Improving Participation in HIV Preexposure Prophylaxis via an Informatics Approach—a Process-Improvement Project

Bibliographic Data

ID11029980
AuthorsJeremy J Mandia (At 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.), Case Keltner (Madigan Army Medical Center), Case H Keltner (At 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.), Robert C Haynes (0000-0002-0823-8537, At 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.), Lisa Cruz (At 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.), Luiz Celso Hygino da Cruz (0000-0002-9771-5832, Madigan Army Medical Center), Keith Solveson (At 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.), Luke E Mease (0009-0004-5784-3137, At 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.)
Year2025
Volume115
Issue3
Pages287-291
Publication date2025-03-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307919
PMID39938040
OpenAlexW4407395661
LanguageEN
References cited11

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 )

Family medicine · Human immunodeficiency virus (HIV) · Medical prescription · Medical record · MEDLINE · Public health · HIV, Drug Use, Sexual Risk · HIV/AIDS oral health manifestations · HIV/AIDS Research and Interventions · Medicine · Nursing · Surgery

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