Outpatient Medical Care

Outpatient/ambulatory medical care (OAMC) 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.

Resources 19

Best Practices

Resources

Training Modules

Webinars

Conference Presentations

Community Health Care Ryan White Program
Presenters:
Shauna Applin, Kendria Dickson
2022 National Ryan White Conference on HIV Care & Treatment
Boston Public Health Commission
Presenters:
Katie Keating, Austin Hanna, Fabiola Catulle
2022 National Ryan White Conference on HIV Care & Treatment
Johns Hopkins University
Presenters:
Farley
2022 Ryan White HIV/AIDS Program Clinical Conference
George Washington University
Presenters:
Masur
2022 Ryan White HIV/AIDS Program Clinical Conference
University of California San Diego
Presenters:
Blumenthal
2022 Ryan White HIV/AIDS Program Clinical Conference

Technical Assistance

  • The central hub of the AETC Program, the clinical training arm of the RWHAP, through HIV curricula, technical support to regional AETCs on practice transformation and best practices, and housing of all AETC-developed tools for HIV clinical staff. Project period: 2019-2024.
  • Clinician consultation on HCV management, HIV management, perinatal HIV/AIDS, pre-exposure prophylaxis (PrEP), post-exposure prophylaxis, substance use. Project period: 2016-2025.

  • The NHC provides ongoing, up-to-date information needed to meet the core competency knowledge for HIV prevention, screening, diagnosis, and ongoing treatment and care to healthcare providers in the United States. Project period: 2020-2022.
  • The AETC Program offers clinician education and tailored capacity-building assistance. Project period: 2019-2024.
  • Initiative documenting best practice strategies and interventions that have been shown to improve HIV outcomes in a "real world" setting and can be replicated by other programs. Project period: 2021-2024.