Supporting HIV care through education and innovation

Topic: Outpatient Medical Care

Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician‘s assistant, clinical nurse specialist, nurse practitioner, or other health care professional who is certified in his or her jurisdiction to prescribe antiretroviral (ARV) therapy in an outpatient setting. These settings include clinics, medical offices, and mobile vans where clients generally do not stay overnight. Emergency room services are not considered outpatient settings.

Services include diagnostic testing, early intervention and risk assessment, preventive care and screening, practitioner examination, medical history taking, diagnosis and treatment of common physical and mental conditions, prescribing and managing medication therapy, education and counseling on health issues, well-baby care, continuing care and management of chronic conditions, and referral to and provision of specialty care (includes all medical subspecialties). Primary medical care for the treatment of HIV infection includes the provision of care that is consistent with the PHS‘s guidelines. Such care must include access to ARV and other drug therapies, including prophylaxis and treatment of opportunistic infections and combination ARV therapies.

Early Intervention Services provided by Ryan White Parts C and D programs are reported under outpatient/ambulatory medical care.

Manuals

  • Guide for HIV/AIDS Clinical Care
    HRSA HIV/AIDS Bureau
    April 2014

    This manual was developed to provide clinicians with ready access to practical, current, treatment information so that they may provide quality care to people living with HIV.

Training resources

  • AETC NRC Logo
    AETC National Resource Center
    January 2014

    Clinical education/training resources and patient education materials from the HRSA AETC network.

  • January 2012

    Monthly online Clinical Education Modules designed for mid-level health care providers in resource-limited settings. 

Guidelines

Websites

  • U.S. Department of Health and Human Services
    July 2013

    AIDSinfo is the official home to all U.S. HIV-related treatment guidelines. The site also includes a HIV/AIDS health topics database and fact sheets on FDA-approved and investigational HIV/AIDS-related drugs, educational materials for consumers and providers, and a clinical trials database.

Webcasts

Toolkits

Guidelines

Factsheets

  • AIDSInfoNet
    New Mexico AETC and International Association of Providers of AIDS Care (IAPAC), January 2012

    AIDS InfoNet provides reliable, non-technical HIV/AIDS treatment information in English, Spanish, and other languages. The primary audience for InfoNet materials includes people living with HIV and their caregivers, especially nurses and other first-line treatment providers.

Tools

  • Oregon Health Authority
    Oregon Health Authority, October 2012

    Series of care plan forms to assess clients in terms of intake, assessment, and care. Forms include: intake, eligibility determination, residency verification, screening for care and psychological services, client rights and responsibilities, nursing assessment, and a care plan.

  • Iowa Department of Public Health, September 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.
  • Iowa Department of Public Health, September 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).
  • Matthew 25, January 2009

    Brief list of client responsibilities used by a Ryan White clinic in explaining what is expected of them, such as active engagement in the care plan, sharing of information with staff, and appropriate conduct.

  • Hartford Department of Health and Human Services
    Hartford Department of Health and Human Services, February 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.

  • Matthew 25, January 2009

    One page agreement for clients outlining their rights and responsibilities as clients of a clinic. Document discusses confidentiality, honest and open communication, managing health responsibly, and keeping the clinic informed about financial and lifestyle changes.

  • Cleveland/Lorain/Elyria TGA, April 2011

    Tools developed by a Part A program to monitor programs and services.

  • Christiana Care Health Services, January 2009

    Clinician assessment tool to use with clients in assessing their readiness to engage in HIV-related primary medical care and adhere to regimens.

Toolkits

  • Florida Caribbean AETC
    Florida/Caribbean AETC, January 2004

    Collection of assessment chart tools, in English and Spanish. Topics cover such topics as:

  • Linking to Care
    Philadelphia Office of HIV Planning, May 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.

Training resources

  • January 2012

    infoSIDA ofrece acceso a información actualizada en español sobre el tratamiento de la infección por el VIH/SIDA y ensayos clínicos desarrollados específicamente para las comunidades afectadas por dicha infección y para otras comunidades de atención de salud.

Manuals

Best practices