Combination Health Department/Healthcare Provider Model

As described in the Health Department Model and Healthcare Provider Model sections, some health departments are using HIV surveillance data to reach out directly to HIV-diagnosed persons who appear never to have entered or are no longer receiving care, to assist them with connecting or re-connecting to care. Others are using surveillance data to assist providers in reaching out to their patients who appear to no longer be receiving care. 

In addition, some health departments are using a combination of these approaches. For example, disease intervention specialists first might confer with providers about contacting persons identified through surveillance, giving the provider the opportunity to opt out of follow-up on behalf of any patient, to initiate follow-up by clinic staff, or to defer follow-up to the health department (1, 2).

1. Dombrowski JC. Testing, linkage, and retention in care: Getting control of the cascade in Seattle. Presented at: 2012 National Summit on HIV and Viral Hepatitis Diagnosis, Prevention, and Access to Care; 2012 Nov 26–28, Washington, D.C. Back to text.
2. Dombrowski JC, Fleming M, Simoni J, Hughes JP, Golden MR. Surveillance-based outreach to promote HIV care engagement and antiretroviral use: Results from the pilot phase of a health department intervention [X–244]. Presented at: Conference on Retroviruses and Opportunistic Infections; 2013 Mar 3–6, Atlanta, GA. Back to text.

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