Jessica Ladd from Sexual Health Innovations describes an innovative open source and private STD test result delivery system for STD clinics. Includes features to set text or email re-screening reminders and links to anonymous partner notification services. Presented at YTH Live 2014 session "Calling all HIV Providers: Resources and New Media for You."

1. Private Results
An STI Test Result Delivery System
Jessica Ladd
Sexual Health Innovations
April 6-8, 2014
San Francisco, CA
Annual Conference on Youth + Tech + Health

2. The Setting: STIs in Baltimore
0%
1%
2%
3%
4%
5%
6%
7%
Black Nonblack
Chlamydia prevalence ages 15-35

3. The Setting: STI Clinic Patients
• Age
• Range: 15-92 years
• Median: 27 years
• Gender
• 57.1% male
• 42.9% female
• 0.01% transgender
• Race
• 88.3% Black/African American
• 5.9% White
• 3.4% Hispanic

4. The Problem: STI Test Result Delivery
60%
40%
Patients receiving results Patients not receiving results

5. The Problem for Patients
• Don’t get results
• When do get results:
• It’s inconvenient
• May not understand results
• May not be appropriately linked to next steps
• Not empowered to access own health data

6. The Problem for Providers
• Spending time delivering negative results
• Spending time delivering positive results to
presumptively treated individuals
• Have better things to do with their time

7. The Process
Develop
contextual
understanding
Ideation
Non-
functional
prototyping
Refinement
PrioritizationDevelopmentTestingLaunch
Iteration Evaluation

8. The Product
Call 1-800-555-1234
on .
Username:
Password:
April 24
689-810-518-819
109-583-776-102

9. The Product
Patient Phone
8005551234
Welcome to Private Results. For English,
press one. Para español, oprima el dos.
1
Please enter your username
689810518819
Please enter your password
109583776102
Your test results are all negative, meaning that you probably do not have any of the
diseases you were tested for. You were tested for chlamydia, gonorrhea, and syphilis.
You were tested on April 16, 2014. For more information about these diseases, visit
www.somewebsite.org. To hear this message again, press one.
[Hangs up]

10. The Product
Patient Phone
8005551234
Welcome to Private Results. For English,
press one. Para español, oprima el dos.
1
Please enter your username
257190017820
Please enter your password
462016302801
Your test results are not ready yet. Please check back in two days. To hear this message
again, press one.
[Hangs up]

11. The Product
Patient Phone
8005551234
Welcome to Private Results. For English,
press one. Para español, oprima el dos.
1
Please enter your username
257190017820
Please enter your password
462016302801
Your test results are ready. To receive them, please call the clinic Monday to Friday
between 1pm and 3pm. The clinic’s number is 212-555-8291. To hear this message
again, press one.
[Hangs up]

12. The Product
Provider login

13. The Product

14. The Product
Individual patient result

15. The Product

16. The Product
Settings for admin to add in new DIS

17. • MVP (minimum viable product)
• Securely take in and store patient test results
• Allow patients to call a toll-free automated number for results
• Allow providers to view which patients have accessed their
results
• Additional features if funding allows
• Spanish translation
• Web portal so patients can access results online
• Results interpretation changes if patient presumptively
treated
• SMS reminders for patients for rescreening
The Product: Private Results

18. The Product

19. The Product

20. The Product
Fancy pieces of the patient view

21. The Product
Fancy pieces of the patient view

22. The Product
Fancy pieces of the patient view

23. The Patient
Not knowing
results
Receiving
results
Understanding
results
• What they were
and were not
tested for
• What they do
and don’t have
• What that
means
Taking
appropriate
action
• Getting treated
• Telling partners
• Getting
rescreened
• Using condoms

24. The Partner
Not knowing risk Knowing risk
Getting tested and/or
treated

25. The Provider
Not having enough
time
Spending less time
delivering negative
results
Spending more time
on the things that
matter more

26. The Public Health Sector
Inefficient surveillance data
transfer
Efficient and actionable
surveillance data transfer

27. The Prevalence
Inefficient surveillance
data transfer
Efficient and actionable
surveillance data
transfer
Patients
Partners
Providers
Public
health
Not having enough
time
Having more time for
the important things
Not knowing their risk
Getting tested and/or
treated
Not knowing their
results
Taking appropriate
action
Lower
prevalence

28. The Principles
1. Education
2. Clinical and public health purpose
3. Collaboration

29. Jess Ladd
Jess@SexualHealthInnovations.org
www.SexualHealthInnovations.org
www.PrivateResults.org