142nd APHA Annual Meeting and Exposition

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Preparing the Future: Operationalizing the National HIV/AIDS Strategy in an urban academic medical setting through an interprofessional approach

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 12:30 PM - 12:45 PM

Jamie Mignano, BSN, MSN, MPH , Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD
Derek Spencer, MS, CRNP , JACQUES Initiative, University of Maryland School of Medicine Institute of Human Virology, Baltimore, MD
Alexandra Reitz, BS , JACQUES Initiative, University of Maryland School of Medicine Institute of Human Virology, Baltimore, MD
Travis Brown, BS, MS , JACQUES Initiative, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD
Audio (mp3) recording Recorded Presentation (mp4)
Background: In 2010 the US Government released the National HIV/AIDS Strategy (NHAS). High incidence, prevalence and poor engagement in care prompted the JACQUES Initiative (JI), Institute of Human Virology, University of Maryland School of Medicine to create the Preparing the Future program.  The aim is to mobilize its academic and clinical campus to address NHAS goals.

Methods: The interprofessional academic course provided medicine, nursing, pharmacy, dentistry, social work and law students didactic and hands-on components to teach and operationalize NHAS goals. Students complete a pre- and post-test.  The clinical program involved a systematic process to implement inpatient routine HIV testing. Impact was monitored through HIV test offers, acceptances, positives and linkages to care.

Results: In academic year 2012-2013, students at post-test (n=129) who felt competent 1) discussing HIV with their patients; 2) discussing HIV in a culturally competent manner with patients; 3) disclosing results of a positive HIV test increased from pre-test by 50.4%, 40.7% and 33.3%, respectively. Among 4461 patients admitted to the medicine service March-December 2013, 80% were eligible for an HIV test, 80% were offered an HIV test and 79% of those accepted a test. There were 16 persons newly diagnosed with HIV (75% linked to care) and 96 persons previously diagnosed but not in care (41% linked to care).

Conclusions: An interprofessional approach to NHAS is achievable on an academic medical campus to make an immediate impact on the HIV epidemic and build an interdisciplinary workforce to address the HIV epidemic long-term at multiple entry points.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Public health or related laws, regulations, standards, or guidelines
Public health or related nursing

Learning Objectives:
Explain how an academic medical campus is operationalizing the National HIV/AIDS Strategy. Discuss the interprofessional approach taken in the academic and clinical setting. Identify the impact of the academic intervention on emerging professionals.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in the field of HIV/AIDS since 2006. I have developed, directed and evaluated HIV programs since 2006. I oversee the Preparing the Future program described in the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4234.0: National HIV/AIDS Strategy: Implementation and Lessons Learned