AIDS and Behavior

, Volume 23, Supplement 1, pp 94–104 | Cite as

Lessons Learned from Applying a Modified Learning Collaborative Model to Promote Change in Regional and Statewide HIV Care Systems

  • Lori A. DeLorenzoEmail author
  • Jane Fox
  • Evelyn Byrd Quinlivan
  • Kate M. Gilmore
  • Mari Ruetten
  • Michelle Broaddus
  • Wayne Steward
  • Janet Meyers


The Health Resources and Services Administration Special Projects of National Significance launched the Systems Linkage and Access to Care for Populations at High Risk of HIV Infection Initiative in 2011. Six state departments of health were funded to utilize a modified Learning Collaborative model to develop and/or adapt HIV testing, linkage to care and retention in care system-level interventions. More than 60 Learning Sessions were held over the course of the Learning Collaborative. A total of 22 unique interventions were tested with 18 interventions selected and scaled up. All interventions were created to impact services at a systems level, with standardized protocols developed to ensure fidelity. Our findings provide key lessons and present considerations for replication for use of a modified Learning Collaborative to achieve state-level systems change.


Learning Collaborative Systems Linkage to HIV care Retention Department of Health 



This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant Number U90HA22702 for the Systems Linkages and Access to Care for Populations at High Risk for HIV Infection Initiative Evaluation and Technical Assistance Center. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Compliance with Ethical Standards

Conflict of interest

The authors declare they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Organizational IdeasBlacksburgUSA
  2. 2.Division of Health and EnvironmentAbt AssociatesCambridgeUSA
  3. 3.Institute for Global Health and Infectious DiseasesUniversity of North Carolina at Chapel HillChapel HillUSA
  4. 4.Virginia Department of HealthRichmondUSA
  5. 5.Wisconsin Department of Health ServicesMadisonUSA
  6. 6.Center for AIDS Intervention ResearchMedical College of WisconsinMilwaukeeUSA
  7. 7.UCSF Prevention Research CenterUniversity of CaliforniaSan FranciscoUSA

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