Thursday, November 21, 2024
11/21/2024
Purpose To eliminate the HIV/AIDS epidemic in the Bronx by creating a novel model of integrated sexually transmitted disease (STD) care in order to increase early HIV diagnosis and treatment as well as the number of at-risk patients linked to pre-exposure prophylaxis. Objective The Jacobi Medical Center and North Central Bronx Departments of Emergency Medicine propose to develop a program that utilizes a dedicated nurse practitioner (NP) based in the Jacobi ExpressCare and on the New York City Health + Hospital (NYC H+H) Virtual ExpressCare platform who will provide private and personalized STD counseling, clinical care and linkage to HIV or HIV preventative treatment quickly and easily for patients and their partners. In addition, we will increase hospital and community rapid oral testing. Summary The New York City Health + Hospital - Jacobi Medical Center (JMC) and North Central Bronx (NCB) Emergency Departments have a history of nearly 15 years of HIV diagnosis and prevention activities. Our current HIV diagnosis and prevention programming has had exciting results counseling and navigating 1200 patients in 2019. However, it is primarily a linkage program, leaving gaps in the care continuum in particular around diagnosis and prevention efforts. This proposal seeks to create a novel model of care using a nurse practitioner dedicated to sexual health who will see patients for 2 hours a day on a currently active, NYC H+H system-wide Virtual ExpressCare platform as well as in-person in the JMC Emergency Department’s ExpressCare. Either type of visit will allow the NP to provide services such as STD counseling and education, testing, treatment and linkage to HIV antiretroviral treatment, partner options, HIV risk assessment with pre-exposure prophylaxis (PrEP) prescriptions as a bridge to primary HIV preventive care. From the telehealth platform, the NP can refer patients to her/himself during office hours in the Jacobi ExpressCare based in our Emergency Department. In the event that the NP sees a patient virtually that is calling from another borough, the patient will be referred to an ExpressCare at another NYC H+H hospital or a community partner. Patient navigators will work with and support the NP and link patients to ongoing HIV care and HIV preventative care in the JMC and NCB in-house HIV clinics. The navigators and the program administrator will organize regular in-house and off-site testing activities for the community to receive rapid HIV testing.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
