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Mini-Grant First Quarterly Call_6.15.10


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  • Planner Parenthood birth control kit
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    • 1. National Chlamydia Coalition Mini-Grants First Quarterly Call First Quarterly Call June 15, 2010
    • 2. Agenda
    • 3. Weaving Systems of Care Grantee organization : Center for Health Training Project director : Wendy Nakatsukasa-Ono Grant period : May 1, 2010 – April 30, 2011 Geographic location : Regions VIII, IX and X/National First Quarterly Call June 15, 2010
    • 4. Weaving Systems of Care
      • Population(s) reached:
        • Primary target audience = AI/AN people
        • Secondary target audience = Providers in I/T/U Indian health
      • Setting(s) for implementation:
        • Primary target audience = AI/AN people
        • Secondary target audience = Providers in I/T/U Indian health
      • Partners:
        • Alaska Native Tribal Health Consortium
        • IHS National STD Program
        • JSI Research & Training Institute—Region VIII IPP
        • Project Red Talon, Northwest Portland Area Indian Health Board
        • Phoenix Indian Medical Center
    • 5. Weaving Systems of Care
      • Key project components:
        • Develop a model protocol and decision tool/flowchart to guide standard delivery of STD care to AI/AN populations at risk for chlamydia and other STDs
        • Pilot this model protocol and decision tool/flowchart at ANTHC, PIMC and other selected sites in Regions VIII, IX and X
        • Disseminate these materials nationally to I/T/U Indian health programs for AI/AN people
    • 6. Weaving Systems of Care
      • Activities to date:
        • Drafted a model protocol
        • Drafted a model policy and standing orders
        • Format sexual risk assessment chart
        • Format STD screening recommendations chart
        • Format EPT considerations
    • 7. Weaving Systems of Care
      • July to September activities:
        • Finalize/format model protocol and policy/standing orders
        • Finalize/format decision tool/flowchart
        • Begin piloting of all materials
      • Areas for collaboration/assistance:
        • Conference call with Lisa Bargmann, Carl T. Curtis Health Center
        • Other pilot sites
    • 8. COMMUNITY APPROACH TO INCREASING CHLAMYDIA SCREENING Grantee organization: Adagio Health Project director: Maureen Utz Grant period: June 1, 2010 – May 31, 2011 Geographic location: Pittsburgh, PA First Quarterly Call June 15, 2010
    • 9. Community Approach to Increasing Chlamydia Screening
      • Population(s) reached:
          • Residents of Northview Heights, a public housing community
            • 1,016 residents
            • 98% are African-American
            • 71% are under the age of 30
            • 76% earn below $20,000 annually
          • Goal of screening 60% of residents ages 14 - 60
      • Setting(s) for implementation:
          • Non-clinical site within the community to conduct urine testing
      • Partners:
          • Urban League of Greater Pittsburgh
          • North Side Christian Health Center
          • Pennsylvania Department of Health
          • Allegheny County Health Department
    • 10. Community Approach to Increasing Chlamydia Screening
      • Geographic Information System (GIS) analysis to identify target area
      • Conducting focus groups to collect information about residents current knowledge and attitudes about chlamydia
      • Using focus group results to develop marketing campaign
          • Distinct messaging for adult men, adult women and adolescents
      • Using a non-clinical site in the community to conduct free screening
          • One day per week (four hours) for eight months
      • Providing free treatment for individuals with positive test results
      • Conducting process and outcome evaluations
    • 11. Community Approach to Increasing Chlamydia Screening
      • Activities to date:
          • GIS analysis
          • Focus groups (adult women, adolescent women, adult men)
          • Meeting with community partners
      • July to September activities:
          • Develop marketing messages
          • Begin distributing marketing materials
          • Begin screening and treatment
      • Areas for collaboration/assistance:
          • Already developed marketing materials
          • Tips for reaching men
    • 12. Chlamydia Practice Improvement Project (CPIP) Grantee Organization: Michigan Department of Community Health (MDCH) Project Director: Amy Peterson Project Coordinator: Nancy Deising Grant Period: 4-1-10 to 3-31-2011 Geographic Location: Southeast Michigan First Quarterly Call June 15, 2010 Essential Piece
    • 13. Chlamydia Practice Improvement Project Population(s) reached: Two target audiences: 1) Eligible female Molina Healthcare Medicaid managed care members age 16-25 residing in southeast Michigan (Wayne and Southern Oakland County), 2) Twenty (20) medical providers in practices with the largest number of eligible females. Setting(s) for implementation: Medical provider offices Partners: Molina Healthcare, Cincinnati STD/HIV Prevention Training Center, National Coalition of STD Directors, Health Care Education and Training, Region V Infertility Prevention Program, and Health Disparities Reduction and Minority Health Section, MDCH Essential Piece
    • 14. Chlamydia Practice Improvement Project
      • Key project components:
      • Client focus groups to identify barriers to screening from the member perspective.
      • 2. Introductory Dinner/Workshop for targeted providers.
      • 3. On-site Provider Meetings (OPMs) with high volume providers (N=20) to assess current practices and develop site specific program improvement plan.
      • 4. Statewide educational mailing to eligible female Molina members (N=9,000)
      • 5. Targeted mailing, with incentive, to southeast Michigan Molina members (N=350) who have not been screened for chlamydia by late in the intervention cycle.
      • 6. 3 and 6 months follow-up visits with targeted providers.
      • 7. Designation of the top performing site as “Site of Excellence”.
      Essential Piece
    • 15. Chlamydia Practice Improvement Project
      • Activities to date:
      • Focus Group:
        • Discussion guide created and submitted for state (Medicaid) for approval.
        • Invitation and reminder letters were created.
        • Invitation letters were mailed to female Molina members.
        • Focus groups scheduled for June 29, 2010.
      • Physician’s Kick-Off Event:
        • Sponsor secured - Gen-Probe.
        • Kick-off event invitations and incentives have been ordered.
      • On-Site Provider Meetings (OPMs):
        • Sub-committee formed to plan OPM - Created a spreadsheet of the participating providers, a project binder for the initial OPMs, and selected provider theme: Essential Piece .
      • Team Training: Facilitating Effective Practice Improvement Visits held June 3, 2010.
      • Project name contest - on-going.
      Essential Piece
    • 16. Chlamydia Practice Improvement Project
      • July to September activities:
        • Monthly team meetings
        • Project name announcement
        • Physician’s Kick-Off Event
        • Conduct On-site Provider Meetings (OPMs)
        • Mail educational materials to eligible female members
        • Conduct 3 month follow-up visits with targeted providers
        • Identify top performing sites as “Site of Excellence”
      • Areas of collaboration/assistance:
        • 1. Health Care Studies at Michigan State University - Create the focus group guide and conduct focus groups
        • 2. Jackson County Health Department, Jackson County, Illinois - Contacted regarding work with physicians offices
        • 3. NCC - Reviewed focus group guide and provided suggestions for project name
      Essential Piece
    • 17. MINNESOTA CHLAMYDIA PARTNERSHIP AND SUMMIT Grantee organization: Minnesota Department of Health Project director: Candy Hadsall, RN, MA Grant period: March 1, 2010 – March 1, 2011 Geographic location: State of Minnesota First Quarterly Call June 15, 2010
    • 18. Minnesota Chlamydia Partnership
      • Population(s) reached:
        • Broad cross-section of people – youth and adults - in MN who are interested in youth and issues that affect them
      • Setting for implementation:
        • Statewide
      • Partners on Grant: PPMNS; U of MN Women’s Health Program; Teen Age Medical Services (TAMS); City of Minneapolis Dept of Health and Family Support; Hennepin Co. Dept of Health and Human Services
    • 19. Minnesota Chlamydia Partnership and Summit
      • Key project components:
        • MDH plan and develop coalition using community organizing principles
        • Form Steering Committee including external partners
        • Hold Summit; simultaneous meetings in multiple sites in Greater MN via video conferencing
        • Partnership and workgroups develop statewide strategy to reduce rates and prevent CT and GC
        • Strategy presented to stakeholders
        • Stakeholders implement plan
    • 20. Minnesota Chlamydia Partnership and Summit
      • Activities to date:
        • Steering Committee has met multiple times
        • Summit agenda is nearly final
        • Hired consultants to assist w/mtgs and Summit
        • Created marketing materials incl web pages
        • Contacting community groups and LPH
      • July to September activities:
      • Hold Summit – August 3, 2010
      • MCP meets to evaluate Summit
      • First meetings of workgroups
      • Areas for collaboration/assistance: Evaluating Summit, planning next steps, format for plan
    • 21. Mark your Calendar SAVE THE DATE... Please plan to join us August 3, 2010 Statewide Summit to Address Chlamydia in Minnesota
      • The Summit will provide an opportunity to:
      • Call attention to the epidemic of chlamydia
      • in Minnesota among young people, and
      • Discuss and develop strategies to reduce
      • these rates and their impact on the youth of
      • our communities
      We need your input!!
    • 22.  
    • 23. Illinois SBHC Screening during Sports Physicals Project Grantee organization: Uplift School Health Center and Children’s Memorial Hospital Project director: Cynthia Mears DO FAAP Grant period: 5/10 to 5/11 Geographic location: Chicago, IL First Quarterly Call June 15, 2010
    • 24. IL 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
    • 25. IL 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 fusion, for data collection.
    • 26. IL SBHC Screening during Sports Physicals
      • Activities to date:
        • Set up all forms and tracking systems
        • Started collecting data
      • July to September activities:
        • Doing sports physicals and collecting data
      • Areas for collaboration/assistance:
        • Pervade the model to other SBHC in IL and beyond as we know outcomes.
    • 27. CATCh: C ommunity-based A dolescent T esting for Ch lamydia Maryland Department of Juvenile Services Jennifer Maehr, MD July 1, 2010 - June 31, 2011 Baltimore, Maryland First Quarterly Call June 15, 2010
    • 28. CATCh Target Population and Study Sites
      • Female Intervention Team (FIT)
        • Baltimore City girls between the ages of 12 - 20 requiring community supervision by DJS
        • Over 400 girls per year; 95% African American
        • Meet at the Baltimore City Juvenile Justice Center
      • Day and Evening Reporting Center (DERC)
        • Baltimore City boys between the ages of 12-19
        • 99% African American
        • Court ordered to the DJS program due to school suspension or expulsion
        • 32 youth per day, LOS is 4 to 6 weeks
    • 29. CATCh Partners
      • Baltimore City Health Department
        • Glen Olthoff, STD Program
      • Johns Hopkins School of Medicine
        • Dr. Jonathan Ellen, Adolescent Medicine
      • Maryland Department of Health & Mental Hygiene
        • Barabra Conrad, Center for STI Prevention
        • Dr. Maria Paz Carlos, Laboratories Administration
      • University of Maryland School of Medicine
        • Dr. Ligia Peralta, Adolescent and Young Adult Clinic
    • 30. CATCh Key Project Components
      • Test 500 youth for CT & GC by urine NAA
        • Testing free of charge by DJS case managers and program staff on an on-going basis
      • Provide individual STI counseling, family planning info, condoms & on-site treatment to positive youth
        • Txn & counseling by DJS nursing staff, contract physician and JHU adol med fellow
        • Referral for additional care & partner treatment
      • Provide group educational sessions with youth
        • Components of Making Proud Choices Curriculum, Safe in the City video, & interactive activities
    • 31. CATCh Activities to Date
      • Development of Clinic Forms, Youth Consent Form, Posters, STI & Referral Resource brochures
      • Development of Staff Training Curriculum
      • Establishment of New Laboratory Accounts for Testing, Pharmacy Accounts for Treatment, Courier
      • Virtual log development with IT
      • MOU with Hopkins for Adolescent Medicine Fellow
      • Secure necessary equipment and supplies
        • Condoms, condom cases, brochures, TV/DVD, medications, specimen cups & bags, lab slips, med cart, refrigerator, file cabinets, goodie bags ….
    • 32. CATCh Future Activities and Needs
      • July to September Activities
        • Start testing!
        • Ensure processes working
        • Finalize and begin the group session curriculum
        • Youth and staff feedback for QI
      • Areas for Assistance
        • Expedited partner therapy …..
    • 33. ODU CHLAMYDIA PROJECT Old Dominion University Jenny Foss & Kim Cholewinski 6/1/10 - 5/31/11 Norfolk, Virginia First Quarterly Call June 15, 2010
    • 34. ODU Chlamydia Project
      • Population(s) reached:
        • Primary Population: Students attending ODU (18-25 year olds will be the target)
        • Secondary Population: Residents living in Tidewater Virginia
      • Setting(s) for implementation:
        • ODU campus, Norfolk Department of Public Health and Tidewater, Virginia
      • Partners:
        • Norfolk Department of Public Health & Planned Parenthood.
    • 35. ODU Chlamydia Project
      • Key project components:
        • Media Awareness Campaign
        • Direct Access Testing
        • Partnership with Norfolk Department of Public Health to provide screening/treatment for non-ODU individuals
        • Coalition for Tidewater area
        • Increased sexual health education via trainings and classroom interaction
    • 36. ODU Chlamydia Project
      • Activities to date:
        • Hired graphic designer for media campaign
        • Obtained IRB approval from ODU
        • First meeting with ODU Student Health Services staff
        • First meeting with Norfolk Department of Public Health key leaders
    • 37. ODU Chlamydia Project
      • July to September activities:
        • First media design will be completed and launched (as well as first survey administered end of September)
        • Invitations to prospective Chlamydia Coalition members will be sent
        • Card for partner therapy will be designed/in use (end of August)
        • Direct Access Testing kits will be assembled and in use (end of August)
    • 38. PROMOTORAS DE SALUD Planned Parenthood of Greater Washington and North Idaho Amy Claussen – VP of Education and Professional Training March 2010 -Jan 2011 Yakima, Washington First Quarterly Call June 15, 2010
    • 39. Promotoras de Salud
      • Population(s) reached: Bilingual and monolingual Spanish speaking men and women in Yakima County, Washington.
      • Setting(s) for implementation: Neighborhood canvassing, tabling at community health/information fairs, house parties, open houses in the agency, face to face conversations, and PPGWNI health center.
      • Partners: La Casa Hogar, Yakima Valley Community College and Ready By Five
    • 40. Promotoras De Salud
      • Key project components:
        • Recruitment of local Latino/a leaders
        • Localized development of CT messages that are grounded in Latino culture
        • Training offered in Spanish and English
        • Shared decision making among the group
        • Shared leadership opportunities among the group
    • 41. Promotoras De Salud
      • Activities to date:
        • Open invitation to community PdS recruitment
        • 15 applicants
        • 10 Promotoras “hired” / 4 have been retained
        • Training completed: PPGWNI services, STI / HIV, Contraception, Anatomy and Physiology, Tabling, Community Canvassing & Security
        • Development of culturally significant messages re: CT (coupon completed and distributed)
        • 2 earned media hits – Univision
        • One tabling at cinco de mayo festival – three others scheduled
        • One open house
    • 42. Promotoras De Salud
      • July to September activities:
        • Community Canvassing (500 informational packets)
        • Home house parties – (400 conversations)
        • Tabling at health fairs – (100 CT visits at health center)
          • Tabling at large employers events: bodegas and warehouses
        • Regional promotora meeting hosted at PPGWNI
        • Continual development of CT messages: Radio Ad and audio pamphlet being designed
          • Will have a focus group for these materials
      • Areas for collaboration/assistance:
    • 43. PROMOTING CHLAMYDIA SCREENING IN A RURAL AREA Grantee organization: Jackson County Health Department Project director: Kathy O’Laughlin, RN, MS Grant period: 5/1/2010-4/30/2011 Geographic location: Murphysboro, IL First Quarterly Call June 15, 2010
    • 44. Promoting Chlamydia Screening in a Rural Area
      • Population(s) reached:
        • Health care providers seeing females under age 25
        • Peer mentor group will conduct presentations/small group discussions for target audiences of minority, teen and college-aged women
      • Setting(s) for implementation:
        • Health care provider offices
        • School and community settings
      • Partners:
        • Southern Illinois University (SIU) Student Health--Wellness
        • Community Health & Emergency Services, Inc. (CHESI)
        • SIU School of Medicine (SOM)
        • SIU Department of Health Education and Recreation
    • 45. Promoting Chlamydia Screening in a Rural Area
      • Key project components :
        • SIU Medical Student intern will develop a program module that assists healthcare providers in developing a plan to implement universal Chlamydia screening for women under age 25, and overcome barriers to screening in their practices. Topics covered will include:
          • High rates of chlamydia in Jackson county
          • Chlamydia screening recommendations and diagnostic tests
          • Partner notification and new Expedited Partner Therapy law in Illinois
          • Identification of barriers to Chlamydia screening in each individual practice, and creation of a plan to address the barriers identified for that practice.
          • Provision of support, encouragement and follow-up to determine success of the plan in that practice.
        • Module will be implemented in at least six provider offices
        • Follow-up will be provided to assess implementation and identify additional barriers
    • 46. Promoting Chlamydia Screening in a Rural Area
      • Key project components (cont’d):
        • SIU Student Health Center-Wellness will initiate a peer mentor group that will conduct presentations/small group discussions for audiences of minority, teen and college-aged women.
          • Will collaborate with high schools, college organizations, and community organizations in Jackson County to identify opportunities for the peer mentors to conduct educational presentations/small group discussions with students.
          • Peer mentors will be recruited from SIU Department of Health Education and Recreation and MPH program.
          • Peer mentors will be trained in motivational interviewing, sexual health, partner communication and other identified barriers to chlamydia screening (confidentiality/access/financial constraints)
    • 47. Promoting Chlamydia Screening in a Rural Area
      • Activities to date:
        • Medical student identified for provider outreach project.
        • In process of developing materials and identifying sites for project.
        • Met with Christy Hamilton at SIU-Wellness to develop plans for implementing peer mentor program
        • Contacted key school partners about venues for peer mentor program
      • July to September activities:
        • Med student will implement provider outreach project and conduct provider follow-up.
        • Identification of students to participate in peer mentor program.
        • Begin peer mentor trainings
      • Areas for collaboration/assistance:
        • Consultation on tools and program
        • Assistance in developing evaluation component
    • 48. ENHANCED CHLAMYDIA SCREENING IN THE MEDICAL HOME American Academy of Pediatrics New York State Chapter 1 Project director: Gale R Burstein, MD, MPH, FAAP Grant period: March 2010 – February 2011 Geographic location: Western New York State First Quarterly Call June 15, 2010
    • 49. Enhanced Chlamydia Screening in the Medical Home
      • Target Population : adolescents presenting for preventive health care visits aged 14-21 years
      • Project Setting : 3 Western New York State private pediatric offices
        • 1 large, suburban office (3 MDs, 3 NPs)
        • 1 mid-size, suburban-rural office (4MDs)
        • 1 small, urban office (2 MDs)
      • Partners :
        • Cicatelli Associates
        • Physicians for Reproductive Choices and Health
    • 50.
      • Tools to facilitate comprehensive, confidential adolescent preventive health care services:
        • brief (16 validated questions), confidential, questionnaire used to assess high priority risk behavior categories, such as sexual health
        • letter to parents explaining the reasoning and need for provision of confidential health care services;
        • health information brochures;
        • lists of local mental and substance abuse providers;
        • recommended teen and parent health web sites to post on offices’ web sites
      Enhanced Chlamydia Screening in the Medical Home: Key Project Components
    • 51.
      • Examples of tools
      Enhanced Chlamydia Screening in the Medical Home: Key Project Components
    • 52.  
    • 53.  
    • 54.  
    • 55.
      • After 2 months, ½ day training in each office
        • how to use intervention tools and resources
        • how to maximize billing and confidentiality
        • how to follow the pilot protocol
      • Additional adolescent STIs and contraceptive management training will be offered to interested staff
      • Provider, nurse and front office staff project “champions” will be identified to motivate office staff to follow protocol
      Enhanced Chlamydia Screening in the Medical Home: Key Project Components
    • 56.
      • Quality assurance/evaluation
        • At end of adolescent questionnaire, provider indicates services offered at that visit
        • Will evaluate if appropriate services offered for risks behaviors identified
        • Will check if sent chlamydia test
          • If pt sexually active and no test sent, provider should indicate reason (ie, pt refused, insurance, confidentiality)
          • Compare provider actions pre- to post- training
      Enhanced Chlamydia Screening in the Medical Home: Key Project Components
    • 57. Enhanced Chlamydia Screening in the Medical Home: QI Component
    • 58.
      • Activities to date:
        • Haggling with SUNY at Buffalo over grant administration (not fun)
        • Tools developed and given to offices
        • Confirmed that 2 of 3 offices started (3 rd office lead doc’s mother died so start delayed)
        • Collected some adolescent questionnaires from offices that have started
      • July to September activities:
        • Training
        • Continue collecting adolescent questionnaires
      Enhanced Chlamydia Screening in the Medical Home
    • 59.
      • Areas for collaboration/assistance:
        • Many tools on AAP’s Section on Adolescent Health and Society for Adolescent Health and Medicine web sites
        • Cicatelli Associates, PRCH and AAP Bright Futures will assist with training curriculum development
        • Cicatelli Associates will conduct sites visits to consult
      Enhanced Chlamydia Screening in the Medical Home WISH ME LUCK!!!!!!
    • 60. Questions and Discussion
      • Additional questions for each other?
      • Potential areas of collaboration?