A five-year self-sustainability analysis of nurse-administered HIV rapid testing in Veterans Affairs primary care. (October 2014)

• Record Type: Journal Article
• Authors: Knapp, Herschel; Hagedorn, Hildi; Anaya, Henry D
• Is Part Of: International journal of STD & AIDS. Volume 25:Number 12(2014:Dec.)
• Page Start: 837
• Page End: 843
• Publication Date: 2014-10
• Subjects: HIV -- AIDS -- screening -- diagnostic testing -- rapid testing -- point-of-care; Sexually transmitted diseases -- Periodicals; AIDS (Disease) -- Periodicals; 616.951
• DOI: 10.1177/0956462414521796
• Languages: English
• ISSNs: 0956-4624

Abstract

In 2008, nurse-administered HIV oral rapid testing (RT) was introduced at the Veterans Affairs Primary Care Clinic in Downtown Los Angeles. Analysis at five years revealed variable yet increasing rates of HIV RT at that facility despite the fact that no post-launch support was provided by the implementation team. Qualitative interviews among stakeholders conducted at five years revealed the pre-existing implementation practices endemic to this clinic that facilitated this unprecedented success (e.g. history of positive quality improvement implementations, leadership support, clinician involvement at each step of the process to facilitate empowerment, ownership and feasible customisation of the implementation, cohesive communication among clinicians and leadership, training, efficient supply pathway, progressive performance feedback and ongoing encouragement).