Mini-Grant First Quarterly Call_6.15.10


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  • Mini-Grant First Quarterly Call_6.15.10

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