Topic: 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.
Guidelines and Manuals
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U.S. Department of Health and Human ServicesMarch 2017
Federal guidelines for treatment, prevention and care of HIV disease and opportunistic infections.
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HRSA HIV/AIDS BureauSeptember 2014
While antiretroviral therapy has significantly improved health outcomes and longevity among people living with HIV (PLWH), hepatitis C (HCV) has emerged as a major contributing factor of morbidity and mortality among individuals who are coinfected.
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HRSA HIV/AIDS BureauApril 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.
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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.
Webinars and Training
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National Center for Innovation in HIV CareMay 2017
In this webinar, Dr. Alex Keuroghlian, MD MPH, will review recent research to help participants understand the causes of higher trauma prevalence among PLWH, as well as the relationship of trauma symptoms to decreased engagement in HIV treatment and preventative services
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National Center for Innovation in HIV CareNovember 2015
This webinar offers an overview of HIV telemedicine, explains the equipment and technology requirements, and provides perspective from front line providers.
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National Center for Innovation in HIV CareOctober 2015
This webinar provides an overview of the clinical care of older adults living with HIV infection and describes strategies for people working in health centers, AIDS service organizations, and other settings to improve management of comorbidities in in this population.
Tools and Job Aids
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TARGET CenterMarch 2017
- Depression is the most common mental health challenge for people living with HIV.
- People who are depressed are less likely to follow health care advice and take their medications as directed.
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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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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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Cleveland/Lorain/Elyria TGAApril 2011
Tools developed by a Part A program to monitor programs and services.
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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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Matthew 25January 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.
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Matthew 25January 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.
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Christiana Care Health ServicesJanuary 2009
Clinician assessment tool to use with clients in assessing their readiness to engage in HIV-related primary medical care and adhere to regimens.
Reports and Best Practices
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HealthHIVMarch 2016
Assessment of Medicaid coverage of HIV/AIDS prevention (testing, screening, condoms, PrEP) and care coverage in 10 select states.
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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.
Websites
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Center for Engaging Black MSM across the Care ContinuumJanuary 2017
His Health is a website training site to educate providers on the delivery of HIV health care services for Black men who have sex with men (MSM) to enhance engagement and retention in care.
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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 Mexico AETC and International Association of Providers of AIDS Care (IAPAC)January 2016AIDS InfoNet ofrece información confiable, no técnica sobre el tratamiento del VIH/SIDA en inglés, español y otros idiomas. La principal audiencia de los materiales de InfoNet incluye a personas viviendo con el VIH y sus cuidadores, especialmente enfermeras y otros proveedores de primera línea.
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New York State Department of Health AIDS InstituteSeptember 2015
HIV guidelines, quality of care, clinical education, resources, policies and publications.
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U.S. Department of Health and Human ServicesJanuary 2015
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.
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U.S. Department of Health and Human ServicesJanuary 2015
Portal for HIV/AIDS information from the U.S. federal government-from facts about HIV/AIDS, where to get services, policies and programs and more.
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U.S. Department of Health and Human ServicesAugust 2014
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.