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Access these National Academy of Medicine and RWHAP consumer engagement tools.News Article updated on 06/23/2023
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Bottom-Up Project
The Bottom-Up Project is a multi-organizational initiative focused on leveraging health information exchange data and peer navigation. Using real-time clinical data, in combination with linkage to HIV care and social services, the Bottom-Up Project locates and reengages people with HIV who are not currently in medical care and are not virally suppressed. Through this collaboration, over half of patients on the lost-to-follow-up list were found and invited to enroll in the linkage to care/reengagement program.Resource from the RWHAP Best Practices Compilation updated on 01/03/2024
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DISQ Office Hours: Gender-Affirming Data Collection
DISQ “Office Hours” are technical assistance opportunities that allow Ryan White HIV/AIDS Program (RWHAP) recipient and provider staff to talk with their peers in an informal setting about specific technical challenges and solutions. These hour-long calls include a short presentation by a RWHAP recipient or provider about their data management approach.
Resource updated 07/13/2023
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Leveraging a Data to Care Approach to Cure HCV among People with HIV: Implementation Manual and Data-to-Care Tools
Activities of jurisdictions and their partner clinics to implement Hepatitis C Virus (HCV) Data to Care project activities, based on their previous experience, data management infrastructure, ability to share data, and staffing resources.
The implementation manual summarizes approaches, lessons learned, and best practices for supporting the replication of efforts, and lists key resources for health department jurisdictions to start implementation.
Resource updated 05/15/2024
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Tools + Tips For Providing Transitional Care Coordination
This handbook details New York City Correctional Health Services’ Transitional Care Coordination intervention model, including program planning, implementation steps, and lessons learned.Resource updated 05/16/2024
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NC-LINK Intervention Manual: Instructions for Replication
Insights on replicating the strategy and lessons learned from the four interventions in NC‐LINK, a demonstration site under the HRSA SPNS Systems Linkages and Access to Care Initiative.
Resource updated 09/16/2021
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Replication Resources: SPNS Systems Linkages and Access to Care
Insights from a multi-state demonstration and evaluation of innovative models for linkages to and retention in HIV care.
Resource updated 09/20/2021
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RSR In Focus
Tools to walk users through some common functions associated with preparing and submitting the RSR.
Resource updated 09/19/2023
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Epic and CAREWare Integration
Discussion of how to integrate CAREWare with Epic and other electronic health record systems.
Resource updated 03/17/2023
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Virginia Systems Linkages and Access to Care Protocols
Virginia, one of the demonstration states of the HRSA SPNS Systems Linkages and Access to Care Initiative, developed manuals to support linkages to HIV care.
Resource updated 09/16/2021
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Wisconsin Systems Linkages and Access to Care Manuals
Insights from the Wisconsin demonstration site of the HRSA SPNS Systems Linkages and Access to Care Initiative to increase the number of people with HIV engaged in care by creating a “system of linkages” along the HIV continuum of care.
Resource updated 09/14/2023
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Louisiana Systems Linkages and Access to Care Manuals
Manuals to assist agencies replicate Louisiana's SPNS Systems Linkages and Access to Care Initiative.
Resource updated 09/16/2021
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Massachusetts SPECTRuM: Engagement and Retention Via Peer and Surveillance Data
Insights on replicating strategies and lessons learned in the Massachusetts demonstration site of the HRSA SPNS Systems Linkages and Access to Care Initiative.
Resource updated 09/16/2021
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Improving Health Outcomes: Moving Patients Along the HIV Care Continuum and Beyond
Insights on ways that HIV care programs have improved health outcomes along the HIV care continuum.
Resource updated 03/13/2024
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Innovative Approaches to Engaging Hard-to-Reach Populations Living with HIV/AIDS into Care
Tools to help health care providers adapt SPNS models within their existing operations in order to better engage hard-to-reach people with HIV into care.
Resource updated 05/15/2024
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Correctional Health Linkage Interventions
Tested resources for implementing jail linkage programs and assisting organizations in expanding their current jail work. Includes a manual, curriculum, fact sheets, and webinars.Resource updated 05/15/2024
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Enhancing Linkages to Care for Women Leaving Jail: Case Study, Overview, and Replication Tips
Evidence-informed intervention that integrates jail-based case managers to work with jail-based discharge planners and peers to support HIV-positive women as they transition from jail to the community.Resource updated 08/29/2022
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My Health Profile Continuity of Care Record Intervention: Case Study, Overview, and Replication Tips
Patient portal, leveraged across a regional health network, with critical health information to improve continuity of care.Resource updated 08/31/2022
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Active Referral Intervention: Case Study, Overview, and Replication Tips
Evidence-informed intervention that uses Disease Intervention Specialists (DIS) to more actively link clients to HIV care services.Resource updated 08/26/2022
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Assess, Test, Link - Achieve Success (ATLAS) Program: Case Study, Overview, and Replication Tips
This is an Evidence-Informed intervention that integrates jail-based case managers into the community HIV case management system. It will help to engage, and subsequently link, incarcerated individuals as they transition from jail to community.Resource updated 03/25/2024