Integrating HIV Screening into Routine Primary Care: A Health Center Model

Author: Cheryl Modica, PhD, MPH, BSN
Source: National Association of Community Health Centers
Date: 01/14/2009

Integrating HIV Screening into Routine Primary Care: A Health Center Model Microsoft Word Document [257KB]

Description:

• Step 2 -- Routine Testing Flow Sheet [Microsoft Word Document 35KB]
  Date: 09/12/2008
  This one-page form developed to capture and document key information for each patient offered an HIV test through a center's routine HIV screening process. This simple tool can be used as is or modified to meet local data collection and medical record documentation needs.
  
• Step 2 -- HIV Test Results Log [Microsoft Word Document 38KB]
  Date: 10/01/2008
  This one-page form developed to record the result of each HIV test performed in a health center. This version of the tool can be used for the Uni-Gold, OraQuick and Clearview rapid HIV tests.
  
• Step 2 -- Control Results Log [Microsoft Word Document 39KB]
  Date: 10/01/2008
  This one-page form developed to document the details of all internal and external test controls that are performed. This version of the tool can be used for the Uni-Gold, OraQuick and Clearview rapid HIV tests.
  
• Step 2 -- General Consent For Care [Microsoft Word Document 22KB]
  Date: 04/01/2008
  This one-page document is a general Consent for Care form that incorporates consent for HIV testing. This sample form can generally be used in states where written consent is still required. It can easily be branded and adapted for use in your health center.
  
• Step 2 -- General Consent for Care With Health Literacy Review -- English [Microsoft Word Document 36KB]
  Date: 04/10/2008
  This two-page document is a General Consent for Care form that incorporates consent for HIV testing. This form has been prepared by health literacy experts. It can generally be used in states where written consent is still required and can easily be branded and adapted for use in any health center.
  
• Step 2 -- General Consent for Care With Health Literacy Review -- Spanish [Microsoft Word Document 47KB]
  Date: 04/10/2008
  This two-page Word document is a Spanish language General Consent for Care form that incorporates consent for HIV testing. This form has been prepared by health literacy experts. It can generally be used in states where written consent is still required and it can easily be branded and adapted for use in any health center.
  
• Step 2 -- Patient Brochure--English [Microsoft Word Document 145KB]
  Date: 09/22/2008
  This two-page brochure provides patients with simple and clear information about HIV/AIDS and HIV testing. It is written at a reading level that is accessible to most health center patients. The patient brochure is ready to be modified for use by any health center and is easy to print.
  
• Step 2 -- Patient Brochure -- Spanish [Microsoft Word Document 200KB]
  Date: 09/22/2008
  This two-page Spanish language brochure provides patients with simple and clear information about HIV/AIDS and HIV testing. It is written at a reading level that is accessible to most health center patients. The patient brochure is ready to be modified for use by any health center and is easy to print.
  
• Step 2 -- How To Offer Routine HIV Screening [Microsoft Word Document 26KB]
  Date: 04/10/2008
  This two-page document provides sample language that nurses and providers can use to discuss routine HIV screening and offer an HIV test to a patient. The language is geared for offering the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for offering other rapid HIV tests.
  
• Step 2 -- Negative Rapid HIV Test Result Handout -- English [Microsoft Word Document 21KB]
  Date: 04/10/2008
  This one-page document provides sample language that nurses and providers can use when delivering negative rapid HIV test results to a patient. The document can also be formatted as a handout to give to the patient. It currently is written for patients who received the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for other rapid HIV tests. Health centers can include the center's address and phone number as well as the number for the state AIDS hotline.
  
• Step 2 -- Negative Rapid HIV Test Result Handout -- Spanish [Microsoft Word Document 21KB]
  Date: 04/10/2008
  This one-page document in Spanish provides sample language that nurses and providers can use when delivering negative rapid HIV test results to a patient. The document can also be formatted as a handout to give to the patient. It currently is written for patients who received the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for other rapid HIV tests. Health centers can include the center's address and phone number as well as the number for the state AIDS hotline.
  
• Step 2 -- Reactive Rapid HIV Test Result Handout -- English [Microsoft Word Document 24KB]
  Date: 09/30/2008
  This one-page document provides sample language that providers can use when delivering reactive rapid HIV test results to a patient. The document can also be formatted as a handout to give to the patient. It currently is written for patients who received the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for other rapid HIV tests. Health centers can include the center's address and phone number as well as the number for the state AIDS hotline.
  
• Step 2 -- Reactive Rapid HIV Test Result Handout -- Spanish [Microsoft Word Document 22KB]
  Date: 09/30/2008
  This one-page document In Spanish provides sample language that providers can use when delivering reactive rapid HIV test results to a patient. The document can also be formatted as a handout to give to the patient. It currently is written for patients who received the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for other rapid HIV tests. Health centers can include the center's address and phone number as well as the number for the state AIDS hotline.
  
• Step 3 -- Patient Visit Flow Process With Opt Out Routine HIV Screening [Microsoft PowerPoint 32KB]
  Date: 04/10/2008
  This document is a flow chart depicting a patient visit with routine HIV screening incorporated into the vitals/intake portion of the visit. This model has been successfully used by health centers in states with opt out testing and can be used as is or as a starting point for developing a patient visit flow process that fits the circumstances of your health center.
  
• Step 3 -- Patient Visit Flow Process With Opt In Routine HIV Screening [57KB Microsoft PowerPoint]
  Date: 10/01/2008
  This document is a flow chart depicting a patient visit with routine HIV screening incorporated into the vitals/intake portion of the visit. This model has been successfully used by health centers in a state with opt in testing (written informed consent required) and can be used as is or as a starting point for developing a patient visit flow process that fits the circumstances of your health center.
  
• Step 3 -- HIV Screening Algorithm [Microsoft PowerPoint 36KB]
  Date: 10/01/2008
  This document graphically depicts a process for responding to reactive and negative HIV rapid test results within the patient visit as well as the process for responding to Western Blot confirmatory test results. This algorithm can be used in conjunction with the Post Test Counseling & Referral Algorithm (below), which depicts the involvement of local Disease Intervention Specialists in delivering test results.
  
• Step 3 -- Post Test Counseling & Referral Algorithm [Microsoft PowerPoint 26KB]
  Date: 11/13/2008
  This document graphically depicts the role of local Disease Intervention Specialists in the community health center's response to reactive rapid HIV test results and Western Blot confirmatory test results. This algorithm can be used in conjunction with the HIV Screening Algorithm, above.
  
• Step 3 -- A Step-by-Step Response to Reactive Rapid HIV Test Results [Microsoft Word Document 25KB]
  Date: 12/11/2008
  This one-page document describes a response to reactive rapid HIV test results in a step-by-step format. This document is specific to health centers in the state of Ohio that are participating in a rapid HIV testing and data collection initiative in collaboration with the Ohio Department of Health, but it can be adapted for use in other health centers and primary care settings.
  
• Step 4 -- Reactive Tracking Tool [Microsoft Word Document 33 KB]
  Date: 11/11/2008
  This one-page tracking tool can be established for each patient who has a reactive HIV rapid test result. The tool tracks confirmatory testing, notification to a Disease Intervention Specialist (DIS), linkages to appropriate care and test results after diagnosis.
  

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