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A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...

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A <strong>Guide</strong> <strong>to</strong> <strong>Primary</strong> <strong>Care</strong> <strong>of</strong> <strong>People</strong> <strong>with</strong> <strong>HIV</strong>/<strong>AIDS</strong><br />

Chapter 18: Keeping Up-To-Date: Sources <strong>of</strong> Information for the Practicing Clinician<br />

18<br />

Agency<br />

American Academy <strong>of</strong> <strong>HIV</strong> Medicine (AA<strong>HIV</strong>M)*<br />

http://www.aahivm.org/new/revised_definition.htm<br />

Association <strong>of</strong> Nurses in <strong>AIDS</strong> <strong>Care</strong> (ANAC) and <strong>HIV</strong>/<strong>AIDS</strong> Nursing<br />

Certification Board (HANCB)<br />

http://www.anacnet.org/certification/hancb/index.html<br />

Table 18-7. <strong>HIV</strong> Specialist Definitions<br />

Certification as an Advanced <strong>HIV</strong>/<strong>AIDS</strong> Certified Registered Nurse<br />

(AACRN); there is also the <strong>HIV</strong>/<strong>AIDS</strong> Certified Registered Nurse (ACRN)<br />

for nurses not functioning in advanced practice roles<br />

California<br />

(State law, effective January, 2004)<br />

Department <strong>of</strong> Health and Human Services Centers for Medicare and<br />

Medicaid Services (CMS)<br />

Factsheet on Experienced <strong>HIV</strong>/<strong>AIDS</strong> Providers*:<br />

http://www.cms.hhs.gov/states/letters/smd10699.asp<br />

<strong>HIV</strong> Medicine Association (<strong>HIV</strong>MA)<br />

[<strong>HIV</strong>MA is part <strong>of</strong> the Infectious Diseases Society <strong>of</strong> America*.<br />

Click on <strong>HIV</strong>MA at: http://www.idsociety.org/ Accessed 3/04.]<br />

Johns Hopkins University Moore Clinic<br />

New York State Department <strong>of</strong> Health <strong>AIDS</strong> Institute*<br />

(Click on Policy at http://www.hivguidelines.org/ for<br />

<strong>HIV</strong> Specialist Policy)<br />

Tenn<strong>Care</strong><br />

Tennesse<br />

* Websites accessed 2/04.<br />

Requirements<br />

Current and valid state licensure (MD, DO, PA, NP)<br />

Experience: Direct, continuous, ongoing care <strong>to</strong> at least 20<br />

patients <strong>with</strong>in the past 2 years<br />

CME:<br />

Exam:<br />

30 hours <strong>with</strong>in the past 2 years<br />

AA<strong>HIV</strong>M exam at application<br />

Current Registered Nurse licensure <strong>with</strong> master’s degree or<br />

higher in nursing<br />

Experience: At least 2,000 hours <strong>of</strong> <strong>HIV</strong>/<strong>AIDS</strong> nursing<br />

experience and 3 years experience as an RN<br />

<strong>with</strong>in 5 years prior <strong>to</strong> application<br />

CME:<br />

Exam:<br />

70 hours every 4 years<br />

HANCB exam at application<br />

Demonstrated expertise in treating a condition or disease<br />

involving a complicated treatment regimen that requires<br />

ongoing moni<strong>to</strong>ring <strong>of</strong> the patient’s adherence <strong>to</strong> the regimen<br />

Experience: active caseload <strong>of</strong> 25 patients (rural) or 50<br />

patients (urban) <strong>with</strong>in the past 24 months, <strong>with</strong> a<br />

minimum <strong>of</strong> 12 patients <strong>with</strong>in the past year.<br />

Experience: Direct, continuous medical care <strong>to</strong> at least 20<br />

patients <strong>with</strong>in the past 2 years<br />

CME:<br />

30 hours <strong>with</strong>in the past 2 years; Category I in the<br />

areas <strong>of</strong> diagnosis and treatment <strong>of</strong> <strong>HIV</strong> OR<br />

Board certification or recertification in infectious<br />

diseases <strong>with</strong>in the past 36 months<br />

Experience: 50 patients a year<br />

CME:<br />

50 <strong>HIV</strong>-related credits a year<br />

Chart Audits<br />

Examination (not required)<br />

New York State licensure<br />

Experience: Ambula<strong>to</strong>ry care management <strong>of</strong> at least 20<br />

patients a year who are receiving ART<br />

CME:<br />

10 hours per year<br />

AA<strong>HIV</strong>M or <strong>HIV</strong>MA qualification plus ambula<strong>to</strong>ry<br />

care requirements<br />

Experience: active caseload <strong>of</strong> 50 patients each seen at least<br />

twice a year<br />

CME:<br />

20 <strong>AIDS</strong>-related category I credits annually<br />

156<br />

U.S. Department <strong>of</strong> Health and Human Services, Health Resources and Services Administration, <strong>HIV</strong>/<strong>AIDS</strong> Bureau

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