Synchronicity

In 2006, the CDC shared revised guidance recommending HIV testing be provided to individuals 13-64 years of age, regardless of risk, in all health-care settings unless patients opt out of the service. This approach, known as Routine Opt-Out HIV Testing (ROOT), is key in identifying persons with undiagnosed HIV, persons previously testing positive but not engaged in HIV care or virally suppressed, and persons testing negative that could be referred to preventative services.

This presentation will discuss the opportunities for implementing linkage to comprehensive services by assessing populations who are seen in the ED testing for STIs, including syphilis and HIV. We will explore the operations of identifying eligible patients, including our collaborations with the public health department, our Infectious Disease Clinic, and our Title V Clinic. We will highlight what is going well and discuss areas of improvement.
This presentation will also review the successes and challenges of launching a rapid PrEP program in an ED setting.

This presentation will highlight how to build a successful HIV testing program in the community. These are not abstract methods, but concrete steps to provide a clear plan on creating an HIV testing program that will ensure more people will have access to free, rapid testing.

Hepatitis C virus (HCV) coinfection is associated with poor health outcomes for persons with HIV (PWH). Although higher HIV viral suppression rates have been reported among PWH who participate in Ryan White services, studies have not assessed effects on HCV coinfection.

Emergency departments (EDs) serve as a critical access point for medically underserved populations, including individuals with substance use disorders (SUD), co-occurring psychiatric disorders (COD), and those at elevated risk for HIV. This presentation aims to describe a publicly funded HIV prevention and health services program co-located in two affiliated urban Midwestern EDs, to describe any differences among patients who did and did not receive HIV testing, and to discuss strategies for leveraging Health Promotion Advocates (HPAs) in ED settings.

Holy Cross Health in Broward County, Florida, has developed a comprehensive, community-embedded care model that integrates HIV treatment with aging services, behavioral health, and chronic disease management. This peer- and community health worker–led, equity-focused approach is designed to address disparities among LGBTQ+ individuals, people of color, and those experiencing economic hardship. The model emphasizes cultural humility, trauma-informed care, and whole-person wellness. This session will explore how this integrated framework improves outcomes and offers a scalable solution for reimagining HIV care for aging LGBTQ+ populations.

While a myriad of health education and prevention programs exist in the community and on HBCU college campuses, most women are unaware of these resources and, most importantly, the availability and effectiveness of pre-exposure prophylaxis (PrEP), despite being at greater risk of HIV. Black Women and HIV: Empowerment through Engagement, Education, and Enrichment (“Empower”) is an HBCU led, collaborative, multi-year initiative committed to advancing HIV prevention and sexual health among Black women by implementing culturally responsive education and community engagement.

Evidence shows there are gaps in clinicians’ skills in providing comprehensive sexual health care across diverse populations. Simulation in clinical training has emerged as an effective pedagogy to facilitate student learning of knowledge, skills, and attitudes on a variety of healthcare topics. Faculty at the University of Rochester School of Nursing developed a sexual health simulation for three graduate nurse practitioner (NP) programs (Adult-Gerontology, Family, and Pediatric Primary Care).

Participants will learn “how-to” techniques for initiating and guiding conversations about sexual history through a lens of prevention, risk reduction, and patient-centered care. The presentation will emphasize creating a safe, respectful, and non-judgmental environment that encourages patients to ask questions and engage openly. Special attention will be given to the unique challenges faced in rural communities, where stigma, limited resources, and lack of formal education can further inhibit discussions about sexual health.

Understanding how BMSM, who represent less than 1% of the U.S. population, but account for over one-third of new HIV infections annually, practice seroadaptation can inform new interventions to improve their engagement in HIV services. To this end, we conducted a qualitative study (called the “PhotoUStudy”), which was guided by a conceptual model, the BMSM Intersectional Identity Framework Over the Life Course (BMSM Identity Framework). Thirty-six BMSM who lived in/accessed health services in Washington, D.C., aged 18-65, were recruited into a five-day photovoice activity and follow-up interview.

This presentation provides an update on federal reproductive healthcare and access litigation and policy, and highlights strategies for systems change, including policy reforms, advocacy, research, collaboration, and capacity-building to address the implications of unequal access to sex education.

To address the intersecting epidemics of HIV, Hepatitis C (HCV), and syphilis in Miami-Dade County, Baptist Health South Florida (BHSF) expanded its innovative Electronic Health Record (EHR) syndemic screening model across multiple emergency departments in 2024. Building on the success of Homestead Hospital (HH) and West Kendall Baptist Hospital’s (WKBH) routine HIV/HCV screening program, Baptist Main Hospital (BMH) and South Miami Hospital (SMH) implemented scalable workflows and smart syphilis screening algorithms into their EHR. This expansion was supported by strategic public-private partnerships with hospital leadership and the Florida Department of Health in Miami-Dade County (DOH-Miami-Dade) which provided a dedicated Disease Intervention Specialists (DIS) to ensure timely linkage to care and prevention services.