HIV Screening

HIV Screening in the ED

MEDIC is working on a two-year project in partnership with the Michigan Department of Health and Human Services (MDHHS) Bureau of HIV and STI Programs (BHSP) focused on increasing HIV and STI screening in Michigan emergency departments (EDs). This "Ending the HIV Epidemic (EHE)" Collaborative is part of larger-scale efforts at the state and federal levels as part of the Ending the HIV Epidemic Initiative. The long-term goal of this work is to increase the number of HIV screenings in EDs to improve early detection and connection to treatment. This will be accomplished through an educational series and quality improvement (QI) opportunities facilitated by the MEDIC and MDHHS teams. Funding for this work is provided through a grant from the Michigan Health Endowment Fund (MHEF)Michigan EDs interested in participating in this work should reach out to Samantha Kesterson at keelersa@med.umich.edu.

EHE Collaborative Materials

Ending the HIV Epidemic (EHE) Collaborative: TBD
12.10.25 @ 2-3pm ET

We are accepting recommendations for our next session. Please fill out the registration form or email Sam Kesterson (keelersa@med.umich.edu) with what you would like to know more about as it relates to HIV screening and the Emergency Department.

Objective: Increase screening for HIV in the emergency department for individual patients and public health.

Click here to register – Registration is not required to attend this free event

Location: Virtual
Join Zoom Meeting: 
https://umich.zoom.us/j/93532167171?pwd=WCa2ArzhmMwBurtIfJPbXYIB82yZAt.1&from=addon  
Meeting ID: 935 3216 7171 
Passcode: 351589 

CME: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Ending the HIV Epidemic (EHE) Collaborative: Stigma Reduction & Increasing Engagement
10.8.25 @ 2-3pm ET

At this virtual event, we will give an overview of efforts made to get tested, connect patient to care, reduce stigma, and increase adherence to treatment.

Objective: Increase screening for HIV in the emergency department for individual patients and public health.

CME: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Ending the HIV Epidemic (EHE) Collaborative: One Size Does Not Fit All
8.13.25 @ 2–3pm ET

At this virtual event, we will review a variety of screening initiatives, including test types available and their accuracy, through the story of FOCUS, what it found, and strengths.

Objective: Explore diverse HIV screening approaches and evaluate their effectiveness in different clinical and public health contexts.

Slides Available for Download HERE

Ending the HIV Epidemic (EHE) Collaborative: The Role of Everyone in the ED
6.11.25 @ 2-3pm ET

This virtual event will present strategies for ED staff to effectively communicate the importance of screening and other patient education opportunities.

Objective: Increase screening for HIV in the emergency department for individual patients and public health.

CME: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Ending the HIV Epidemic (EHE) Collaborative: The Patient Experience
4.9.25 @ 2-3pm ET

At this virtual event, individuals with lived HIV experience will give insight on their journeys from interactions with the health system, living with HIV, to treatment.

Objective: Increase screening for HIV in the emergency department for individual patients and public health.

CME: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Ending the HIV Epidemic (EHE) Collaborative: HIV, HCV, Syphilis Epidemiology in Michigan
2.12.25 @ 2-3pm ET

This virtual event will present trends in data for HIV, HCV, and syphilis across a variety of communities.

Objective: Increase screening for HIV in the emergency department for individual patients and public health.

Slides Available for Download HERE 

CME: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Ending the HIV Epidemic (EHE) Collaborative: Balancing Public Health & the Bottom Line
12.11.24 @ 2-3pm ET

This virtual event will present barriers, cost, pains, and solutions of implementation of opt-out HIV screening.

Objective: Increase screening for HIV in the emergency department for individual patients and public health.

Slides Available for Download HERE

CME:
The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

EHE Learning Series

Ending the HIV Epidemic (EHE) Collaborative: Partnering With Public Health – Linking Patients to Care
10.9.24 @ 2-3pm ET

This virtual event will present the story of testing to surveillance, partner services, review public health laws, systems we use for reporting, Ryan White, regional variability and service providers.

Objective: Increase screening for HIV in the emergency department for individual patients and public health.

Slides Available for Download HERE

CME: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key References

  • Barlas D. The Cost of Public Health: HIV Screening in the Emergency Department. Ann Emerg Med. 2024;84:244-245.
  • Haukoos J, et al. Cost-Effectiveness of HIV Screening in Emergency Departments: Results From the Pragmatic Randomized HIV Testing Using Enhanced Screening Techniques in Emergency Departments Trial. Ann Emerg Med. 2024;84:234-243.
  • Haukoos J, et al. Comparison of HIV Screening Strategies in the Emergency Department A Randomized Clinical Trial. JAMA Network Open. 2021;4(7).