FY 2021 ending the HIV epidemic - primary care HIV prevention - description of the proposed project: korean community services

INC. (KCS) 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 KCS' 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 KCS patients with HIV to be diagnosed as early as possible after transmission; the need for KCS 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 asian and 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. - homeless patients treated at the current homeless shelter clinic, patients treated at the KCS health center to be CO-located at the future fullerton navigation center for the homeless, and those treated by the homeless medical emergency response unit. - KCS' mental health and substance use treatment patients treated at the KCS health center to be CO-located at the future be well orange county center. - post-incarcerated, or RE-entry population that were receiving medical assisted treatment (mat) from KCS while incarcerated and who are assigned KCS as their medical home. 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. Targeted geographic locations: KCS will implement the pchp program within its permanent health center located 451 w lincoln AVE STE 100, anaheim, CA and its homeless shelter clinic located at 6494 caballero blvd, buena park, CA.