
Delivery System Design:
Include Planned Visits in the Individual and Group Setting in the Delivery Model
A "planned visit" refers to a pre-scheduled, coordinated visit in which the agenda is determined by the needs of the patient with HIV/AIDS disease. Planned visits are conducted in both the individual and group settings, depending on the type and purpose of the visit. "Group visit" refers to a pre-scheduled visit that includes 8 to 20 patients. Groups range from those providing medical care in a group setting to those led by laypeople to provide emotional support.
- Use the registry to identify patients in need of visits.
- Designate lay health workers, community health workers, volunteers, or appointment staff to call and schedule patients for visits.
- Train staff in the planned visit approach. A planned medical visit should contain an assessment, review of therapy, review of medical care, self-management goals, problem solving, and follow-up planning, including the plan for the next visit.
- Assemble a patient visit team, including a provider, nurse, nursing assistant, lay health worker, intake worker, and person in charge of immunization and referrals.
- Block time for providers in advance.
Specifically for planned group visits:
- Identify a patient group to focus on (e.g., Hispanic population, homeless, newly diagnosed).
- Obtain senior leadership support for group visits, especially to resolve potential reimbursement issues relating to group settings.
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