Native American Community Clinic's Hepatitis C, HIV and Syphilis Syndemic Project - Native American Community Clinic HIV, HCV, Syphilis Syndemic Project Abstract Summary At NACC, we witness firsthand the intersecting epidemics of HIV, hepatitis C, and syphilis which are disproportionately impacting our AI/AN relatives. To address this syndemic, our project will focus on three main goals: expanding staffing and care coordination, improving clinical operations and workflow, and strengthening community engagement and outreach. We will build upon our current work by creating a dedicated Syndemic Team to enhance documentation and follow-up protocols, while providing comprehensive wraparound supports. Additionally, we will expand HCV and rapid syphilis screening and fortify partnerships with community organizations to deliver targeted and effective healthcare services to the urban AI/AN community.