RAPID, Restart & Retention Committee

The overall goal of the RAPID (Rapid ART Program Initiative for HIV Diagnoses) program is to create a set of “hubs” around the city where persons newly diagnosed with HIV (or out of care) can rapidly access antiretroviral therapy (ART) and have a smooth transition to their medical home. In order to accomplish this goal, a RAPID steering committee established hub locations, standard operating procedure (SOP) for ART start, and SOP for transition to a primary medical home. The committee works with SF Department of Public Health surveillance (now “ARCHES”) to track the uptake and outcomes of persons participating in the program. We build on the existing LINCS programs at SFDPH to create and support hubs for rapid initiation of ART to individuals.

We start ART:

Within 48 hours –

  • If acute/early infection (recent negative Ab test, RNA+/Ab– or recent symptoms of acute retroviral syndrome) or
  • Evidence of advanced infection (opportunistic infection or a CD4 count of less than 200)

Within 5 days –

  • All other newly HIV-diagnosed persons

The program aims to provide ART for up to 5 days for these individuals until they are transitioned into their medical home.

RAPID Resources

Ward 86 shares clinic HIV Long-Acting Injectable Antiretroviral Protocol

Ward 86, established in January 1983, is a large HIV clinic based at San Francisco General Hospital at the University of California, San Francisco (UCSF). Ward 86 serves a publicly-insured and underinsured population of people with HIV and those at risk of HIV in the city of San Francisco. Purpose of this protocol Provide guidance…

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RAPID Program Resources

Below are San Francisco RAPID Program resources that can be adapted to your city or jurisdiction’s needs. Please contact the Co-Chairs of the GTZ-SF RAPID Committee Dr. Susa Coffey (susa.coffey@ucsf.edu) and Miguel Ibarra (miguel@sfcommunityhealth.org), if you have questions about any of these materials or would like to arrange a time to talk about our respective…

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[New Publication] Development of a Citywide Rapid Antiretroviral Therapy Initiative in San Francisco

Oliver M.L. Bacon, Susa C. Coffey, Ling C. Hsu, Jennie C.S. Chin, Diane V. Havlir, Susan P. Buchbinder, Development of a Citywide Rapid Antiretroviral Therapy Initiative in San Francisco, American Journal of Preventive Medicine, Volume 61, Issue 5, Supplement 1, 2021, Pages S47-S54,ISSN 0749-3797, https://doi.org/10.1016/j.amepre.2021.06.001.(https://www.sciencedirect.com/science/article/pii/S0749379721003615) Introduction Ending the HIV epidemic in the U.S. holds rapid antiretroviral…

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RAPID News & Updates

Ward 86 shares clinic HIV Long-Acting Injectable Antiretroviral Protocol

Ward 86, established in January 1983, is a large HIV clinic based at San Francisco General Hospital at the University of California, San Francisco (UCSF). Ward 86 serves a publicly-insured and underinsured population of people with HIV and those at risk of HIV in the city of San Francisco. Purpose of this protocol Provide guidance…

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2022 Spring Consortium Meeting: The Tenderloin – voices from the field

The San Francisco Getting to Zero Consortium convened last Thursday, May 19th. The Co-Chairs of the GTZ-SF Steering Committee, Dr. Susan Buchbinder and Dr. Diane Havlir, shared committee updates and updates on emerging clinical topics. Senior Community Mobilization Manager with the SF AIDS Foundation, Ande Stone, then gave a presentation on the HIV Community Budget…

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RAPID Program Resources

Below are San Francisco RAPID Program resources that can be adapted to your city or jurisdiction’s needs. Please contact the Co-Chairs of the GTZ-SF RAPID Committee Dr. Susa Coffey (susa.coffey@ucsf.edu) and Miguel Ibarra (miguel@sfcommunityhealth.org), if you have questions about any of these materials or would like to arrange a time to talk about our respective…

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