Addressing Breaks in the HIV Care Continuum: Improving Universal HIV Testing and Timely Linkage to Care
Research & Findings Paper Research & Findings Paper

Addressing Breaks in the HIV Care Continuum: Improving Universal HIV Testing and Timely Linkage to Care


This activity was developed by Med-IQ in collaboration with the Alliance of Chicago.

Med-IQAlliance of Chicago

Released:
11/18/2015
Expires:
11/17/2016

Maximum Credits:

1.5

Research & Findings Paper Research & Findings Paper
Released:
11/18/2015

Expires:
11/17/2016

Maximum Credits:
1.5
Research & Findings Paper Research & Findings Paper

Released:
11/18/2015
Expires:
11/17/2016


Maximum Credits:
1.5


Overview: The National HIV/AIDS Strategy, developed in 2010 and updated in 2015, details critical steps to curb the HIV epidemic in the US; increasing the percentage of individuals who know their serostatus and who are linked into HIV medical care in a timely manner are highlighted as two indicators of progress toward the overall goals of this initiative. This publication is a comprehensive resource that details current medical literature and guideline recommendations regarding universal HIV screening and linkage of newly diagnosed individuals to care; it provides primary care clinicians with tools and best practices to help improve the first two crucial steps in the HIV care continuum. It also integrates the preliminary results of a quality improvement initiative conducted by Med-IQ in collaboration with the Alliance of Chicago.

CME Information:

Faculty
Lisa Fitzpatrick, MD, MPH
Professional Lecturer
George Washington School of Public Health and Health Sciences
Washington, DC
 
Timothy Long, MD
Instructor of Clinical Medicine
Northwestern University Feinberg School of Medicine
Chief Clinical Officer
Alliance of Chicago Community Health Services
Chicago, IL

Activity Planners
Allison Gardner, PhD
Vice President, Educational Strategy and Content
Med-IQ
Baltimore, MD
 
Rebecca L. Julian, MS, ELS
Senior Managing Editor
Med-IQ
Baltimore, MD
 
Amy Sison
Director of Continuing Medical Education
Med-IQ
Baltimore, MD

Writer
Katherine Kahn
Huntington, MA

Learning Objectives
Upon completion, participants should be able to:

  • Integrate screening recommendations for HIV in accordance with CDC and USPSTF recommendations
  • Outline effective communication approaches to educate patients about routine HIV testing and delivery of results to individuals who receive the test
  • Identify common barriers and facilitators to linking patients with newly diagnosed HIV to medical care

Target Audience
This activity is intended for primary care clinicians, including physicians, nurse practitioners, physician assistants, and nurses.

Series Overview/Statement of Need
The continuum of human immunodeficiency virus (HIV) care in the United States is broken; indeed, estimates suggest approximately 12% of individuals living with HIV are unaware of their infection, and one-third are not linked to medical care following diagnosis. Despite guidelines from the CDC and USPSTF that advocate for universal, opt-out HIV testing of adolescents and adults, multiple lines of evidence demonstrate these recommendations are not routinely followed in a variety of healthcare settings. Furthermore, linking newly diagnosed individuals into HIV medical care can be complicated by several factors, including barriers related to the healthcare system and its complexity, as well as stigma associated with HIV-positive status. These challenges are particularly relevant to primary care practice, which faces increasing demands from both a growing patient population and a growing shortfall of clinicians.

Collaborator Statement
This activity was developed by Med-IQ in collaboration with the Alliance of Chicago.

Med-IQAlliance of Chicago

Accreditation/Designation Statements
Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Med-IQ designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Med-IQ is accredited by the California Board of Registered Nursing to provide continuing education to nurses. Provider approved by the California Board of Registered Nursing, provider number CEP 14745, for 1.5 contact hours.

Nurse practitioners, physician assistants, and other healthcare professionals who successfully complete the activity will receive a Statement of Participation indicating the maximum credits available.

Medium/Method of Participation
This CME/CE activity consists of a 1.5-credit online publication. To receive credit, read the introductory CME/CE material, read the publication, and complete the post-survey, evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.

Original Release Date: November 18, 2015
Expiration Date: November 17, 2016
Estimated Time to Complete This Activity: 1 hour and 30 minutes

Disclosure Policy
Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.

Disclosure Statement
The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation.

Lisa Fitzpatrick, MD, MPH, has indicated no real or apparent conflicts.
 
Timothy Long, MD, has indicated no real or apparent conflicts.

Amy Sison
Spouse Ownership interest (stocks/stock options – excluding mutual funds): AbbVie Inc., Agios Pharmaceuticals, Amgen, Bristol-Myers Squibb, Celgene Corporation, Novartis Pharmaceuticals Corporation

The writer, peer reviewers, and other activity planners have no financial relationships to disclose.

Statement of Evidence-Based Content
Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.

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For questions or comments about this activity, please contact Med-IQ. Call (toll-free) 866 858 7434 or e-mail info@med-iq.com.

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The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

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Acknowledgment of Commercial Support
This activity is supported by an educational grant from Gilead Sciences, Inc.

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