Coastal Bend Wellness Foundation (CBWF) of the coastal bend area of south Texas proposes a Practice Transformative Model for delivery of HIV treatment and care that will increase its capacity to achieve efficient and sustainable service delivery practices that both optimize human resources and improve health outcomes. The main goal of their project is to develop a Practice Transformative Model by developing interdisciplinary team-based strategies that include the realignment of the agency workforce systems to improve the provision of quality care to people living with HIV in the Coastal Bend Area.

CBWF’s PTM seeks to transform its current clinical care practice into an interdisciplinary team-based approach using an integrated Patient-Centered Medical Home model of care to provide HIV positive patients with primary care, HIV care, and behavioral health services. The principal components of its PTM are task shifting and physician extension; restructuring staff to meet the standards of a Patient-Centered Medical Home; development of an inter-professional team-based practice coordination; and capacity building. The project will provide integrated primary care, HIV and behavioral health services utilizing a health home model to manage disease and address other healthy behavior concepts.