CHRP for Integrating HIV and Geriatric for People Living with HIV 50 and Over

Sponsor: City and County of San Francisco

Location(s): United States


This California HIV/AIDS Research Program (CHRP) of the University of California study will assess Patient-Centered Medical Home (PCMH) models of care over the next three years. PCMH does not refer to a house or facility, rather it is a community-based system of care, treatment, prevention and support services that provides coordinated, high quality, client-centered services.

The San Francisco Department of Public Health will collaborate with the UC San Francisco (UCSF) Positive Health Program at San Francisco General Hospital, and 360: The Positive Care Center at UCSF. This project will exclusively focus on people living with HIV/AIDS aged 50 and over.

The grantees will test a number of strategies through their PCMH models.  Examples include:

  • Improving health outcomes by establishing electronic information exchange within multidisciplinary care teams and among providers of specialty and support services.
  • Using innovative encounters (telephone, texting, and e-visits) to improve communication between patients and providers.
  • Testing new models of integrated HIV and aging care services to address the complex needs of persons 50 years and older living with HIV.
  • Creating a web-based portal to give home health nurses mobile access to electronic health records while working with homebound patients in the field.
  • Piloting a new messaging portal for local HIV testing sites to alert the HIV clinic when a new HIV-positive client has been identified and referred to the agency.
  • Piloting a computerized pharmacy electronic interface that allows the clinic to ascertain when a prescription has not been filled.

The grantees will evaluate the impact of their models and strategies through a collaborative research effort, coordinated by the Center for AIDS Prevention Studies at UCSF.