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Program letter encourages public health partners and grant recipients to implement status neutral approaches to HIV care and prevention.News Article updated on 01/18/2023
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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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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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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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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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Addressing and Identifying Food Insecurity in a Southeastern Ryan White Clinic
Description of an intervention to address food insecurity in a RWHAP-eligible population in a Southeastern U.S. clinic, with plans to examine the association with viral suppression and retention in care.
Resource (Conference Presentation) updated 09/14/2023
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Staff in Ryan White Centers Demonstrate Improved Awareness Related to PrEP
Increasing provider awareness of Pre-exposure prophylaxis (PrEP) in order to improve utilization by people at risk for HIV.
Resource (Conference Presentation) updated 09/14/2023
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Collecting and Using Data to Inform and Improve Information Dissemination
The TargetHIV website is the central hub for RWHAP technical assistance (TA), with an audience of 40,000 unique users a year. Of these, approximately 25 percent access resources from data-related TA providers. This poster will describe how we collect and interpret website data to monitor and improve our dissemination approaches.
Resource (Conference Presentation) updated 09/14/2023
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Assessing programmatic impact of movement between geographically clustered Part A service areas in Florida
RWHAP Part A programs in Florida are housed within county governments, not the state department of health. This prevents direct data sharing, leading to outdated out-of-care (OOC) lists. Migration of residents between counties complicates the management of OOC lists, creating a need for streamlined data exchange and matching.
Resource (Conference Presentation) updated 09/14/2023
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Engaging New PrEP Prescribers Through an Online Microlearning Course
Description of a PrEP course's development, using online microlearning modules that can be completed in 10-15 minutes.
Resource (Conference Presentation) updated 12/19/2023
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Data Tools and Best Practices for Continuity of Services
Description of methods to implement data tools and best practices for continued client enrollment in RWHAP Part B, including steps being taken to make data driven decisions to improve patients’ access, engagement and health outcomes across our care continuum.
Resource (Conference Presentation) updated 09/14/2023
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Implementation of a telePrEP program in partnership with state and local health departments in South Carolina
Review of a 12-month clinical telePrEP program for rural South Carolina residents, which evaluated the feasibility and acceptability of PrEP delivered through a telehealth model.
Resource (Conference Presentation) updated 09/14/2023
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Assessing Medication Access Barriers in Patients Living with HIV
Virginia quality improvement program that identifies access to medication barriers and provides emergency medication supplies to people with HIV if no timely access is secured.
Resource (Conference Presentation) updated 09/14/2023
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Cancer Mortality in New Jersey, 2000-2018
Cancer-related mortality accounted for 10% of deaths among PWDH, in New Jersey from 2000-2018. The most common cancers were non-Hodgkins Lymphoma (ADC) and lung cancer (non-ADC),ranked as number 1 and 2, followed by of colo-rectal, liver cancer, and KS, in 2015 to 2018.
Resource (Conference Presentation) updated 09/14/2023
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Oral Health Data in CAREWare: Process optimization – the Baltimore EMA Experience
Oral health of RWHAP participants remains a critical area of unassessed unmet need. Normative data needs and SWOT analyses indicated need for process improvement strategies involving providers for better data quality. Voluntary oral health data reporting is a key barrier to understanding/tracking the oral health status of RWHAP participants.
Resource (Conference Presentation) updated 09/14/2023
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Not in Care – An Exploratory Analysis of Who and Why
Comparison of those retained in care and not retained in care, using 2019 CAREWare data, which identified concerning health outcomes for those not retained.
Resource (Conference Presentation) updated 09/14/2023
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Addressing Opiate Use through Practice Transformation: Implementing Dashboard Reports to Improve Panel-Based Care
The U.S. opioid epidemic has significant impact on rates of overdose deaths among people with HIV. The aim of the project was to leverage the PDSA methodology to enhance a population-based, health information technology, intervention to facilitate the identification and panel management of high-risk clients with opioid use disorder.
Resource (Conference Presentation) updated 09/14/2023