Navigator Case Management
Resource updated 09/14/2023
Resource updated 09/14/2023
Managing the needs of people with HIV can be difficult and intensive. The importance of caring for oneself is often overlooked by program staff and can threaten their well-being. Staff who provide non-medical case management and assistance in finding employment and housing were interviewed to determine key areas of concern.
Resource (Conference Presentation) updated 09/14/2023
Maricopa County’s Part A Program used HRSA Policy 18-02, which defines allowable services for incarcerated individuals, to expand services in county jails. This session provides a clinical and administrative perspective on the processes, forms, and services that decreased time from jail-based diagnosis to treatment and viral load suppression.
Resource (Conference Presentation) updated 09/14/2023
Prism Health North Texas will share the challenges and successes of integrating non-medical case management workflow processes into an integrated electronic health record system. The presenter will discuss workflow processes, assessments that allow non-medical case managers to gather required information and determine outcomes and identify patients appropriate for program graduation.
Resource (Conference Presentation) updated 09/14/2023
In December 2019 the Iowa ADAP launched its Jail Assistance Program to extend HIV medication access to county jails. The ADAP partnered with a local jail to create a program that could be replicated across all of Iowa’s 99 counties. This presentation will focus on program development, utilization, and lessons learned.
Resource (Conference Presentation) updated 09/14/2023
The Los Angeles County Department of Health compared change in acuity level from initial assessment to reassessment among Los Angeles County Medical Care Coordination (MCC) clients. At reassessment, 2,361 clients (50%) had a significant reduction in acuity. MCC is an effective strategy to reduce medical and psychosocial acuity in addition to improving HIV care continuum outcomes.
Resource (Conference Presentation) updated 09/14/2023
Modernizing acuity scales in provision of services to clients allows for those with the greatest need to achieve improved health outcomes in a health equity approach.
Resource (Conference Presentation) updated 09/14/2023
Resource (Conference Presentation) updated 09/14/2023
Resource (Conference Presentation) updated 09/14/2023
Panelists will describe collaborative prevention and support services provided to people with HIV and/or hepatitis from incarceration to re-entry. Services addressing social determinants of health are provided in corrections facilities and upon release. Panelists include the program director, staff from a correctional medical facility, and community-based organizations working inside and outside of correction facilities.
Resource (Conference Presentation) updated 09/14/2023
The New York City Department of Health and Mental Hygiene designed an HIV self-management protocol for the Ryan White Part A care coordination program. Through the protocol, staff and patients systematically identify and address patient strengths and challenges, focusing activities on building patients' capacity to manage their care.
Resource (Conference Presentation) updated 09/14/2023
HRSA/HAB guidance on using RWHAP funds to provide services to eligible individuals in prisons, jails, and other correctional systems allows recipients to determine which RWHAP services to provide and for how long. This session will provide overviews of HAB policy and two recipients' programs serving people who are justice-involved.
Resource (Conference Presentation) updated 09/14/2023
The New York City Health Department has scaled up The Undetectables Viral Load Suppression Program, in collaboration with the program developer (Housing Works) and other stakeholders, by integrating the program into existing HIV medical case management service delivery.
Resource (Conference Presentation) updated 09/14/2023
Prism Health North Texas will share the challenges and successes of adapting Ryan White case management tools and strategies to a pre-exposure prophylaxis (PrEP) program for behavioral intervention. Panelists will detail how they took lessons learned from case management to HIV prevention to become status neutral.
Resource (Conference Presentation) updated 09/14/2023
This workshop will help participants assess and improve their collaborative process with Integrated HIV Prevention and Care Plan development and implementation. Presenters will describe challenges and facilitators with cross-Part collaboration on integrated planning, including the development, implementation, monitoring and improvement of integrated plans, and alignment with other planning efforts.
Resource (Conference Presentation) updated 09/14/2023
This session will discuss key considerations for RWHAP Part B programs and AIDS Drug Assistance Programs (ADAPs) as they support access to medication and related services for justice-involved individuals within the parameters of relevant HRSA/HAB guidance and other federal policies.
Resource (Conference Presentation) updated 09/14/2023
This session will describe the five optimal stages of integrated planning and introduce lessons learned, best practices, and resources for the cyclical integrated planning process and development of the Integrated HIV Prevention and Care Plans.
Resource (Conference Presentation) updated 09/14/2023
The rate of HIV among people in US prisons is higher than the general population. This workshop will review an evidence-informed intervention to engage people with HIV in the jail setting. Challenges, strategies, and lessons learned will be discussed to support the adaptation and replication of the evidence-informed intervention.
Resource (Conference Presentation) updated 09/14/2023
This session will describe the development and implementation of a web-based electronic and administrative tracking system developed for use by clinic case managers. This electronic tracking tool allows case managers to easily view patient data with the overall goal of improving retention in care and adherence to medication.
Resource (Conference Presentation) updated 09/14/2023
The five stages of preparing a care/prevention integrated plan (organize and prepare; prioritize; implement; monitor and make improvements; communicate and share progress). Section in the Integrated HIV Prevention and Care Planning Online Resource Guide.