Rapid Start Learning Collaborative for Infectious Disease Bureau, Boston Public Health Commission
Establishing Rapid Start as a standard of care to increase provider capacity in delivering efficient Rapid ART services, reducing treatment delays, and achieving undetectable viral levels for clients in Suffolk County. The project aims to assess, evaluate, and align efforts for Rapid ART standards, advance objectives, build capacity, and develop sustainable models for delivery. Final deliverables include project reports and institutional policies. Project period: March 8, 2024, to February 28, 2025 with a funding of $200k.
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Rapid Start Learning Collaborative Infectious Disease Bureau Boston Public Health Commission
Project Overview Purpose: Establish Rapid Start as a standard of care, including clear shared definitions and metrics for rapid ART, and identify best practices for implementation of Rapid Start programs across all Ryan White Part A in the Suffolk County. Intended outcomes: Increase capacity among providers to deliver an efficient and systematic Rapid ART service and treatment. Develop a model for Rapid ART implementation that can be easily replicable and individually tailored to meet the needs of various settings. Reduce treatment delays on newly diagnosed clients and reengage to care clients lost to follow up. Get clients to undetectable levels.
Project Overarching Goals Assess baseline capacity and delivery of Rapid ART. Assess and evaluate ongoing capacity and delivery of Rapid ART among providers. Assess and Evaluate Align Efforts to Rapid ART Standards Establish agreed upon shared definitions, provide education, training, and build support systems that align with Rapid ART standards. Advance Rapid ART Objectives Advance Rapid ART objectives to shorten time to viral suppression, increase retention in care, help clients achieve undetectable levels, and reduce HIV transmission. Build Capacity and Infrastructure Build Capacity and create an infrastructure to deliver consistent Rapid ART practices as a standard of care in Suffolk County. Based on evaluation/Pilot findings, develop more effective, and replicable service delivery models that can be easily individualized to adapt to various settings. Develop Sustainable Model
Intended Outcomes Increase capacity among providers to deliver an efficient and systematic Rapid ART service and treatment. Develop a model for Rapid ART implementation that is easily replicable and individually tailored to meet the needs of various settings. Reduce treatment delays for newly diagnosed clients and reengage to care clients lost to follow up. Help clients achieve undetectable HIV viral load levels.
Final Deliverables FINAL PROJECT REPORT INCLUDING PRE AND POST ASSESSMENT. INSTITUTIONAL POLICY ON RAPID START STANDARD IMPLEMENTATION AND STAFF TRAINING. INSTITUTIONAL RAPID START PROCESS MAPPING. INSTITUTIONAL POLICY ON CLAS STANDARDS IMPLEMENTATION AND STAFF TRAINING.
Project Period: March 8, 2024 February 28, 2025 Funding: 200k Work with IDB team and Evaluator to: Assess and evaluate current and ongoing Rapid ART delivery systems and capacity. Assess current barriers to Rapid ART implementation and strategize on solutions to overcome barriers. Assess and evaluate current and ongoing cultural competency and language capacity that aligns with CLAS Standards. Assess current barriers to cultural competency and language capacity and strategize on solutions to overcome barriers. Establish standard operating procedures that align with Rapid ART Objectives and develop a Rapid ART process map. Assess, and evaluate guidelines to ensure a) newly diagnosed clients have access to ART within 7 days of diagnosis; b) clients lost to treatment get re-engaged in treatment, ideally with in 7 days of being identified as lost to treatment. Commitment Identify a Rapid Start Champion who will participate in the Learning Collaborative and lead assessment and implementation efforts. Identify a Rapid Start Team that will be playing an active role in the planning and implementation of the project. The entire team must commit to three (3) hours per month to participate in the in-person Learning Collaborative. The Rapid Start Team must have: o A representative from your organization s Leadership Team. o A designated Rapid Start Champion o Direct care staff (Case Manager, patient care navigator etc. ) o Front line staff (administrative assistant, scheduler, receptionist...etc.) o Clinical Service Provider o Peer Navigator (if applicable) IDB recognizes the invaluable role peer navigators play in stablishing relationships with newly diagnosed individuals and strongly encourages all Rapid Start providers to incorporate into their model if not already.
Rapid Start Application and pre institutional assessment on Rapid Start process and implementation. Leadership Support form. Application Requirements Institutional Rapid Start policies and/or Standard Operating Procedures Institutional CLAS Standard policies and/or Standard Operating Procedures CVs or resumes for all individuals involved in this project. Workflow/Process Map
Monday, February 20, 2024 Application and Pre-Assessment released to subrecipients Friday, February 23, 2024 Q&A Virtual Meeting 12:00 1:00 pm (Zoom Link) RWSD is inviting you to a scheduled Zoom meeting. Timeline Topic: Rapid Start Learning Collaborative Info Session Time: Feb 23, 2024 12:00 PM Eastern Time (US and Canada) Join Zoom Meeting https://us06web.zoom.us/j/89548740868?pwd=fInWV5bu7hwTK7CzRtJE5XOIUhPVdR.1 Meeting ID: 895 4874 0868 Passcode: 750153 Written Questions due via email by 5:00 PM EST to: Glanza@bphc.org Subject Rapid ART Application Question Monday, February 26, 2024 Responses to questions available for viewing on EHE webpage and also emailed to participants by 5:00 PM EST Tuesday, March 5, 2024 Please submit your Application and Pre-Assessment by 9:00 AM EST - Submit via email to Glanza@bphc.org Subject Rapid Start Pilot Program NO EXCEPTIONS TO THIS DEADLINE Friday, March 8, 2024 Notification of Decision: Desired date to award. BPHC has the discretion to extend this time period without notice to the proposers. All proposals shall remain valid and open for a period of one hundred twenty (120) days from the proposal submission date, unless a proposer notifies BPHC of its withdrawal. Wednesday, March 13, 2024 Grantee In-Person Meeting at: Boston Public Health Commission 1010 Massachusetts Avenue 2:00 4:00 *Meeting must be attended by at least: 1 Representative of your organization s leadership team 1 Designated Rapid ART Champion
