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Overview

Successful use of Health IT enabled Quality Improvement requires a strong organizational foundation. This includes understanding motivating factors as well as barriers, communicating the value of using Health IT to improve quality and outcomes, and building buy in and commitment throughout all levels of the organization. Resources in this section provide ideas and guidance on how to navigate this critical first step.

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

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

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.

Implementing Opt-Out HIV Screening in Your Health Center
Implementing Opt-Out HIV Screening in Your Health Center

Implementing Opt-Out HIV Screening in Your Health Center

HIV testing is one of the many ways we can End the HIV Epidemic. HITEQ's latest blogs offers strategies for leveraging your EHR to make HIV screening a breeze at your health center. 

State-level HIV-related Infographics
State-level HIV-related Infographics

State-level HIV-related Infographics

These interactive infographics include HIV Indicators as well as information about underserved populations and patients who may be at increased risk of acquiring HIV, at the state level. Select your state in the upper right to get started. 

Nationwide HIV-related Care Interactive Infographics
Nationwide HIV-related Care Interactive Infographics

Nationwide HIV-related Care Interactive Infographics

From January 1, 2019, through December 31, 2019, 2,259,758 medical patients (8.83%) of the 25,589,752 total medical patients served at health centers nationwide received HIV tests. In this article, you are able to examine HIV-related reporting across the country.

Preparing for CY2020 UDS HIV Reporting
Preparing for CY2020 UDS HIV Reporting

Preparing for CY2020 UDS HIV Reporting

Community health centers have an important role in ending the HIV epidemic. In alignment with that important role, several UDS measures related to HIV screening, treatment, and prevention have been added for CY2020 UDS reporting.
 

FY2020 Primary Care HIV Prevention Reporting
FY2020 Primary Care HIV Prevention Reporting

FY2020 Primary Care HIV Prevention Reporting

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
TelePrEP for Health Centers

TelePrEP for Health Centers

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
TelePrEP

TelePrEP

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

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

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. 

PrEP Checklist for Providers
PrEP Checklist for Providers

PrEP Checklist for Providers

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
Strategies for Capturing Outside HIV Test Results for Your Health Center

Strategies for Capturing Outside HIV Test Results for Your Health Center

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. 

La prueba del VIH - 5 cosas que debes saber
La prueba del VIH - 5 cosas que debes saber

La prueba del VIH - 5 cosas que debes saber

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

Telehealth & HIV after COVID-19

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. 

Implementing Telehealth During COVID-19
Implementing Telehealth During COVID-19

Implementing Telehealth During COVID-19

Listen to national experts and peers from TeleHealthHIV’s virtual summit around implementing effective telehealth programs amidst the COVID-19 pandemic.

This two-hour virtual summit provides information on the state of telehealth today by bringing together experts to highlight what is happening in the field and to share lessons learned from the COVID-19 pandemic. The summit contains concurrent sessions with guest speakers to discuss key components of telehealth implementation: technology infrastructure for telehealth, financial logistics, client engagement in telePrEP, and strategies for provider readiness.

SUMMIT AGENDA

2:00 PM - State of Telehealth and Implications for HIV Prevention, Care & Treatment

3:00 - 4:00 PM - Breakout Sessions
1. Technology for Telehealth
2. Promoting Client Engagement in TelePrEP
3. Increasing Provider Readiness for Telehealth Provision

Combatting the HIV & HCV Epidemics in Rural Massachusetts
Combatting the HIV & HCV Epidemics in Rural Massachusetts

Combatting the HIV & HCV Epidemics in Rural Massachusetts

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. 

TelePrEP and Tele-STI Care: Optimizing Safer Sex in the Pandemic
TelePrEP and Tele-STI Care: Optimizing Safer Sex in the Pandemic

TelePrEP and Tele-STI Care: Optimizing Safer Sex in the Pandemic

The webinar discusses what is known about sexual behavior during the pandemic and what constitutes safer sex in the COVID-19 era. The talk contextualizes PrEP as part of a sexual harm reduction strategy and discusses models for remote PrEP delivery and clinical monitoring. Practical issues, such as STI screening and reimbursement are also discussed. 

 

Improving PrEP Access through Monitoring and Engagement
Improving PrEP Access through Monitoring and Engagement

Improving PrEP Access through Monitoring and Engagement

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.
Ending the HIV Epidemic Collaborative: Next Gen
Ending the HIV Epidemic Collaborative: Next Gen

Ending the HIV Epidemic Collaborative: Next Gen

Here are three reasons why you should join us for the Ending the HIV Epidemic Collaborative:

  1. Peer to peer sharing. If you are a Primary Care HIV Prevention (PCHP) funded health center that struggles with clinical decision support, tracking HIV prevention and treatment outcomes, your peers can share innovative ideas and strategies to help you find solutions. 
  2. Relationship building. This is a unique opportunity for PCHP health centers to get together to share ideas around HIV screening and prevention. The EHE Collaborative is an opportunity to build relationships with other PCHPs.
  3. Improved technical assistance and training. Your participation in this roundtable helps HITEQ tailor our training and technical assistance services to serve you better. 
Ending the HIV Epidemic Collaborative: Next Gen
Ending the HIV Epidemic Collaborative: Next Gen

Ending the HIV Epidemic Collaborative: Next Gen

Here are three reasons why you should join us for the Ending the HIV Epidemic Collaborative:

  1. Peer to peer sharing. If you are a Primary Care HIV Prevention (PCHP) funded health center that struggles with clinical decision support, tracking HIV prevention and treatment outcomes, your peers can share innovative ideas and strategies to help you find solutions. 
  2. Relationship building. This is a unique opportunity for PCHP health centers to get together to share ideas around HIV screening and prevention. The EHE Collaborative is an opportunity to build relationships with other PCHPs.
  3. Improved technical assistance and training. Your participation in this roundtable helps HITEQ tailor our training and technical assistance services to serve you better. 

Acknowledgements

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

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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