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Improving Participation in HIV Preexposure Prophylaxis via an Informatics Approach-a Process-Improvement Project
Jeremy J Mandia1, Case H Keltner1, Robert C Haynes1
1At the time of project completion, all authors were with Madigan Army Medical Center, Tacoma, WA. Jeremy Mandia, Case Keltner, Robert Haynes, and Luke Mease were with the Department of Preventive Medicine; Lisa Cruz is with the Department of Family Medicine; and Keith Solveson is with the Department of Informatics.
Abstract:
With this project, we aimed to re-engage military health care beneficiaries with expired HIV preexposure prophylaxis prescriptions at Madigan Army Medical Center (Tacoma, WA). We identified prescriptions expired between August 2022 and August 2023 via electronic health records, then called patients to assess HIV risk and arrange follow-up. Of those with clinical indications, 80% agreed to re-engage with preexposure prophylaxis services, increasing the number of patients receiving preexposure prophylaxis at our institution by 30%. Systematic electronic health records query can reduce nonadherence when active case management is not feasible. (Am J Public Health. 2025;115(3):287-291. https://doi.org/10.2105/AJPH.2024.307919).
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