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H H S Department of Health and Human Services
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SPNS Initiative: Electronic Networks of Care, 2007-2011


The Electronic Networks of Care Special Projects of National Significance (SPNS) initiative funded six demonstration sites for four years to promote the enhancement and evaluation of existing health information electronic network systems for people living with HIV in underserved communities. The University of California, San Francisco Center for AIDS Prevention Studies was also funded as the Evaluation and Support Center to coordinate a cross-site evaluation of services and to provide technical assistance to the six demonstration projects.

For this initiative, an electronic network was defined as the electronic exchange of health information by a group of HIV care providers, including providers of both medical and ancillary care. Each network electronically connected several data sources, which could include laboratory, diagnostic, medical, service utilization, referrals, and ancillary care services such as case management, counseling and testing, transportation, and substance use and mental health services.  Network interconnectivity enabled tracking of client medical and supportive care information from one point of service to another. The effectiveness of these networks was assessed by how well they managed patient health information, including referrals, appointments, treatment, and retention of clients, as well as client health outcomes and quality of life.

Demonstration project grant recipients included: Bronx-Lebanon Hospital Center (Bronx, NY); New York Presbyterian Hospital (New York, NY); Duke University (Durham, NC); St. Mary Medical Center Foundation (Long Beach, CA); Louisiana State University Health Care Services Division (Baton Rouge, LA); and the City of Paterson (NJ).

Journal Articles

Shade SB, Steward WT, Koester KA, Chakravarty D, & Myers JJ. Health information technology interventions enhance care completion, engagement in HIV care and treatment, and viral suppression among HIV-infected patients in publicly funded settings. Journal of the American Medical Informatics Association, July 16, 2014 [E-published ahead of print].  PubMed Abstract

Magnus M, Herwehe J, Murtaza-Rossini M, Reine P, Cuffie D, Gruber D, & Kaiser M. Linking and Retaining HIV Patients in Care: The Importance of Provider Attitudes and Behaviors. AIDS Patient Care and STDS, May 2013; 27(5): 297-303. PubMed Abstract

Cajina A and Xavier J. The SPNS Information Technology Networks of Care Initiative.  International Journal of Medical Informatics, October 2012; 81 (10): 651-653.  (No abstract available).

Shade SB, Chakravarty D, Koester KA, Steward WT, & Myers JJ. Health information exchange interventions can enhance quality and continuity of HIV care.  International Journal of Medical Informatics, October 2012; 81 (10): e1-e9. PubMed Abstract

Steward WT, Koester KA, Collins SP, Maiorana A, & Myers JJ. The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. International Journal of Medical Informatics, October 2012; 81 (10): e10-20.  PubMed Abstract

Myers JJ, Koester KA, Chakravarty D, Pearson C, Maiorana A, Shade SB, & Steward WT. Perceptions regarding the ease of use and usefulness of health information exchange systems among medical providers, case managers and non-clinical staff members working in HIV care and community settings. Journal of Medical Informatics, October 2012; 81 (10): e21-e29.  PubMed Abstract

Magnus M, Herwehe J, Gruber D, Wilbright W, Shepard E, Abrams A, Foxhood J, Smith L, Xiao K, DeYoung K, & Kaiser M. Improved HIV-related outcomes associated with implementation of a novel public health information exchange.  International Journal of Medical Informatics, October 2012; 81 (10): e30-e38. PubMed Abstract

Virga PH, Jin B, Thomas J, & Virodov S. Electronic health information technology as a tool for improving quality of care and health outcomes for HIV/AIDS patients.  International Journal of Medical Informatics, October 2012; 81 (10): e39-e45.  PubMed Abstract

Messer LC, Parnell H, Huffaker R, Wooldredge R, & Wilkin A. The development of a health information exchange to enhance care and improve patient outcomes among HIV+ individuals in rural North Carolina.  International Journal of Medical Informatics, October 2012; 81 (10): e46-e55.  PubMed Abstract

Schnall R, Smith AB, Sikka M, Gordon P, Camhi E, Kanter T, & Bakken S. Employing the FITT framework to explore HIV case managers' perceptions of two electronic clinical data (ECD) summary systems. International Journal of Medical Informatics, October 2012; 81 (10): e56-e62. PubMed Abstract

Gordon P, Camhi E, Hesse R, Odlum M, Schnall R, Rodriguez M, Valdez E, & Bakken S. Processes and outcomes of developing a continuity of care document for use as a personal health record by people living with HIV/AIDS in New York City.  International Journal of Medical Informatics, October 2012; 81 (10): e63-e73. PubMed Abstract

Bell DS, Cima L, Seiden DS, Nakazono TT, Alcouloumre MS, Cunningham WE. Effects of laboratory data exchange in the care of patients with HIV.  International Journal of Medical Informatics, October 2012; (10): e74-e 82.  PubMed Abstract

Herwehe J, Wilbright W, Abrams A, Bergson S, Foxhood J, Kaiser M, Smith L, Xiao K, Zapata A, & Magnus M. Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. May-June; 19 (3): 448-452. PubMed Abstract

Maiorana A, Steward WT, Koester KA, Pearson C, Shade SB, Chakravarty D & Myers JJ. Trust, confidentiality, and the acceptability of sharing HIV-related patient data: lessons learned from a mixed methods study about Health Information Exchanges. Implementation Science, e-published April 19, 2012; (7): 34. Full text Article

Schackman BR, Dastur Z, Rubin DS, Berger J, Camhi E, Netherland J, Ni Q, & Finkelstein R. Feasibility of using audio computer-assisted self-interview (ACASI) screening in routine HIV care. AIDS Care, August 2009; 21 (8): 992-999. PubMed Abstract

Magnus M, Herwehe J, Proescholdbell RJ, Lombard F, Cajina A, Dastur Z, Millery M, & Sabundayo BP. Guidelines for effective integration of information technology in the care of HIV-infected populations. Journal of Public Health Management and Practice, January-February 2007; 13 (1): 39-48. PubMed Abstract