patient portal and posting hiv results

by Hudson Reinger MD 7 min read

GIVING HIV TEST RESULTS - Georgia Department of …

31 hours ago GivinG PosiTive TesT ResulTs The focus of HIV post-test counseling is to provide emotional support to help the newly diagnosed patient: • cope with the diagnosis, • access treatment and other care services, • disclose status to sexual partners, • remain safe during the initial phase of dealing with a new diagnosis, and >> Go To The Portal


How do you tell a patient that they have HIV?

GivinG PosiTive TesT ResulTs The focus of HIV post-test counseling is to provide emotional support to help the newly diagnosed patient: • cope with the diagnosis, • access treatment and other care services, • disclose status to sexual partners, • remain safe during the initial phase of dealing with a new diagnosis, and

What does a positive HIV test result mean?

May 14, 2018 · Understanding HIV Test Results. HIV testing shows whether a person is infected with HIV. HIV stands for human immunodeficiency virus. HIV is the virus that causes AIDS (acquired immunodeficiency syndrome). AIDS is the most advanced stage of HIV infection. Learn about what a positive and negative HIV test result mean.

Can I find out my partner's HIV status from my test?

Make sure the patient is in a private area. In a calm voice, tell the patient: “The result of the HIV test came back positive.”. To clarify, say: “This means you probably have HIV.”. Wait to see how s/he reacts. Unless the person had anticipated or suspected this …

What should I do if my follow-up test results confirm HIV?

Jun 23, 2016 · patient portal users’ survey responses and patient portal use patterns underscore patients’ interest in direct access to test results. Of survey respondents, 82.7% noted test results to be a very useful feature and 70% responded that they somewhat or completely agree with the statement that patient portal has made their provider more ...

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Do HIV results show up on Mychart?

Only HIV and genetics results are excluded.

Can HIV results be given online?

Existing law prohibits the disclosure of HIV test results by Internet posting or other electronic means unless the patient requests the disclosure, the healthcare professional deems it appropriate, and the health care professional has first discussed the results in person or over the phone.

What information is excluded from a patient portal?

However, it also had to exclude behavioral health, protected minor visits, research records, business records, and other sensitive record content. The portal automatically downloads or excludes documents based on type or provider, says Meadows, who helped solidify a process for integrating the portal with the EHR.

Why are HIV test results confidential?

The results of HIV tests are confidential. These results are a part of a person's confidential medical records and the same confidentiality principles apply as for other medical information on record – paper records and e-records, including the person's Personally Controlled Electronic Health Record.

What should be included in a patient portal?

A robust patient portal should include the following features:Clinical summaries.Secure (HIPAA-compliant) messaging.Online bill pay.New patient registration.Ability to update demographic information.Prescription renewals and contact lens ordering.Appointment requests.Appointment reminders.More items...

What should be in a patient portal?

A patient portal is a website for your personal health care. The online tool helps you to keep track of your health care provider visits, test results, billing, prescriptions, and so on. You can also e-mail your provider questions through the portal. Many providers now offer patient portals.Aug 13, 2020

What are some of the differences between a patient portal and a PHR?

The Portal is controlled by the source system (EMR/EHR/Hospital). On the other hand, the Personal Health Record (PHR) is more patient centric, is controlled by a patient or family member, and may or may not be connected to a doctor or hospital (i.e. it may be tethered or untethered).Sep 6, 2012

Can I test negative if my viral load is undetectable?

Having an undetectable of zero viral load does not mean you are HIV negative. If you were to do another HIV antibody test it would come back as being positive.Jan 13, 2022

What Does A Negative HIV Test Result Mean?

A negative result doesn't necessarily mean that you don't have HIV. That's because of the window period—the time between when a person gets HIV and...

If I Have A Negative Test Result, Does That Mean That My Partner Is Hiv-Negative also?

No. Your HIV test result reveals only your HIV status.HIV is not necessarily transmitted every time you have sex. Therefore, taking an HIV test is...

What Does A Positive HIV Test Result Mean?

If you have a positive HIV test result, a follow-up test will be conducted. If the follow-up test is also positive, it means you are HIV-positive.I...

If I Test Positive For HIV, Does That Mean I Have Aids?

No. Testing positive for HIV does not mean you have AIDS. AIDS is the most advanced stage of HIV disease. HIV can lead to AIDS if not treated.See W...

Will Other People Know My Test result?

If you take an anonymous test, no one but you will know the result. If you take a confidential test, your test result will be part of your medical...

What happens if you have a positive HIV test?

If you have a positive HIV test result, a follow-up test will be conducted. If the follow-up test is also positive, it means you are HIV-positive. If you had a rapid screening test, the testing site will arrange a follow-up test to make sure the screening test result was correct.

What to do if your blood test confirms you are infected with HIV?

If your follow-up test result confirms you are infected with HIV, the next thing is to take steps to protect your health and prevent transmission to others. Begin by talking to your health care provider about antiretroviral therapy (ART).

How to lower your risk of HIV?

To lower your risk of transmitting HIV, Take medicines to treat HIV (antiretroviral therapy or ART) the right way every day so that you achieve and maintain an undectable viral load. Use condoms the right way every time you have sex. Learn the right ways to use a male condom and a female condom.

What does HIV stand for in testing?

HIV testing shows whether a person is infected with HIV. HIV stands for human immunodeficiency virus. HIV is the virus that causes AIDS (acquired immunodeficiency syndrome). AIDS is the most advanced stage of HIV infection. Learn about what a positive and negative HIV test result mean.

What is the purpose of ART?

ART is the use of HIV medicines to treat HIV infection. People on ART take a combination of HIV medicines every day. ART can keep you healthy for many years and greatly reduces your chance of transmitting HIV to your sex partner (s) if taken the right way, every day.

What does a negative HIV test mean?

A negative result doesn't necessarily mean that you don't have HIV. That's because of the window period—the time between when a person gets HIV and when a test can accurately detect it. The window period varies from person to person and is also different depending upon the type of HIV test. Ask your health care provider about ...

How long after HIV exposure can you get tested again?

If you get an HIV test within 3 months after a potential HIV exposure and the result is negative, get tested again in 3 more months to be sure. If you learned you were HIV-negative the last time you were tested, you can only be sure you’re still negative if you haven’t had a potential HIV exposure since your last test.

How long does it take to get results from HIV?

It will take about five business days to receive these results. HIV/AIDS is Treatable. - Emphasize that although HIV is a very serious infection, today many people with HIV are living longer, healthier lives due to new medications that keep the immune system strong.

Is HIV a manageable disease?

HIV is a manageable disease. Assure the patient that, with good medical care and patient adherence, people with HIV can stay healthier and live longer. Learning to cope. Discuss ways to handle the emotional consequences of learning about a positive test result. Risk reduction.

What is the HIV load?

HIV viral load measurements indicate the number of copies of the HIV that are in a milliliter of a person’s blood. HIV medicine, when taken as prescribed, reduces the amount of HIV in the body (viral load) to a very low level, which keeps the immune system working and prevents illness. This is called viral suppression.

Why is molecular data important for HIV?

HIV molecular data can also be used to identify drug resistance trends on the population level and can be used to identify a growing cluster of infections (i.e., an area or group of individuals) in which transmission is rapidly occurring. When viral loads, CD4 counts and molecular data are reported, public health agencies can more effectively ...

How many states are required to report viral load?

As of 2020, 47 states, the District of Columbia, and Puerto Rico meet the criteria for requiring all CD4 and viral load data reported. Of these, 25 states and Puerto Rico, also required molecular data reporting.

Why do people with HIV need CD4?

Among people with HIV, CD4 counts are often used to monitor disease progression and determine the stage of HIV infection. Current HIV clinical management guidelines recommend CD4 and viral load testing at the time of diagnosis and regularly thereafter. HIV drug resistance testing, which generates HIV molecular data, is used when a person enters, ...

What is HIV drug resistance testing?

HIV viral loads, CD4 cell counts, and HIV drug resistance testing are frequently conducted on samples from people with HIV for clinical purposes. Data collected from these tests can also be used to provide information about the effectiveness of and need for prevention and treatment programs.

What is the function of CD4 in HIV?

CD4 is a protein found on the surface of some white blood cells. Measuring white blood cells with CD4 (CD4 cell counts) provides a measure of a person’s immune function. Among people with HIV, CD4 counts are often used ...

Which states do not have to report CD4?

Two states and one U.S. territory do not meet the criteria for reporting all viral load, or CD4 count: Idaho, New Jersey, and the Virgin Islands. Not all states with complete reporting laws have complete reporting of laboratory data to CDC.

When will results be available for MHO?

Test results will be immediately available after results are finalized. With the immediate release of results to your MHO account, it is possible that you will see a result before your provider or care team has had a chance to review it.

Can a teen get medical records from Sutter Health?

In the case of a teen pregnancy, Sutter Health is obligated to protect adolescent confidentiality by California state law. Teens 12 through 17 years of age can request access to their own medical records within MHO. As such, they will be able to see their notes and results.

How many patients use portals?

Lab tests (with few exceptions) are now released directly to patients. Studies estimate that between 15 and 30 percent of patients use portals. The push for portals has been fueled by several factors: the widespread embrace of technology, incentive payments to medical practices and hospitals that were part of 2009 federal legislation ...

What is the goal of rapid release?

The goal of rapid release, Hohmuth said, is to “be patient-centered and transparent.”. “The majority [of patients] want early access to their results, and they don’t want it to be impeded” while waiting for doctors to contact them, Hohmuth said, even if the news is bad.

What did Laura Devitt do when she had her two kids?

As she herded her two young sons into bed one evening late last December, Laura Devitt flipped through her phone to check on the routine blood tests that had been performed as part of her annual physical. She logged onto the patient portal link on her electronic medical record, scanned the results and felt her stomach clench with fear.

What does Esparza say about interceding?

Esparza said she intercedes by reminding participants “we’re not doctors.”. One way for a physician to provide guidance, said Stanford’s Schapira, is for doctors to negotiate with patients in advance, particularly if they are concerned the news might be bad.

Who is Lidia Schapira?

Breast cancer specialist Lidia Schapira is an associate professor at the Stanford University Medical Center and editor-in-chief of Cancer.net, the patient information website of the American Society of Clinical Oncology.

Does portal use increase anxiety?

These scientists found that in addition to engaging patients, portal use may increase anxiety and lead to more doctor visits. Among patients with low health literacy and numerical skills, confusion about the meaning of results is common.

Did Maria Esparza have cancer?

Two weeks after Esparaza left the hospital and a week after the report appeared on her portal, one of her doctors confirmed that she didn’t have cancer after all. “It was really traumatic and the one time I wish I hadn’t had access,” said Esparza, an advocate for the National Coalition for Cancer Survivorship.

Is a telephone considered an electronic form of disclosing laboratory results?

The telephone shall not be considered an electronic form of disclosing laboratory results subject to the limits on electronic disclosure of test results for the purpose of this section.

Can you disclose a blood test in electronic form?

The results shall be disclosed in plain language and in oral or written form, except the results may be disclosed in electronic form if requested by the patient and if deemed most appropriate by the health care professional who requested the test.

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