Friday, April 14, 2017

Moore Clinic to Reopen with New Digs and Name

Written by  Bill Redmond-Palmer

The grand opening of the new John G. Bartlett Specialty Practice will take place on May 8th. The new institution combines under one new roof the current Moore Clinic and the Blalock Specialty Clinic, serving patients with hepatitis. This move represents a significant change for both clinics. The Moore Clinic currently services 3,600 patients living with HIV/AIDS, including in Baltimore. Their viral suppression rate at the downtown center was 85 percent, as of October-November 2016.

The new clinic’s name recognizes Dr. John G. Bartlett, an infectious disease doctor and champion for people living with HIV/AIDS in the early days of the epidemic, who worked at the Moore Clinic. Bartlett started the publication on HIV standards of care, the Medical Management of HIV Infection, published bi-annually.

The new space will be located in the Park Building (1717 East Monument Street), at the corner of North Broadway and East Monument Street. Recommended parking is in the Orleans Street and/or McElderry garages.

The goal of the Bartlett Specialty Clinic will be to provide “patient-centered care” in one location with medical staff serving as a unified multi-disciplinary team. Kim, a Moore Clinic community advisory board member shared that she feels “comfortable with the new clinic knowing that it is a specialty unit for various types of infectious diseases.”

The new specialty practice will provide HIV primary care, urgent evaluations, and subspecialty evaluations. As well the clinic will offer outpatient services, viral hepatitis evaluations, PrEP, and screening for organ transplants for those with HIV or hepatitis.

Subspecialty clinical services that will be provided on site include: gynecology, mental health counseling, psychiatry, neurology, nephrology, and nutrition. Among other services onsite are an opoid addiction clinic, substance-abuse counseling, and help from social workers. A new PrEP Clinic for those under 30 who are transitioning to adult care has been added to the regimen of services. Once the clinics have settled in they will have capacity to do HIV outreach in the community. A new team of patient navigators will include a Spanish-speaking bilingual navigator.

Some important new changes to the clinic layout will feature a space where all the clinics and services are housed on a single floor, including the pharmacy and laboratory services. Offices will be provided in the clinic for research groups like the Center For AIDS Research (CFAR), the AIDS Clinical Trials Group (ACTG) and others, providing them more direct access to patients. The space will also include a conference room, available for use by support groups and educational programs. There will be dedicated procedure rooms providing fibroscan and pentamidine.

Patients will most readily notice the transition from an historic building to a state-of-the-art space. One example is the current restrooms which were added in to a very old building, and are cramped, uncomfortable, and awkward to navigate. The new restrooms have been described as “glorious” in comparison. Each restroom will eventually have gender-neutral signage.

Tablets will be installed in each examination room, available to patients while waiting for providers. These tablets will be loaded with information in multiple languages. Another important feature will help match clients with information about opportunities to participate in research studies.

The new practice will provide improved working conditions for staff, together with the new amenities for patients. For example, in the current Moore Clinic Space, six staff members share a very small vitals station, built for one or two staff members’ use at one time. That will be remedied by a new much more functional and expanded space.

“I look forward to the new space,” said clinic doctor Geetanjali Chander, MD, “especially as it will have more room, more light, and better patient centered design.

On May 8th, specially invited doctors and other former staff members will attend a farewell and thank you to the old space in the Carnegie Building. Later the community will be invited to the John G. Bartlett Specialty Practice dedication, from 4 to 6 p.m.

“We are looking forward to moving into a brand new space where all services and specialties can practice together in close proximity,” said Dr. Yukari C. Manabe, MD, director of the John G. Bartlett Specialty Practice.  “Our mission is to provide outstanding, evidence-based, clinical infectious disease care with access for all.”


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