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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

HITEQ Center 0 5563
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 18147

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.

Applying a Decision Making Support Tool for HIV Care in the Primary Care Setting

Free Continuing Education Credits for Live Session Only

Nye Day 0 3068

In this live, 60-minute webinar, expert faculty will demonstrate the use of HIV-ASSIST when making evidence-based ART decisions and will apply the tool to case discussions focused on applicability in primary care settings. 

The goal of this activity is to provide practical tools to improve the competence of primary care providers and other nonspecialists as well as global specialist healthcare professionals in making evidence-based ART decisions by increasing awareness and use of HIV-ASSIST. 

After this webinar, the participant should be better able to: 

  • Confidently make use of the HIV-ASSIST tool based on a solid understanding of its functionality and the data that validate its effectiveness in HIV decision support. 
  • Integrate HIV-ASSIST into the clinical workflow when selecting antiretroviral regimens for previously untreated patient cases; and 
  • Select evidence-based new ART regimens for patients with stable virologic suppression and those with virologic failure through appropriate use of HIV-ASSIST. 

 

NTTAP Webinar Series: HIV Prevention: Combatting PrEP Implementation Challenges

Weitzman Institute

Nye Day 0 4005

Are you encountering challenges implementing PrEP at your health center? You are not alone! Join our upcoming webinar to hear experts share their best practices for integrating HIV PrEP! 

Expert faculty will present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program.
 

Opportunities and Strategies to Optimize PrEP Uptake in Key Communities

Health HIV Medical Education

Caila Kilson-Kuchtic 0 7386
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.

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.

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

Jamal Refuge 0 11158

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 15505

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!

Acknowledgements

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