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Home Health Care Management & Practice
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HIV Continuum of Care: Challenges in Management

Robin I. Goldenberg

Stefanie H. Bell

Jacqueline Wright

Sharon E. Brodeur

Mary Ann Turjanica

Loretta Beckman

Nancy Warker

The human immunodeficiency virus (HIV) continuum of care within the Inova Health System (IHS) has three levels of management: individual case management, linkage management, and disease-state management. Individual case management takes place at each operating unit— physician's office, hospital, home health care setting, or hospice—and has a multidisciplinary team that addresses treatment, education, therapy, and counseling. Inova Home Health and Hospice of Northern Virginia developed a staging tool to objectively determine the appropriate level of care and to provide a seamless transition between home health care and hospice. Inova's HIV Services provides the disease management component, incorporating proactive and cost-effective management of patients through the disease life cycle and across all settings.

Key Words: case management • continuum of care • disease-state management, HIV • home care

Home Health Care Management & Practice, Vol. 8, No. 6, 1-10 (1996)
DOI: 10.1177/108482239600800604


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