Researchers offered the telehealth option to veterans who
live closer to a CBOC or primary care clinic than to a VA
hospital with HIV specialty care and who have to drive at
least 90 minutes to one of these clinics. Most veterans
(90% in the pilot studies) chose the telehealth option
and were satisfied or very satisfied with their care.
Rates of HIV viral control remained high (over 90%) and
smoking cessation care processes improved. Results for
impacts on care outcomes in replication studies show
improvement in retention in care in telehealth
The HIV TCC program builds solid infrastructure
foundations within participating VAs to integrate HIV
specialty care to corresponding primary care Patient
Aligned Care Teams with enhanced case management for
The program has been replicated in VA sites across the
country in 2019, with additional evaluations ongoing.
With the COVID-19 pandemic, there has been successful
uptake of VA Video Connect visits, which has accelerated
the uptake of telehealth technologies for HIV care in
addition to enhancing the collaborative model between
primary care and HIV specialists.
For more information about HIV TCC:
Ohl, M.E., Richardson, K., Rodriguez-Barradas, M.C.,
Bedimo, R., Marconi, V., Morano, J.P., … &
Vaughan-Sarrazin, M. (2019). Impact
of Availability of Telehealth Programs on Documented HIV
Viral Suppression: A Cluster-Randomized Program
Evaluation in the Veterans Health Administration.
Open Forum Infectious Diseases, 6(6).
Further findings of the project are forthcoming.