Collaborating With County Health Services: HIV Testing and Treatment Strategies for the Primary Care Team

Collaborating With County Health Services: HIV Testing and Treatment Strategies for the Primary Care Team

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Released: 12/7/2021
Expires: 12/6/2022
Max Credits: 1.0
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Greer Burkholder, MD, MSPH
Assistant Professor of Medicine
Division of Infectious Diseases
Associate Scientist, Center for AIDS Research
University of Alabama at Birmingham
Birmingham, AL

Advisory Members
Melvin L. Cauthen, MSW, LCSW-C
HIV Services/Public Health Services
Montgomery County Department of Health and Human Services
Silver Spring, MD

Nafissa Cisse Egbuonye, PhD, MPH
Public Health Director
Black Hawk County Health Department
Waterloo, IA

Barbie Robinson, MPP, JD, CHC
Executive Director
Harris County Public Health
Houston, TX

Tessa Robinson, BSN, RN
Public Health Nursing Supervisor
Public Health Division, Disease Control and Prevention
Washington County Department of Health and Human Services
Hillsboro, OR

Brittany Sanders, DNP, ANP-C, GNP-C
Clinical Nurse Practitioner
Jefferson County Department of Health
Birmingham, AL

Kira Villamizar, BS, MPH
Director, STD/HIV Prevention and Control Program
Florida Department of Health in Miami-Dade County
Miami, FL

Activity Planners
Jaime Symowicz, PhD
Manager, Educational Strategy and Content
Baltimore, MD

Rebecca Julian, MS, ELS
Senior Manager, Editorial
Baltimore, MD

Samantha Gordon, MS
Accreditation Manager
Baltimore, MD

Amy Sison
Director of CME
Baltimore, MD

Kathryn Schaefer, MSN, RN, CPHRM, CHCP
Associate Director, Education Quality and Compliance
East Lansing, MI

Brayden Cohen
National Association of Counties (NACo)
Washington, DC

Nastassia Walsh, MA
Associate Program Director, Community Health & Justice
National Association of Counties (NACo)
Washington, DC

Katherine Kahn
Holyoke, MA

Learning Objectives
Upon completion, participants should be able to:
  • Recognize the importance of U = U in HIV treatment and ensure that patients have uninterrupted access to HIV testing and treatment
  • Identify county-level resources for HIV testing and treatment for patients

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

Statement of Need
The US Department of Health and Human Services proposed the “Ending the HIV Epidemic: A Plan for America” initiative in 2019 with the goal of reducing new HIV infections by 75% by 2025 and by 90% by 2030. Two strategies of this initiative include diagnosing all people with HIV as soon as possible and treating people with HIV rapidly and effectively to reach sustained viral suppression, which requires immediate access to uninterrupted care and treatment. An estimated 80% of new HIV transmissions are from people who are unaware of their HIV infection or from people who are aware of their HIV infection but are not receiving regular care. About 20% of new HIV transmissions are from people with HIV who are receiving care but are not virally suppressed. Notably, these estimates are based on data collected before the COVID-19 pandemic, which has further contributed to decreased HIV testing and interruptions in HIV care and treatment. To help address these gaps, primary care clinicians need to play a greater role in HIV testing and treatment initiation, which also includes referring to and collaborating with their county health departments.

Collaboration Statement
This activity was developed by Med-IQ in collaboration with the National Association of Counties.

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 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Med-IQ is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

This nursing activity has been approved for up to 1.0 contact hour.

Medium/Method of Participation
This is a 1.0-credit online publication. To receive credit, read the introductory 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.

Initial Release Date: December 16, 2021
Expiration Date: December 15, 2022
Estimated Time to Complete This Activity: 1 hour

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Off-label/unapproved drug uses or products are mentioned within this activity.

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.

Greer Burkholder, MD, MSPH
Contracted research: Lilly, Merck & Co., Inc.

Melvin L. Cauthen, MSW, LCSW-C, has indicated no real or apparent conflicts.

Nafissa Cisse Egbuonye, PhD, MPH, has indicated no real or apparent conflicts.

Barbie Robinson, MPP, JD, CHC, has indicated no real or apparent conflicts.

Tessa Robinson, BSN, RN, has indicated no real or apparent conflicts.

Brittany Sanders, DNP, ANP-C, GNP-C, has indicated no real or apparent conflicts.

Kira Villamizar, BS, MPH, has indicated no real or apparent conflicts.

The writer, peer reviewers, and 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, Med-IQ has a policy 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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Complimentary CE
This activity is available free of charge to participants.

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

Here are the key takeaways from this activity. Deeper insights and evidence, plus an opportunity to receive credit, are available at the "Continue" button below.
  • HIV screening and testing followed by prompt and sustained treatment with ART to achieve viral suppression are 2 key components in reducing the number of new HIV infections in the US
  • The COVID-19 pandemic has contributed to disruptions in the HIV care continuum by limiting patient access to HIV care, including testing and ability to access and adhere to ART
  • Primary care clinician teams (physicians, NPs, PAs, and nurses) have been called upon to play a greater role in addressing the gaps occurring in the HIV care continuum by taking sexual histories to identify patients with a greater risk of HIV infection, testing patients for HIV, and initiating and continuing ART in patients who test positive for HIV
  • It is imperative that primary care clinician teams build a relationship with their county health departments, which offer referral and collaboration support for their residents needing HIV testing and/or treatment
View reference list.

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