Clinic-wide intervention lowers financial risk and improves revenue to HIV clinics through fewer missed primary care visits.

J Acquir Immune Defic Syndr

*Division of HIV/AIDS Prevention, Office of Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA; †Department of Community Health Sciences, SUNY Downstate Medical Center School of Public Health, Brooklyn, NY; ‡Department of Medicine, Baylor College of Medicine, and the Health Services Research; §Development Center of Excellence, Michael. E. DeBakey VA Medical Center, Houston, TX; ‖Department of Medicine, Boston University School of Medicine, Boston, MA; ¶Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL; #Division of Infectious Diseases, Miller School of Medicine, University of Miami, Miami, FL; **Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; and ††Division of Science and Policy, Health Resources and Services Administration, Rockville, MD.

Published: April 2015

: 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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098330PMC
http://dx.doi.org/10.1097/QAI.0000000000000493DOI Listing

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