Resources

Making the Case

• Reports, fact sheets, and slide sets from the CDC
• Hospital HIV Testing Policies and Practices, A National Survey (PDF)
  This summary covers findings of HRET's 2004 survey of U.S. hospitals.
• The HIV/AIDS Epidemic in the United States (PDF)
  HIV/AIDS Policy Fact Sheet. The Henry J. Kaiser Family Foundation, November 2006.
• Web Addresses for Reports of State or Local HIV and AIDS Surveillance (PDF)
• Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2005. Vol. 17. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2006 (PDF).
• Tutorial: Women and HIV/AIDS in the United States
  kaiserEDU.org, June 2007.

Engaging Essential Players

• The Collaboration Primer: Proven Strategies, Considerations and Tools to Get You Started (PDF)
  G. Williams Torres and F.S. Margolin of the Health Research and Educational Trust
• Making HIV Testing a Routine Part of Medical Care: The State Health Agency Role, February 2005 (PDF)
  Issue Report from the Association of State and Territorial Health Officials
• Prevention for Negatives Collaboration Program Agreement (PDF)
  University of Medicine & Dentistry of New Jersey
• HIV Testing in Emergency Departments: A Primer on Issues and Strategies for Health Departments (PDF)
  A primer on issues and strategies for health departments from the National Alliance of State and Territorial AIDS Directors

Measuring Progress

• Example implementation process timeline (PDF)
  Kennedy Health System Early Intervention Program
• Implementation and Effectiveness of Rapid HIV Testing Statewide at Publicly Funded Counseling and Testing Sites in New Jersey (PDF)
• Patient questionnaire: Experiences in HIV testing (DOC)
  Alameda County Medical Center
• Survey of patient attitudes toward rapid HIV testing in the ED (DOC)
  Alameda County Medical Center
• Survey of staff attitudes toward rapid HIV testing in the ED (DOC)
  Alameda County Medical Center

Costs and Funding

• Rapid HIV Antibody Screening Tests: Purchasing Information Chart (PDF)
  Health Research and Educational Trust
• 340B Drug Pricing Program
• The Public Health Service (PHS) Section 340B Drug Pricing Program in Basic Language (PDF)
• Press release from Trinity Biotech on Agreement with 340B Prime Vendor Program for the Uni-Gold™ Rapid HIV Test (PDF)
• Press release from AHIP - Expanding Screening to Save Lives: Health Plans Prepare for Universal HIV Testing
• Coding Guidelines for Routine HIV Testing in Health Care Settings (PDF)

Legal Considerations

• Map to HIV Testing Laws for all U.S. States
  National HIV/AIDS Clinicians' Consultation Center
• Advancing HIV Prevention Initiative - A Limited Legal Analysis of State HIV Statutes (PDF)
  Hodge, Jr. James G. at The Center for Law & the Public's Health at Georgetown & Johns Hopkins Universities
• Report on Findings from an Assessment of Health Department Efforts to Implement HIV Screening in Health Care Settings (PDF)
  National Alliance of State and Territorial AIDS Directors, June 26, 2007

Operational Flow

• Emergency Department-Based HIV Testing: Facilitators and Barriers (PDF)
  Poster presentation from the APHA Annual Meeting, Philadelphia, December 10-14, 2005
• Rapid HIV in the ED Project Patient Flow (PDF)
  New York City Health and Hospitals Corporation
• Routine HIV Screening Patient Flow (DOC)
  The George Washington University Medical Center
• Improving Identification of Patients Infected with HIV Using Rapid Testing in the Emergency Department: A Systems-Based Approach (PPT)
  Denver Health Medical Center
• HIV CTR Process Flow Chart (DOC)
  The University Hospital, University of Medicine and Dentistry of New Jersey

Staffing

• Who Will Staff HIV Testing in the ED: A Matrix of Possible Staff Roles
  Health Research and Educational Trust

Choosing a Test

• General and Laboratory Considerations: Rapid HIV Tests Currently Available in the United States
  Centers for Disease Control and Prevention
• Rapid HIV Testing: 2005 Update (PDF)
  Bernard M. Branson, MD, CDC)
• FDA-Approved Rapid HIV Tests: Comparison Chart (PDF)
  Health Research and Educational Trust
• FDA Approved Rapid HIV Tests: Purchasing Information Chart (PDF)
  Health Research and Educational Trust
• FDA-Approved HIV 1 and 2 Enzyme-Linked Immunosorbent Assays (ELISA or EIAs) (PDF)
  Health Research and Educational Trust
• Point-of-Care Testing Checklist (PDF)
  College of American Pathologists Commission on Laboratory Accreditation
• A Rapid Review of Rapid HIV Antibody Tests (PDF)
  Current Infectious Disease Reports 2006; 8:125-131
• QA Guidelines for testing Using Rapid HIV Antibody Tests
• Bio-Rad Laboratories
• Inverness Medical Professional Diagnostics
• MedMira
• OraSure Technologies, Inc.
• Trinity Biotech

Training Staff

• HIVMA Guide to Recognizing Acute HIV Infection
• Does the Client Have HIV? Rapid Answers and Protocols for the Emergency Department
  University of Illinois at Chicago and MATEC
• Training and Educational Materials on Rapid HIV Testing from the AETC National Resource Center
• Slide sets used in the State of New Jersey's training sessions
• Staff competency quiz on HIV testing (DOC)
  Alameda County Medical Center
• HIV test interpretation form (DOC)
  Alameda County Medical Center
• Staff skills performance assessment form (DOC)
  Alameda County Medical Center
• Rapid HIV credentialing procedures step-by-step list (DOC) Alameda County Medical Center
• Patient Education Sheet: Taking the Rapid HIV Test (DOC)
  St. Luke's-Roosevelt Hospital Center

Informed Consent

• Streamlined "Consent to Test for HIV" script and form (DOC)
  Highland General Hospital
• Informed consent form (PDF)
  New York State Department of Health
• Rapid HIV Test Staff Script (PDF)
  Detroit Receiving Hospital

Delivering Results

• Off-Hours Pack: (from the University Hospital in Cincinnati's HIV Early Intervention Program)
  • Clinical lab requisition
  • Informed consent to test for HIV form
  • Early intervention program questionnaire
  • Nurse/physician off-hour instruction sheet
  • Take-home packet:
    • Informed consent to test for HIV form
    • Early intervention program overview on HIV
    • Emergency phone number for the program on a card
    • Male and female condoms, dental dam, and instructions
    • Pocket guide of HIV testing sites in the region
    • Pamphlets on STDs and HIV
• Doctor's Preliminary Positive Procedures Pack (from Highland General Hospital)
  • Flow chart instructions for a preliminary postive test
  • Patient intake form for preliminary positive patients
  • Preliminary positive HIV test overview sheet in English and Spanish for patients
  • Lab order for initial rapid HIV test
  • Appointment card for patient
• ED Nurse's Preliminary Positive Procedures Pack (from Highland General Hospital)
  • Flow chart instructions for a preliminary positive test
  • Specimen bag A for confirmatory HIV test with instructions
    • Lab order form
    • Note to lab staff on sending instructions
  • Specimen bag B for additional HIV labs
• Policy and Procedure Mini-Manual (PDF)
  New York City Health and Hospitals Corporation
• Result Reporting Procedures (PDF)
  New Jersey Rapid HIV Testing Support Program
• Preliminary Positive Result Form (PDF)
  New Jersey Rapid HIV Testing Support Program
• Preliminary Positive Follow-Up Procedures (PDF)
  New Jersey Rapid HIV Testing Support Program
• Script for Negative HIV Test Result (DOC)
  Highland General Hospital
• Qraquick Rapid HIV 1&2 Antibody Test and Western Blot Lab Order Form (DOC)
  University of Medicine & Dentistry of New Jersey
• Social Work Procedures for HIV Positive Test Results in the ED (PDF)
  Denver Health Medical Center
• Protocols for Confirmation of Reactive Rapid HIV Tests
  Morbidity and Mortality Weekly Report

Linking to Care

• Rapid HIV Testing in the ED Project Patient Flow (PDF)
  New York City Health and Hospitals Corporation
• Routine HIV Screening Patient Flow (DOC)
  The George Washington University Medical Center
• Improving Identification of Patients Infected with HIV Using Rapid Testing in the Emergency Department: A Systems-Based Approach (PPT)
  Denver Health Medical Center
• HIV CTR Process (DOC)
  The University Hospital, University of Medicine and Dentistry of New Jersey

The Clinical Value of HIV Testing in the ED

• Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis
• Antiretroviral Postexposure Prophylaxis After Sexual, Injection-Drug Use, or Other Nonoccupational Exposure to HIV in the United States
• Does the Client Have HIV? Rapid Answers and Protocol for the Emergency Department
  Midwest AIDS Training and Education Center (MATEC)
  
  

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