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Oregon

One-on-One Education and Support for Oregon Prescribers
Oregon AETC clinical faculty are available to meet with prescribers virtually or in their place of practice to provide brief, one-on-one education & support related to HIV care and prevention. Also referred to as “public health detailing,” our one-on-one sessions are designed to foster peer-to-peer learning through the sharing of clinical tools, discussion of the most up to date evidence, and a review of local epidemiologic data.
 
Resources
Offices
Contacts
OR AETC
MULTNOMAH COUNTY HIV HSC
OR AETC
OR AETC

State Office

The Oregon AIDS Education and Training Center (OR AETC) began as a program of the Research and Education Group (REG) in 2002. Founded in 1982 as the Oregon AIDS Task Force, the Research and Education Group was the largest community-based HIV research program in the Pacific Northwest. Its consortium of 30 participating physician investigators and mid-level practitioners in Oregon and Southwest Washington provide primary care to over 2900 HIV patients at 13 clinical sites in the Portland area. REG dissolved in 2014, moving all research programs, along with the OR AETC, to the Portland VA Research Foundation (PVARF), which is the non-profit arm of the Portland VA Medical Center (Portland VAMC).  Dr. Melissa D. Murphy is the Principal Investigator and serves as HIV Lead Clinician for the Portland VA Medical Center and the broader VA region that serves Alaska, Washington, Oregon and Idaho. The Oregon AETC is closely affiliated with the Multnomah County Department of Health's HIV Health Services Center (HHSC) in Portland, an MWAETC subcontractor and the largest Ryan White HIV/AIDS Treatment Modernization Act, Part C clinic in Oregon. The Oregon AETC is committed to the End HIV Oregon’s mission to end new HIV infections across the state by 2030 through testing, prevention, and treatment while ensuring equitable access to care for those disproportionately impacted by the epidemic.

SERVICES

  • Individual and group clinical consultation to primary care and HIV providers in Oregon and Southwest Washington
  • One-on-one prescriber support, which allows providers to meet with AETC faculty who are trained to distill the latest clinical evidence and guidelines.
  • Onsite training for providers, practices, systems and local health departments on topics such as: 
    • Pre-Exposure Prophylaxis (PrEP) 
    • Routine testing & linkage to care
    • Primary care management of HIV
    • Sexually Transmitted Infections (STI)
    • The syndemic of HIV, Hepatitis C, and substance use disorder
    • DHHS treatment updates
    • Medication for Opioid Use Disorder (MOUD)
    • Syphilis and congenital syphilis
    • Trauma-informed care and the impacts of discrimination on healthcare access
    • Sexual history taking
  • Technical Assistance for Primary Care Medical Homes/Federally Qualified Health Centers
  • Communities of Practice
    • PrEP Navigation Community of Practice
    • HIV Nursing Community of Practice
    • HIV Breakfast Club
    • PrEP/nPEP Workgroup
    • STI & PrEP Forum
    • TelePrEP Community of Practice
    • Rapid ART Initiation Community of Practice
  • Conferences
    • HIV Continuum of Care Conference  
      A biennial, free to attend training event for individuals in a professional role to support those living with HIV along the care continuum. This includes clinicians, nurses, pharmacists, case managers, care coordinators, and community health workers. This year’s event was held virtually and centered on equity and improving health outcomes in rural Oregon. Next event: Fall 2023.
    • 2SLGBTQ+ Meaningful Care Conference
      A day-long training event for healthcare and social service professionals, the Meaningful Care Conference aims to promote 2SLGBTQ+ inclusivity in health care and social services, share current 2SLGBTQ+ best practices, and to develop and diversify networks of 2SLGBTQ+ inclusive health care and social service providers. Next event: Spring 2024.
    • PrEP Connect
      A biannual event convening Oregon stakeholders to discuss updates to PrEP access and identifying evolving problems for innovations and collaboration. Clinicians, pharmacists, social workers, program administrators, public health, patient navigators, and individuals working with people who use substances are encouraged to attend. Next event: Fall 2022.

Contacts

Dayna Morrison, MPH

Ashley Allison

Lead Training Coordinator

Oregon AETC at the
Portland VA Research Foundation (PVARF)

3710 SW Veterans Hospital Road
Portland, OR 97239

(971) 200-5266

Ashley@oraetc.org

 

Rayna Appenzeller

Practice Transformation Lead

Oregon AETC at the
Portland VA Research Foundation (PVARF)

3710 SW Veterans Hospital Road
Portland, OR 97239

971-200-5266

rayna@oraetc.org

MULTNOMAH COUNTY HIV HSC
MULTNOMAH COUNTY HIV HSC

Preceptorship Training Site: Multnomah County HIV Health Services Center

The Multnomah County Health Department’s HIV Health Services Center (HHSC) is an FQHC Ryan White Part C/D Patient Centered Medical Home that annually provides medical, nursing, case management and behavioral health services to over 1300 highly vulnerable persons living with HIV/HCV. Since 1990, HHSC has provided comprehensive, specialized medical care and support services designed to address the chronic, complex needs of low income and uninsured persons living with HIV from early diagnosis to advanced illness (AIDS). All clinical providers and nursing staff are nationally certified in HIV care. The center’s 45 health care professionals and staff include: providers, nurses, medical case managers/social workers, medical assistants, pharmacist, pharmacy technician, eligibility specialist, patient navigators, clinical psychologist and psychiatric nurse practitioners.

Based in Portland Oregon, HHSC services include outpatient medical care (including on-site Hep C treatment and high resolution anoscopy/infrared coagulation), mental health and substance abuse counseling, case management, health education, HIV prevention and risk reduction support, and treatment adherence counseling. HHSC offers on-site chronic disease self management workshops and peer mentoring. Because of the infectious nature of HIV and public health mandates, the clinic integrates HIV prevention messages into all aspects of service delivery. The clinic is supported by an active Client Advisory Board and a well established network of HIV social services providers. HHSC provides community health workers and navigator services for the complex, hard to reach persons living with HIV who struggle with substance use, mental illness and are homeless using a Special Projects of National Significance research grant (SPNS). A trauma informed care model is incorporated into the service delivery and staff education. HHSC providers also provide hepatitis C consultation, assessment and treatment for monoinfected patients in the Multnomah County Health Department Primary Care system.

Services

  • On-site preceptorships for doctors, physician assistants, nurse practitioners, nurses, and pharmacists regarding intensive HIV education including High Resolution Anoscopy (HRA). 
  • Consultations for persons living with HIV who are incarcerated in the Multnomah County correctional system that includes care coordination, treatment management and discharge planning. 

Contacts

Trevis Hutsell

Preceptorship Training Coordinator

Multnomah County Health Department

Health Services Center 

619 NW 6th Ave, 3rd floor
Portland, OR 97209

Phone: 503-988-5020

trevis.hutsell@multco.us