Innovations in the ER: Collaborations among Emergency Departments, TA Providers, & Health Jurisdictions to Identify and Treat HIV, HCV, and Syphilis

Technical Assistance Provider Innovation Network (TAP-In)

Across the U.S., and likely, in your own jurisdiction, Emergency Departments are a key point of entry or re-entry into the healthcare system and the only source of healthcare for many marginalized populations. Identifying, treating, linking, and re-engaging the hardest-to-reach people with HIV are critical steps in the Ending the HIV Epidemic Plan for the U.S. (EHE). Emergency Departments can and do play a crucial role in EHE efforts as they diagnose and treat people with multiple needs and co-morbidities every day.

This webinar highlights a collaboration among two Emergency Departments, a county health department, a state health department, and technical assistance providers to implement routine HIV, HCV, and syphilis screening to increase identification and reduce time to treatment for all three infections. We discuss how collaborations with Emergency Departments can assure effective referrals to medication assisted treatment (MAT) services for opioid users.

After this session, participants will be able to:

  1. Explain the critical role Emergency Rooms/Departments play in identifying and treating HIV, HCV, STIs and SUDs and ending the HIV Epidemic in both urban and rural settings
  2. Discuss how TAP-in, AETCs, and other partners can work with Emergency Departments and health jurisdictions to help high-risk patients link to or re-engage in high quality HIV/HCV treatment
  3. Review how TAP-in, AETCs, planning bodies, and others can best work with Emergency Departments and health jurisdictions to maximize health outcomes for the most vulnerable and hard-to-reach populations in your community

Webinar Sections

Select a timecode to go to a section or access the webinar on YouTube and see the Description to jump to these sections of the video.

  • Learning Objectives, Agenda (4:30)
    Purpose of the webinar, objectives and introductions.

  • The Critical Role of the ED in EHE (8:39)
    An overview of HIV testing in the ED, Los Angeles County and University of Southern California ED, case studies, HIV Ag/AB Immunoassay, Acute HIV in the ED, HIV diagnosis, earlier intervention in acute HIV, and more.

  • Vision for ED in Kern County (20:11)
    An overview of the demographics of Kern County, vision for Kern EDs, and more.

  • Kern Epidemiology (24:28)
    An overview of Kern County HIV/AIDS cases, “Almost” An EHE-Designated County, Kern County STD Summary, and more.  

  • Screening Inside the ER (31:39)
    An overview of the HIV testing data (Pre/Post COVID-19), HCV testing data, Opioids and ED: the Bridge Program, and more.

  • Screening in Second ED and Plans for the Future (38:38)
    An overview of 2020-2021 HIV screening –Adventist ED, 2020-2021 HCV screening –Adventist ED, and more.

  • TAP-in provides TA for Rapid ART (45:49)

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