Supporting HIV care through education and innovation

Topic: Systems of Care

A system of HIV/AIDS care is comprised of the entities and activities that operated in a collaborative manner to engage people in care and deliver services that maximize their health outcomes.  An HIV/AIDS system of care includes many parts, such as:

  • Care teams (e.g., clinicians, support staff, peers).
  • Network of agencies to deliver services.
  • Coordination and referral mechanisms.
  • Service delivery techniques (e.g., flexible scheduling).
  • Standards of care/quality management.
  • Data and reporting systems including health information technology/Electronic Health Records.
  • Payment and cost-control mechanisms.   

Many of the above elements are outlined in various reports, including this policy paper

There are varied systems of HIV/AIDS care in operation.  Examples include Ryan White Part A (metropolitan-wide networks of care fund agencies to operate under a common set of standards); Ryan White Part B (statewide networks), and individual/networked services in used by one or more agencies (e.g., patient-centered care, accountable care organizations, integrated care, primary care medical homes, managed care).  


  • 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.



  • HAB performance measures
    HRSA HIV/AIDS Bureau
    November 2013
    Performance measures to help Ryan White HIV/AIDS programs monitor and improve the quality of care they deliver. The HIV/AIDS are organized by categories and age groupings.



    October 2013

    Review of proposals that are implementing Affordable Care Act (ACA) Medicaid expansion to those up to 138% of the federal poverty level by purchasing private health insurance coverage as opposed to providing coverage under Medicaid. 


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Best practices