS % OF AIDS ‐ HIV RESIDENTS THAT PASSED AWAY FY89 ‐ CURRENT* 92% 93% 90% 100% n=641 90% % OF HIV/AIDS RESIDENTS 76% 80% 70% 58% 61% 60% 50% 40% 26% 30% 12%11.5%6.5% 8.0% 6.5% 6.0% 5.8% 4.5%10.7%6.8% 20% 8% 10% 12% 9% 11% 9% 4% 10% 0% FISCAL YEAR *Current as in 5/12/15
HIV/AIDS AT LHH Age groups 25 ‐ 44 & 45 ‐ 64 make up the two major age groups of residents with HIV/AIDS Age group 45 ‐ 64 trended upwards to become the predominant age range of residents as of FY98 ‐ FY99. Residents with HIV/AIDS diagnosis are predominantly male (Average: 80% male, 20% female) LHH Residents with HIV/AIDS is predominantly Caucasian and African ‐ American. Combined, the two ethnic groups comprise of 87% of all HIV/AIDS residents (Between FY04 ‐ Current).
AGE DEMOGRAPHIC AGE DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS 80% 70% 60% 50% 40% 30% 20% 10% 0% Below 25 Between 25 ‐ 44 Between 45 ‐ 64 Between 65 ‐ 84 Above 85
GENDER DEMOGRAPHIC GENDER DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS 120% % of HIV/AIDS Residents 100% 80% 60% 40% 20% 0% Fiscal Year F M
ETHNIC DEMOGRAPHIC ETHNIC DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS FY04 ‐ CURRENT* 60% 50% % of HIV/AIDS Residents 40% 30% 20% 10% 0% FY0405 FY0506 FY0607 FY0708 FY0809 FY0910 FY1011 FY1112 FY1213 FY1314 FY1415 Fiscal Year White African ‐ American Hispanic Native American/Eskimo Asian Other *Current as of 5/12/15 Unknown Native Hawaiian/Pacific Islander
DISCHARGES VS. EXPIRATIONS DISCHARGES VS EXPIRATIONS DEMOGRAPHIC OF RESIDENTS WITH HIV/AIDS FY89 – CURRENT* 180 154 160 141 139 118 122 126 140 117 110 109 114 120 103 88 89 86 85 100 80 78 72 70 70 70 70 66 80 64 58 57 60 40 20 19 18 16 11 12 12 11 10 10 10 9 9 9 7 8 8 8 8 8 8 6 5 5 20 4 1 0 Discharges Expired *Current as in 5/12/15
PATIENT DAYS DEMOGRAPHIC AVERAGE # OF PATIENT DAYS PER AIDS ‐ HIV RESIDENT IN FISCAL YEAR 183 200 149 159 156 168 152 153 138 148 150 118 104 112 104 115 108 106 91 100 76 57 48 47 41 37 36 35 50 27 0 The graph above reflects the average amount of days that an HIV/AIDS Resident spent at LHH during the fiscal year
Positive Care Program Dr. Grace Dammann Dr. Steven Thompson Dr. Daniel Rybold Dr. Victoria Behrman Susan Spencer, LCSW Dr. Patricia Myung
Patient Experience Daniel Berrner
Alignment with DPH Future Goals Getting to Zero Zero new HIV infections Zero AIDS related deaths Zero Stigma
Thank You! Chris Wong Marinita Santos • • Donna D’Cruz Daniel Berrner • • Mivic Hirose Dr. Grace Dammann • • Kentaro Hirose Dr. Daniel Rybold • • Susan Schneider Israel Nieves • • Stefanie Cooke Janet Gillen • • Dr. Victoria Behrman Dr. Patricia Myung • • Dr. Steven Thompson •
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