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Illinois Infertility Prevention Project State Report

This report shares results and priorities from the Illinois Infertility Prevention Project (IIPP) during the 2010 RVIPP meeting in Chicago. Key activities include the School-Based Health Center Initiative, self-assessment for Family Planning and STD clinics, and updates on IDPH's laboratory systems. Major goals focus on increasing chlamydia and gonorrhea screenings, improving data reporting, and implementing expedited partner therapy among high-risk populations. The report also highlights significant achievements in identifying additional STIs in school health settings from 2008 to 2009.

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Illinois Infertility Prevention Project State Report

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  1. Illinois Infertility Prevention ProjectState Report RVIPP Meeting Chicago February 2010

  2. IIPP Activities of Interest • 1. 2010-2013 IIPP Priorities • 2. School Based Health Center Initiative • 3. IIPP FP & STD Clinic Self Assessment • 4. IDPH Laboratory Update • 5. Special CT Screening Sites • 6. Cook County Jail Screening Project • 7. Expedited Partner Therapy • 8. Chlamydia Evaluation Initiative (CEI) • 9. Implementation of INEDSS

  3. 1. 2010-2013 IIPP Priorities • Increase Screening and Coverage at: • Juvenile Detention Centers • School Based Clinics • Family Planning Clinics and • Other settings serving high risk populations • Reduce screening in low risk women/sites with less than 3.0 % CT positivity rate • Improve QA monitoring: Utilize a self assessment tool for FP and STD programs

  4. 1. 2010-2013 IIPP Priorities Cont. • Reduce GC and the high rate of health disparities • Foster increased CT/GC in private sector by collaborating with HMOs • Maintain/improve data reporting timeliness and completion rates and timely feedback to IIPP screening sites • Expedited partner therapy • Encourage use of EPT for partner management

  5. 2. School Based Health Center Initiative • IDHS Bureau of Community Nursing & IDPH STD Section • Objective: increasing CT screening at SBHC • Developed a PowerPoint presentation w/ site specific data • To date 27 of 41 (66%) teleconferences have occurred with SBHC, IDHS, IDPH • Data: 2008 compared to 2009 • Ct screening increased from 6,313 to 7,383 (17%) • 39 (5%) additional CT cases identified • 20 (11%) additional GC cases identified

  6. 2. School Based Health Center Initiative • CDPH/CPS/IDPH/SBHC - screen HS juniors and seniors in select Public Schools in the 2009-2010 academic year (February through May 2010) • Goal: reduce sexually transmitted infections among teens and adolescents in Chicago • 11th and 12th grade students participate in this opt-out education and screening project

  7. 2. School Based Health Center Initiative • Students receive a 30-minute STI health education presentation and a packet: • one page overview of the project, • instructions • consent forms • specimen form • information on STIs • information on other public health services • a urine specimen cup and • a brown paper bag for urine specimen • Students who want to test complete consent and obtain urine • Results will be shared at next RVIPP meeting

  8. 3. IIPP FP & STD Clinic Self Assessment • Memo providing instructions on the self assessment • IIPP Clinic Self Assessment Survey Tool • CT/GC Screening Criteria Chart Review Tool • Screening Criteria • IDPH CT/GC testing reports by age • Chlamydia patient information sheet

  9. 3. IIPP FP & STD Clinic Self Assessment • Title X FP Clinic - Self Assessment Findings • Response Rate: 42 out of 44 (96%) clinics • 42 of 42 (100%) indicated they conduct a sexual history • 42 of 42 (100%) screen all sexually active females under 26 years annually • 41 of 42 (98%) screen clients over 26 years only if they have a risk factor

  10. 3. IIPP FP & STD Clinic Self Assessment • Title X FP Clinic - Self Assessment Findings • 38 of 42 (91%) notify and refer infected/untreated clients w/in 3 days for Tx • 39 of 42 (93%) schedule rescreen 3 to 4 months after treatment • 39 of 42 (93%) provide clients with chlamydia information • 42 of 42 (100%) provide partner counseling to each client infected with CT/GC • Chart Audit: 978 out of 1,015 (96%) of patient charts followed the IIPP Selective Screening Criteria.

  11. 3. IIPP FP & STD Clinic Self Assessment • STD Clinic - Self Assessment Findings • Response Rate: 28 out of 29 (97%) clinics • 27 of 27 (100%) indicated they conduct a sexual history • 21 of 27 (78%) screen all sexually active females under 26 years annually • 16 of 27 (59%) screen clients over 26 years only if they have a risk factor

  12. 3. IIPP FP & STD Clinic Self Assessment • STD Clinic - Self Assessment Findings • 23 of 27 (85%) notify and refer infected/untreated clients w/in 3 days for Tx • 17 of 27 (63%) schedule rescreen 3 to 4 months after treatment • 24 of 27 (89%) provide clients with chlamydia information • 25 of 27 (93%) provide partner counseling to each client infected with CT/GC • Chart Audit: 405 out of 439 (92%) of patient charts followed the IIPP Selective Screening Criteria.

  13. 4. IDPH Laboratory Update • Lab Information Management System • StarLims: STD data component is a priority • Implementation date is February 2010 • Pooling of CT/GC Specimens • After the implementation of StarLims • Validating oral and rectal specimens: • proposal written/reviewed for the validation study • clinic contacted to assist with the study • CDC contacted- developing a validation panel for the BD ProbeTec assays

  14. 5. Special CT Screening Sites • High CT rates identified at pregnancy testing sites and Women Infant Children (WIC) Clinics • High CT rates identified “Reason for Test=Prenatal” and Pregnancy YES Source: TX FPAR Data

  15. 5. Special Chlamydia Screening Sites

  16. 6. Cook County Jail 2009* Chlamydia Screening • Routine Screening During Intake • Females: 1,371 Tests (6.6% Positivity) • Males: 254 Tests (26.8% Positivity) • 160 Infections Identified • Boot Camp • Males Only: 550 Tests (9.8% Positivity) • 54 Infections Identified • Male Screening • 1,532 Tests (11.4% Positivity) • 175 Infections Identified Not yet complete 2009 data

  17. 7. Expedited Partner Therapy • Became law Jan 1, 2010 • Guidelines (collaboration with CA and MN) • Patient Information Sheets-English/Spanish • Documents can be found at: • www.idph.state.il.us • Encouraging sites to utilize EPT as an additional partner management tool

  18. 8. Chlamydia Evaluation Initiative • One of eight sites funded by CDC • Partners: • Local health department • IDPH • HMO • Two Local Hospitals • FQHC • University Health Center

  19. 8. Chlamydia Evaluation Initiative • Objectives • Determine to what extent clinicians are following screening guidelines & amount of chlamydia screening occurring at the various settings • Increase clinician awareness of importance of screening and ultimately increase screening in the correct populations • Provider survey • Chart audits

  20. 9. Implementation of INEDSS • Illinois National Electronic Data Surveillance System • Paper(less) reporting system for CT and GC • LHDs will electronically report CT/GC cases • Treatment information • Partner counseling component • Electronic Lab Reporting – My Cases • February 1, 2010 implementation date

  21. Questions

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