Rapid ART is the administration of antiretroviral therapy as early as possible after an HIV diagnosis and, ideally, at the same clinic visit as the HIV diagnosis. Rapid ART is the standard of HIV treatment. Clinic processes to adopt rapid ART include development of protocols, staff training, development of teams that can facilitate delivery of rapid ART, and client education.
- Rapid ART Dissemination Assistance ProviderModel Rapid Start projects, with highlights on their key features, video overviews, process maps, and detailed descriptions.
- Center for Innovation and EngagementCollection of implementation guides on evidence-informed best practices in HIV care delivery.
- Center for Innovation and EngagementCrescentCare seeks to start all people with HIV who have been newly diagnosed on antiretroviral therapy (ART) within 72 hours of diagnosis. The intervention provided a 24-hour navigator to coordinate linkage services and streamlined intake.
- Best Practices CompilationThe CrescentCare Start Initiative is a program of CrescentCare, a Federally Qualified Health Center, and the New Orleans Office of Health Policy. The initiative connects people with newly diagnosed HIV to antiretroviral therapy (ART) through intensive patient navigation and a streamlined intake process. Time between HIV diagnosis and linkage to HIV medical care has decreased from 30 days to only 1.3 days.
- Best Practices CompilationThe Huntridge Family Clinic launched the Rapid Start Initiative to provide same-day ART treatment and comprehensive case management to clients with a new diagnosis of HIV. Over 90% of clients received ART on the same day as diagnosis, and 78% of clients were retained in care within the first year of starting treatment.
- Best Practices CompilationKern County Rapid ART links people with a new diagnosis of HIV to ART. The Kern County Health Officer’s Clinic identifies people with a new diagnosis of HIV through onsite testing, surveillance data, and referrals from local hospital emergency departments. Kern County Rapid ART provides support services and refers clients to other community clinics for ongoing care. A study of clients with a new diagnosis of HIV in 2021 found that on average, Kern County Rapid ART clients were linked to care and provided ART within two days of diagnosis.
- Best Practices CompilationPositive Care Center implemented the Rapid Access program in 2018, providing clients with ART on the same day as HIV diagnosis. Pharmacists, embedded within Positive Care Center’s care team, help clients with their treatment plans and adherence strategies. Over 90% of clients served through Rapid Access in 2021 received ART on the same day as diagnosis, and 82% of clients were retained in care at six months.
- Best Practices CompilationThe Virginia Commonwealth University implemented a clinical quality improvement project to increase linkage to HIV medical care within 30 days and initiation of antiretroviral therapy (ART) at the first visit by making “Rapid Access” appointments available each week for people with newly diagnosed HIV.
- Rapid ART Dissemination Assistance Provider
These resources designed to support activities to adopt Rapid Start as a standard of care.
- Best Practices CompilationThe Test and Treat initiative, implemented by Oklahoma State University, connects people to antiretroviral therapy (ART) within 14 days of HIV diagnosis through streamlined intake and initial clinic visit protocols and 30-day medication starter packs. Participants in Test and Treat are linked to care and reach viral suppression sooner, and are more likely to be retained in care, as compared with people in standard care.
- Best Practices CompilationThe Max Clinic, located within the University of Washington’s Harborview Medical Center complex in Seattle, offers walk-in services and incentives to clients reengaging in HIV care, especially those who have not been well served by the traditional health care model—including clients who are experiencing homelessness, or who have mental health and substance use issues. The Max Clinic offers rapid antiretroviral therapy, incentives, a flexible clinical model, and access to comprehensive support services. Max Clinic clients were significantly more likely to reach viral suppression after 12 months than a comparable control group.
- NASTADReview of financing strategies for RWHAP EHE recipients should consider as they develop Rapid Start programs and the systems level partnerships required to make programs successful.
- Rapid ART Dissemination Assistance ProviderBest practices, and service delivery models, that facilitate the delivery of effective Rapid Start services in diverse RWHAP-funded provider settings.
- Rapid ART Dissemination Assistance ProviderThe Rapid Start Cost Estimation Tool will help you estimate the additional costs needed to support the planning, implementation, and management of Rapid Start services in your clinical setting.
- Technical Assistance Provider Innovation Network (TAP-in)What HIV care providers can do to create a rapid ART program to get HIV clients on treatment the same day as a diagnosis.
- Rapid ART Dissemination Assistance ProviderSeries of videos featuring a diverse group of clients, clinicians and program staff and their perspectives on rapid initiation of antiretroviral therapy (ART).
- Technical Assistance Provider Innovation Network (TAP-in)Recordings of the TAP-in webinars on topics critical to the Ending the HIV Epidemic Initiative.
- Rapid ART Dissemination Assistance ProviderObservations on Rapid Start benefits and challenges from 20 community members, shared at USCHA 2022.