a Mountain West (MWAETC) Sea Mar Salmon Creek, WA Outstanding Attributes & Contributions: • Successfully transitioned from a practice transformation project (PTP) clinic to a Ryan White HIV/AIDS Program Part B & Part C funded clinic • Initiation of the Rapid ART Program ensured 100% of newly diagnosed patients received their first dose of medication within 7 days of diagnosis and achieved viral suppression within two months • After identifying unmet need, clinic champions built capacity for onsite high resolution anoscopy (HRA) for patients with HIV. Twenty- three patients were screened in 8 months, identifying 9 patients with abnormal anal cancer screening results, one of whom had HSIL and received treatment onsite Identified Need: • Improvements in HIV screening rates and rapid initiation of ART to address treatment barriers for newly HIV diagnosed patients Implementation: • Leveraged Oregon AETC support for capacity building and training on EMR system integration to increase HIV screening rates • Implemented the Rapid ART Program for newly diagnosed patients, supported by peer navigator program for patient engagement • Utilized on-site 340B pharmacy to increase access to HIV medication, with guidance from Oregon AETC • Launched pilot project for HRA for anal cancer screening to enhance preventive care measures 8