HIV Testing in the Emergency Department
HIV Testing in the Emergency Department
The New York State Department of Health's AIDS Institute is collaborating with partner hospitals to Expand HIV Testing (EHT) in emergency departments. Please check out the program champions.
Routinely Offer HIV testing
Routinely Offer HIV testing
Routinely offer testing in the Emergency Department to patients 13-64 years old. Consent for HIV testing has been streamlined - view the updates to the NYS HIV Testing Law.
Diagnostic HIV Testing Algorithm
Diagnostic HIV Testing Algorithm
HIV testing with 4th generation HIV antigen/antibody laboratory tests can identify undiagnosed patients earlier in their infection. Detecting acute HIV infection as early as possible is critical to improving patient outcomes and decreasing community viral load.
Linkage to Care and Partner Services
Linkage to Care and Partner Services
Linkage to and retention in care for those found to be HIV positive reduces the spread of HIV. Learn about Partner Services assistance available.


HIV Testing in the Emergency Department (ED): A Live Accredited Webcast

Monday, May 9, 2016 12:00-1:00 p.m. (Eastern Time)

Pre-registration is required by 5/2/16 for each person wanting to participate in the webcast. There is no fee to register for this accredited webinar. Go to:

Accreditation and viewing information will be sent to registrants 3 days prior to the webcast.



New York State (NYS) Department of Health (DOH) is one of 36 jurisdictions in the United States that receives federal funds to expand HIV testing for populations disproportionately affected by HIV. In accordance with the National HIV/AIDS Strategy (NHAS) this program focuses on addressing the HIV epidemic, reducing new infections, identifying individuals with HIV infection who are unaware of their status, increasing access to care, improving health outcomes for people living with HIV, and promoting health equity.


Governor Cuomo supports a public health vision to End the Epidemic in New York State. In promoting his 3 point plan and charging a Task Force to develop recommendations a blueprint to end the epidemic was finalized. The Blueprint to END AIDS in New York emphasizes the need to expanded HIV Testing. The EHT initiative is a key strategy to carry out the first point of the plan to implement HIV testing to identify persons who are HIV positive and unaware of their status and link them to care. NYS' efforts to increase/implement testing in Emergency Departments is crucial to meet goals of ETE. Our charge at this point is to move forward in making HIV testing "truly routine"!


In 2014, the Expanded HIV Testing (EHT) Initiative focused on implementation or expansion of routine HIV testing in hospital settings to increase the number of persons who receive screening, especially in emergency departments, thereby increasing the number and proportion of HIV-infected persons who are aware of their infection. Early detection, linkage to and retention in care, and partner services are critical to HIV management and reducing the spread of the virus. “HIV testing saves lives.”

The NYS Cascade of HIV Care is a model to evaluate linkage to HIV medical care, retention in care and continuity of care among persons living with a diagnosis of HIV infection in NYS. The evaluation measures of the cascade are derived from the National HIV AIDS Strategy goals.

"New York State's HIV surveillance data suggest that many of those diagnosed with HIV are not accessing medical care and adhering to treatment as indicated. Of the approximately 132,000 New Yorkers diagnosed with HIV, an estimated 65% (86,000) received HIV care at some point within 2012, 56% (75,000) received continuous HIV care throughout 2012, and 51% (68,000) had a low or undetectable viral load in their blood. These statistics indicate that about half of all New Yorkers diagnosed with HIV aren't getting the benefits they need to manage their disease and keep the virus under control."


The strategy of this initiative is the Expanded HIV Testing Partnership Model. This model will be a collaborative effort between stakeholders and DOH to:
  • Provide local assistance in carrying out institutional assessments of HIV testing process (lab, fiscal, and provider).
  • Assist hospitals and laboratories with implementation of the Recommended HIV Diagnostic Testing Algorithm.
  • Expand HIV testing through capacity building and technical assistance.
  • Establish collaborative learning networks to share information and resources.
  • Develop a Continuous Quality Improvement approach to implementation of HIV testing recommendations and processes.

What resources are available to Hospitals under the EHT Partnership?

  • Consumer and provider educational materials
  • Promotional, informational and marketing materials
  • Assistance with protocols for HIV testing billing and reimbursement
  • Depending on identified needs and availability of funds:
    • Provision of necessary software for laboratory or electronic medical record system updates
    • Testing supplies and reimbursement for costs for uninsured/underinsured
  • Expert resources and access to a network of providers
  • Access to local Champions for technical assistance and capacity building

Click here to access some of the available resources.

What is expected from hospitals who join the partnership?

  • Routine offering of HIV testing to patients accessing hospital services, and emergency departments
  • Participation in learning networks for continuous quality improvement
  • Submission of Data reports on tests performed and results (requirement of funding by the CDC).

How hospitals can become involved