2024 MIPS IA_PM_22: Improving Practice Capacity for Human Immunodeficien cy Virus (HIV) Prevention Services

Activity ID


Activity Weighting


Subcategory Name

Population Management

Activity Description

Establish policies and procedures to improve practice capacity to increase HIV prevention screening, improve HIV prevention education and awareness, and reduce disparities in pre-exposure prophylaxis (PrEP) uptake. Use one or more of the following activities:

  • Implement electronic health record (EHR) prompts or clinical decision support tools to increase appropriate HIV prevention screening;
  • Require that providers and designated clinical staff take part in at least one educational opportunity that includes components on the importance and application of HIV prevention screening and PrEP initiation in clinical practice; and/or
  • Assess and refine current policies for HIV prevention screening, including integrated sexually transmitted infection (STI)/HIV testing processes, universal HIV screening, and PrEP initiation.


Narrow gaps and inequities in care related to HIV prevention in clinical practice, and highlight HIV prevention guidelines, including recommendations to enhance prevention screening and PrEP awareness and use.

Suggested Documentation

Evidence supporting HIV prevention screening and linkage to appropriate prevention resources. Include all of the following elements:

1) Identification of patients at HIV risk – Standardized approach to identifying patients (ages 13 and 64) at risk for HIV as recommended by Centers for Disease Control (CDC) with documentation of risk in patient records; AND

2) Percentage of patients receiving PrEP information – Information provided to all sexually active adult and adolescent patients about HIV pre-exposure prophylaxis (PrEP), and recommending PrEP as an effective HIV prevention strategy; AND

3) Follow-up – Documentation of follow-up processes for patients who have been screened for HIV, including documentation of discussion/s with clinician/s and decisions made, in patient records.


The use of evidence-based tools to guide prevention discussions, e.g., GOALS Framework for Sexual History Taking in Primary Care: (https://www.hivguidelines.org/hiv-care/selectedresources/goals framework/); and Sexual Health History: Techniques and Tips (https://www.aafp.org/afp/2020/0301/p286.html.)

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