• Form a cross-functional team for case conferencing that meets routinely to discuss certain patient cases (allow for addressing system issues).
• Arrange meeting times conducive to provider schedules (e.g., lunch time) to increase staff participation from various backgrounds.
• Make cross-functional meetings most effective by developing meeting agendas in advance, and agree on a facilitator.
• Assess what went well and how to improve at the end of each meeting in order to improve the next meeting.
• Use team meetings to discuss issues related to patient adherence, when to initiate and change ARV regimen, and how to assist the most vulnerable and sickest patients.
• Develop a standard format for keeping minutes that clearly states decisions made about each patient’s circumstances — medical, socio-economic, mental, drug and/or alcohol use — outlines follow-up action, and who is responsible for completing action and when.

Promoting Adherence to HIV Antiretroviral Therapy

Process for Running Effective Meetings