• Provide clinical updates in HIV care at routine provider meetings.
• Sponsor weekly clinical conferences for front-line providers to discuss complicated ARV decisions.
• Initiate Grand Rounds by respected speakers and opinion leaders on important and/or complex ARV treatment issues.
• Involve medical directors or other senior medical leaders to discuss with medical providers when ARV should not be given and when not to initiate ARV therapy.
• Train non-clinical staff about ARV management and the importance of routine monitoring to ensure that the same consistent message is given to patients.
• Tighten resident supervision and implement a review of fellows’ management decisions by attending.
• Contact AIDS Education Training Centers (AETC) for a schedule of education and training opportunities and for specially designed programs to meet your specific program needs.
• Schedule local case presentations and seminars by HIV experts.
• Attend clinical conferences with a focus on ARV management.
• Conduct case conferencing with the purpose of focusing on complex care and/or adherence issues.

Promoting Adherence to HIV Antiretroviral Therapy

Measuring Clinical Performance: A Guide for HIV Health Care Providers