Integrated Pharmacy and PrEP Navigation Services to Support PrEP Uptake

Summary: Integrates a patient navigation tool with quality improvement processes and data monitoring, which directly engages patients about their barriers to filling a PrEP prescription. Set in an urban sexual health clinic with an onsite pharmacy and focuses on the role of non-medical clinic support staff in reducing time from initial PrEP prescription to patient pickup.

Resources provided: Patient navigation tool, project protocol and summary​, and materials on quality improvement processes and models.

Key benefits: Effectively captures a mix of patient barriers and reduces time to prescription pick up. Initiates multiple clinic-level changes to improve patient processes and engagement.

Equity impact potential: Using the tool is a successful way to engage patients, and has a positive impact on groups disproportionately burdened by HIV.

Resources and structures needed:

• • Ability to routinely review PrEP prescriptions not picked up
  • Clinician or staff member(s) responsible for giving tool to patients that don’t pick up PrEP prescriptions
  • Willingness within the organization to change patient flow and systems
  • Ability to convene clinical staff to discuss identified barriers
  • Clinician or staff member(s) responsible for providing training to pharmacists and clinicians as necessary on reported patient barriers to PrEP initiation

Strategy status: Complete and available for use.