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Clinical Decision Support Systems Increase HIV Screening The Community Preventive Services Task Force (CPSTF) recommends clinical decision support systems (CDSS) to increase screening for HIV. A systematic review of evidence shows CDSS increase HIV screening for the general population and for persons at higher risk for HIV infection.

What are Clinical Decision Support Systems? CDSS encompass a variety of tools such as computerized alerts and reminders to enhance decision making about patient care. To increase HIV screening, CDSS use patient data and current clinical guidelines to identify those eligible for HIV screening and send healthcare providers computerized alerts or reminders to order tests. CDC guidelines recommend routine screening for all patients aged 13-64 years and all pregnant persons, and at least annual screening for persons at high risk for HIV. Risk is assessed based on patients’ or their partners’ sexually transmitted disease diagnosis, sexual behavior, or history of injection drug use. Patients may receive information about HIV transmission and testing prior to screening, and healthcare providers may receive education about HIV transmission, patient eligibility for screening, and how to correctly use CDSS.

Why is this important? Among those living with HIV, 15% do not know they have the virus and another 23% know their status but are not receiving care (CDC 2019). Nearly 40% of new HIV infections are transmitted by people who don’t know they have the virus (CDC 2020).

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One Pager: Clinical Decision Support Systems to Increase HIV Screening—use this one-pager as a quick reference.

Twitter®—retweet @CPSTF messages about the new recommendation or tweet one of the following examples: New @CPSTF recommendation! Clinical decision support systems can increase #HIV screening and identify more HIV infections #TheCommunityGuide https://www.thecommunityguide.org/content/clinical-decision-support-systems-increase-hiv-screening CPSTF recommends clinical decision support systems to increase #HIV screening. Systems enhance decision making through tools such as computerized alerts, which can be connected with electronic health records #TheCommunityGuide https://www.thecommunityguide.org/content/clinical-decision-support-systems-increase-hiv-screening .@CPSTF recommends clinical decision support systems (CDSS) for #HIV screening. Providers offered testing to most of their eligible patients when prompted by CDSS. #TheCommunityGuide https://www.thecommunityguide.org/content/clinical-decision-support-systems-increase-hiv-screening

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The Guide to Community Preventive Services (The Community Guide) is a website that is a collection of all the evidence-based findings and recommendations of the Community Preventive Services Task Force.

www.thecommunityguide.org

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