Health Center Resources

Everything your health center needs to support PrEP prescribing, from navigator programs to EMR integration

PrEP Support in Illinois

PrEP Navigator Programs

How health centers can implement navigator programs to support patients and providers throughout the PrEP care journey

Patient Outreach

• Identifying eligible patients
• Community education
• Appointment scheduling
• Insurance navigation

Care Coordination

• Lab appointment coordination
• Prescription refills
• Follow-up reminders
• Referral management

Provider Support

• Chart prep work
• Prior authorization
• Documentation
• Quality tracking

Starting a PrEP Navigator Program

Phase 1: Planning

1. Assess patient population needs
2. Define navigator role scope
3. Identify funding sources
4. Set program goals

Phase 2: Implementation

1. Hire/train navigators
2. Develop workflows
3. Integrate with EHR
4. Launch patient outreach

Phase 3: Operations

1. Monitor metrics
2. Patient retention
3. Provider feedback
4. Continuous improvement

Funding Options

• Ryan White HIV/AIDS Program
• CDC grants
• State health department
• Foundation support

Download PrEP Navigation Manual

PrEP Workflow Integration

Streamline PrEP delivery with efficient clinical workflows designed for health center operations

Initial PrEP Visit

1. HIV risk assessment & counseling
2. Labs: HIV test, renal function, Hep B/C, STI screen
3. Prescription & patient education
4. Follow-up scheduling (1 month)
5. Navigator enrollment

Follow-up Visits

1. Adherence assessment
2. HIV testing (quarterly)
3. STI screening (quarterly)
4. Renal monitoring (annually)
5. Prescription refills

Suggested Staff Roles

Medical Provider

Prescribing, clinical assessment, lab order review

PrEP Navigator

Patient outreach, care coordination, follow-up

Medical Assistant

Rooming, vitals, specimen collection, scheduling

Billing Specialist

Coding, claims, prior authorizations

Front Desk

Appointment scheduling, check-in, insurance verification

Quality Team

Metrics tracking, reporting, improvement initiatives

EMR & IT Integration

Technical considerations for integrating PrEP care into your electronic health record system

Order Sets

Create standardized PrEP order sets for:

• Initial PrEP labs
• Quarterly STI screening
• 6-month follow-up labs
• Annual renal function

Templates

Build clinical note templates for:

• PrEP initial visit
• PrEP follow-up visit
• Risk assessment
• Counseling documentation

Alerts & Reminders

Set up clinical decision support for:

• Lab due reminders
• Refill needed alerts
• Missed appointment follow-up
• Adherence check prompts

Reporting

Track key metrics with:

• PrEP patient registry
• Retention rates
• Lab completion tracking
• Quality measure dashboards

Patient Portal

Enable self-service features:

• Lab results viewing
• Prescription refills
• Appointment scheduling
• Secure messaging

Interoperability

Ensure data sharing via:

• Care quality information exchange
• Health information exchanges
• Referral network integration
• Prescription drug monitoring

Common EHR Systems

Epic

Best in 3rd Party Integration, excellent reporting tools

eClinicalWorks

Strong patient portal, customizable templates

Athenahealth

Cloud-based, built-in analytics

Administrative Support

Everything administrators need to know to support PrEP programs at health centers

Billing & Coding

✓ Understand PrEP reimbursement models
✓ Master proper CPT and ICD-10 coding
✓ Navigate prior authorizations
✓ Manage patient assistance programs
✓ Track quality measure reporting

Operations

✓ Schedule optimization for PrEP visits
✓ Lab workflow coordination
✓ Pharmacy coordination
✓ Supply chain management
✓ Inventory management

Compliance

✓ HIPAA considerations
✓ State reporting requirements
✓ Documentation standards
✓ Quality measure compliance
✓ Consent management

Quality Improvement

✓ Track patient retention
✓ Measure adherence rates
✓ Monitor patient outcomes
✓ Identify improvement areas
✓ Report to stakeholders