A five-year self-sustainability analysis of nurse-administered HIV rapid testing in Veterans Affairs primary care.
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).
U.S. Department of Veterans Affairs, Health Services Research and Development, Los Angeles, CA, USA Herschel.Knapp@va.gov.
Herschel
H
Knapp
Minneapolis VA Healthcare System, QUERI for Substance Use Disorders and Center for Chronic Disease Outcomes Research, Minneapolis, MN, USA.
Hildi
H
Hagedorn
U.S. Department of Veterans Affairs, Health Services Research and Development, Los Angeles, CA, USA.
Henry D
HD
Anaya
D015492:AIDS Serodiagnosis / Q000379:methods / Q000706:statistics & numerical data*; D000554:Ambulatory Care Facilities; D015658:HIV Infections / Q000175:diagnosis*; D006787:Hospitals, Veterans; D006801:Humans; D007407:Interviews as Topic; D015141:Los Angeles; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data; D024802:Nurse's Role; D019095:Point-of-Care Systems; D059017:Primary Care Nursing; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D036301:Qualitative Research; D014481:United States; D014493:United States Department of Veterans Affairs; D058014:Veterans Health / Q000706:statistics & numerical data
AIDS; HIV; diagnostic testing; point-of-care; rapid testing; screening