Topic: Case Management
Case management is a service category with varied models and definitions that is designed to link clients to medical and support services. Ryan White defines medical case management (including treatment adherence) as a range of client-centered services that link clients with health care, psychosocial, and other services provided by trained professionals, including both medically credentialed and other health care staff. Medical case management is considered to be a core medical service for purposes of Ryan White funding requirements to allocate a set percentage of funds to core medical services.
Guidelines and Manuals
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HRSA HIV/AIDS BureauNovember 2013Performance measures to help Ryan White HIV/AIDS programs monitor and improve the quality of care they deliver.
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TARGET CenterMarch 2013
Protocols for delivery of HIV/AIDS medical and supportive services, developed by various state and local entities funded under the Ryan White HIV/AIDS Program.
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CDCJanuary 2008
An examination of best practices in HIV/AIDS case management and six recommended core components of case management for Federally-funded agencies.
Webinars and Training
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HRSA HIV/AIDS BureauOctober 2016
This HRSA webinar, Tapping into Data and EMR Systems to ID Out-of-Care Patients & Link Them to Services and How to Establish an HCV Treatment Clinic for Coinfected Patients highlights two evidence-informed care model interventions implemented in Virginia and Missouri.
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HRSA HIV/AIDS BureauOctober 2016
This HRSA webinar about Successful Interventions in Improving Linkages to Care and Addressing HCV Comorbidity and Coinfection features two evidence-informed HIV care model interventions implemented in Virginia and California, across two Care Continuum stages.
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HRSA HIV/AIDS BureauSeptember 2016
This HRSA webinar, Successful Interventions in Improving HIV Diagnosis and Linkages to Care, highlights two evidence-informed HIV care model interventions implemented in Ohio and Wisconsin, across two Care Continuum stages.
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National Center for Innovation in HIV Care, National LGBT Health Education CenterJune 2016
Panelists discuss the social determinants of health that create barriers to prevention and care for young adult Latino(a)s.
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HRSA HIV/AIDS Bureau, JSIMarch 2016
This guide provides information and approaches to help providers offer clear HIV care and treatment information to their clients while engaging them in discussions about their desired health outcomes.
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HRSA HIV/AIDS Bureau, JSIMarch 2016
This series of modules was developed to help community-based trainers implement health literacy interventions in their communities.
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January 2014
Review of the pros, cons, and considerations of dental case management from administrative and clinical perspectives and tips for being a good dental case manager and how this can result in improved health outcomes.
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HRSA HIV/AIDS BureauDecember 2013
This training manual synthesizes lessons learned from the federally funded Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative), and has important implications for addressing oral health care among people living with HIV/AIDS (PLWHA)
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HRSA HIV/AIDS BureauDecember 2013
This curriculum is designed to deliver hands-on instruction to simplify the implementation of best practices from the federally funded Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
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HRSA HIV/AIDS BureauSeptember 2013
This curriculum is meant to inform implementation of a new jail linkage program and to assist organizations in expanding their current jail work.
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HRSA HIV/AIDS BureauMay 2013
This Webinar was the last of a three-part series synthesizing some of the successful practices in engaging hard-to-reach populations from SPNS population-specific initiatives.
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HRSA HIV/AIDS BureauMarch 2013
This webinar for Ryan White Part B Grantees provides an overview of Ryan White HIV/AIDS Program expectations for client eligibility assessment and recertification requirements.
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January 2013
This IHIP curriculum provides clinicians, including medical doctors, nursing personnel, care coordinators, case managers, health service navigators, and front desk managers, with the information they need to educate staff and other stakeholders with guidance on how to replicate models of care dev
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HRSA HIV/AIDS BureauJanuary 2013
This IHIP training manual helps health care providers adapt SPNS models addressing how to engage hard-to-reach people living with HIV/AIDS (PLWHA) into care within their current operations.
Tools and Job Aids
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National Center for Innovation in HIV CareJuly 2016
This fact sheet looks at organizational barriers to client engagement in care and strategies to address those barriers learned from AIDS United’s Positive Charge Initiative.
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HRSA HIV/AIDS BureauJune 2016
Library of text messages developed by the UCARE4Life research study. Includes messages for multiple situations (general adherence, daily reminders, basic HIV health literacy, retention in care, appointment reminders, risk reduction). Messages are provided in English and in Spanish.
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Oregon Health AuthorityJune 2016
Series of care plan forms to assess clients in terms of intake, assessment, medical case management (e.g., acuity), and care.
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Philadelphia Office of HIV PlanningMay 2014
This is a brief assessment tool for counselors and testing staff to use with persons newly-diagnosed with HIV to assess their linkages to care in terms of health coverage, finances, housing, and social supports.
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Iowa Department of Public HealthSeptember 2011
Tool for clients to use in recording weekly goals as part of their overall care plan to outline goals and objectives for HIV/AIDS care.
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Iowa Department of Public HealthSeptember 2011
Care plan agreement form between a client and case manager on the goals and objectives of care (Who, What, Where, How, When, How Often, Progress/Outcome/Date).
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Dallas EMAJanuary 2011
Program and service monitoring tools developed by a Part A grantee.
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Hartford Department of Health and Human ServicesFebruary 2010
Form for staff to assess care plan needs of clients, every 6 months, in terms of case management, home health, respite, housing, mental health, substance abuse treatment, legal, and financial assistance.
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Face to FaceJanuary 2010
Code of Conduct policy for clients to reinforce value and importance of respectful behavior toward staff and other clients.
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January 2009
Series of one-page surveys to assess client understanding of each of the following: medications, health maintenance, HIV and transmission, lab tests/health problems, information.
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Ohio Department of HealthJanuary 2006
Form developed by Ohio Department of Health to collect information needed to assess how helpful the case management program is to clients.
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HRSA HIV/AIDS BureauJanuary 2003
Capacity building ideas for agencies seeking to expand their work into HIV/AIDS care, particularly for racial and ethnic minority communities.
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HRSA HIV/AIDS BureauJanuary 2001
Guidance on conducting outcomes evaluation focusing on case management, including specific outcome indicators and data elements that can be collected by providers, obtained and reported by the grantee, and analyzed and used to make decisions regarding case management models, priorities, and fundi
Reports and Best Practices
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HRSA HIV/AIDS BureauJanuary 2017
This handbook details New York City Correctional Health Services’ Transitional Care Coordination intervention model, including program planning, implementation steps, and lessons learned.
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HRSA HIV/AIDS BureauSeptember 2014
Across the country, women of color are disproportionately affected by HIV, with many facing a daily battle to fully engage in in HIV primary care.
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HRSA HIV/AIDS BureauSeptember 2013
This training manual synthesizes lessons learned from the federally funded, innovative Special Projects of National Significance Enhancing Linkages to HIV Primary Care & Services in Jail Settings Initiative, otherwise known as EnhanceLink.
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Boston University School of Public HealthJanuary 2008
Roles of dental case managers and other oral health staff in recruiting, engaging, and retaining patients in oral and other HIV/AIDS care through scheduling, transportation support, building relationships, and other techniques.
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HRSA HIV/AIDS BureauJanuary 2006
Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.
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HRSA HIV/AIDS BureauJanuary 2006
These workbooks describe ways to help connect people living with HIV/AIDS to medical care. Workbook II contains 25 projects, and includes approaches for keeping rural patients connected, and programs for link recently incarcerated patients to a support network.
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HRSA HIV/AIDS BureauJanuary 2004
Estos cuadernos describen la manera de asistir a conectar personas que viven con VIH/SIDA con el sistema médico.
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HRSA HIV/AIDS BureauJanuary 2004
Workbooks on ways to help connect people living with HIV/AIDS to medical care.
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July 2002
Background paper on case management, including an historical review, contemporary models, HIV case management, and worker definitions.
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National Institutes of HealthJuly 2002
This is a Background Paper on case management, including an historical review, contemporary models, HIV case management, and worker definitions.
Authors:
Websites
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HRSA HIV/AIDS BureauJanuary 2017
Tested and proven strategies on delivery of HIV Care, based upon HRSA HIV/AIDS Bureau Special Projects of National Significance (SPNS) projects.
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AETC National Coordinating Resource CenterJanuary 2017
Clinical education/training resources and patient education materials on a range of HIV clinical care and clinical management topics.
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New York State Department of Health AIDS InstituteSeptember 2015
HIV guidelines, quality of care, clinical education, resources, policies and publications.