In 2003, NACHC began an effort to increase HIV prevention activities whose outcomes included a new HIV testing model geared toward health centers without Ryan White funding. All tools have been tested and evaluated by health centers. Click here for additional background.
Integrating HIV Screening into Routine Primary Medical and Dental Care: A Health Center Model: This thirty-page document provides a model to move a health center to a process by which every patient 13 to 64 years of age is screened for HIV as a routine part of medical and dental care. This model, first developed with and piloted by a group of health centers and continuously improved upon with application by health centers around the country, is a step-by-step approach comprised of 8 steps designed to be carried out over a period of 90 days. The model includes worksheets to track the activities to be completed for each step and references a variety of tools and forms that are listed below. These forms are ready to use or modify. An additional set of tools geared for dental practices is also available. Author: Cheryl Modica, PhD, MPH, BSN. Source: National Association of Community Health Centers. Revision date: 02/16/2011.
Step 2 -- Routine Testing Flow Sheet: This one-page form captures and documents key information for each patient offered an HIV test through a health center's routine HIV screening process. This simple tool can be used as is or modified to meet local data collection and medical record documentation needs. Revision date: 11/06/2010.
Step 2 -- HIV Test Results Log: This one-page form records the result of each HIV test performed in a health center. This version of the tool can be used for the Uni-Gold, OraQuick and Clearview rapid HIV tests. Revision date: 10/01/2008.
Step 2 -- Control Results Log: This one-page form records the details of all internal and external test controls that are performed. This version of the tool can be used for the Uni-Gold, OraQuick and Clearview rapid HIV tests. Revision date: 10/01/2008.
Step 2 -- General Consent For Care: This one-page document is a general Consent for Care form that incorporates consent for HIV testing. This sample form can generally be used in states where written consent is still required. It can easily be branded and adapted for use in any health center. Revision date: 04/01/2008.
Step 2 -- General Consent for Care With Health Literacy Review -- English: This two-page document is a General Consent for Care form that incorporates consent for HIV testing. This form has been prepared by health literacy experts. It can generally be used in states where written consent is still required and can easily be branded and adapted for use in any health center. Revision date: 04/10/2008. This form also is available in Spanish. Revision date: 04/10/2008.
Step 2 -- Patient Brochure -- English: This two-page brochure provides patients with simple and clear information about HIV/AIDS and HIV testing. It is written at a reading level that is accessible to most health center patients. The patient brochure is ready to be modified for use by any health center and is easy to print. Revision date: 09/22/2008. This brochure also is available in Spanish. Revision date: 09/22/2008.
Step 2 -- How To Offer Routine HIV Screening: This two-page document provides sample language that nurses and providers can use to discuss routine HIV screening and offer an HIV test to a patient. The language is geared for offering the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for offering other rapid HIV tests. Revision date: 04/22/2010.
Step 2 -- Negative Rapid HIV Test Result Handout -- English: This one-page document provides sample language that nurses and providers can use when delivering negative rapid HIV test results to a patient. The document can also be formatted as a handout to give to the patient. It currently is written for patients who received the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for other rapid HIV tests. Health centers can include the center's address and phone number as well as the number for the state AIDS hotline. Revision date: 04/10/2008. This handout also is available in Spanish. Revision date: 04/10/2008.
Step 2 -- Reactive Rapid HIV Test Result Handout -- English: This one-page document provides sample language that providers can use when delivering reactive rapid HIV test results to a patient. The document can also be formatted as a handout to give to the patient. It currently is written for patients who received the Uni-Gold Recombigen HIV fingerstick test but can easily be adapted for other rapid HIV tests. Health centers can include the center's address and phone number as well as the number for the state AIDS hotline. Revision date: 09/30/2008. This handout also is available in Spanish. Revision date: 09/30/2008.
Step 3 -- Patient Visit Flow Process With Opt Out Routine HIV Screening: This flow chart depicts a patient visit with routine HIV screening incorporated into the vitals/intake portion of the visit. This model has been successfully used by health centers in states with opt out testing and can be used as is or as a starting point for developing a patient visit flow process that fits the circumstances of your health center. Revision date: 04/10/2008.
Step 3 -- Patient Visit Flow Process With Opt In Routine HIV Screening: This flow chart depicts a patient visit with routine HIV screening incorporated into the vitals/intake portion of the visit. This model has been successfully used by health centers in a state with opt in testing (written informed consent required) and can be used as is or as a starting point for developing a patient visit flow process that fits the circumstances of your health center. Revision date: 10/01/2008.
Step 3 -- HIV Screening Algorithm: This document graphically depicts a process for responding to reactive and negative HIV rapid test results within the patient visit as well as the process for responding to Western Blot confirmatory test results. This algorithm can be used in conjunction with the Post Test Counseling & Referral Algorithm (below), which depicts the involvement of local Disease Intervention Specialists in delivering test results. Revision date: 10/01/2008.
Step 3 -- Post Test Counseling & Referral Algorithm: This document graphically depicts the role of local Disease Intervention Specialists in the community health center's response to reactive rapid HIV test results and Western Blot confirmatory test results. This algorithm can be used in conjunction with the HIV Screening Algorithm, above. Revision date: 11/13/2008.
Step 3 -- A Step-by-Step Response to Reactive Rapid HIV Test Results: This one-page document describes a response to reactive rapid HIV test results in a step-by-step format. This document is specific to health centers in the state of Ohio that are participating in a rapid HIV testing and data collection initiative in collaboration with the Ohio Department of Health, but it can be adapted for use in other health centers and primary care settings. Revision date: 12/11/2008.
Step 4 -- Reactive Tracking Tool: This one-page tracking tool can be established for each patient who has a reactive HIV rapid test result. The tool tracks confirmatory testing, notification to a Disease Intervention Specialist (DIS), linkages to appropriate care and test results after diagnosis. Revision date: 11/06/2010.
UPDATED AUGUST 2010: Step 5 -- Coding Guidelines for Routine HIV Testing: This four-page brochure contains CPT and ICD-9-CM diagnosis codes associated with HIV testing in routine medical care. This easy-to-use resource, produced by the American Academy of HIV Medicine (AAHIVM) in partnership with the American Medical Association (AMA), will help health care providers, billing personnel, and others to become familiar with the proper coding regulations for HIV testing in health care settings. Revision date: 08/2010.
