AHRQ Innovations Exchange | Providers Offer HIV Testing to All Emergency Department Patients in an Inner City Hospital, Improving Access to Testing and Subsequent Care for High-Risk Populations

Providers Offer HIV Testing to All Emergency Department Patients in an Inner City Hospital, Improving Access to Testing and Subsequent Care for High-Risk Populations

Snapshot
Summary
Replacing a system in which an HIV counselor rotated through the emergency department offering HIV testing to a subset of patients, an inner-city hospital now has health care providers, such as nurses and physicians, routinely offering all eligible patients an HIV test as part of their visit. With prompts from the electronic medical record, providers ask all eligible patients about their HIV status and offer HIV blood testing to those who do not know it. Results are made available to the patient during the visit, and those who test positive are provided counseling and referrals for care. The program has increased access to testing—and subsequent HIV care—for the high-risk, minority patients served by the hospital.
Evidence Rating
Moderate: The evidence consists of pre- and post-implementation data on the number of ED patients tested for HIV.


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AHRQ Innovations Exchange | Providers Offer HIV Testing to All Emergency Department Patients in an Inner City Hospital, Improving Access to Testing and Subsequent Care for High-Risk Populations