1. Partnership for Health Safer Sex Intervention: 2- 5 minute counseling in a clinical setting

2. Training Training arranged by Center for Health and Behavioral Training – Univ. of Rochester www.chbt.orgwww.chbt.org Orientation – 1 hr Intervention – ½ day Booster – 2 hrs

3. Interventional Materials Posters in waiting area & exam rooms Brochures (English & Spanish) –Placed in nurses’ stations Informational Flyers (English & Spanish) –Placed in exam rooms

4. Patient presents to clinic for appointment: *Nurse briefly discusses PfH & offers brochure *Patient reads brochure while waiting for provider During medical visit: *Provider assess patient’s risk of transmitting HIV/STIs *If at-risk, merge PfH template Click Templates Under Choose Templates, Check Generic and under Category choose Ryan Templates Or My Favorites Select PfH-Safer Sex Counseling and click Merge Template Provider performs a 3-5 min intervention *Brochure is reviewed with patient *Consequence/Advantage-framed questions asked *Informational flyers provided as needed *Goals discussed, referrals made if needed *Counseling is documented in the chart by selecting drop-down menu under Patient Discussion At each follow-up visit, provider *Inquires about progress on goals *Reinforces healthful behavior *Merges in PfH template & re-establishes Goals for next visit PfH Workflow

5. PfH Template eClinical Works software: Used with permission of the William F. Ryan Health Network.

6. PfH Template eClinical Works software: Used with permission of the William F. Ryan Health Network.

7. Patient Account #Patient SexProvider NameStructure Data Value 33630maleStabile PaulLatex condom for vaginal and anal sex (178),Latex condom or barrier for oral sex (178),Avoid alcohol and other drugs (192), 33402maleMartin-Avila DeborahCarry condoms with you (178),Limit your number of sex partners (192), 32658femaleMartin-Avila DeborahLatex condom for vaginal and anal sex (178),Carry condoms with you (178), 61784maleMartin-Avila DeborahLatex condom for vaginal and anal sex (178),Latex condom or barrier for oral sex (178),Carry condoms with you (178),Limit your number of sex partners (192), 33825maleStabile PaulLatex condom for vaginal and anal sex (178),Talk with your partner about safer sex (192), 33807maleMartin-Avila DeborahLatex condom for vaginal and anal sex (178),Latex condom or barrier for oral sex (178),Carry condoms with you (178),Limit your number of sex partners (192),Talk with your partner about safer sex (192),Avoid taking chances - people and places (192), 33137femaleMartin-Avila DeborahLatex condom for vaginal and anal sex (178),Latex condom or barrier for oral sex (178),Carry condoms with you (178), 33350maleMartin-Avila DeborahLatex condom for vaginal and anal sex (178),Latex condom or barrier for oral sex (178),Carry condoms with you (178), 78568maleMartin-Avila DeborahLatex condom for vaginal and anal sex (178),Latex condom or barrier for oral sex (178),Carry condoms with you (178),Talk with your partner about safer sex (192) 33027femaleMartin-Avila DeborahSafer sex not discussed at this visit. 30296maleStabile PaulPartner notification and referral services (175),Latex condom or barrier for oral sex (178),Tell your sex partner about your HIV status (189),Talk with your partner about safer sex (192),

8. PfH Challenges/Moving Forward Incorporating intervention into general medicine clinic –Confidentiality Practitioner may not perform intervention on all at-risk patients (nurse merge template?) Goal-setting Expansion to non-clinical staff (modification) Ensuring follow-up conversation with clinician Posters/written materials need improvement

9. PfH Training

10. Best of Luck and Thank You