Where Are They Now? Q & A with Dr. Bailey Agee

By: Chelsea Schneider, PharmD, BCPS

Dr. Bailey Agee, PharmD

Dr. Agee is an Outpatient Infectious Diseases Pharmacy Specialist at Carilion Clinic. He completed his PGY-1 residency at Self Regional Healthcare and his PGY-2 at Cone Health Moses Cone Hospital. His interests include Human Immunodeficiency Virus (HIV), and Outpatient Parenteral Antimicrobial Therapy. 

Recent Research includes: Evaluation of Routine Admission Human Immunodeficiency (HIV) Screening at a Not-for-Profit Healthcare Network

The objective of this study was to assess an EHR-embedded, automated HIV screening program with a direct Infectious Disease referral.

This study identified numerous new diagnoses and patients previously out of care, surpassed CDC cost‑effectiveness thresholds, and facilitated high rates of antiretroviral initiation across a not‑for‑profit healthcare network. By streamlining the screening process within admission workflows and automating ID referrals, the study demonstrated significant improvements in linkage to care and more timely treatment initiation for both new and out-of-care patients.

Questions:

1. Did this project change practice at your prior or current site?

While the original project was not published, the work informed ongoing quality improvement efforts. My current site is developing a similar systemwide initiative to expand HIV and STI screening, leveraging EHR tools and care pathways to make routine testing easier and more consistent across clinics.

2. What are the next steps or future research you’d like to see

I’d like to see more implementation research focused on routine HIV screening in ambulatory and primary care settings. Identifying best practices for embedding testing into outpatient workflows, measuring real‑world uptake, and evaluating linkage‑to‑care outcomes are critical next steps to close gaps in diagnosis and treatment.

Dr. Agee’s work underscores the power of EHR‑driven screening and automated referral to find undiagnosed patients and reengage those out of care. His ongoing efforts at Carilion Clinic aim to expand routine screening across outpatient and primary care settings to improve early diagnosis and timely treatment.

The MAD-ID ‘Where Are They Now?’ series highlights research presented at the MAD-ID Annual Meeting now published in the infectious diseases literature.