The HIV FOCUS expansion project has two facets. First, we provide post-test counseling and HIV prevention services for patients who test negative for HIV in the Emergency Department at the University of Chicago. Many of these patients remain at risk for future HIV seroconversion. We have developed an electronic algorithm to identify high-risk patients who would benefit from HIV prevention services. A trained staff member calls high-risk patients to provide HIV prevention counseling and referral for prevention services including pre-exposure prophylaxis if appropriate.
Second, we implement a rapid response team for all patients identified to have acute or recent HIV infection. These patients receive rapid linkage to care, including wrap-around services. We also provide HIV testing and prevention counseling for individuals in their social networks.