FY 2021 ending the HIV epidemic - primary care HIV prevention - asian pacific health care venture, INC. (APHCV) requests funding for FY 2022 ending the HIV epidemic - primary care HIV prevention

Funding will be used to hire HIV care management staff, performance improvement project assistant, and for a percentage of FTE for the director of performance improvement. The proposed project will develop a structure for HIV care within APHCV's health conditions and case management unit in the medical department. APHCV has invested in building a quality improvement (QI) and quality assurance (QA) foundation for the past several years. Through QI and quality assurance (QA) reviews, we identified a need to improve case management services for our patients, including those who tested positive for HIV. We created a health conditions and case management unit to conduct case management and track labs, referrals, and treatments, as well as developed work flows, policies, and procedures. As a result of these efforts, we are now tracking HIV testing, treatment, and referrals. However, we still lack comprehensive case management for patients who test positive for HIV. APHCV conducted 2,036 HIV tests in FY 2020 and 2,529 in FY 2021. In 2020, 74% of APHCV patients ages 15-65 had been tested for HIV at least once in their lifetime. In 2021, this rate increased to 74.8%. In FY 2020, 17 patients were prescribed pre-exposure prophylaxis (PREP)., in 2021, the number of patients prescribed PREP increased to 22. The majority of APHCV's HIV positive patients are not newly diagnosed, however in FY 2021, APHCV failed to link one patient to HIV care and treatment within 30 days of initial diagnoses, resulting in our current linkage to care rate of 0%. Timely linkage to HIV care will be an area of focus for APHCV's project. Among APHCV's three community health centers and one school-based health center, APHCV-EL monte/rosemead health center has the highest rate of patients being tested for HIV. 85% of APHCV-EL monte/rosem EAD health center patients ages 15-65 have been tested for HIV at least once if their lifetime. At APHCV-belmont health center, 77% of patients ages 15-65 have been tested for HIV. At APHCV-LOS feliz health center, this same rate is 71%. At our school-based health center, APHCV- john marshall high school health center, this rate is 31%. Among HIV positive patients, 45% of patients are insured and 55% are uninsured. 9% were seen at APHCV-belmont health center, 27% at APHCV-EL monte/rosemead health center, 63% at APHCV-LOS feliz health center. Among 4,910 patients tested between january 1, 2021 and november 20, 2021, 22 were HIV positive. For APHCV's proposed project, HIV care management staff will expand case management capacity for HIV positive patients to link them to resources, work closely with APHCV's medical providers and lcsw for better care of patients, and act as a resource for other APHCV departments to connect patients to HIV care. APHCV will also develop workflow for the medical and behavioral health care of HIV positive patients and add new clinical guidelines for medical providers on the use and prescription of PREP and other HIV-related treatments.