Innovative Program Significantly Increases HIV Screening in Urgent Care and Emergency Departments

A comprehensive HIV screening initiative implemented in urgent care clinics and emergency departments has demonstrated substantial success in increasing testing rates and identifying previously undiagnosed individuals. Led by researchers at Intermountain Healthcare in Salt Lake City, the program focused on educating clinicians and patients, utilizing electronic health record alerts, and establishing rapid link-to-care pathways. As a result, HIV testing rose by 42% in urgent care settings and by 53% in hospital emergency departments, particularly among patients being evaluated for common sexually transmitted infections like gonorrhea and chlamydia. This proactive approach aligns with national public health goals, such as the Ending the HIV Epidemic initiative, and addresses a long-standing gap in preventive healthcare, especially in regions like Utah where HIV testing rates have historically been low. The program also featured a dedicated 'link-to-care' system to ensure swift referral and treatment for newly diagnosed patients, demonstrating high efficacy and patient follow-up success. Overall, the initiative highlights how simple yet strategic interventions—including provider education, EHR prompts, and follow-up protocols—can significantly improve early HIV detection and care, ultimately reducing transmission and improving health outcomes.