Expert Committees
Composition: The Clinical Guidelines Program works directly with committees composed of experts in the field who represent multiple disciplines (medicine, nursing, psychology, pharmacy, public health, social work, mental health), clinical specialties (infectious diseases, family medicine, obstetrics and gynecology, hepatology, pediatrics, psychiatry, dentistry, prevention, etc.), and various geographic regions of New York State.
A Clinical Guidelines Program Steering Committee provides oversight and strategy to the following Clinical Guidelines Program committees, each of which is responsible for developing and updating clinical practice guidelines that fall under its area of expertise. Current committees (February 2020) include the following:
- Medical Care Criteria Committee (Adult HIV and related guidelines)
- Hepatitis C Virus Infection Guidelines Committee
- Perinatal Transmission Prevention Guideline Committee
- Substance Use Guidelines Committee
Financial disclosure and confidentiality agreement: All potential and active committee members are required to sign a confidentiality agreement and to disclose annually all financial relationships with commercial entities or gifts that may be actual, potential, or perceived as conflicts of interest. Committee members must report financial relationships with commercial entities that have existed in the 12 months prior to or are expected to exist in the 12 months after the date on which they sign their disclosure form.
Guideline development process: When the Clinical Guidelines Program identifies the need to develop or update a guideline, the committee under whose purview the guideline falls convenes to determine the goals of the guideline and its content, review the published literature, and weigh new evidence for recommendations. Text is then drafted by an author who has experience with the topic of the guideline. The guideline draft is edited by the team at JHU, and then reviewed and modified by the committee. This rigorous development process may entail multiple rounds of review, revision, rating, and editing. Decision-making occurs by consensus, and all guideline recommendations are reviewed by and receive the consensus approval of the full guideline committee.
Evidence-based Recommendations: All recommendations are rated to reflect the strength of each recommendation and the quality of the supporting evidence. Ratings are reached through review of the evidence and consensus decision. If the published evidence in support of a particular recommendation is not sufficient, the group relies on collective best practices experience to develop a final statement. The rating scheme for recommendations appears below.
AIDS Institute Clinical Guidelines Program: Recommendations Ratings (updated June 2019 [a]) |
|
Strength of Recommendation Ratings | |
A | Strong recommendation |
B | Moderate recommendation |
C | Optional |
Quality of Supporting Evidence Ratings | |
1 | Evidence is derived from published results of at least one randomized trial with clinical outcomes or validated laboratory endpoints. |
* | Evidence is strong because it is based on a self-evident conclusion(s); conclusive, published, in vitro data; or well-established practice that cannot be tested because ethics would preclude a clinical trial. |
2 | Evidence is derived from published results of at least one well-designed, nonrandomized clinical trial or observational cohort study with long-term clinical outcomes. |
2† | Evidence has been extrapolated from published results of well-designed studies (including non-randomized clinical trials) conducted in populations other than those specifically addressed by a recommendation. The source(s) of the extrapolated evidence and the rationale for the extrapolation are provided in the guideline text. One example would be results of studies conducted predominantly in a subpopulation (e.g., one gender) that the committee determines to be generalizable to the population under consideration in the guideline. |
3 | Recommendation is based on the expert opinion of the committee members, with rationale provided in the guideline text. |
|
External review: All guidelines are reviewed by external experts in the field and by the AIDS Institute’s Consumer Advisory Committee.
Final approval: The guideline is submitted to the AIDS Institute for review and final approval prior to publication. The AI may request additional review by other agencies and organizations when applicable.
Guideline Updates: Members of guideline committees monitor developments ongoing to maintain guideline currency, at regular intervals. Newly published data that provides support for existing recommendations will be cited in the text and the studies will be added to the reference list. If newly published data prompts a revision to recommendations or rationale, a planning committee proposes appropriate edits and determines whether any changes warrant full committee review and approval.
Medical Care Criteria Committee (MCCC; Adult HIV Treatment and Prevention)
Updated June 2022 | Recent changes to the MCCC
Guidelines Writing Group
Chair: Steven M. Fine, MD, PhD
University of Rochester Medical Center, Rochester, NY
No disclosures
Vice-Chair: Rona M. Vail, MD
Callen-Lorde Community Health Center, New York, NY
No disclosures
Chair Emeritus: Joseph P. McGowan, MD, FACP, FIDSA
North Shore University Hospital, Manhasset, NY
Institutional grant support: Gilead
Chair Emeritus: Samuel T. Merrick, MD
New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY
No disclosures
Transgender Health Specialist: Asa E. Radix, MD, MPH, PhD, FACP, AAHIVS
Callen-Lorde Community Health Center, New York, NY
No disclosures
Community Advisor: Jessica Rodrigues
Senior HIV/Family Planning Advisor, USAID Office of HIV/AIDS
New York, NY
No disclosures
Medical Director: Charles J. Gonzalez, MD
New York State Department of Health, AIDS Institute, New York, NY
No disclosures
Clinical Advisor to the AIDS Institute: Lyn C. Stevens, MS, NP, ACRN
New York State Department of Health AIDS Institute, Albany, NY
No disclosures
Director, JHU-NYSDOH AI Guidelines Program: Christopher J. Hoffmann, MD, MPH
Johns Hopkins University School of Medicine, Division of Infectious Diseases, Baltimore, MD
No disclosures
Contributing Members
Elizabeth A. Asiago-Reddy, MD, MS
SUNY Upstate Medical University, Syracuse, NY
No disclosures
Jessica M. Atrio, MD, MSc
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
No disclosures
James C. M. Brust, MD
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
No disclosures
Michelle S. Cespedes, MD, MS
Icahn School of Medicine at Mount Sinai, New York, NY
Scientific Advisor: Gilead, ViiV
Guillermo Chacón
Latino Commission on AIDS; Hispanic Health Network
No disclosures
Ethan A. Cowan, MD, MS
Icahn School of Medicine at Mount Sinai, New York, NY
No disclosures
Mary E. Dyer, MD
Sun River Health, Poughkeepsie, NY
No disclosures
John J. Faragon, PHARMD, BCPS, AAHIVP
Albany Medical Center, Albany, New York
Scientific Advisor: ViiV
Shauna H. Gunaratne, MD, MPH
Columbia University Medical Center, New York, NY
No disclosures
Bruce E. Hirsch, MD, FACP, FIDSA, AAHIVS
North Shore University Hospital, Manhasset, NY
No disclosures
Christine A. Kerr, MD
Galileo Health
No disclosures
Jeremy D. Kidd, MD, MPH
New York-Presbyterian Hospital, Columbia University, New York, NY
No disclosures
Hector I. Ojeda-Martinez, MD
Nuvance Health/Health Quest Medical Practice, Poughkeepsie, NY
No disclosures
Meera Shah, MD, MPH, MS, AAHIVS
Planned Parenthood Hudson Peconic, Elmsford, NY
No disclosures
Sanjiv S. Shah, MD, MPH, AAHIVM, AAHIVS
NYC Health + Hospitals/Gotham Health, Gouverneur, New York, NY
No disclosures
Eugenia L. Siegler, MD
Weill Cornell Medical College, New York, NY
No disclosures
Maria Teresa (Tess) Timoney, MS, RN, CNM
Bronx Prevention Center, ICAP at Columbia, Bronx, NY
No disclosures
Benjamin W. Tsoi, MD, MPH
Bureau of HIV/AIDS Prevention and Control
New York City Department of Health and Mental Hygiene, New York, NY
No disclosures
Marguerite A. Urban, MD
University of Rochester School of Medicine and Dentistry, Rochester, NY
No disclosures
Antonio E. Urbina, MD
The Mount Sinai Hospital, Comprehensive Health Program-Downtown, New York, NY
Scientific Advisor: Gilead, Janssen, Merck, ViiV
Geoffrey A. Weinberg, MD
University of Rochester School of Medicine and Dentistry, Rochester, NY
No disclosures
Changes to MCCC Membership
June 2022
- Joined as a contributing members:
- Elizabeth A. Asiago-Reddy, MD, MS, SUNY Upstate Medical University, Syracuse, NY
- Michelle S. Cespedes, MD, MS, Icahn School of Medicine at Mount Sinai, New York, NY
April 2022
- Appointed Chair: Steven M. Fine, MD, PhD, University of Rochester Medical Center, Rochester, NY
- Appointed Chair Emeritus: Joseph P. McGowan, MD, FACP, FIDSA, North Shore University Hospital, Manhasset, NY
January 2022
- Joined as a contributing member: Meera Shah, MD, MPH, MS, AAHIVS, Planned Parenthood Hudson Peconic
- Stepped down: Oni J. Blackstock, MD, MHS, Health Justice
August 2021
- Joined as a contributing member: Guillermo Chacón, Latino Commission on AIDS; Hispanic Health Network
- Stepped down:
- Elliot DeHaan, MD, New York-Presbyterian Hospital/Weill Cornell Medical Center
- Noga Shalev, MD, Columbia University Medical Center
July 2021
- Joined as a writing group member: Jessica Rodrigues, AVAC
March 2021
- Joined as contributing members:
- John J. Faragon, PHARMD, BCPS, AAHIVP, Albany Medical Center
- Shauna H. Gunaratne, MD, MPH, Columbia University Medical Center
- Bruce E. Hirsch, MD, FACP, FIDSA, AAHIVS, North Shore University Hospital
- Stepped down:
- John M. Conry, PharmD, AAHIVP, FNAP, St. John’s University
- Annette Gaudino, Treatment Action Group (TAG)
- Jeremiah Johnson, Treatment Action Group (TAG)
- Eugene D. Morse, PharmD, FCCP, BCPS, University at Buffalo School of Pharmacy & Pharmaceutical Sciences
February 2021
- Joined as a contributing member: Benjamin W. Tsoi, MD, MPH, Bureau of HIV/AIDS Prevention and Control, New York City Department of Health and Mental Hygiene
July 2020
- Joined as a contributing member: Ethan A. Cowan, MD, MS, Icahn School of Medicine at Mount Sinai
- Stepped down: Daniel J. Egan, MD, Columbia University Vagelos College of Physicians and Surgeons
January 2020
- Joined as contributing members:
- Jessica M. Atrio, MD, MSc, Albert Einstein College of Medicine/Montefiore Medical Center
- Oni J. Blackstock, MD, MHS, New York City Department of Health and Mental Hygiene
- Stepped down: Julie E. Myers, MD, MPH, New York City Department of Health and Mental Hygiene
December 2019
- Stepped down:
- Jack Fuhrer, MD, Stony Brook University School of Medicine
- Luz Amarilis Lugo, MD, Mount Sinai Comprehensive Health Program-Downtown
- Cynthia H. Miller, MD, Albany Medical Center
- David C. Perlman, MD, Icahn School of Medicine at Mount Sinai
Hepatitis C Virus (HCV) Guideline Committee
Updated July 2021 | Recent changes to the HCV Guideline Committee
Guidelines Writing Group
Chair: Joshua S. Aron, MD
Elmhurst Hospital Center, Elmhurst, NY
No disclosures
Chair Emerita: Christine A. Kerr, MD
Galileo Health
No disclosures
Contributor: David E. Bernstein, MD, FAASLD, FACG, AGAF, FACP
Hofstra-Northwell School of Medicine, Manhasset, NY
No disclosures
Medical Director: Charles J. Gonzalez, MD
New York State Department of Health AIDS Institute, New York, NY
No disclosures
Clinical Advisor to the AIDS Institute: Lyn C. Stevens, MS, NP, ACRN
New York State Department of Health AIDS Institute, Albany, NY
No disclosures
Director, JHU-NYSDOH AI Guidelines Program: Christopher J. Hoffmann, MD, MPH
Johns Hopkins University School of Medicine, Division of Infectious Diseases, Baltimore, MD
No disclosures
AIDS Institute Clinical Representative, Viral Hepatitis: Colleen Flanigan, RN, MS
New York State Department of Health AIDS Institute, Albany, NY
No disclosures
Contributing Members
Mary Angerame, MS, APN-BC
Jordan Health, Rochester, NY
No disclosures
Ayse Aytaman, MD, AGAF, FACG
Veterans Affairs New York Harbor Healthcare System, Brooklyn, NY
No disclosures
Donald P. Kotler, MD
Albert Einstein College of Medicine/Jacobi Medical Center, Bronx, NY
No disclosures
Kristen Marks, MD
Weill Cornell Medical College, New York, NY
No disclosures
Brianna L. Norton, DO, MPH
Montefiore Medical Group, Bronx, NY
No disclosures
Andrew H. Talal, MD, MPH
SUNY Buffalo , Buffalo, NY
Scientific Advisor: Abbott, Merck; honorarium recipient: Gilead
Jeffrey J. Weiss, PhD, MS
Mount Sinai School of Medicine, New York, NY
No disclosures
Recent Changes to the HCV Guideline Committee
April 2021
- Joined as a contributing member: Andrew H. Talal, MD, MPH, SUNY Buffalo
March 2021
- Joined as a contributing member: Donald P. Kotler, MD, Albert Einstein College of Medicine/Jacobi Medical Center
- Stepped down as a writing group member: Annette Gaudino, Treatment Action Group (TAG)
September 2020
- Stepped down as Vice-Chair: Ponni V. Perumalswami, MD, Icahn School of Medicine at Mount Sinai
February 2020
- Appointed Vice-Chair: Ponni V. Perumalswami, MD, Icahn School of Medicine at Mount Sinai
- Stepped down as Co-Chair; appointed Chair Emerita: Christine A. Kerr, MD, Galileo Health
Perinatal Transmission Prevention Guideline Committee
Updated March 2021
Leadership
Chair: Marc D. Foca, MD
Children’s Hospital at Montefiore Albert Einstein College of Medicine, Bronx, NY
No disclosures
Chair Emeritus: Rodney L. Wright, MD, MS
Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY
No disclosures
Chair Emeritus: Murli U. Purswani, MBChB, FAAP
Bronx-Lebanon Hospital Center, Bronx, NY
No disclosures
Medical Director: Charles J. Gonzalez, MD
New York State Department of Health AIDS Institute, New York, NY
No disclosures
Clinical Advisor to the AIDS Institute: Lyn C. Stevens, MS, NP, ACRN
New York State Department of Health AIDS Institute, Albany, NY
No disclosures
Director, JHU-NYSDOH AI Guidelines Program: Christopher J. Hoffmann, MD, MPH
Johns Hopkins University School of Medicine, Division of Infectious Diseases, Baltimore, MD
No disclosures
AIDS Institute Clinical Representative, Perinatal HIV Prevention: Suzanne Kaufman, MPH, BSN, AACRN
New York State Department of Health AIDS Institute, Albany, NY
No disclosures
Contributing Members
Helene Bernstein, MD, PhD
Upstate Medical University, Syracuse, NY
No disclosures
Aracelis D. Fernández, MD, FAAP
Harlem Hospital Center, New York, NY
No disclosures
Courtney Olson-Chen, MD
University of Rochester Medical School, Rochester, NY
No disclosures
Maria Teresa (Tess) Timoney, MS, RN, CNM
Bronx Prevention Center, ICAP at Columbia, Bronx, NY
No disclosures
Geoffrey A. Weinberg, MD
University of Rochester School of Medicine and Dentistry, Rochester, NY
No disclosures
Recent Changes to the Perinatal Transmission Prevention Guideline Committee
March 2021
- Stepped down as a writing group member: Annette Gaudino, Treatment Action Group (TAG)
Substance Use Guidelines Committee
Updated October 2021 | Recent changes to the Substance Use Guidelines Committee
Leadership
Chair (10/26/21): Susan D. Whitley, MD
New York City Health + Hospitals/Kings County, Brooklyn, NY
No disclosures
Vice-Chair (10/26/2021): Timothy J. Wiegand, MD
University of Rochester Medical Center, Rochester, NY
No disclosures
Medical Director: Charles J. Gonzalez, MD
New York State Department of Health AIDS Institute, New York, NY
Clinical Advisor to the AIDS Institute: Lyn C. Stevens, MS, NP, ACRN
New York State Department of Health AIDS Institute, Albany, NY
No disclosures
Director, JHU-NYSDOH AI Guidelines Program: Christopher J. Hoffmann, MD, MPH
Johns Hopkins University School of Medicine, Division of Infectious Diseases, Baltimore, MD
No disclosures
AIDS Institute Clinical Representative, Harm Reduction in Healthcare: Sharon L. Stancliff, MD
New York State Department of Health AIDS Institute, New York, NY
No disclosures
AIDS Institute Clinical Representative, Drug User Health: Narelle Ellendon, RN
New York State Department of Health AIDS Institute, New York, NY
No disclosures
Contributing Members
Angela G. Giovanniello, PharmD, AAHIVP
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
No disclosures
Judith L. Griffin, MD
REACH Medical, Ithaca, NY
No disclosures
Julia K. Hunter, MD, MPH, FASAM
United Health Services Hospitals, Inc., Binghamton, NY
No disclosures
Giliane Joseph, MD
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
No disclosures
Tiffany Y. Lu, MD, MS
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
No disclosures
Yonina Mar, MBBS, MSc
Mount Sinai Beth Israel, New York, NY
No disclosures
Shadi Nahvi, MD, MS
Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
No disclosures
David C. Perlman, MD
Icahn School of Medicine at Mount Sinai, New York, NY
No disclosures
Sara Lorenz Taki, MD
Greenwich House MMTP, New York, NY
No disclosures
Recent Changes to the Substance Use Guidelines Committee
October 2021
- Appointed Chair: Susan D. Whitley, MD, New York City Health + Hospitals/Kings County
- Appointed Vice-Chair: Timothy J. Wiegand, MD, University of Rochester Medical Center
August 2021
- Joined as contributing members:
- Judith L. Griffin, MD, REACH Medical
- Julia K. Hunter, MD, MPH, FASAM, United Health Services Hospitals, Inc.
- Tiffany Y. Lu, MD, MS, Albert Einstein College of Medicine/Montefiore Medical Center
- Yonina Mar, MBBS, MSc, Mount Sinai Beth Israel
- Sara Lorenz Taki, MD, Greenwich House MMTP
June 2021
- Stepped down as a contributing member: Hillary Kunins, MD, MPH, MS, New York City Department of Health and Mental Hygiene
April 2021
- Stepped down as Chair: Chinazo O. Cunningham, MD, MS, Albert Einstein College of Medicine/Montefiore Medical Center
March 2021
- Stepped down as a writing group member: Annette Gaudino, Treatment Action Group (TAG)
- Stepped down as a contributing member: Raymond Harvey, MD, Institute for Family Health
July 2020
- Stepped down as contributing members:
- Marcus Bachhuber, MD, MS, Albert Einstein College of Medicine/Montefiore Medical Center
- Michael L. Christie, MD, University of Rochester Medical Center
- Stepped down as Vice-Chair: Kelly S. Ramsey, MD, MPH, MA, FACP, New York State Office of Addiction Services and Support
Institutional, Agency, and Program Liaison Advisory Group
Updated June 2022
Sheldon T. Brown, MD
Infectious Diseases
Hudson Valley VA Healthcare System, Montrose, NY
No disclosures
Douglas Fish, MD
Office of Health Insurance Programs
New York State Department of Health, Albany, NY
No disclosures
Emma Kaplan-Lewis, MD
HIV Services, Office of Population Health
NYC Health and Hospitals, New York, NY
No disclosures
Ralph Liporace, MD
Coxsackie Correctional Facility
NYS Department of Corrections and Community Service, Albany NY
No disclosures
Monica Parker, PhD
Bloodborne Viruses Laboratory, Wadsworth Center
New York State Department of Health, Albany, NY
No disclosures
Kelly S. Ramsey, MD, MPH, MA, FACP, DFASAM
NYS Office of Addiction Services and Supports, Albany, NY
No disclosures
Thomas Smith, MD
Office of Mental Health
New York State Psychiatric Institute, New York, NY
No disclosures
William M. Valenti, MD, FIDSA
Trillium Health, Rochester, NY
Medical Society of the State of New York
No disclosures