A New York City HIV medical home model, established in 2009, has documented significant improvements in care outcomes, including:
- 88% of the Community Care Program (CCP) clients who were out-of-care individuals were reengaged in services, compared to 63% for those getting care from the "usual-care" group.
- 66% of CCP clients reached viral suppression, compared to 49% in the "usual-care" group.
The model, first launchd with funding from New York City's Ryan White Part A program, is described in detail in the RWHAP Best Practices Compilation, a growing collection of interventions with documented efficacy on improving HIV care outcomes. Among the core elements of CCP are:
- Multidisciplinary care team case conferencing.
- Patient navigation.
- Personalized health education curriculum.
- ART adherence support.
- Outreach to clients after missed appointments.
Learn more about the New York City's CCP, including the STEPS to Care Toolkit, comprised of patient navigation, care team coordination, and HIV self-management.
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The STEPS to Care Toolkit is based on three strategies:
+ Patient Navigation
+ Care Team Coordination
+ HIV Self-Management
Access the STEPS to Care Toolkit in CDC's Effective Interventions, including a robust set of videos and tools for use by clinic staff.