Assess Your Readiness: Sustainability
If a program is begun as part of a research project or pilot test, how will you sustain it when the original project or test ends? Factors that can ensure sustainability include:
- Funding for ED HIV testing comes from state and local pools of HIV prevention and care funds.
- Program is demonstrated to be cost efficient.
- Partnership is established with local health department which can provide test kits, training, lab, and funding.
- Program costs are absorbed by existing hospital budgets, such as supplies and laboratory.
- Public health, ED, laboratory, and infectious disease departments contribute infrastructure and resources to the testing process.
- Program staff participate in HIV planning councils/advisory groups.
- Data are collected to monitor and promote track record.
Factors that threaten sustainability include:
- Budget is cut at the federal level for HIV prevention and care.
- Nonrenewable funding sources support program.
- Testing is part of research study and attached to certain investigators and grants.
- Priority shifts for public health interventions or research conducted in the ED.
- No clear accountability or ownership of the testing process exists.
- Testing process is part of a parallel effort and is not integrated into ED operations.
- Program relies on one person to champion the effort after it has launched.
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