Table 2.
Characteristic | Goals | ||
---|---|---|---|
Full Integration Into Clinic Flow | Engagement of Full Health Care Team | Systems Transformation and Culture Shift | |
Time needed for implementation | 2 to 6 months | 1 to 3 months | 6 months to 1 year |
Activities | • Present to executive team to obtain buy-in from leadership. • Conduct pre-implementation assessment. • Assess clinic flow. • Obtain input from staff members to inform implementation plan. • Develop implementation plan. |
• Identify champion(s). • Introduce HIV screening to clinical and support staff members before implementation. • Train all staff members during meetings. |
• Develop policies and procedures for HIV testing and consent documentation. • Implement billing and reimbursement process. • Develop data collection process to inform programmatic improvements. • Add HIV screening to consent-for-treatment forms. Initiate the integration of HIV testing into electronic health records. • Develop strategies to address challenges and barriers. |
Abbreviation: CAPUS, Care and Prevention in the United States.
a The CAPUS Demonstration Project was a 4-year (2012-2016) cross-agency demonstration project led by the Centers for Disease Control and Prevention to reduce HIV/AIDS–related morbidity and mortality among racial/ethnic minority groups in the United States.6