1 / 22

123NoMi

123NoMi. A 3-year project by Hep-C ALERT to increase and evaluate viral hepatitis screening, vaccination coverage and completion among underserved minority adults in No rth Mi ami-Dade County. Acronyms. HCV. Hepatitis C Virus. HIV. Human Immunodeficiency Virus. STD.

omer
Télécharger la présentation

123NoMi

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 123NoMi A 3-year project by Hep-C ALERT to increase and evaluate viral hepatitis screening, vaccination coverage and completion among underserved minority adults in North Miami-Dade County

  2. Acronyms HCV Hepatitis C Virus HIV Human Immunodeficiency Virus STD Sexually Transmitted Disease (or Infection) OMH Office of Minority Health BOI Bureau of Immunization “09 Program” - Florida Hepatitis and Liver Failure Prevention and Control Program 09 CTL Counseling, Testing and Linkage (referral) Hep-C ALERT, Inc.

  3. Hep-C ALERT Background • 1997 – chronic HCV focused • National: Hep-C Hotline; Education, HCV CTL, Cause Advocacy • Local: Support Groups, Outreach, Education. Local HCV CTL in 1999 • 2002 – added HIV CTL and hepatitis vaccination (vaccine in collaboration with Miami-Dade County Health Dept.) • 2006 – added Rapid HIV & STD CTL Hep-C ALERT, Inc.

  4. Area Description Hep-C ALERT, Inc.

  5. Annual Growth On-Site CTL Hep-C ALERT, Inc.

  6. Baseline Data • Hep-C ALERT Hepatitis Risk Assessments reveal that 81% of minority adults self-reported not ever receiving hepatitis vaccination • Upon viral hepatitis testing, approximately 50% were not immune • Even with these compelling results, vaccine coverage and completion rates remained low Hep-C ALERT, Inc.

  7. Barrier Identified • Resources were needed to bridge the client’s gap between risk appraisal and action • Novel approaches to increasing adult vaccine coverage and completion for our community was necessary Hep-C ALERT, Inc.

  8. Closing The Gap Grant • Rationale • Community interest demonstrated through “Vaccine Interest Survey” • Prior experience with managing vaccination services off-site (ARHIP) • Already serving primarily at-risk young adult / adult minority population at the Hep-C ALERT office Hep-C ALERT, Inc.

  9. Office: Race/Ethnicity Hep-C ALERT, Inc.

  10. Office: Age Groups Hep-C ALERT, Inc.

  11. 123NoMi Objectives • Reduce barriers to viral hepatitis screening and vaccination • Identify susceptible at-risk persons and provide vaccination • Achieve target vaccine coverage and completion rates • Monitor, evaluate and disseminate 123NoMi project results Hep-C ALERT, Inc.

  12. #1 - Reduce Barriers • Diversify project staff (Spanish/Creole speaking) • Offer 100% walk-in services, non-traditional hours (including Sat) • Implement vaccine reminder system • Utilize incentives for new client recruitment and vaccine completion Hep-C ALERT, Inc.

  13. #2 - Screen • Test (one time) all adult clients to determine their serostatus using the State Lab chronic hepatitis panel • Counsel and refer acute/chronic HBV and HCV to medical care • Recall at-risk/susceptible adults to initiate vaccination Hep-C ALERT, Inc.

  14. #3 - Vaccinate • A and B vaccine administered per 09 program Memorandum of Agreement • Coverage • Year 1 thru 3 @ 60% • Completion • Year 1 =/> 20% • Year 2 =/> 30% • Year 3 =/> 40% Hep-C ALERT, Inc.

  15. #4 - Evaluate • Coverage and completion rates • Client satisfaction with • Cultural responsiveness • Screening and vaccination services • Tools • VACTRAC 4.0 (SmithKlineBeecham) • IMM07 (OMH/BOI software) • HIMS (proprietary software) • QuestionPro.com (subscription survey creation/analysis site) Hep-C ALERT, Inc.

  16. Hep-C ALERT, Inc.

  17. Struggles • Reaching consensus on • 09 program vaccine distribution to non-governmental organization (NGO) • Type of nurse (RN or LPN) needed for vaccine administration at NGO • Agency liability insurance coverage • Contract vs. Finance & Accounting • Totally unanticipated issue w/finance • In process of resolution Hep-C ALERT, Inc.

  18. Strengths • Standing Orders • Project staff were incumbent or hired and trained before the contract start date • Existing infrastructure for data gathering and analysis • Pool of previously-screened clients to recruit from at project launch • Great Board and Medical Directors Hep-C ALERT, Inc.

  19. New Era Of Collaboration • Cooperation between the 09 program, and community-based (and private) organizations has resulted in several new projects in non-traditional settings • Success has wide implications for promoting other adult vaccinations Hep-C ALERT, Inc.

  20. Summary To Date • 123NoMi data show substantial increase in susceptible persons initiating hepatitis vaccination • 0% baseline vs. 37% present • Need improvement in getting clients in for first dose to achieve 60% coverage • Client satisfaction is higher than expected in all domains during roll-out period and loyalty rating for vaccine service ranks all time high for agency Hep-C ALERT, Inc.

  21. Acknowledgements • Office of Minority Health • Phil and Cheryl for opening 09 program vaccine access to NGOs • Rick Barrett, Bureau of Immunization Contract Manager for 123NoMi • Anita Martinez, RN, MDCHD for sharing vaccine inventory • Bob Griffin for years of unconditional support at the local level • Hep-C ALERT’s excellent staff Hep-C ALERT, Inc.

  22. Contact Information Andi Thomas Executive Director, Hep-C ALERT andi@hep-c-alert.org www.hep-c-alert.org Offc: 305-893-7992 x101 Cell: 954-931-8463 Hep-C ALERT, Inc.

More Related