scholarly journals The Ryan White HIV/AIDS Program in the Age of Health Care Reform

2015 ◽  
Vol 105 (6) ◽  
pp. 1078-1085 ◽  
Author(s):  
Sean R. Cahill ◽  
Kenneth H. Mayer ◽  
Stephen L. Boswell
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Ryan White ◽  
Aids Program ◽  
Hiv Aids

scholarly journals “Part of Getting to Where We Are is Because We Have Been Open to Change”Integrating Community Health Workers on Care Teams at Ten Ryan White HIV/AIDS Program Recipient Sites

2021 ◽  
Author(s):  
Linda Sprague Martinez ◽  
Melissa Davoust ◽  
Serena Rajabiun ◽  
Allyson Baughman ◽  
Sara Bachman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Care Delivery ◽  
Implementation Strategies ◽  
Hiv Care ◽  
Organizational Policies ◽  
Ryan White ◽  
Aids Program ◽  
Group Interviews ◽  
Hiv Aids

Abstract Background: Community Health Workers (CHWs) have long been integrated in the delivery of HIV care, in middle- and low-income countries. However, less is known about CHW integration into HIV care teams in the United States (US). To date, US based CHW integration studies have studies explored integration in the context of primary care and patient-centered medical homes.There is a need for research related to strategies that promote the successful integration of CHWs into HIV care delivery systems. In 2016, the Health Resources and Services Administration HIV/AIDS Bureau launched a three-year initiative to provide training, technical assistance and evaluation for Ryan White HIV/AIDS Program (RWHAP) recipient sites to integrate CHWs into their multidisciplinary care teams, and in turn strengthen their capacity to reach communities of color and reduce HIV inequities. Methods: Ten RWHAP sites were selected from across eight states. The multi-site program evaluation included a process evaluation guided by RE-AIM to understand how the organizations integrated CHWs into their care teams. Site team members participated in group interviews to walk-the-process during early implementation and following the program period. Directed content analysis was employed to examine program implementation. Codes developed using implementation strategies outlined in the Expert Recommendations for Implementing Change project were applied to group interviews (n=20). Findings: Implementation strategies most frequently described by sites were associated with organizational-level adaptations in order to integrate the CHW into the HIV care team. These included revising, defining, and differentiating professional roles and changing organizational policies. Strategies used for implementation, such as network weaving, supervision, and promoting adaptability, were second most commonly cited strategies, followed by training and TA strategies. Conclusions: Wrapped up in the implementation experience of the sites there were some underlying issues that pose challenges for health care organizations. Organizational policies and the ability to adapt proved significant in facilitating CHW implementation. The integration of the CHW role may present an occasion for health care delivery organizations to reassess policies that may unintentionally marginalize communities and both limit career opportunities and patient engagement.

scholarly journals High Rates of Retention and Viral Suppression in the US HIV Safety Net System: HIV Care Continuum in the Ryan White HIV/AIDS Program, 2011

2014 ◽  
Vol 60 (1) ◽  
pp. 117-125 ◽  
Author(s):  
R. K. Doshi ◽  
J. Milberg ◽  
D. Isenberg ◽  
T. Matthews ◽  
F. Malitz ◽  
...  
Keyword(s):  
Viral Suppression ◽  
Safety Net ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Ryan White ◽  
The Us ◽  
Aids Program ◽  
Hiv Aids

scholarly journals Ryan White HIV/AIDS Program Assistance and HIV Treatment Outcomes

2015 ◽  
Vol 62 (1) ◽  
pp. 90-98 ◽  
Author(s):  
Heather Bradley ◽  
Abigail H. Viall ◽  
Pascale M. Wortley ◽  
Antigone Dempsey ◽  
Heather Hauck ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Hiv Treatment ◽  
Ryan White ◽  
Aids Program ◽  
Hiv Treatment Outcomes ◽  
Hiv Aids

DEVELOPMENT OF A MATHEMATICAL MODEL TO ESTIMATE THE COST-EFFECTIVENESS OF THE RYAN WHITE HIV/AIDS PROGRAM

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ravi Goyal ◽  
Cindy Hu ◽  
Pamela W. Klein ◽  
John Hotchkiss ◽  
Eric Morris ◽  
...  
Keyword(s):  
Mathematical Model ◽  
Cost Effectiveness ◽  
Ryan White ◽  
Aids Program ◽  
The Cost ◽  
Hiv Aids

New Jersey FQHC Process Improvement Increases Oral Health Access for HIV Patients

2021 ◽  
pp. 1-6
Author(s):  
Sam Wakim ◽  
◽  
Rina Ramirez ◽  
Keyword(s):  
Health Care ◽  
New Jersey ◽  
Oral Health ◽  
Dental Care ◽  
Health Access ◽  
Hiv Patients ◽  
Improvement Project ◽  
Medical Needs ◽  
Ryan White ◽  
Hiv Aids

Introduction: Patients living with HIV/AIDS (PLWHA) have more unmet oral health care needs than the general population, outpacing unmet medical needs [1]. Poor oral health can impact a person’s confidence and ability to speak, eat, work, sleep, and socialize [2]. Lack of access to dental care is a national issue for HIV patients; providing access is a challenge faced by many health centers and practices, including Zufall Health in New Jersey, a federally qualified health center (FQHC). In collaboration with Northeast/Caribbean AIDS Education and Training Center (NECA AETC), Zufall embarked on an initiative to improve access to quality dental care for PLWHA. AETC is the training component of the Ryan White Program, a federally funded program that provides medical care, support services, and medications for PLWHA who are low income, uninsured, or underserved [3-5]. Materials and Methods: In 2019, Zufall Health launched a quality improvement project to increase oral health access and services for Ryan White patients by integrating all partners involved in providing health care: medical, dental, psychological, behavioral, and HIV/AIDS providers and case managers. The project goal was to increase the number of patients receiving dental care to improve oral and overall health. Results/Observations: As a result of the project, there were significant quantitative and qualitative improvements in the oral health and quality of life of PLWHA: more dental encounters, a higher percentage of patients with a dental home, and the surpassing of the project goal of a 10% increase in dental referrals.

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