Tools for Integrating Prevention into the Care of HIV-Positive Individuals

June 2009

Tools for Integrating Prevention into the Care of HIV-Positive Individuals

The challenge of effectively integrating prevention into the HIV health care environment has become an important priority for both clinical care and public health. People living with HIV who are faring well on long-term HAART face the challenges of preventing further harm from risk behaviors and preventing comorbidities that may occur independently of HIV. Together, these phenomena demonstrate the essential role of prevention education within the HIV healthcare system.

Based on recommendations from the HIV Quality of Care Advisory Committee, the HIV Quality of Care Program launched a campaign in January 2005 to promote prevention activities. Nearly 200 facilities were expected to conduct a QI Project during the calendar year 2005 and to develop a storyboard for submission to the AIDS Institute at the end of the year.

The New York State HIV Quality of Care Program, as part of its campaign to improve integration of prevention into HIV care is pleased to share examples of surveys, forms, and tools used by HIV providers and presented as part of their storyboard submissions. While these tools are not officially endorsed by the Health Department, they have been successfully used in many sites and may help providers to implement prevention QI programs of their own. Please feel free to browse, print, modify, and use any of these prevention tools. If you have questions about a specific tool, feel free to contact the site in which it is used. Finally, if you have a successful tool to submit for posting, please attach it to an email to Mollie Jacobs at maj04@health.state.ny.us.*

Links:
Anonymous Patient Surveys

Interfaith: Patient prevention QI survey
Hunt’s Point: Client prevention treatment survey
Lutheran Medical Center: Qualitative survey of patients by non-medical providers
North Shore University Hospital: Partner notification survey
Queens Hospital Center: Consumer prevention survey
St. Elizabeth: HIV prevention survey
Settlement HC: Prevention QI survey
North General: Partner notification survey
Maimonides Medical Center: Safer sex survey
Maimonides Medical Center: Needle exchange survey

Information System Management Tools

Prevention QI Data Collection Tools

Interfaith: Provider Prevention QI survey
Wyckoff: Prevention QI data collection tool

Prevention Charting Prompts

Arnot Ogden: Dedicated area to document condom use discussions
Greenwich House: Rubber stamp
Interfaith Medical Center: Condom distribution log
Interfaith Medical Center: Prevention counseling log
Lutheran: Safer sex stamp

Risk Assessment Tools

CCHP: Behavioral risk assessment questions
Interfaith Medical Center: Risk/Harm reduction encounter form
Joseph P. Addabbo Family Health Center: Risk assessment form
Morris Heights: Prevention case-management first visit forms
Mount Sinai: Prevention nursing assessment/progress note and electronic prompting screen
Mount Vernon: Prevention harm reduction form
Promesa: Risk assessment scoring tool and instructions
St. John’s: Risk assessment charting supplies
Suffolk County: Risk assessment stamp
Westchester MC: Survery regarding risk reduction

Patient Education/Self-management Tools

Albany Med: Safe lubricant card
Boriken: “History of Condoms” poster
Middletown: Primary care self-management goals worksheet
Suffolk County: “Prevention Prescription”

Provider Education Tools

NY Presbyterian Hospital—Center for Special Studies: Internist interventions for prevention
NY Presbyterian Hospital—Center for Special Studies: Social worker interventions for prevention
NY Presbyterian Hospital—Center for Special Studies: Flow chart

* Permission has been granted from clinic staff to post these materials.