Transcript NJ Department of Health & Senior Services

New Jersey
Department of Health
& Senior Services
Division of HIV, STD and TB Services
(DHSTS)
CTR Coordinator’s Meeting
April 20, 2011
Agenda

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
Welcome & Introductions

Welcome


Assistant Commissioner


Maureen Wolski
Connie F. Meyers
Director, Prevention and Education
Unit

Steve Saunders, M.S.
 Unit Staff Introductions
Statistical
Overview
CTR Data Processing Overview



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
• Review
• Scanning
• Validation
• Interpretation
• Submission to CDC
• Verification
• Analysis and Reporting
CTR Data Challenges

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)
EvaluationWeb

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
SAGE
Update
Rollover of New Grant
Amendment/Revision Process
Training
Update
HIV Basic Facts



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
Training Opportunity

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
Registration Process

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 – Newark
Registration Process
Rutgers – http://hpcpsdi.rutgers.edu
E-mail to PMO
Registration closes – 1 week prior or when 35
individuals have registered

*** Register by May 10th ***
Attachment C
Requirements
Linkage Agreements
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, and
signatures 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).
Personnel Changes




Report to PMO within 2 days
Written Justification Required to Fill a Vacancy
Recommendation by PMO
Approval by DHSTS
Resource Directory

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
Update
Every
July
Workgroup Meetings by Initiative

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
Laboratory Update

New Division Name



Courier Service Update



Update
Problems or Issues
Specimen Collection




Public Health Infrastructure, Laboratories and
Emergency Preparedness – PHILEP
Moving to New Facility
Gold top tube for primary sampling
Requisition form/sample ID mismatches
What do you need from us?
Supplies



Martha Smith –
Director, Policy Planning and Regulatory
Compliance
609-292-7783
Blood Collection Tubes
Requisitions
Shipping containers
Mary Efstathiou –
PHILEP – HIV Coordinator
609-984-9318 or 609-292-7013
Syringe Access Program
Access to Reproductive Care
and HIV Services (ARCH)
Nurses
Dr. Sindy Paul
Access to Reproductive Care
and HIV Services (ARCH)



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
Collaborative Program

Funding from multiple sources




CDC HIV Prevention Cooperative Agreement
STD Program - Infertility Prevention
Program
TB Program
Collaboration with NJDHSS, FXBC, and
CBOs
Program Development





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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
Services Provided – Harm Reduction



Sexual risk reduction
Safer injection education
Reproductive health counseling



Overdose prevention counseling
Nutritional counseling

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Including preconception counseling
Food bags available
Other educational support
Services Provided – Lab Testing

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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 – Adult
Immunizations




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Twinrix (hepatitis A & B)
Diptheria, tetanus, pertussis
Flu
Pneumococcal
Gardisil
Other Services




Wound assessment and care
Drug treatment referral
TB screening
Narcan
Results 2010

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

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
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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
Anecdotes
Numbers Don’t Tell The Whole Story


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.
Anecdote

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.
ARCH Summary



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.
RWJ Update
Report Card
Project Update