HIV prevention belongs in primary care: How 4 health systems are starting to make it routine

More than 1 million people in the U.S. are living with diagnosed HIV, yet prevention still sits largely in specialty settings. CDC survey data shows how often testing and pre-exposure prophylaxis conversations are missed even when patients do reach care.

Leaders at Henry Ford Health, Hartford HealthCare, Family Health Centers at NYU Langone and Parkland Health share a conviction: HIV prevention belongs alongside the routine screening primary care already does for conditions like diabetes and heart disease. In a Becker’s Healthcare panel sponsored by Gilead Sciences, they walked through the early, incremental work of getting there.

Their approaches build on the EHRs and workflows most organizations already have. Henry Ford configured PrEP as a care-gap prompt and flags patients 18 to 65 who have never been tested for HIV. Hartford HealthCare alerts primary care physicians when a patient meets criteria, with testing and medication orders embedded. Family Health Centers at NYU Langone sends a sexual wellness screening tool patients complete at home or at check-in. Parkland Health spent more than a year briefing every department, from the C-suite to the front lines.

This whitepaper collects what these systems are learning as they build toward routine, measurable prevention — including where the work is still early.

Inside, you’ll find:

  • The EHR configurations behind each program
  • Metrics these systems built themselves, absent national HIV prevention quality standards
  • Why women remain underrepresented in PrEP use, and where two systems are reaching them
  • How Parkland Health justified program cost to finance leadership

Sponsored by Gilead Sciences