The Golden Compass Program: Overview of the Initial Implementation of a Comprehensive Program for Older Adults Living with HIV

Meredith Greene MD; Janet Myers PhD; Judy Y. Tan PhD; Cinthia Blat MPH; Allison O’Hollaren MHA; Francisco Quintanilla BS; Priscilla Hsue MD; Mary Shiels RN; Mary Lawrence Hicks FNP; Bill Olson MS; Janet Grochowski PharmD, BCPS, AAHIVP; Jon Oskarsson RN, MN; Diane Havlir MD; Monica Gandhi MD, MPH

doi:10.1177/2325958220935267

Journal of the International Association of Providers of AIDS Care (Jul 2020)

The Golden Compass Program: Overview of the Initial Implementation of a Comprehensive Program for Older Adults Living with HIV

Meredith Greene MD,
Janet Myers PhD,
Judy Y. Tan PhD,
Cinthia Blat MPH,
Allison O’Hollaren MHA,
Francisco Quintanilla BS,
Priscilla Hsue MD,
Mary Shiels RN,
Mary Lawrence Hicks FNP,
Bill Olson MS,
Janet Grochowski PharmD, BCPS, AAHIVP,
Jon Oskarsson RN, MN,
Diane Havlir MD,
Monica Gandhi MD, MPH

Affiliations

Meredith Greene MD: Division of Geriatrics, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Janet Myers PhD: Division of Prevention Science, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Judy Y. Tan PhD: Division of Prevention Science, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Cinthia Blat MPH: Department of Obstetrics, Gynecology & Reproductive Sciences, University of California–San Francisco, San Francisco, CA, USA
Allison O’Hollaren MHA: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Francisco Quintanilla BS: Division of Geriatrics, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Priscilla Hsue MD: Division of Cardiology, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Mary Shiels RN: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Mary Lawrence Hicks FNP: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Bill Olson MS: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Janet Grochowski PharmD, BCPS, AAHIVP: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Jon Oskarsson RN, MN: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Diane Havlir MD: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA
Monica Gandhi MD, MPH: Division of HIV, ID and Global Medicine, Department of Medicine, University of California–San Francisco, San Francisco, CA, USA

DOI: https://doi.org/10.1177/2325958220935267
Journal volume & issue: Vol. 19

Abstract

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The population with HIV is aging and has unique health needs. We present findings from an evaluation of the geriatric-HIV program, Golden Compass, at San Francisco General Hospital. We used the implementation science framework, RE-AIM ( Reach, Effectiveness, Adoption, Implementation, Maintenance ) to guide the evaluation and used quantitative and qualitative methods to assess RE-AIM dimensions. From January 2017 to June 2018, 198 adults age ≥50 years participated in the program, with an estimated reach of 17%. Providers and patients indicated high acceptability of the program and were satisfied with clinics and classes. Colocation of services, specific pharmacy and geriatric assessments, and social support from classes were valued ( effectiveness ). Provider adoption was high, and the program was implemented as originally designed. Areas for improvement included challenges of framing aging services to patients. Future efforts will focus on expanding the reach of the program and examining long-term outcomes.

Published in Journal of the International Association of Providers of AIDS Care

ISSN: 2325-9574 (Print); 2325-9582 (Online)
Publisher: SAGE Publishing
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the genitourinary system. Urology
Website: http://journals.sagepub.com/home/jia

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