Rapid Start for HIV care is TriYoung’s secure, web-based system that enables both Ryan White-funded and non-funded clinics to rapidly initiate antiretroviral therapy (ART) for newly diagnosed HIV patients or those re-engaging in care. The system streamlines ART tracking, automates performance reporting, and supports “Getting to Zero” initiatives through real-time data collection and standardized metrics across entire jurisdictions.

Designed specifically for HIV care providers, Rapid Start eliminates duplicate data entry, ensures HIPAA compliance through automatic deidentification, and integrates seamlessly with CAREWare while providing standalone functionality for non-Ryan White clinics.

What is Rapid Start?

Rapid Start addresses the critical challenge of tracking ART initiation across diverse HIV care networks. It serves as a unified platform where all clinics, regardless of Ryan White funding status, can contribute to centralized reporting while maintaining strict privacy protections and regulatory compliance.

The system operates through secure, clinic-specific domains and automatically calculates key performance measures including Time Zero Date to ART initiation, ART to viral suppression timelines, and retention in care indicators that align with federal standards.

Key Features and Benefits of Rapid Start

  • Rapid ART Access & Tracking

    • Tracks key events: diagnosis, intake, ART start, viral suppression
    • Enables real-time ART start timelines: TZD to ART, ART to VLS
    • Ideal for newly diagnosed or out-of-care clients

  • Secure and Deidentified Data Management

    • Names are randomized and PHI is excluded by default
    • TLS encryption + 2FA login (Google Authenticator)
    • Only entering provider has access to identifiable data

  • Standardized Reports & Metrics

    • Output matches CAREWare formats
    • Auto-calculates outcome benchmarks
    • Supports real-time dashboards for programs or jurisdictions

  • Inclusive of All HIV Care Clinics

    • Ryan White and non-RW clinics can use it
    • No full CAREWare installation required
    • Easy onboarding for new, smaller, or nontraditional providers

How Rapid Start Works

Rapid Start streamlines data collection across diverse provider networks through a secure, web-based platform. The system integrates seamlessly with existing CAREWare installations for Ryan White-funded clinics while providing standalone functionality for non-funded providers.

System Architecture for HIV Care Providers

For Ryan White-funded clinics, Rapid Start maintains bidirectional data exchange with CAREWare, eliminating duplicate data entry while preserving robust reporting capabilities. Non-Ryan White clinics access the system through a standalone interface requiring no additional infrastructure investment.

The system automatically handles data deidentification for non-Ryan White providers through randomized name generation and exclusion of personally identifiable information, ensuring comprehensive data collection while maintaining strict privacy protections.

Our 5-Step HIV Care Workflow

HIV diagnosis or referral from testing sites, emergency departments, FQHCs, or specialized clinics. Providers establish the Time Zero Date (TZD), the first date the healthcare system becomes aware of the client’s need for HIV care, serving as the baseline for all performance measurements.

Complete intake including confirmatory HIV testing, baseline labs (CD4 count, viral load, resistance testing), psychosocial evaluation, insurance verification, and ART planning. Rapid Start captures all relevant data points including barriers that might impact treatment initiation.

Following rapid start protocols, ART initiation often occurs on the same day as intake. Providers document starter pack distribution, prescription details, medication counseling, and any special considerations affecting immediate ART start.

Ongoing laboratory monitoring including follow-up CD4 counts, viral load measurements, and adherence assessments. Providers document medication changes, side effects, and adherence support interventions to achieve HIV viral suppression.

Automatic calculation of critical performance measures including days from Time Zero Date to ART initiation, time from ART start to viral suppression, and retention indicators for immediate dashboard access and program improvements.

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Real-World Impact of Rapid Start HIV Care System

Case Study – Clark County, Nevada HIV Care Program

“We had 274 people enter through the Rapid Start program last year. The median number of days from diagnosis or referral to intake was seven. And from intake to ART initiation? Zero. People are getting connected and started on ART the same day as their first appointment.” — Heather Shoop, Office of HIV, Clark County Social Services

HIV Care Results (Mar 2023 – Feb 2024)

  • 274 individuals newly diagnosed or returning to HIV care
  • Median 7 days: HIV diagnosis/referral to intake
  • Median 0 days: intake to ART start
  • Median 51 days to HIV viral suppression

What Makes Rapid Start Unique for HIV Care?

Compared to Traditional HIV Care EMR Reporting

  • Automatically deidentifies data
  • Standardizes metrics for consistent jurisdictional analysis
  • Eliminates reliance on costly or delayed EMR extracts
  • Simplifies onboarding for any provider

CAREWare Integration

“We didn’t throw a new system into the mix. We read and pushed data from CAREWare. It’s the same data providers already have to report, just shown differently—cleaner and faster.”
— Julie Young, President, TriYoung, Inc.

Frequently Asked Questions

Both Ryan White–funded and non-funded HIV care providers needing a secure, standardized way to report ART initiation and outcomes.

Yes. HIV clinics without CAREWare can access Rapid Start via a secure domain. It functions independently but integrates when needed for reporting.

Data is deidentified unless entered by a Ryan White clinic. TLS encryption, 2FA login, and role-based access ensure HIPAA compliance for all HIV care information.

Standardized outcome reports (TZD to ART, viral suppression, etc.) for any reporting period, all aligned with federal metrics.

Built-in client matching and calculated IDs minimize duplicates across providers and domains.

The interface is tab-based, intuitive, and supported by TriYoung through manuals, user agreements, and onboarding.

It provides real-time HIV care data for early intervention, enables ART tracking, and supports data-driven public health strategies for HIV elimination.

Yes. It’s used across multiple HIV clinics in Clark County and can scale across jurisdictions using clinic-specific domains for comprehensive coverage.

Implementation and Support for HIV Care Providers

TriYoung supports providers and jurisdictions with:

  • Domain and system setup for networks
  • Access configuration and onboarding for staff
  • A comprehensive Rapid Start Manual for workflows
  • Ongoing support and maintenance for systems
  • Integration support with CAREWare for reporting

Some HIV care clients also build a Rapid Start Learning Collaborative or deploy a Rapid Start Response Team to assist smaller or new HIV clinics.

“Built for Everyone” – All HIV Care Providers

“Heather’s dream was not just to have Ryan White–funded providers involved—it was to include any provider that served HIV clients. So we built a system that works for everyone.”
— Julie Young, President, TriYoung, Inc.

Rapid Start supports all providers:

  • FQHCs and non-traditional HIV service clinics
  • EHE-funded mental health or peer navigator providers
  • Any agency supporting HIV linkage, ART, or early care

Ready to Streamline Rapid ART Reporting for Your HIV Care Program?

Rapid Start reduces the time from HIV diagnosis to care, standardizes HIV outcomes, and works across every clinic in your network.

Contact TriYoung Today to schedule a demo or jurisdiction setup consultation for your HIV care program.