dr report if patient has hiv

Doctors and labs must report to the Health Department the names of persons with HIV infection, HIV illness and AIDS. Doctors must also report the names of sex and needle-sharing partners of people who test HIV positive that are known to the doctor. What's Voluntary?

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How do I Report HIV and AIDS?

Including <200 CD4 cells/µ or one of the 28 opportunistic infections and/or conditions. Reporting required by a medical provider who is seeing the patient for the first time. You may also submit PRFs electronically by visiting the provider portal. You can get instructions for accessing the portal here (PDF). Why Report Diagnoses of HIV and AIDS?

Should doctors disclose they have HIV?

Should Doctors Disclose They Have HIV? C H I C A G O, Oct. 17, 2000 -- A leading health expert says the governmentshould no longer compel HIV-infected doctors to tell patients abouttheir disease, reopening a debate that raged a decade ago afterKimberly Bergalis most likely got AIDS from her Florida dentist.

Do HIV counselors need to report?

An HIV counselor can be designated by the physician who ordered the test to complete and submit the report form, but the form must be signed by the physician. Non-clinical staff do not report. How about social workers? Psychologists? And other licensed professionals?

Do source patients have to report HIV tests to the DOH?

Concern relates to possible reluctance to be HIV tested by source patients who will be informed that a positive HIV test must be reported to the DOH. The regulations do not provide any exceptions to HIV reporting in the case of an occupational bloodborne pathogen exposure.

Do doctors have to tell patients they have HIV?

Doctors generally need a patient's written consent to disclose HIV-related information to employers and others requiring medical forms. These consent requirements are in HIPAA and many state laws, including New York's.

Do you have to report if you have HIV?

Doctors and labs must report to the Health Department the names of persons with HIV infection, HIV illness and AIDS. Doctors must also report the names of sex and needle-sharing partners of people who test HIV positive that are known to the doctor.

How would a doctor determine whether a person has HIV?

ELISA Test ELISA, which stands for enzyme-linked immunosorbent assay, is used to detect HIV infection. If an ELISA test is positive, the Western blot test is usually administered to confirm the diagnosis. If an ELISA test is negative, but you think you may have HIV, you should be tested again in one to three months.

What is the reporting protocol for HIV?

ACUTE HIV INFECTION REPORTING Labs and health care providers may call (213) 351-8516 to report a case of acute HIV infection. California law (17 CCR §2505) requires laboratories to report positive tests for syphilis, gonorrhea, chlamydia trachomatis infections, including lymphogranuloma venereum.

What are the factors that influence HIV testing?

Testing and reporting may be influenced by factors other than the incidence and prevalence of AIDS, e.g., public awareness of risk factors, confidentiality concerns, and testing accessibility. While HIV infection reports complement other HIV/AIDS studies of HIV infection in a community (5,6), AIDS surveillance and the HIV family of surveys (7) ...

How many states require HIV testing?

Eighteen (64%) of the 28 states require HIV reporting by patient's name (Figure 1); however, under certain circumstances, 10 of the 18 states permit anonymous testing and therefore do not receive names on some reports. Most states request basic demographic data, and more than half request HIV risk information.

How often should I see a doctor for HIV?

Current HIV treatment guidelines recommend that most people with HIV see their health care provider for lab tests every 6 months. Some people may see their provider more frequently, especially during the first two years of treatment or if their HIV viral load is high or detectable. People who take their HIV medication every day and have an undetectable viral load at every test for more than two years usually only need to have their lab tests checked twice a year.

Who can answer HIV questions?

You may need to direct your questions to different people, depending on what you need or want to know. HIV health care providers (doctors, nurse practitioners, physician assistants) can answer questions about a wide range of issues that affect your health. These include: How HIV is affecting your body.

What to include in HIV treatment?

Include a list of any HIV medications you may have taken in the past and any problems you had when taking them. Bring a copy of your medical records if your provider does not already have them, including visits to specialists.

What to do if you missed a dose of HIV?

Talk about any HIV medication doses you have missed. Tell your provider about your current sexual or alcohol/drug use activities and your history. These behaviors can put you at risk of developing drug resistance or getting other sexually transmitted infections (STIs) as well as viral hepatitis.

How does a provider work with you?

Your provider will work with you to develop strategies to stay as healthy as possible. Describe any side effects you may be having. Your provider will want to know how the HIV medications are affecting your body in order to work with you to solve any problems and find the right combination of medications for you.

How to stay healthy with HIV?

Part of staying healthy with HIV is seeing a health care provider regularly so that they can track your progress and make sure your treatment is working. That means managing your HIV medical appointments. Some people with HIV go to an HIV clinic for their medical appointments; others go to a community health center, a Veterans Affairs clinic, ...

Why do we need to have copies of medical records?

You have the right to access your medical records and having copies can help you keep track of your previous lab results, prescriptions, and other health information. It can also help a new provider have a better understanding of your health history. Be prepared to talk about any changes in your living situation.

Who can order a HIV test?

Only physicians, nurse practitioners, physician assistants and nurse mid-wives are authorized to order an HIV test. These individuals are required to report. An HIV counselor can be designated by the physician who ordered the test to complete and submit the report form, but the form must be signed by the physician.

What is HIV infection?

For the purpose of this legislation, HIV infection is defined as infection with the human immunodeficiency viruses that are the cause of AIDS or as the term may be defined from time to time by the Centers for Disease Control and Prevention of the United States Public Health Service.

How will reports be unduplicated by DOH?

Please clarify how reports will be unduplicated by DOH? Each report received will be matched to the list which contains identifying information on all reported individuals. Duplicate reports will be removed and newly identified reports will be added to the list. This is a standard process which has been done for AIDS Surveillance since the mid-1980s.

What is the number to call for provider reporting in New York?

Providers not yet enrolled with the New York City Department of Health and Mental Hygiene who have not already received an enrollment package should call 212/442-3388 to arrange for enrollment in the provider reporting program and for pick-up of report forms.

Is HIV a primary care diagnosis?

Individuals in research studies generally receive primary care; their primary care provider is required to report initial diagnosis of HIV and AIDS, and CD4<500 and positive viral load results done as part of primary care are reportable.

Does HIV affect insurance?

Testing positive for HIV after June 1, 2000, does not affect insurance policies any differently than testing positive for HIV prior to June 1. The State HIV reporting registry data are not shared with or disclosed to health or life insurers.

Can you give consent to a confidential HIV test?

Yes. The form, "Informed Consent to Perform a Confidential HIV Test and Authorization for Release of HIV Related Information for Purposes of Providing Post Exposure Care to a Health Care Worker Exposed to a Patient's Blood or Body Fluids" (#4054) (PDF, 53 KB, 2pg.) has been updated per the regulations.

Why is it important to disclose your HIV status?

It's important to disclose your HIV status to your sex partner (s) and anyone you shared needles with, even if you are not comfortable doing it. Communicating with each other about your HIV status means you can take steps to keep both of you healthy.

What do you need to know about HIV?

Health Care Providers. Your health care providers (doctors, clinical workers, dentists, etc.) have to know about your HIV status in order to be able to give you the best possible care. It's also important that healthcare providers know your HIV status so that they don't prescribe medication for you that may be harmful when taken with your HIV ...

What is the stop HIV campaign?

If you're nervous about disclosing your test result, or you have been threatened or injured by a partner, you can ask your doctor or the local health department to help you tell your partner (s) that they might have been exposed to HIV. This type of assistance is called partner notification or partner services.

Can an employer discriminate against you for HIV?

All people with HIV are covered under the Americans with Disabilities Act. This means that your employer cannot discriminate against you because of your HIV status as long as you can do your job. To learn more, see the Department of Justice's ADA.gov/HIV website.

Can an employer know if you have HIV?

Employers. In most cases, your employer will not know your HIV status unless you tell them. But your employer does have a right to ask if you have any health conditions that would affect your ability to do your job or pose a serious risk to others.

Can HIV test results be released without your permission?

All medical information, including HIV test results, falls under strict confidentiality laws such as the Health Insurance Portability and Accountability Act's (HIPAA) Privacy Rule and cannot be released without your permission . There are some limited exceptions to confidentiality.

Do health departments reveal your name?

Health departments do not reveal your name to your partner (s). They will only tell your partner (s) that they have been exposed to HIV and should get tested. Many states have laws that require you to tell your sexual partners if you're HIV-positive before you have sex (anal, vaginal, or oral) or tell your drug-using partners before you share drugs ...

Who is required to report HIV cases in New York?

All diagnostic and clinical providers (physicians, physician assistants, nurse practitioners, nurses, midwives) are required to report cases that meet the criteria outlined above. Laboratories performing HIV testing are required to report to the New York State Department of Health.

What is the law on HIV reporting?

It's the law! Article 21 (Title 3, Section 2130) requires health care providers to report HIV-related events on the Medical Provider Report Form (PRF). Allows for monitoring of HIV and AIDS in New York City, such as: Where HIV is spreading. Identifying the number of people infected and potentially needing medical and/or social services.

What is the NYC Department of Health and Mental Hygiene's HIV Epidemiology Program?

All HIV nucleotide sequences generated by genotype testing. The NYC Department of Health and Mental Hygiene's (DOHMH) HIV Epidemiology Program (HEP) is authorized to investigate reports for persons reported from New York City to confirm the fact and date of diagnosis or laboratory test.

What is a first report of HIV positive test results?

First report of HIV positive test results, including Acute HIV Infection and persons diagnosed with HIV-2. Previously diagnosed HIV (non-AIDS): Reporting required by a medical provider who is seeing the patient for the first time and patient has not met criteria for AIDS. Initial/new diagnosis of AIDS:

What information is required to report a partner?

Key partner information will be requested when reporting a partner, if available: First and last name. Date of birth. Phone number, email address, or other additional contact information.

What is the law in New York State regarding HIV?

New York State Public Health Law Article 21 (Chapter 163 of the Laws of 1998) requires that providers discuss with HIV-infected individuals their options for informing sexual and needle-sharing partners that they may have exposed to HIV. The Contact Notification Assistance Program (CNAP) of the New York City Department of Health and Mental Hygiene provides assistance to HIV-positive individuals and to providers who would like help with notifying partners.

When did the AIDS law change in New York?

The newly amended law took effect on June 1, 2000.

Who are the two psychiatrists who have been co-leading a biweekly group for physicians with HIV/AIDS

Bertram Schaffner and Stuart Nichols are two psychiatrists who have been co-leading a biweekly group for physicians with HIV/AIDS in Manhattan since 1985. In that period approximately one hundred doctors attended the group at some point. Until 1991, this was the only group for physicians with HIV/AIDS in all of New York City.

How many people tested positive for HIV in 1996?

In a report published in the June 28th, 1996 edition of Annals of Internal Medicine, experts examined HIV test results for 22,171 patients treated by 51 infected healthcare workers. They discovered that 37 of the healthcare workers had no patients who tested HIV positive for HIV infection.

What is the intrapsychic distress of HIV/AIDS?

When the person who has HIV/AIDS is a doctor, the intrapsychic distress is compounded. Many physicians with HIV/AIDS told of seeking and currently being in psychotherapy and taking prescribed anti-anxiety and anti-depressant medication to help alleviate their mental and emotional distress.

What does Schaffner say about HIV?

Schaffner states that "Most members of the group have varying symptoms of clinical depression and/or anxiety. All members of the group are frightened of having patients, colleagues in groups practices and department heads discover that they are infected with HIV.

Why do doctors need psychosocial support?

Most physicians living with AIDS need specialized psychosocial support in order to create a new sense of who they are following the dual crises of an AIDS diagnosis and having to cease practicing medicine.

Who promised to examine whether current CDC guidelines that restrict infected health professionals are scientifically valid and whether they have

In a February 26 press release announcing the meeting with Shalala, Ulstad said Shalala promised to instruct HHS officials to "examine whether current CDC guidelines that restrict infected health professionals are scientifically valid and whether they have resulted in unnecessary discrimination.".

Who was the dentist that helped Kimberly Bergalis?

In 1991, a frail and failing teen-aged Kimberly Bergalis garnered nationwide media attention as she was helped into a congressional meeting room where she haltingly told the story of how she was infected with HIV by her dentist, Dr. David Acer. There was hardly a dry eye for this "innocent victim" of AIDS.