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  1. 1. HATS & Medwiser <br />HIV <br />AIDS <br />TEST SCREENING <br />SOFTWARE <br />Partnerships to increase access to HIV testing and improve the world<br />
  2. 2. HIV/AIDS is a Threatens the World as We Know It<br />HIV is a Worldwide Epidemic<br />Over 280,000 children die before their 1st birthday<br />2.7 million total infections annually in children & adults<br />Over 25 million deaths have been caused by HIV<br />Every infection is preventable<br />
  3. 3. HIV/AIDS Epidemic USA Profile <br />Of 1.1 Million People Living With HIV in America, One Fifth Are Unaware of Their Infection<br />HIV Prevalence Is Reaching Alarming Levels In Our Cities<br /> Washington D.C. New York City, NY<br />0.1% - 0.4%<br />0.5% - 0.8%<br />0.9% - 1.5%<br />>1.6%<br />Source: 1. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB, CDC HIV Prevention Progress in the United States. 2. CDC. NYC DOH<br />
  4. 4. HATS & Medwiser Overview<br />HATS<br /><ul><li>HATS was produced in 2010 as the first screening software for HIV testing. It is a scalable, interactive platform for conducting an HIV/AIDS risk assessment, providing feedback to patients and streamlining data to health care providers
  5. 5. By automating lab testing, consent, clinical follow up and reporting, HATS can increase access to testing while benefiting all HIV/AIDS stakeholders
  6. 6. HATS is compatible with PC, Mac and mobile devices, can be customized to integrate with individual EMRs & maintain HIPAA compliance
  7. 7. HATS is produced by Medwiser, a 501(C)3 nonprofit organization founded to educate, enable and empower individuals worldwide to prevent the spread of HIV
  8. 8. Using socially relevant technology & digital media (Internet, mobile applications) Medwiser offers creative solutions to overcome challenges to HIV prevention</li></ul>Medwiser<br /><ul><li>Medwiser was founded to educate, enable and empower individuals worldwide to prevent the spread of HIV. To fight HIV in a wiser way, Medwiser is all about using technology to help people and organizations realize their potential to fight AIDS. We are currently planning the development of social networks to provide social support and reduce stigma. Apps—like HATS to increase screening and testing. Websites—where online collaboration generates customized educational content. And nonprofit software to help organizations evaluate and improve performance. Through the creation of these web and mobile tools, Medwiser hopes to strengthen existing networks of HIV education, prevention, diagnosis and treatment</li></li></ul><li>HATS streamlines screening, treatment and reporting<br />FACILITATE REPORTING<br /><ul><li>Real time data collection
  9. 9. Analysis of population
  10. 10. Customized reports</li></ul>REDUCE ERROR<br /><ul><li>Decrease human error associated with diagnosis and execution of guidelines</li></ul>IMPROVE OUTCOMES<br /><ul><li>Linkage to treatment and care
  11. 11. Early diagnosis and treatment</li></ul>STREAMLINE SCREENING<br /><ul><li>Increase efficiency
  12. 12. Standardize consent</li></li></ul><li>New Law in New York State Presents New Opportunities<br />Testing increases survival<br />Routine testing & linkage to care<br />HIV tests must be offered to patients 13 to 64 years old <br />Hospital inpatients<br />Emergency department patients<br />Diagnostic and treatment center patients<br />HIV tests must be offered in primary care settings provided by<br />Doctors, physicians assistants, nurse practitioners, OB/GYN s or midwives<br />Linkage to care must be provided when results are positive<br />New York joins 45 states that have taken similar actions<br /><ul><li>In NYS one third of HIV-positive people learn their status only after reaching advanced stages of infection
  13. 13. In NYS nearly 20% of patients are unaware of their infection status
  14. 14. Earlier diagnosis and treatment has been shown to both reduce further transmission and increase the average survival by 11 years
  15. 15. 100,000 life-years lost in the United States can be attributed to late diagnosis.
  16. 16. Late diagnosis of HIV often occurs despite having had multiple health care visits</li></ul>Impact will be greatest in NYC<br />“This state law will have its greatest impact here in New York City, where more than 107,000 residents are living with HIV/AIDS and thousands more do not know they are infected…These people may not be receiving the care they need and may be unknowingly infecting their partner”<br />-Dr. Thomas Farley, New York City Health Commissioner<br />Report to Governor & Legislature<br /><ul><li>Legislation will be reviewed for impact based on statistical measures
  17. 17. NYS DOH will report to the governor in 2012 with data relevant to the law’s impact on public health.</li></ul>Sources 1. http://www.nyc.gov/html/doh/html/pr2010/pr043-10.shtml 2. O’Connell, D. HIV Testing Legislation. AIDS Institute Update. <br />
  18. 18. HATS: Interactive HIV Screening At Home, Work Or On The Go<br />HATS Overcomes Traditional Barriers To HIV Testing<br />
  19. 19. Research Shows ERs Have Difficulty Implementing HIV Testing<br />Barriers to HIV Screening in ER’s<br />Only 3% of ER Providers Complied<br />With CDC Testing Guidelines<br />CDC endorsed the policy of HIV testing in ERs in 2001<br />Since then surveys have demonstrated only 3% of ER providers have incorporated HIV screening into their practice<br />The difficulties of program implementation include:<br />Lack of human capital<br />Operational costs <br />Interference with the acute care mission of the ER<br />Overcrowding of the ER<br />Financial Burden of Failing to Implement HIV Testing Could Be Overwhelming<br /><ul><li>“If HIV prevention is not brought to scale, more than twice as many new HIV infections will occur in the coming years than if a comprehensive response was implemented”
  20. 20. “Funding required for developing countries to address the HIV pandemic could reach $35 billion annually by 2031—three times the current level”</li></ul>Source: 1. Stover J, Bertozzi S, Gutierrez JP,Walker N, Stanecki K, Greener R, et al. The global impact of scaling up HIV/AIDS prevention programs in low- and middle-income countries.Science. 2006;311(5766):1474-6. 2. Hecht, R. Critical choices in financing the response to the global HIV/AIDS pandemic. Health Affairs. 2009;28(6):1591–605 3. Hardwicke, R, Malecha, A. HIV Testing in Emergency Departments: A Recommendation With Missed Opportunities Journal of the Association of Nurses in AIDS Care . May 2008 (Vol. 19, Issue 3, Pages 211-218) 4. Kelen, GD, Rothman, RE. <br />Emergency Department–Based HIV Testing: Too Little, but Not Too Late , 27 April 2009 . Annals of Emergency Medicine. July 2009 (Vol. 54, Issue 1, Pages 65-71)<br />
  21. 21. Medwiser HATS—Partner Synergy Provides Benefits Across Stakeholders<br /><ul><li>Increased HIV Testing & data tracking due to interface capabilities
  22. 22. Improved knowledge of optimal patient care
  23. 23. MD view partners as a team in helping improve healthcare efficiency</li></ul>Physicians<br /><ul><li>Improved understanding of patient history, risk factors and HIV status facilitates enhanced patient care
  24. 24. Reduced admin burden
  25. 25. Consumer appreciates partner’s commitment to education, & improving patient lives, increasing affiliation with other partner programming</li></ul>Patients<br /><ul><li>Improved understanding of HIV risk, link to testing and continuity of care
  26. 26. Enhanced opportunity for optimal clinical outcomes
  27. 27. Payer appreciates partner’s commitment to improving Healthcare by enhancing quality of care while simultaneously reducing cost</li></ul>Payers<br /><ul><li>Improved member clinical outcomes</li></li></ul><li>Contact Information<br />We need your help<br />Michael Morgenstern, MDDirector and FounderMedwiser Inc. &Resident, Department of NeurologyNorth-Shore LIJ Health System<br />Albert Einstein College of MedicineC: 646-872-2747E: michaelm@medwiser.org<br />http://www.linkedin.com/in/michaelmorgenstern<br />http://www.medwiser.org <br />