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 14

Guidelines and Manuals

Webinars and Training

Tools and Job Aids

Reports and Best Practices

  • The HIV, Housing & Employment Project

    Client needs have been complicated and compounded by the recent COVID-19 pandemic. Agencies have had to reassess how they operate in a different health care environment that they had not previously encountered, requiring additional creativity.

  • Center for Quality Improvement and Innovation (CQII)

    Interventions tested and implemented by participating agencies of the end+disparities ECHO Collaborative national quality improvement initiative to address HIV disparities among Ryan White HIV/AIDS Program funded grant recipients.

  • HRSA HIV/AIDS Bureau (HAB)

    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)

    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).

  • National Clinician Consultation Center

    Healthcare providers can receive no-cost expert clinical consultation in HIV prevention & care, HCV treatment, and substance use management.

  • U.S. Department of Health and Human Services

    U.S. HIV-related treatment guidelines, drug database, and glossary.

  • National Council for Behavioral Health

    Resources on integrating primary care with behavioral health services to better address mental health and substance use needs.

Technical Assistance

  • 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 on HCV Management, HIV Management, Perinatal HIV/AIDS, Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis, Substance Use

  • 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 will facilitate the implementation of Rapid ART initiation in Ryan White HIV/AIDS Program (RWHAP) by compiling and disseminating implementation resources nationwide.

  • The AETC Program offers clinician education and tailored capacity-building assistance.