mini-grant first quarterly call_6.15.10

National Chlamydia Coalition

Mini-Grants

First Quarterly Call

First Quarterly Call June 15, 2010

Agenda

Weaving Systems of Care

Grantee organization: Center for Health TrainingProject director: Wendy Nakatsukasa-OnoGrant period: May 1, 2010 – April 30, 2011Geographic location: Regions VIII, IX and X/National



• 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


• 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


• 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


• 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

COMMUNITY APPROACH TO INCREASING CHLAMYDIA

SCREENING

Grantee organization: Adagio HealthProject director: Maureen UtzGrant period: June 1, 2010 – May 31, 2011Geographic location: Pittsburgh, PA


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


• 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


• 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

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


Essential Piece

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


• Key project components:

1. 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


• Activities to date:1. Focus Group:

1. Discussion guide created and submitted for state (Medicaid) for approval.

2. Invitation and reminder letters were created. 3. Invitation letters were mailed to female Molina members. 4. Focus groups scheduled for June 29, 2010.

2. Physician’s Kick-Off Event:1. Sponsor secured - Gen-Probe. 2. Kick-off event invitations and incentives have been ordered.

3. On-Site Provider Meetings (OPMs):1. 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.

4. Team Training: Facilitating Effective Practice Improvement Visits held June 3, 2010.

5. Project name contest - on-going.

Essential Piece


• July to September activities:1. Monthly team meetings2. Project name announcement3. Physician’s Kick-Off Event4. Conduct On-site Provider Meetings (OPMs)5. Mail educational materials to eligible female members6. Conduct 3 month follow-up visits with targeted providers7. 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 groups2. Jackson County Health Department, Jackson County, Illinois

- Contacted regarding work with physicians offices3. NCC - Reviewed focus group guide and provided suggestions for

project name

Essential Piece

MINNESOTA CHLAMYDIA PARTNERSHIP AND

SUMMIT

Grantee organization: Minnesota Department of HealthProject director: Candy Hadsall, RN, MAGrant period: March 1, 2010 – March 1, 2011Geographic location: State of Minnesota


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

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

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, 2010MCP meets to evaluate SummitFirst meetings of workgroups

• Areas for collaboration/assistance: Evaluating Summit, planning next steps, format for plan

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!!We need your input!!

http://www.health.state.mn.us/mcp

Illinois SBHC Screening during Sports Physicals

Project

Grantee organization: Uplift School Health Center and Children’s Memorial Hospital Project director: Cynthia Mears DO FAAPGrant period: 5/10 to 5/11Geographic location: Chicago, IL


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


• 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.


• 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.

CATCh: Community-based Adolescent

Testing for Chlamydia

Maryland Department of Juvenile Services

Jennifer Maehr, MDJuly 1, 2010 - June 31, 2011

Baltimore, Maryland


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 expulsion32 youth per day, LOS is 4 to 6 weeks

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

CATCh Key Project Components

Test 500 youth for CT & GC by urine NAATesting 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

CATCh Activities to Date

Development of Clinic Forms, Youth Consent Form, Posters, STI & Referral Resource brochuresDevelopment of Staff Training CurriculumEstablishment of New Laboratory Accounts for Testing, Pharmacy Accounts for Treatment, CourierVirtual log development with ITMOU with Hopkins for Adolescent Medicine FellowSecure necessary equipment and supplies

Condoms, condom cases, brochures, TV/DVD, medications, specimen cups & bags, lab slips, med cart, refrigerator, file cabinets, goodie bags ….

•

CATCh Future Activities and Needs

July to September ActivitiesStart testing!Ensure processes workingFinalize and begin the group session

curriculumYouth and staff feedback for QI

Areas for AssistanceExpedited partner therapy …..

ODU CHLAMYDIA PROJECT

Old Dominion UniversityJenny Foss & Kim Cholewinski6/1/10 - 5/31/11Norfolk, Virginia


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.


• 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


• 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


• 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)

PROMOTORAS DE SALUD

Planned Parenthood of Greater Washington and North Idaho

Amy Claussen – VP of Education and Professional Training

March 2010 -Jan 2011Yakima, Washington


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

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

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

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:

PROMOTING CHLAMYDIA SCREENING IN A RURAL

AREA

Grantee organization: Jackson County Health DepartmentProject director: Kathy O’Laughlin, RN, MSGrant period: 5/1/2010-4/30/2011Geographic location: Murphysboro, IL


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


• 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


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)


• 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

ENHANCED CHLAMYDIA SCREENING IN THE MEDICAL HOME

American Academy of Pediatrics New York State Chapter 1

Project director: Gale R Burstein, MD, MPH, FAAPGrant period: March 2010 – February 2011Geographic location: Western New York State First Quarterly Call June 15, 2010

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

•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

•Examples of tools


•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


•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: QI Component

• 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 (3rd 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


• 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


WISH ME LUCK!!!!!!

Questions and Discussion

Additional questions for each other? Potential areas of collaboration?