Highlights from the Field: NCC Mini-Grants


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Presented at the 2010 National Chlamydia Coalition meeting

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Highlights from the Field: NCC Mini-Grants

  1. 1. National Chlamydia Coalition Mini-Grants Overview: Reports From The Field Washington, DC October 28, 2010
  2. 2. Mini-Grants Across the Country  Projects in New York, Pennsylvania, Michigan, Minnesota, Washington state, Virginia, Maryland, and Illinois  Indian Health Service, tribal and urban American Indian and Alaska Native health programs in Alaska, Arizona, and Oregon 2
  3. 3. Background on the Grants  With funding from CDC, Partnership for Prevention provided up to $10,000 to regional, state or local organizations  Grants up to one year in duration that must be completed by July 2011  Sixty-three organizations submitted proposals, with ten selected for funding 3
  4. 4. Purpose of the Grants  To fund innovative strategies to increase chlamydia screening and follow-up care  To encourage collaboration among NCC partners at the local level  To disseminate lessons learned  To encourage replication of successful models 4
  5. 5. Variety of strategies, settings and audiences  Use strategies including public awareness, provider outreach and coalition-building  Settings include primary care offices/clinics, high schools and colleges, juvenile justice system, community-based organizations, and the media  Reach populations with high prevalence and low rates of screening 5
  6. 6. Projects Currently Underway  Most projects are at the mid-point; final results not yet available  Today you’ll get a quick snapshot of their project designs  Some might share sample materials and initial findings  Performance measures are built into every project. When completed, results and lessons learned will be disseminated 6
  7. 7. Minnesota Department of Health Candy Hadsall, RN, MA March 1, 2010 – March 1, 2011 State of Minnesota Minnesota Department of Health, based on an effective model for coalition-building, has organized the first statewide Minnesota Chlamydia Partnership to encourage a wide range of organizations to offer chlamydia screening and treatment. Minnesota Chlamydia Partnership and Summit
  8. 8. 8 Minnesota Chlamydia Partnership •MCP: created in March 2010, 34 meetings held Jan-Sept, Steering Committee planned & led Summit, leading workgroups Sept - March. •Minnesota Chlamydia Strategy: workgroups drafting actions for statewide strategy, MDH staff creating outline and format •Summit: Overall attendance was 275, exceeding original objective of 100. 144 in St. Paul, and 131 in nine satellite (rural) locations. 16% were youth. Represented wide range of organizations, with most from non-profits, local or city public health department, public health clinic, or private clinics. • Participant evaluation of Summit: 88% said their primary objective for attending the meeting was fulfilled. 33% said they volunteered to be part of workgroups. 100% want to stay informed
  9. 9. 9 Minnesota Chlamydia Partnership
  10. 10. 10  #1: Healthy sexuality information needed  Consistent, positive messages everywhere  Messages that cover lifespan, deal with sexuality issues as adolescent AND as adult  Mandatory Comprehensive Sexuality Education in all types of schools; health ed in colleges  #2: Testing for CT, GC should be routine  #3: Need funding – testing, treatment, prevention, EPT, partner notification Summit Feedback
  11. 11. 11 5 Strategy Workgroups  Educate teens, parents, teachers; primary focus: get CSE in schools  Educate providers  Build awareness in all other areas of communities  Affordable testing  Access to testing
  12. 12. ODU Chlamydia Project Old Dominion University Jenny Foss & Kim Cholewinski June 1, 2010 – May 31, 2011 Norfolk, Virginia Old Dominion University Research Foundation, through Old Dominion University’s Student Health Service, is implementing a multi-faceted project to increase chlamydia awareness, screening and treatment at ODU and in the surrounding Tidewater region of Virginia.
  13. 13. Enhanced Chlamydia Screening in the Medical Home American Academy of Pediatrics New York State Chapter 1 Gale R Burstein, MD, MPH, FAAP March 2010 – February 2011 Western New York State University at Buffalo, State University of NY: Three pediatric offices, located in western New York State, are pilot-testing an intervention designed to enhance the delivery of comprehensive and confidential adolescent preventive care, including sexual health services.
  14. 14. Question N = 84 Male Female I have provided info on Sexual Health 26.3% 8.7% Counseled about contraception 40% 30.4% Ordered HIV test 0% 0% Ordered Chlamydia test 0% 0% Mid-sized suburban/rural peds practice Question N = 58 Male Female I have provided info on Sexual Health 66.7% 94.3% Counseled about contraception 100% 97.2% Ordered HIV test 0% 0% Ordered Chlamydia test 0% 41.7% Large suburban peds practice Question N=54 Male Female I have provided info on Sexual Health 100% 89.9% Counseled about contraception 100% 77.8 Ordered HIV test 33.3% 0% Ordered Chlamydia test 83.3% 55.6% Small urban peds practice
  15. 15. Illinois SBHC Screening during Sports Physicals Uplift School Health Center Children’s Memorial Hospital Cynthia Mears DO FAAP May 2010 to May 2011 Chicago, IL Children’s Memorial Hospital, Uplift School Based Health Center. is adding free chlamydia and gonorrhea screening to student athletes’ pre- participation sports physicals provided at five school-based health centers in the Chicago and rural Illinois areas.
  16. 16. Illinois SBHC Screening during Sports Physicals • Population(s) reached: 4 SBHC populations 1 suburban, 2 rural, 2 different parts of the city • Setting(s) for implementation: All SBHC or school linked Health Centers • Partners: IL Dept of Human services and IL Dept of Public health
  17. 17. Illinois SBHC Screening during Sports Physicals • Key project components: • Students are given a “did you know” handout of adolescent health issues which includes information on Chlamydia and getting tested. • Students are asked once in the exam room if they would like to be tested for the Sexually transmitted Infections, Gonorrhea and Chlamydia. • Forms were developed by the IDPH and IL DHS to track yes and no responses. • If yes then urine screening is done and sent to the state lab and is recorded in Clinical
  18. 18. Chlamydia Practice Improvement Project (CPIP) Michigan Department of Community Health (MDCH) Project Director: Amy Peterson Project Coordinator: Nancy Deising Grant Cycle: 4-1-10 to 3-31-11 You’re an Essential Piece Michigan Department of Community Health (State of Michigan) has partnered with Molina Healthcare, the largest Medicaid managed care provider in Michigan, to adapt an award-winning, culturally-specific awareness model to increase chlamydia screening among female plan members age 16-24 in southeastern Michigan, including the city of Detroit.
  19. 19. CPIPProgramComponents  Provider Identification and Enrollment  On-Site Provider Meetings  Provider Follow-up and Incentives  Patient Education  Targeted Client Incentives You’re an Essential Piece
  20. 20. Data  2009 Baseline Data:  Females16-24 year old  Continuously enrolled in Molina  Sexually active  2009 CPIP Baseline: 38.26% (N=20 sites)  Only 14 out the 20 sites are participating  Molina Statewide 2009: 63.2%  Michigan Medicaid Statewide 2009: 61.5%
  21. 21. Adolescent Rights  Understanding Your Childs Rights to Confidential Health Services:  Handout  Laminated Flyer  Plastic Placard  Placard-Frame  Minor Consent for Care and Confidential Health Information Handout  Michigan Minor Consent Law  Brochure  Minor’s Rights to Confidential Health Services  Order Form
  22. 22. Items  Provider Toolkit  Focus on HEDIS  Member Mailing  “It’s Tim e fo r Yo ur Ye arly Me dical Exam ”  Includes member incentive for project  GYT Brochure created by MDCH
  23. 23. Planned Parenthood of Greater Washington and North Idaho Amy Claussen – VP of Education and Professional Training Maria Razo March 2010 - January 2011 Yakima, Washington Planned Parenthood of Greater Washington and North Idaho is expanding its current Pro m o to ras de Salud or “promoters of health” sexual health education program to focus on chlamydia-specific grassroots outreach within the Latino/a community in Yakima County. Promotoras de Salud
  24. 24. Adagio Health Tony Felice June 1, 2010 – May 31, 2011 Pittsburgh, PA Second Quarterly Call September 22, 2010 Adagio Health, Inc., using GIS mapping to identify communities at high risk for chlamydia, is targeting residents of a low-income housing project with focus-group tested materials and chlamydia testing and treatment in alternative community settings. Community Approach to Increasing Chlamydia Screening
  25. 25. An outline of the Northview Heights Program  Using GIS mapping of chlamydia cases, the area of focus was selected in Allegheny County  A health center was already doing some chlamydia/gonorrhea screening—positivity has been above 12%  Focus groups were utilized to develop messages and determine the best places to screen and when  Since the project began there have been several stumbling blocks  The Allegheny County Health Department and the PA 32
  26. 26. Allegheny County Map of Reported Chlamydia 2009
  27. 27. Weaving Systems of Care Center for Health Training Wendy Nakatsukasa-Ono May 1, 2010 – April 30, 2011 Regions VIII, IX and X/National The Center for Health Training and its partners are developing, testing and disseminating a toolkit to guide the standard delivery of STD care to American Indian and Alaska Native people.
  28. 28. Jackson County Health Department Kathy O’Laughlin, RN, MS 5/1/2010-4/30/2011 Murphysboro, IL Jackson County Health Department is implementing a provider outreach program to encourage routine chlamydia screening in private pediatric, internal medicine, and family practices, along with a peer mentor program to increase public awareness about chlamydia. Promoting Chlamydia Screening in a Rural Area
  29. 29. CATCh: Community-based Adolescent Testing forChlamydia Maryland Department of Juvenile Services Jennifer Maehr, MD Jessica Burns, RN Abigail Donaldson, MD July 1, 2010 - June 31, 2011 Baltimore, Maryland Second Quarterly Call September 22, 2010 Maryland Department of Juvenile Services is providing chlamydia and gonorrhea screening, treatment, and education through case management and somatic health staff for at least 500 Baltimore juvenile justice youth who are under community supervision.
  30. 30. 37 CATCh: Community-based Adolescent Testing for Chlamydia Objectives Performance Measures Screen at least 500 youth in 12 months for CT and GC with “free” urine NAA testing during participation in community supervision. Track # tests done and report prevalence of CT and GC in male and female youth at DERC and FIT programs, compare to detained youth. Provide individual STI counseling, family planning information, condoms, on-site treatment, and referrals for additional care and partner treatment. Track services provided. Develop resources to provide to youth and to refer. Provide 4 group education sessions for the youth: Survive Outside/Making Proud Choices Curriculum. Staff training on Survive Outside. Track # of sessions given to youth. Train case managers and program staff on adolescent reproductive health, STIs, and risk reduction. Development of training, # Staff trained, # sessions given. Survey youth and staff for satisfaction with the program and resources offered. Develop and give satisfaction surveys.
  31. 31. 38 CATCh: Preliminary Results July 1-October 15 Site & Client Sex Potentia l Clients Total Tests Done +CT # (%) +GC # (%) # Treated on-site FIT unit Female 250 girls w/ visit to case manager 41 by case managers 9 (22%) 2 (5%) 9 by RN or MD DERC Male 149 youth enrolled 110 by nurses 8 (7%) 1 (1%) 4 by RN Total 399 151 17 (11%) 3 (2%) 13
  32. 32. 39 CATCh: Preliminary Results FIT Unit July 1-October 15, 2010 # Clients with Post-Test MD/RN On-Site Visit at FIT # Pregnancy Tests Done On-Site # Youth Administered EC On-Site # Youth Given EC as Advance Provision # Youth Referred for Additional Services 24 (remaining clients receive results by phone) 11 (all negative) 5 14 12
  33. 33. For further information on the NCC Mini-Grants, please see www.prevent.org/ncc Washington, DC October 28, 2010