Ensure patient care continues with recommended COVID-19 safety precautions in place.

Maintain patient access to navigation support and linkage to needed resources.

Offer virtual youth engagement opportunities to strengthen patient connections and supports despite limited in-person outreach.

Discontinue walk-in HIV/STI testing.

Offer free home HIV testing option.

Develop call-in testing protocol with assigned testing times.

Begin preappointment COVID-19 screening.

Increase use of telehealth as appropriate.

Shift to providing virtual navigation support.

Obtain remote access to electronic health record.

Initiate use of online referral management systems to improve linkages and tracking.

Increase use of phone, text and email outreach.

Leverage digital platforms to share youth-friendly resources.

Increase frequency of youth engagement events.

Increase incentives for youth participation in engagement events.

Transition to virtual engagement, including monthly youth advisory boards on Zoom and Q&A sessions on Facebook Live and Instagram.

Schedule weekly virtual leadership meetings to review operations and discuss plans for continuous improvement.

Monitor testing and appointment numbers to ensure patient needs met.

Track case finding rates for STIs/HIV.

Record virtual outreach experiences with each patient interaction.

Assess challenges reaching youth by phone and test process improvements to overcome.

Track patient resource needs monthly and use to inform updates to resource directory.

Track patient referrals, number of outreach attempts and patients lost to follow-up.

Obtain youth feedback during virtual meetings and via social media and use to inform topics for online Q&A sessions and youth forums.

Track analytics of new social media efforts.

Measure changes in the types of referrals from youth resource navigator.

Track board meeting attendees, social media postings and social media engagement metrics.

Hold trainings and issue guidelines for staff on use of technology during COVID-19.

Develop innovative and socially distant HIV/STI testing events with community partners.

Increase dissemination of health education materials on social media.

Increase collaboration with providers to facilitate connections with patients during visits.

Update online resource directory to highlight telehealth options and resources of highest need during COVID-19.

Change patient intake form to include email address and best time to contact.

Disseminate COVID-19 resources in new virtual newsletters.

Strengthen partnerships with agencies providing services to support online referrals.

Hold monthly youth advisory board meetings on COVID-19 related topics to meet youth needs.