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Models

Transitional Care Coordination: From Jail Intake to Community HIV Primary Care

April 8, 2023

This intervention is part of the Dissemination of Evidence-Informed Interventions project—the first SPNS project of its kind to apply a rigorous implementation science approach and evaluate intervention replication and fidelity of evidence-informed intervention models across the country.

CDC Data2Care

April 7, 2023

Data to Care (D2C) is a public health strategy that uses HIV surveillance data, pharmacy fill data, clinic appointment data, and other treatment and care data sources to identify persons with HIV who are not in care, link them to medical and social services, and support the HIV Care Continuum.

Compendium of Evidence-informed Approaches to Improving Health Outcomes for People Living with HIV

April 3, 2023

A collection of implementation guides on evidence-informed best practices in HIV care delivery.

Community Health Workers: Improving Linkage and Retention in HIV Care

March 15, 2023

Ten organizations across the U.S. integrated CHWs into their multidisciplinary care teams, through Improving Access to Care: Using Community Health Workers to Improve Linkage and Retention in HIV Care, a Ryan White HIV/AIDS Program (RWHAP) initiative from 2016 to 2019.

Text Me, Girl!: Transgender-Specific Text Messaging to Support Care Engagement

March 7, 2023

This package of training and implementation tools was developed to assist Ryan White HIV/AIDS Program (RWHAP) sites and other organizations/clinics to implement the Text Me, Girl! intervention.

Behavioral Health Models to Improve HIV Health Outcomes for Black Men Who Have Sex With Men

March 6, 2023

Resources to facilitate the replication or adaption of successful interventions for engaging Black MSM in HIV medical care, behavioral health care, and support services and improving their health outcomes.

Using a Multidisciplinary Approach to Improve Retention in HIV Care

March 3, 2023

A hospital-based clinic affiliated with the Hospital of the University of Pennsylvania implemented a multidisciplinary approach to strengthen outreach to Ryan White HIV/AIDS Program (RWHAP) clients and improve care retention. Clients served with the multidisciplinary approach had higher rates of retention in care.

RWHAP Provider Use of Regional HIEs to Find and Re-engage Patients in Care

December 8, 2022

“Office Hours” is a technical assistance platform that allows 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 will include a short presentation by a RWHAP recipient or provider about their data management approach.

Preliminary Results from a Text Messaging Outreach Initiative to Reengage People Lost to HIV Care

August 26, 2022

Preliminary results from an ongoing RWHAP clinic initiative to use text messaging as a re-engagement strategy to bring lost patients back to care, which may be a more manageable and possibly equally effective re-engagement strategy when compared to phone outreach.

Harnessing Electronic Health Record Technologies to Improve Retention in HIV Care

Demonstration of how the development of a robust, HIV-specific retention module within a hospital’s the EHR (Epic) helped retention-in-care efforts and demonstrates how technology can be harnessed to retain patients in care, improve HIV care continuum outcomes, and help communities end the HIV epidemic.

Impact of COVID-19 protocols on Recruitment for an Engagement in Care Program for Returning Citizens

August 23, 2022

Exploratory study to understand recruitment challenges faced by an HIV engagement in care project for Black women, incorporating constructs from the Consolidated Framework for Implementation Research.

Leveraging Housing Opportunities to Promote Retention in Care for People with HIV

May 11, 2022

The Leveraging Housing Opportunities to Promote Retention in Care for People with HIV program in New York City offers three types of housing-related supportive services (rental assistance, housing placement assistance, or supportive permanent housing).

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