The strategies

3 Proven Strategies

based on the New York City Department of Health and Mental Hygiene’s HIV Care Coordination model

  • HIV Self-Management
  • Care Team Coordination
  • Patient Navigation

These strategies work in concert:

  • Patient Navigation

    Patient navigators work one-on-one with clients to encourage continued commitment and adherence to medical treatment. Through home visits, HIV education, and guidance with goal setting, navigators ensure medication adherence, access to social services, improved communication, and prompt re-engagement in care.

  • Care Team Coordination

    The role of the care team is to support information-sharing and collaborative decision-making to improve health outcomes for clients. Teams meet in formal and informal meetings to discuss client progress and needs, develop, monitor and update care plans, and identify and assign team member activities.

  • HIV Self-Management

    Through easy-to-use client resources available on the HIV Self-Management website and in the workbook, navigators help clients build knowledge and skills for self-care, navigating the health care system, and independent health maintenance.