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).