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Syphilis cases continue to climb in the U.S. In April 2023, CDC reported a 32% increase in cases from 2020 to 2021 (133,954 to 176.713 cases). In 2022, cases had jumped yet again, to 203,500.News Article updated on 03/04/2024
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ED Alert
The goals of the Emergency Department and Hospital-Based Data Exchange for Real-Time Data to Care (ED Alert) intervention are to reengage people with HIV in care and to improve viral suppression rates. This is achieved using a real-time data exchange system that connects clients presenting to the emergency department with health department linkage specialists. ED Alert increased viral load testing and viral suppression over six months following a provider visit in the post-intervention period.Resource from the RWHAP Best Practices Compilation updated on 03/18/2024
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YGetIt? Program
The YGetIt? Program engaged youth and young adults with HIV in care through three components: a health management mobile application (GET!), Peer Engagement Educator Professionals (PEEPs), and a graphic serial (Tested). Tested received over 200,000 views, and viral suppression rates among YGetIt? participants increased from 79% to 86% over the course of the program.Resource from the RWHAP Best Practices Compilation updated on 03/18/2024
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National HIV PrEP Curriculum
Online learning portal for clinicians on pre-exposure prophylaxis (PrEP) for prevention of HIV.Resource updated 03/13/2024
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New Tools on Quality Improvement and People with Lived Experience
Participation of people with lived experience in quality improvement work to enhance health outcomes of people with HIV.Blog updated 05/08/2024
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Rapid ART Start Protocol
The Rapid ART Start Protocol focuses on helping veterans with a new HIV diagnosis access ART and comprehensive treatment as soon as possible. A retrospective cohort study showed positive outcomes, including decreases in the time to first appointment, the time to ART initiation, and the time to reach viral suppression. In addition, patients receiving the intervention were more likely to reach viral suppression compared to patients seen pre-intervention at the same clinic.Resource from the RWHAP Best Practices Compilation updated on 06/21/2024
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Doxy PEP Guidelines Issued by CDC
CDC has issued the first-ever guidelines recommending use of doxy PEP (doxycycline postexposure prophylaxis) for the prevention of STIs among select populations.News Article updated on 06/06/2024 -
Rise
Rise was implemented to address ART adherence issues among Black people with HIV. Through Rise, peer counselors used motivational interviewing techniques, leveraged Medication Event Monitoring System data to monitor and promote adherence, and connected participants to support services to address unmet needs. A randomized controlled trial showed that Rise participants were more likely to be adherent to ART than non-participants.Resource from the RWHAP Best Practices Compilation updated on 06/11/2024
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Responding to Feedback, CMS Issues New Medicare PrEP FAQs for Pharmacies on Part B Claims
The Centers for Medicare & Medicaid Services (CMS) released a Technical Frequently Asked Questions for Pharmacies.News Article updated on 06/28/2024 -
Improving Reengagement in Care: A Community Health Worker Model
In 2021, the City of New Orleans employed five CHWs to work with RWHAP Part A-funded agencies on reengaging eligible clients back into care. From February 2021 through April 2022, CHWs attempted to contact 1,215 clients disconnected from care; 207 of these attended a primary care appointment and re-entered care, a 17% success rate at reengaging clients back into care.Resource from the RWHAP Best Practices Compilation updated on 07/02/2024
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The Brandy Martell Project
The Brandy Martell Project aimed to engage adult transgender women of color in HIV care and increase retention in care by offering patient navigation services, workshop programming, and legal support. Evaluation results showed The Brandy Martell Project had a significantly positive effect on ART prescription for clients.Resource from the RWHAP Best Practices Compilation updated on 07/02/2024
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Funding Opportunity: A System-Level Syndemic Approach to Improve HIV Care and Treatment for People from Racial and Ethnic Minority Groups – DEMONSTRATION SYSTEMS (HRSA-24-107)
This HRSA HIV/AIDS Bureau pre-application webinar is for the funding opportunity, A System-Level Syndemic Approach to Improve HIV Care and Treatment for People from Racial and Ethnic Minority Groups – Demonstration Systems (HRSA-24-107).Event updated 07/01/2024
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Funding Opportunity: A System-Level Syndemic Approach to Improve HIV Care and Treatment for People from Racial and Ethnic Minority Groups – EVALUATION AND TA PROVIDER (HRSA-24-108)
This HRSA HIV/AIDS Bureau pre-application webinar is for the funding opportunity, A System-Level Syndemic Approach to Improve HIV Care and Treatment for People from Racial and Ethnic Minority Groups – EVALUATION AND TA PROVIDER (HRSA-24-108).Event updated 07/02/2024
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Funding Opportunities for Syndemic Approaches to HIV Care
HRSA's HIV/AIDS Bureau will convene a pair of pre-application webinars under a new project titled, A System-Level Syndemic Approach to Improve HIV Care and Treatment for People from Racial and Ethnic Minority Groups.News Article updated on 07/01/2024 -
Center for Quality Improvement and Innovation (CQII)
TA/training for RWHAP agencies to improve the quality of HIV/AIDS care they provide. Project period: 2020-2024.
RWHAP Technical Assistance Provider updated on 06/28/2024
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National Clinician Consultation Center
Clinician consultation on HCV management, HIV management, perinatal HIV/AIDS, pre-exposure prophylaxis (PrEP), post-exposure prophylaxis, substance use. Project period: 2016-2025.
RWHAP Technical Assistance Provider updated on 04/15/2024
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CoRECT
CoRECT was a data to care project to identify and reengage people with HIV who were newly out of care. It included a clinic and health department data reconciliation process to identify missed laboratory results or appointments and create the out-of-care list, case discussions via telephone to review the combined list, and field epidemiologist outreach to assist clients with making appointments, securing transportation, and arranging referrals. The intervention employed strengths-based case management techniques and motivational interviewing to contact identified people within 30 days, reengage them in care, and reduce time to viral suppression.Resource from the RWHAP Best Practices Compilation updated on 03/19/2024
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Stronger Together
Stronger Together uses counseling to increase engagement in and improve the quality of HIV care available for serodiscordant male couples. Through three in-person and additional “booster” sessions over an 18-month period, Stronger Together gave couples a space to work with an HIV professional to improve treatment adherence and keep both people healthy. Stronger Together participants were more likely to adhere to ART than those in a control group.Resource from the RWHAP Best Practices Compilation updated on 04/12/2024
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Practice Transformation Project at the Native American Community Clinic
Through the Practice Transformation Project, the Native American Community Clinic and Midwest AIDS Education and Training Center developed strategies to increase testing and linkage to care within the American Indian/Alaska Native population, and for those who inject drugs and are experiencing homelessness. These ongoing efforts have increased HIV testing rates by 10 percentage points through harm reduction, community outreach, and culturally sensitive strategies.Resource from the RWHAP Best Practices Compilation updated on 04/12/2024
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Test & Treat Rapid Access Program
Through the Test & Treat Rapid Access (TTRA) Program, clients with a new HIV diagnosis in Miami-Dade County can access ART, receive other services and counseling, start enrolling in RWHAP, and connect to HIV primary care during the initial visit. At Borinquen Health Care Center, one of the clinical sites participating in TTRA, 76% of clients were virally suppressed within three months of receiving a rapid ART start, and 95% were retained in care for 12 months.Resource from the RWHAP Best Practices Compilation updated on 04/19/2024