Liver disease that is tied to Hepatitis C (HCV) infection is a leading cause of death among HIV-infected individuals. Hepatitis B is also a major challenge for many people with HIV. Ryan White-funded clinics are taking on a greater role in not only managing HCV disease but also providing HCV treatments.
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- Data Integration
Data systems and integration training and technical assistance (T/TA) to address needs related to how and where data are collected and stored as well as how data are linked or mapped across multiple systems. T/TA topics include, and are not limited to:
- Linking data from multiple sources (e.g. EHRs, RSR/ADR-Ready Systems, HIV surveillance)
- Enhancing data-related capacity and infrastructure
The resources on this page on will help you develop data integration processes, implement best practices, and understand lessons learned and pitfalls to avoid in data integration. Reach out to the DISQ Team for specialized assistance related to data integration.
- HIV Testing & Diagnosis
HIV counseling and testing occurs in a wide range of contexts in the Ryan White HIV/AIDS Program. Situations as diverse as community outreach, partner testing, pregnancy, and labor and delivery call for special counseling approaches on the part of clinical staff. The technology of testing has continued to evolve with rapid tests, oral tests, and home tests. Finally, legal requirements for offering and documenting tests in a health care settings have also shifted in many states and jurisdictions.
- Data Utilization
Data can be used to educate agency leaders and other decision-makers in order to lead efforts toward changes and enhancement of HIV care and public health approaches to ending the HIV epidemic and curing hepatitis C. Data utilization can be applied in the design of agency services, community planning, integration of data systems, and identification of cluster outbreaks.
- Fiscal Management
Ryan White HIV/AIDS Program recipients and subrecipients are responsible for ensuring that funds are spent wisely. Fiscal management systems help agencies comply with legislative, policy, and grants management requirements and manage program income, expenses, and third party contracting and reimbursement.
- Housing & Homelessness
Approaches to providing and linking to housing services and serving homeless and unstably housed clients.
Spotlight: See resources developed by The HIV, Housing & Employment Project, a HRSA SPNS initiative.
Image credit - EHE Initiative Triannual Report
The HRSA EHE Initiative Triannual Report supports federal requirements to monitor and report on funds distributed through the Ending the HIV Epidemic (EHE) Initiative. Service providers that receive EHE Initiative funding report aggregate information on the number of clients receiving specific services and the number of clients who were prescribed antiretroviral medications in the previous four months. EHE data complements RSR and other reporting mechanisms and supports the HRSA HIV/AIDS Bureau's ability to monitor EHE Initiative activities and assess progress toward meeting national goals for ending the HIV epidemic.
- Ending the HIV Epidemic Initiative
The Ending the HIV Epidemic (EHE) Initiative is a collaborative effort across U.S. federal agencies to reduce the number of new HIV infections in the United States by 75 percent by 2025, and then by at least 90 percent by 2030, for an estimated 250,000 total HIV infections averted. The Ryan White HIV/AIDS Program is a key player in this effort. Many recipients and TA providers have received funding for intensive local and regional program planning, coordination, and implementation activities. Access the latest RWHAP data reports and slide decks, including the EHE Data Report.
See AHEAD.HIV.gov to track the initiative's progress and access TAP-in TA/training for EHE jurisdictions.
- Health Coverage
The health care insurance coverage landscape has seen rapid changes in recent years. Ryan White HIV/AIDS Program (RWHAP) care providers work with public and private payers to secure inclusion in their networks and reimbursement for services not covered by grants. RWHAP staff also serve as counselors/navigators to help clients make wise choices on health insurance coverage.
- Service Models
This website is in the process of consolidating HIV care delivery service models within a unified database. In the interim, see the following service models, HIV Care Innovations: Replication Resources and Best Practices Compilation.
- HIV Care Continuum
The HIV care continuum is a representation of the extent to which individuals living with HIV are diagnosed, engaged in care and benefiting from antiretroviral therapy in terms of full viral suppression (undetectable lab values). The value of the continuum in managing the HIV epidemic is compelling: individuals engaged in care can manage HIV as a chronic condition and simultaneously reduce the risk of transmitting the virus to others.
- Key Populations
The Ryan White HIV/AIDS Program (RWHAP) fills gaps in care for individuals living with HIV disease. Over half of the 1+ million people living with HIV/AIDS in the U.S. get some type of care from the RWHAP. The majority of RWHAP clients are low income individuals from racial/ethnic minority populations. Technical assistance and training resources assist RWHAP agencies in delivering care to the overall RWHAP population as well as to specific populations. Examples include care protocols, cultural competency resources, and patient education materials.
- Medical & Support Services
A sampling of HIV clinical training resources (e.g., guidelines, clinical tools) are featured here. For more, see the AIDS Education and Training Center's (AETC) National Coordinating Resource Center (NCRC) for training (e.g., National HIV Curriculum, webinars); consultations (e.g., National Clinician Consultation Center, access to regional experts); library (e.g., guidelines, training tools, and more, organized by topic); and community (e.g., newsletters).
The AETC Program is the clinical training arm of HRSA's Ryan White HIV/AIDS Program.
- People with HIV & Community Involvement
A core value of the Ryan White HIV/AIDS Program is engagement of people with HIV in their care and in their community's work to address the epidemic. This might include:
- Serving as members and leaders of planning bodies. See also our Planning resources.
- Participating in community advisory boards to provide feedback to clinics on services and their design.
- Serving as peer workers to other persons with HIV to engage and retain them in care. See our Peer Programs resources.
- Serving as volunteers and paid staff members in HIV agencies.
Need help finding HIV services? Go to our People with HIV and Community page