Linkage to Care:   From Preliminary Positive to         Primary CareRobin PearceNO/AIDS Task ForceNew Orleans, LA
Overview Describe NO/AIDS linkage to care  system Share tools:  Access database  Intake forms and staff training tips D...
Background NO/AIDS is a “one stop shop” for  PLWHA in New Orleans Counseling & Testing program has  multiple testing loc...
NO/AIDS Linkage to Care Inputs:    Two full time staff: CTR Coordinator &     CRCS Wellness Manager    Microsoft Access...
Day 1 Client tests PP at evening testing site Counselor records client’s contact info Counselor collects confirmatory s...
Day 2 Counselor mails confirmatory sample Counselor provides paperwork to CTR  Coordinator & CRCS Wellness Manager CTR ...
Day 7 Confirmatory result available online CRCS contacts client to make  appointment to receive confirmatory  result
Day 14 Client receives confirmatory result in  person from CRCS Client begins enrollment paperwork or  sets date for enr...
Results2010 data: 73 clients received a preliminary  positive result and post-test counseling 96% completed a confirmato...
Tools Tracking Database CTR Coordinator and CRCS  collaboration Confirmatory Intake paperwork for HIV  Counselors & tra...
Tracking Database
Tracking Database Inputs Client Number (HIV Test Form 1  number) Orasure Number Last 4 SSN First Name
Tracking Database Inputs   Date of PP   Client did confirmatory: Y/N   Date of confirmatory   Client received confirma...
Tracking Database Inputs   Paperwork completed: Y/N   Date paperwork completed   Scheduled PMC/EIS appt   Attended PMC...
Tracking Database Inputs Lost to Follow up Notes
Documenting & Follow-up Regular communication between CTR &  CRCS (work out of same office) Review client files Update ...
Confirmatory Intake
Confirmatory Intake
Confirmatory Intake
Confirmatory Intake
Challenges Client in unstable living circumstances Client lacks regular access to  communication tools (phone, email) H...
Lessons Learned Collecting correct contact information at  PP visit is the most important step Communicate with outreach...
GoalsNational HIV/AIDS Strategy: “Establish a seamless system to   immediately link people to continuous and   coordinated...
GoalsNational HIV/AIDS Strategy: “[By 2015] Increase the proportion of newly    diagnosed patients linked to clinical care...
Contact informationRobin PearceCounseling & Testing Coordinatorrobinp@noaidstf.orgMark Drake, LCSWCRCS Wellness Managermar...
Upcoming SlideShare
Loading in …5
×

Linkage to Care:From Preliminary Positive to Primary Care

399 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
399
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
8
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Linkage to Care:From Preliminary Positive to Primary Care

  1. 1. Linkage to Care: From Preliminary Positive to Primary CareRobin PearceNO/AIDS Task ForceNew Orleans, LA
  2. 2. Overview Describe NO/AIDS linkage to care system Share tools: Access database Intake forms and staff training tips Discuss challenges and lessons learned
  3. 3. Background NO/AIDS is a “one stop shop” for PLWHA in New Orleans Counseling & Testing program has multiple testing locations and times Administered 3,200 tests in FY 2010-11 2.8% positivity rate
  4. 4. NO/AIDS Linkage to Care Inputs:  Two full time staff: CTR Coordinator & CRCS Wellness Manager  Microsoft Access Database  Secure server to allow database sharing  Intake Paperwork  Trained HIV Counselors
  5. 5. Day 1 Client tests PP at evening testing site Counselor records client’s contact info Counselor collects confirmatory sample (Orasure, offsite lab) Client will be contacted by CRCS when the confirmatory is ready
  6. 6. Day 2 Counselor mails confirmatory sample Counselor provides paperwork to CTR Coordinator & CRCS Wellness Manager CTR Coordinator makes file for client and keeps original paperwork CRCS enters client information on Microsoft Access database
  7. 7. Day 7 Confirmatory result available online CRCS contacts client to make appointment to receive confirmatory result
  8. 8. Day 14 Client receives confirmatory result in person from CRCS Client begins enrollment paperwork or sets date for enrollment appointment CRCS sets date for PMC/EIS appointment CRCS follows up with PMC or client to find out if client attended appointment
  9. 9. Results2010 data: 73 clients received a preliminary positive result and post-test counseling 96% completed a confirmatory test 82% received confirmatory result  Of those clients who received their confirmatory result, 90% were connected to care (54 of 60)
  10. 10. Tools Tracking Database CTR Coordinator and CRCS collaboration Confirmatory Intake paperwork for HIV Counselors & training
  11. 11. Tracking Database
  12. 12. Tracking Database Inputs Client Number (HIV Test Form 1 number) Orasure Number Last 4 SSN First Name
  13. 13. Tracking Database Inputs Date of PP Client did confirmatory: Y/N Date of confirmatory Client received confirmatory Date received confirmatory Actual confirmatory result
  14. 14. Tracking Database Inputs Paperwork completed: Y/N Date paperwork completed Scheduled PMC/EIS appt Attended PMC/EIS appt Date attended PMC first appt
  15. 15. Tracking Database Inputs Lost to Follow up Notes
  16. 16. Documenting & Follow-up Regular communication between CTR & CRCS (work out of same office) Review client files Update database Deadlines: - Quarterly referral reporting to the state - 60 day lost to follow up
  17. 17. Confirmatory Intake
  18. 18. Confirmatory Intake
  19. 19. Confirmatory Intake
  20. 20. Confirmatory Intake
  21. 21. Challenges Client in unstable living circumstances Client lacks regular access to communication tools (phone, email) Healthcare can be a low priority (relative to other needs) Denial, shock, anger, stress
  22. 22. Lessons Learned Collecting correct contact information at PP visit is the most important step Communicate with outreach teams and HIV counselors Train & re-train HIV counselors Create intuitive intake paperwork
  23. 23. GoalsNational HIV/AIDS Strategy: “Establish a seamless system to immediately link people to continuous and coordinated quality care when they are diagnosed with HIV.”
  24. 24. GoalsNational HIV/AIDS Strategy: “[By 2015] Increase the proportion of newly diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65 percent to 85 percent.”
  25. 25. Contact informationRobin PearceCounseling & Testing Coordinatorrobinp@noaidstf.orgMark Drake, LCSWCRCS Wellness Managermarkd@noaidstf.org

×