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Overview of implementation science activities for the Ryan White HIV/AIDS Program (RWHAP) and feedback on future directions.News Article updated on 04/14/2023
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DPD: Data Coordination
Improving data collection and reporting.Resource (Conference Presentation) updated 09/14/2023
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Completing the RWHAP Part A Program Terms Report (PTR)
Step-by-step instructions for recipients on accessing and completing the 2023 RWHAP Part A PTR.Resource updated 06/27/2024
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Louisiana Public Health Information Exchange
The Louisiana Public Health Information Exchange is a bidirectional exchange that connects hospital system electronic health records with state surveillance data. Providers use the exchange to identify and relink people with HIV who are out of care to clinical and supportive services. Since LaPHIE was implemented in 2009, thousands of people with HIV who were out of care have been identified, with a significant number being successfully linked to care.Resource from the RWHAP Best Practices Compilation updated on 05/20/2024
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Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations
The RWHAP Part F SPNS program funded the Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations initiative from 2012–2017, to provide coordinated housing supports and HIV, behavioral and mental health care to people experiencing homelessness. Nine funded demonstration sites created partnerships with housing providers, integrated behavioral health and HIV care, and provided intensive patient navigator services. A multi-demonstration site evaluation found that, compared to baseline, participants were more likely to be virally suppressed after 12 months in the intervention.Resource from the RWHAP Best Practices Compilation updated on 11/13/2023
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SPNS Initiative: Accelerating Implementation of Long-Acting Injectables (2022-2026)
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Accelerating Implementation of Long-Acting Injectables
The ALAI UP Project will support the implementation and delivery of LAI ART at eight demonstration sites in EHE jurisdictions across the US providing care to underserved populations and communities of color.RWHAP Technical Assistance Provider updated on 07/09/2024
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Effective Data Storytelling for HIV Service Providers
Best practices and tools for telling persuasive stories with your data.Resource updated 05/15/2024
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Capacity Building for Innovative Program Replication
SPNS initiative focused on building and enhancing the capacity of RWHAP recipients and subrecipients to replicate evidence-informed models of care/interventions among RWHAP jurisdictions. Project period: 2019-2023.RWHAP Technical Assistance Provider updated on 03/04/2024
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HIV Clinical Pharmacist Services
The HIV Clinical Pharmacist Services intervention shortens the time between referral to and engagement in care by allowing newly referred clients to see pharmacists in addition to other clinical providers for their initial appointment. This intervention is supported by findings from a retrospective cohort study that took place from 2013 to 2017 at a RWHAP-funded clinic. In addition to significantly decreasing the time between referral and initial visit, clients who saw a pharmacist also experienced shortened time to antiretroviral therapy initiation and viral suppression compared to those who only saw non-pharmacist providers.Resource from the RWHAP Best Practices Compilation updated on 11/01/2023
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Data to Care for People Coinfected with HIV and Hepatitis C Virus
The Michigan Department of Health and Human Services was one of seven health departments funded by Leveraging a Data to Care Approach to Cure Hepatitis C Virus (HCV) Within the RWHAP Part F SPNS initiative implemented from 2020–2022. With the support of the Yale University School of Medicine, which served as the Technical Assistance Provider, MDHHS matched RWHAP and HIV and HCV surveillance data, calculated HCV viral clearance cascades for coinfected populations, and worked with three RWHAP clinics to generate clinic-based lists of coinfected clients and conduct outreach and linkage to HCV treatment.Resource from the RWHAP Best Practices Compilation updated on 05/20/2024
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Innovative HIV Care Strategies for Priority Populations: Housing First and Positive Peers Interventions
Review of two interventions that focus on priority populations affected by the HIV epidemic: youth and people with HIV who are experiencing homelessness or unstable housing.Resource updated 07/17/2024
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LA Links (Louisiana Links)
LA Links is a combined data-to-care and client navigation approach that cross-references routinely collected HIV surveillance data with other secondary data sources to identify and locate people with HIV who are not in care, as well as those who are in care, but with high viral loads. Originally implemented in 2013 as part of the Care and Prevention in the United States Demonstration Project, LA Links improved linkage to care, reengagement in care, and viral suppression. Louisiana expanded the program statewide in 2016.Resource from the RWHAP Best Practices Compilation updated on 11/01/2023
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RWHAP Provider Use of Regional HIEs
Informal peer-to-peer discussion on regional health information exchanges.Resource updated 04/06/2023
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Wellness Web 2.0
Wellness Web 2.0 is a text message-based intervention that offers health education tools, appointment reminders, and navigation services to increase linkage to and retention in care for youth and young adults with HIV. Clients across 27 counties in South Texas enrolled in the Wellness Web 2.0 program had improvements in linkage to HIV medical care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 06/21/2024
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Service Use Variation and Associations with Viral Suppression: Five Years of Minneapolis-St. Paul TGA Data
We analyzed variation in service use and associations between service use and viral suppression by race/ethnicity. Results can be used to identify areas for potential quality improvement.
Resource (Conference Presentation) updated 09/14/2023
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Simplifying Salvage Antiretroviral Regimens in Treatment-Experienced PLWH
In a single-center restrospective cohort study, patients with extensive treatment experience and history of virologic failure and multi-drug resistance underwent simplification of ARV salvage regimens with a median pill burden reduction of six pills per day. This strategy led to high rates of virologic suppression.
Resource (Conference Presentation) updated 09/14/2023
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HIV Clinic Staff and Community Perspectives on Long-Acting Injectable ART in New York City
The first long-acting injectable antiretroviral therapy (LAI ART) formulation was FDA-approved January 2021. Drawing on the Consolidated Framework on Implementation Research, this mixed methods study assessed knowledge, attitudes, practices, and perceived barriers and facilitators related to implementation of LAI ART in NYC among HIV clinic staff and people with HIV.
Resource (Conference Presentation) updated 09/14/2023
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Preliminary Results from a Text Messaging Outreach Initiative to Reengage People Lost to HIV Care
Preliminary results from an ongoing RWHAP clinic initiative to use text messaging as a re-engagement strategy to bring lost patients back to care, which may be a more manageable and possibly equally effective re-engagement strategy when compared to phone outreach.
Resource (Conference Presentation) updated 09/14/2023
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Digital Health Initiative’s model for training NYS DOH AIDS Institute staff during COVID-19
The COVID-19 pandemic propelled digital tools to the forefront of healthcare. New York State Department of Health AIDS Institute Digital Health Initiative (DHI) coordinated digital health trainings to enhance practices among HIV program staff and may result in improved patient-provider communication, patient access to services and potentially health outcomes.
Resource (Conference Presentation) updated 09/14/2023