How to Incorporate Testing Into Site Flow – BH

Routine testing programs are typically effective in providing patients with the testing and results they need, as well as providing information on care options. These models are known as integrated or parallel systems. But in an effort to make testing more routine and sustainable over time, integrated models may be the better option. Depending on your setting, information provision and HIV testing will be integrated into patient flow at a different place.

The following resources are provided below to help make an informed decision on what program will work best for you.

How to Incorporate Testing Into Site FlowDownloadable Resources
(Please right-click to download each resource.)

  1. HIV Rapid Testing in Substance Abuse Treatment: Implementation Following a Clinical Trial (NIH, 2011)
    This article describes the experience of a substance abuse treatment agency where, following participation in a clinical trial, the agency implemented an HIV testing and counseling program.
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  2. Health Center Model – See Step 3 (NACHC, 2009)
    The approach used in this resource has been shown to help community health centers successfully implement screening for patients ages 13-64. It can also provide quality care not just for those who can afford it, but who are in critical need. See step 3 in particular.
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  3. Capacity Assessment – See Worksheet #2 (PAETC, 2008)
    This worksheet “Expanding HIV Testing Services in Public Health Clinics and Community Health Centers” assesses whether your clinic or health center is ready to expand services.
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  4. Sample Flow Sheet (Urban Health Plan, Inc.)
    This helpful flow sheet walks testers through the HIV testing protocol for adults and adolescents, with an EMR system.
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  5. FOCUS Flow Chart (Jackson Park Hospital) 
    This flow chart shows how Jackson Park Hospital implements HIV testing.
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  6. Emergency Department HIV Screening Flow Chart (St. Christopher’s Hospital, 2011)
    View this flow chart as an example of testing in the ED at St. Christopher’s Hospital.
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  7. Rapid Testing in the Emergency Department (HHC)
    View this flow chart as an example of a testing program in an emergency department.
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  8. Routine Testing in the ER (Dr Jeremy Brown, GWU
    See another example of testing flow in an emergency room setting.
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  9. Applying HIV Testing Guidelines in Clinical Practice (AFP, 2009)
    The CDC now recommends that persons age 13-64 engage in routine testing, regardless of risk. Addressing important barriers in the clinical setting can improve.
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  10. Community Health Centers (CDC, 2011)
    CHCs play an important role in HIV testing because patients are often a part of groups that may be at high risk of infection. “Health centers are in the best position to reach out in ways that other clinicians cannot, based on the populations we serve” William Booker, MD.
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  11. HIV Testing in Health-Care Settings (AETC , NRC, 2006
    Using testing guidelines from 2006, clinicians involved in care of patients with HIV can get helpful information. Also helpful for anyone involved with testing.
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