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Overview

The HHS-wide initiative Ending the HIV Epidemic: A Plan for America seeks to leverage the powerful data and tools now available to reduce new HIV infections in the United States by 75 percent in five years and by 90 percent by 2030. HITEQ is identifying best practices and barriers to using health IT to support early diagnosis, application of proven prevention interventions including access to PrEP, and sustained treatment for people living with HIV to achieve and maintain viral suppression.

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Ending the HIV Epidemic Resources

Bright Spots in HIV Screening

Health center examples, developed June 2022

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Since 2020, health centers have reported the HIV Screening clinical quality measure on the UDS. HITEQ hosted discussions with health centers in fall of 2021 to find out how they have made progress on this clinical quality measure and gleaned tips from these participants which can be found within.

Resources for Expanding PrEP Services in your Health Center

Curated PrEP resources for health centers, compliation in 2022.

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HITEQ compiled this resource library for health centers, which houses actionable PrEP resources including checklists, pocket guides, and billing guidance. This curated set of resources aims to assist health centers in accessing those resources that directly address current PrEP challenges.

Using Your EHR to Identify Patients Who May Benefit from PrEP at Your Health Center

Jamal Refuge 0 13263

Identifying candidates for PrEP can be challenging but not impossible. The first step to finding the right candidates involves understanding the criteria for PrEP. Not everyone is a great candidate for PrEP or can adhere to the frequent testing and monitoring required of PrEP patients. Some patients are comfortable using condoms and other HIV prevention methods, and providers should respect and affirm their decision.

FY2020 Primary Care HIV Prevention Reporting

Crosswalk of FY2020 PCHP reporting to CY2020 UDS Requirements, July 2020

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To support Primary Care HIV Prevention funded health centers, HITEQ has prepared a crosswalk that maps PCHP tri-annual reporting metrics to UDS measures and/ or fields. This assists health centers in leveraging UDS reporting functionality in their EHRs to inform completion of the tri-annual progress report to HRSA.

TelePrEP for Health Centers

Telehealth Resources and Innovations for HIV Pre-Exposure Prophylaxis (PrEP), June 2020

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This brief presents an overview of how health centers can utilize telehealth for PrEP access, or TelePrEP, for comprehensive care, and includes innovations and resources that health centers can utilize to extend these services to their patient populations.

TelePrEP

Using telehealth to expand access to PrEP

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According to the Rural health Information Hub, the risk of contracting HIV can be greatly reduced through Pre-Exposure Prophylaxis (PrEP), but the medication must be taken every day and patients need follow-up appointments every 3 months. Some patients often don't have access to it due to stigma, distance from the nearest specialist, and a shortage of primary care providers willing to prescribe and monitor PrEP.

Billing and Coding for HIV Prevention: PrEP, Screening, and Linkage to Care

Developed by NASTAD, updated in 2018

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As part of the Centers for Disease Control and Prevention (CDC) Capacity Building Assistance (CBA) cooperative agreement, NASTAD released a Billing Coding Guide for HIV Prevention: PrEP, Screening, and Linkage Services. The guide, developed in collaboration with a coding consultant and the HIV Medicine Association, was updated in 2018. It assists health departments and other providers (such as health centers!) to navigate billing and reimbursement for HIV prevention services. 

EHR-Related Resources for 330 and RWHAP Dually Funded Health Centers

Resources curated from TargetHIV.org and other sites in October 2019

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Health centers funded by the Ryan White HIV/AIDS Program (RWHAP) must submit the Ryan White Services Report (RSR) annually and often main-tain separate databases from their EHR to do so. This document summarizes resources related to integrating RWHAP data reporting requirements into EHRs, including specific vendors, as well as those related to improving HIV service delivery using technology.

Opportunities and Strategies to Optimize PrEP Uptake in Key Communities

Health HIV Medical Education

Caila Kilson-Kuchtic 0 2163
Activity Description: PrEP continues to be underused by people who could benefit from it, especially those who face health disparities. Of the 1.2 million people in the U.S. who can benefit from taking PrEP, only about 23% have used PrEP. Data on PrEP coverage shows that racial/ethnic minorities, sexual minorities, youth, and women access PrEP at even lower rates. The interactive live webinar will feature perspectives of multiple diverse HIV prevention experts on PrEP uptake among relevant consumer/patient communities, including Black women, same-gender-loving (SGL) Black and Latinx men, and transgender individuals. Presenters will consider both challenges and opportunities for PrEP use among these communities,specific access issues, and strategies and model practices for providers and healthcare teams to address the unique barriers.

Engaging the Primary Care Provider as Part of the HCV Workforce

Health HIV Medical Education

Caila Kilson-Kuchtic 0 2299
Activity Description: This interactive, live webinar was designed to engage primary care providers (PCPs) seeking knowledge/skills regarding implementing hepatitis C (HCV) care and treatment in their practices, including the use of simplified HCV treatment strategies and strategies for providing culturally competent, comprehensive HCV care. The panel discussion focused on realizing the role of PCPs as part of the HCV workforce. Faculty presentations were followed by a facilitated question and answer session.

Target Audience: Primary care providers, nurse practitioners, physician assistants, and other clinicians in primary care settings involved in the care of patients with HCV.

Continuing Education Credit: 1.0 credits (CME, CE, NCPD, CPE, ABIM MOC) are available for completion of this activity.

Optimizing PrEP Access Through Advocacy

HealthHIV Webinar

Caila Kilson-Kuchtic 0 2888

This activity focused on medication therapy management protocols and their effects on prescription drug coverage policies. It also considered PrEP access through a health equity lens and  included a review of the drug utilization review process, insurance models, and health impact analysis, assessing the impact of each on patients and care.

 

Opportunities and Strategies to Optimize PrEP Uptake in Key Communities

Health HIV On-Demand Webinar

Caila Kilson-Kuchtic 0 715

PrEP continues to be underused by people who could benefit from it, especially those affected by health disparities. Of the 1.2 million people in the U.S. who can benefit from taking PrEP, only about 23% have used PrEP. Data on PrEP coverage shows that racial/ethnic minorities, sexual minorities, youth, and women access PrEP at even lower rates.

 

This on-demand webinar features the perspectives of multiple diverse HIV prevention experts on PrEP uptake among relevant consumer/patient communities, including Black women, same-gender-loving (SGL) Black and Latino men, and transgender individuals. Presenters consider both challenges and opportunities for PrEP use among these communities, specific access issues, and strategies and model practices for providers and healthcare teams to address barriers and fully engage clients.

Free continuing education credits are available for this on-demand training. To claim your credits visit the following link:  https://forms.gle/GiNNorrj6YcjRCwC9

Educational Objectives

Upon completion of this activity, participants will be able to:

● Identify clinical data on pre-exposure prophylaxis (PrEP) for HIV to inform culturally competent educational and counseling strategies for improving the uptake of PrEP in vulnerable populations.
● Describe strategies for facilitating access to PrEP among Black women, Black/Latino same-gender loving men, and transgender men and women.
● Explain how PrEP use functions as part of a broader strategy to reduce disparities in HIV incidence in Black women, Black/Latino same-gender loving men, and transgender men and women.

Continuing Education

1.0 Continuing Education Credits (CME, CE, NCPD, CPE, and ABIM MOC). To claim your credits visit the following link: https://forms.gle/GiNNorrj6YcjRCwC9

Audiences

HIV care providers, primary care providers, general practitioners (MD/DO, NP, PA), HIV prevention workforce professionals

Registration

Register online at: https://webinars.on24.com/healthhiv/prepuptake

Improving UDS Clinical Quality Measure Performance: Increasing HIV Prevention in Primary Care

HITEQ Highlights Webinar

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Primary care plays a key role in ending the HIV epidemic. The Ending the HIV Epidemic initiative launched across HHS in 2019, setting forth four key strategies also called the “four pillars” of ending the HIV epidemic. Primary care in federally qualified health centers figures centrally into these efforts, evidenced by the addition of several HIV screening and prevention measures and metrics in the Uniform Data System (UDS) reporting. This webinar reviewed the outcomes of the first year of HIV Screening and Prevention reporting on the UDS, highlight opportunities for quality improvement, and discussed funding opportunities.

Youth and PrEP: Considerations for Prescribing PrEP in People 15–24 Years of Age

HealthHIV Webinar

Molly Rafferty 0 6208

Overview: PrEP is an effective HIV prevention strategy for youth 15–24 years of age—a population that makes up one in five new HIV diagnoses in the U.S. Challenges related to medical, privacy, social, and economic factors can complicate providing PrEP care. This webinar will provide clinical, non-clinical, and personal considerations around improving access to PrEP in youth.  Presenters will focus on practical strategies for engaging younger adults, such as culturally competent clinical resources, covering PrEP costs, and ensuring confidentiality.

Target Audience: Primary and family providers with young patients, nurses, social workers, ASO/CBOs that serve youth, case managers, health educators, CHWs, as well as youth and parents of youth.

Educational Objectives: Upon completion of this activity, participants will be better able to:

  • Recognize barriers to PrEP access among adolescents and young adults
  • Identify at least two strategies for increasing access to PrEP for young adults
  • Develop at least two strategies to maximize PrEP adherence

PrEP Checklist for Providers

A checklist from NC HIV Training & Education Center (NCHTEC)

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As health centers integrate PrEP for HIV prevention into their primary care services, it is important to align with the latest guidance and research. The PrEP checklist from UNC School of Medicine's North Carolina HIV Training & Education Center offers step-by-step detailed guidance for providing PrEP. This checklist can be used to inform workflow, EHR, and other health IT updates including order sets and clinical decision support. It can also be used as a reference for providers who are newer to providing PrEP who are prompted or alerted to a patient's potential need for HIV prevention services.

Strategies for Capturing Outside HIV Test Results for Your Health Center

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We can only End the HIV Epidemic if we work together, and that includes data sharing. Sharing important information, such as HIV test results, can help ensure optimal care for people at risk for or living with HIV coming to or from different health centers. Check out these strategies and tools to learn some tried and true strategies for data-sharing between health centers. 

Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.