Open AccessClinic-wide Intervention Lowers Financial Risk and Improves Revenue to HIV Clinics Through Fewer Missed Primary Care Visits
Author(s) -
Lytt I. Gardner,
Gary Marks,
Tracey E. Wilson,
Thomas P. Giordano,
Meg Sullivan,
James L. Raper,
Allan Rodríguez,
Jeanne C. Keruly,
Faye Malitz
Publication year - 2015
Publication title -
journal of acquired immune deficiency syndromes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.162
H-Index - 157
eISSN - 1944-7884
pISSN - 1525-4135
DOI - 10.1097/qai.0000000000000493
Subject(s) - intervention (counseling) , medicine , revenue , primary care , human immunodeficiency virus (hiv) , family medicine , emergency medicine , finance , nursing , business
: We calculated the financial impact in 6 HIV clinics of a low-effort retention in care intervention involving brief motivational messages from providers, patient brochures, and posters. We used a linear regression model to calculate absolute changes in kept primary care visits from the preintervention year (2008-2009) to the intervention year (2009-2010). Revenue from patients' insurance was also assessed by clinic. Kept visits improved significantly in the intervention year versus the preintervention year (P < 0.0001). We found a net-positive effect on clinic revenue of +$24,000/year for an average-size clinic (7400 scheduled visits/year). We encourage HIV clinic administrators to consider implementing this low-effort intervention.