ACRN ACRN Case Management & Care Coordination 2 — Questions and Answers
Question 1: Housing instability in PLWH is associated with which outcome?
- Improved ART adherence
- Decreased risk of HIV transmission
- Poorer viral suppression and increased hospitalization (Correct answer)
- Higher CD4 counts
Correct answer: Poorer viral suppression and increased hospitalization
Housing instability is strongly associated with poorer viral suppression, increased hospitalizations, and worse overall health outcomes in PLWH.
Question 2: The 'Housing First' model in HIV care prioritizes:
- ART adherence before addressing housing needs
- Providing stable housing without requiring treatment compliance first (Correct answer)
- Transitional housing only for treatment-adherent patients
- Emergency shelter as a permanent solution
Correct answer: Providing stable housing without requiring treatment compliance first
The Housing First model provides stable housing without preconditions such as treatment compliance, and has been shown to improve HIV care engagement and outcomes.
Question 3: When coordinating care for a PLWH with multiple comorbidities, the case manager should prioritize:
- Medical needs only, deferring social needs to other agencies
- An integrated, patient-centered plan addressing medical, psychosocial, and social needs (Correct answer)
- Scheduling the maximum number of specialist appointments
- Following a standardized protocol regardless of individual circumstances
Correct answer: An integrated, patient-centered plan addressing medical, psychosocial, and social needs
Effective HIV case management requires an integrated, individualized plan that addresses the full spectrum of medical, psychosocial, and social determinants affecting each patient.
Question 4: HIV confidentiality standards in case management require that patient information be:
- Accessible to all team members without restriction
- Shared only with written consent and on a need-to-know basis (Correct answer)
- Disclosed to employers upon request
- Automatically shared with family members
Correct answer: Shared only with written consent and on a need-to-know basis
HIV-related information requires specific written informed consent before disclosure and is shared strictly on a need-to-know basis in accordance with federal and state law.
Question 5: Under the Ryan White HIV/AIDS Program, client confidentiality requirements mandate that:
- HIV status may be shared with employers for workplace accommodation
- Client-identifying information is protected and cannot be disclosed without written consent (Correct answer)
- All case management records are available to public health authorities without restriction
- Family members must be notified of a client's HIV status
Correct answer: Client-identifying information is protected and cannot be disclosed without written consent
Ryan White Program regulations require that all client-identifying information be strictly protected and cannot be disclosed without written informed consent.
Question 6: Which service delivery model integrates HIV medical care with social and support services at a single site?
- Fee-for-service model
- Patient-Centered Medical Home / one-stop shop model (Correct answer)
- Specialist referral-only model
- Telephone triage model
Correct answer: Patient-Centered Medical Home / one-stop shop model
The Patient-Centered Medical Home model co-locates medical care with social, mental health, and support services, reducing barriers and improving engagement for PLWH.
ACRN ACRN Case Management & Care Coordination 2
Housing instability in PLWH is associated with which outcome?