The MetroHealth System (MHS) is the public health hospital of record for Cuyahoga County, Ohio, and provides healthcare for a substantial proportion of the city of Cleveland. Cuyahoga County and the city of Cleveland have higher rates of poverty, ethnic minority residents, and HIV positivity when compared nationally, as well as compared with the rest of Ohio.
In 2016, the MHS HIV clinic served 1,673 total patients, 1,275 (76%) of whom identified as male and 398 (24%) whom identified as female. Of these patients, 842 (50%) identified as Black/African American and 580 (35%) identified as White. Patients range in age from 16-81, with a significant majority of our patients (66%) between 40-70 years old. High rates of co-existing poverty, substance use and mental health disorders add to the challenge of achieving optimal health outcomes.
The MHS HIV clinic provides team-based care with a consistent physician, nurse, and social worker for each patient, a comprehensive electronic medical record system (EMR) and patient registry with population health tools .
Though not a certified patient centered medical home, the clinic provides team-based care with a consistent a physician, nurse, and social worker for each patient, a comprehensive electronic medical record system (EMR) and patient registry with population health tools. Prior to implementation, no training on innovative approaches to depression nor on optimizing workflows had been conducted.