Following successful merger with st. Louis effort for aids (efa) in missouri in September, 2018, vh now operated in st. Louis, missouri, denver, colorado, and throughout the state of wisconsin. Across all locations, vh now serves more than 7,110 patients and clients. In fy 2019, vh provided $4,730,134 worth of uncompensated care, and provided 10,229 medical care appointments, 4,841 dental appointments, 7,138 behavioral health and wellness appointments and filled more than 128,750 prescriptions. More than 90% of patients rate the care they receive as good or very good. The vh medical center provides patients with the following: medical care that includes medical management of HIV disease, primary care for general health conditions, diagnosis and treatment of other chronic and co-morbid conditions, psychiatry, including telepsychiatry for the patients living considerable distances from their mental health provider, medication adherence counseling including drug interaction and side effect counseling, HIV prevention education and counseling including pre exposure prophylaxis for HIV-negative individuals, and referrals and close monitoring for needed specialty care; dental care services that include preventative and restorative care, oral health education, cleanings, fillings and dental prosthetics, partial and full dentures and oral surgery; behavioral health care services that include mental health screenings and treatment, neuropsychological testing, alcohol and other drug treatment and individual and group counseling and wellness programs; medical case management that assures successful health outcomes by enrolling patients into care, identifying and securing health care payer sources when available, providing medication and appointment adherence counseling, ensuring patient referrals to specialty care are completed, conducting HIV prevention counseling and assisting patients in accessing other needed services; vh pharmacy dispenses medications and medication adherence counseling is available to all HIV patients, regardless of ability to pay through the integrated vh pharmacy and its medication assistance program. Health care providers are also able to utilize the expertise of vh pharmacists in providing care to their patients. In 2019, vh also expanded access to pre-exposure prophylaxis - a biomedical intervention that is more than 95% effective at preventing HIV uptake- to more than 925 patients.

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