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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

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

Jamal Refuge 0 7361

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

HITEQ Center 0 4951

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

HITEQ Center 0 5168

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

HITEQ Center 0 7273

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

HITEQ Center 0 6708

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

HITEQ Center 0 2512

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.

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

HealthHIV Webinar

Molly Rafferty 0 26

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)

HITEQ Center 0 3038

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

Jamal Refuge 0 3118

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. 

Level Up: Leveraging Your EHR to End the HIV Epidemic

HITEQ Highlights Webinar

Molly Rafferty 0 4388

What if we told you your electronic health record (EHR) was one of the keys to ending the HIV epidemic (EHE)? Your EHR is a powerful tool that can support increases in HIV testing, access to pre-exposure prophylaxis (PrEP) for people at risk for HIV, and so much more! View our HITEQ Highlights webinar on June 8th to learn more about leveraging your EHR through the use of digital tools and innovative strategies!

La prueba del VIH - 5 cosas que debes saber

Primary Care Development Corporation Webinar: HIV Testing: 5 Things You Should Know (Facilitated completely in Spanish)

Molly Rafferty 0 4985

PCDC and the Northeast/Caribbean AIDS Education and Training Center AETC discussed HIV testing as part of the fight against HIV. The webinar was facilitated completely in Spanish.

Únase a los equipos de Primary Care Development Corporation (PCDC/HIP) y el AIDS Education Training Center (AETC) del Caribe a participar en un webinar en ESPAÑOL sobre la importancia fundamental de las pruebas del VIH.

Telehealth & HIV after COVID-19

Technical Assistance Provider Innovation Network Webinar

Molly Rafferty 0 5892

Telehealth is here to stay. What's happening now? What’s next? This webinar focuses on what HIV care agencies need to consider as they transition from their pandemic-focused HIV work to looking ahead to integrating telehealth within their regular operations to get ‘the right mix’ of in-person and telehealth appointments to maximize outcomes and maintain sustainable billing.

In this 90-minute session, view an expert panel discussion on matters like selecting telehealth approaches, staffing and training, best practices in working with patients, and more.

This training event is in a series for Ending the HIV Epidemic jurisdictions, convened by TAP-in, the HRSA-funded Technical Assistance Provider Innovation Network providing support for EHE jurisdictions. 

Combatting the HIV & HCV Epidemics in Rural Massachusetts

NEAETC Webinar

Molly Rafferty 0 5763

Meeting the diverse needs of people who inject drugs can present many challenges--even more so in rural settings. There are barriers to ensuring equitable access to preventative measures such as PrEP/nPEP and HIV/HCV treatment regimens, and these barriers can be very different from those in major metropolitan areas. Combined with the stigmas of drug use and communicable disease, in addition to the COVID-19 pandemic, these issues can become even harder to address. In this webinar, we discuss these unique rural challenges, the ways that providers are already rising up to confront these challenges, and the ways in which current models can be scaled to meet the challenges across the state. 

Improving PrEP Access through Monitoring and Engagement

NEAETC Webinar

Molly Rafferty 0 5475

In support of Ending the HIV Epidemic: A Plan for America (EHE), HRSA collaborated with health center experts in the field to discuss how to improve access to pre-exposure prophylaxis (PrEP) through monitoring and patient engagement. Speakers addressed real-time challenges and solutions that health centers face daily as they integrate HIV care and testing into primary care settings.

  • Training providers to interact with patients, including taking a sexual history.
  • How the clinic has maintained patient engagement during COVID-19.
  • Overcoming barriers with getting patients on PrEP.
  • Patient education and support when prescribing PrEP.
  • Monitoring medication adherence.

Acknowledgements

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