Date
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Discussion items
| Item | Who | Notes | Action Items |
Agenda Review | |||
CDS Implementation Questions and Discussion | |||
Next Steps | |||
Risk Assessment Instruments
AllianceChicago
HIV Management Form
HIV Testing
Sexual Risk Exposure Prophylaxis
Sexual Risk Assessment
STI Screening
El Rio
Fenway
Montefiore
Montefiore does not have a structured risk screener/questionnaire that people are using. Attempts in the past to implement a risk screener has not worked with respect to people using it (and challenges to actually integrating it into work-flows).
The couple of questions that do exist (which is used highly variably and filled out infrequently) are below:
OhioPCA
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HIV Risk Assessment Form Date:______________
Name:____________________________________________ Date of Birth:______________
In the last 12 months, did you do any of the following: | ||||||||
1. Have vaginal or anal sex with a male If No, skip to question 2. If yes, did you have · Sex with a male without a condom: · Sex with a male IV drug user: · Sex with a male who is HIV positive: | No No No No | Yes Yes Yes Yes | Don’t Know Don’t Know Don’t Know Don’t Know | No Response No Response No Response No Response | ||||
2. Have vaginal or anal sex with a female If No, skip to question 3. If yes, did you have · Sex with a female without a condom: · Sex with a female IV drug user: · Sex with a female who is HIV positive: | No No No No | Yes Yes Yes Yes | Don’t Know Don’t Know Don’t Know Don’t Know | No Response No Response No Response No Response | ||||
3. Have vaginal or anal sex with a transgender person: If No, skip to question 4. If yes, did you have · Sex with a transgender person without a condom: · Sex with a transgender IV drug user: · Sex with a transgender person who is HIV positive: | No No No No | Yes Yes Yes Yes | Don’t Know Don’t Know Don’t Know Don’t Know | No Response No Response No Response No Response | ||||
4. Use injecting (IV) drugs: If yes, do you share injection drug equipment: | No No | Yes Yes | Don’t Know Don’t Know | No Response No Response | ||||
5. Did you do and/or experience any of the following: | ||||||||
Sex while intoxicated and/or high on drugs Sex with a person of unknown HIV status Sex with an anonymous partner Diagnosed with a sexually transmitted disease Oral sex Sores or lesions Bodily rashes | Unprotected vaginal/anal sex with an IV drug user Unprotected vaginal/anal sex with an HIV positive person Unprotected vaginal/anal sex in exchange for money, drugs, or something needed Unprotected vaginal/anal sex with a person who exchanges sex for drugs/money Unprotected sex with multiple sex partners Contact with Syphilis None of these | |||||||
6. In the past 12 months how many sexual partners did you have? | 0 1 2-5 6-10 10+ Don’t Know | |||||||
7. In the last 12 months did you ask your partners of about HIV status: | Yes, every partner | Some partners | No, never | |||||
8. Who do your sexual partners have sex with: | Men | Women | Transgender persons | Don’t Know | ||||
9. Women Only: Did you have sex with a male who has sex with other males: | No | Yes | Don’t Know | No Response | ||||
10. Are you positive for Hep C | No | Yes | Don’t Know | No Response | ||||