1. HEALTH SYSTEM NAVIGATORS:A NEW RESOURCE FOR PHILADEPHIAS HIV-POSITIVE POPULATION

2. Overview HIV epidemic in Philadelphia Snapshot of HIV as seen in the health centers Testing Priority Clinics Tools to manage the HIV epidemic Testing Treatment Importance of linkage to care and retention in care Introducing EHPIC, the System Navigator Program 3. HIV/AIDS in Philadelphia at a glance,201129,139 Cumulative HIV/AIDS cases 25.7% female, 64.5% black19,157 Living with HIV/AIDS 39.6% 50 years or older888 New HIV/AIDS diagnoses 50% heterosexual 4. Overview HIV epidemic in Philadelphia Snapshot of HIV as seen in the health centers Testing Priority Clinics Tools to manage the HIV epidemic Testing Treatment Importance of linkage to care and retention in care Introducing EHPIC, the System Navigator Program 5. HIV/AIDS: A view from AHSRapidTesting 7,000/yr 40 positive/yrConventionalTesting Fam Med Clin WomensHealthHIV Clinics 1,054 in 2012 120 new pts 115 lost tocare 6. Overview HIV epidemic in Philadelphia Snapshot of HIV as seen in the health centers Testing Priority Clinics Tools to manage the HIV epidemic Testing Treatment Importance of linkage to care and retention in care Introducing EHPIC, the System Navigator Program 7. Improving efficacy of initial HAART regimens*Values are weighted means 1994 to July 2004 (n=14,264 patients). 90 treatmentarms from 53 trials: NNRTI (n=38); PI (n=32), NRTI (n=12), boosted PI (n=8).Unboosted PI + 2 NRTIsBoosted PI + 2 NRTIsNNRTI + 2 NRTIs3 to 4 NRTIs(qid/tid/bid)Unboosted PI + 2 NRTIsBoosted PI + 2 NRTIsNNRTI + 2 NRTIs(tid/bid)Boosted PI + 2 NRTIsNNRTI + 2 NRTIs(qd/bid)020406080100