Provide basic PrEP/HIV prevention education to ALL clients, not just those who fit certain "risk profiles" or "target populations". Universal education reduces stigma by normalizing sexual health and increases access by expanding community-level awarness.

Choice among PrEP options increses uptake and persistance, but real choice requires that users fully understand their options.

Every experice and interaction a client has with medical care impacts them emotionally and cognitively. Small changes that demonstrate recognition, empathy, and prioritzation of a client's perepsctive can significantly improve outcomes and engagements.

Programs with a dedicated leader are better able to enact and sustain change. Implemenation data indicate that this champion is most effective when they have clinical authority, true decision-making power, and institutional clout.

Comprehensive PrEP provision can have a lot of steps and moving parts. Effectiive programs have: embraced task-shifting, cross-trained staff, redesigned clinic workflows, partnered with outside vndors for support and utilized electronic tracking tools.

Many PrEP options introduce a complex web of prior authorizations, a patchwork of payer policies, and inconsistent coverage under pharmacy or medical benefits. Clinics need dedcated staff and resources to manage these hurdels and reduce burdens for users, providers, and clinic staff.

"Risk"-focused langage is stigmatizing and alienating to potential user. Interest in and acceptance of PrEP is increased when HIV prevention is presented in the context of sexual wellness. Sexual expression, pleasure, and fulfillment are an integral part of overall health.

Clinics are most successful in enacting change when they clearly state the 'why'--their underlying rationale for clinical decisions and processes. Protocols are most succesful when they are developed as a practical expression of the clinic's commitments and mission.

Collaborative cultures -- including interdisciplinary team meetings, a problem-solving mentality, mutual respect, and shared mission -- are not only most effective for clients but aso demonstrate highest levels of staff satisfaction and lowest levels of burnout and turnover.

We need to measure what matters and learn from our successes and challenges. Clinics with standardize practices for collecting and reflecting on program data are able to improve their programs for greatest impact.

The strongest programs are flexible, responsive, and open to new developments as they arise.

Increasing PrEp access means going outside traditional delivery settings and forging new cross-disciplinary partnerships. PrEP providers have an opportunity and responisbility to reach new users by "thinking outside the box" and imagining new program models and settings.