Listed here are resources related to the implementation of routine HIV screening.
Click here for older publications and resources (1985-1995).
Online Tools
HIV Web Study: This link will take you to HIV Web Study, a free education service from the Northwest AIDS Education and Training Center and the University of Washington. You will find the following two interactive online tutorials on the left-hand menu:
1) Routine HIV Care in Health Care Settings provides an in-depth overview of the CDC's 2006 HIV Testing Recommendations and covers such topics as HIV epidemiology in the United States; rationale for routine HIV screening; important definitions related to testing and screening; potential barriers to implementing routine screening; counseling; and linkage to care. Each section of the tutorial contains an interactive self- assessment, and both nursing and medical continuing education units can be obtained.
2) The OraQuick Advance Rapid HIV-1/2 Antibody Test interactive tutorial covers the biological principles of the test; test preparation; specimen collection and testing procedures; how to read, interpret and act on test results; and test performance and quality control measures. This tutorial has an interactive self-assessment and provides the opportunity for CME credit.
Publications
| 01-17-2012 |
2011 Clinical Issues in HIV Medicine: Recent Advances & Challenges
Edited by Kenneth H. Mayer, MD and Daniel R. Kuritzkes, MD, Clinical Issues in HIV Medicine: Recent Advances and Challenges is a compendium of articles published in Clinical Infectious Diseases (CID) and the Journal of Infectious Diseases (JID). These articles represent a wide array of clinical topics in HIV medicine and HIV-related clinical research. View the compendium online or request a copy from the HIV Medicine Association. Editions from previous years can be accessed as well. |
|
| 05-01-2011 |
|
Update on Implementation of HIV Rapid Testing in Health Department Supported HIV Prevention Programs
(869kb)
This report from the National Alliance of State and Territorial AIDS Directors (NASTAD) highlights results from NASTAD's 2010 survey of the 65 state and local health departments funded by the Centers for Disease Control and Prevention (CDC) Division of HIV/AIDS Prevention. The study was designed to provide a deeper understanding of the use of rapid HIV testing in conjunction with health department supported HIV prevention efforts, including the mechanisms and resources used by health departments to procure rapid test devices; the types of test technologies and volume of tests conducted; the venues in which rapid HIV testing is conducted and plans and priorities for expansion; issues associated with the use of rapid HIV tests from various manufacturers; performance of rapid HIV tests; the use of multi-test algorithms; and technical assistance needs. The survey also addressed the implementation of HIV testing in dental care settings. Of the 57 health departments that support rapid HIV testing, 46 or 81% indicated community health centers as a venue in which rapid HIV testing is provided. When asked about their plans for rapid testing for the year, 35 or 64% reported that they expect to increase the number of sites where rapid testing is provided. Of these, 20 or 57% indicated community health centers as a venue for expansion. |
| 03-01-2011 |
|
An Epidemic in Evolution: The Need for New Models of HIV Care in the Chronic Disease Era
Carolyn Chu and Peter A. Selwyn, Journal of Urban Health Volume 75/1998-Volume 88/2011/Online First™, 1 March 2011. Since the beginning of the AIDS epidemic, models of HIV care have needed to be invented or modified as the needs of patients and communities evolved. Early in the epidemic, primary care and palliative care predominated; subsequently, the emergence of effective therapy for HIV infection led to further specialization and a focus on increasingly complex antiretroviral therapy as the cornerstone of effective HIV care. Over the past decade, factors including (1) an aging, long-surviving population; (2) multiple co-morbidities; (3) polypharmacy; and (4) the need for chronic disease management have led to a need for further evolution of HIV care models. Moreover, geographic diffusion; persistent disparities in timely HIV diagnosis, treatment access, and outcomes; and the aging of the HIV provider workforce also suggest the importance of reincorporating primary care providers into the spectrum of HIV care in the current era. Although some HIV-dedicated treatment centers offer comprehensive medical services, other models of HIV care potentially exist and should be developed and evaluated. In particular, primary care- and community-based collaborative practices—where HIV experts or specialists are incorporated into existing health centers—are one approach that combines the benefits of HIV-specific expertise and comprehensive primary care using an integrated, patient-centered approach. |
| 01-01-2011 |
|
Implementation of Routine HIV Testing in Health Care Settings: Issues for Community Health Centers
This guidance, written collaboratively by the Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention (CDC) and the National Association of Community Health Centers (NACHC), describes how community health centers have successfully implemented routine HIV screening. The guidance offers details about implementation during a pilot program in six community health centers, including how centers seamlessly integrated HIV testing into the primary care visit and protocols and algorithms for ensuring confidentiality; providing test results to patients; clinical management issues; matching patients with appropriate medical care; disclosure and partners services; reporting; and duty to warn. The guidance also describes the rationale for the CDC's 2006 HIV testing recommendations and the important role of community health centers in increasing the number of individuals who know their HIV status and enter into care early. |
| 11-03-2010 |
|
Partnerships between FQHCs and LHDs for Engaging in Development of a Community-Based System of Care
(881kb)
This guide, Partnerships between Federally Qualified Health Centers and Local Health Departments for Engaging in the Development of a Community-Based System of Care, from NACHC, in partnership with the National Association of County and City Health Officials, describes how health centers and local health departments can work together toward developing a high performing delivery system model. It highlights the importance of strategic alliances between health centers and local health departments to strengthen the bonds between public health and primary care in the context of medical home, meaningful use of health information technology and health reform. It can be particularly useful for health centers and health departments engaged in HIV screening activities through the Centers for Disease Control and Prevention's Expanded HIV Testing Initiative. The guide includes information about different partnership models and agreements, and considerations for patient privacy and health information exchanges. |
| 08-05-2009 |
|
Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk
Janet J. Myers, PhD, MPH, Cheryl Modica, PhD, MPH, BSN, Mi-Suk Kang Dufour, PhD(cand), MPH, Caryn Bernstein, MPH, and Kathleen McNamara, RN, J Gen Intern Med 24(12):1269-74. This article describes evaluation results from NACHC's routine HIV screening pilot in six community health centers in the southeast. The evaluation concluded that by integrating CDC-recommended guidelines and applying rapid test technology, health centers were able to provide new access to HIV testing. Variation across centers in offering and receiving tests may indicate that clinical training could enhance universal access. |
| 09-22-2006 |
|
Revised Recommendations for HIV Testing/Adults, Adolescents & Pregnant Women in Health Care Settings
Centers for Disease Control and Prevention. MMWR 2006;55(No. RR-14):1-24. (Please note these are the latest recommendations from the CDC.) |
