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.
Guidelines and Manuals
AETC National Coordinating Resource Center (NCRC)September 2018
Online training platform to meet the core competency knowledge for HIV prevention, screening, diagnosis, and ongoing treatment and care to healthcare providers in the United States.
These resources synthesize findings from the federally funded SPNS Hepatitis C Treatment Expansion Initiative, which focused on HCV treatment among coinfected patients.
Webinars and Training
National Center for Innovation in HIV CareDecember 2016
Overview of health care and supportive services to help older PLWH age successfully.
National Center for Innovation in HIV CareOctober 2015
Overview of the care of older adults living with HIV infection and strategies for agencies to improve the management of this population's more common co-morbidities (e.g., coronary heart disease, various cancers).
IHIP, HRSA HIV/AIDS Bureau (HAB)August 2012
This package of training and implementation tools was developed to assist Ryan White and other HIV clinics to integrate buprenorphine programs in primary care settings.
Tools and Job Aids
Roadmap on steps to take in setting up depression screening in a program.
Cleveland/Lorain/Elyria TGAApril 2011
Tools developed by a Part A program to monitor programs and services.
Reports and Best Practices
HRSA HIV/AIDS Bureau (HAB)April 2012
This report highlights projects found to offer highly effective (and replicable) approaches to integrating buprenorphine-based medication-assisted treatment into HIV/AIDS primary care.
U.S. Department of Health and Human ServicesFebruary 2018
U.S. HIV-related treatment guidelines along with HIV topics, fact sheets, drug database and more.
AETC National Coordinating Resource Center (NCRC)January 2018
HIV clinical training resources and and collaborative support for the AETC Program.
Center for Engaging Black MSM across the Care ContinuumJanuary 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.
SAMHSA-HRSA Center for Integrated Health SolutionsJanuary 2017
Resources on integrating primary care with behavioral health services to better address mental health and substance use needs.