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HIV Testing In Health Care Settings - Implementation Resources

OA has assembled the following tools to assist in the implementation of these recommendations.  In addition, OA can help you identify appropriate contacts in your local health department and community for care, treatment, support, and prevention services.  For more information, please contact Sandy Simms, Chief, HIV Counseling, Testing, and Training Section, OA, at (916) 449-5538 or by e-mail at:  Sandy.Simms@cdph.ca.gov.

Training and Technical Assistance

  • The Pacific AIDS Education and Training Center, based at the University of California, San Francisco (UCSF), has 11 local implementation sites throughout California that can provide free training and technical assistance to health care facilities on implementation of CDC’s HIV testing recommendations and H&S Code Section 120990.  Based in medical schools and community-based organizations, the faculty of nurses, physicians, and program managers can help you address implementation challenges, train your staff, and develop necessary policies and procedures.  For inquiries regarding training and technical assistance, please contact Michelle Kipper at (415) 597-8197 or michelle.kipper@ucsf.edu.
  • The California STD/HIV Prevention Training Center (CA PTC) is funded by CDC and is a joint project of CDPH’s Sexually Transmitted Disease (STD) Control Branch; University of California, Berkeley, School of Public Health; and UCSF School of Medicine.  A new CA PTC training:  Testing for HIV Infection:  A Curriculum for Medical Providers in California, is available free of charge to medical providers and health professionals.  The course explains changes in HIV testing as allowed under H&S Code Section 120990, differentiates between “opt-in” and “opt-out” HIV testing, describes pros and cons of traditional and rapid HIV testing, and outlines how to integrate routine HIV testing procedures into current practice.  Participants also learn how to conduct a brief HIV risk assessment/risk-reduction session, and deliver HIV-negative and HIV-positive test results to patients.  The training can be delivered in one-hour modules or as a single four-hour course.  For more information, or to schedule training, please contact CA PTC at (510) 625-6000, or consult the CA PTC Web site

Telephone Consultation

  • The National HIV Telephone Consultation Service (Warmline) at (800) 933-3413 provides free and confidential expert consultation on HIV testing and care, including test interpretation (specializing in rapid testing and indeterminate test results). They can also offer guidance for the initial steps in workup and initial management.  The Warmline is available 6 a.m.‑5 p.m., Pacific Standard Time, Monday‑Friday.
  • The National Perinatal HIV Consultation and Referral Service (Perinatal HIV Hotline) at (888) 448-8765 provides around-the-clock advice on indications and interpretations of standard and rapid HIV testing in pregnancy, as well as consultation on antiretroviral use in pregnancy, labor and delivery, and the postpartum period.  The Perinatal HIV Consultation and Referral Service also can link HIV-infected pregnant women with appropriate health care.

Local Health Department Contacts

  • The mission of the California Conference of Local AIDS Directors (CCLAD) is to improve the quality and scope of health programs for HIV prevention and HIV-positive persons by promoting standards of excellence throughout the state of California.  CCLAD achieves this mission by serving as a leader in HIV/AIDS policy development, by enhancing partnerships with the California Conference of Local Health Officers (CCLHO) and OA, and by creating bridges between local health jurisdictions, statewide coalitions, community-based organizations, and other affiliate organizations.  A contact list for CCLAD can be found at www.cclad.org.  Please note that these AIDS directors have agreed to be contacted for local assistance with HIV testing and referrals for prevention as we as care, treatment, and support services.  A comprehensive array of services, including life-saving medications, are available for people with and at risk for HIV infection in California (information about many of these is also available at the OA Web site:  www.cdph.ca.gov/programs/AIDS.

Client Education Materials

  • The California HIV/AIDS Clearinghouse (CAC) is a repository and distribution resource center for culturally appropriate HIV/AIDS/STD/tuberculosis (TB)/hepatitis educational materials.  CAC provides access to over 200 HIV/AIDS health education materials.  The materials address health education, awareness, knowledge, and behavior change.  Additional materials such as DVDs, books, and health publications are available for loan and technical assistance is provided through library services including specialized literature database searches.  CAC can be reached toll free at (888) 611-4222 or www.hivinfo.org.
  • California HIV/AIDS Hotline: Toll-free in California: 1 (800) 367-AIDS; San Francisco area: 1 (415) 863-AIDS; or Toll-free TTY for the hearing impaired: 1 (888) 225-AIDS.
  • Trained volunteers handle telephone calls from the public on a spectrum of issues, including HIV testing, transmission, trends, and new AIDS treatments.  Calls are anonymous and confidential. Hours are 9 a.m. to 5 p.m., Pacific Standard Time (PST), Monday through Friday and 9 a.m. to 9 p.m. Tuesday.
  • The San Francisco AIDS Foundation AIDS Hotline Web site http://www.AIDShotline.org contains a search engine and database of more than 1,200 referrals for Northern and Southern California on numerous topics, such as HIV test sites, community-based organizations, HIV/AIDS health care services, education programs, etc.

Additional Materials and Comprehensive Guidance Documents

  • Health Research and Educational Trust (HRET), HIV Testing in Emergency Departments (EDs):  A Practical Guide.  HRET has developed this guide for clinicians and administrators seeking to incorporate routine HIV testing in their EDs.  This practical guide to different approaches, considerations, and resources for making HIV testing routine in ED care is based on site visits and interviews with leadership and staff in EDs and health departments that have successfully incorporated testing.  You may choose to use this guide to navigate program design and resource allocation decisions as well as to inform policies and operational approaches to HIV testing in your ED.

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Last modified on: 6/3/2009 3:44 PM