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Doxycycline that is taken as post-exposure prophylaxis (PEP) is effective in reducing the incidence of chlamydia and gonorrhea in men who have sex with men and transgender women.News Article updated on 04/11/2023
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Eradicating Racism and Striving for Excellence in HIV Care (ERASE)
ERASE was developed to address the unique needs of Black MSM. Through an intensive case management intervention, peer case managers provide health education and wellness support, and connect clients to medical and behavioral healthcare. ERASE also offers a physical “safe space” for Black MSM to meet with a case manager, access medical services, or connect with peers. Enrollment in ERASE improved retention in HIV care for clients.Resource from the RWHAP Best Practices Compilation updated on 01/09/2024
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Project Strength Through Youth Livin' Empowered (STYLE) 2.0
STYLE 2.0 is a multi-component intervention designed to help reduce stigma and social isolation for Black gay, bisexual, and other men who have sex with men. The intervention relies on health care navigators who facilitate linkage and engagement activities. They also connect clients to behavioral health providers who conduct motivational interviewing, as well as to a mobile application that supports all intervention activities. STYLE 2.0 participation has been associated with positive trends across HIV care continuum outcomes, including retention in care and increased viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/30/2023
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weCare Social Media Intervention
In weCare, a cyber health educator sent personalized messages through text, web-based apps, and Facebook to enrolled youth who identified as gay, bisexual, or other men who have sex with men (MSM), or transgender women, and who either had a new diagnosis of HIV or were not in care at the time of enrollment. Messages were personalized to each participant’s needs and were designed to support them as they navigated complicated health care systems as well as other challenges that affect care engagement (e.g., transportation, disclosure). The cyber health educator also moderated and posted information about health and well-being on an optional secret Facebook page that some participants chose to join. Participants were less likely to miss medical appointments and more likely to be virally suppressed after 12 months of the intervention.Resource from the RWHAP Best Practices Compilation updated on 01/07/2024
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The Psychology of Change: Understanding the Human Side of Change to Advance and Sustain Improvement
Review of psychological and behavioral responses to change and leveraging of quality improvement techniques to adjust to these variables.Resource updated 08/17/2023
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Positively Connected for Health (PC4H)
The PC4H initiative employs a mobile app and a digital literacy workshop to improve engagement, retention in care, and medication adherence for young people with HIV. These strategies aim to reach young people who are disproportionately affected by HIV, including young men who have sex with men, young transgender women, and youth of color, with a focus on serving people who know their status but are inconsistently engaged in care. Developed by Children’s Hospital of Philadelphia and Philadelphia FIGHT, PC4H was evaluated through the RWHAP Part F SPNS Social Media Initiative. The evaluation found that PC4H had positive impacts on retention in care and viral suppression.Resource from the RWHAP Best Practices Compilation updated on 11/17/2023
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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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What Can We Do to Improve Equity? A Debate
What clinics can do to improve health equity.Resource updated 08/17/2023
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A Celebration of our 2022 CQII Quality Award Winners
A presentation by two 2022 CQII Quality Award Winners: Santa Rosa Community Health Centers and Dallas County Health and Human Services HIV Administrative Agency.Resource updated 08/17/2023
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CQII Eliminating Disparities Due to Substance Use Issues - Core Interventions
Core interventions related to addressing substance use in order to eliminate disparities in viral suppression rates.Resource updated 09/14/2023
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Driving to Improvement: Using the Driver Diagram for Quality Improvement
Review of the use of a driver diagram in quality improvement.Resource updated 08/17/2023
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Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex With Men
Resources to facilitate the replication or adaption of successful interventions for engaging Black MSM in HIV care.Resource updated 03/04/2024
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Trends, Patterns, and Factors Associated with HIV Coinfection Among Male Syphilis Cases, 2014-2019, Hawaii
By cross matching registries of HIV and other sexually transmitted infections, this study found 27.1% of male syphilis cases were coinfected with HIV and 31.8% of those coinfected were not virally suppressed. This suggests ongoing sexual risk behaviors and the potential for HIV transmission among male syphilis cases.
Resource (Conference Presentation) updated 09/14/2023
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Quality Management through a Collaborative Learning Process: Virginia Cross Part Collaborative Performance Measures
The Virginia Ryan White Part B (RWB) Peer Review Team works in collaboration with 24 subcontractors receiving RWB funding to evaluate qualitative and quantitative service data. Peer Reviewers are experts and provide services for RWHAP in the Commonwealth of Virginia.
Resource (Conference Presentation) updated 09/14/2023
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Roadmaps: The Journey of PLWH Improving Health Outcomes for PLWH
This presentation will share innovative strategies in the creation of a reflective Consumer Advisory Board, HIT HIV. The presentation will showcase quality improvement projects the HIT HIV CAB completed while leveraging technology, social media, consumer feedback, and CQM principles ensuring a community-driven and equitable process toward ending the HIV epidemic.
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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COVID 19 Burnout: Using Continuous Quality Improvement to support staff and improve job satisfaction
Community Health Awareness Group worked remotely for nearly a year due to COVID-19 and observed staff anxiety as it transitioned to in-person work. A quality project was undertaken using CQI methods to identify and reduce staff burnout. The project proved that the practice of self-care techniques decreased staff stress.
Resource (Conference Presentation) updated 09/14/2023
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Developing, Implementing, and Sustaining Quality Improvement Efforts Within a Network: The Baltimore EMA
The Baltimore City Health Department Ryan White Program utilizes a variety of methods to engage stakeholders including program monitoring, technical assistance, and learning opportunities among staff, sub-recipients, and consumers across the Baltimore EMA. The program also leads a cross-network QI team to implement interventions, strengthening its QI efforts.
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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Let's talk about the vicious cycle of annual 3 site STI screening for MSM
A NJ clinic has implemented multi-site STI screening for the clinic population and for higher risk groups. Gains made in implementation through prior quality initiatives were not sustained. The clinic worked collaboratively with a quality coach to identify how and why rectal swabs are overlooked, particularly when indicated.
Resource (Conference Presentation) updated 09/14/2023