Project Grant H8H46168

FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION - DESCRIPTION OF THE PROPOSED PROJECT NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION - DBA FAMILY HEALTH MATTERS (FHM) IS PROPOSING A PCHP PROGRAM THAT WILL INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV, THE NUMBER OF PATIENTS PRESCRIBED PREP, AND THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT THROUGHOUT CENTRAL ORANGE COUNTY, CALIFORNIA. THESE OBJECTIVES WILL BE COMPLETED THROUGH THE HEALTH CENTER'S IMPLEMENTATION OF PREP PRESCRIBING, OUTREACH; TESTING; AND WORKFORCE DEVELOPMENT. NEEDS TO BE ADDRESSED AND POPULATION GROUPS TO BE SERVED FHM'S PCHP PROGRAM WILL EXPAND HIV PREVENTION SERVICES THAT DECREASE THE RISK OF HIV TRANSMISSION IN ORANGE COUNTY, CALIFORNIA, IN SUPPORT OF ENDING THE HIV EPIDEMIC IN THE U.S. THE PROGRAM WILL ADDRESS THE NEED FOR ALL FHM PATIENTS WITH HIV TO BE DIAGNOSED AS EARLY AS POSSIBLE AFTER TRANSMISSION; THE NEED FOR FHM PATIENTS WITH HIV TO BE RAPIDLY TREATED AND EFFECTIVELY REACHED TO SUSTAIN VIRAL SUPPRESSION; AND THE NEED TO PREVENT NEW TRANSMISSIONS BY USING PROVEN INTERVENTIONS, INCLUDING PRE-EXPOSURE PROPHYLAXIS (PREP). THE POPULATION GROUPS TO BE SERVED INCLUDE THE FOLLOWING: - HEALTH CENTER'S LARGELY HISPANIC PATIENTS AGES 13-64. - HEALTH CENTER PATIENTS AT RISK OF ACQUIRING HIV INCLUDING (1) THOSE WHO HAVE BEEN DIAGNOSED WITH ANOTHER SEXUALLY TRANSMITTED INFECTION, HEPATITIS, OR TUBERCULOSIS; (2) BLACKS/AFRICAN AMERICANS AND HISPANICS/LATINOS; AND (3) INJECTION DRUG USERS. PROPOSED SERVICES PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS PRESCRIBED PREP INCLUDE: - SUPPORT PREP ACCESS THROUGH CARE COORDINATION. - ENHANCE WORKFLOWS AND UTILIZE TECHNOLOGY, INCLUDING TELEPREP, TO IMPROVE PREP ACCESS, MONITORING, FOLLOW UP, AND REPORTING. - LEVERAGE PARTNERSHIP WITH THE ORANGE COUNTY HEALTH CENTER CONTROLLED NETWORK. PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS COUNSELED AND TESTED FOR HIV: - ENHANCE WORKFLOWS TO SUPPORT UNIVERSAL AND RAPID ACCESS TO HIV TESTING, INCLUDING THE PURCHASE OF HIV HOME-TESTS OR HOME SPECIMEN COLLECTION KITS. - ENHANCE THE EHR TO SUPPORT HIV TESTING BY INCLUDING DOMAINS TO RECORD HIV RISK FACTORS, POST-HOSPITALIZATION OR EMERGENCY DEPARTMENT FOLLOW UP, AND HISTORY OF RELATED CO-OCCURRING CONDITIONS, INCLUDING INFECTIOUS DISEASES AND SUBSTANCE USE DISORDERS. - SUPPORT CULTURALLY APPROPRIATE AND TRAUMA-INFORMED HIV PREVENTION SERVICES. PROPOSED SERVICES TO INCREASE THE NUMBER OF PATIENTS LINKED TO HIV CARE AND TREATMENT: - HIRE PCHP HIV PRIMARY CARE PROVIDER AND CARE COORDINATORS TO SUPPORT THE DELIVERY OF INTEGRATED HIV AND PRIMARY CARE SERVICES. - DEVELOP DATA COLLECTION AND REPORTING PROCESSES THAT FOSTER REAL-TIME USE OF CLINICAL DATA, LEVERAGE STRATEGIC PARTNERSHIPS. - PROVIDE PROFESSIONAL DEVELOPMENT, INCLUDING TRAINING AND ACCREDITED CONTINUING EDUCATION, FOR RISK-BASED HIV TESTING AND FOLLOW UP; PREP; TAKING SEXUAL HEALTH HISTORIES; SCREENING FOR COMMON CO-OCCURRING CONDITIONS; SUPPORTING PATIENTS' BEHAVIOR CHANGES TO REDUCE RISK; MAXIMIZING THE SUCCESS OF PREP; AND IMPLEMENTING EFFECTIVE HIGH-IMPACT HIV PREVENTION INTERVENTIONS. BRIEF DESCRIPTION OF HOW THE PROPOSED PROJECT WILL FOCUS ON THE TARGETED GEOGRAPHIC LOCATIONS. FHM WILL IMPLEMENT THE PCHP PROGRAM WITHIN ITS PERMANENT HEALTH CENTER LOCATED AT 1182 N. EUCLID STREET, ANAHEIM, CA 92801-1900 AND WILL INCORPORATE THE PROGRAM INTO THE HEALTH CENTER'S PRIMARY CARE SERVICES.