Table 1.

Program Elements

Program Element	Description
Defined roles in co-managed care
- Interactive video conferences involving HIV Specialty and Primary Care Teams	- Review clinical issues in co-management of patients with HIV infection and define specific tasks and team roles in co-management
- Personalized patient handout on navigating co-managed care	- Lists members of patient’s HIV specialty clinic and primary care teams and who to contact for various care needs (available in online appendix)
Care coordination across sites
- Telehealth care coordination huddles	- Primary care nurse care manager joins patient at end of HIV telehealth visit to discuss issues from that day’s HIV telehealth and primary care visits, and assign tasks for follow up to patient, HIV care team, or primary care team
Population management across sites
- Registry	- Electronic registry of patients in care for HIV infection at seven primary care sites automatically populates data relevant to care for HIV infection, common comorbidities, and cardiovascular risk factor management.
- Structured telehealth collaborative care notes	- Every 3 months, same member of HIV care team queries registry to identify care tasks and generates note for each patient, assigning tasks to HIV or primary care team. Note is shared across sites in electronic health record