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Quality/Cost/Disparities

Management research to provide operational advice on improving quality, reducing costs and eliminating disparities.

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ED Based HIV Screening

The Centers for Disease Control and Prevention (CDC) estimate that as many as 25 percent of the 1.2 million Americans who are HIV positive are unaware that they are carrying the virus. Early detection has been shown to reduce risk behaviors and can link infected patients to care. CDC recommends voluntary HIV screening for adult and adolescent patients in health care settings. Emergency department-based testing can be an effective strategy for screening to hard-to-reach populations for HIV.

Who should be part of a team to implement HIV testing in the ED? Will a particular program's approach achieve its goals? How do you measure progress? To guide clinicians and administrators through the process of planning, implementing or expanding an ED-based HIV testing program, HRET has developed a Web-based operational guide. This comprehensive resource is the first of its kind and is based on interviews and site visits with emergency departments that have pioneered ED-based HIV testing.

To read the executive summary that covers the findings of HRET's 2004 survey of U.S. hospitals, please click here.

To learn more, and to access the web-based guide, visit www.edhivtestguide.org.

HRET has also developed a free online toolkit to help hospitals maximize reimbursement for HIV testing and screening. The toolkit includes a calculator that hospitals or clinics can use to estimate the cost of starting or expanding a screening program. To access the toolkit, visit www.hret.org/hiv-cost.

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