The RWHAP Best Practices Compilation gathers and disseminates interventions that improve outcomes along the HIV care continuum. Explore the Compilation to find inspiration and new ideas for improving the care of people with HIV. Submit your innovation today for possible inclusion in the Compilation.
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The AIDS Institute is committed to promoting, monitoring, and supporting the quality of clinical services for people with HIV in New York State. The Adolescent Quality Learning Network (AQLN) is a collaborative of 16 HIV Adolescent/Young Adult Specialized Care Center (SCC) programs. In collaboration with the AIDS Institute, SCC providers selected a quality improvement project aimed to raise viral suppression rates by improving access to mental health services.
Emerging Intervention
Youth ages 13 to 24
Retention in HIV medical care; Viral suppression
Clinical service delivery model
NY
The Cooper Health System’s Early Intervention Program Expanded Care Center has integrated comprehensive HIV medical care with addiction services and medication protocols for substance use disorder (SUD), as a treatment model for people with HIV. For clients with HIV and SUD, both retention in care and viral suppression increased.
Emerging Intervention
People who inject drugs (PWID)
Retention in HIV medical care; Viral suppression
Clinical service delivery model
Camden, NJ
The Rutgers New Jersey Medical School created a transgender health program and integrated it into their Infectious Disease Practice. The program conducted community outreach to engage transgender men and women in care, trained all staff on gender affirming care, hired transgender staff, provided gender affirming care and hormone treatments onsite, and offered mental health support to patients.
Emerging Intervention
Transgender women
Prescription of antiretroviral therapy; Retention in HIV medical care; Viral suppression
Clinical service delivery model
Newark, NJ
Southeast Mississippi Rural Health Initiative, Inc., a network of community health centers serving Southern Mississippi, uses data-driven quality improvement techniques to identify youth who are not virally suppressed or have missed appointments. Medical case managers use a client checklist to identify and address barriers to antiretroviral therapy (ART) and medical care adherence. They also use a health literacy visual illustration tool to help youth understand the effects of ART on viral suppression. The intervention strategy was successful in improving viral suppression rates for youth.
Emerging Intervention
Youth ages 13 to 24
Viral suppression
Quality improvement; Support service delivery model
MS
The Kansas City, Missouri Health Department, with partners Catholic Charities and reStart, developed KC Life 360 to expand housing and employment opportunities for people with HIV. KC Life 360 contributed to positive housing, earned income, and viral suppression outcomes for clients.
Emerging Intervention
People who are unstably housed
Retention in HIV medical care
Support service delivery model
Kansas City, MO
The Maricopa Jail Project was implemented by five jails to decrease the wait time between incarceration and/or diagnosis to the start of treatment, and to better support clients to reach viral suppression. Maricopa hired a nurse practitioner to manage access and case manage across the jail system. The initiative was successful in increasing the number of clients who were virally suppressed.
Emerging Intervention
People who are incarcerated; People with HIV
Viral suppression
Clinical service delivery model
Maricopa County, AZ
Gay Men’s Health Crisis updated its data management process to better document housing and employment service outcomes. Enhancements to the Electronic Health Record contributed to positive housing, employment, and viral suppression outcomes for clients.
Emerging Intervention
People with HIV
Viral suppression
Data utilization approach
New York, NY
Ryan Health, a Federally Qualified Health Center, and Alliance for Positive Change, a community-based organization, created a medical-community partnership to link clients to care and decrease missed appointments. The Linkage to Care program, utilizing peer navigators, was successful in reengaging clients who had fallen out of care.
Emerging Intervention
People with HIV; People with multiple chronic conditions
Linkage to HIV medical care; Retention in HIV medical care
Clinical service delivery model
New York, NY
Lehigh Valley Health Network Comprehensive Health Services implemented a trauma-informed approach to care delivery, including training staff on how trauma can affect people’s health and how microaggressions in healthcare environments can potentially trigger trauma responses. This approach positively impacted care delivery and the program’s retention in care rate.
Emerging Intervention
People with HIV
Retention in HIV medical care
Clinical service delivery model
Allentown, PA
San Joaquin County Public Health Services Department partnered with the California Department of Public Health, Office of AIDS to help clients get to medical appointments via ridesharing. Representing the first partnership between a jurisdiction and a ridesharing company, this program addresses transportation barriers, promotes engagement in medical care, and leads to cost savings.
Emerging Intervention
People with HIV
Retention in HIV medical care
Support service delivery model
San Joaquin, CA
