HealthHIV's HIV Community Care Continuum Model
HealthHIV's HIV Community Care Continuum (CCC) Model was developed by blending models of HIV service delivery with clinical stages of HIV care integration. The CCC model provides a progressive staging framework to determine the needs of community health centers (CHCs) around training and capacity building, while providing a stepwise approach to implementation, integration, and measurement. The model is used to classify CHCs into clinical stages using organizational assessments focused on clinical capacity. Once staged, the AETC NCHCMC develops a tailored training plan to build providers clinical capacity to integrate HIV care and treatment services into their practice settings. The model is implemented through a proficiency-based HIV Primary Care Training Platform that includes direct links to approximately 600 HIV learning resources.
Models of HIV Service Delivery
Introductory HIV Care
- No onsite HIV testing or sporadic (not routine or targeted) testing
available, but no medical management for HIV-positive patients,
External HIV Care
- HIV testing, (routine or targeted), but no medical management for HIV-positive patients.
Collaborative HIV Care
- HIV Care within primary care with extensive collaboration and consultation from clinical mentor.
Supported HIV Care
- HIV care within primary care supported by consultation with clinical mentor as needed.
Comprehensive HIV Care Management
- HIV and primary care fully integrated for management of complex co-morbid conditions, PMTCT, and complex OIs. Access consultation from clinical experts as needed.
Clinical Stages of HIV Care
The HIV Community Care Continuum Model