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Description:Routine HIV Screening Program: Central Care provides routine, opt-out HIV screening to patients at the Central Care Community Health Center, a federally qualified health center (FQHC) serving the southeast area of Houston, Texas. Implementation of routine, opt-out HIV screening included developing a new policy to offer annual HIV screening to all patients, designing a consent form for all treatment that included HIV testing, updating the existing electronic medical record (EMR) to generate alerts for patients eligible for an HIV test, educating and training staff, and hiring specialized staff to prepare for an increase in new HIV-infected patients. At the initial check-in, patients are informed about routine HIV screening and sign a consent form. An alert for the clinical team is triggered when the consent form is signed. The triage nurse conducts a point-of-care, rapid HIV test during the normal intake process. One-week follow-up appointments for additional testing are made for patients with a reactive rapid test and a case manager is assigned.
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