Citation: Therapeutic Advances in Infectious Disease. 5(2):47-54, 2018 Mar.Journal: Therapeutic advances in infectious disease.Published: 2018ISSN: 2049-9361.Full author list: Crochet S; Huang CC; Fries M; Scott RK.UI/PMID: 29468056.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Washington Hospital Center | MedStar Health Research InstituteDepartment(s): Obstetrics and Gynecology/Maternal-Fetal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1177/2049936117753012 (Click here)ORCID: Scott, Rachel K https://orcid.org/0000-0002-1519-9222 (Click here)Abbreviated citation: Ther. adv. infect. dis.. 5(2):47-54, 2018 Mar.Abstract: Background: A case of mother to child transmission (MTCT) of HIV at a medical center in Washington, DC, resulted in the implementation of universal opt-out rapid testing of patients admitted for delivery. This article evaluates the policy's efficacy and implementation.Abstract: Methods: We evaluated the implementation using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework.Abstract: Results: We could not evaluate decrease in MTCT rate secondary to low sample size (n=3324) and no true-positive results. Patients not tested (n=458) were predominately secondary to physician omission (93.7%) and were more likely to be White (p<0.01) and older (p<0.01). There was a negative relationship with physician omission over time.Abstract: Conclusion: The policy was successfully implemented with decreasing proportions of patients not tested. Earlier inclusion of testing into standard admission orders and nurse-based approach may have expedited adoption. Given the low incidence of new HIV diagnosis in labor, we were unable to assess decrease in MTCT.