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Division of HIV, STD and TB Services(DHSTS)
CTR Coordinator’s MeetingApril 20, 2011
New Jersey Department of Health & Senior
Services
Introductions
Statistical Overview
EvaluationWeb
SAGE Update
DHSTS Training Update
Attachment C Requirements Workgroup Meeting Update
State Laboratory Update
Syringe Access Program Update – ARCH Nurses
RWJ Update
Agenda
Welcome Maureen Wolski
Assistant Commissioner Connie F. Meyers
Director, Prevention and Education Unit Steve Saunders, M.S.
Unit Staff Introductions
Welcome & Introductions
StatisticalOverview
DHSTS receives 80,000 – 100,000 data forms annually
Thank you for submitting these forms in a timely manner
Forms are processed through the following stages:
• Sorting• Scanning• Interpretation• Verification
• Review• Validation• Submission to CDC• Analysis and Reporting
CTR Data Processing Overview
Coordinators: Continue to:
Review the data forms prior to mailing Send the data forms on time Follow instructions for positive results
Complete – Parts 1 (front & back), 2 and 3 Mail to the Surveillance Program, PO box 363, 4th Floor,
Trenton, NJ 08625-0363 Provide DHSTS with 3 weeks notice when requesting
data forms
DHSTS Data forms received vs. data forms reported (Monthly
Progress Report) Data forms received vs. clients tested (Robert Word
Johnson Report)
CTR Data Challenges
Direct Entry (internet) Data Collection and Reporting System User-Friendly Real Time Access to Data Customized Reports – easily generated
Electronic Authentication – Identity proofed by CDC Staff using the system will:
Go thru the authentication process Be required to have an active e-mail address Have to have a valid identification – drivers license
Pilot Programs have been identified 1 Emergency Department, 1 CTR – with ED & MU, 1 County Jail, 2
Community Health Centers, 1 Planned Parenthood (10 sites) Technical Assistance Provided – implementation, system requirement
assessments, electronic authentication of staff, on-going assistance
EvaluationWeb
Rollover of New GrantAmendment/Revision Process
SAGEUpdate
TrainingUpdate
A new direction – Ecourses Benefits of Ecourses Registration and Completion Process
Website – http://hpcpsdi.rutgers.edu Computer System Requirements Present –
HIV/AIDS Basic Facts Launch Date – Summer 2010
Future – Other courses being developed
HIV Basic Facts
Town Hall Meetings – Nationally & Locally What consumers are saying How we are responding
“Creating Safe Spaces & Places: A Primer for Increasing Provider Skills in the Reduction of HIV/AIDS Stigma, Bias and Discrimination”
Designed to focus on stigmatization & discrimination surrounding HIV/AIDS
Strategies will include individual reflection, group sharing and environmental scans and analyses
Develop plan that can be introduced into the workplace
Training Opportunity
Required to attend: All coordinators & counselors
Training Dates & Locations (2 day course) May 26 & June 15 – Rutgers – New Brunswick May 27 & June 16 – Rutgers – Newark June 10 & July 8 – Rutgers – NewarkRegistration Process
Rutgers – http://hpcpsdi.rutgers.eduE-mail to PMORegistration closes – 1 week prior or when 35 individuals have registered
*** Register by May 10th ***
Registration Process
Attachment CRequirements
Establish and maintain written linkage agreements with a variety of service programs for the purpose of client referrals.
Written linkage agreements must include:the services provided,the location where services are provided,the overall time period of the agreement,the method for verifying if the client has kept the appointment, andsignatures of the responsible individuals from each agency.
Client referrals will be documented in the client’s chart.
Verification if client kept the appointment will be documented in the client’s chart and on Reporting Form
Linkage agreements should be maintained with, but are not limited to: HIV/AIDS treatment, prevention service agencies, crisis intervention, health center, family planning/planned parenthood, prenatal, financial/legal aide, substance abuse treatment, STD clinics, mental health treatment and support groups (HIV, battered women, grieving/bereavement, MSM, gay/lesbian/transgender).
Linkage Agreements
Report to PMO within 2 days Written Justification Required to Fill
a Vacancy Recommendation by PMO Approval by DHSTS
Personnel Changes
DHAS Resource Directory Maintained by Rutgers
Website – http://hpcpsdi.rutgers.edu Update Directory:
On Website Page Resource Directory
Search Database Div of HIV/AIDS Services Planning Bodies National Organizations Resource Index Download Directory Directory Update Form
Complete Form Fax or E-Mail
Resource Directory
Update
Every
July
Purpose Bring Agencies Providing Similar Services
Together to Identify Site Specific Issues & Concerns (i.e., security, promoting testing, access to patients)
Goal Thru Networking - Address Issues/Concerns
and Explore Ways to Minimize Problems
Workgroup Meetings by Initiative
New Division Name Public Health Infrastructure, Laboratories and
Emergency Preparedness – PHILEP Moving to New Facility
Courier Service Update Update Problems or Issues
Specimen Collection Gold top tube for primary sampling Requisition form/sample ID mismatches What do you need from us?
Supplies Blood Collection Tubes Requisitions Shipping containers
Laboratory Update
Martha Smith – Director, Policy Planning and Regulatory Compliance609-292-7783
Mary Efstathiou – PHILEP – HIV Coordinator609-984-9318 or 609-292-7013
Syringe Access Program
Access to Reproductive Care and HIV Services (ARCH)
NursesDr. Sindy Paul
Medical outreach nurses to provide primary care and harm reduction services
Target population: IDUs CBOs in association with SAP
Atlantic City Camden Jersey City Newark Paterson
Access to Reproductive Care and HIV Services (ARCH)
Funding from multiple sources CDC HIV Prevention Cooperative Agreement STD Program - Infertility Prevention Program TB Program
Collaboration with NJDHSS, FXBC, and CBOs
Collaborative Program
Educational process for nurses Didactic educational sessions & problem
solving Development of educational materials Template medical record Standing orders Data collection tool –Weekly Report Web-site – in progress
Program Development
Sexual risk reduction Safer injection education Reproductive health counseling
Including preconception counseling Overdose prevention counseling Nutritional counseling
Food bags available Other educational support
Services Provided – Harm Reduction
Pregnancy (point-of-care) HBV HCV Chlamydia GC HIV testing by CTR (RTA) Referral for treatment for all positive
tests Note: on-site Chlamydia and GC treatment
Services Provided – Lab Testing
Twinrix (hepatitis A & B) Diptheria, tetanus, pertussis Flu Pneumococcal Gardisil
Services Provided – Adult Immunizations
Wound assessment and care Drug treatment referral TB screening Narcan
Other Services
Number persons seen – 2,495 Female 1,157 Male 1,336 Transgender 2
Harm reduction visits Safer injection 1,255 Sexual risk reduction 629 Overdose prevention 336
Results 2010
Wound care 542 Other educational support 799 Pregnancy tests 137
Positive 23 Referred for prenatal care 32
Drug treatment referral 31 Other referrals 405 Twinrix 1 Other vaccines 27
Results 2010
At one site, the nurse reported that male SEP participants are bringing their pregnant girlfriends in to speak with the nurse, presenting an opportunity to link pregnant women at HIV risk to prenatal care.
At another site, a past SAP client returned to confirm her pregnancy and discuss options for prenatal care.
AnecdotesNumbers Don’t Tell The Whole Story
A woman tested positive for pregnancy and expressed fear, which turned into excitement when she learned about methadone maintenance. Client had been unaware of the resources available for pregnant women, and reported that she could not wait to begin treatment the following morning, since “it is not just me anymore!” Client reported that she had wanted to get pregnant, but she and her boyfriend had believed that they could not get pregnant due to possible fertility issues. Client reports that she has missed one period, which was due at the beginning of February. Client was admitted for methadone treatment and prenatal care.
Anecdote
ARCH nurses established ongoing patient relationships with very high-risk persons.
Often, the nurses’ teaching safer injection practices opened the initial door to this relationship.
The harm reduction environment supported clients’ return visits to the nurses for health education & to the SAP.
ARCH Summary
RWJ Update
Report Card
Project Update
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