These resources synthesize findings from the federally funded SPNS Hepatitis C Treatment Expansion Initiative, which focused on HCV treatment among coinfected patients.
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
Webinars and Training
- AETC National Coordinating Resource Center (NCRC), University of Washington
Online clinician training platform with evidence-based core competency training on HIV prevention, screening, diagnosis, care, and key populations.
- Center for Engaging Black MSM across the Care Continuum, NASTAD
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 ProgramHRSA HIV/AIDS Bureau (HAB)
Resources to assist Ryan White and other HIV clinics to integrate buprenorphine programs within primary care settings.
Tools and Job Aids
- SPNS Sexually Transmitted Infections Initiative
Tools to help clinics improve screening, testing, and treatment of common bacterial STIs among people with HIV or at risk for HIV.
Roadmap on steps to take in setting up depression screening in a program.
- Cleveland/Lorain/Elyria TGA
Tools developed by a Part A program to monitor programs and services.
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.
- 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.