Outpatient Medical Care

Outpatient/ambulatory medical care (OAMC) includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician‘s assistant, clinical nurse specialist, nurse practitioner, or other health care professional who is certified in his or her jurisdiction to prescribe antiretroviral (ARV) therapy in an outpatient setting. These settings include clinics, medical offices, and mobile vans where clients generally do not stay overnight. Emergency room services are not considered outpatient settings.

Services include diagnostic testing, early intervention and risk assessment, preventive care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, education and counseling on health issues, well-baby care, continuing care and management of chronic conditions, and referral to and provision of specialty care (includes all medical subspecialties). Primary medical care for the treatment of HIV infection includes the provision of care that is consistent with the PHS‘s guidelines. Such care must include access to ARV and other drug therapies, including prophylaxis and treatment of opportunistic infections and combination ARV therapies.

Early Intervention Services provided by Ryan White Parts C and D programs are reported under outpatient/ambulatory medical care.

Resources 16

Guidelines and Manuals

National HIV Curriculum
AETC National Coordinating Resource Center (NCRC), University of Washington
April 2021
Online clinician training platform with evidence-based core competency training on HIV prevention, screening, diagnosis, care, and key populations.

Webinars and Training

TAP-in Webinar Series
Technical Assistance Provider Innovation Network (TAP-in)
October 2021
Recordings of the TAP-in: Technical Assistance Provider-innovation network webinars on topics critical to the Ending the HIV Epidemic Initiative.
Telehealth & HIV: After COVID-19
His Health: Engaging Black MSM in HIV Care and Prevention
Center for Engaging Black MSM across the Care Continuum
January 2017
Web training site to educate providers on the delivery of HIV health care services for black men who have sex with men to enhance engagement/retention in care.
Integration of Buprenorphine into HIV Primary Care Settings: Tools from the Integrating HIV Innovative Practices Program
HRSA HIV/AIDS Bureau (HAB)
August 2012
Resources to assist Ryan White HIV/AIDS Program and other HIV clinics to integrate buprenorphine programs within primary care settings.
Buprenorphine Training and Integration Webinar

Clinical Aspects of Buprenorphine Therapy

Integration of Buprenorphine into HIV Primary Care Settings: Curriculum

Integration of Buprenorphine into HIV Primary Care Settings: Training Manual

Tools and Job Aids

Sexual History Taking Toolkit
SPNS Sexually Transmitted Infections Initiative
June 2022
Tools to help clinics improve screening, testing, and treatment of common bacterial STIs among people with HIV or at risk for HIV.
Roadmap: Routine Depression Screening
TargetHIV
March 2017
Roadmap on steps to take in setting up depression screening in a program.
Program and Service Monitoring Tools - Cleveland/Lorain/Elyria TGA
Cleveland/Lorain/Elyria TGA
April 2011
Tools developed by a Part A program to monitor programs and services.
Outpatient Ambulatory Medical Care and Laboratory Service Review Tool

Outpatient Ambulatory Medical Care Service Review

Outpatient and Ambulatory Medical Care Laboratory Program Review

Outpatient and Ambulatory Medical Care Program Review
Patient Satisfaction Survey for HIV Ambulatory Care
New York State Department of Health AIDS Institute
March 2002
HIV-specific, validated tool to assess patient satisfaction with HIV primary care.

Reports and Best Practices

Housing & Employment Spotlight: Helping Clients during COVID-19
The HIV, Housing & Employment Project
February 2021
COVID-19 adjustments developed by Ryan White HIV/AIDS Program recipients.
Integrating Hepatitis C Treatment into HIV Care
IHIP
August 2017
These resources synthesize findings from the federally funded SPNS Hepatitis C Treatment Expansion Initiative, which focused on HCV treatment among coinfected patients.
Delivering Hepatitis C Treatment in an HIV Care Setting
Partnerships for Care (P4C): Health Departments and Health Centers Collaborating to Improve HIV Health Outcomes
HRSA Bureau of Primary Health Care (BPHC), Centers for Disease Control and Prevention (CDC)
July 2017
Toolkit to help Health Centers expand the provision of HIV testing, prevention, care and treatment; build sustainable partnerships between health centers and their state health departments; and improve health outcomes among people living with HIV, especially racial/ethnic minorities.
Integrating Buprenorphine Therapy Into HIV Primary Care Settings: Monograph
HRSA HIV/AIDS Bureau (HAB)
April 2012
Highlights from projects that offer highly effective (and replicable) approaches to integrating buprenorphine-based medication-assisted treatment into HIV/AIDS primary care.

Websites

AETC National Coordinating Resource Center (NCRC)
AETC National Coordinating Resource Center (NCRC)
April 2021
HIV clinical training resources for the AIDS Education and Training Centers (AETC) Program (e.g., library of tools by topic and populations, calendar of events, directory of AETCs, clinician consultation resources). Discover AETC EHE resources for clinicians.
National Clinician Consultation Center
National Clinician Consultation Center
April 2021
Healthcare providers can receive no-cost expert clinical consultation in HIV prevention & care, HCV treatment, and substance use management.
Clinical Info HIV.gov
U.S. Department of Health and Human Services
September 2020
U.S. HIV-related treatment guidelines, drug database, and glossary.
Center of Excellence for Integrated Health Solutions
National Council for Behavioral Health
January 2020
Resources on integrating primary care with behavioral health services to better address mental health and substance use needs.

Technical Assistance

AETC National Coordinating Resource Center
The NCRC is the central hub of the work of the AETC Program, the clinical training arm of the Ryan White HIV/AIDS Program.
Clinician Consultation Center
Clinician consultation on HCV management, HIV management, perinatal HIV/AIDS, pre-exposure prophylaxis (PrEP), post-exposure prophylaxis, substance use.
National HIV Curriculum
The NHC provides ongoing, up-to-date information needed to meet the core competency knowledge for HIV prevention, screening, diagnosis, and ongoing treatment and care to healthcare providers in the United States.
Rapid ART DAP
Project to facilitate the implementation of Rapid ART initiation in RWHAP provider settings by compiling and disseminating implementation resources nationwide.
Regional AIDS Education and Training Centers
The AETC Program offers clinician education and tailored capacity-building assistance.
Ryan White HIV/AIDS Program Best Practices Recipient Compilation
Initiative documenting best practice strategies and interventions that have been shown to improve HIV outcomes in a "real world" setting and can be replicated by other programs.