HIV

A mobile clinic provides screening, education, coaching, and health navigation services to residents of four underserved communities, leading to the identification of many previously undetected chronic conditions, better blood pressure control, and a substantial return on investment.

An emergency department uses an eight-variable risk assessment tool to determine which patients should be tested for undiagnosed HIV, leading to the identification of the same number of HIV-positive patients as through universal screening, thus suggesting greater cost-effectiveness.

A New York State law requires hospitals and primary care providers to offer an HIV test to all patients between the ages of 13 and 64 years, streamlines the consent process, and requires providers to schedule patients with positive results for followup care; the law increased testing rates and helped link HIV-positive patients to care.

An HIV clinic proactively encourages men with HIV to be screened for anal cancer each year and makes it easy for them to do so, leading to enhanced access to screening and the identification and removal of precancerous lesions.

Low-income, African-American, rural HIV patients receive regular self-written text message reminders that encourage them to regularly access HIV/AIDS primary care, leading to greater retention in care and enhanced quality of life.

Community-based primary care physicians receive support from specialist physicians and a multidisciplinary team, leading to enhanced access to high-quality care for HIV-positive patients.

A hospital links HIV-positive prisoners to medical care and other social services before and after release to enable successful reentry into the community, leading to enhanced access to these services and less recidivism.

An easily accessible center offers a safe, welcoming, nonjudgmental environment in which homeless youth, particularly those who identify themselves as being lesbian, gay, bisexual, or transgender, can access a wide array of medical and social services.

Sexual health clinics offer patients the option of requesting an appointment for nonurgent conditions via a Web-based system; the program has proven quite popular with patients and, along with other initiatives, has enhanced the clinics' ability to offer appointments quickly and serve new patients.

A high school–based program provides culturally appropriate education and follow up support to Latino teenagers, leading to reduced likelihood of engaging in risky sexual behaviors.