The goal of this clinical trial is to evaluate an intervention strategy in introducing screen/evaluate/treat (SET) procedures for HIV/ hepatitis C/ and Opioid Use Disorder in Primary Care Clinics in West Virginia. The main questions it aims to answer are: * What are the barriers and facilitators to integrating evidence based practices for screening and treatment of HIV, hepatitis C, and Opioid Use Disorder into primary care clinics in West Virginia? * To assess the extent to which our SET processes are achieved through enhanced EHR tools, NIATx (formerly known as Network for the Improvement of Addiction Treatment) facilitation and Extension for Community Healthcare Outcomes (ECHO)-supported collaborative learning? * Does implementing these services improve primary and secondary health outcomes for patients? Primary Care Clinics will participate in training and process improvement coaching to integrate these services. Using a step-wise design, 20 Primary Care Clinics will undergo the training and coaching in four groups of five clinics.
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Organizational Readiness and Staff Attitudes towards integration of OUD, HIV, HCV services into primary care clinics
Timeframe: Every 6 months for 24 months
Integration of services
Timeframe: 24 months
Number of patients screened for opioid use disorder (OUD)
Timeframe: 18 months
Number of patients initiated on medications for OUD
Timeframe: 18 months
Number of patients screened for HIV
Timeframe: 18 months
Number of patients initiated on antiretroviral medication (ART) for HIV
Timeframe: 18 months
Number of patients screened for Hepatitis C (HCV)
Timeframe: 18 months
Number of patients initiated on medication for HCV
Timeframe: 18 months
Number of patients prescribed PrEP
Timeframe: 18 months